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-
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- Revolution
- (nursing journal)
- A.D. Von Publishers, Inc.
- 56 McArthur Avenue
- Saten Island, NY 10312
- 1-800-331-6534
-
-
- "Nobody's confidentiality should supersede another person's
- right to stay alive."
-
-
- Are Nurses Destined To Be A Dying Breed?
-
- Exclusive interview with Dr. Lorraine Day
- by Joan Swirsky
-
-
- "Aids: What the Government Isn't Telling You", by Dr. Lorraine Day,
- asserts that the federal Centers for Disease Control (CDC) and the
- American Medical Association have participated in a cover-up to prevent
- the public from acquiring accurate information about the risk of the HIV
- (AIDS) virus. If the government fails to take more aggressive action,
- she asserts, the virus will reach proportions capable of decimating our
- population. Dr. Day is the former Chief of Orthopedic Surgery of San
- Francisco, and is currently a member of the AIDS Task Force of the
- American Academy of Orthopedic Surgeons. She has appeared on numerous
- radio and television shows, including "60 Minutes," "Larry King Live,"
- "Oprah Winfrey," "CNN Crossfire," "Nightline" and "Sally Jessy Raphael."
- Her own syndicated radio show will start in early 1993. Here, Joan
- Swirsky, Revolution's Editor-in-Chief, questions Dr. Day about her
- provocative ideas.
-
-
- JS: What specifically isn't the government telling us?
-
- LD: The government would like the public to believe that the AIDS virus
- is very fragile, that it does *not* live long outside the body. This
- is incorrect. According to the major medical journal Lancet (September,
- 1985), the AIDS virus stays alive and infective outside the body, dried,
- at room temperature, for seven days; outside the body, wet, at room
- temperature, for 14 days. This research came from the Pasteur Institute
- in France where Dr. Luc Montagnier discovered how the AIDS virus works.
- The virus is not fragile. AIDS has been transmitted to individuals who
- received previously frozen blood, who were artificially inseminated by
- semen that had been frozen and who received bone that had been frozen at
- -80 degrees centigrade. I was a member of the committee at the CDC that
- wrote the regulations for bone banks after it was determined that a 23-
- year-old woman, a nurse, who had undergone a spinal fusion for
- idiopathic scoliosis, received no blood during the operation, but did
- receive bone that was traced to a drug user who had subsequently died of
- AIDS. The nurse got AIDS from the bone.
-
- I asked other members of the committee, who were all physicians,
- why we were writing regulations for bone banks in the fall of 1989
- when they should have been written in 1983, when the CDC knew that
- AIDS was transmitted by blood. Since all physicians know that blood
- nourishes bone, there would have to be components of blood in the bone.
- Their answer was, "Well, we didn't know anybody who'd gotten it that
- way." Unfortunately, several women had to get AIDS from artificial
- insemination before the CDC said that semen had to be tested, even
- though they knew that there would have to be components of blood and
- blood cells in semen.
-
- The AIDS virus does not die on contact with the air, as the
- government would like us to believe. In the Journal of Medical
- Virology(January, 1991), Stanford researchers Drs. Greg Johnson
- and William Robinson reported that the AIDS virus stays alive and
- infective in the air at least two feet from its source. The research
- was done because some of us were concerned about the possibility of
- the virus staying alive and infective in the bloody mist produced in
- the operating room when power saws and power drills on bloody bone
- are used. Drs. Johnson and Robinson dropped HIV- positive blood on
- a rotating drill bit- the kind used in the operating room to drill
- holes in bone. Six inches away from the bit, they put a 20-inch
- length of intravenous tubing, which is only one millimeter in diameter.
- They collected air that came out the other end of that tube, which was
- 26 inches away from the rotating drill bit. To the naked eye, that
- air looked completely clear; when it was captured and bubbled through
- a test tube of human cells that were then cultured, they found that
- the air had infected the cells with AIDS. Clearly, contrary to what
- the government is telling us, the AIDS virus is not fragile; it is
- quite hardy and does not die on contact with the air.
-
- Also, the AIDS virus is not easily killed by all household
- disinfectants. The way the AIDS virus is testing against disinfectants
- in the laboratory is not the way nurses, doctors and the public deal
- with the virus. We only come in contact with the AIDS virus when it
- is in blood or body fluids. In the laboratory, in its pure form,
- many substances will kill the virus. Virologists know that when any
- virus, including the AIDS virus, is in fluid that contains protein-
- as blood, saliva, semen and many other body fluids do- the protein
- will surround the virus and make it more resistant to inactivation or
- death by disinfectants or detergents. That's what happens with the
- HIV virus. At the Montreal AIDS convention I attended in 1989,
- researchers from St. Stephens Hospital in London showed that if the
- virus is in body fluid, you can take 70 percent ethyl alcohol and
- pour it on the virus for 20 minutes and it will not kill the virus.
- This was quite astounding to me because, up until that time, I had
- believed the government when they said the virus was fragile.
-
- JS: Why do you believe the government is withholding information about
- AIDS?
-
- LD: This is the first contagious disease that has exploded in a
- special interest group, specifically the homosexual community.
