Transfusion Medicine Academic Center, Florida Blood Services, St Petersburg, FL, USA.
Transfus Med Rev. 2011 Oct;25(4):335-43. doi: 10.1016/j.tmrv.2011.04.007. Epub 2011 May 31.
The politics of health were never tested more than when AIDS surfaced at the beginning of the 1980s in the industrialized nations. In those countries, it became the most important medical crisis of the last half of the 20th century. Today, the significance of AIDS remains as not only an unrelenting disease but also as a disease that continues to affect social and political life throughout the entire world. The connection between blood transfusion and AIDS is now under control in the industrialized countries but only because of lessons that took too long to learn over the past 25 years. That process had different roots and effects depending on the various national blood programs and policies in different countries. That is illustrated by comparing events in France, Japan, Canada, and the United States that differed in donor and patient populations and on decisions made and secrets kept. Some of the problems persist to this day in parts of the world. Overall, the lessons learned from what happened with blood early in the AIDS epidemic apply to other aspects of human disease and could help in facing the new problems that are sure to appear in the future.
当艾滋病在 20 世纪 80 年代初在工业化国家出现时，健康政治从未受到过如此严峻的考验。在这些国家，它成为了 20 世纪后半叶最重要的医学危机。如今，艾滋病的意义仍然不仅在于它是一种无情的疾病，还在于它继续影响着全世界的社会和政治生活。在工业化国家，输血和艾滋病之间的联系现在已经得到了控制，但这仅仅是因为过去 25 年里我们吸取了太多教训。这一过程因不同国家的不同国家血液计划和政策而有不同的根源和影响。通过比较法国、日本、加拿大和美国的事件可以说明这一点，这些事件在供体和患者人群以及做出的决定和保守的秘密方面存在差异。在世界某些地区，一些问题至今仍然存在。总的来说，从艾滋病早期的血液事件中吸取的教训适用于人类疾病的其他方面，并有助于应对未来肯定会出现的新问题。
