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Dr Tim Wallington wrote to Dr Harold Gunson about the co-ordinated study of transfusion-transmitted HIV infection, enclosing study documents to introduce the project and enable work to start.

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Anti-HTLV-3 tests were performed by the North Western Regional Transfusion Centre on coded serum/plasma samples from the Public Health Laboratory Service.

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Dr Janet Mortimer wrote on behalf of Dr Harold Gunson to regional transfusion directors asking for the latest information they could give on recipients of blood from a donor subsequently found to be positive. As part of the follow-up, Dr Mortimer offered to check uncontactable donors against the database at the Communicable Disease Surveillance Centre.

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In a letter to Dr Harold Gunson, Dr Wallington proposed to abandon the HIV follow up study because he did not think they would learn more from it that was not being learnt from other data gathering efforts. It was stated that the data he received from the regional transfusion centres was incomplete, with some centres not having participated.

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The Expert Advisory Group on AIDS supported the continuation of the lookback study and considered that previous investigations should be pursued until two anti-HIV negative recipients had been identified.

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Dr Spence Galbraith wrote to Dr Harold Gunson about AIDS, seeking his views on the surveillance systems and particularly on the problems which may arise when an AIDS patient has previously been a blood donor.

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Dr Harold Gunson wrote to all regional transfusion directors about the HIV and blood transfusion/tissue transfer payment scheme.

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Dr Harold Gunson reported that, since screening had been introduced, 150 confirmed seropositive cases had been found, giving an incidence of 1 in 75,000 donations.

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Dr Harold Gunson reported that, of 24 male donors who were found seropositive in 1989, 14 were "established donors".

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Dr Harold Gunson reported that there had been "in general" no investigations into cases where individuals had received blood from seronegative donations from a donor who "subsequently became seropositive".

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Dr Harold Gunson wrote to Dr Wallington stating that the epidemiological study had not commenced and made reference to the "enormity of the task".

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Dr Kenneth Calman wrote to all hospital consultants and GPs in England about recipients of infected donations.

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The term "lookback" was first described as identifying patients who were given blood from donors who were later shown to be infected with a blood-borne virus.

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According to Dr Jack Gillon's evidence to the Penrose Inquiry, Scottish regional transfusion directors agreed to adopt the 11 July 1985 working party recommendation endorsed by the Expert Advisory Group on AIDS.

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Counselling was discussed at a meeting of medical staff held at the Scottish National Blood Transfusion Service headquarters. It was noted that each region was required to arrange for appropriate training of individual doctors at St Mary's Hospital.

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At a UK Working Party on Transfusion-Associated Hepatitis meeting, Dr John Craske said that "All batches of NHS and commercial concentrate and cryo since 1st Jan 1980 will be followed up and other recipients checked."

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At an Expert Advisory Group on AIDS meeting, it was noted that the Working Party of Regional Transfusion Directors considered it possible to commence screening of blood donations in October 1985. Details for notifying a donor tested to be positive for HTLV-3 antibody were set out by Dr Harold Gunson.

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The Expert Advisory Group on AIDS discussed the AIDS counselling course at St Mary's Hospital. It was noted that about 160 people would be trained prior to the introduction of the HTLV-3 antibody test. It was agreed that an evaluation of the counselling courses was important.

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The Expert Advisory Group on AIDS discussed the follow up of blood donations previously given by donors who were identified as positive for HTLV-3. Members agreed with the Screening Sub-Committee's recommendations, and it was noted that the "BTS was aware of the importance of good record keeping to enable the follow up of donations."

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The Expert Advisory Group on AIDS agreed that a small working group be set up to consider the problems of AIDS counselling.

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