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"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

(large report-increase download time)

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
PUBLIC HEALTH LEGAL SERVICES: A NEW AND POWERFUL VISION? The role of legal services in achieving important public health goals has emerged as a new and powerful idea in recent years, one that is beginning to transform several settled understandings. For providers of legal services to vulnerable individuals, this emerging vision raises intriguing questions about best practices and institutional funding. For public health officials, it suggests a new tool to add to the traditional armamentarium of vaccine, sanitation, community education, population studies, and the like. And for those concerned about revitalizing liberalism, it provides an example in praxis.  
Recommendations for Prevention and Control of Hepatitis C infections and Hepatitis C-related Chronic Disease Report from the CDC 490 kb pdf
State-by-State Staff with HIV Rules/laws concerning staff who is infected with a disease  
THE STATE OF CONFIDENTIALITY LAW PowerPoint Presentation 864 kb

Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to Hepatitis B, Hepatitis C, and HIV and Recommendations for Postexposure Prophylaxis: June 2001

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

 

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