Foundations in Continuing Education

HIV/AIDS: Etiology and Oral Manifestations

Part 5. Ethical and Legal Issues


Part 1. Etiology and Epidemiology of HIV and AIDS

Part 2. HIV Transmission and Infection Control

Part 3. Testing and Counseling

Part 4. Clinical Manifestations and Treatment

Introduction
Reporting HIV/AIDS
Spousal Notification
Confidentiality
Disability and
Discrimination

Behaviors Endangering
the Public Health

Part 6. Psychosocial Issues

Conclusion

Glossary

Appendix - HIV (Dental Management of the HIV-Infected Patient)

Resources

References

Post Examination

Exit to Menu





Behaviors Endangering the Public Health

The local health officer is the physician hired to direct the operations of the local county's health department or health district.

Included in the broad responsibilities of the health officer is the authority to:

  • Interview persons infected with an STD;
  • Notify sexual or needle-sharing partners of exposure to infection;
  • Order persons suspected of being infected to receive examination, testing, counseling or treatment;
  • Issue orders to cease and desist from specific conduct that endangers the public health of others.

Court enforcement of these orders can be sought. State law delineates the standards that must be met before action by the health officer may be taken.

For some states, healthcare providers who have knowledge that a specific patient is failing to comply with infection control measures (e.g., acquisition of a new STD, sex without disclosure of HIV status prior to sexual partners, failure to disclose HIV status to needle-sharing partners, or donating or selling HIV-infected blood, etc.) should contact the local public health officer to discuss the circumstances of the case and to determine if the name of the person should be reported for investigation and follow-up.

The health officer or other authorized representative will investigate the case if credible evidence exists that an HIV-infected person is engaging in conduct endangering the public health.

There are also other laws and regulations concerning behaviors endangering and occupational exposures. These may be specific to professions and to the jurisdictions of public health officers. For more specific information, talk with public health officials in your area.

Continue on to Part 6. Psychosocial Issues