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The meetings of the AIDS group of UKHCDO directors agreed to recommend that only heat-treated product should be used thereafter.

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EAGA's discussion of cases found the Lewisham patient (referred to in the minutes as the patient with mild haemophilia who had not received treatment since 1980) could not be explained by late seroconversion.

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The Biologicals Sub-Committee of the Committee on Safety of Medicines decided that there was "insufficient evidence for action to be taken on any specific product" but that "close surveillance should be maintained on the two possible cases of HTLV-III transmission in recipients of Armour material."

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Dr Jones wrote to colleagues enclosing a copy of his conference paper and explaining his decision to present the information about possible seroconversions at the conference.

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The CBLA announced that they planned to heat all Factor 8 manufactured at BPL/PFL from April 1985.

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The record of the 27 November meeting of the Working Group on AIDS described it as having gone "reasonable [sic] well"; whereas other reports expressed a significantly different viewpoint.

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Dr Harris said of heat treatment of Factor VIII in a meeting of the Working Group on AIDS that: "although there is not yet the evidence to guarantee that this is satisfactory; the view was nevertheless unanimous that it should be done."

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Professor Bloom issued a questionnaire to haemophilia centre directors. It asked whether (and to what extent) they were still using non-heat-treated product. At a meeting of the AIDS group of UKHCDO directors his analysis was discussed.

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Dr Harris of Armour described Dr Rotblat as "a valuable ally at the moment" and recorded that "I am now obliged to report Dr Whitmore's patient who sero-converted following treatment with Factorate HT Y69402 to her as Dr Whitmore has confirmed that the patient remains HTLV-III positive."

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A report prepared by Dr Rotblat for the CMO repeated Armour's claim that they had done viral inactivation studies "and shown good inactivation".

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Dr Rotblat contacted the companies manufacturing Factor 8 concentrates to draw together information for the CMO regarding their viral inactivation processes.

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Dr Smithies' communication did not suggest any specific knowledge regarding the Armour product or the Lewisham patient.

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Dr Smithies informed the CMO that she had been told by Dr Dale Lawrence of the CDC that he was seeking a sample of blood from the Lewisham patient.

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In a note from Dr Smithies to Dr Godber, she informed him that the CBLA had announced that they planned to heat all Factor 8 manufactured at BPL/PFL from April 1985.

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An internal DHSS minute, referring to Armour's letter to haemophilia centre directors withdrawing batches of Factorate which had not been donor screened, stated that Rorer Health Care Ltd claimed to be in compliance with their product licence and that the matter had not been treated as a product defect.

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A memo from Dr Harris to Dr Smithies attached a letter that was sent to all haemophilia centre directors confirming the availability of heated Factor 8 concentrates and advising that there was therefore no longer any need to use un-heat-treated Factor VIII concentrate.

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In a memo from Dr Walford to Dr Fowler, Dr Walford flagged that Travenol (Hyland) were planning a symposium in early 1983 to launch a reduced hepatitis risk product.

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In a minute from D O Hagger to Mr O'Connor, it was decided that, in light of recent seroconversion cases, if Armour did not agree to a voluntary withdrawal the DHSS would need to consider the case further as to what their course of action should be.

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Dr Hill, of Birmingham Children's Hospital, wrote to the Department of Health stating his belief that there had been three definite cases and one probable case of seroconversion amongst his patients.

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In a memo from Dr Isaacs to Dr Rotblat, Dr Isaacs attached a letter received from Peter Jones in which he suggested taking action against the Armour material.

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