FOR IMMEDIATE RELEASE/February 12, 1998
CONTACT: Michael Stewart
[202/651-7048]; Sara Foer [202/651-7023];
http://www.nursingworld.org
ANA Supports Treatment Rights of HIV-Positive Dental Patient in Case Pending Before
U.S. Supreme Court
Washington, D.C. -- The American Nurses Association (ANA) will participate as a "friend
of the court" in a precedent-setting case now pending before the United States Supreme Court to
consider whether discrimination against people with human immunodeficiency virus (HIV) is
prohibited under federal law. The court will consider the case of a dentist who has refused to
treat HIV-positive patients, alleging that to do so poses a "direct threat" to him. He lost his case
in federal trial court and in the Court of Appeals.
The ANA, a national labor and professional organization for registered nurses (RNs),
consists of 53 state and territorial constituent organizations with approximately 180,000
members. ANA agreed to participate in Randon Bragdon, D.M.D., v. Sidney Abbott et
al. as an amicus curiae because the issue before the court directly involves not only
the protection of individuals who are HIV-positive under the Americans with Disabilities Act
(ADA), but has significant ramifications for the provision of early intervention and treatment of
HIV. ANA has been at the forefront of organizations that advocate for protection of patient
confidentiality and for assuring that all individuals have full access to health care.
There is consensus among the ANA, other national professional health care organizations,
and federal and state health officials that patients with HIV are safe to treat as long as universal
precautions are employed consistently. The amicus brief will argue that courts should not
overlook such clear consensus about the appropriate handling of a public health concern in
deference to a health care provider's decision not to treat a patient based on unfounded fears of
infection rather than on the provider's informed judgment on appropriate patient care. Given that
registered nurses comprise the largest health care profession, with 2.6 million RNs nationwide,
the ANA feels the perspective of organized nursing is particularly credible and appropriate in this
case. The ANA has taken an active role to reduce the risks of transmission of HIV and other
bloodborne pathogens to health care workers by needlestick and sharps injuries, especially
through its support of the Health Worker Protection Act of 1997 (H.R. 2754), which mandates
use of safer needlestick devices.
The amicus brief also will address the adverse public health consequences that would
result from the court's tolerance of discriminatory refusals to treat HIV-positive patients, such as
delays in the provision of essential health care, and discouragement of both voluntary testing for
HIV and the disclosure of one's HIV status to health care providers. If health care professionals
are permitted to refuse routine treatment to someone with an infectious disease based on an
unfounded fear of infection, infectious diseases of significant threat to the public would go
untreated and would pose an increased risk to public health.
###
The American Nurses Association is the only full-service professional
organization representing the nation's 2.6 million Registered Nurses through its 53 constituent
associations. ANA advances the nursing profession by fostering high standards of nursing
practice, promoting the economic and general welfare of nurses in the work place, projecting a
positive and realistic view of nursing, and lobbying the Congress and regulatory agencies on
health care issues affecting nurses and the public.
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