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Dual loyalty in workplace outbreak — DOccMed MCQ

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HardOH Ethics and ProfessionalismDual loyalty in workplace outbreakDOccMed

During a warehouse tuberculosis contact investigation, management asks OH to name the index employee so colleagues stop speculating. Public health has already arranged contact tracing and the worker is distressed about stigma. What is the most appropriate management?

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Correct answer: E — Maintain confidentiality and provide risk communication without identifying the worker

Confidentiality remains important during infectious-disease management. Risk communication can explain exposure, contact tracing and precautions without identifying the worker unless disclosure is necessary for public protection. Public health authorities can manage contact tracing appropriately. Sharing clinic letters with HR would be disproportionate.

Reference: UKHSA TB guidance; GMC Confidentiality guidance