- Before AIDS, homosexuals were well-organized and they looked at any
- attempt to control this disease with regular public health principles
- that are used for all other contagious diseases as an attempt to
- restrict their lifestyle. They did not want to be tested or have to
- tell their sexual partners they were infected with a fatal disease.
- They did not want to have to tell their doctor or nurse that they
- were infected, even though they knew withholding this information
- could be fatal. They've put tremendous pressure on the government
- and on politicians to maintain their confidentiality, with no
- obligation on their part to save another person's life.
-
- Also, the government wants the public to remain calm and they don't
- want the public to force elected officials to pass laws that might
- make some significant changes in society. The government says, "We
- know more about this disease in a shorter period of time than we've
- ever known about any other disease and there will be a vaccine right
- around the corner." That is not true. They say if you're not a
- high-risk homosexual practicing unsafe sex or a drug addict sharing
- needles, you're not going to get this disease. That is not true.
- In fact, a number of healthcare workers have gotten AIDS from needle
- sticks and other exposures. Of the 220,000 people now dead or dying
- of AIDS, the CDC admits there are between 8,000 and 10,000 people who
- have no known risk factors- data that are published every month in
- the CDC's journal. The CDC said that they have reclassified most of
- these people into known risk groups. However, their classification
- system is very curious. If a surgical technician who is homosexual
- gets a needle stick in the operating room and gets AIDS, he is placed
- in the homosexual category, rather than the occupational risk category.
-
- When has the government told us the truth recently? They didn't tell
- us the truth about Watergate, about the savings and loan fiasco, about
- the HUD scandal, about the nuclear leaks at the Hanford, Washington
- plant years ago, where people who were dying of cancer around the plant
- protested and were told there were no leaks. The government now admits
- that they lied, that they knew there were leaks.
-
- JS: Are hospitals doing enough to protect their employees from this
- virus- especially nurses- since "hands-on" work requires daily contact
- with AIDS patients? Specifically, (a) Are institutions sponsoring
- enough educational seminars? (b) Are employees being educated and
- tested about modes of transmission? (c) What about "universal
- precautions"- are they adequate protection? (d) Is it true that the
- virus can go through surgical masks?
-
- LD: Some institutions are sponsoring seminars, but most are giving
- incorrect information because that information comes from the CDC and
- the CDC plays down the risk to healthcare workers. Also, hospital
- administrators don't tell nurses and other employees of the risks
- because they don't want to spend the money to buy the equipment and
- clothing necessary to protect healthcare workers. And they are afraid
- of being sued. If a nurse sues the hospital, she is considered only
- an employee, and so if she gets AIDS from a needle stick, she will just
- get workers' compensation (which, in California, is $896 a month and
- $2,000 for burial). When I wrote to the Chancellor of the University
- of California about my risk and asked him what would happen to me if I
- turned positive for AIDS, that's what he wrote me, because I was an
- employee of the University. So the hospital is really not too worried
- about your getting AIDS and suing, because it really won't cost them
- any money. I was scheduled to speak at a hospital in Ohio and the day
- before, the Assistant Administrator, a man named Dr. Butcher, cancelled
- because the nurses were in contract negotiations and the hospital didn't
- want them to hear me while negotiations were in progress. They were
- concerned that the nurses would ask for more equipment and clothing
- to protect them from AIDS. The nurses were outraged and they went to
- the local radio station. As a result, the talk show host gave me one
- hour to broadcast my entire talk, followed by two hours of call-in
- questions.
-
- As far as employees being educated about modes of transmission,
- yes- but, again, almost all of the information is inaccurate or
- inadequate.
-
- Universal precautions are a bit of a joke, a cruel joke for healthcare
- workers. In the operating room, surgeons and surgical nurses have been
- taking "universal precautions" since the microbe was first discovered.
- We know, however, that latex gloves allow penetration of needles and
- sharp instruments and that no latex gloves are really protective. All
- of them have holes in them that are microscopic but 50 times larger than
- the size of the AIDS virus. The AIDS virus is .1 microns. The
- microscopic holes in the latex gloves are 5 microns. Hospitals can't
- buy gloves that really are totally protective because none are made.
- Two latex gloves are better than one because the microscopic holes
- probably won't mesh. Kevlar gloves, made from bullet-resistant material,
- can give extra protection. Universal precautions do not prevent needle
- sticks. They do prevent you, in most cases, from getting gross or obvious
- blood on your skin and that's important because AIDS has been transmitted
- through skin. If you're told that skin is a barrier to the AIDS virus,
- that's double-talk- what I call AIDS-speak- by the government. The CDC
- has reported three nurses who got AIDS from blood on their skin. People
- say, "That's impossible, how could the AIDS virus go through skin?" Well,
- no one has intact skin. Everyone has pores, hair follicles, sweat glands,
- oil glands. We know many medications are delivered through the skin;
- nicotine patches for smoking cessation, dramamine patches for seasickness,
- estrogen patches, digoxin patches. Reports in the medical literature show
- that vinyl gloves that are used on the wards are almost worthless, that
- they permit the AIDS virus to go through between 40 and 60 percent of the
- time. And if vinyl gloves are worn and you touch any alcohol, such as an
- alcohol swab, the virus goes through as much as 90 percent of the time.
