Commission of Inquiry on the Blood System in Canada (Krever Commission)

• News Releases
• Report - Table of Contents
• How to obtain the Report

News Releases

On November 26, 1997, Health Minister Allan Rock, on behalf of the federal government, released the final report of the Commission of Inquiry on the Blood System in Canada (Krever Commission).

On November 25, 1998, the Health Minister observed the first anniversary of the report by reaffirming the federal government's commitment to blood safety . He added that Health Canada took action concerning each one of the commission's final reccommendations that concerned the Department.

Report - Table of Contents

Volume 1

• Foreword
• Acknowledgements
• Some Important Milestones: HIV and AIDS, 1981-94
• Some Important Milestones: Hepatitis, 1965-95

PART I: Introduction

1. The Scope and Nature of the Inquiry
2. Blood: Blood Components and Blood Products

PART II: The Canadian Blood System at the Emergence of AIDS
Introduction

3. The Canadian Red Cross Society
4. The Search for Self-Sufficiency in Fractionation
5. The Canadian Blood Committee and Its Relationship with the Canadian Red Cross
6. The Bureau of Biologics and the Regulation of Blood and Blood Products
7. The Public Health Environment
8. The Care and Treatment of Hemophilia

PART III: The Canadian Response to Threats to the Safety of the Blood Supply The Emergence of AIDS

9. The Recognition of AIDS as a Blood-Borne Disease
10. Canada's Early Response to the Emergence of AIDS AIDS: Safety in Blood and Blood Components
11. Measures to Reduce the Risk of Contamination
12. The Introduction of Testing for HIV Antibody&
13. Notifying the Recipients of Contaminated Blood and Blood Components

Volume 2
AIDS: Safety in Blood Products

14. The Risk in Factor Concentrates
15. The Conversion to Heat-Treated Concentrates
16. Safety in Heat-Treated Concentrates
17. The Decline of the Domestic Fractionation Industry
18. Treatment of Hemophiliacs in the Era of AIDS
    AIDS: Responses Outside the Blood Program
19. The Public Health Authorities: Information about AIDS
20. Contact Tracing
21. The Risk to the Sexual Partners and Children of Hemophiliacs Hepatitis: Safety in Blood Components and Blood Products
22. The Nature and History of Hepatitis
23. Surrogate Testing
24. Canada's Rejection of Surrogate Testing
25. The Canadian Response to Post-Transfusion Hepatitis: Commentary
26. The Consequences of the Contamination of the Blood Supply

Volume 3
PART IV: International Responses to the Risk of HIV in the Blood Supply

International Milestones: HIV and AIDS, 1981-8

27. The United States
28. Australia
29. France
30. Germany
31. Japan
32. The Netherlands
33. The United Kingdom
34. Comparative Tables

PART V: Safety of Plasma Derivatives

35. Safety of Plasma Derivatives: The Role of Regulation

PART VI: Towards a New Blood System

36. The Blood Supply System in Canada: Systemic Problems in the 1980s
37. The Need for Reform of the Current System
38. The Initiative of the Federal, Provincial, and Territorial Governments to Reform the Blood System
39. Financial Assistance for Blood-Associated Injury
40. The Blood System for the Future Afterword Appendices

Although every care has been taken to assure the integrity of the online documentation presented here, only the official printed version shall be considered authoritative.

Krever Commission Report © 1997 Public Works and Government Services Canada

How to obtain the Report

• View at public libraries participating in the Depository Services Program
• Access PDF files archived in the National Library of Canada Electronic Collection. The original printed report consists of 1138 pages and is available in 4 PDF files.