Explain the role of the public health nurse in advocating for this population.
Unintended Consequences
There are unintended consequences to almost everything we do. Laws and policies established for the greater good can have unbearable unintended consequences. As we examine public health laws and policies intended to protect the public, it is important to look downstream to anticipate these unintended consequences.
In 1990, the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, which provides states with funds for AIDS treatment and care, required every state to certify that its criminal laws were adequate to prosecute any HIV-infected individual who knowingly exposed another person to HIV. At least 35 states have criminal laws that punish HIV-positive people for exposing others to the virus, even if they take precautions such as using a condom. Supporters of these laws say they deter people from spreading the virus and set a standard for disclosure and precautions in an ongoing epidemic. But critics say they thwart public health goals because they stigmatize the disease; undermine trust in health officials, who are sometimes enlisted to assist with criminal prosecutions; and fail to take into account the latest science surrounding HIV transmission. In addition, these laws can also prevent individuals from being tested for HIV—if a person doesn’t know their HIV status then they don’t risk prosecution if they fail to reveal their status to a sexual partner. Yet, according to the Centers for Disease Control and Prevention, nearly 92 percent of new HIV infections occur from people who do not know their HIV status. Therefore, public health laws designed to protect have the potential to also do harm. This is an important advocacy role for public health nurses as they strive to uphold the ethical principles governing public health.
To Prepare:Review this week’s Learning Resources.
Consider the example of unintended consequences and the impact on the public’s health.
Note: For this Assignment, you will use the topic of interest you chose for your Discussion in Week 1. If the topic does not align with the expectations of this Assignment, please consult with your Instructor to identify another issue.
The Assignment:
Write a 2- to 3-page paper that addresses the following:
Explain the potential unintended consequences of interventions used to address the public health issue you selected in Week 1.
Explain the role of the public health nurse in advocating for this population.
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