-
- The AIDS virus and the tuberculosis microbacterium can both go through
- a surgical mask. Surgical masks do not fit tightly on your face. The
- AIDS virus, again, is .1 microns and the microscopic holes in a surgical
- mask are 5 microns in diameter. All surgical mask manufacturers admit
- that the virus can easily go through a regular surgical mask.
-
- JS: As far as contagion, first we where told that the virus was primarily
- restricted to the homosexual population and could be transmitted through
- semen, blood and shared needles. Then we were told that it was common
- in the heterosexual population of some African countries and was becoming
- more common among heterosexuals in the United States. The American
- public has been told "facts" about AIDS that were then contradicted by
- new data- all of them alarming. Exactly what are the modes of
- transmission and who is at risk?
-
- LD: Everyone is at risk to some degree or another. Homosexual sex
- (anal sex) is one of the most efficient methods of transmission.
- The most efficient method is through blood- blood transfusion. The
- government tells us that the blood supply is safe. The blood supply
- is not safe. It is safer than it was before in 1985 when the AIDS
- antibody test was developed, but there is no commercially available
- test for the virus itself. From the time you get infected with AIDS
- until you develop the antibody is between six weeks and six months
- in about 95 percent of the cases. Some people will will go as long
- as three years before developing antibody. This is called the
- negative window. If you get tested after you have been infected-
- but before you have developed antibody- your blood will test negative
- but it will contain the HIV virus and it will transmit AIDS to
- whomever receives that blood. So if you're going to have a surgical
- procedure, you should give our own blood ahead of time; that is the
- safest blood you can receive. AIDS is not only transmitted through
- blood transfusion, blood products and homosexual or heterosexual sex
- or oral sex, it can be transmitted by kissing. This was reported in
- the Journal of the American Medical Association. A 70-year-old woman
- got AIDS from a blood transfusion and she transmitted AIDS to her
- husband either through household contact, which they say doesn't happen,
- or through kissing. They had not had sex in many years. The government
- also admits the AIDS virus is in saliva. Dentists cover up from head to
- toe because the government has told them that universal precautions most
- be used for saliva in a dental office. But they say that universal
- precautions are not necessary any place else for the saliva of an AIDS
- patient! That means a nurse in the hospital does not have to wear
- gloves when she is working with the sputum specimen. Well, this is
- ridiculous! If saliva is dangerous in the dental office, it's dangerous
- every place else. The CDC has reported that AIDS has been transmitted
- to three nurses through blood on intact skin. One of the nurses only
- had blood on her skin for a few minutes before it was thoroughly washed
- off. She still turned positive for the virus.
-
- JS: In regard to the new, AIDS-like illness, according to The New York
- Times(July 28, 1992), "For officials of the Centers for Disease Control
- and other Federal health agencies, the international AIDS meeting [in
- Amsterdam] was an embarrassment because they had overlooked two
- fundamental principles of public health...swiftly investigating
- mysterious cases of an illness to determine their cause and rapidly
- communicating with the public and with scientists to allay alarm about
- the perceived threat." Do you believe that the sluggishness with which
- the CDC and other agencies have acted is a result of bureaucratic snarls,
- professional ineptitude or political machinations designed to keep the
- public from panicking and the FDA and pharmaceutical companies rich?
-
- LD: The new AIDS-like illness is another part of the government
- cover-up. This "new disease" is a disease that looks like AIDS, walks
- like AIDS and talks like AIDS, but the government has decided *not* to
- call it AIDS. The public hasn't been told about a controversy in the
- medical literature over the last five years, since Dr. Peter Duesberg
- from the University of California at Berkeley told the government that
- he believes that HIV is not the sole cause of AIDS, although it may be
- a marker for AIDS or a co-factor. Dr. Duesberg is a virologist and
- member of the National Academy of Sciences (one of the highest honors
- that an American scientist can hold), and he recently was joined by a
- number of other prestigious scientists who told the government they
- should go back to the drawing board and find out what really causes
- AIDS. This is urgent, they said, because if, in fact, HIV is not the
- full cause of AIDS, than any vaccine developed for HIV will not work
- and millions of dollars will have been put down a black hole. The
- government has known for some time of people with full-blown AIDS who
- have never tested HIV positive. A year ago, at the 1991 international
- AIDS Conference, a case like this was presented, but the government
- swept it under the rug. Until Newsweek published an article about the
- AIDS-like illness, there were no plans to have a symposium about it at
- the International AIDS Conference in Amsterdam. After the article, a
- last-minute symposium took place. A number of researchers in the
- audience announced that they had seen numerous cases of this "new
- disease" and, by the end of the symposium, other researchers had
- described between 20 and 40 cases of full-blown AIDS in patients who
- had never tested HIV-positive. They said that many of these patients
- had none of the risk factors that the CDC claimed were the only ways a
- person can get AIDS. Rather than admit to the public that, indeed,
- these were cases of full-blown AIDS and that HIV may not be the cause
- or at least the sole cause of AIDS, the CDC chose to call this "new"
- disease ICL, for idiopathic CD4 lymphocytopenia. That is really the
- generic name for AIDS! Idiopathic means "we don't know what causes it."
