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Senate Veterans Affairs Meeting
Jetgun injections
&
Hepatitis C Transmission
Oct 22, 2015
Washington DC

May 2014 VA Hep C Treatment Guidelines
UPDATE: Feb 26, 2016-
Funding and Prioritization Status Update

UPDATE: March 2016
VA Hep C Treatment Guidelines
VA to treat all vets in system
 

Orange Count Registry
Vietnam vets blame 'jet guns' for their hepatitis C
By Lily Leung Feb. 14, 2016 
 

By Judith Graham
VA Extends New Hepatitis C Drugs to All Veterans in Its Health System

 
CBS News Investigates
Congress outraged over hepatitis C treatment VA can't afford
Dr. Raymond Schinazi played a leading role developing a drug that cures hepatitis C while working seven-eighths of his time for the VA
 
ibtimes.com| By amynordrum
 


Hepatitis C drug costing VA, DoD millions
By Patricia Kime, Staff writer
We're looking at a company who is milking a cash cow for everything it's worth," Sanders said. 
 


VA to outsource care for 180,000 vets with hepatitis C
Dennis Wagner, The Arizona Republic 12:27 a.m. EDT June 21, 2015
 


VA to outsource care for 180,000 vets with hepatitis C
, The Republic | azcentral.com 11:51 a.m. MST June 19, 2015
Dr. David Ross, the VA's director public-health pathogens programs, resigned from the working group. "I cannot in good conscience continue to work on a plan for rationing care to veterans," he wrote.
 


VA Region Stops Referring Patients To Outside Hospitals Thanks To Budget Shortfall
Michael Volpe Contributor ...According to a memo — the entire region has been forced to stop all “non-VA care” referrals due to a budget shortfall.
 

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OIG INVESTIGATES VA CHOICE PROGRAM PROBLEMS
Sen. Mark Kirk admitted the VA Choice Program is a failed joke in a letter to Secretary Bob McDonald despite attempts to fix it.
 

 
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Dried Hepatitis C Blood Exposure 11/23/2013 Weeks later inconspicuous blood transmits virus and more likely to cause accidental exposures to Hep C
 

Lack of Standards for
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1970 Jetgun Nursing Instructions
 

2014 AASLD Study Hepatitis C not an STD

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US Army makes deal to recruit volunteers for hepatitis experiments with Mr. Durnquist, the Attorney General of the State of Minnesota, with respect to the possibility of conducting experimental work on volunteers in the penitentiaries.  Mr. Durnquist was favorably inclined to the idea and quite optimistic about its feasibility...He pointed out that during the war volunteer prisoners were used for the testing "of synthetic blood serum", and that one or more deaths in addition to a number of severe illnesses resulted.

 

Attachment 4

April 5, 1948 letter from C.J. Watson, M.D., Army
Epidemiological Board to Dr. McLeod, with a copy to Dr.
Stokes and others

War Department
Office of the Surgeon General
ARMY EPIDEMIOLOGICAL BOARD
United States Army


April 5, 1948

Dr. Colin M. MacLeod
New York University
College of Medicine
477 First Avenue
New York 16, N.Y.

Dear Dr. MacLeod:

     I have given careful consideration in the past few weeks to
the matter of using volunteers in penal institutions for
experimentation, with particular reference to hepatitis.  Three
weeks ago I had a conversation with Mr. Durnquist, the Attorney
General of the State of Minnesota, with respect to the
possibility of conducting experimental work on volunteers in the
Minnesota penitentiaries.  Mr. Durnquist was favorably inclined
to the idea and quite optimistic about its feasibility.  Later I
had a lengthy discussion with Dean Everett Fraser (Law School)
and with Dr. Vold of the Division of Criminology of the
Department of Sociology in the University.  I asked them
specifically whether a waiver signed by the volunteers would be
legal at a later date, insofar as evidence of responsibility for
disability or death was concerned.  I asked this question both
with respect to a waiver made out to the individual experimenter
as well as to one assigned to the official agency sponsoring the
research, that is to say, the army Epidemiological Board of the
War Department.  They did not believe that such a waiver would be
of much value, although they stated that so far as they knew
there was no precedent in law to determine in advance what might
happen in case of a suit.  They pointed out that a clever
attorney at some later date might very well be able to overthrow
such a waiver and get a judgment against an experimenter in case
of a disability or even succeed in having him declared guilty of
homicide in case of a death.

