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Screening for HTLV-III Antibodies: The Relation Between Prevalence and Positive Predictive Value and Its Social Consequences
JOEL L. Nitzkin, MD;
Mark J. Merkens, MD
Monroe County Department of Health Rochester, NY
JAMA. 1985;253(23):3397-3398.
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To the Editor.—
The article by Weiss et al1 relative to the screening for human T-cell leukemia (lymphotropic) retrovirus type III (HTLV-III) antibodies in the Jan 11 issue strongly supports the recommendation that all blood donors be screened for evidence of HTLV-III antibody using the currently available enzyme-linked immunosorbent assay (ELISA) testing procedure. Unfortunately, neither this article nor the accompanying editorial2 addresses the personal health or community health problems likely to be caused by universal implementation of this screening procedure for all blood donations.
If we assume a sensitivity and specificity of the ELISA procedure in the range of 97% to 99%, this means that 1% to 3% of those likely to be harboring the HTLV-III virus are likely to be missed by the test, and 1% to 3% of those who are truly negative would generate a positive test result.
Monroe County, New York, consists of the
. . . [Full Text PDF of this Article]
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