International Centre for Infectious Diseases, Winnipeg, Manitoba, Canada.
Health Policy. 2011 Dec;103(2-3):111-23. doi: 10.1016/j.healthpol.2011.07.011. Epub 2011 Aug 25.
Public health officials and health providers need to be aware of the legislation documenting contact tracing in their jurisdiction to advise HIV positive clients of their rights, and to systematically perform their duties. The objective is to outline and compare the contact tracing laws in 13 jurisdictions in Canada, and to provide policy recommendations.
A systematic review was performed to outline and compare the laws in Canadian jurisdictions regarding HIV contact tracing. Specific manual searches were done in websites of Canadian provincial and territorial departments of health.
For thirteen provinces and territories within Canada eleven laws were found. No laws directly pertaining to partner notification or contact tracing were found in Newfoundland and Labrador or Quebec.
Public health officials should ensure that contact tracing practices and policies accurately reflect the current regulations without compromising their patients' confidentiality. It is recommended that each province/territory would benefit from standardized contact tracing regulations which are imbedded in communicable disease legislation. Regulations with provisions for informed consent, confidentiality, multiple counselling sessions, clear procedures in duty to warn cases, and domestic violence screening would be considered best practice.
公共卫生官员和卫生服务提供者需要了解其管辖范围内记录接触者追踪的立法，以便告知 HIV 阳性患者其权利，并系统履行其职责。目的是概述和比较加拿大 13 个司法管辖区的接触者追踪法，并提供政策建议。
对加拿大司法管辖区有关 HIV 接触者追踪的法律进行了系统审查，以进行概述和比较。在加拿大省级和地区卫生部门的网站上进行了具体的手动搜索。
在加拿大的十三个省和地区中，发现了十一项法律。在纽芬兰和拉布拉多省或魁北克省没有直接涉及伴侣通知或接触者追踪的法律。
公共卫生官员应确保接触者追踪的做法和政策准确反映当前的法规，同时不损害其患者的保密性。建议每个省/地区都将从纳入传染病立法的标准化接触者追踪法规中受益。考虑到最佳实践，法规应包含知情同意、保密、多次咨询、在有义务警告的情况下明确程序，以及进行家庭暴力筛查的规定。
