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The minutes of a meeting held at NIBSC highlighted that the issue of withdrawal was not approached purely as a scientific one, but as a question of policy that took into account concerns pertaining to economics and the perceived need to maintain the supply of fractionated blood products.

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Patient information leaflets became a legal requirement in the UK for all medicines.

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Cutter confirmed that all plasma was being collected from FDA licensed and inspected centres.

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William Srigley of Cutter Pharmaceutical gave evidence that he was aware before July 1982 that a homosexual donor who was hepatitis positive risked transmitting AIDS.

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The evidence is that after February 1983 any remaining stocks of factor concentrates that had been prepared by Cutter using prison plasma were used for research and development purposes only.

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"The New England Journal of Medicine", published an article by Gottlieb et al titled "Pneumocystis carinii pneumonia and mucosal candidiasis in previously healthy homosexual men".

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The New England Journal of Medicine published an article by Masur et al titled "An outbreak of community-acquired pneumocystis carinii pneumonia".

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The New England Journal of Medicine published an article by Durack titled "Opportunistic infections and Kaposi's sarcoma in homosexual men".

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Strategy caucuses of the plasma collection and manufacturing interests in advance of their meeting regulators, the CDC and others were to become a common occurrence.

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Dr Ojala's (Cutter) memo of a meeting on non-specific (surrogate) testing concluded: "In summary, the conclusion of this meeting was that the time had come for Hepatitis core anti-body testing for plasma. Implementation will probably be achieved during 1984 for the industry."

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Dr Ojala's (Cutter) memo of a meeting on non-specific (surrogate) testing stated: "The approval of our heat-treat submission, in conjunction with core-screened plasma could present us with a potent marketing advantage. We made no mention of our plans to the others."

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The New England Journal of Medicine published an article by Siegal et al titled "Severe Acquired Immunodeficiency in Male Homosexuals, Manifested by Chronic Perianal Ulcerative Herpes Simplex Lesions".

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Inquiry publishes financial report

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Rhys Brennan

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At an Association of Haematologists North East Thames Region Working Party in Haemophilia meeting, Dr Lane "projected utilisation of factor VIII concentrate to grow to 60M iu [international units] per annum over a ten-year period" but suggested "100M iu per annum" as a more realistic estimate to achieve self-sufficiency.

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It was apparent that the fractionation capacity in England would need significant expansion.

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A Working Party on Human Antihaemophilic Globulin meeting determined "As the HAHG [human antihaemophilic globulin] concentrate prepared from plasma pools of up to 30-40 litres in volume apparently carried a risk of transmitting serum hepatitis, it was considered inadvisable...to increase the plasma pool volume much above this size".

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There was an upward shift in estimates of future needs, though slighter on this occasion. Current demand for Factor 8 was probably in the region of 60 million international units but, if clinical freedom continued, it could reach 100 million international units per annum.

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Alec Parrott wrote a letter to Susan Maunsell proposing a solution to the problem of securing an agreement acceptable to the workforce if asked to run a 24- hour shift system.

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Dr Maycock published "Present Sources of Materials for Treatment of Haemophilia and Potential Future Sources" showing the limits of fractionation capacity contributing to blood product shortfall; in order to meet the preferred number of units of cryoprecipitate and factor concentrates, capacity would have to increase by 800L a week.

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