     Mr. Vold stated that there might be some recorded law ___ing
on this whole matter in the state of Massachusetts.  He pointed
out that during the war volunteer prisoners were used for the
testing "of synthetic blood serum", and that one or more deaths
in addition to a number of severe illnesses resulted.  He
suggests one might get all the information about this from the
Commissioner of Correction of the State of Massachusetts, State
House, Boston.  Mr. Vold also informed me of an interesting point
that may have no bearing on the present matter; namely, that the
brains of criminals executed in New York state are removed by law
or at least by state prerogative, but that the body is not available for
dissection unless it is unclaimed.  While this is probably not
germane to the problem of using volunteers for experimentation,
Mr. Vold thought that it might be of interest to determine
whether there is any written law concerning this prerogative and,
if so, how it has been established.

     There is, of course, precedent for the use of volunteers for
experimental purposes, as for example in Illinois and New Jersey.
According to my legal friends, however, the responsibility for
these experiments would devolve entirely upon the individual
experimenter in case of a later suit or complaint.  The mere fact
that the warden or the state authorities give permission to the
experimenter to ask for volunteers in no way removes his
responsibility, not does it place any of it on the state.  This
at least is the interpretation that Dean Fraser put upon the
question, although he admitted that he knew of no law by which
any real decision could be reached in advance.

     I have given considerable thought to the matter of whether
it would be advisable to approach individuals or groups in
Congress with the idea of having laws passed relating either to
payment of compensation for disability or release of the
experimenter from liability.  I am afraid that this would be a
very dangerous course, and that it might in fact, injure clinical
investigations generally.  There is a very real possibility that
unfavorable publicity would quickly result.  Dean Fraser and his
colleagues were in thorough agreement on this point.

     I have concluded then that any human experimentation must be
carried out in the future as in the past, on the basis of the
sole liability of the individual experimenter.

     I should be glad to hear from you or from others to whom
copies of this letter are being sent as to any alternative
approaches to the problem that the may have in mind.  I think it
would be well if someone could look in the Massachusetts
experience as mentioned above.

     With kindest regards,

                              Sincerely yours,

                              C. J. Watson, M. D.

               P.S.:  I do feel strongly, however, that if the
               Army approves and finances a specific research
               involving human experimentation, with the
               intention of accepting and utilizing any practical
               results therefrom, it should be willing to
               obligate itself to the protection of the
               experimenter, at least to the extent of purchasing
               a special insurance policy for each project of
               this type, covering disability or death.  (By this
               I mean one comparable to a malpractice policy ,
               protecting the experimenter against later suit for
               compensation.  Obviously, no publicity should be
               given to this.)

CS/vr
cc: Col. F. Rauer
    Dr. W. P. Havens
    Dr. J. Neefe
    Dr. J. Stokes
    Dr. J. Paul

COPIED:  12/2/94
RECORD Group:  # 334
Entry: #14
File:  Commission on Liver Diseases on Human Volunteers for
Hepatitis Studies in Feb. 1945

 
 
Comments from HCVets Facebook group member Dottie
 
I am going to post something so that others are aware of the HUGE mistakes that were made and the horrific risks people were placed in. In 1979, I was incarcerated in the St. Louis City Workhouse in Missouri. They had a program in place that offered $15.00 to the prisoners that would let their blood be drawn, saline solution put in and they waited while other prisoners like myself spun the plasma out of their blood. Then the blood was placed back into the prisoner. I know this is true. I witnessed it and worked in that section for a few months. Not one person ever had their blood tested prior to selling the plasma in their blood. I only hope this helps someone out there realize the magnitude of how far hep c was able to reach. That was a lot of money to most prisoners back then and there was never any lack of supply. We never wore gloves.

 

Read more::Cutter oversaw and processed the the workhouse program patients plasma.  An executive of Cutter Laboratories once acknowledged, for instance, that gross contamination was apparent in the areas where the largest blood plasma operations were conducted. The rooms were "sloppy," he observed. When a Government doctor asked why Cutter continued to reward such an enterprise with hundreds of thousands of dollars' worth of business, the executive explained that the Stough group enjoyed crucial "contacts" with well placed officials. 

 

1988 Expert Witness AFFIDAVIT OF THOMAS DREES...He states he has seen “documents which indicate fractionators in conjunction with Dennis Donohue of the FDA and the AABB and ARC conspired to prevent the use of the HB Core Test from being implemented to prevent having to incur the expense of the test to avoid having to reject donors who were positive for the test.” “It is now clear to me that the HB Core Test should have been used from the time it became available through Abbott Laboratories in 1975.” “there was such resistance to the use of the HB Anti Core Test by the blood industry, and the blood industries resistance to take the most obvious and needed precautions to the AIDS epidemic convinces me that there was a concerted effort by the influential leaders of the blood industry to save dollars at the expense of lives, even when it was clear beyond any doubt that there was widespread contamination of the blood supply.