HIV: the debate over isolation as a measure of personal control

In the biomedical ethical debates over HIV/AIDS, the issue of personal control measures, including isolation and detention, should be addressed critically. Taking account of historical experience with epidemics and current legislation, several major policy options are identified, each of which has drawbacks. A sliding scale of personal control measures culminating in limited detention may offer a balance between private responsibility and public health to ensure responsible behaviour. Any measure of personal control must be linked to fully implemented, positive programmes in education and counselling within a coherent strategy for which there is no coercitive substitute.