[sci.med.aids] blood test anonymity

ebstokes@maxwell.crd.ge.com (02/20/91)

I read a piece in the local newspaper a while back which stimulated
more questions than it answered. The story was about the increasing
number of pediatric HIV/AIDS cases in NY state. In my county in 1988,
anonymous blood samples were drawn from newborn
infants to determine the number which tested positive for HIV
antibodies. Apparently, the sampling procedure was only permitted if
it were guaranteed to be anonymous; that is, the babies and their
parents were not informed of the testing or its result.
(Aside: the total number of HIV+ newborns in Schenectady county
in 1988(?) was 4(?), as I recall...I didn't save the article).

This brings up some interesting questions:

1 - As new therapies develop, are we really doing the infants or their
(likely HIV+) parents a favor by protecting their privacy ? I mean,
wouldn't it be better to get infected people into treatment ASAP ?
I have seen several articles just in the last few weeks about
promising new treatments for HIV+ children.

2 - Are any other HIV screens conducted anonymously ? I know, for
example, that the Red Cross and other blood collection agencies are
required to screen incoming blood for HIV. What do they do with the
results ? Do they protect blood donor's "right" not to know, and hence
increase the likelihood that infected donors will donate again ? What
is the chance of "false positives" for HIV antibody screening ? How
about "false negatives" ?

Ed Stokes