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When Reporting Cases Of Hiv You Should

Reporting Lab Tests Through Electronic Laboratory Reporting

Variant Formation in HIV Patients (Preprint Case Report)

Georgia HIV/AIDS Surveillance prefers to process electronic lab reports. We accept files in the HL7 standard . These files can be transmitted to Georgia’s Department of Public Health through a secure disease reporting system called SENDSS . A user login and password must be assigned by our SENDSS Administrator and HL7 assistance can be provided .

To begin the process, please contact Lauren Barrineau-Vejjajiva, ELR Project Coordinator, or 404-657-3753. She will need to know the volume and types of lab results you wish to report. She will then work with the IT team to create your SENDSS account, and if necessary the HL7 connection. This same connection can used to report at notifiable diseases.

For assistance with the HL7 standard for electronic lab reporting please contact Patrick Pitcher, or 404-657-6646.

To create a SENDSS authorized user account please request an account on the SENDSS homepage or use this link.. For assistance with an existing account or followup on a new user account request, please email SENDSS Support at .

How Does Hiv Affect The Body

The human immune system involves many types of cells which guard against germs responsible for most diseases. The immune system’s most important guard cells are B-cells and T-cells, which are special white blood cells. B-cells and T-cells cooperate to fight any germ that attacks the human body.

B-cells produce particular proteins, called antibodies, that try to neutralize the invading germ. After a person recovers from an infection, these antibodies continue to circulate in the bloodstream, acting as part of the immune system’s “memory.” Immune system memory explains why a person rarely suffers a second attack from an infectious disease such as measles. If the same germ is encountered again, the antibodies will recognize and neutralize it. T-cells attack the germ directly and try to kill it.

How To Report A Diagnosis Of Hiv Or Aids

Reporting HIV or AIDS Diagnosis is Mandatory

In 1998 New York State expanded its existing AIDS case reporting laws to include reporting of people with HIV as well as AIDS to the state and local health departments. The newly amended law took effect on June 1, 2000. The law also requires reports of names of sexual or needle-sharing partners known to the medical provider or whom the infected person wishes to notify.

A state reporting form, the Medical Provider Report Form or DOH-4189 revised 09/2016 must be completed for all persons within 14 days of the following diagnoses:

  • Initial/new HIV diagnosis: First report of HIV positive test results, including Acute HIV Infection and persons diagnosed with HIV-2.
  • Previously diagnosed HIV : Reporting required by a medical provider who is seeing the patient for the first time and patient has not met criteria for AIDS.
  • Initial/new diagnosis of AIDS: Including < 200 CD4 cells/µ or one of the 28 opportunistic infections and/or conditions.
  • Previously diagnosed AIDS:Reporting required by a medical provider who is seeing the patient for the first time.
  • Report Electronically:You may also submit PRFs electronically by visiting the provider portal. You can get instructions for accessing the portal here .
  • Why Report Diagnoses of HIV and AIDS?

  • Directs prevention efforts to populations at risk of infection.
  • Assists in allocating resources for caring and treatment for people living with HIV/AIDS.
  • It is the right thing to do!
  • Who must report?

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    Study Design And Data Collection

    The counsellors were approached and asked about their willingness to participate and all expressly accepted. The first author performed the interviews using an inquiry guide with questions about the counsellors’ background, the nature and content of counselling, and how confidentiality and partner notification issues were handled. Based on preliminary comparative analysis of 30 conducted interviews , it was decided that further interviews would probably not yield much more additional information in relation to the research question .

    From the interviews with the counsellors, legal issues emerged regarding confidentiality and partner notification for HIV. To obtain a legal perspective about these concerns, two additional interviews were conducted with a lawyer and a judge. All the interviews were carried out from September to December 2009 and were conducted in English. Each of the interviews lasted between 45- 90 minutes, were tape-recorded and transcribed verbatim by the first author. The tapes and transcripts were de-identified to ensure anonymity.

