Dear Prudence,
My wife and I have a wonderful nanny who has taken excellent care of our two young children for the last year. She’s fun, smart, creative, dependable, flexible with our schedules and our kids love her. She recently called out sick for three days, the first time she ever missed work. When she returned, she told us that she’s been HIV positive for about five years and was addressing a complication due to an otherwise minor viral infection. Our initial reaction (in retrospect, an ignorant and emotional one) was that we should let her go. We were concerned about the risk of infecting our children and angry that she hadn’t told us before we hired her and our children developed an emotional bond. We have discussed with our pediatrician and are moving in the direction of keeping her. Is this wise? Are there risks? If so, how can we mitigate them? Should she wear gloves when she changes our 1-year-old’s diapers?