- CD4 is the specific receptor for the AIDS virus (the HIV virus). And
- lymphocytopenia means they have a low "T" cell count and that is generic
- AIDS. But the government says it's not AIDS!
-
- JS: You mentioned Dr. Duesberg. What happened to him after he suggested
- that the HIV virus couldn't possibly cause AIDS?
-
- LD: Dr. Duesberg is a well-known retrovirologist. His research, under the
- auspices of a research grant, said that HIV was not the cause of AIDS, or
- certainly not its sole cause. An erudite article on his work- which was
- 20-to-30 pages long and had several hundred references- was published in
- Cancer Research in about 1987. He said that saying the HIV virus could
- destroy a person's entire immune system would be like saying that you were
- going to take over the entire country of Russia by killing three soldiers
- a day. In other words, impossible. After this conclusion, the government
- "rewarded" him by taking away most of his research funding and ridiculing
- him publicly. When the government does this to a doctor or scientist of
- Dr. Duesberg's stature, it is my opinion that the public ought to start
- listening, because that researcher is probably hitting on something the
- government doesn't want you to know.
-
- JS: You've described one instance in which a prominent voice did not
- receive deserved recognition. This sounds like the debate about who
- actually discovered HIV to begin with.
-
- LD: The AIDS virus, or at least the HIV virus, was discovered by Dr. Luc
- Montagnier from France. Dr. Robert Gallo in America claimed to have
- discovered the virus until the American and French governments decided
- to declare that they were co-discoverers. This had major monetary
- implications because a lot of royalties come from the production of
- the AIDS antibody test, which would bring a great deal of money to the
- researhers and to the two governments. Scientific journals, among them
- Science and Nature, have discussed this problem because of charges that
- Dr. Gallo actually stole the virus from Dr. Montagnier. Apparently,
- the truth is that Dr. Gallo asked Dr. Montagnier for some of the virus
- and Dr. Montagnier sent it to him. Some people said that Dr. Gallo
- accidentally mixed Dr. Montagnier's virus with the virus that he
- (Dr. Gallo) was working with; others say that he purposely expropriated
- it and claimed the discovery for himself. At this date, it is widely
- accepted that Dr. Montagnier was the sole discoverer and the French
- government is urging our government to reassess its previous agreement.
-
- JS: According to a recent article in Rolling Stone (March 19, 1992),
- "medical science itself may have played an unintentional role in
- introducing AIDS to the human population." The magazine cited the
- oldest stored blood sample of HIV dating back to 1959 and said that
- a tainted polio vaccine given orally to 325,000 people in equatorial
- Africa in the late 1950s may have started the epidemic. One theory,
- it said, was that the vaccine (made from cultivating weakened strains
- of the polio virus in living primate tissue made from the fresh monkey
- kidneys) was contaminated. In any event, the vaccine was sprayed into
- people's mouths. So another theory is that this was the mode of
- transmission. What is your own theory about the way the AIDS virus
- arose?
-
- LD: There are those who say that the polio virus might have been
- contaminated with the AIDS virus. That's not entirely true. The polio
- virus was contaminated with the SV40 virus which is a simian virus, but
- it's not the SIV virus (simian immunodeficiency virus). There has been
- some suggestion that the smallpox vaccine that went to Africa in the mid
- or late 1970s might have been contaminated with HIV. There are some who
- say the government purposely made this vaccine and tried to wipe out
- Africa and the homosexual population with it, but there is not much
- evidence to support this theory. Certainly the government has the
- ability to make a virus like this and I have a document from the
- Government Printing Office which is entitled "House Bill 15090." It
- contains the minutes of a committee meeting by the Subcommittee on
- Defense Appropriations, which took place on July 1, 1969. At that
- meeting, Mr. Sikes, the Congressman from Florida, was interviewing a
- witness named Dr. McArthur and he asked it it was possible to make a
- microorganism that had never been made before and for which no one
- would have any immunity, and Dr. McArthur answered, "Yes, that could be
- done." Mr. Sikes asked, "How long would it take and how much would it
- cost?" And Dr. McArthur answered, "It would take five or six years and
- it would cost 10 million dollars to produce an organism that would be
- resistant to all the immunological processes on which we depend to
- maintain our freedom from infectious disease." At the bottom of this
- document it said that they realize that it's "a controversial project
- and there are many who believe they should no pursue it, lest it lead
- to yet another method of massive killing of large populations." It is
- clear that the government was talking about making a microorganism that
- has all of the characteristics of what we now know as the AIDS virus.
- But there is no absolute proof that they actually did it.
