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Enregistrement W47744283

New Wave of Tainted Blood Litigation: Hepatitis C Liability Issues

2000· article· en· W47744283 sur OpenAlexaboutno aff
R. Jo Reser, Barbara A. Radnofsky

Notice bibliographique

RevueDefense Counsel Journal · 2000
Typearticle
Langueen
DomaineMedicine
ThématiqueBiomedical Ethics and Regulation
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésLawsuitMedicineHepatitis CHepatitisPlaintiffClass actionLawDamagesVirologyPolitical scienceState (computer science)
DOInon disponible

Résumé

récupéré en direct d'OpenAlex

Both individual cases and class actions are raising multiple issues of liability and the bases on which damages may be imposed A NEW wave of tainted blood litigation caused by the hepatitis C virus (HCV) has begun. Thousands of patients in the United States are receiving HCV look-back notifications that they may have been exposed to hepatitis C. Plaintiffs' lawyers are beginning to advertise for people who have contracted hepatitis C through a blood transfusion, organ transplant or the use of any blood products. The hepatitis C epidemic in the United States has created international litigation. A group of Canadians, claiming that they were infected by tainted blood products collected from prisoners in the United States, have filed a $ 660 million lawsuit against the Canadian government and several private companies for failing to adequately safeguard the blood supply. This class action suit charges Ottawa with neglect for failing to set aside blood plasma collected in Arkansas prisons in the early 1980s after U.S. health officials already had determined that using the product was imprudent because of the high risk of infection. At the time, there was no test to indicate the presence of Hepatitis C. The plasma should not have been collected from inmates who tested positive for hepatitis B. TREATMENTS FOR HEPATITIS C While there is no known cure for hepatitis C, in January 1999, the U.S. Department of Veterans Affairs announced plans to offer a costly new drug treatment to former military personnel suffering from hepatitis C. Kenneth W. Kizer, the department's undersecretary for health, was quoted in the Washington Post as stating that the department's package, costing $12,000 to $15,000 a year per patient, is a harbinger of costly medical treatments to come as new drugs become available to treat chronic ailments in veterans. Kizer said the costs of the HCV initiative--$250 million to $300 million this year alone--have provoked questions outside the V.A. about the necessity of this effort. He said the cost should rise next fiscal year to $400 million to $500 million. Even at government prices, he maintains the HCV initiative is a cost-effective way to fight a disease that V.A. surveys have found is widespread among veterans. HCV can lead to other costly medical treatments including liver transplants. Veterans who choose the new treatment face a difficult program. Side effects of the drugs involved--interferons and ribavirin --are said to be serious, and include depression, anemia and flu-like symptoms. Only half of those who take the treatments improve, and those who do are not said to have been cured, but only to have eliminated signs of active liver disease. HCV LOOK BACK In 1989, Texas enacted Section 162.008 of the Texas Health and Safety Code, which enumerates procedures for notifying blood recipients. This statute provides: Each hospital, physician, health agency and other transfuser of blood shall strictly follow the official Operation Look Back procedure of the American Association of Blood Banks (AABB) or the American Red Cross Blood Services in notifying past and future recipients of blood. The only exception to notifying a recipient of blood is if the recipient is dead or cannot be located. Physicians and hospitals thus must take seriously the FDA's recent look back recommendations. The FDA recommended that blood establishments begin by March 1999 to look back whenever a donor tests positive for HCV virus. The look back is a retest of samples from all previous donations by such individuals, going back 10 years, followed by notice to hospitals and physicians, who must in turn inform patients who received this reactive blood or blood products. The FDA required that this take place as soon as possible and be completed by March of this year. Blood consignees, which include hospital and transfusion services, have one year from the date of their notification to attempt to notify recipients of the infected blood. …

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction machine sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.

score de la tête « metaresearch » (Codex)0,019
score de la tête « metaresearch » (Gemma)0,040
Version: metacan-v3-hybrid-931329e0061cStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Commentaire · Signal consensuel: Commentaire
Score de désaccord entre enseignants0,037
Score d'incertitude au seuil0,100

Scores du classifieur distillé par catégorie (deux têtes)

CatégorieCodexGemma
Métarecherche0,0190,040
Méta-épidémiologie (sens strict)0,0000,001
Méta-épidémiologie (sens large)0,0010,001
Bibliométrie0,0030,002
Études des sciences et des technologies0,0120,010
Communication savante0,0150,010
Science ouverte0,0030,004
Intégrité de la recherche0,0350,021
Charge utile insuffisante (le modèle a refusé de juger)0,0180,002

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,016
Tête enseignante GPT0,273
Écart entre enseignants0,257 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeSans objet
Domainenon disponible
GenreCommentaire

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations0
Publié2000
Routes d'admission1
Résumé présentoui

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