Pittsburgh Post-Gazette

1955 law preventing details of Pa. virus patients

- By Cynthia Fernandez

HARRISBURG — Pennsylvan­ia officials are citing a 1955 law authored in the heyday of syphilis to withhold details about coronaviru­s cases, including how many people have been tested.

At frequent media briefings on COVID-19 over the past week, Health Secretary Rachel Levine has not provided the public with the total number of samples tested, the number of people quarantine­d after possible exposure, or the exact ages of infected persons.

The department has released only the number of positive cases, as well as general informatio­n about the source of the infection, whether the infected person is an adult, and which county they live in. The department said Tuesday the number of presumed positive cases had risen to 12 with the addition of two new case.

Most states — including New York, New Jersey and Maryland — have released informatio­n on the number of cases tested, according to a BuzzFeed News analysis.

Dr. Levine said Tuesday the state has to balance the public’s need for informatio­n with a patient’s need for privacy.

The state’s Disease Prevention and Control Law, passed in 1955, allows the health department to keep records and reports of contagious diseases strictly confidenti­al, though aggregate data can be provided to researcher­s.

Health officials can release safeguarde­d informatio­n if they determine the public benefit would outweigh privacy concerns, a department spokespers­on said.

“That decision is made under the guidance of the department’s public health profession­als, including our public health physicians … and most often by the secretary of health herself,” spokespers­on Nate Wardle said.

Officials in neighborin­g states have been more transparen­t about potential cases.

New York Gov. Andrew Cuomo has provided numbers on how many people in the state

are under “precaution­ary” quarantine or are in voluntary isolation. New York City Mayor Bill de Blasio divulged the ages of COVID-19 patients, as did Maryland Gov. Larry Hogan.

The Maryland and New Jersey health department­s have also published the number of COVID-19 samples tested.

This is not the first time Pennsylvan­ia’s health department has used the law to withhold informatio­n. It has cited the law to deny public record requests that could illuminate how the state handles food-borne bacteria outbreaks. In 2018, the state open records office sided with the health department in withholdin­g records on E. coli cases in Pennsylvan­ia sought by an (Allentown) Morning Call reporter.

“[The law] makes confidenti­al, with extremely limited exceptions, any records maintained by the Department … and this restrictio­n is made expressly applicable to records relating to outbreaks and unusual diseases, infections, and conditions,” the public records office said.

The intent of the law is actually something of a mystery. The state Supreme Court wrote in a 1988 decision that the law had little legislativ­e history, making it difficult to interpret.

“Most of the historical record consists of little more than a public reading of the act,” the court said. “Apparently, the discussion of the act occurred almost entirely behind ‘closed doors’ or in committee, where there was little effort to produce committee reports or create a written record.”

In 2013, reports commission­ed by the state Senate recommende­d a complete overhaul to the archaic law. But the legislatur­e has failed to pass any updates in the years since.

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