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Results for “Mandatory Reporting”

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PubMed1998

[The physician in the dilemma between confidentiality and mandatory reporting of occupational diseases].

If a physician may reasonably suspect an occupational disease after examining his or her patient he is liable by German law to report this directly to the statutory accident insurance body or the Government institution responsible for the medical safety of working places, in accordance with section 202 of the Federal German social legislation code VII. This legal obligation to officially report an occupational disease is based on weighing the pros and cons in respect of balancing out an individual's right to privacy on the one hand and the (in this case predominant) public safety interests on the other. Legislation does not provide for the individual to effectively object to such reporting and hence the physician is obliged to report even if the patient objects. When doing so the physician does not violate his legal obligation to observe medical professional secrecy as defined according to section 203 German Penal Code by section 4 of the German professional medical code.

Confidentiality↗
PubMed1998

[Monitoring and management on the mandatory reporting system of infectious diseases in Jiangxi provincial].

From 1994 to 1997, we had continuously and actively conducted surveillance on reports of legal infectious diseases and administrative performance of hospitals in this aspect. The proportion from outpatient clinic in the whole province under supervision had sucessively increased yearly. It suggested that the implementation of "report on the first visit" regulation had been improved; the number of hospitals with "no information on epidemic desease" had decreased, and the number of months with no information on epidemic disease had also decreased. All the results showed that the surveillance and monitoring on the infectious desease reporting system and administrative performance of hospitals was an effective practice.

China↗
PubMed1992

[First year experience with a system of mandatory reporting of HIV-positive cases in Denmark].

During the period 1. Aug. 1990 to 31. July 1991, a total of 87,779 HIV-tests were carried out in Denmark on individuals other than blood donors according to the laboratory notification system. Of these 853 were HIV-positive which corresponds to a HIV prevalence of 0.97%. During the same period, 602 persons were notified by doctors as HIV-positive, corresponding to a percentage of notifications of 70. Out of the 602 persons, 84 were repetitions. The sex of two persons was not stated. Further 164 (36%) were previously found to be HIV-positive. Thus there remained 332 (64%) persons who could be classified as positive for the first time. In the material of HIV-positive individuals for the first time, 79% were men and 21% women. The mean age for men was 36 years and 26 years for women (p less than 0.001). 66% of the men were estimated to be infected by homosexual contact, 19% by heterosexual contact and 9% by intravenous drug use. Nineteen of the heterosexually infected men (39%) stated that they had been infected by a woman from a high-endemic region, three by a female drug user and 24 (49%) did not know the source of infection. Thirty of the heterosexually infected women (63%) were considered to be infected by a man from a high-endemic region and 21 of these women were born and had grown up in this region. Six of the women (13%) were considered to have been infected by a bisexual man and eight (17%) by a man without known risk behaviour. HIV-positive persons were notified from all Danish counties, including 57% from Greater Copenhagen. The geographical distribution is not identical for the two sexes. For men, 63% were from Greater Copenhagen and 14% from Jutland while the corresponding distribution for women were 35% and 28% (p = 0.001).

Adolescent↗