Abstract
The attitude of people with haemophilia to blood and blood products and their perception of risk have been moulded by their experience in the past, by their current concerns, by the communication they receive and by the fact that they are long-term users of blood products. In the 1980’s, the haemophilia community was devastated by HIV infection. 40% of people with haemophilia in Western Europe were infected with HIV [1]. 60% of people with haemophilia were infected with Hepatitis B and 70% with Hepatitis C. The leading cause of death in people with haemophilia is AIDS followed by liver disease with bleeding coming a distant third. The average life expectancy of a man with severe haemophilia was 60 years in 1980 and by 1994 this had fallen to 42 years. The clinically serious sequelae of Hepatitis C have become more apparent in recent years [2].
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References
WFH Clearinghouse. HIV Infection/AIDS Surveys in Haemophilia. 1990–1995.
Lee CA. Hepatitis C Virus and Haemophilia: The National History of HCV in Hae-mophilic Patients. Haemophilia 1995;1 (Suppl. 4):8–12.
Evatt BL. CDC, Prions and haemophilia: Assessment of risk. Haemophilia 1998; 4:628–33.
O’Mahony B. Product Withdrawal due to CJD risk in Ireland - Getting the information out. Symposium XXIII International Congress of the WFH, The Hague, May 1998.
Robillard L, et al. Key Issues in Haemophilia Treatment: Products and Care. WFH Facts & Figures: February 1997, No. 1.
Lloyd S. The Preparation of Single Donor Cryoprecipitate. WFH Facts & Figures, March 1997, No 2.
Peterson LP, Bird AR. Small Pool Heat Treated Intermediate Purity FVIII Concentrate WFH Facts & Figures, April 1997, No 3.
Teitel J. Viral Safety of Coagulation Factor-Concentrates. WFH Facts & Figures, December 1997, No 4.
O’Mahony B. Policy on Dissemination of Information on Problems with Factor Replacement Therapy. Memorandum to National Member Organisation of WFH. November 29, 1994.
EHC, Common Position on the Supply, Safety and Quality of Factor Concentrates. Adopted by EHC on November 16, 1997.
O’Mahony B. Irish Haemophilia Society Blood Product Policy. February 1996. IHS Dublin.
Hagan PJ. Blood Transfusion in Europe. A “White Paper” . Council of Europe Press 1993, p 31.
CPMP. Note for guidance for the assessment of efficacy and safety of Factor VIII and Factor IX products in clinical trials.
EAPPI. Response to 111/5769/94. Draft 5.
Combined Comments by members of the EPFA on Draft 5 (111/5769/94).
European Commission Decision on the use of specific risk material for transmissible spongiform encephalopathies (TSE). European Commission 97/534/EC, Luxemburg.
Directive 89/381/EEC. European Commission.
CPMP. Note for guidance for the assessment of efficacy and safety of Factor VIII and Factor EX products in clinical trials. European Commission 111/5769/94. Draft 5.
Colloquium on Blood Safety and Self Sufficiency. Adare, Co. Limerick, Ireland, 4–6 September 1996. Transfusion Today, 1996;29:3–6.
Schramm W, Etzler J. Status of HIV/HCV Financial Assistance Schemes in 73 WFH Member Countries. WFH, Montreal, October 1997.
Schramm W, Etzler J. Status of HIV/HCV Financial Assistance Schemes in 73 WFH Member Countries. WFH, Montreal, October 1997.
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© 1999 Springer Science+Business Media Dordrecht
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O’Mahony, B. (1999). Safety and Supply Issues from Consumers Point of View. In: Sibinga, C.T.S., Alter, H.J. (eds) Risk Management in Blood Transfusion: The Virtue of Reality. Developments in Hematology and Immunology, vol 34. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3009-8_17
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DOI: https://doi.org/10.1007/978-1-4757-3009-8_17
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