HIV‐Positive health care workers and the obligation to disclose

1992 ◽  
Vol 13 (3) ◽  
pp. 333-356 ◽  
Author(s):  
Karen C. Lieberman ◽  
Arthur R. Derse
2010 ◽  
Vol 100 (2) ◽  
pp. 96 ◽  
Author(s):  
Suzanne Gokool ◽  
June Fabian ◽  
W D Francois Venter ◽  
Catherine MacPhail ◽  
Saraladevi Naicker

2021 ◽  
Vol 39 ◽  
pp. S56
Author(s):  
P. Chandra Lekha ◽  
V. Sudha Rani ◽  
G. Jyothi Lakshmi ◽  
P. Shashikala Reddy

Author(s):  
Irene Jose Manjiyil ◽  
Binu Areekal ◽  
Rajany Jose ◽  
Andrews Mekkattukunnel Andrews ◽  
Biju Krishnan Rajagopalawarrier ◽  
...  

Introduction: Coronavirus Disease 2019 (COVID-19) is rapidly spreading in India and all over the world. Being at the frontline in the battle against COVID-19, Health Care Workers (HCWs) are among the greatest groups at risk of COVID-19 infection. Therefore, it is very important to study the risk and sources of infection and clinical outcome of HCWs. Aim: To study the clinico-epidemiological profile and outcome of COVID-19 positive HCWs in Government Medical College Thrissur, Kerala, India. Materials and Methods: This was a hospital based cross-sectional study conducted during the time period from February 2020 to December 2020. A semi-structured telephonic interview schedule and hospital based records were used to collect the demographic, epidemiological and clinical information of 235 COVID-19 positive HCWs. Proportions along with 95% Confidence Interval was used to express the results. Results: Among 235 COVID-19 positive HCWs, 51% were either nurses or auxiliary nursing staff. Non-COVID-19 areas had 31.9% infections, while 17.1% of infections occured in COVID-19 areas. Around 57% acquired infection from health care settings. Common symptoms were fever (67.2%), myalgia (40.4%) and headache (39.6%). Around 21.3% subjects remained asymptomatic. Hand hygiene compliance was 96.6%. Among positive HCWs, 57% used N95 mask, 52.8% used gloves, 49.8% used apron and 48.9% used face shield in the hospital. Only 0.85% required Intensive Care Unit (ICU) admission. No mortality was reported in the present study. Conclusion: There is a considerable risk for COVID-19 infection among HCWs in hospital settings especially from non-COVID-19 areas. Present study findings show the risk of exposure and need of infection control measures even outside the health care settings. Early identification and isolation of cases is very important. This study will be useful for policy makers in planning control strategies and preventing COVID-19 infections among HCWs.


1990 ◽  
Vol 80 (1) ◽  
pp. 26-30
Author(s):  
B Lo

As the AIDS epidemic continues to claim lives, the issues of testing, confidentiality, and refusal to care for seropositive patients generate increasing debate and concern among health care workers, legislators, and the general public. Protecting the uninfected from exposure to HIV, providing adequate medical care and counseling to HIV-positive persons, and preventing discrimination are necessary and immediate goals. Adherence by practitioners to both the current legislation on AIDS and the ethical imperatives of the health professions will facilitate adequate access to health care for all persons with AIDS. It will also provide necessary guidelines for issues of confidentiality.


2021 ◽  
Vol 11 (4) ◽  
pp. 83-92
Author(s):  
Sushila Baral ◽  
Pawan Pandeya ◽  
Kalyan Sapkota

Background: COVID-19, an emerging contagious disease had affected all over the world and become a global health threat. Lockdown and restriction had made the life of the health care workers troublesome and psychosocial problems are exaggerated. Moreover, health care workers are the frontline workers to deal with the COVID-19 patients; they are at high risk. Due to social stigma and hectic schedule of work had made their life more stressful. The study aimed to assess anxiety and depression and its associated factors among COVID-19 positive frontline health care workers during COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted among 323 COVID-19 positive health care workers working in different provinces of Nepal. The Google form was made by adopting GAD-7 for anxiety and PHQ-9 for depression and made available to study population through various social media. Results: The prevalence of anxiety and depression among the COVID-19 positive frontline health care worker was 39% and 35.5% respectively. The study showed significant association between staying with friend during pandemic (p 0.015), daily meditation (p 0.020), duty in isolation ward (p 0.027), unaware of incentives provision (p 0.034), stigma (p <0.001) with anxiety and education status (p 0.023), fear of dying from COVID-19 (p 0.045) and stigma (p 0.05) with depression in multiple logistic regression analysis. Conclusions: In the pandemic, COVID-19 positive frontline health workers had developed anxiety and depression symptoms. Training and sufficient preventive practice need to be implemented to control consequences of COVID 19 pandemic. Key words: Anxiety; Coronavirus; Depression; Frontline health workers, Nepal


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