sauceny:


What do you mean by "so sorry to quote you"¿


Issues as sensitive as this is supposed to be
handled with utmost care,considering the fact he or she could fake/forge a result.... Its best you take him/her to your personal trusted doc & have him/her tested properly.

Hello! If it has to get to my personal, trusted doctor then where does the issue of trust as well openness come in with regards to marriage?

What I am saying is that the man should not be blamed. Considering the sanctity of marriage, it is expected that she should disclose her status to him without even been asked.

ochejagabriel:
ONLY 1 QUESTION

When Ebola came out, we heard of a camp where they keep ebola patients a.k.a quarantine.

I have never heard of a quarantine for people with AIDS. Esp when they are close to death.
Why?

They said my aunt had AIDS. She later died of diabetes. ARVs killed my aunt not Aids.

AIDS is a phocking hoax

Please accept my condolences on your Aunts passing.

She probably died because her immunity was compromised by AIDS.

Aids doesn't kill, but instead reduces the bodies natural ability to fight infections.

Not many people died of aids, you'll always read of people dying of aids related infection.

Remember Magic Johnson? Dude is more fit and looks healthier than most non pos people.

So he's proof that AIDS is no longer an automatic death sentence.

o boy! naija women wicked oo...
chai!

50calibre:


Even when the spouse is at risk? What law is this, MadCow1 law?

Show me where it categorically states that doctors aren't obliged to do so.

Are you aware, wilfully infecting others with HIV is a criminal offence? Your ignorance is dangerous.

MadCow is right though.

Medical record is completely confidential and especially between couples.

Doctors are expressly prohibited for divulging PHI to others especially couples.

The issue is not the Docs here but a couple who have no communication.

A coworker, highly skilled and high value employee to my company was fired a year ago for looking up his wife's medical data at work.

This is very serious and I'm glad that phi is confidential.

LordReed:


I still don't understand the reasoning behind this. Is HIV/AIDS not as much an epidemic as Ebola? Is it not imperative that the spread is curtailed as much as possible by making sexually partners aware of positive status?

Nope it is not. Were you not in Nigeria during Ebola crisis?

HIV is just a chronic disease, but so are hypertension, diabetes, cancer and asthma, etc.

Ebola is a reportable disease, like lassa fever, cholera, and all those diseases that can wipe a community within a few days.

teenature:
Only in Nigeria. The doctor has a loose mouth. Do this abroad, your license is a goner

If the wicked wife did this abroad, she could be sent to jail for knowingly infecting someone else

naijababe:


If the wicked wife did this abroad, she could be sent to jail for knowingly infecting someone else

Do we know if he's infected?

Emaprince:
how can he not be infected after having kids with her?

Quite possible.

Educate yourself man.

omicron:
I have had similar experience. The wife hid her HIV positive status from the husband till her death, and we as doctors learnt that at the point of her death. She still insisted no one should tell him. She died few hours after.

As a doctor, you should always ask an HIV positive person the people she has confided in regarding her status, and whom she would want you to disclose to. Whenever possible, this should be in writing.

No doctor has a right or duty to divulge any patient's information to another person, no matter how "close", even when the patient is dead. Unless in a case where non-disclosure of such information poses danger to the community...eg Ebola, lassa fever, etc.

The modern physician's Oath is there in my display pic

So tell me, if someones behaviour is likely to put the health of another at risk in this case her husband what do you do?
The risk of her husband contracting HIV is high and therein lies the moral dilemma.

What does the law say in Nigeria? in some countries you have to disclose this information or both of you are committing a crime.

Billyonaire:
It is unethical to disclose someone's HIV status to another without the consent of the victim. It doesnt matter if the person in question is a husband, a wife, a mother, a father or sibling. That Doctor needs to be issued a query.

As for the woman, it is high level of selfishness to not disclose your HIV to your lover and to get married to him and infect him is man-slaughter.

As for the husband, he is just one of the many victims. Take heart, you are positive already.

Is this what the law says in Nigeria?

I agree it is unethical to disclose in certain circumstances but the husband is at direct risk of harm.
Where is his protection in the law?

Where I practice it is against the law to knowingly infect anyone with HIV and the spouse with HIV can't withhold their status from their sexual partner.

naijafresh:


So tell me, if someones behaviour is likely to put the health of another at risk in this case her husband what do you do?
The risk of her husband contracting HIV is high and therein lies the moral dilemma.

What does the law say in Nigeria? in some countries you have to disclose this information or both of you are committing a crime.

Who do we disclose to? To a person or to the Authorities?

Which diseases do we disclose according to you? The man with Tuberculosis should be disclosed cos he is a risk to fellow bus passengers for eg?

The law is clear about reportable diseases. HIV is not a reportable disease.

