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The impact of the Contaminated Blood Scandal on the next generation: the state of the evidence Cover

The impact of the Contaminated Blood Scandal on the next generation: the state of the evidence

Open Access
|Apr 2023

Figures & Tables

A survey of published literature on the impact of the Contaminated Blood Scandal on the children of those affected finds a limited focus and general paucity of information. The authors highlight a need for a broader understanding that enables intergenerational trauma to be addressed.
©Shutterstock/Kittyfly
A survey of published literature on the impact of the Contaminated Blood Scandal on the children of those affected finds a limited focus and general paucity of information. The authors highlight a need for a broader understanding that enables intergenerational trauma to be addressed. ©Shutterstock/Kittyfly

Figure 1.

Search strategy and findings
Search strategy and findings

Published academic literature

AUTHORARTICLE TITLEADDRESSED ISSUESRESEARCH METHODFINDINGS
Cullinane (2005) [32] Based in JapanTainted blood and vengeful spirits: the legacy of Japan’s yakugai eizu (AIDS) trialsAnthropological exploration of themes used by those in the infected blood trialNarratives taken from yakugai eizu AIDS trial, including interviews, published accounts, newspapers and legal documentsThemes of lost trust, filial piety and desires for good deaths
Fillion (2003) [27] Based in FranceHow is medical decision-making shared? The case of haemophilia patients and doctors: the aftermath of the infected blood affair in FranceHow haemophilia patients and doctors in France rethought shared decision-making after the CBSQualitative survey. The interviews covered 31 clinical haemophilia doctors and 31 patients/service users: 21 adult males with severe haemophilia (21/31), infected (14/21) or not (7/21) with HIV, the infected wife of one of the latter (1/31), and nine parents of young PwH with severe haemophilia (9/31), either HIV positive (6/9) or negative (3/9).Both groups rethought their roles and changed their practice. Individuals made different changes, but all shared more medico-scientific knowledge.
Fillion (2008) [28] Based in FranceClinical relationships tested by iatrogenicity: The case of haemophiliac patients faced with the epidemic of transfusional AIDSInsight into the impact of the CBS on changes in relationships and commitment to medicine for PwH and their families57 biographical life narrative interviews (of an average of 3 hours) of adult PwH (38) or their families (19). Included in the study were HIV-negative (15/38) and HIV-positive (23/38) PwH, parents of children who were infected (13/18) or not (5/18) – 6 of whom had lost at least one son through AIDS – and the wife of one PwH who had been infected and who had infected her through sexual contact.Changes in attitude among PwH and their families. New moral expectations of the medical world. The importance of not being oblivious to who the victims are and what they want, which varies from person to person.
Fletcher et al. (2021) [29] Based in UKAn exploration of why men with severe haemophilia might not want gene therapy: The Exigency studyAttitudes of men with severe haemophilia towards gene therapy10 adult men with severe haemophilia (8 haemophilia A; 2 haemophilia B), mean age 34.3 years, participated in a 1-hour focus group (n=9) or interview (n=1).A variety of factors influenced this, including efficacy, safety (among older participants who had experienced the CBS), treatment burden and self-identity.
Hughes et al. (2020) [31] Based in Denmark, Ireland, Germany, UK and Spain“He’s a normal kid now”: an ethnographic study of challenges and possibilities in a new era of haemophilia careViews of normality in families affected by haemophiliaGrounded theory approach, with semi-structured interviews of familiesThe theme of normality across different generations identified that PwH from older generations were aware of the ability of younger PwH to live normal lives, and identified the trauma of the CBS as still present for them
Keshavjee et al. (2001) [30] Based in the UKMedicine betrayed: hemophilia patients and HIV in the USExploration of the Institute of Medicine (IOM) report processExamination of process, including testimonies provided to the IOMThat the IOM report obfuscated the moral dimensions of suffering

Self-published and grey literature

AUTHORTITLENOTESMETHODFINDINGS
DePrince (1997) [22] Based in the USCry Bloody Murder: A Tale of Tainted BloodOriginal self-published literature used in discussion with US SenatorsAutobiographical narrative of the US CBSA powerful narrative of the experience of a mother whose five sons had bleeding disorders, three of whom died of AIDS after receiving contaminated blood products
Grayson (2007) [23] Based in the UKBlood Flows Not Just Through Our Veins but Through Our Minds. How Has the Global Politics of Blood Impacted on the UK Haemophilia Community?Masters dissertationTextual analysis of material and anthropological inquiry, using questionnaires.PwH and their partners re-evaluated their identity and collective response, creating subculture
Language: English
Page range: 20 - 27
Published on: Apr 21, 2023
Published by: Haemnet Ltd
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Sally-Anne Wherry, Liz Berragan, Ros Jennings, published by Haemnet Ltd
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.