|
Adopted by the 44th World Medical Assembly
Marbella, Spain, September 1992
and rescinded at the WMA General Assembly,
Pilanesberg, South Africa, 2006
The World Medical Association, Inc. previously adopted strategies
to cope with the HIV epidemic, including physician's avoidance
of discrimination toward HIV infected patients, provision of care
to those infected, an HIV-infected physician's responsibility
to avoid infection to a patient, issuing no false certificates,
compliance with infection control procedures, cooperation with
public authorities in prevention programs, development of national
policies and programs, counseling patients to avoid HIV infection
or, if infected, to avoid infecting others, wide availability
of HIV testing especially for those likely to be infected, mandatory
testing in certain circumstances such as blood donations, reporting
cases of AIDS and HIV infection, balancing the rights of the infected
patient with the rights of the uninfected, confidentiality of
patient medical information, and research to establish the prevalence
and incidence of HIV.
The number of persons with HIV infection and those who have progressed
to AIDS has grown steadily. By the year 2000 an estimated 40 million
persons worldwide will be infected with HIV. The World Medical
Association therefore expresses a continuing concern that National
Medical Associations take an active role in policy and programs
of prevention, treatment and research. The World Medical Association
adds the following to its previous recommendations:
- That the National Medical Associations, in cooperation with
all segments of society and government, develop and implement
a comprehensive program of HIV prevention, treatment, and research.
- That the National Medical Associations work with all media
and forms of communication to assure a coordinated program of
prevention, treatment awareness, and public compassion toward
the infected.
- That National Medical Associations advise physicians of their
responsibility to inform their patients as thoroughly as possible
of the consequences of testing positive. In so informing their
patients, physicians should use tact and delicacy, and have
due consideration for the patients psychological condition.
- That the National Medical Associations assist in the training
and education of physicians in the current medical treatments
available for all stages of HIV infection and in the use of
proper infection control procedures and universal precautions
as outlined by the centers for disease control.
- That the National Medical Associations insist on the need
for biological, clinical and psychological medical education
relating to HIV-infected patients, to help physicians give effective
care to their patients.
- That the National Medical Associations encourage physicians
to help their patients assess the risks of HIV infection and
to take appropriate prevention measures.
- That the National Medical Associations review and encourage
improved infection control procedures in hospitals and other
medical facilities.
- That the National Medical Associations review and encourage
improvement in HIV diagnosis and treatment for women and children.
- That the National Medical Associations encourage the use
of those public health techniques which have been successful
in the past in dealing with infection epidemics especially those
of sexually transmissible diseases.
- That the link of drug abuse to HIV transmission is an additional
ground for National Medical Associations to further encourage
drug abuse treatment.
- That the National Medical Associations seek to join with
other medical, professional and health organizations to develop
worldwide strategies for cooperation in prevention, treatment
and research on HIV especially those that may be carried out
by professional societies.
|