Ethical practice in isolation, quarantine & contact tracing; American Medical Association (AMA), April 28, 2020

American Medical Association (AMA); Ethical practice in isolation, quarantine & contact tracing

"Contact tracing and isolation or quarantine of sick or exposed individuals are among the most effective tools to reduce transmission of infectious disease. Yet like many public health activities it raises concerns about appropriately balancing individual rights, notably privacy and confidentiality, with protecting the health of the community. The AMA Code of Medical Ethics provides guidance to help physicians strike this balance when they act in a public health capacity. 

Opinion 8.11, “Health promotion and preventive care,” provides that “physicians who work solely or primarily in a public health capacity should uphold accepted standards of medical professionalism by implementing policies that appropriately balance individual liberties with the social goals of public health policies.” That includes notifying public health authorities when physicians “notice patterns in patient health that may indicate a health risk for others.”

In keeping with Opinion 8.4, “Ethical use of quarantine & isolation,” physicians should also educate patients and the public about public health threats, potential harm to others and the benefits of quarantine and isolation, and should encourage voluntary adherence. Physicians should support mandatory measures when patients fail to adhere voluntarily."