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The doctor with hepatitis B - some legal issues
Abstract
The purpose of this brief article is to discuss certain legal issues in respect of a doctor who contracts hepatitis B in the course of his practice or in the performance of his duties as an employee. Firstly, there is the question of whether the doctor is entitled to compensation for having fallen prey to an ever-present occupational risk of health-care workers. Secondly, there is the question of whether an infected doctor, who is now a risk to his patients in that he may infect them in the course of his professional activities, would expose himself to a claim for damages should a patient be infected by him. Thirdly, there is the question of whether a doctor who is infected with the disease may continue to practise.
Although this article deals specifically with hepatitis B, the issues examined here are not necessarily confined to that condition. The same issues arise in respect of any serious communicable disease, particularly AIDS. The questions addressed have given rise to a good deal of debate in recent years. A major point of distinction, however, is that the contracting of hepatitis B is preventable by means of immunisation, while there is no vaccine against HIV as yet. Another difference is that AIDS is an incurable condition whereas hepatitis B may resolve spontaneously, although a favourable prognosis is less certain than in cases of virus A infection, especially in the elderly and post-transfusion cases, where the mortality rate may reach 10 - 15%.