-
- In my book I explain how it could have arisen in nature. The HIV virus
- was around for many years before AIDS was first diagnosed. Pathological
- specimens that have been tested since the HIV antibody test was developed
- have shown that cases as early as 1959 were found. It is possible that
- this virus, if indeed it is the cause of AIDS, was not a very virulent
- virus. At that time, this virus may have only infected patients with
- severely compromised immune systems for radiation therapy or chemotherapy
- for cancer. Then, when the sexual revolution started in the late 1960s
- and early 1970s, this virus got into the homosexual population.
- Homosexuals are medically a very unhealthy group. Eighty percent have
- the hepatitis B antibody compared to only two percent of the general
- population, and the majority of homosexuals have intestinal parasites
- and a higher-than-average incidence of syphilis or gonorrhea and many
- other diseases that result from promiscuity and anal sex. It may have
- gotten stronger when it infected the homosexual population, because the
- weaker particles would die and the stronger particles (the stronger
- viruses) would reproduce. Then, when it got into the blood supply, it
- infected health people. Again, healthy people's immune systems might
- have been able to handle and destroy the weaker viruses, but the stronger
- ones survived and persisted and reproduced. And that's the way a virus
- can start out, being very weak and non-virulent and then becoming very
- strong as it goes through progressively healthier populations. Now, the
- virus is mutating very rapidly, changing its form. When any virus
- changes its form, it increases the potential for possible transmission
- in ways that it had not previously been transmitted.
-
- JS: Your theory about AIDS being transmitted through intact mucous
- membranes is now, several years after you publicized it, supported by
- some prominent scientists. William Haseltine, Ph.D., the chief of
- retrovirus research at the Dana-Farber Cancer Institute in Boston, has
- said that the mucous membranes lining the mouth and genito-anal tract
- are highly vulnerable to HIV infection- that is not necessary for a
- person to have a cut or tear or sore for the virus to gain entry. Even
- deep kissing, he suggested, could transmit the virus. Doesn't your own
- thinking- and Dr. Haseltine's- depart radically from the "conventional
- wisdom" being conveyed by doctors to patients all over this country?
- Why aren't health professionals leading the way in teaching about the
- dangers of AIDS?
-
- LD: About a year ago, Dr. Haseltine published an article in the Journal
- of Acquired Immune Deficiency Syndrome that said the AIDS virus could be
- transmitted through intact mucous membranes. The original work was done
- by Dr. Lhasa Braathen, Chief of Dermatology at the University in Berne,
- Switzerland, who published this information in 1987 in Lancet and various
- other journals. When I first expressed this theory, it was after I had
- spoken directly with Dr. Braathen when we shared a panel at the American
- College of Surgeons in 1988 (or 1989). At that time, I was ridiculed for
- suggesting that the AIDS viruscould be transmitted this way.
- Interestingly, when Dr. Haseltine wrote his article, he failed to credit
- Dr. Braathen in his references. The CDC also knows that the AIDS virus
- can be transmitted by kissing and through mucous membranes and skin, but
- they want to keep the public calm, so they tell them that it cannot be
- transmitted that way. However, if you get each member of the CDC
- individually into a corner and you pin them to the wall, they will
- probably all admit these possibilities. All they do in public is talk
- about the "remote possibility" of transmitting AIDS in these ways. This
- is very irresponsible on the part of the government. They have decided
- that your life and my life are not worth saving! And health care
- professionals are not leading the way for increased safety because they
- aren't going to the literature and reading what's really going on.
-
- JS: What are the odds of getting AIDS from an infected professional
- like a doctor or dentist?
-
- LD: It's interesting that the American Dental Association has gone
- through all sorts of algebraic calculations to suggest that your risk
- as a patient of getting AIDS from a dentist is something like one in
- a million or one in five million. However, they are including all the
- dentists in the country in this calculation. Well, patients don't worry
- about getting AIDS from a dentist who doesn't have AIDS. They should
- calculate what the chance is of getting AIDS from a dentist who has AIDS.
- The best information we have is from the case of Dr. Acer. They've tested
- something like 850 or 900 of his patients and five of them got AIDS from
- him. They are now investigating a sixth who had AIDS and has since died.
- That patient's family is suing because they feel there is evidence that he
- also got AIDS from Dr. Acer. Let's assume we have five, possible six, out
- of the 900 patients who where tested. That's a chance of about one in
- approximately 200 of getting AIDS from your dentist if your dentist has
- AIDS. That's not low risk; it's certainly not one in a million or one in
- five million.
-
- Surgeons who have AIDS or are HIV-infected are also a menace to
- patients. Surgeons get cut during three to five percent of all surgical
- procedures they perform. The CDC has documented numerous cases of
- hepatitis in patients that have been transmitted through surgeons who
- were infected with hepatitis; a number of those patients have died from
- the hepatitis. The model for AIDS transmission is hepatitis transmission;
- the CDC says they're transmitted in the same way. Hepatitis is much more
- easily transmitted than AIDS, but hepatits is only one percent fatal and
- AIDS is 100 percent fatal. Surgical personnel, dentists, oral surgeons-
- all should be restricted from doing invasive procedures on patients if
- they ar infected with the HIV virus.
-
- JS: Please discuss why some hospitals stopped testing for hepatitis B and
- how the omission caused the entire hemophiliac population of the U.S. to
- become infected with the AIDS virus.
