Belle Bonfils Memorial Blood Center v. District Court In & For the City & County of Denver

763 P.2d 1003, 12 Brief Times Rptr. 1463, 1988 Colo. LEXIS 174, 1988 WL 106300
CourtSupreme Court of Colorado
DecidedOctober 17, 1988
DocketNo. 88SA45
StatusPublished
Cited by39 cases

This text of 763 P.2d 1003 (Belle Bonfils Memorial Blood Center v. District Court In & For the City & County of Denver) is published on Counsel Stack Legal Research, covering Supreme Court of Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Belle Bonfils Memorial Blood Center v. District Court In & For the City & County of Denver, 763 P.2d 1003, 12 Brief Times Rptr. 1463, 1988 Colo. LEXIS 174, 1988 WL 106300 (Colo. 1988).

Opinions

ERICKSON, Justice.

The petitioner, Belle Bonfils Memorial Blood Center, pursuant to C.A.R. 21, filed a petition to obtain a rule to show cause why the identities of volunteer blood donors, whose blood was transfused the respondent, K.W., should not be held confidential and privileged from discovery. We issued a rule to show cause and now make the rule absolute in part and discharge the rule in part.

I.

On February 28, 1985, K.W. gave birth to a son, R.W., at Mercy Medical Center in Denver. On March 22, 1985, K.W. was readmitted to the hospital for a postpartum hemorrhage. An emergency hysterectomy was performed, and in the course of her treatment, K.W. received four units of whole blood and two units of packed red blood cells supplied by Belle Bonfils Memorial Blood Center (Belle Bonfils).1 One of the six units of blood K.W. received was contaminated with the AIDS virus. K.W. and her husband, C.W., filed suit against Belle Bonfils for negligent screening of the contaminated donor and negligent testing of the blood.2 K.W. and C.W. allege that Belle Bonfils was negligent in screening donors and testing donated blood. K.W. and C.W. contend that when the laboratory test became available to indicate the presence of the AIDS virus, Belle Bonfils should have applied the test promptly. They further argue that when profiles of the high risk groups developed, Belle Bon-fils should have specifically screened each donor as to the high risk profiles.

In April 1986, the donor of unit No. 4989MB, which had been received by K.W. on March 22, 1985, returned to Belle Bon-fils to donate blood. The donor’s blood was tested for antibodies to the HIV virus,3 with a positive result. Belle Bonfils notified the hospitals which had received prior donations from the donor, and advised the [1005]*1005hospitals to notify the physicians of the patients who had received the donor’s blood so that the patients could be tested. As a result of these notifications, K.W. was tested for the HIV virus in August 1986. K.W. tested positive and filed this action against Belle Bonfils.

Respondents sought disclosure of the identities of each of the six donors whose blood she used, and production of all of the donors’ records. Belle Bonfils objected to the requests for discovery, but by agreement provided copies of the front and back of each of the donor cards for the six units of blood received by K.W. Identifying information, consisting of name, address, business and home phone numbers, birth-date, social security number, “recognition,” 4 and signature, was deleted from the produced cards. None of the medical history or health examination information was deleted from the cards.5 Respondents also requested the donor cards relating to all prior donations of the one donor who subsequently tested positive for HIV antibodies. Those donor record cards were produced in a similar manner, with identifying information deleted. Only the infected donor’s donor card is in the record that is before us.

Respondents subsequently filed a motion to compel discovery of the donors’ identities and the complete donor record cards. On December 1, 1987, the trial court ordered Belle Bonfils to produce for K.W. and C.W. the unmasked donor card of the HIV-positive donor. The court’s order expressly allowed the respondents to contact the donor and to attempt to determine his medical history.6 The trial court also ordered respondents’ attorney to keep the information strictly confidential, in the absence of a written order of the court. Disclosure of unmasked donor records of the other five donors was denied, but the trial court did not foreclose the possibility that such further discovery might be permitted at a later time.

II.

Before any information on AIDS was available in the medical community, Belle Bonfils utilized a screening and testing procedure on all potential donors. The purpose of the screening and testing procedure was to avoid accepting undesirable blood, and to protect the donor from injury in the process of giving blood. Donors were excluded on the basis of medical history, such as exposure to hepatitis or syphilis. Other grounds for either temporary or permanent deferment included a history of blood disease, tuberculosis, malaria, cancer, heart problems, epilepsy, unexplained weight loss,7 or the taking of certain medications.

As of July 1982, Belle Bonfils donor screening criteria avoided accepting blood from some individuals at risk for AIDS. Belle Bonfils representatives attended a meeting in November 1982, of the American Association of Blood Banks and a meeting in December 1982, of the American Society of Hemotology. At both meetings, Belle Bonfils heard reports regarding an infant who acquired AIDS as a result of a tainted transfusion.

[1006]*1006In late December 1982, Dr. Robert G. Chapman, the Director of Belle Bonfils, met with a member of Denver’s Disease Control Services, and a representative of the Gay and Lesbian Community Center of Colorado. The purpose of the meeting was to discuss the best way to inform the gay community that male homosexuals should no longer donate blood. The Gay and Lesbian Community Center agreed to advise gay males not to donate blood. Belle Bon-fils claims that it experienced “good cooperation” with the self-screening program.

In February or March, 1983, Belle Bon-fils, in addition to its existing donor medical history interviewing procedure, implemented specific questioning of blood donors concerning the risks and symptoms of AIDS. The new screening procedures included informing donors about the risk factors for AIDS and the general symptoms of the illness. Donors were asked whether they had any symptoms of the disease, and if they were associated with any of the groups at risk, such as intravenous drug users or male homosexuals. Belle Bonfils admits that persons who answered any of these questions affirmatively were not to be accepted as blood donors.

Belle Bonfils revised its “Guidelines for Conducting a Blood Donor Medical History Interview” (guidelines) in December 1983. The guidelines set forth a twofold purpose: first, to insure that the donor could safely tolerate the removal of one pint of blood, and second, to avoid the possibility that the donated blood could transmit an infection to the recipient. The standards for determining when a potential donor should be deferred are set out in a Belle Bonfils directive to its donor technicians. Under a category entitled “Miscellaneous Deferments,” the instructions provide: “AIDS— (acquired immune deficiency syndrome)— any donor with close exposure to persons with AIDS should be indefinitely deferred. Groups at highest risk are I.V. drug users, Haitian immigrants, homosexual males with multiple sexual contacts, and hemo-philic patients with large numbers of transfusions.” At the time the donor whose blood infected K.W. gave his donation in March 1985, each donor was asked to read an AIDS information sheet. The information sheet defined AIDS and listed the groups of society that are at risk. The instructions also state:

Because of this suggestion (that of carrying the AIDS virus), your blood bank is asking that you voluntarily refrain from donating blood at this time if you are in any of the groups listed above.

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Bluebook (online)
763 P.2d 1003, 12 Brief Times Rptr. 1463, 1988 Colo. LEXIS 174, 1988 WL 106300, Counsel Stack Legal Research, https://law.counselstack.com/opinion/belle-bonfils-memorial-blood-center-v-district-court-in-for-the-city-colo-1988.