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1 Core Ethics Vol. HIV HIV HCV HIV HCV HIV HIV Starr cryoprecipitate HIV HCV HIV GHQ

2 Core Ethics Vol. - a- cc cc a O Starr- a- Starr JM

3 Starr- Titmuss Titmuss Titmuss Titmuss cc cc cc cc

4 Core Ethics Vol. cc cc - Illich Illich Wintrobe AHG- AHG AHG

5 PTT Partial thromboplastin timeahf Head SGOT PTT Partial thromboplastin timeahf Cross over electrophoresis IX Starr

6 Core Ethics Vol. Jones - Young Hemophiliac ClubYHC YHC YHC-

7 YHC AHG AHGAHG A AHG YHC

8 Core Ethics Vol. WHO -

9 - - - HIV HCV Titmuss HIV HCV HIV HCV

10 Core Ethics Vol. HIVInstitute of Medicine Institute of Medicine AHG b HIVHIV c cryoprecipitate cryo precipitate Jones - Wintrobe HIV AIDS HIV HCV HIV HIV Glied - - HIV a b - b a - b b b Starr YHC

11 YHC YHC etc. YHC ml ml- - WHO a Feldman, A Eric and Bayer, Ronald Blood feuds: AIDS, blood, and the politics of medical disaster = HIV Glied, Sherry The Circulation of Blood: AIDS, Blood, and the Economics of Information = Feldman and Bayerpp - HIV pp- Illich, Ivan Gesundheit als Teil der Lebensqualitat = pp - Institute of Medicine HIV and the Blood Supply: An Analysis of Crisis Decisionmarking = HIV Jones, Peter Living with Hemophilia Medical and Technical Publishing Co Ltd = - - pp- avol. pp - b chiv vol. No. pp - AIDS pp- a

12 Core Ethics Vol. b AHF Young Hemophiliac Club pp - HIV pp- Starr, Douglas BLOOD: An Epic History of Medicine and Commerce Knopf = ALS Titmuss, Richard M. Commitment to Welfare George Allen and Unwin Lid. = Wintrobe, Maxwell M. BLOOD, PURE AND ELOQUENT McGraw-Hill, Inc. = HIV HIV HIV Young Hemophiliac Club YHC Young Hemophiliac Club YHC HIV HIV HIV

13 System and technology of blood use: Hemophiliacs and coagulation factor products in postwar Japan KITAMURA Kentaro Abstract: The purpose of this article is to describe the history of the blood use of hemophiliacs in Japan. It describes the start and development of the blood supply system and the development of plasma fractionation technology in the postwar period up to the first half of 's. General Headquarters (GHQ) directed the establishment of a safe blood supply system in. Paid blood donation supported the blood supply system in Japan until the Reischauer affair in, after which the cabinet decided to change the basis of nation s blood supply from paid blood donations to free blood donations. After the discovering of cryoprecipitate in, coagulation factor products for stopping blood were developed. It was so effective that young hemophiliacs at that time actively aimed at the introduction and spread of home infusions, even though they feared hepatitis, because they wanted to participate in society. The cabinets decision, however, created problems which became apparent s. First, no measures were considered for securing the raw material plasma for plasma fractionation. Second, targets for blood donation were for stored blood only. Third, the financial underpinnings for the development of a blood supply system based on free blood donation were not clarified. Key words : Hemophilia, Coagulation factor products, Home infusion, Blood supply system

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