GRAND TRAVERSE COUNTY IIEALTII DEPARTMENT PERSONALHEALTH SuiteA 2325Garfield Road. N. Traverse City,MI49686 (23t) e22-4831 To: From: Date: Subject: ENVIRONMENTAL HEALTH ANIMAL CONTROL 2650LaFranier Road Traverse City,MI 49686 (231) 995-60st 2650LaFranier Road Traverse City, MI 49686 (23r)995-6080 Al Schneideq Prosecuting Attomey Fred Keeslar,Health Officer February 4,2009 RecalcitrantBehavior The memois to infomr you that a man with HIV is mostlikely having sexwith othermen andnot informing them of his HIV status.This is based this reporffrotn Kit Mikorritz, Managerfor Adult on Services this Department: of I received complaint an individual.working HIVtreatment a from in the (Thomas clinic JuddGarecenter). Hestates a_numberpeople that of have hirnthat manin ourcommunity X) is HIVpositive told a (Mr. and having unprotected sexwithmany men, disclosing status.ne reportitlrattr,ti. is usingretail not his x storepublic bathrooms sexual for encounters, meeting people anonyrnous and on websites like "Manhunt.com" and,'Gay.com". U,pon reviaving records, X is a manweplladgq in May2004.Wehadreceived our Mr. comptaint(s) abouthisbehavior contacted issuing Notice Warniirg. metwithhimhereat the Health and him a Of We Department reviewed law,hisresponsibilities hadhimsig'n tetter. the and the In 2006hisnameappeared MDSS (Michigan on Disease Surveillance System). hadreceived He careat an Urgent Careandw.as diagnosed Chlamydia sexually with (a transmitt-ed disease). interviewed We him,notaware his HIVstatus.Hereported pirtnets name usto contact treatment of oire for ior and stated he hadanother that partner, wourd but contact direcily. him Nowin 2009,heqqparenly continuing same is the behavior having of unprotected I havecontacted sex. Ce-nlral Michigan Health Department follow Lorrie for up. Youngs, DiieaseIntervention tne Specialist, willissuehimanother "No.!!cg Warning". hasagreed olbtain signature the notice of She to his on and fonrardit on to us.Shewillalsoattemptlo refer t6 counseling Sexual him for Addiction. Whatis next? Dowe waitfor further complaints? we require heseea counselor/therapist? Can that Not sure whatournext stepis. I suggest threeoptions. l' This Mr. X be wamedby you and/orprosecuted failure to inform his sexpartnersof his HIV for status. 2' Therebe a "sting" operationby thepolice at thepublic batlroom wherethis perconis reportedto havehadhis encounters. 3' That I go public and and info* the public via themediathat this activity is happening that anyone who hasengaged this behaviorshouldget testedfor HIV and othir STI;. j woJd not divulge in the nameof the personor the public bathrooms. 4. Al1 or two of these options. What courseof action do you want to pursue? K:\PH\Usen\KMIKOVIT\Legal\prosecuting AttorneyVecbehav200g.doc 2/412009