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HIV and the Blood Supply: An Analysis of Crisis Decisionmaking / Edition 1

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Overview

During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease.
During this period of great uncertainty, decisionmaking regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system.
The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was done--and recommends what should be done to produce better outcomes in the face of future threats to blood safety.
The committee frames its analysis around four critical area
  • Product treatment--Could effective methods for inactivating HIV in blood have been introduced sooner?
  • Donor screening and referral--including a review of screening to exlude high-risk individuals.
  • Regulations and recall of contaminated blood--analyzing decisions by federal agencies and the private sector.
  • Risk communication--examining whether infections could have been averted by better communication of the risks.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Bernard J. Turnock, MD, MPH (University of Illinois at Chicago)
Description: This book presents the findings and recommendations of a special committee of the Institute of Medicine that was convened to examine the formulation of policies to protect the blood supply from HIV during the 1980s.
Purpose: The hope was that a thorough and critical review of the policy and decision-making processes would result in recommendations that would enhance the protection of the nation's blood supply in the future.
Audience: Many health professionals involved in the blood donation and supply industry will find this book of interest, especially those concerned with the special issues involving hemophiliacs. Governmental and industry policymakers are another audience for this book. Students of public policy and public health interested in decision making amid scientific uncertainty will find this to be an excellent case study.
Features: The book appropriately uses illustrations, tables, and appendixes that are replete with original documents. The references are pertinent and timely; other features of this book are average, including appearance.
Assessment: This is a fascinating case study of how important public policy and public health decisions are made amidst scientific uncertainty and competing agendas. It unravels some of the mysteries as to how federal agencies work with and against each other. The importance of maintaining a safe blood supply and the myriad of obstacles complicating that task are also well presented. Although these lessons may not be of major interest to all audiences, many policymakers, professionals, and students will find this book of value.
Bernard J. Turnock
This book presents the findings and recommendations of a special committee of the Institute of Medicine that was convened to examine the formulation of policies to protect the blood supply from HIV during the 1980s. The hope was that a thorough and critical review of the policy and decision-making processes would result in recommendations that would enhance the protection of the nation's blood supply in the future. Many health professionals involved in the blood donation and supply industry will find this book of interest, especially those concerned with the special issues involving hemophiliacs. Governmental and industry policymakers are another audience for this book. Students of public policy and public health interested in decision making amid scientific uncertainty will find this to be an excellent case study. The book appropriately uses illustrations, tables, and appendixes that are replete with original documents. The references are pertinent and timely; other features of this book are average, including appearance. This is a fascinating case study of how important public policy and public health decisions are made amidst scientific uncertainty and competing agendas. It unravels some of the mysteries as to how federal agencies work with and against each other. The importance of maintaining a safe blood supply and the myriad of obstacles complicating that task are also well presented. Although these lessons may not be of major interest to all audiences, many policymakers, professionals, and students will find this book of value.
Booknews
A report by The Committee to Study HIV Transmission Through Blood and Blood Products, of the Institute of Medicine. Details the controversy during the early years of the AIDS epidemic regarding the possible transmission of the disease through blood and blood products, and the decision-making process as more information became available. Considers whether such measures as treating blood products to inactivate HIV, screening donors, regulations, and recalling contaminated blood could have begun earlier and if so what the effect on the spread and mortality of the disease would have been. The underlying goal is to draw conclusions about what to do should similar situations arise in the future. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9780309053297
  • Publisher: National Academies Press
  • Publication date: 10/5/1995
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 352
  • Product dimensions: 6.25 (w) x 9.31 (h) x 1.13 (d)

Table of Contents

Executive Summary 1
1 Introduction 19
2 The U.S. Blood Supply System 25
3 History of the Controversy 57
4 Product Treatment 81
5 Donor Screening and Deferral 101
6 Regulations and Recall 135
7 Risk Communication to Physicians and Patients 169
8 Conclusions and Recommendations 207
App. A Individuals Interviewed by the Committee 239
App. B Individuals Providing Oral and Written Testimony 243
App. C Chronological Summary of Critical Events, National Hemophilia Foundation (NHF) Communications, Knowledge Base, Risk Assessment, Clinical Options, and NHF Actions 247
App. D Key Documents Provided to the Committee 263
App. E Glossary of Acronyms and Terms 303
App. F Committee and Staff Biographies 315
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