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

ID: 179092 • Letter: 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: Explain why clinicians may be overly influenced by negative tests with poor sensitivity. (consider the implications of diagnostic tests that demonstrate poor sensitivity)

Explanation / Answer

Clinicians may be overly influenced by negative tests with poor sensitivity as will lead to false negative tests which a very serious issue leading to increase in prevalence of STD. This could lead to legal implications with physicians being sued by people undergoing these tests.

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