Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
Copyright 1999 American Medical Association.
All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999
To the Editor: The use of name-based
HIV surveillance touches on issues of privacy, civil rights, and the
behavior of individuals engaged in illegal or stigmatized activities,
and holds serious implications for public health. Using a retrospective
analysis, Dr Nakashima and colleagues1 compare the number
of tests performed in publicly funded counseling and testing sites in 6
states during the 12 months before and after implementation of
name-based HIV reporting and conclude that HIV name-based reporting has
had little deterrent effect on testing. However, the report, based on
an ecological association, raises far more questions than it answers,
and the conclusion seems to contradict some of the data presented.
Solomon L, Benjamin G, Wasserman M. HIV Testing After Implementation of Name-Based Reporting. JAMA. 1999;281(15):1377-1380. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-15-jbk0421