Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment

In 2010, the International Conference on the Reduction of Drug Related Harm shared its 21st birthday with one of its most constant companions: hepatitis C. The co-occurrence of these significant anniversaries provides an opportunity to reflect critically on the formative role played by hepatitis C,...

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Main Authors: Fraser, S., Moore, David
Format: Journal Article
Published: Routledge 2011
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/7464
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author Fraser, S.
Moore, David
author_facet Fraser, S.
Moore, David
author_sort Fraser, S.
building Curtin Institutional Repository
collection Online Access
description In 2010, the International Conference on the Reduction of Drug Related Harm shared its 21st birthday with one of its most constant companions: hepatitis C. The co-occurrence of these significant anniversaries provides an opportunity to reflect critically on the formative role played by hepatitis C, and on our responses to it, in the development of harm reduction. The commentary takes an interdisciplinary approach to analyse the implications of a foundational aspect of harm reduction and the response to hepatitis C: medicalisation. It draws on a range of literature and research disciplines to highlight a set of issues poorly visible from within medical expertise. This commentary highlights two trends, both of which emerge from hepatitis C's place as a thoroughly medicalised object. First, hepatitis C has contributed to an increasing emphasis on individual responsibility in prevention initiatives, and second, it has contributed to the homogenisation of affected individuals in relation to treatment. While acknowledging the benefits for injecting drug users that have flowed from the medicalisation of hepatitis C, we note that insufficient attention is sometimes paid to the impact of medical and public health imperatives on the goals and values of harm reduction. We conclude by considering some key ethical and political challenges that harm reduction must confront as it continues to place the status and well-being of drug users at the centre of its rationale and work.
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spelling curtin-20.500.11937-74642017-09-13T15:54:28Z Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment Fraser, S. Moore, David harm reduction medicalisation hepatitis C In 2010, the International Conference on the Reduction of Drug Related Harm shared its 21st birthday with one of its most constant companions: hepatitis C. The co-occurrence of these significant anniversaries provides an opportunity to reflect critically on the formative role played by hepatitis C, and on our responses to it, in the development of harm reduction. The commentary takes an interdisciplinary approach to analyse the implications of a foundational aspect of harm reduction and the response to hepatitis C: medicalisation. It draws on a range of literature and research disciplines to highlight a set of issues poorly visible from within medical expertise. This commentary highlights two trends, both of which emerge from hepatitis C's place as a thoroughly medicalised object. First, hepatitis C has contributed to an increasing emphasis on individual responsibility in prevention initiatives, and second, it has contributed to the homogenisation of affected individuals in relation to treatment. While acknowledging the benefits for injecting drug users that have flowed from the medicalisation of hepatitis C, we note that insufficient attention is sometimes paid to the impact of medical and public health imperatives on the goals and values of harm reduction. We conclude by considering some key ethical and political challenges that harm reduction must confront as it continues to place the status and well-being of drug users at the centre of its rationale and work. 2011 Journal Article http://hdl.handle.net/20.500.11937/7464 10.3109/16066359.2010.530716 Routledge restricted
spellingShingle harm reduction
medicalisation
hepatitis C
Fraser, S.
Moore, David
Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment
title Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment
title_full Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment
title_fullStr Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment
title_full_unstemmed Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment
title_short Harm reduction and hepatitis C: On the ethics and politics of prevention and treatment
title_sort harm reduction and hepatitis c: on the ethics and politics of prevention and treatment
topic harm reduction
medicalisation
hepatitis C
url http://hdl.handle.net/20.500.11937/7464