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tbh there isnt much controversy over this imo, pretty straight forward ethical situation

1. Yes, you are obligated

2. You try to involve the patient as much as you can (or as much as the patient wants) when breaking the confidentiality 

3. The patient doesn't have to, but must cooperate with public health officers who will be tracking them down

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5 minutes ago, hopeful_med said:

tbh there isnt much controversy over this imo, pretty straight forward ethical situation

1. Yes, you are obligated

2. You try to involve the patient as much as you can (or as much as the patient wants) when breaking the confidentiality 

3. The patient doesn't have to, but must cooperate with public health officers who will be tracking them down

For 3, it actually depends on the ability of the individual to transmit the disease (in most cases). Usually, they need to disclose unless they have a “low viral load” + use protection. 

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2 minutes ago, TheRealPushaMan said:

For 3, it actually depends on the ability of the individual to transmit the disease (in most cases). Usually, they need to disclose unless they have a “low viral load” + use protection. 

I stand corrected. I was under the assumption that the OP was asking about a situation where the patient has an active infection that was just diagnosed and not on active treatment. I am not an ID person, so I am actually not sure if you could have low viral load when first diagnose.

 

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