Doctor's are privy to lots of confidential information, unknown to even the closest people to their patients. Diseases, miscariages, abortions, drug use, genetic issues, parternity issues, all of them placing their partners at varying degrees of disadvantage. But should they now go about and start telling anybody everythin?

The confidientiality clause is there to protect the patient, whom the doctor is legally contracted to. And mind you, we are all patients at one point or another.

omicron:
Who do we disclose to? To a person or to the Authorities?

Which diseases do we disclose according to you? The man with Tuberculosis should be disclosed cos he is a risk to fellow bus passengers for eg?

The law is clear about reportable diseases. HIV is not a reportable disease.

Doctor's are privy to lots of confidential information, unknown to even the closest people to their patients. Diseases, miscariages, abortions, drug use, genetic issues, parternity issues, all of them placing their partners at varying degrees of disadvantage. But should they now go about and start telling anybody everythin?

The confidientiality clause is there to protect the patient, whom the doctor is legally contracted to. And mind you, we are all patients at one point or another.

I am talking specifically about HIV, this will cause direct harm in a way that an abortion or history of drug taking in a spouse would not.
I can see what the general consensus is here and that is for non disclosure but does anyone know what the Nigerian law says in this matter?
Whatever our personal opinion that should be what guides local practice.

naijafresh:


I am talking specifically about HIV, this will cause direct harm in a way that an abortion or history of drug taking in a spouse would not.
I can see what the general consensus is here and that is for non disclosure but does anyone know what the Nigerian law says in this matter?
Whatever our personal opinion that should be what guides local practice.

The medical ethics in Nigeria are protected under the medical and dental council of Nigeria Act, Laws of the FRN.

Nothing like phenotype test

uken73:
Serious. No same man should marry without some important medical tests which should include HIV test, phenotype and Genotype tests etc.

...If any of you has any reason or reasons why you should not be legally joined together, say it now. This is part of the wedding vows in most marriages. Concealing information about her HIV status could mean that they have not been legally joined together imo.

Evil wife.

CityNG:


MadCow is right though.

Medical record is completely confidential and especially between couples.

Doctors are expressly prohibited for divulging PHI to others especially couples.

The issue is not the Docs here but a couple who have no communication.

A coworker, highly skilled and high value employee to my company was fired a year ago for looking up his wife's medical data at work.

This is very serious and I'm glad that phi is confidential.

MadCow is wrong, and so are you.

Don't you guys understand what I'm saying? There are certain exemptions to Doctor-patient confidentiality, it is not absolute. Even in certain cases insurance companies have the right to a patients medical records.

Confidentiality is waived when there's an immediate risk to someone. HIV is a sexually transmitted disease, and wilfully infecting others with an incurable disease as HIV is a criminal offence which carries major jail time.

if a doctor discovers that a spouse is oblivious to the positive status of his/her partner, ethics demand that the doctor as a pre-emptive measure, informes the other partner for his/her own protection (I.e if they aren't already infected, and at best, the doctor may have to inform the positive spouse that the other one has been informed, consent doesn't have to be sought in this case) failure to do this could amount to professional negligence as well as loads of other liabilities.

Why is this so hard for you guys to understand? Are you trying to say a doctor would knowingly allow the infection of a patient because of some stup*id confidentiality? This is common sense

I don't know where you work, but the guy who got fired for accessing his wife's medical records may have had his rights infringed & except he was in clear breach of company policy, he is entitled to a fair hearing before his fate is decided, maybe there were compelling reasons for his actions, you can't just fire people willy nilly. However, there's something called Data Protection, and unauthorised access of someone's personal records, is a crime. That being said you need to find out what the guy was fired for before comparing it to a case like this which is clearly very very different.

50calibre:


MadCow is wrong, and so are you.

Don't you guys understand what I'm saying? There are certain exemptions to Doctor-patient confidentiality, it is not absolute. Even in certain cases insurance companies have the right to a patients medical records.

Confidentiality is waived when there's an immediate risk to someone. HIV is a sexually transmitted disease, and wilfully infecting others with an incurable disease as HIV is a criminal offence which carries major jail time.

if a doctor discovers that a spouse is oblivious to the positive status of his/her partner, ethics demand that the doctor as a pre-emptive measure, informes the other partner for his/her own protection (I.e if they aren't already infected, and at best, the doctor may have to inform the positive spouse that the other one has been informed, consent doesn't have to be sought in this case) failure to do this could amount to professional negligence as well as loads of other liabilities.

Why is this so hard for you guys to understand? Are you trying to say a doctor would knowingly allow the infection of a patient because of some stup*id confidentiality? This is common sense

I don't know where you work, but the guy who got fired for accessing his wife's medical records may have had his rights infringed & except he was in clear breach of company policy, he is entitled to a fair hearing before his fate is decided, maybe there were compelling reasons for his actions, you can't just fire people willy nilly. However, there's something called Data Protection, and unauthorised access of someone's personal records, is a crime. That being said you need to find out what the guy was fired for before comparing it to a case like this which is clearly very very different.

