A Public Health concept).
This case study highlights the concept of quarantine (isolation/confinement – separating from other people) and how this may help in the promotion of health prevention of disease (a Public Health concept).
Do we quarantine in the 21st century? Is this considered ethical?
Please give 2 examples of how quarantine is used in the 21st century. Additionally, please apply the appropriate ethical principles to your quarantine examples.
Of the 3 Ethical Principles, which one is Mary the LEAST compliant with towards the end of this Case Study and why? Define the principle and explain how this relates to your response.
Ethical Case Study – Typhoid Mary A Historical Figure Typhoid Mary, (Mary Mallon), a famous typhoid fever carrier who allegedly unknowingly caused multiple outbreaks of typhoid fever in the early 1900’s because she was a “healthy carrier” of the disease. Mary immigrated to the United States from Ireland in 1883 and subsequently made her living as a cook. It is not clear when she became a carrier of the typhoid bacterium (Salmonella typhi). However, from 1900 to 1907 nearly two dozen people fell ill with typhoid fever in households in New York City and Long Island where Mary worked. The illnesses often occurred shortly after Mary began working in each household, but, by the time the disease was traced to its source in a household where she had recently been employed, Mary had disappeared. In 1906, after six people in a household of 11 where Mary had worked in Oyster Bay, New York, became sick with typhoid, the home owners hired New York City Department of Heaith sanitary engineer George Soper, whose specialty was studying typhoid fever epidemics, to investigate the outbreak. Other investigators were brought in as well, and concluded that the outbreak likely was caused by contaminated water. Mary continued to work as a cook, moving from household to household until 1907, when she resurfaced working in a Park Avenue home in Manhattan, NY. The winter of that year, following an outbreak in the Manhattan household that involved a death from the disease, Soper met with Mary. After Epidemiologic investigation (asking the Who, What, Where, Why questions) He subsequently linked all 22 cases of typhoid fever that had been recorded in New York City and the Long Island area to Mary. Again Mary fled, but authorities led by Super finally overtook her and had her committed to an isolation center on North Brother Island, part ofthe Bronx, New York. There she stayed, despite an appeal to the U.S. Supreme Court, until 1910, when the health department released her, as long as she never again accepts employment that involved the handling of food. Four years later Soper began looking for Mary again when another epidemic broke out in New Jersey, and at Sloane Maternity Hospital in Manhattan, New York; Mary had worked as a cook at both places. Mary was eventually found in a. home in New York, where she was hiding from authorities. Mary knew she had been caught, doing something she wasn’t supposed to be doing (handling food). As a result of her breaking the promise that she had made 4 years prior, Mary was returned to the isolated North Brother Island (in quarantine), where she remained the rest of her life. A stroke in 1932 led to her slow death six years later. MFifty-one original cases of typhoid and three deaths were directly attributed to her (countless more were indirectly attributed), although she herself was immune to the typhoid bacillus bacteria. Source: HWPSJZWWWBRITANN |CA.COM[B|OG RAPHYZTYPHOID-MARY
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