1. Confidentiality and Laws on HIV/AIDS Fresno County Department of Public Health Norma Sanchez CDS II County of Fresno

2. Goals 1. What does confidentiality mean to you? 2.What are the laws and penalties if you breach confedencailty ? 3.What form and how to report to Health Department? 4.What to do if you get an HIV positive? 5. HIV EXPOSURES 6. PCRS 7. Testing Sites

3. What does confidentiality mean to you?  Confidentiality/HIPPA  Confidentiality and the professional  Confidentiality and your organization

4. What are the laws and penalties if you breach confidentiality ?

5. Letter From Department of Health Services

6. Reporting Requirements for HIV Letter

7. Reporting to Local Health Department Reporting to Local Health Department System System

8. Reporting Form

9. What form and how to report to Health Department?  You will need to complete the HIV/AIDS reporting form.  We can assist with form over the phone or  We can come to your office and help you complete the form.  The questions on form are very important, especially the risk factor/partners.  Please do Not Fax Reports, must be sent by registered mail only or we can pick it up.

10. Reporting Form

11. What to do if you get an HIV positive?  If you have never had an HIV positive patient in your clinic, always remember you can call the Fresno County Department of Public health.  It is always a good thing to remember, how does the patient feel when results were given.  Counseling a patient is a very important part of giving results. What would you do?  Referrals testing and care.

12. PCRS?  Wife  Sex partners  Needle sharing  Children  Future Sex Partners

13. HIV INCIDENCE SURVEILLANCE  HIV INCIDENCE DATE DEMOSTRATE WHICH GROUPS HAVE BEEN INFECTED MORE RECENTLY, IDENTIFYING GROUPS THAT ARE CURRENTLY AT HIGHEST RISK.  HIV INCIDENCE SURVEILLANCE (HIS) THUS PROVIDES PUBLIC HEALTH OFFICIALS, POLICY MAKERS, RESEARCHERS AND THE PEOPLE WHO ARE INFECTED BY HIV/AIDS WITH USEFUL INFORMATION TO PREVENT NEW INFECTIONS.(I.E WHERE TO FOCUS OUR PREVENTION EFFORTS)

14. HIV TESTING AND TREATMENT HX EVER TESTED NEGATIVE EVER TESTED NEGATIVE DATE OF FIRST POSITIVE HIV TEST DATE OF FIRST POSITIVE HIV TEST DATE OF LAST NEGATIVE HIV TEST DATE OF LAST NEGATIVE HIV TEST NUMBER OF HIV TESTS IN THE 2YRS BEFORE FIRST POSITIVE TEST NUMBER OF HIV TESTS IN THE 2YRS BEFORE FIRST POSITIVE TEST ANTI-RETROVIRAL USE IN THE SIX MONTHS PRIOR TO HIV DX ANTI-RETROVIRAL USE IN THE SIX MONTHS PRIOR TO HIV DX

15. SAMPLE

16. Who to contact? Questions and Answers Questions and Answers Norma Sanchez @ Fresno County Department of Public Health @ 559-600-3434