Just to throw a bit of controversy into the discussion, wouldn't a solution
be to not actively recruit staff from countries with high levels of HIV.
Certain Nursing agencies recruit staff mainly from counties with low levels
of HIV so why not use these.
I know it does not sound nice but I would strongly suspect that this is
already happening.
Also, it is possible to identify agencies who routinely test for HIV in the
recruits own country before they allow them on their books. I realize that
HIV testing in developing countries may not be completely reliable but it
may help.
Saghir
> -----Original Message-----
> From: Dawson Marjorie (RLN) City Hospitals Sunderland - Occ Health
> Manager [SMTP:[log in to unmask]]
> Sent: 12 February 2004 08:25
> To: [log in to unmask]
> Subject: Re: HIV testing
>
> Glenn
>
> We had a similar situation some time ago when we brought in healthcare
> workers from South Africa, I posed the same question to my Trust and was
> told it was definitely discriminatory, therefore we did not undertake HIV
> testing.
>
> Regards
>
> Marj Dawson
>
> -----Original Message-----
> From: Glenn Raybone [mailto:[log in to unmask]]
> Sent: 11 February 2004 13:43
> To: [log in to unmask]
> Subject: HIV testing
>
>
> Hello all,
>
> can I put a real ethical question to you, especially my NHS colleagues?
>
> We undertake screening for an organisation that provides health care
> workers throughout various care organisations. A large majority of these
> HCW's have come into the UK from South Africa where I believe the
> prevalence of HIV infection is approximately 1 in 3. However we do not
> offer HIV testing at pre-employment. Now comes the difficult bit!
>
> The draft document 'Health Clearance for Serious Communicable Diseases:New
> Health care Workers' has not really helped as it seems nothing further has
> moved with this document.
>
> Whilst we test for TB immunity from an endemic country, can or should the
> same apply to a country where the incidence of HIV is so high? Could this
> be seen as having racial undertones? Is it discriminating?
>
> Obviously any HCW has a moral and ethical duty and obligation to notify
> such infections, but there have been cases where a questionnaire is full
> of 'no' answers yet the truth is somewhat different.
>
> I have no real thoughts on what would be ideal here, and just wanted to
> get
> a flavour of what others think or do.
>
> Look forward to hearing from you,
>
> regards,
>
> Glenn Raybone
>
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