HIV/AIDS infected individuals have an obligation to timely inform their spouses about the infection.But some of them refuse to do so on the grounds of privacy protection or potential difficulties after disclosure.This refusal is an evasion of the responsibility to prevent the spread of the disease to others and can lead to the breakdown of ethical relationships under the name of maintaining relationship privacy.Therefore,it is necessary to allow a reasonable exception to the principle of confidentiality and grant medical and health institutions with the authority to disclose information.The benefits brought by this empowerment outweigh the risks.It also serves as a restriction and supplement to the self-discipline of infected individuals and patients,as well as a guarantee for the rights and interests of information-vulnerable groups.In terms of informing measures,it is necessary to pay attention to ethical management and improve relevant policies and measures,responding to the life logic of infected individuals and patients through humane disclosure methods,and balancing disclosure with public awareness efforts to reduce the stigmatization of infected individuals and patients.