Commonwealth v. Doe

40 Pa. D. & C.4th 72, 1998 Pa. Dist. & Cnty. Dec. LEXIS 34
CourtPennsylvania Court of Common Pleas, Lehigh County
DecidedApril 16, 1998
Docketno. 1998/261-M
StatusPublished

This text of 40 Pa. D. & C.4th 72 (Commonwealth v. Doe) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Lehigh County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth v. Doe, 40 Pa. D. & C.4th 72, 1998 Pa. Dist. & Cnty. Dec. LEXIS 34 (Pa. Super. Ct. 1998).

Opinion

BLACK, J.,

The District Attorney of Lehigh County has moved for the entry of a court order, pursuant to 35 P.S. §7608, directing Sacred Heart Hospital to release the results of Human Immunodeficiency Virus blood tests of defendant, John Doe, both [74]*74to the district attorney and to Jane Doe, whom defendant allegedly bit on the hand.1 The district attorney seeks information regarding the defendant’s HIV status because if defendant bit Jane Doe while knowingly infected with the virus, the district attorney intends to add more serious charges to the felony retail theft and assault charges already filed against defendant. Jane Doe seeks this information so that she will know if she has been exposed to the virus; if so, she can then commence appropriate drug therapy. Defendant resists providing this information to the district attorney or to Jane Doe.

The Confidentiality of HIV-Related Information Act, 35 RS. §7601 et seq., prohibits the disclosure of HIV-related information, except in certain limited circumstances. The purpose of the Act is “to promote confidential testing on an informed and voluntary basis in order to encourage those most in need to obtain testing and appropriate counseling.” 35 P.S. §7603(d). The Act allows for disclosure on court order after an in camera hearing where “[t]he person seeking the information has demonstrated a compelling need for that information which cannot be accommodated by other means.” 35 P.S. §7608(a)(l). In assessing claims of compelling need, “the court shall weigh the need for disclosure against the privacy interest of the individual and the public interests which may be harmed by disclosure.” 35 P.S. §7608(c).

At an in camera hearing on the district attorney’s motion, the following facts were established: Jane Doe, a security officer at a local store, observed defendant shoplifting some clothing items. She confronted him [75]*75in the parking lot and asked that he return to the store. She put her hand on his shoulder to steer him back to the store, at which point he grabbed her by the hair with both hands and began to push her away. A scuffle ensued, in which another employee of the store and an employee of a nearby store came to the assistance of Jane Doe. Defendant was subdued and forced to return to the store, where he was taken into custody by the local police, who had by this time arrived on the scene.

In the course of the parking lot scuffle, defendant bit Jane Doe on the hand with such force that the skin of her hand was broken in several places. Her hand was bleeding as a result. Defendant then stated several times to Jane Doe and to others in the parking lot that he had AIDS.2 After he had been taken inside the store, defendant repeated this statement several times in the presence of the police officers and other store employees.

At the suggestion of the police, defendant accompanied them to Sacred Heart Hospital, where with his consent a blood sample was drawn from him for HIV testing. Defendant signed a consent form authorizing the hospital to furnish to the police department all information regarding his case history and treatment, including copies of the hospital medical records. However, after his blood sample had been drawn, but before the test results were conveyed, defendant revoked his consent to disclosure.3

[76]*76According to expert medical testimony at the hearing, HIV is a slow-developing virus. Sometimes it takes eight to 10 years after the initial exposure for the virus to develop into full-blown AIDS. The patient may be symptom-free during this period. However, once symptoms begin to develop, the disease is invariably fatal. The virus may be transmitted from mother to newborn child, by sexual relations, or by the sharing of blood or body fluids. Where a person with the virus bites another person so as to cause a break in the skin, there is a moderate to high risk (depending on the dental hygiene of the biter) that the virus will be transmitted from the saliva of the biter into the bloodstream of the victim. There have been several documented cases of this occurring.

Because the virus is slow to develop, it is not possible to determine immediately after the exposure whether a person has been infected. It is possible for a person to test negative for the virus immediately after the exposure, and then to have a positive test at a later date. It is important to know as soon as possible whether a person has been exposed, because drug therapy is highly recommended where there has been a significant exposure, even if the victim does not test positively for the virus. Drug therapy has been very successful in reducing the effects of the virus, and the sooner the therapy is begun, the more effective it is.

Although Jane Doe has tested negative for the virus, she remains highly concerned over the possibility of developing the disease if in fact defendant was a carrier of the virus. Therefore, it is understandably very important to her to know whether defendant’s claim of having AIDS is true or whether he was simply seeking [77]*77to intimidate her. Until this information is provided, she is undergoing extreme emotional distress. She is frightened about her health; her outlook towards her job has been adversely affected; and the potential of her carrying the disease has had a dramatic effect on her relationships with her boyfriend and her family members.

There can be no doubt that Jane Doe demonstrated a compelling need for information about defendant’s HIV status as soon as possible. Accordingly, we entered an appropriate order promptly after the hearing requiring that defendant’s HIV test results be released to her and to any physicians or other health care providers designated by her for the sole purpose of evaluating and treating her. This 21-year-old young lady was entitled to know whether she had been exposed to this dreadful virus. Defendant, whose unlawful actions created the potential for exposure and who maliciously taunted her with the claim that he had AIDS, has no significant privacy interest here. Nor is there any public interest that would be harmed by the disclosure of test results in these circumstances. The potential saving of human life must outweigh other considerations. See Application of Milton S. Hershey Medical Center of Pennsylvania State University, 407 Pa. Super. 565, 595 A.2d 1290 (1991), appeal granted, 531 Pa. 640, 611 A.2d 712 (1992), affirmed, 535 Pa. 9, 634 A.2d 159 (1992), holding that the two hospitals could disclose the identity of an HIV-positive surgeon to certain of his colleagues and could also notify certain patients that an unnamed resident physician who had participated in their care was HIV-positive.

The district attorney’s need for this information is less compelling than Jane Doe’s need. Therefore, at the conclusion of the in camera hearing, we took the [78]*78district attorney’s request under advisement. We now grant that request and direct Sacred Heart Hospital to provide the district attorney with the test results, subject to the limitations set forth in our accompanying order.

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Related

In Re Milton S. Hershey Medical Center of the Pennsylvania State University
634 A.2d 159 (Supreme Court of Pennsylvania, 1993)
In re Milton S. Hershey Medical Center
595 A.2d 1290 (Superior Court of Pennsylvania, 1991)
Agosto v. Trusswal Systems Corp.
142 F.R.D. 118 (E.D. Pennsylvania, 1992)

Cite This Page — Counsel Stack

Bluebook (online)
40 Pa. D. & C.4th 72, 1998 Pa. Dist. & Cnty. Dec. LEXIS 34, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-v-doe-pactcompllehigh-1998.