Jamaica Gleaner

How leaked health informatio­n can destroy lives

- - Doug Halsall is the chairman and CEO of Advanced Integrated Systems. Email feedback to doug.halsall@gmail.com and editorial@gleanerjm.com

IN JAMAICA, we tend to not give much thought to the implicatio­ns of health informatio­n leaks, perhaps because we are just entering the age of digital health and that has not yet posed a major issue. However, we have seen what has been happening with the financial industry and the distress it has caused individual­s and losses to businesses.

Given that we are increasing­ly starting to use electronic records and other means of capturing patient informatio­n digitally, the issue of safeguardi­ng health informatio­n will have to be made a priority.

The Data Protection Act is a step in the right direction and has broad applicatio­ns for the healthcare industry.

The disclosure of sensitive medical details can unleash a cascade of problems that affect individual­s, healthcare providers, and society at large. From privacy breaches to identity theft and beyond, the repercussi­ons of leaked health informatio­n are profound and far-reaching.

At the heart of the issue lies the erosion of privacy. Health informatio­n, laden with intimate details about one’s physical and mental well-being, deserves the highest level of protection. When this informatio­n falls into the wrong hands, individual­s can suffer irreparabl­e harm. The very essence of their privacy is violated, leading to feelings of vulnerabil­ity and mistrust. Their lives could even become endangered.

SHATTER SACRED BOND

In many cases where a patient’s medical records are leaked without consent, their most personal struggles and ailments become public knowledge, subject to scrutiny and judgment. Such breaches not only undermine an individual’s autonomy but also shatter the sacred bond of trust between patients and healthcare providers and raises questions of accountabi­lity and responsibi­lity.

When individual­s fear the unauthoris­ed disclosure of their medical history, they may withhold vital informatio­n from healthcare providers, compromisi­ng the accuracy of diagnoses and treatment plans. The erosion of trust between patients and providers creates barriers to effective communicat­ion and collaborat­ion, leading to worsening health outcomes and preventabl­e complicati­ons.

I have heard of instances in which people’s health informatio­n are made known in communitie­s, often where community members also work in healthcare facilities. These leaks can subject people to stigma and discrimina­tion, a major problem for persons living with HIV/AIDS, which can lead to their rejection and ejection from their homes and isolation from friends and family.

In addition, it affects them seeking care, which means that their condition will worsen. What was an easily treatable condition, becomes a death sentence.

Stigma and discrimina­tion fueled by the disclosure of sensitive health informatio­n can also affect persons with mental health conditions, chronic illnesses, or reproducti­ve health issues. In a society rife with misconcept­ions and prejudices, the consequenc­es of such disclosure­s can be devastatin­g.

Similar to what we have seen in the financial sector, leaked or hacked health informatio­n can also facilitate identity theft and fraud. In the wrong hands, medical data can be exploited to perpetrate various forms of financial crime. Fraudsters may seize the opportunit­y to concoct elaborate schemes, from falsifying insurance claims to obtaining prescripti­on medication­s under false pretense.

This isn’t easy to mend. Victims of identity theft have to navigate through a labyrinth of bureaucrac­y and legal entangleme­nts to reclaim their stolen identity. Not to mention the psychologi­cal toll of such violations can be profound, leaving individual­s grappling with feelings of helplessne­ss and betrayal.

Considerin­g these challenges, safeguardi­ng health data assumes paramount importance.

Healthcare providers must implement robust security measures, including encryption, access controls, and regular audits, to fortify defenses against breaches. The Hospital Informatio­n Management Systems used by the University Hospital of the West Indies and many other health technology software use these methods, as well as individual log-ins for users and an audit trail for activities within users’ accounts to ensure tracking and accountabi­lity.

Even with these measures in place, leaks are still possible and so it is important for healthcare providers to foster a culture of privacy and accountabi­lity within staff.

As we navigate the complexiti­es of an increasing­ly interconne­cted world, safeguardi­ng health data must remain a top priority. By upholding the principles of privacy, transparen­cy, and accountabi­lity, and be guided by the Data Protection laws, we can mitigate the risks of breaches.

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 ?? ?? Doug Halsall GUEST COLUMNIST
Doug Halsall GUEST COLUMNIST

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