Most if not all health departments require that contacts be notified.  They 
just don't allow the contact to be told who had the positive HIV test without 
permission.  

I don't think anyone who has a positive HIV test is a priori a murderer.

If someone in NYC hears the Health Department is collecting this data and does 
not want a Health Department envelope arriving in his mailbox, he has no way 
to stop that at the moment.  He cannot contact the Health Department until 
they contact him by mail.  If he wishes to keep the fact he has diabetes to 
himself, that makes it very difficult if someone else uses the same mailbox.

And collecting every A1C that has been done does not even invade the privacy 
of just the diabetics.  I am sure it is much easier just to grab all of the 
data than it is to write the programs to sort out all the A1Cs above 7, so 
they took the easy out.  This represents a little more sliding down that 
slippery slope and the program is just getting started!


On Thursday 16 February 2006 13:29, Ruben Safir wrote:
On Thu, 2006-02-16 at 12:07, Nancy Anthracite wrote:
> I have been working with the CDC with an eye to include in VistA the option
> to report deidentified data to the Biosense project to help with the early
> detection of disease such outbreaks, etc.  Privacy does not have to be
> violated in order to achieve most of what you are concerned about.

Yeah, actually it does.

In order to intervene with specific patient about their diabetes, the
individual patient must be contacted.  In order to prevent potential sex
partners from getting AIDs and dieing, the diseased patients identity,
and their current and recent sex partners need to be identified AND
contacts.

in the later case you have to decide if your for or against murder.

Ruben



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