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Dr Smith agreed to check the records at Wessex RTC to see if any HIV 1 antibody positive donors were implicated in batch 8CRV1526.

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Dr Gunson reported to a meeting of the regional transfusion directors on the plan to be adopted when a patient was diagnosed with AIDS and had donated or received blood or blood products.

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The terms of reference for the Advisory Committee on the National Blood Transfusion Service Working Group on AIDS were "To consider the implications for the National Blood Transfusion Service of testing blood donations for antibody to HTLV III and to report."

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During a meeting of regional transfusion directors it was noted that when tracing the recipients of donations from a HIV-positive donor, finding that a recipient had died was "not necessarily the end of the story" as the recipient's organs may have been used for transplantation.

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The working party of the Regional Transfusion Directors' Committee produced a report on the screening of blood donations for anti-HTLV-3 in regional blood transfusion centres. Procedures for testing donations were set out in full as well as the follow-up for HTLV-3 positive donations.

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It was agreed at a meeting of the Expert Advisory Group on AIDS sub-group that where long-standing donors were found to be antibody positive, only physicians should be informed (via the haematologist). It would be for the physician to decide further action. This line would be presented to the Expert Advisory Group on AIDS.

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A retrospective study of HIV infection associated with unheated NHS Factor 8 and 9 was produced.

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Dr Terence Snape produced a report on the recall of Factor 8 batch HL3186 occasioned by probable diagnosis of AIDS in a contributing donor.

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The meeting of the Expert Advisory Group on AIDS was briefed that funding proposals had been submitted for an extra 1,500 places on counselling courses at St Mary's, Birmingham and Manchester in the next financial year.

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The Expert Advisory Group on AIDS Screening Test Sub-Group met. The meeting focused on issues of testing and consent. It was noted that all individuals with positive results "must be told because of the dangers to their health and that of others".

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At a meeting of the regional transfusion directors meeting it was anticipated that a DHSS working group might be set up to consider the legal implications of the advice of the Medical Defence Union.

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A letter was sent by Dr Michael Barnes, Deputy Medical Director of the Wessex Regional Transfusion Centre, to the haemophilia centre directors in the Wessex region to recall unused Factor 8 from batch HL3186.

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Dr Barnes wrote to all directors of haemophilia centres in Wessex re-emphasising his request for information to be kept quiet.

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At the first meeting of the Advisory Committee on the National Blood Transfusion Service Working Group it was agreed that donors should be told that their donations would be tested for HTLV-3, and that those whose donations tested positive should be informed, but there was no unanimity on how to do this.

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A paper was produced by the Expert Advisory Group on AIDS Screening Sub-Committee: "Follow Up of Blood Donations Previously Given by Donors who are Identified as Positive for HTLV III Antibody".

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Dr Smithies wrote a memo to Dr Alderslade noting that funding had been allocated to the Public Health Laboratory Service to follow up recipients on the Wessex batch, as well as batches of US-derived Factor 8 known to be associated with donors with AIDS.

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The covering letter to "Epidemiological Study of the HTLV III/LAV Virus based on the Blood Transfusion Service" noted that there were "instances in which patients infected by blood transfusion have brought the problem to light and a donor can be found by back tracing."

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DHSS/CDSC/NBTS meeting at which it was noted that about 90% of all HIV positive donors who could be traced had been informed of their HIV status and told not to donate again.

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A review of the lookback scheme at the North London Blood Transfusion Centre was undertaken by Dr Hewitt. Dr Hewitt explained that "Sometimes the RTC has written to five or six doctors in an individual case (haematologist, surgeon, physician, referring physician, GP) without any of them wishing to take responsibility for notifying the recipient." This created not only an increased workload but also a delay in reaching the patient.

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Dr Harold Gunson wrote to Dr Spence Galbraith noting that regional transfusion centres "already have systems available for the follow-up of donors who are implicated in patients who develop Transfusion Associated Hepatitis" and he did "not see that fundamentally the proposal to follow-up donors implicated in patients who develop AIDS or the follow-up of donations given by persons who subsequently develop AIDS is significantly different."

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