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  • Title: State TB and AIDS officials knock down barriers.
    Journal: AIDS Alert; 1995 Jul; 10(7):88-91. PubMed ID: 11362555.
    Abstract:
    Officials at the Centers for Disease Control and Prevention (CDC) are using Connecticut as a model for how AIDS and tuberculosis (TB) control programs share information. The two registries have been sharing information since 1986 and find that the match helps both programs monitor recent infection trends and target screening efforts. The law in Connecticut assures that providers will report the HIV status of TB patients and increase the chances that the patients receive proper treatment. By making latent TB a reportable condition in HIV-positive patients, officials also are able to offer preventive therapy and directly observed therapy (DOT) to patients who otherwise may develop active TB. Many civil rights groups have opposed sharing HIV or AIDS reporting with other health agencies because of potential breaches in confidentiality. Although the public health need for identifying co-infection cases is easily justified, confidentiality issues are politically sensitive. In urging TB and AIDS programs to create methods for facilitating detection of co-infection cases, the CDC used a co-infection survey of Chicago. Chicago has a confidentiality law prohibiting the direct reporting of co-infected people to the TB control program. However, the city health department has recently required cases to be reported to both the TB and AIDS registries, facilitating investigation and preventive therapy to contacts.
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