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At a Scottish National Blood Transfusion Service Co-ordinating Group meeting, Dr Brian McClelland proposed to amend the health questionnaire to read: "if you think there is any reason why your blood should NOT be used for transfusion, please tick this box and you will not be questioned further", which he intended to run on a two-week trial.

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At a Scottish National Blood Transfusion Service directors meeting, it was agreed that the AIDS leaflets should be mailed to all active donors "wherever possible", although it was recognised that some centres might have great difficulty achieving it.

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Dr Smithies asked regional transfusion directors to consider again the effectiveness of measures to exclude high-risk donors. No particular actions was agreed. There was also the discussion of the latest iteration of the AIDS leaflet.

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At an Expert Advisory Group on AIDS meeting, it was acknowledged that people in high-risk groups were still coming forward to donate blood.

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The revised (fourth) AIDS leaflet had been printed and distributed to regional transfusion centres, with the expectation that it be distributed with donor call-ups.

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At a regional transfusion directors' meeting, it was agreed that those who had engaged in prostitution should be added to the list of risk groups on the next AIDS leaflet. The chairman also reported the initiation of a Scottish study regarding the effectiveness and acceptability of donor literature.

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At a meeting of the Eastern division of consultants of the National Blood Transfusion Service, it was reported that the North London Regional Transfusion Centre had a confidential unit exclusion form for the donor to complete so that a high-risk donation could be excluded. Both the Cambridge and South London regional transfusion centres indicated that they would find this system difficult to introduce and relied on the self-exclusion of donors.

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At a regional transfusion directors' meeting, Dr Alison Smithies raised the issue of examining the opportunity for donors to "opt out" at some point during the donation procedure. All divisional chairs reported that this had been discussed "and felt to be difficult, complicated and probably unworkable". The draft of the new AIDS leaflet was circulated.

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At an Expert Advisory Group on AIDS meeting, Dr Alison Smithies reported that the last AIDS leaflet issued in September 1986 was due to be revised. It was agreed that a further risk group (namely, "people who know they are infected") should be included.

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The fifth version of the Department of Health and Social Security leaflet was printed for distribution.

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Newcastle, Sheffield, Southampton, Manchester and Liverpool sent AIDS leaflets out to donors with the call-up cards, and at Tooting new donors received the leaflet with their certificate book. At Leeds, Cambridge, Edgware, Brentwood, Oxford and Cardiff the leaflet was made available at sessions. At Birmingham the leaflets were handed to donors, and at Bristol they were offered on signing in.

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In his letter to Dr Alison Smithies, Dr Brian McClelland recognised the difficulty for any donor to exclude themselves at a donor session and the desirability of sending the leaflet to each donor with the call-up letter.

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A meeting on AIDS was convened by the Welsh Office, Medical Services Health Professional Group. When discussing the impact of publicity on the National Blood Transfusion Service in Wales, it was noted that the very low reported incidence of AIDS in the UK gave confidence that no potentially contaminated blood was being collected.

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Dr Anthony Napier was reported in the Western Mail as saying that no links between AIDS and blood transfusion had been proved, and that blood was not taken from anyone who was harbouring any sort of infective problem, and prospective donors were always asked about their medical history.

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Paul Winstanley wrote to J Emlyn-Jones about the AIDS leaflets. It was stated that Cardiff's method of distribution was to make the leaflets available at sessions - the leaflets stayed within sessions and were reused.

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At a Welsh Office meeting, the Chief Medical Officer for Wales was recorded noting that he still thought it was unsafe to rely on the AIDS leaflet as the "sole means of weeding out the homosexual population" from the potential donor pool and that the development of a more detailed questionnaire should be pursued.

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At a meeting of the South Glamorgan District Health Authority, it was noted that a question asking the potential donor whether they had read the AIDS leaflet was in use or about to be introduced.

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In a letter from Dr Anthony Napier to Dr Alison Smithies, it was noted that Cardiff were placing AIDS leaflets on each chair in the waiting area, following which all donors were being asked to sign that they believed themselves medically fit and had read the leaflet.

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In his letter to the Department of Health and Social Security, Dr Colin Entwistle outlined details of AIDS leaflet usage in the Oxford region. He described the rate of usage per month as "now negligible".

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The North London Blood Transfusion Centre overprinted their own leaflet because the revised AIDS leaflet was not yet available from the Department of Health and Social Security. They also produced their own additional leaflet titled "Some Reasons Why You Should Not Give Blood".

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