Illinois to join the rest of nation in HIV reporting change next
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In-state, name-based reporting to medical community expected to
protect federal funding
Department's security systems to maintain confidentiality
[OCT. 24, 2005]
SPRINGFIELD -- In his opening remarks at the 14th
annual HIV/STD Conference last week, Dr. Eric E. Whitaker, state
public health director, announced a significant change in how
HIV-positive test results are reported. Currently, health care
personnel report HIV-positive test results to the state anonymously
by using a unique patient code identifier, but the state will now
begin steps to make the change to name-based reporting.
"This has been a long-standing debate within the medical community
and HIV/AIDS groups about using name-based reporting versus patient
coding, and we will make sure that security is of the utmost
importance," Whitaker said. "The Centers for Disease Control and
Prevention has strongly urged all states to implement name-based
reporting to ensure consistent and accurate HIV reporting."
Illinois, the remaining 11 states and the District of Columbia
currently using patient code reporting will be making the change to
name-based reporting to ensure the same system is being used
nationwide. Illinois will begin reporting HIV cases by name about
Jan. 1, 2006. The CDC, along with a 19-member steering committee
that. Whitaker has named, will help Illinois make a smooth
transition.
The committee members include Whitaker, lawmakers, HIV-positive
individuals, public health specialists and HIV/AIDS community
groups. The task force conducted its first meeting on Friday in
Springfield.
The AIDS Foundation of Chicago is among the task force members
that support Illinois' decision to follow the CDC's recommendation.
"The AIDS Foundation of Chicago applauds action by the Department
of Public Health to work with community stakeholders to carefully
evaluate and strengthen the department's security systems in order
to protect the confidentiality of people living with HIV," said
David Ernesto Munar, associate director of the AIDS Foundation of
Chicago.
Illinois responded to community concerns and established an
anonymous HIV reporting system in 1999 that has successfully
recorded more than 13,000 cases of HIV and maintained the
confidentiality of people with HIV. There are clear indications that
federal funding will soon be calculated based on name-based HIV
data; therefore, states using the patient code identifier would see
a dramatic cut in federal financial support.
"The federal government will likely withhold millions in
desperately needed AIDS funding from Illinois unless we move to
name-based reporting," said Munar. "At a time that HIV/AIDS is
expanding -- and devastating communities of color -- we cannot
afford to put our fragile systems of care in jeopardy."
Illinois has used name-based AIDS reporting since the early 1980s
and has strong security and confidentiality practices in place,
which have protected the confidentiality of AIDS cases. Name-based
HIV reporting will be no different. While names will be used for
service providers and medical personnel to report HIV cases to the
state public health department, the department will report only
numbers to the CDC, not names.
More than 600 health care professionals, counselors, public
health officials and social workers were expected at this year's
HIV/STD Conference, with the theme "United Approaches for Diverse
Challenges." The three-day conference allowed participants to
network, share ideas and gain further knowledge about HIV and STDs
in order to enhance their work. The conference is sponsored by the
Illinois Department of Public Health and the Illinois Public Health
Association.