With respect to any residual
occurrence of coercive measures,
the extent to which eradication
would require them more than
would elimination and control
would be a factor that counts
against eradication from the
standpoint of the core social justice
framework; this is because of the
adverse impacts of coercion on
agency, association, and respect. In
cases in which coercive measures
would be necessary to achieve
eradication, intrapersonal or interpersonal
trade-offs between
protecting agency, association, and
respect (by limiting public health
intervention) and more completely
averting and alleviating
clusters of disadvantage (by reducing
long-term residual disease
incidence) may be inevitable. Although
our proposed method of
ethical analysis in EICs would not
in itself resolve such trade-offs,
it would at least help people to
identify, clarify, and deliberate
about them.