【关注输血感染艾滋病人】中国约5.7万人输血感染艾滋病
来源:财新网 2011年07月25日09:59 【财新网】(记者 戴廉 实习记者 邹怡茜)
中国目前至少有5.7万人经输血感染艾滋病,但由于难以确定医疗机构的过错责任,因而难获赔偿。最近,学者基于此提出了“无过错赔偿”建议,但也引发诸多争议。
7月初,在“中国红丝带北京论坛”上,一些卫生学者建议,对输血感染艾滋病患者采用“无过错赔偿”机制,即:不强调追究医疗机构责任,假定没有过错方,只要确定输血与感染病毒的相关性比较大,就可获得相应补偿。
截至2010年8月,中国目前仍存活的艾滋病感染者约为29.64万人,其中经血液或血液制品感染艾滋病病毒约为2.31万人。而据中国卫生部估算,截至2009年底,中国大陆74万艾滋病毒感染者中,约有5.77万人经输血感染。
长期以来,对这些艾滋感染者如何赔偿,中国官方始终缺乏明确的政策。自2004年起,卫生部曾就“输血感染艾滋病患者的补偿建议”征集意见,但至今未有实质性进展。目前,相当多经输血感染艾滋病者为此被迫上访。
2010年,因幼年输血感染艾滋病毒的河南省新蔡县青年田喜,经多次与输血医院交涉赔偿问题未果,砸毁了医院院长办公室电话、传真机,后遭起诉。2011年2月11日,新蔡县法院以故意毁坏财物罪判处田喜有期徒刑一年,引发各方关注。
上述论坛上,中国医学科学院/北京协和医学院生命伦理学研究中心学者邱仁宗、翟晓梅提出了《关于建立输血感染艾滋病病毒保险和补偿机制的初步意见》(下称邱/翟方案)。
这一方案引发输血感染艾滋病患者和专家诸多争议。
赞成者认为,邱/翟方案搁置了输血感染病毒的责任争议,有助于这些感染者获得相应补偿;而反对者则认为,即使该方案变为现实,仍将受制于政府的态度,输血感染者很可能难获合理赔偿。
“中国红丝带北京论坛”,成立于2010年7月5日,是一个关注艾滋病与权益的对话平台,由联合国艾滋病规划署、政府部门、法律与公共卫生有关的社会组织、业务与学术团体、公民社会等发起成立。
在此次论坛上,30多名来自河南、河北和山东的艾滋病毒感染者闻讯后主动参会,参与了有关输血感染艾滋病赔偿问题的讨论。
作者:戴廉 邹怡茜







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图示∶2011年5月正式出版的《中国特色医疗金鉴》登载的刘君主任及其机构事迹 |
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[AIDS] infected blood transfusion concerns about 5.7 million people in China infected with HIV blood
Source: financial new network at 9:59 on July 25, 2011 [Choi network】 (reporter intern reporter Zou Yi Xi Lian Dai)
China currently has at least 5.7 million people infected with HIV through blood transfusion, but the fault is difficult to determine responsibility for medical institutions, and thus difficult to be compensated. Recently, scholars have put forward based on this "no-fault compensation" proposal, but also led to many disputes.
In early July, the "China Red Ribbon Beijing Forum", a number of health scholars have suggested that the use of blood transfusion in patients infected with HIV, "no-fault compensation" mechanisms, namely: do not emphasize the responsibility of medical institutions to be held, assuming there is no innocent party, just make sure the blood transfusion and associated virus is relatively large, you can get appropriate compensation.
As of August 2010, China is still alive about 29.64 million people living with HIV, which blood or blood products infected with HIV is about 2.31 million people. According to Chinese Ministry of Health estimates that as of the end of 2009, China 740,000 people living with HIV, about 5.77 million people infected through blood transfusion.
For a long time, how these HIV-infected persons for compensation, the Chinese government has always been a lack of clear policy. Since 2004, the Ministry of Health had "blood transfusion infected with AIDS compensation proposal" for comments, but so far no substantial progress. Currently, a considerable number were infected with HIV through blood transfusion was forced to petition for this.
In 2010, young blood transfusion due to HIV infection in Henan Xincai youth field hi, after repeated representations to the issue of compensation with the hospital blood transfusion failed, destroyed a hospital office phones, fax machines, after being indicted. February 11, 2011, Xincai Court intentional destruction of property and sentenced to imprisonment for one year field hi, causing all sides.
The forum, Chinese Academy of Medical Sciences / Beijing Union Medical College Center for Bioethics scholar Qiu Renzong, Zhai Xiaomei proposed the "establishment of blood transfusion on insurance and HIV compensation mechanism for preliminary views" (hereinafter referred to Qiu / Zhai program).
This program infected with AIDS caused by blood transfusion and experts in dispute.
It was felt that, Qiu / Zhai program on hold for infected blood transfusion controversy responsibility to help those infected get the appropriate compensation; while opponents argued that even if the program becomes a reality, will remain subject to the Government's attitude, blood transfusions are likely to be difficult to reasonable compensation.
"China Red Ribbon Beijing Forum", established in July 5, 2010, is concerned about AIDS and the rights of a platform for dialogue by UNAIDS, government departments, law and public health-related social organizations, business and academic groups , initiated the establishment of civil society.
In this forum, 30 people from Henan, Hebei and Shandong HIV infection after hearing the active participants, involved in the HIV-infected blood transfusion compensation issues.
Author: Dai Lian Zou Yi Qian
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