AEGiS-Chicago Tribune: Study Cites Health Care Workers Who Got AIDS Virus Chicago TribuneImportant note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.
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Study Cites Health Care Workers Who Got AIDS Virus

Chicago Tribune (CT) - Friday, October 18, 1985, Page: 4
Jon Van, Science writer


The first documented U.S. cases of AIDS virus infection being spread from patients to health care workers who suffered cuts or needle punctures was reported in Friday's Journal of the American Medical Association.

Researchers said evidence continues to show that acquired immune deficiency syndrome is not spread by casual contact among people, but there is a need for caution among health care workers handling needles or other medical apparatus used to treat AIDS patients.

The study, headed by Dr. Stanley Weiss of the federal National Cancer Institute, tested 361 health care workers for antibodies to the virus associated with AIDS known as HTLV-III. Presence of these antibodies in a person's system indicate exposure to the virus.

The virus is believed to be spread through bodily fluids such as blood or semen. Male homosexuals, illicit users of intravenous drugs and people receiving frequent transfusions are those at highest risk for infection.

Six health workers in the study who tested positive for the HTLV-III antibodies were members of these established high-risk groups, but four others who tested positive were not.

One woman sustained accidental injuries twice with needles that had been used to draw blood from AIDS patients. She has suffered some symptoms of illness as well as testing positive for the antibodies. Her male sexual partner tested positive for the antibody after the woman's exposure to the infection.

Another woman who punctured her finger with biopsy forceps removed from an AIDS patient tested positive for the HTLV-III antibody test, as did her male sexual partner.

A male health care worker tested positive after he cut his hand while handling blood that could have been AIDS contaminated.

Researchers reported that another health worker who belongs to no known risk group tested positive, but the worker declined to provide further details for the study.

The researchers conclude that risks of AIDS infection to health workers are low and involve wounds that allow infected fluid to enter the body. Improved training of workers in handling medical instruments could reduce the risk, they said.

In a related development, a letter published in the New England Journal of Medicine reported on a Miami surgeon who had operated on several hundred people before he died of AIDS.

The letter, from Dr. Jeffrey Sacks of the federal Centers for Disease Control, said a study of 400 patients of the infected surgeon shows that none have developed AIDS. Most had their surgery more than three years ago.

An editorial in the current AMA journal notes the growing evidence of transmission of the AIDS virus by heterosexual intercourse. Dr. Dean Echenberg of the San Francisco health department urged that it is time to begin tracing the sexual contacts of heterosexuals known to be infected with the virus.

Providing counseling to all heterosexuals exposed to the virus now, while their numbers are still quite small, could slow spread of the disease through the general population, Echenberg said.

At present, 13,611 people in the United States have been diagnosed as having AIDS, and 6,944 have died. The disease shuts down a person's normal immunity to infection.


Keywords: DISEASE; STATISTIC; RESEARCH; REPORT; STUDY; HEALTH; EMPLOYEE; CAUSE; FIRST

KWDdisease;statistic;research;report;study;health;employee;cause;first
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