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At an open meeting of the PHS Committee on Opportunistic Infections in Patients with Haemophilia held in July 1982, it was recommended that an active surveillance system should be put in place to determine if other suspicious incidences of AIDS were occurring in haemophilia patients.

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In her written evidence to the Inquiry, Dr Walford said that the Med SEB was part of the CMO's chain of command and was staffed by doctors and scientist in an advisory role and that the lead division for the policy areas, covered by Med SEB, was an administrative division, Health Services (HS), which was part of the Permanent Secretary's chain of command.

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Dr Louis Aledort reported to the Congress of the International Societies of Hematology and of Blood Transfusion in Budapest in August 1982 that it was suspected in the US that Factor 8 had resulted in people with haemophilia dying of AIDS, and it was suspected that an infective agent in blood concentrates was the cause.

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The AIDS Literature contributor, Robert Hubbard, extracted articles and investigations in German literature on the risks of contracting HIV through contaminated blood products.

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The CDC published an update on AIDS among patients with haemophilia A, and found 95% of recently reported AIDS infections were either homosexually active men, intravenous drug abusers, Haitians and/or people with haemophilia.

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An article in The Lancet was published on the occurrence of AIDS in an infant who had had a blood transfusion at birth and the possibility of contracting AIDS in such a way.

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Dr Mark Winter (who regularly read the Morbidity and Mortality Weekly Report) told the Inquiry that: "Any clinician looking at this data would have to believe that AIDS was a transmissible disorder and that it could be transmitted by blood and by blood products."

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Ed Cutter wrote a memo to J Ryan, Carolyn Patrick, Wayne Johnson, Ralph Roussell and George Akin advising them to include an AIDS warning in their literature and on its packaging of its Factor 8 and Factor 9 products

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Sir Joseph Smith, former director of the NIBSC and thereafter the PHLS, provided a written statement to the Infected Blood Inquiry.

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Dr Charles Rizza published an epidemiological study of AIDS in patients with coagulation disorders in the UK and its relationship to transfusion with blood products.

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Cornelis Smith, coordinator of the Netherlands Haemophilia Society, provided a written statement to the Infected Blood Inquiry.

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The CDC published a report on "Immunodeficiency among Female Sexual Partners of Males with Acquired Immune Deficiency Syndrome (AIDS)".

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I Marshall, of Alpha Therapeutic, wrote to Professor Bloom in relation to AIDS and precautionary steps being introduced to minimise the risk of the disease being transmitted via donors to people with haemophilia, including donor screening and leafleting.

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Lederman et al published a report in the New England Journal of Medicine titled "Impaired cell-mediated immunity in patients with classic hemophilia".

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It was asserted in a meeting with Immuno that "it is not known if AIDS is caused by a virus or an attacker inimical to T cells".

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People with haemophilia who were without symptoms of HIV but who had received factor concentrates had abnormalities in their T cells, but those who had received cryoprecipitate did not.

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Medical News published an article entitled "Preventing AIDS transmission: should blood donors be screened?" reporting on the connection between AIDS and the infusion of blood and blood products.

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The Centers for Diseases Control published an article in its Morbidity and Mortality Weekly Report, which reported over 1,200 cases of AIDS from 34 states since June 1981, explained statistics and made reference to the parallel between AIDS and Hepatitis B.

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According to Dr Kingdon, the United States plasma collection centres tended to be located near areas where there was likely to be a population willing to spend 2-3 hours donating plasma for a small payment (near universities, army bases and in the lower socio-economic sections of a city).

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The size of pool used by Hyland/Travenol appears to have increased over time as, in his draft statement of 1990, Dr Kingdon referred to "start pool" sizes of up to 15,000 donations. He did not provide further details of when, how and why the pool size had changed.

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