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Partner Notification and Safety Concerns - Case Discussion

A case discussion on partner notification and safety concerns for a 3-year-old, 9-year-old, and 11-year-old living in different regions. Factors influencing the decision-making of a health adviser and the need for guidance on managing such cases.

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Partner Notification and Safety Concerns - Case Discussion

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  1. U=U and partner notificationA case discussion Maeve Cross Senior Health Adviser GUM RVH Belfast

  2. Julia Ex - RMP ? 3 yr old 9 yr old 11 yr old Living in England Living in Northern Ireland

  3. Factors influencing case

  4. I would be concerned about her safety There is no need to pursue the issue of partner notification I’ve had legal advice and have been told he has a right to know What if he finds out about the HIV and we get sued? If we know who he is let’s just get him tested Surely, he has a right to know?

  5. Factors impacting on health advisers decision making Rank and Power within MDT

  6. What other guidance can we lookto ? • Management of patients following exposure to blood and body fluid of HIV infected HCW • “If the exposure was judged to be significant and the HCW has a stable low viral load (less than 200 copies/ml), neither PEP nor follow-up HIV testing of the patient is necessary” • “Where there is a concern that the viral load might be detectable (above 200 copies/ml), the HCW’s viral load should be tested immediately, PEP should be offered to the patient pending the result…”

  7. Conversations with Julia • “I am frightened how he will react (if he finds out about my HIV” • “He has told me he will get the child and I can go back to Thailand” • “They will try and say in court that because of HIV I can’t look after my child” • “Maybe it is good if someone contacts him and then he can get a test” • “You can’t use the number that I use to call him, cos he will know that I gave it to you”

  8. Useful to consider… • What does your group think about case? • What might you have done differently and why? • What does this case bring up for you?

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