Ciesielski C A, Marianos D W, Schochetman G, Witte J J, Jaffe H W
Division of HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, GA 30333.
Ann Intern Med. 1994 Dec 1;121(11):886-8. doi: 10.7326/0003-4819-121-11-199412010-00011.
Since human immunodeficiency virus (HIV) transmission from a dentist to six of his patients was first reported in 1990 by the Florida Department of Health and Rehabilitative Services and the Centers for Disease Control and Prevention, controversy and speculation have surrounded the investigation of that case. This controversy has been fueled by the inability to determine exactly how the transmissions occurred. Many theories have appeared in the media and have led to confusion and uncertainty about the facts of this investigation. Recently, a magazine article and a newspaper article, as well as a segment on the television newsmagazine "60 Minutes," presented information that was largely based on findings by investigators hired as part of private litigation and that cast doubt on the conclusion that the patients had been infected by the dentist. However, these reports omitted pertinent epidemiologic and laboratory evidence that shows that no other sources of HIV infection could be documented for the six dental patients. The scientific evidence indicates that the Florida dentist transmitted HIV to six of his patients.
自1990年佛罗里达州卫生与康复服务部以及疾病控制与预防中心首次报告一名牙医将人类免疫缺陷病毒(HIV)传播给其六名患者以来,围绕该病例的调查一直存在争议和猜测。由于无法确切确定传播是如何发生的,这一争议愈演愈烈。许多理论出现在媒体上,导致人们对该调查的事实感到困惑和不确定。最近,一篇杂志文章、一篇报纸文章以及电视新闻杂志《60分钟》的一个片段所呈现的信息,很大程度上基于作为私人诉讼一部分聘请的调查人员的调查结果,这些信息对患者是被该牙医感染这一结论提出了质疑。然而,这些报道遗漏了相关的流行病学和实验室证据,这些证据表明这六名牙科患者不存在其他HIV感染源。科学证据表明,这位佛罗里达州的牙医将HIV传播给了他的六名患者。