A public health agency is considering a policy that requires everyone over the a

Question

A public health agency is considering a policy that requires everyone over the age of 18 to be screened for a sexually transmitted (STD) infectious disease each year. This policy would be used to determine those who are positive vs. those who are negative. Those who test positive will be required to undergo treatment and disclose their diseases status to any former and future sexual partners.

Q: The only cost effective test available demonstrates a positive predictive value of less than 50%. What ethical and economic concerns do you have about using this test for screening the population for

and STD infection?

Explanation / Answer

A public health agency is considering a policy that requires everyone over the age of 18 to be screened for a sexually transmitted (STD) infectious disease each year. This policy would be used to determine those who are positive vs. those who are negative. Those who test positive will be required to undergo treatment and disclose their diseases status to any former and future sexual partners. However, ethical and economic concerns are such as “patient autonomy”, beneficience and justice using this test for screening the population for and STD infection.

Patients “autonomy” must be respected and most ethical aspects because he/she must “serological screened” for a sexually transmitted disease and patient information must be kept with utmost privacy because ethical aspects of psychosocial and psychosexual effects may arise. Patients may get depressed as STDs are sexually transmissible, incurable, and life- long.

Patients should experience “justice” with respect to cost of screening independent of socio-economic status finally ethically make understanding & preparedness on the information

Patients must ethically treated with beneficence with respect to costs of the screening because for asymptomatic people, cost of the screening is very higher and they must be given counseling without getting fear & anxiety even in the absence of infection. Counseling must be given if there is a positive result and about the risk of stigmatisation

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