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Dr David Dane relayed to Dr Sheila Waiter that viruses might also be found among other transfused individuals because the non-A non-B Hepatitis viruses may be responsible for abnormal livers which were evidently common among people with haemophilia.

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Mr Justice Burton held that there was a significant degree of seriousness with which non-A non-B Hepatitis was regarded according to the letter in which chief scientists told the Medical Research Council that the DHSS had given hepatitis high priority.

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Dr John Craske noted studies in people with haemophilia showed that non-A non-B Hepatitis might severely damage the liver and up to 40% of non-A non-B Hepatitis infections progressed to chronic liver disease.

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Feinstone et al published an article in The New England Journal of Medicine in 1975, noting that transfusion-associated hepatitis was not due to viral hepatitis type A or B.

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Dienstag et al published an article in The Lancet in 1977 titled "Non-A, Non-B Post-Transfusion Hepatitis".

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Koretz et al published an article in 1976 regarding post-transfusion chronic liver disease.

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Alter et al published an article in The Lancet in 1978 regarding a transmissible agent in non-A non-B Hepatitis.

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The NETR Association of Haematologists Haemophilia Working Party published guidelines on the screening and investigation of hepatic disease in patients with congenital coagulation disorders.

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Professor John Dillon gave evidence to the Inquiry about the distinction between acute non-A non-B Hepatitis and chronic non-A non-B Hepatitis.

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Liver biopsies undertaken at Sheffield Children's Hospital showed that five boys with haemophilia whose liver function was persistently abnormal had "confirmed underlying chronic liver damage, ranging from chronic persistent hepatitis to chronic aggressive hepatitis with early cirrhosis." Only one had serological evidence of previous Hepatitis B infection.

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Professor Howard Thomas gave evidence to the Inquiry that previous studies and evidence regarding concerns about non-A non-B Hepatitis in the late 1970s and early 1980s were 'all in accord'.

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In a haemophilia centre director's meeting, Dr Craske stated that "Large pool concentrates appeared to give a higher risk of hepatitis than small pooled concentrates and Dr Craske felt that increased usage of small pooled concentrates would help to reduce the incidence of hepatitis in the haemophilic population".

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Dr Aronstam published a paper identifying that hepatitis transmitted as a result of a receiving blood/a blood product carried a risk of serious long-term consequences.

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Dame Sheila published a textbook titled "Disease of the Liver and Biliary Systems", which canvassed the known effects of non-A non-B Hepatitis on the liver and biliary systems.

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Professor Ian Franklin gave evidence to the Inquiry that Dame Sheila "didn't really know what was going to be happening" when reflecting on the findings in her textbook 'Disease of the Liver and Biliary Systems'.

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Norkrans et al published a study which concluded that: "It is evident that the risk of transmitting hepatitis non-A, non-B is high with factor VIII preparations obtained from large plasma pools".

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Holland and Alter published "Non-A, Non-B Viral Hepatitis Human Pathology", which said that "whenever possible, autologous blood and blood products with the lowest risks of hepatitis transmission should be utilized, e.g., the use of single donor plasma or small pools of cryoprecipitated antihemophilic factor in preference to concentrates of clotting factors made from large pools of donors, some of whom are almost certain to be carriers of non-A, non-B hepatitis virus."

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The New York Times recognised Titmuss' book "The Gift Relationship" as one of the seven most important non-fiction books to be read that year.

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Lord Cullen told the House of Lords that "There is a danger that Factor VIII, which has to be injected into haemophiliacs, can have in it a strain of hepatitis, and at the moment there is no way of testing for these strains. That is the one product as to whose freedom from infection we cannot be absolutely certain. However, every effort is made to see that it is not infected, and although occasionally something may happen, it is not of a serious nature."

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The World Health Organization Scientific Group reported that "The present widely employed techniques for detecting hepatitis B antigen in blood are thought to be capable of preventing approximately 30% of cases of post-transfusion hepatitis."

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