The duty created under the Americans With Disabilities Act is not unlimited. Paralleling the language of the above-cited Arline decision, the Act carves out an exception when the " . . . individual poses a direct threat to the health and safety of others. The term ‘direct threat' means a significant risk to the health and safety of others that cannot be eliminated by a modification of policies, practices, or procedures or by the provision of auxiliary aids or services."1 However, the above-noted public positions of the AMA and the American College of Surgeons, among others, that the risk of patient-to-physician transmission while using universal precautions, although real, is not significant, essentially eliminate this exception as a defense to not treating infected individuals.