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Correspondence
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Volume 332:891-892 March 30, 1995 Number 13
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Ethical Issues in the Use of Zidovudine to Reduce Vertical Transmission of HIV

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 by Connor, E. M.
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To the Editor: Despite the strong evidence reported by Connor et al. (Nov. 3. issue)1 that zidovudine therapy administered to pregnant woman with human immunodeficiency virus (HIV) infection can significantly reduce the risk of maternal–infant transmission of the virus, in an accompanying editorial, Bayer maintains that compulsory testing and treatment of pregnant women for HIV disease violate the principle of consent and so are unjustified.2 We believe this claim is too strong. Compulsory testing, although not treatment, may be justified.

Bayer errs in conflating compulsory unblinded testing of pregnant women with compulsory treatment of competent adults. The arguments he offers, . . . [Full Text of this Article]

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