Feldman A
Damon & Morey, Buffalo, New York.
Clin Podiatr Med Surg. 1992 Oct;9(4):975-91.
Since the first AIDS case was reported in 1981, the AIDS epidemic is spreading dramatically in the United States. In dealing with the prevention of HIV transmission, we need to carefully balance the protection of civil rights that may be devastated by the disclosure of HIV-infection and the protection of public health against HIV infection in the health care setting. Recognizing the need of guidances in this regard, the CDC has issued recommendations regarding the prevention of HIV transmission in the health care setting on the basis of scientific data. In order to assure the acceptance of CDC guidelines in the health care setting, Congress recently passed a law that requires every state to institute CDC guidelines or its equivalent within 1 year. It is hoped that this requirement will ensure that HIV infection control measures are uniform throughout the nations and help HCWs and patients know their legal rights and obligations. Most importantly, the law regulating HIV-infection control will from now on rely on scientific data rather than on the irrational fear of the general public.
自1981年报告首例艾滋病病例以来,艾滋病疫情在美国急剧蔓延。在应对艾滋病毒传播的预防工作时,我们需要谨慎权衡保护可能因披露艾滋病毒感染状况而受到严重损害的公民权利,以及在医疗环境中保护公众免受艾滋病毒感染的公共卫生需求。认识到这方面指导意见的必要性,美国疾病控制与预防中心(CDC)已根据科学数据发布了关于在医疗环境中预防艾滋病毒传播的建议。为确保医疗环境中对CDC指南的接受,国会最近通过了一项法律,要求每个州在1年内制定CDC指南或其等效指南。希望这一要求将确保全国范围内艾滋病毒感染控制措施的统一,并帮助医护人员和患者了解他们的合法权利和义务。最重要的是,规范艾滋病毒感染控制的法律从现在起将基于科学数据,而非基于公众的非理性恐惧。