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Thought experiment examining the ethics of HIV testing policies

Thought experiment examining the ethics of HIV testing policies. Hans P. Schlecht, MD, MMSc Drexel University College of Medicine No Conflicts. HIV Testing Policy. WHO Guidelines – 3 C’s Confidential Be accompanied by Counseling Consent, both Informed and Voluntary US Guidelines

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Thought experiment examining the ethics of HIV testing policies

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  1. Thought experiment examining the ethics of HIV testing policies Hans P. Schlecht, MD, MMSc Drexel University College of Medicine No Conflicts

  2. HIV Testing Policy • WHO Guidelines – 3 C’s • Confidential • Be accompanied by Counseling • Consent, both Informed and Voluntary • US Guidelines • Voluntary Counseling and Testing (VCT) • Opt Out (Since September 2006) • all persons aged 13–64 years be screened for HIV in health-care settings in which the prevalence of undiagnosed HIV infection is >0.1%, and that persons with increased risk for HIV be retested at least annually • Mandatory (eg organ donors, immigrants…)

  3. Ethics of HIV Testing Modalities

  4. Summary • VCT and Opt-out testing are the only methods to fully meet ethical expectations. • Incentivized testing may potentially be coercive similar to research subject stipends. • Barriers to greater uptake of opt-out testing must be removed so that broad application of Opt-out testing and early treatment can hopefully arrest the spread of HIV.

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