|
Section
24.000
Policies and Procedures Manual
Human Resources Department
24.000
STATEMENT OF POLICY AND PROCEDURES ON AIDS
A.
Purpose
This establishes the policy of the Trial Court regarding employees
who have Acquired Immune Deficiency Syndrome (AIDS) or who are infected
with human immunodeficiency virus (HIV), the virus which causes
AIDS and AIDS Related Complex (ARC). It also discusses issues relating
to persons with AIDS who appear in court as parties, witnesses,
or jurors or who otherwise come into contact with Trial Court employees.
B. Policy
The
Trial Court recognizes that employees with disabling or potentially
life-threatening illnesses including, but not limited to, cancer,
heart diseases, and AIDS may wish to continue to work. As long as
employees are able to meet acceptable performance standards, and
medical evidence indicates that their working is not a threat to
themselves or others, employees shall be assured of continued employment.
Federal and State laws which prohibit discrimination on the basis
of handicap now recognize AIDS/HIV as a handicap covered by those
laws. Under the laws protecting disabled individuals, persons with
AIDS/HIV may not be discriminated against on the basis of their
handicap, and, if it becomes necessary, reasonable accommodations
must be made to enable qualified individuals to continue to work.
It
is the policy of the Trial Court to protect the right to continued
employment of employees who have AIDS/HIV.
It
is the policy of the Trial Court to protect the right to continued
receipt of court services by citizens of the Commonwealth diagnosed
with AIDS/HIV using the court system.
The
Trial Court also recognizes the importance of providing not only
an objectively safe environment for all employees and the public,
but also an environment where employees and the public need not
fear for their health and safety.
C. Teaching the Facts - Educational and Resources
1.
Basic Facts Concerning Transmission of AIDS
Acquired
Immune Deficiency Syndrome, AIDS, is caused by the human immunodeficiency
virus, HIV, that attacks the immune system and damages its ability
to fight off disease. Medical studies show that HIV is transmitted
almost exclusively through the sharing of drug injection equipment,
through sexual intercourse with an infected partner, or from infected
mother to fetus or newborn. HIV is caught through high risk behavior,
not by being in a high risk group. In other words, it isn't who
you are, it's what you do that matters.
The
current medical knowledge is that the virus that causes AIDS cannot
be spread through the kind of casual contact that occurs in the
courthouse or courtroom setting. There is no evidence that the virus
is spread through biting or touching, coughing, sneezing, sharing
of towels, glasses or utensils, using the same toilet facilities
or other forms of normal daily activity.
2.
Training and Resources
At
the present, the most effective way to contain the spread of HIV
and to counteract unreasonable fear of the virus is through regular
and accurate education programs. The Trial Court, through the AIDS
Committee, will keep informed of the latest research on the transmission
of the virus, establish contacts with the local medical experts
and disseminate key findings to employees as they become available.
A
number of AIDS hotlines exist to answer ongoing questions about
AIDS. The following hotlines can be used by employees seeking additional
information or specific answers:
| AIDS
HOTLINE |
(800)
235-2331 (toll free) |
| BILINGUAL
(Spanish/English) |
(413)
737-2632 |
| NATIONAL
AIDS HOTLINE |
(800)
342-2437 (toll free) |
| NATIONAL
INSTITUTE ON DRUG ABUSE |
(800)
662-HELP |
| GENERAL
TESTING INFORMATION |
(617)
522-4090 |
| (outside
of Boston call collect) |
(617)
522-3700, ext. 470-474 |
| |
|
In
addition to consulting with their personal physicians, employees
with AIDS/HIV and other life-threatening illnesses may seek assistance
through the Employee Assistance Program, established community support
groups, or the Department of Public Health for referral for medical
treatment, counseling services, or social services.
D.
Confidentiality
A
person's health condition is personal and confidential. Precautions
should be taken to protect such information in order to prevent
any instances of disclosure that my invade the privacy of an individual.
Disclosure of confidential information concerning an employee or
other person may be a violation of the State privacy law.
E.
Employee's Obligations
There
has been no scientific evidence that AIDS/HIV can be transmitted
by casual contact. Fear of AIDS does not relieve any employee of
the obligation to perform his or her work duties.
F.
General Precautions
Public
health authorities agree that it is unnecessary to train employees
to wear gowns, gloves and masks for all contact with persons known
or suspected of being infected with AIDS/HIV. Such precautions are
not normally needed and may encourage the incorrect view that AIDS
can be transmitted by casual contact. On the other hand, insufficient
caution is ill advised and undermines the important message that
everyone must be careful about certain behaviors and exposures.
Policy and procedural responses to AIDS should be commensurate with
the level of risk present. The following responses to AIDS-related
law enforcement concerns have been developed by medical experts
(see attached chart):
|
Issue/Concern
|
Education
and Action Messages |
| Human
Bites |
Since
it is the person who bites who usually comes into contact with
the blood of the person who is bitten, the danger of infection
to the person who is bitten is extremely remote. Viral transmission
through saliva is highly unlikely. If bitten by anyone, allow
the wound to bleed, wash the area thoroughly and seek medical
attention. No cases of transmission have been documented. |
| Spitting |
Viral
transmission through saliva is highly unlikely. No cases of
transmission have been documented. |
| Urine/feces |
The
HIV virus is isolated in only very low concentrations in urine
and feces. No cases of transmission have been documented. |
| Cuts/puncture
wounds |
Use
caution in handling sharp objects and searching areas hidden
from view; needle stick studies show risk of infection is very
low. |
| CPR/first
aid |
To
eliminate the already minimal risk associated with CPR, use
masks/airways; avoid blood-to-blood contact by keeping open
wounds covered and wearing gloves when in contact with bleeding
wounds. No cases of transmission have been documented. |
| Casual
contact or body fluids |
No
cases of AIDS or AIDS virus infection have been attributed to
casual contact. |
| Any
contact with |
Wear
gloves if contact with blood or body fluids is considered likely.
If contact occurs, wash thoroughly with soap and water; clean
up spills with one part household bleach and nine parts water. |
| Contact
with dried blood |
No
cases of infection have been traced to exposure to dried blood.
The drying process itself appears to inactivate the virus. Despite
low risk, however, caution dictates wearing gloves if exposure
to dried blood particles is likely. Spills of blood and bodily
fluids should be cleaned up promptly with a solution of household
bleach or any disinfectant. |
Return
to the Top of the Page
Return
to the Table of Contents
|