HIV counselling in the national blood transfusion service

The problems caused for the NBTS by the advent of HIV are reviewed, with particular reference to the impact on blood donor numbers, the strategies adopted to minimise the risk of HIV infection through blood transfusion, and the counselling dilemmas faced by the Service in the setting of the blood donor clinic. The notification procedure for blood donors found anti-HIV positive is described, with the importance of confirmation of such results before approach to the donor emphasised. Counselling issues arising from indeterminate and false positive lest results are explored and those arising from enquiries generated by cases of possible post-transfusion HIV infection are examined.