    How The Data Are Used

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    MMP provides valuable state and national estimates of healthcare utilization, quality of care, severity of need, and effectiveness of prevention messages. MMP data may help estimate resource needs for treatment and services for people living with HIV/AIDS. To be effective, programs must meet the current needs of the population. MMP data provide contextual information on prevention, care-seeking, treatment, and risk behaviors that can aid in the design and improvement of HIV programs. Information gathered for MMP will be used to help people living with HIV/AIDS. Results will be shared with HIV prevention community planning groups, Ryan White CARE Act advisory and planning councils, and with facilities that provide care for people living with HIV/AIDS. This information will be used to make evidence-based policy and funding decisions and to guide treatment services for people living with HIV/AIDS in Illinois and across the nation.

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    Hiv/aids Case Reporting And Guidelines

    State regulations identify HIV and AIDS as reportable diseases and mandate that healthcare professionals licensed by the Department report HIV and AIDS cases. Effective January 1, 2006, cases of HIV infection must be reported by name to the HIV Surveillance Program at the Illinois Department of Public Health. AIDS cases have been reported to the Illinois Department of Public Health this way since 1981. Every healthcare professional must report each case in which the healthcare professional has diagnosed or treated a case of AIDS or HIV infection. If an individual was previously reported using a patient code number , the Department expects the individual to be re-reported by name.

    The IDPH HIV Surveillance Unit prepared a training video intended for staff at any facility in Illinois that conducts HIV/AIDS testing. The purpose of the training is to inform medical facilities of the requirements associated with HIV case reporting and provide guidance on proper reporting in order to remain in compliance with CDC reporting requirements.

    For National Surveillance Information, see Resources in the right-hand column.

    Hiv/aids Confidentiality And Hipaa

    All state HIV/AIDS surveillance programs are required to meet security standards set forth by the federal Department of Health and Human Services and the Centers for Disease Control and Prevention . Access to confidential information is limited to authorized staff. All employees sign a confidentiality statement with criminal penalties for breaches. Individuals’ names are not shared with anyone including federal agencies, immigration, insurance companies, employers, school officials, or family members of the person with HIV.

    HIV/AIDS reports to DPH are exempt from HIPAA’s privacy rule. The rule states that disclosure of patient health information without the authorization of the individual is permitted for purposes including but not limited to disclosures required by law ) or for “public health activities and purposes.” Additional information on the HIPAA Privacy Rule can be found at: and .

    Names and other identifying information are required for all reportable diseases. This method provides the most complete and accurate data by minimizing duplicate reports and facilitating follow-up with health care providers for additional information. Additionally, CDC only accepts data from surveillance systems that utilize names as an identifier.

    Page last updated 02/26/2020

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    What Health Professionals Need To Know About Hiv And Aids

    Why Miami is the epicenter of new HIV cases in the U.S.

    The human immunodeficiency virus is a sexually transmitted and blood-borne infection that can be transmitted through exposure to the blood, semen, vaginal fluid, rectal fluid and human milk from a person with HIV. Perinatal transmission can also occur during pregnancy or birth.

    Acquired immune deficiency syndrome is a long-term sequela of HIV infection.

    Consider and discuss HIV testing as part of routine care. Early diagnosis and initiation of antiretroviral therapy can lead to reduced morbidity and mortality associated with HIV infection and progression to AIDS.

    Individuals who are aware of their serostatus are more likely to use effective strategies to prevent HIV transmission. In addition, ART reduces transmission. People who adhere to ART and who achieve and maintain an undetectable viral load have effectively no risk of transmitting HIV sexually.

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    Should I Give The Name Of My Partner To My Doctor Or The Health Department

    It is a good idea. If you haven’t told your partner directly, it is important to identify them to your doctor or the PNAP/CNAP counselor so they can be told about their risk for HIV infection.

    You cannot be penalized and treatment cannot be denied if you choose not to disclose the names of your partners toa doctor or public health worker. It is important that all of your partners know they have been exposed to HIV.

