Abstract
The debate about public safety as it relates to physicians living with HIV infection concerns all Canadians. A review of the evidence strongly suggests that the best way to protect the public is by strict adherence to universal precautions and the voluntary use of expert advisory panels on an anonymous basis. Mandatory reporting of the identities of HIV-positive physicians and the use of expert panels that have the authority to ban doctors from doing certain procedures would only lead to fewer doctors at risk for HIV infection coming forward for testing and treatment and to mandatory testing for all.
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Selected References
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- Bell D. M., Shapiro C. N., Culver D. H., Martone W. J., Curran J. W., Hughes J. M. Risk of hepatitis B and human immunodeficiency virus transmission to a patient from an infected surgeon due to percutaneous injury during an invasive procedure: estimates based on a model. Infect Agents Dis. 1992 Oct;1(5):263–269. [PubMed] [Google Scholar]
- Ciesielski C., Marianos D., Ou C. Y., Dumbaugh R., Witte J., Berkelman R., Gooch B., Myers G., Luo C. C., Schochetman G. Transmission of human immunodeficiency virus in a dental practice. Ann Intern Med. 1992 May 15;116(10):798–805. doi: 10.7326/0003-4819-116-10-798. [DOI] [PubMed] [Google Scholar]
- Corless Inge B. Much ado about something: the restriction of HIV-infected health-care providers. AIDS Public Policy J. 1992 Summer;7(2):82–88. [PubMed] [Google Scholar]
- Gerbert B., Bleecker T., Berlin M., Coates T. J. HIV-infected health care professionals. Public opinion about testing, disclosing, and switching. Arch Intern Med. 1993 Feb 8;153(3):313–320. [PubMed] [Google Scholar]
- Lo B., Steinbrook R. Health care workers infected with the human immunodeficiency virus. The next steps. JAMA. 1992 Feb 26;267(8):1100–1105. [PubMed] [Google Scholar]
- Mast S. T., Woolwine J. D., Gerberding J. L. Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury. J Infect Dis. 1993 Dec;168(6):1589–1592. doi: 10.1093/infdis/168.6.1589. [DOI] [PubMed] [Google Scholar]
- Ness R., Killian C. D., Ness D. E., Frost J. B., McMahon D. Likelihood of contact with AIDS patients as a factor in medical students' residency selections. Acad Med. 1989 Oct;64(10):588–594. [PubMed] [Google Scholar]
- Palca J. AIDS. CDC closes the case of the Florida dentist. Science. 1992 May 22;256(5060):1130–1131. doi: 10.1126/science.256.5060.1130. [DOI] [PubMed] [Google Scholar]
- Schatz Benjamin. "May God and the community help us all": results of a survey of HIV-positive and "high-risk" untested health-care workers. AIDS Public Policy J. 1992 Summer;7(2):71–81. [PubMed] [Google Scholar]
- Smith T. F., Waterman M. S. The continuing case of the Florida dentist. Science. 1992 May 22;256(5060):1155–1156. doi: 10.1126/science.256.5060.1155. [DOI] [PubMed] [Google Scholar]
- Wong E. S., Stotka J. L., Chinchilli V. M., Williams D. S., Stuart C. G., Markowitz S. M. Are universal precautions effective in reducing the number of occupational exposures among health care workers? A prospective study of physicians on a medical service. JAMA. 1991 Mar 6;265(9):1123–1128. [PubMed] [Google Scholar]
