Wednesday, December 31, 2008

Atitude of medical staff and doctors to HIV positive patients

As a doctor I have also observed the extreme insensitivity of medical staff, doctors included towards HIV positive people. Rarely are they helped or any health assisstance provided. In many cases in the laboratories where the testing has been done and a positive result returned the reports is put up for all to see. Also, within the hospital the staff spread the word as regards the HIV status of the person. As a result he/she is ostracised and his/her immediate health problem ignored. This is not confined to private institutions but is also prevalent in Government hospitals. For the sake of maintaining form some may put the report in an envelope and then spread the word orally. In many cases doctors do not even touch the patient. The law as regards confidentiality of status, even the ethics about the confidentiality is conveniently ignored. If this the state of affairs amongst doctor community then it becomes pointless to point fingers at lay persons for their atitude. Whereas, from what I have read during the course of my medical studies Hepatitis B virus is radically more infective, psreads in the same manner and equally difficult to eradicate but many medical personnel blithely ignore this fact and treat and operate on a Hepatitis B virus infected person. Working in laboratory, dealing with blood products i am certainly more scared of Hepatitis B than HIV because of the former's higher infectivity.
I think it is time to radically educate medical personnel as regards HIV so that they can change their atitude which lay persons can imitate. Some thing akin to what was done in the 60's and 70's with regards to tuberculosis and leprosy.
Educating lay people is okay but it will far productive to educate medical personnel and bring about a change in their atitude.
Enacting laws is not enough for enforcing them is very difficult. but changing atitude is definitely more productive in the long run.

P.S - the virus for common cold is extremly contagious but has anybody seen people taking the elementary precaution of washing their hands to prevent its spread.

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