    The Importance Of State’s Law And Hiv/aids Reporting

    Thus, it is important to keep in mind the requirements of your states laws. This includes duty to warn, protect, and treat laws as well as those relevant to reporting HIV. Some states do not all require the reporting of HIV or AIDS status by licensed psychotherapists while other states require the reporting of it . So, knowledge of the relevant laws in ones jurisdiction is essential. It is also important to keep in mind that breaching confidentiality due to harm to others has strict limitations. The harm must be threats of harm in the future, not in the past or ongoing. Additionally, the harm typically must have potentially imminent lethality .

    Finally, if these issues can effectively be addressed in treatment, that is preventing the risk of future harm through treatment, that should carefully be considered unless your states law contraindicates this. When addressing these issues are addressed in treatment it is important to thoroughly document all discussions, recommendations, interventions and actions taken, your clients responses, and all consultations. Further, its not just important to document what you did, but also all that you considered and the rationale behind your decisions.

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    If I’m Under Age 18 Will The Department Of Health Notify My Parents That I’ve Been Tested For Hiv

    No. If you are under age 18 and have consented to an HIV test, your parents or guardian will not be notified by the Department of Health that you have been tested nor will they be told the results. Your doctor or HIV test counselor will talk with you about the importance of discussing this with your parent, guardian or other trusted adult.

    Examples Of Hiv Case Report In A Sentence

    HIV DISEASE &  AIDS  Diagnostic Centre &  Pathology Lab ...

    In some jurisdictions, the health department initiates PS automatically when it receives an HIV case report form.

    It also includes an overview of performance information reported to the Homes and Communities Committee, Leisure and Environment Committee and the Economic Development Committee.

    Prepare HIV case report by subnational and by year b.

    Infectious disease clinicians send completed HIV case report forms from the local level direct to the National AIDS Programme based at the Hospital for Dermatology and Communicable Diseases .During 2013, data on the mode of HIV transmission were reported for approximately 44% of 706 reported HIV cases.

    Reporting Requirements The Consultant shall submit to the Client reports as follows: Submit monthly testing and counselling , HIV case report and STI report by 7th of succeeding month .

    Appendix B – Reporting RequirementsThe Consultant shall submit to the Client reports as follows: Submit monthly testing and counselling , HIV case report and STI report by 7th of succeeding month .

    Session 2: Estimates in Latin America and use of alternative methods for fittingIn Latin America many countries have detailed cause-specific mortality data over time and HIV case report data but more limited and sporadic data on HIV prevalence.

    Review your countrys HIV case report form .

    One HIV case report and one AIDS case report did not have information on whether the patient had been informed of his/her infection.

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    Duty To Warn Specific To Hiv And Aids

    With regard to the issue of a client with HIV or AIDS disclosing engaging in unprotected sex with other individuals this is of course a very serious concern that will hopefully be addressed in treatment. With regard to breaching confidentiality there are several issues of relevance and great importance. First, it is essential that we always include potential limits to confidentiality in our informed consent agreements with our clients. Then, the following factors are relevant: intent to do harm, likelihood of actual harm occurring, the inability to know the identity of future sexual partners, and the likely presence of consent to engage in these behaviors . When it comes to unprotected sexual behavior one might reasonably argue that your clients partners are engaging in this behavior consensually.

    Progression Of Hiv Infection

    The amount of time from initial infection to the development of clinical manifestations is highly variable, as is infection progression.

    HIV infection results in the progressive destruction of CD4+ T lymphocytes. These white blood cells are crucial to the normal function of the immune system.

