|
Click a topic below for an index of articles: Alternative-Treatments Financial or Socio-Economic Issues Math Models or Methods to Predict Trends Religion and infectious diseases Stigma or Discrimination Issues If you would like to submit an article to this website, email us at info@heart-intl.net for a review of this paper
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Main topics can be found within the left column; sub-topics and/or research reports can be found near the bottom of this page. Thank you |
 |
A new addition to the HEART is our Forum-check it out |
"This report updates and consolidates all previous U.S. Public Health Service recommendations for the management of health-care personnel (HCP) who have occupational exposure to blood and other body fluids that might contain hepatitis B virus HBV), hepatitis C virus (Hepatitis C Virus), or human immunodeficiency virus (HIV). Recommendations for HBV postexposure management include initiation of the hepatitis B vaccine series to any susceptible, unvaccinated person who sustains an occupational blood or body fluid exposure. Postexposure prophylaxis (PEP) with hepatitis B immune globulin (HBIG) and/or hepatitis B vaccine series should be considered for occupational exposures after evaluation of the hepatitis B surface antigen status of the source and the vaccination and vaccine-response status of the exposed person. Guidance is provided to clinicians and exposed HCP for selecting the appropriate HBV PEP.
Immune globulin and antiviral agents (e.g., interferon with or without ribavirin) are not recommended for PEP of hepatitis C. For Hepatitis C Virus postexposure management, the Hepatitis C Virus status of the source and the exposed person should be determined, and for HCP exposed to an Hepatitis C Virus positive source, follow-up Hepatitis C Virus testing should be performed to determine if infection develops.
Recommendations for HIV PEP include a basic 4-week regimen of two drugs (zidovudine [ZDV] and lamivudine [3TC]; 3TC and stavudine [d4T]; or didanosine [ddI] and d4T) for most HIV exposures and an expanded regimen that includes the addition of a third drug for HIV exposures that pose an increased risk for transmission. When the source person's virus is known or suspected to be resistant to one or more of the drugs considered for the PEP regimen, the selection of drugs to which the source person's virus is unlikely to be resistant is recommended.
In addition, this report outlines several special circumstances (e.g., delayed exposure report, unknown source person, pregnancy in the exposed person, resistance of the source virus to antiretroviral agents, or toxicity of the PEP regimen) when consultation with local experts and/or the National Clinicians' Post-Exposure Prophylaxis Hotline ([PEPline] 1-888-448-4911) is advised.
Occupational exposures should be considered urgent medical concerns to ensure timely postexposure management and administration of HBIG, hepatitis B vaccine, and/or HIV." Guidelines for the Management of Occupational Exposures to HBV, Hepatitis C Virus, and HIV and Recommendations for Postexposure Prophylaxis
ADDITIONAL ARTICLES:
|
Document Name & Link to Document |
Description |
File Size /Type** |
||
| 14 Ways to Guarantee That Your Long-Term Disability insurance Claim is Denied and you Lose in Court | Reason for report-“I am sick and tired of seeing people lose their chance at getting disability benefits because they didn’t know (and the insurance company won’t tell them) the traps they can easily fall into.” | 3,111 kb pdf | ||
| A WAITING ROOM OF THEIR OWN: THE FAMILY CARE NETWORK AS A MODEL FOR PROVIDING GENDER-SPECIFIC LEGAL SERVICES TO WOMEN WITH HIV | As the fastest growing segment of the HIV epidemic in the United States, women with HIV have substantial needs for services, including legal services, many of which go unmet. HIV-infected women face numerous, varied, and [*pg 104] complex gender-specific barriers that prevent them from accessing legal services at the rate and in the manner that they would in the absence of such barriers. | |||
|
||||
| AIDS LEGAL BIBLIOGRAPHY |
A compilation of articles and books concerning legal issues
surrounding the AIDS Epidemic published before June 11, 1998 |
|||
|
Care Act- Ryan White Comprehensive AIDS Resources Emergency Act
|
The Ryan White Comprehensive AIDS Resources Emergency (CARE)1 Act is the single largest federal program designed specifically for people with HIV/AIDS. First enacted in 1990, and reauthorized in 1996 and 2000, the CARE Act provides care and support services to individuals and families affected by HIV/AIDS, functioning as the “payer of last resort,” that is, it fills the gaps in care for those who have no other source of coverage or face coverage limits. Federal CARE Act funding is provided to cities, states, 2 and directly to providers and other organizations. | Pdf 220 kb | ||
| Funding Streams Report 2002-Boston | This report describes the types and amounts of federal, state, and local funds available for HIV-related services in the Boston Eligible Metropolitan Area as reported in April 2002. | 753 kb pdf | ||
| HIV/AIDS in Dental Care | A case-based self-study module for dental health care personnel | 533 kb pdf | ||
| HIV Testing During Pregnancy: The Value of Optimizing Consent | The issues of patient autonomy and informed decision making are at the center of the debate over appropriate standards for HIV testing during pregnancy. State law standards on this issue vary significantly from state to state. Federal policy pronouncements on this issue also lack consistency. Against this legal and policy background, the two articles in this Special Section of AIDS & Public Policy Journal present a significant lesson for policy makers: patients value their decision making autonomy very highly in regard to HIV testing, and that value can be respected while at the same time achieving high rates of testing. Optimizing consent enhances the provider-patient relationship, a critically important relationship for a pregnant woman with HIV infection. Laws and policies that disfavor patients' consent, such as mandatory newborn testing laws, have little justification and should be rejected by policy makers. | |||
| Housing Assistance For Disabled Persons With Modest Incomes | There are at least eight kinds of housing aid programs financed by the federal Department of Housing and Urban Development (HUD), the Internal Revenue Service (IRS), the Department of Agriculture (DoA), the Department of Health and Human Services (HHS) and the Department of Energy (DoE): | |||
| Legal Resources for People with HIV/AIDS, Directory of | This report is intended to serve at least three primary purposes: first and foremost, to assist persons affected by HIV or AIDS who are seeking legal services; second, to provide sources of information concerning how to develop pro bono programs focusing on legal issues related to the epidemic; and third, to be a resource for attorneys seeking to become involved with pro bono representation in these areas. | 1517 kb pdf | ||
| Recommendations for Prevention and Control of Hepatitis C infections and Hepatitis C-related Chronic Disease | Report from the CDC | 490 kb pdf | ||
|
This report updates and consolidates all previous U.S. Public Health Service recommendations for the management of health-care personnel (HCP) who have occupational exposure to blood and other body fluids thatmight contain hepatitis B virus (HBV), hepatitis C virus (Hepatitis C Virus), or human immunodeficiency virus (HIV). Recommendations for HBV postexposure management include initiation of the hepatitis B vaccine series to any susceptible, unvaccinated person who sustains an occupational blood or body fluid exposure |
|
|||
|
|
** In order to view PDF files, you must have Adobe Acrobat Reader installed on your computer. Many computers already have this software; however, if you need it, a free copy is available for download at this site: Click here to get Adobe Acrobat Reader.