C.R.S. Ex Rel. D.B.S. v. United States

820 F. Supp. 449, 1993 U.S. Dist. LEXIS 6055, 1993 WL 143854
CourtDistrict Court, D. Minnesota
DecidedMay 5, 1993
DocketCiv. 4-90-299
StatusPublished
Cited by4 cases

This text of 820 F. Supp. 449 (C.R.S. Ex Rel. D.B.S. v. United States) is published on Counsel Stack Legal Research, covering District Court, D. Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
C.R.S. Ex Rel. D.B.S. v. United States, 820 F. Supp. 449, 1993 U.S. Dist. LEXIS 6055, 1993 WL 143854 (mnd 1993).

Opinion

MEMORANDUM AND ORDER

MacLAUGHLIN, District Judge.

FACTS

This is an action brought under the Federal Tort Claims Act (FTCA), in which plaintiffs allege that they contracted the human immunodeficiency virus (HIV) because of defendant’s negligence. In 1983, while undergoing basic training in Georgia, plaintiff D.B.S. experienced severe rectal bleeding. On August 9, 1983, he was admitted to Martin Army Community Hospital (MACH), where he underwent surgery; in the course of his treatment, D.B.S. received several blood transfusions. D.B.S. recovered from the surgery, completed his training, and in December 1983, returned to his home in Minnesota. In November 1984, D.B.S. married plaintiff N.A.S.; they 'had two children, one born in 1984 and another born in 1986. In June 1987, their third child, plaintiff C.R.S., was born. From birth, C.R.S. experienced health problems, and she failed to develop normally. Eventually, D.B.S. and N.A.S. took C.R.S. to an infectious disease specialist. In early 1989, a blood test revealed that C.R.S. was carrying HIV; subsequent tests revealed that D.B.S. and N.A.S. were also infected.

Because neither D.B.S. nor N.AS. had engaged in behavior .that would put them at high risk for HIV, plaintiffs believe that D.B.S. received infected blood in his 1983 transfusion, that he passed the .virus to N.A.S. through sexual contact, and that N.A.S. then passed the virus to C.R.S., either in útero or through breast feeding. In April 1990, plaintiffs initiated this action against the United States. In the summer of 1992, Donor 3903, one of the nine donors who provided' blood for D.B.S.’ transfusion, tested positive for HIV. C.R.S. and D.B.S. have both developed Acquired Immune Deficiency Syndrome (AIDS). C.R.S., now age five, is bedridden, requires 24-hour nursing care, receives all nourishment and medication intravenously, and requires constant narcotic medication to control her pain. D.B.S. suffers from crytococcyl meningitis, a brain infection. N.A.S. has not developed AIDS, but suffers from AIDS-related complex.

*452 At the time of D.B.S.’ transfusion, public health agencies and the blood banking industry were struggling with the implications of the AIDS crisis. Beginning in July 1982, the Centers for Disease Control (CDC) began reporting evidence suggesting that AIDS was transmissible by blood. By late 1982, some CDC scientists had become convinced that AIDS was transmitted by a blood-borne infectious agent and that urgent measures were needed to reduce the risk of transfusion-transmitted AIDS. Affidavit of Dr. Donald Francis ¶ 5. In November and December of 1982, CDC scientists presented their conclusions that AIDS was transmitted by blood to the American Association of Blood Banks (AABB) and the Food and Drug Administration (FDA). Id. ¶ 5; Affidavit of Thomas C. Drees ¶ 8. 1

On January 4, 1983, the CDC convened a national meeting to discuss what blood banks could do to protect the nation’s blood supply. Francis Aff. ¶ 6; Drees Aff. ¶ 8. At the meeting, the CDC presented evidence indicating that AIDS was transmissible by blood and that it was most prevalent among homosexual and bisexual men and intravenous drug users. CDC officials therefore urged blood bankers to adopt measures to eliminate donors from those high risk groups. Francis Aff. ¶ 9. Because there was at the time no direct laboratory test for AIDS, CDC officials also recommended that blood banks use a surrogate test. 2 Francis Aff. ¶ 8. These recommendations were not met with consensus. Some blood bankers disputed the evidence that AIDS was transmissible by blood. Francis Aff. ¶ 10.

Disputes regarding the transmissibility of the AIDS virus continued throughout 1983; articles published in CDC publications in 1983 stated that while it had not been definitively established that AIDS was transmitted by blood, there was evidence to support such a hypothesis. Francis Dep. at 194-95. By early 1983, many experts had concluded that it was prudent to accept the hypothesis that AIDS was transmitted by blood and to adopt precautionary measures to protect the blood supply. Francis Aff. ¶ 6-10; Drees Aff. ¶ 6-9; Oberman Dep. at 83-4; see also Affidavit of Marcus Conant ¶ 3-4; Deposition of Brooks Jackson at 41-2. The industry was divided, however, regarding the nature of the measures necessary. Some blood bankers objected to the cost of surrogate testing or expressed fear of alienating the homosexual community. There was also disagreement regarding whether direct questioning of donors was necessary in order to screen out high risk individuals.

In the end, industry groups and the FDA adopted a conservative approach. Drees Aff. ¶ 7. In March 1983, the FDA and the AABB recommended revised donor screening procedures to reduce the risk that AIDS would be transmitted through donated blood. Specifically, the FDA and the AABB recommended educating donors and blood bank personnel about AIDS, questioning donors about early signs of AIDS, and asking persons in groups at high risk of carrying AIDS to refrain from giving blood. Affidavit of Steven E. Reichert Exs. 13, 14. The recommendations did not suggest using direct questioning or surrogate testing.

In the military, policies regarding blood banks were established by the Military Blood Program Office (MBPO). The MBPO was created by the Department of Defense in 1972 in order to maintain and disseminate plans for collecting, processing, and distributing blood for the military. Def.’s Ex. 12. In 1974, the Department of Defense and the FDA entered into a memorandum of understanding under which the military blood banks voluntarily subjected themselves to FDA licensing requirements. Def.’s Ex. 13. Although the MBPO was empowered to establish its own blood banking policies, the *453 office typically limited its role to implementing FDA and AABB guidelines. Deposition of James Bates at 38-40, 78, 82. That is precisely what the MBPO did in response to the AIDS crisis. In an April 12,1983 memorandum, the MBPO adopted the FDtVAABB guidelines for blood donor centers, recommending that members of identified high risk groups voluntarily refrain from donating blood and that both donors and blood bank personnel be educated about AIDS and its symptoms.

By the time Donor 3903 gave blood in August 1983, the MACH blood bank had responded to the MBPO memorandum by adding two steps to the donation procedure. First, the blood bank provided potential donors with an informational statement about AIDS. The statement identified high-risk groups, including those with AIDS symptoms, sexually active homosexual or bisexual men with multiple partners, and present or past abusers of intravenous drugs, and asked that members of those groups voluntarily refrain from giving blood. Reichert Aff. Ex. 19, 21; Deposition of John Mangum at 53. Second, the blood bank modified its donor cards to ask if potential donors had experienced symptoms associated with AIDS, such as skin cancer, Kaposi’s sarcoma, night sweats, or unexplained fever. The donor card also required donors to verify that they had read the informational statement about AIDS and understood that members of high risk groups should not donate blood. Reic-hert Aff. Ex. 21.

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820 F. Supp. 449, 1993 U.S. Dist. LEXIS 6055, 1993 WL 143854, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crs-ex-rel-dbs-v-united-states-mnd-1993.