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Previous Volume 343:73-74 July 6, 2000 Number 1 Next

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By Richard J. Coker. 261 pp. New York, St. Martin's Press, 2000. $27.95. ISBN 0-312-22250-5.

Tuberculosis-control workers in the United States may very well be stunned by Richard Coker's assessment of their efforts in From Chaos to Coercion: Detention and the Control of Tuberculosis. After all, the rates of tuberculosis in the United States and specifically in New York City, which is the focus of Coker's analysis, have dropped precipitously since the height of the epidemic in the early 1990s. Yet Coker argues that these accomplishments relied too heavily on the use of coercion, both in the detention of noncompliant patients and in the use of directly observed therapy.

Directly observed therapy, by improving patients' . . . [Full Text of this Article]

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