Inconsistency in Caché Database: Mismatch Between Total Count Based on Unique Identifiers, Deduplicated Count, and Conditional Query Results

Well, you have to do it yourself.
Suggestion: Keep a list of the indices processed and skip all followers
For the list you need a small Stored Procedure that you add to
your SQL SELECT in the WHERE clause.

CREATE PROCEDURE SQLUSER.DUPL(value VARCHAR, id INTEGER)
RETURNS INTEGER
LANGUAGE OBJECTSCRIPT
{
 set used=$d(^||dupl(value))
 set ^||dupl(value,id)=$i(^||dupl(value))  
 quit used
}

And in the SELECT

SELECT id, sickindex, . . . . . 
FROM your.data 
WHERE DUPL(sickindex,id) < 1

As a side effect, you create a list of affected indices.
I used a PPG to avoid the need to clear it before use.
If you are interested in the duplicate, you need to change the global name
and add some cleanup before use