Blood donor services and liability issues relating to acquired immune deficiency syndrome

Lipton, Jonah

doi:10.1080/01947648609513468

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…PROTECTION OF BLOOD GIVEN FOR TRANSFUSION (2,5,17,81,119,120,121,122,123,124,125,126,127,128,129,130) The importance of problems related to bloodtransfusions is demonstrated by the fact that they were among the first (with compulsory notification of infection) to be treated by new legislation concerning AIDS: -as early as 1983 the Council of Europe, France and Greece, all recommended the refusal of blood donors presumed to be infected or belonging to risk-groups (and there was similar legislation for Austria in 1984 and for Spain in 1985). -in 1985 systematic screening of donors appears in the legislation of W Germany, Belgium, France, Luxemburg, Norway, and in the state of Washington.…”

Section: -Measures Intended To Protect Societymentioning

confidence: 99%

The ethical approach to AIDS: a bibliographical review.

et al. 1990

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This bibliographical study involved first the exploitation of four data-banks: Medline, CNRS, Bioethics and AIDS, with the following key words (in conjunction with AIDS): ethics, human rights, confidentiality, legislation, jurisprudence. A total of 412 references were listed between 1983 and the end of 1987. Examination of the quantitative increase of articles over these years shows that, while references to AIDS and/or HIV infection--referred to as 'AIDS' for brevity--increased by about one third per year, the number of papers treating ethical problems linked to AIDS doubled each year. This increase makes it clear that these problems are important and pressing, that they are evolving rapidly and can be given no easy solution. After reading and analysis of accessible articles in readily comprehensible languages, the different themes can be classified in two categories: 1: Measures intended to protect society (starting with the most coercive); quarantine and isolation; discriminatory measures concerning specific groups; non-respect of the confidential nature of medical information; application of the penal code; screening; obligatory declaration and registration; testing of blood given by donors; vaccination and medical innovations, therapeutic assays; information, education. 2. Measures intended to protect the individual: fundamental rights of the patient: his/her right to confidentiality, to information and to treatment; civil rights: civil liberty, right to education, right to work, etc...; rights of the healthy individual: right of those in contact with the patients, safety of hospital staff, of those receiving blood-transfusions, etc... The legislation adopted in the various countries and the main opinions to be found in these articles are listed and analysed, and for each particular theme it is possible to refer to a list of the 232 most important articles. While the debate seems to concentrate on the conflict between the right of society to protect itself against the spread of infection and the 'civil' rights of the infected minorities, our conclusion tends to reduce this antagonism, showing that, particularly as far as the confidential nature of medical information is concerned, measures intended to protect the individual also protect society.

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Section: -Measures Intended To Protect Societymentioning

confidence: 99%

The ethical approach to AIDS: a bibliographical review.

et al. 1990

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“…An expanded "look-back'' program has been developed, in which patients who may have been exposed to HIV through blood transfusion were Identified via three triggers: the blood that they received was donated by persons who 1) have subsequently been reported to local health departments as meeting the diagnostic criteria for AIDS, 2) have donated since the introduction of anti-HIV screening and tested positive, or 3) have been found to be infected during investigation of reported transfusion-associated HIV infections. In comparing triggers, cross-referencin the list of patients identifying HIV-infected donors and transfusion recipients.…”

mentioning

confidence: 99%

Identification of HIV‐infected transfusion recipients: the utility of crossreferencing previous donor records with AIDS case reports

Samson

Busch²,

Ward³

et al. 1990

Transfusion

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An expanded "look-back" program has been developed, in which patients who may have been exposed to HIV through blood transfusion were identified via three triggers: the blood that they received was donated by persons who 1) have subsequently been reported to local health departments as meeting the diagnostic criteria for AIDS, 2) have donated since the introduction of anti-HIV screening and tested positive, or 3) have been found to be infected during investigation of reported transfusion-associated HIV infections. In comparing triggers, cross-referencing the list of patients reported to have AIDS (AIDS case list) proved to be the most efficient approach for identifying HIV-infected donors and transfusion recipients. Of the 7973 AIDS patients reported in eight Northern California counties as of December 1988, 316 (4.0%) were determined to have donated at Irwin Memorial Blood Centers between 1977 and 1985. Despite the logarithmic increase in reported cases of AIDS in the San Francisco Bay area over the last 5 years, the rate of detection of previous donors from AIDS case lists remained between 3.3 and 5.4 percent. These persons accounted for 69 percent of the identified infected donors, and their identification led to notification of 60 percent of potentially exposed recipients and 51 percent of known infected recipients. The crossreferencing of AIDS case listings with blood bank records was equally efficient for regions with low and high AIDS prevalence. National adoption of AIDS case list crossreferencing is recommended as an effective means of identifying previously unidentified infected recipients in an effort to limit the secondary spread of HIV infection.

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Legal Aspects of Human Immunodeficiency Virus (HIV) Infection: Testing and Discrimination

Ginzburg¹,

Rosen²

1989

Legal Aspects of Medicine

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Blood donor services and liability issues relating to acquired immune deficiency syndrome

Cited by 7 publications

References 8 publications

The ethical approach to AIDS: a bibliographical review.

The ethical approach to AIDS: a bibliographical review.

Identification of HIV‐infected transfusion recipients: the utility of crossreferencing previous donor records with AIDS case reports

Legal Aspects of Human Immunodeficiency Virus (HIV) Infection: Testing and Discrimination

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