Of course every body is wrong and you're right. It's normal and no worries.

But this is not the way it works in the adult world. HPI is protected and I salute Doctors that maintain their oath.

Thank you all healthcare workers who abide by the code. Confidentiality is never waived unless it has a direct impact on the community. HIV is not s community communicable disease.

PS: You don't need to know where I work. My example stands and is on point. No apologies that it makes you uncomfortable. The person, like I said was fired by the company of violating federal and state HPI laws. He was not only fired but was sued civil and criminally. Developed countries don't play around with HPI. Nigeria will get there too and it seems some educated and righteous healthcare workers are doing their jobs very well. I thank them all.

omicron:
Who do we disclose to? To a person or to the Authorities?

Which diseases do we disclose according to you? The man with Tuberculosis should be disclosed cos he is a risk to fellow bus passengers for eg?

The law is clear about reportable diseases. HIV is not a reportable disease.

Doctor's are privy to lots of confidential information, unknown to even the closest people to their patients. Diseases, miscariages, abortions, drug use, genetic issues, parternity issues, all of them placing their partners at varying degrees of disadvantage But should they now go about and start telling anybody everythin?

The confidientiality clause is there to protect the patient, whom the doctor is legally contracted to. And mind you, we are all patients at one point or another.

HIV is a reportable disease, not just is it in the public interest, it is also essential for statistical reasons as well as provision of ARV drugs.

Besides the degree of harm posed by these diseases you mentioned, pales in comparison to that posed by HIV. For one, HIV is incurable and requires life-long medication.

Its very bad of her

CityNG:


Of course every body is wrong and you're right. It's normal and no worries.

But this is not the way it works in the adult world HPI is protected and I salute Doctors that maintain their oath.

Thank you all healthcare workers who abide by the code. Confidentiality is never waived unless it has a direct impact on the community. HIV is not s community communicable disease.

PS: You don't need to know where I work. My example stands and is on point. No apologies that it makes you uncomfortable. The person, like I said was fired by the company of violating federal and state HPI laws. He was not only fired but was sued civil and criminally. Developed countries don't play around with HPI. Nigeria will get there too and it seems some educated and righteous healthcare workers are doing their jobs very well. I thank them all.

If that's the way your "adult world" works, then I'd much rather remain where I am because to me that sounds more like a stup*dity world.

Of course you don't need to tell me where you work, I can already infer a lot from what you said. You probably work in some back alley Akara joint so it's understandable.

The heart of a woman is wicked!

omicron:
Nope it is not. Were you not in Nigeria during Ebola crisis?

HIV is just a chronic disease, but so are hypertension, diabetes, cancer and asthma, etc.

Ebola is a reportable disease, like lassa fever, cholera, and all those diseases that can wipe a community within a few days.

So? Nobody hides their status if afflicted by any of the diseases you mentioned especially because special methods need to be employed to manage them, same with HIV. I think this secrecy is making HIV spread more than it should and all for what?

50calibre:


HIV is a reportable disease, not just is it in the public interest, it is also essential for statistical reasons as well as provision of ARV drugs.

Besides the degree of harm posed by these diseases you mentioned, pales in comparison to that posed by HIV. For one, HIV is incurable and requires life-long medication.

HIV is not a reportable disease.

I do not have to report to the Ministry of health when I see a case of HIV as a doctor.

Diabetes, hypertension, asthma are all incurable, it does not make them reportable diseases.

The MOH or any other organ may compile statistics concerning any disease including malaria, doesnt make them reportable diseases.

Reportable diseases list varies from country to country based on the prevalence, incidence and potential of such diseases to reach epidemic proportions.

In America, for eg, Malaria is a reportable as it is very rare there. But in Nigeria, malaria is not a reportable disease as it is grossly endemic here.

Poliomyelitis is almost extinct in Nigeria, and it is a reportable disease.

HIV is not a reportable disease. HIV is not even reportable to the American CDC

LordReed:


So? Nobody hides their status if afflicted by any of the diseases you mentioned especially because special methods need to be employed to manage them, same with HIV. I think this secrecy is making HIV spread more than it should and all for what?

so we should do a row call of all HIV positive people? That reminds me of one Basket Mouth joke like that

Fact is, and the law is, such calls are not the duty of the doctors. Unless the rules are changed. That brings us back to those that make the laws...

omicron:
HIV is not a reportable disease.

I do not have to report to the Ministry of health when I see a case of HIV as a doctor.

Diabetes, hypertension, asthma are all incurable, it does not make them reportable diseases.

The MOH or any other organ may compile statistics concerning any disease including malaria, doesnt make them reportable diseases.

Reportable diseases list varies from country to country based on the prevalence, incidence and potential of such diseases to reach epidemic proportions.