-
- LD: Actually, it's not the hospitals that stopped testing for hepatitis B,
- it's the blood banks that never did test for it. This is the story. The
- AIDS antibody test for testing blood in the blood banks was instituted in
- about May or June of 1985. However, in January of 1983, at least two-and-
- a-half years before the AIDS antibody test was even available for use,
- the CDC and the Food and Drug Administration (FDA) went to all the major
- national blood banking meetings and told them how they could remove 80
- percent of AIDS from the blood supply even before there was an AIDS
- antibody test. They said that virtually all of the cases of AIDS in the
- population in January of 1983 were in homosexual men, and 80 percent of
- homosexual men were positive for hepatitis B because of anal sex, and
- numerous sexual partners. They said, "You do have a test for hepatitis B,
- so if you test the blood supply for hepatitis B and throw away all the
- blood that's positive, you will remove 80 percent of AIDS from the blood
- supply." The FDA let the blood banks police themselves and we have
- evidence that the blood bankers got together and decided that it would
- cost too much money to throw away all this blood because they would have
- to recruit new donors. So they decided not to test the blood. Then,
- when people got AIDS from clotting factor and from blood transfusions
- and tried to sue the blood banks, they said, "Oh, no, we were adhering to
- commonly accepted Standards of Care. Nobody was testing for hepatitis B
- back in 1983 and 1984, so we can't be sued."
-
- I've been an expert witness on some of these cases and the courts will
- not allow evidence of collusion on the part of the blood banks to be
- brought to court, and so the unfortunate people who were being infected
- with blood are not being compensated for the fatal illness they got from
- blood or blood products.
-
- JS: Is this what the CDC will someday say about aerosol transmission?
-
- LD: I don't know what they'll say, but they are now funding the work I
- started on aerosols at the University of California, San Francisco. After
- telling me and the public that this was not a problem, they are finally
- interested enough to fund some of this work. However, they're not being
- very candid with the public about their interest in aerosol transmission
- or about this funding.
-
- JS: Do you believe that all health professionals who test positive for
- HIV should be mandated to tell their patients before rendering services
- to them?
-
- LD: Health care professionals who are doing invasive procedures on
- patients should not just tell their patients, they should not be allowed
- to do invasive procedures unless, that is, each one knows the other's
- status, understands the risks and agrees to the relationship.
-
- JS: If a health professional has AIDS, do you believe that he or she
- should be allowed to continue work with patients?
-
- LD: Certainly not. There are other problems with health professionals
- who have AIDS or who are HIV-infected, even if they're not doing invasive
- procedures. People with AIDS have all sorts of opportunistic infections,
- such as tuberculosis, cryptosporidiosis, shigellosis, herpes, etc. that
- they can transmit to patients. Patients in the hospital are ill. They
- may have decreased immune system function from other infections or other
- diseases and the AIDS-infected health professional then becomes a threat
- to these patients. There is also evidence that people who are HIV-infected,
- even before they have AIDS, have a much higher rate of staphylococcus
- infection. In a hospital, this can be a terrible menace, especially in
- the operating room or for post-operative patients. Health professionals
- should not be any place where they can be a menace to patients.
-
- JS: Among doctors and nurses, there is a debate about mandatory
- disclosure. Recently, the National Commission on AIDS recommended
- against mandatory testing of doctors and other healthcare workers for
- the AIDS virus and said that those who were infected would not be
- required to inform their patients. The reasoning seemed to be that
- such disclosure would be greatly detrimental to the healthcare worker's
- career. What are your feelings on the subject?
-
- DL: I don't think this is a controversial subject at all; it's very
- straightforward. A healthcare worker's career should not supersede a
- patient's right to stay alive. All the reasons for not being tested and
- not disclosing are selfish reasons. The reasons for being tested and
- disclosing are unselfish reasons. If a healthcare worker places his or
- her career above a patient's life, this is morally wrong. It should be
- legally wrong.
-
- JS: What kind of resources of money and time have been spent in
- developing equipment, clothing, safety procedures and testing to
- protect nurses and doctors and patients?
-
- LD: Almost none by the government. A couple of years ago the CDC turned
- down a request for a grant by the Teamsters' Union for a seminar on
- protection for healthcare workers in the workplace. The CDC said that it
- wasn't necessary because "except for prostitution, AIDS is not an
- occupational disease." This was the response by the government agency
- that is supposed to be protecting healthcare workers!
-
- JS: If you could design legislation, what would it include? Do you
- believe that healthcare workers should have the right to refuse care
- to a patient with AIDS if the hospital does not provide a safe
- environment?
-
- LD: If a nurse or other hospital employee is not being given the proper
- equipment or clothing that they are required to be given by law-
- particularly by the Occupational Safety and Health Association (OSHA)
- standards- when caring for an AIDS patient, she should be allowed to
- refuse to do so. In fact, the hospital should be reported to OSHA if
- it is not providing the minimum standard for protection for the
- employee. Healthcare workers should not do invasive procedures if
- they're HIV positive or if they have AIDS. It's the obligation of every
- person (including healthcare workers) in the United States to know their
- own status so they don't infect someone else. A healthcare worker has
- the right to know whether a person is infected with the AIDS virus and
- should have the right not to take care of every AIDS patient, as long as
- they can send the AIDS patient to a place where they can receive care.
