AIDS and South comprehensive Part 11. Screening and control

Summary In this, the second of a three-part series of articles in wnich we propose stepstowards a comprehensive strategy for the control of HIV infection, we consider controversies relating to screening for HIV, the indi­ cations for and desirability of mandatory testing of certain groups at risk, and the place of voluntary testing in the cbntrolof HIV transmission and infec­ tion. Key recommendations are that mandatory testing of donors o~ blood and other vital tissues, patients on haemodialysis and haemodialysis unit staff is justified, and that children put up for adoption may require testing. We make further recommendations regarding HIV testing as a prerequisite for life insurance and recommend that voluntary testing be offered, supported by adequate pre- and post-test counselling. We consider that all health care workers should acceptas their moral obligation the care and management of HIV-infected individuals, and that they should be adequately educated and skilled in such work. These recommendations were reached largely by consensus, although there were occasions when individual authors condoned recommendations with which they did not personally agree. S Aft Med J 1988; 73: 461-464.

[1]  G. Friedland,et al.  [Transmission of the human immunodeficiency virus]. , 1987, Voprosy virusologii.

[2]  J. Bove.  Transfusion-associated hepatitis and AIDS. , 1987, The New England journal of medicine.

[3]  T. Harding.  AIDS IN PRISON , 1987, The Lancet.

[4]  S. Miles,et al.  Physicians, AIDS, and occupational risk. Historic traditions and ethical obligations. , 1987, JAMA.

[5]  E. Pellegrino.  Altruism, self-interest, and medical ethics. , 1987, JAMA.

[6]  H. Fineberg,et al.  Compulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations. , 1987, JAMA.

[7]  J. Mann,et al.  HUMAN IMMUNODEFICIENCY VIRUS INFECTION AND ROUTINE CHILDHOOD IMMUNISATION , 1987, The Lancet.

[8]  J. Butzler,et al.  POSTNATAL TRANSMISSION OF HIV FROM MOTHER TO CHILD , 1987, The Lancet.

[9]  J. Grimshaw.  ABC of AIDS. Being HIV antibody positive. , 1987, British medical journal.

[10]  S G Pauker,et al.  Screening for HIV: can we afford the false positive rate? , 1987, The New England journal of medicine.

[11]  J. S. St. Lawrence,et al.  Stigmatization of AIDS patients by physicians. , 1987, American journal of public health.

[12]  C. Corey,et al.  AIDS-related competence of California's primary care physicians. , 1987, American journal of public health.

[13]  R. Gillon.  Refusal to treat AIDS and HIV positive patients. , 1987, British medical journal.

[14]  W. Curran,et al.  AIDS screening, confidentiality, and the duty to warn. , 1987, American journal of public health.

[15]  A. Moss.  AIDS and intravenous drug use: the real heterosexual epidemic. , 1987, British medical journal.

[16]  E. Searle,et al.  KNOWLEDGE, ATTITUDES, AND BEHAVIOUR OF HEALTH PROFESSIONALS IN RELATION TO AIDS , 1987, The Lancet.

[17]  G B Hastings,et al.  AIDS publicity: some experiences from Scotland. , 1987, British medical journal.

[18]  T. Smith.  AIDS: a doctor's duty. , 1987, British medical journal.

[19]  C. Scully,et al.  AIDS: update and guidelines for general dental practice. , 1987, Dental update.

[20]  W. Schaffner,et al.  Risk of AIDS to health care workers. , 1986, JAMA.

[21]  P. Piot,et al.  AIDS in Africa: an epidemiologic paradigm. , 1986, Science.

[22]  J. Conte.  Infection with human immunodeficiency virus in the hospital: Epidemiology, infection control, and biosafety considerations , 1986, Annals of internal medicine.

[23]  T. Greenwalt,et al.  A method for ensuring anonymity for AIDS antibody screening away from blood banks at alternate sites. , 1986, JAMA.

[24]  R. Bayer,et al.  HIV Antibody Screening: An Ethical Framework for Evaluating Proposed Programs , 1987 .

[25]  T. Quinn,et al.  RISK FACTORS FOR HUMAN IMMUNODEFICIENCY VIRUS SEROPOSITIVITY AMONG CHILDREN 1-24 MONTHS OLD IN KINSHASA, ZAIRE , 1986, The Lancet.

[26]  E. McCray.  Occupational risk of the acquired immunodeficiency syndrome among health care workers. , 1986, The New England journal of medicine.

[27]  D. Jeffries,et al.  HTLV-III: should testing ever be routine? , 1986, British medical journal.

[28]  J. Mills,et al.  The acquired immunodeficiency syndrome. Infection control and public health law. , 1986, The New England journal of medicine.

[29]  B. Saltzman,et al.  Lack of transmission of HTLV-III/LAV infection to household contacts of patients with AIDS or AIDS-related complex with oral candidiasis , 1986 .

[30]  M. Sande.  Transmission of AIDS. The case against casual contagion. , 1986, The New England journal of medicine.

[31]  G. Ordog,et al.  AIDS and breast milk. , 1986, JAMA.

[32]  G. Ordog,et al.  AIDS and breast milk [letter] , 1986 .

[33]  Hammett Tm.  Acquired immunodeficiency syndrome in correctional facilities: a report of the National Institute of Justice and the American Correctional Association. , 1986, MMWR. Morbidity and mortality weekly report.

[34]  R. Sher.  AIDS and related conditions--infection control. Guidelines for health care workers involved in patient management and investigation. , 1985, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[35]  D. Echenberg.  A new strategy to prevent the spread of AIDS among heterosexuals. , 1985, JAMA.

[36]  L. Grouse.  HTLV-III transmission. , 1985, JAMA.

[37]  J. Gold,et al.  POSTNATAL TRANSMISSION OF AIDS-ASSOCIATED RETROVIRUS FROM MOTHER TO INFANT , 1985, The Lancet.

[38]  Echenberg Df.  A new strategy to prevent the spread of AIDS among heterosexuals [editorial] , 1985 .