In America, for eg, Malaria is a reportable as it is very rare there. But in Nigeria, malaria is not a reportable disease as it is grossly endemic here.

Poliomyelitis is almost extinct in Nigeria, and it is a reportable disease.

HIV is not a reportable disease. HIV is not even reportable to the American CDC

HIV being a reportable disease or not is not the issue, comparing HIV with diabetes and asthma, however, is stupendous.... For one, these are not communicable diseases so this ppplle pose no harm to anybody...Even at that, pple with this diseases tell it to their loved ones...
Being HIV positive and hiding it from someone you have had sexual contact with is bad, if you continue having sexual contact with the person, it becomes evil... it's even worse, in a case. Such as this where the lady had it before marriage, there's the chance the man was positive before then...
One of the tenets of the medical profession is safeguarding the life of ur client.. so watching and doing nothing while someone infects your client is not only a dereliction of duty, it is wickedness...
I don't know about the phhollish USA but down here, it is a crime to wilfully infect someone with HIV... My cousin is a medical doctor and he just disclosed to me that he would tell the spouse and nothing would happen...
Let the woman go to court and tell them she is suing the doctor because he told her husband she was HIV positive to save his a'r'se while she planned on infecting him intentionally and see how it goes..
She must be a really dangerous witch to even consider taking the case to court..
Doctor/patient confidentiality is not absolute... HIV is one exception to the rule

omicron:
HIV is not a reportable disease.

I do not have to report to the Ministry of health when I see a case of HIV as a doctor.

Diabetes, hypertension, asthma are all incurable, it does not make them reportable diseases.

They're also not communicable, they pose zero risk to public health.

The MOH or any other organ may compile statistics concerning any disease including malaria, doesnt make them reportable diseases.

Reportable diseases list varies from country to country based on the prevalence, incidence and potential of such diseases to reach epidemic proportions.

HIV has already reached epidemic proportions in Africa, billions of dollars in WHO aid is already channeled towards that so fair enough! Maybe there's no point reporting it anymore as it's everywhere.

However, that doesn't negate the fact that there are exceptions to the confidentiality clause & it can be waived under certain circumstances, it doesn't negate the fact that wilful transmission of HIV is a crime, it also doesn't negate the fact that a doctor cannot wilfully allow the wilful infection of a patient, am I wrong?

Laws are bendable depending on circumstances.. Nothing is absolute!! A doctor has a duty of care to his patients, this includes pre-empting/preventing harmful disease, am I wrong?

In America, for eg, Malaria is a reportable as it is very rare there. But in Nigeria, malaria is not a reportable disease as it is grossly endemic here.

Poliomyelitis is almost extinct in Nigeria, and it is a reportable disease.

HIV is not a reportable disease. HIV is not even reportable to the American CDC

HIV infection is reportable in the US.

I seriously hope you aren't in the medical field because your thinking pattern is very dangerous.

omicron:
so we should do a row call of all HIV positive people? That reminds me of one Basket Mouth joke like that

Fact is, and the law is, such calls are not the duty of the doctors. Unless the rules are changed. That brings us back to those that make the laws...

No, no roll call but no secrecy either. Anyway I know I am just thinking aloud but it would be better for us all if this stigma of HIV status could just end and let us treat it like the disease it is instead of something to use to condemn people; we all would benefit from not unwittingly spreading this deadly disease.

kay1one2:


It all depends on the patient not the care giver to disclose information. Or get sued! True.

bro doctor five years now and d man in question has not been inform of d danger he his and still living a better life witout drugs. is obvious dat even though his blood is strong it shuld hav manifested by now na

slymichael:
Hw come d man is not dead til now? Cuz HIV does not last up to dat period. D husband would have bn dead by now. I don't believe dis story. Pls re-frame ur story.

ur ignorance is appalling. The virus can stay in ur body for upto 10years before u start feeling sick. Moreover, if the lady was on anti retroviral drugs(which I'm sure she must be on), the man would not contract the disease. Read more and get educated.

CityNG:


Of course every body is wrong and you're right. It's normal and no worries.

But this is not the way it works in the adult world. HPI is protected and I salute Doctors that maintain their oath.

Thank you all healthcare workers who abide by the code. Confidentiality is never waived unless it has a direct impact on the community. HIV is not s community communicable disease.

PS: You don't need to know where I work. My example stands and is on point. No apologies that it makes you uncomfortable. The person, like I said was fired by the company of violating federal and state HPI laws. He was not only fired but was sued civil and criminally. Developed countries don't play around with HPI. Nigeria will get there too and it seems some educated and righteous healthcare workers are doing their jobs very well. I thank them all.

Bollocks!!!!

Wife wins case against GPs who did not disclose husband's HIV status

www.ncbi.nlm.nih.gov/pmc/articles/PMC1151016/