Communicable conditions

You are a health center nurse at a local university clinic and are meeting with Mr. Green, a twenty-eight-year-old graduate student who has reported to the health center for counseling following his blood testing positive for antibodies to Human immunodeficiency virus. Although he is asymptomatic at the moment, you inform Mr. Green that while he does not currently have Acquired immune deficiency syndrome , there is a 5 to 35 percent probability that he will develop the disease within the next five years. You advise him that he should refrain from donating blood and should practice safe sex at all times. During the counseling session, Mr. Jones tells you that he is bisexual and that his infection probably came from a homosexual encounter that occurred last summer. He also tells you that he is engaged to be married next month. You advise him of the need to inform his fiancé of his condition, but he tells you that it would ruin his life.

What are the state regulations regarding reporting Human immunodeficiency virus as a communicable condition?  To whom do you have duty: your real patient or the potential victim? How would you handle the matter?