- There should be both medical and dental AIDS centers. In fact, the first
- AIDS dental centers have opened in Delaware and in the South Bronx in New
- York. It has been documented in literature that AIDS patients get better
- care in such centers and they have a longer life expectancy.
-
- JS: What are the CDC estimates about AIDS incidence in the healthcare
- population?
-
- LD: The CDC estimates there are about 50,000 healthcare workers who are
- infected with AIDS or the HIV virus. Many of the nurses who are infected
- are mail homosexuals; this is probably a result of lifestyle. A number
- of nurses have been infected on the job from needle sticks and blood on
- the skin- the things the government has said are improbable. On one hand,
- they say this disease is very hard to get; on the other hand, they say
- cover up from head to toe. If the government really was interested in
- protecting healthcare workers, they would tell them this is a terribly
- dangerous disease and it's not that difficult to catch. But they're
- afraid that healthcare workers would take that seriously and leave the
- field. So the government continues to like and talk out of both sides
- of its mouth- and healthcare workers continue to get infected. Another
- ploy is when the government blames the healthcare worker for becoming
- infected; they say you're clumsy if you get stuck with a needle. Plenty
- of accidents happen in hospitals. Unfortunately, now when they happen,
- it could mean death.
-
- JS: Do you believe that condoms and other barrier modes of birth control
- are effective protection against the AIDS virus? Should nurses and
- doctors be teaching barrier methods of birth control to unmarried
- teenagers or would you recommend abstinence?
-
- LD: The women of America know clearly that condoms do not prevent them
- from getting pregnant. The pregnancy rate with the use of condoms is 14
- percent and women can only get pregnant three or four days a month. You
- can transmit AIDS every day of the month, so you have to take that 14
- percent and double, triple, or quadruple it for the transmission of AIDS.
- And that is not safe sex! If you add it up this way, the incidence is
- above 50 percent. The government knows clearly that condoms are not safe.
- An article in the Los Angeles Times in 1989 told of the government giving
- the University of California at Los Angeles a million dollars to do a
- study on the prevention of transmission of AIDS from one gay man to
- another by the use of condoms. One courageous National Institutes of
- Health researcher finally stood up and said, "We're withdrawing the
- million dollars in funds from UCLA because their pilot studies have shown
- that condoms are so unsafe that we would give AIDS to too many gay men
- during the study who don't already have it." A recent study published in
- the July/August issue of a medical journal, Sexually Transmitted Diseases,
- was conducted by the Food and Drug Administration. It is entitled "The
- Effectiveness of Latex Condoms as a Barrier to HIV Size Particles under
- Simulated Use Conditions." The researchers took a number of different
- brands of condoms, put them over an artificial penis and measured how
- often the AIDS virus would come through. They found that the AIDS virus
- came through 33 percent of the condoms. The study said, "under simulated
- use conditions," However, later in the study, the authors stated, "This
- test did not incorporate motion." That means that if you have sex and
- you use a condom and you don't move, the AIDS virus will only come through
- 33 percent of the condoms. Rather than concluding that condoms are
- worthless for protecting against AIDS, the study concluded that "condoms
- substantially reduce but do not eliminate the risk of HIV transmission."
- This is deliberately misleading information for the teenagers of America.
- This is really genocide.
-
- JS: According to a recent report from the CDC, two laboratory workers
- became infected with the monkey form of the AIDS virus- simian
- immunodeficiency virus (SIV). The director of the California Primate
- Center said he was surprised because he didn't think it was possible
- for humans to become infected with SIV. What are the implications of
- this event?
-
- LD: We were told in the beginning that one way the AIDS epidemic may
- have started was when a monkey in Africa, the green monkey, bit a human.
- That may have been how human infection started. But whenever we ask if
- we should worry about animals with AIDS, we're told "no." However, there
- are a number of animals that have AIDS viruses, such as sheep, in which
- it's called maedi visna. Recently we've been told that four percent of
- American cows are infected with cow AIDS virus and the government says
- there is no risk; beef and milk are sold to the public. Cats have an AIDS
- virus called feline leukemia virus. But again, we're told there is no
- concern for humans because they cannot cross species barriers. Yet,
- contradicting themselves, they said that AIDS may have been transmitted
- to humans through the green monkey bite. Why should we believe that the
- virus could cross this species barrier, but not any other one? Now, there
- are two laboratory workers who have been infected with the simian
- immunodeficiency virus- more evidence that the virus can cross species
- barriers. Clearly, what the government has been telling us about all
- these other animal viruses is not true.
-
- JS: Do you believe there should be a mandatory course given during
- hospital orientation to new healthcare employees? If so, what should
- this course include?
-
- LD: Yes and it should include the truth. Unfortunately, most information
- that employees receive from their infectious disease experts is
- information those experts have learned from the CDC. Most of this
- information minimizes the risks to healthcare workers and, in essence,
- places their lives at risk.