    Consequently, people with HIV and subsequent immune suppression are at risk of developing a variety of AIDS-defining conditions, including:

    • opportunistic infections

    Due to advances in HIV treatment:

    • the progression of the infection has slowed to a great degree and
    • HIV infection is considered a chronic, treatable condition

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    Who Is Required To Report

    • Health care practitioners are required to report disease to the Minnesota Department of Health under Minnesota state law.
    • Unless previously reported, every licensed health care provider who provides care to any patient who has, is suspected of having, or has died from a reportable disease is required to report.
  • Any person in charge of any institution, school, child care facility, or camp is also required to report disease to MDH.
  • What Does The Report Conclude On The Criminal Justice Systems Response To Hiv Non

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    In light of the Public Health Agency of Canadas review of the most recent medical science, Justice Canadas Report on the Criminal Justice Systems Response to Non-Disclosure of HIV draws the following conclusions about the scope of the criminal law addressing HIV non-disclosure cases:

    These conclusions concern when the criminal law should impose a duty to disclose HIV positive status before sexual activity, not when there may be an ethical duty to do so.

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    Can I Still Get Tested Without Giving My Name

    Yes. You can get anonymous testing through testing sites operated by New York City and New York State. At these sites, you do not have to give your name. Instead, you are given a code number to use when you return to receive your test results. Call the hotline numbers listed at the end of this brochure for sites where you can get anonymous testing in New York State.

    Understanding The Difference Between Confidential & Anonymous Hiv Tests

    Confidential HIV Testing

    • Done in a doctor’s office or clinic.
    • You give your name.
    • The result goes in your medical record.
    • Your result cannot be shared except with certain people who need to know to provide you with care andwith the Health Department.
    • The information is used for your medical care.

    Anonymous HIV Testing

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    What If My Doctor Alraedy Knows The Name Of My Partner

    If your doctor already knows the name of your partner, he/she is required to report that name to the State Health Department. For example, if you are married and your doctor knows your husband or wife, the doctor must report your spouse’s name. You and your doctor can plan the best way to notify your partner. Public health staff may follow-up with you, but meeting with them is voluntary. All names of partners are held by the Health Department no longer than one year after the case is closed.

    Hiv Testing And Reporting In Ontario

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    HIV is the Human Immunodeficiency Virus. HIV is the virus that causes AIDS. AIDS is the Acquired Immunodeficiency Syndrome.

    Being infected with HIV is often called living with HIV or being HIV-positive.

    In Ontario, there are two ways to get tested for HIV infection: nominal testing and anonymous testing.

    The information on this webpage is about HIV testing and reporting in Ontario from June 2016 onward, and includes important changes to HIV testing and reporting in Ontario. For information about changes to HIV testing and reporting in Ontario, please see our:

    For more information about Public Health Law in Ontario, please see our Public Health Law page: .

    For more information about the reporting of HIV to Public Health, please see below.

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    Who Is Responsible For Reporting

    • Healthcare Providers/Facilities:
    • New diagnoses of HIV infection: All positive/reactive diagnostic test results for persons newly diagnosed with HIV are to be reported accompanied by an Adult Case Report Form . Pediatric Case Report Forms should be used for persons < 13 years.
    • Patients initiating care: An Adult Case Report Form should be completed for any person initiating care with the Provider/Facility, regardless of when or where the person was initially diagnosed with HIV . Pediatric Case Report Forms should be used for persons < 13 years.
    • Subsequent follow-up test results of persons living with HIV: Any and all lab results for HIV tests performed on HIV-positive persons to monitor the progression of HIV disease or efficacy of HIV treatment.
    • Subsequent follow-up test results may be reported by the performing laboratory, provided the Provider/Facility has ensured the performing laboratory is reporting results and case report forms are completed and reported by the Provider/Facility for persons newly diagnosed with HIV and any person initiating care with the Provider/Facility, regardless of when or where the person was initially diagnosed with HIV.
  • Perinatal exposures: Every instance of perinatal exposure AND any and all subsequent test results on the exposed child until either HIV infection or negative serostatus is confirmed.
  • Laboratories:
  • A positive/reactive result on an HIV antigen test
  • A positive/reactive qualitative HIV nucleic acid amplification test
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