-
- JS: When nurses and doctors get stuck with the suture needle, should they
- take AZT?
-
- LD: AZT(zidovudine) is the brand name, but most people refer to it as
- AZT. Early on, we were led to believe that if you took AZT within an
- hour of the time you got stuck, your chances of sero-converting (i.e.,
- turning HIV positive) would be decreased. There is no evidence that
- taking AZT within an hour- or any time after you get stuck with a needle
- that's contaminated with AIDS blood- has any effect on whether or not
- you'll turn positive. In fact, AZT is a chemotherapeutic agent, just
- like cancer chemotherapeutic drugs, and is very toxic. If I were stuck
- now, I would not take AZT. There's no evidence it does any good and
- there is evidence that it harms the immune system. There is also no
- evidence that it extends the life of an AIDS patient. Some studies
- suggest it may increase the time you are asymptomatic before you get
- sick, but even that is unclear.
-
- JS: Is it reasonable to expect a cure for AIDS in the near future?
-
- LD: Everyone wants a "cure" (or vaccine) for this disease. We've had
- cures for syphilis, gonorrhea, and tuberculosis for many years and those
- diseases are still being reported at exponentially increasing rates-
- cures do not necessarily stop contagious disease epidemics. Currently,
- there is an epidemic of tuberculosis (TB) in this country that the CDC
- admits is out of control. Many HIV-infected patients are also infected
- with TB, one variety being multi-drug resistant tuberculosis, which means
- it is resistant to all forms of treatment and can be up to 90 percent
- fatal. That is going to be very deadly for healthcare workers who are
- already getting TB from AIDS patients.
-
- Imagine if I told you that it was your job to get this TB epidemic
- under control, but you had these restrictions: (1) you could not know
- who had TB; (2) you could not test anybody to find out if they had TB;
- (3) if you accidentally found out someone did have TB, you couldn't tell
- anybody. You couldn't tell the Public Health authorities and you couldn't
- tell anyone who had been exposed to TB by this individual and you couldn't
- keep that individual from giving TB to others. Not only that- you
- couldn't investigate all the possible methods of transmission of TB.
- If these were your restrictions, you would tell me that I'm crazy, that
- you could never get a contagious disease under control if you couldn't
- know who had the disease.
-
- However, this is exactly the plan and the policy of the government in
- the "control" of AIDS. The government says they don't need to know who
- has AIDS to get the epidemic under control; you can't test anybody for
- AIDS unless they sign a special consent allowing you to test them; there
- is no obligation for people to tell their sexual partners or anybody else
- that they're infected; they have complete confidentiality; and, in most
- cases, HIV infection is not a reportable disease.
-
- Moreover, the government doesn't start counting AIDS patients until
- someone is dying of the disease, which is the last year-and-a-half of
- their infection. They may have been infected for 10 years before they
- got sick and transmitted the disease to dozens or hundreds of people
- while they were infected. And they may not even have known they are
- infected if they didn't get tested!
-
- JS: Is there any good news in this bleak picture?
-
- LD: The good news is that the government has all the ability to get this
- disease of AIDS under control right now and they could do it for one-fifth
- of the money they are now spending. All that is necessary is for the
- government to employ the same strategy it has for other contagious
- diseases:
-
- 1. Widespread testing
-
- 2. Reporting of HIV infection and AIDS to the Public Health
- authorities
-
- 3. Contact tracing and partner notification to inform people
- who have been exposed to AIDS that they have been exposed
- and they should stop their exposure and get tested
-
- If people are acting responsibly and are not putting other people at
- risk, then they need no restrictions. But if people are willfully and
- knowingly giving this fatal disease to other people, it is no different
- than going out on the street with a gun and shooting people- they should
- be isolated from society. Nobody's confidentiality should supersede
- another person's right to stay alive. This is the way measles, mumps,
- chicken pox, polio and all other diseases have been handled in the past
- and this is the way AIDS should be handled.
-
- The government must treat AIDS as a medical, not political issue. We
- must pass legislation to protect healthcare workers and the public. We
- must have regulations that are already in place for all other contagious
- diseases. The public must become informed.
-
-
-
- ("AIDS: What the Government Isn't Telling You" is fully
- referenced with the most prestigious medical journals,
- including the New England Journal of Medicine, Lancet,
- The American Journal Of Public Health, The Journal of
- the American Medical Association and many government
- documents. There are available videos where all
- documents cited in this article appear on a screen for
- easy reading. There are also special editions of
- newsletters called National Health Alert which are full
- of referenced information on the safety of different
- kinds of gloves, gowns, masks and various other
- information that's important for healthcare workers'
- safety. All of these are available through a toll-free
- number: 1-800-537-2437.
-
- For people who would like to unite to get the AIDS
- epidemic under control, Dr. Day has formed a national,
- grass-roots organization, Americans for Common Sense.
- For information, write to Dr. Day or Americans for
- Common Sense, P.O. Box 952, Rancho Mirage, CA 92270. )
-