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The program of the American Hospital Association.

The American Hospital Association has long evinced its interest in and concern for health science libraries and library service in hospitals. The Association's purpose, history, organizational structure, and functions are reviewed. Examples of library-oriented programs, publications, and projects from 1905 to the present time are cited.

Hospitals↗

Nova Awards 2006. The American Hospital Association 2006 Award winners.

Whether their projects target children with asthma; those whose working parents cannot afford health insurance, but do not quality for federal aid; or immigrants or poor elderly, the hospitals and health systems that won the 2006 NOVA Awards understand that collaboration with other organizations is the most effective way to achieve a community's health care goals.

American Hospital Association↗

The role of the American Hospital Association in combating AIDS.

The American Hospital Association (AHA) has taken a leadership role in assisting health care providers in dealing effectively with the challenges of AIDS. Early work focused on preventing infection in the health care setting with the use of the Centers for Disease Control's recommended precautions concerning blood and body fluids. Supporting this effort were a number of live teleconferences, videotapes, and publications that addressed the use of precautions with AIDS patients, community issues associated with the disease, and the development of employee policies. In July 1987, a Special Committee on AIDS/HIV Infection Policy was formed by the AHA Board of Trustees and charged with developing recommendations on the issues that needed to be addressed if hospitals were to continue to meet the challenge of AIDS effectively. The committee's first set of recommendations, approved in November 1987, reaffirmed the use of universal precautions, provided guidance on the appropriate uses and application of HIV testing, and stated that the delivery of care should not be conditioned on the willingness of a patient to undergo testing. The second set of recommendations, which were approved in January 1988, focused on the need to distribute the responsibility for AIDS care among a wide variety of health care providers, to seek creative financing approaches that involve both the private and public sectors, and called on hospitals to provide leadership in ensuring that a continuum of services is available to AIDS patients. Continuing efforts to assist hospitals in the care delivery issues associated with AIDS are described.

Acquired Immunodeficiency Syndrome↗

Blood issues update: minimizing the risk of transfusion-associated HIV infection. American Hospital Association Technical Advisory Task Force on Blood Resources.

In March 1987, the Centers for Disease Control (CDC) (Atlanta), identified individuals who received multiple transfusions collected in high risk areas before April 1985 (when a blood screening test became available) as a group at risk for acquired immunodeficiency syndrome (AIDS). The exact number of individuals in this risk group is unknown but thought to be small. Nevertheless, this problem has attracted the attention of the President's Commission on the HIV Epidemic which, in its final report, issued June 24, 1988, recommended notification of every patient who received a blood transfusion since 1977 of their potential exposure to human immunodeficiency virus (HIV). The White House response to the report appeared to support the recommendation, as did the subsequently dropped William Dannemeyer amendment to the Waxman AIDS Testing/Confidentially Bill (HR 4757). In addition, some hospitals in high risk areas implemented such programs on their own initiative. To date there is no regulatory requirement for hospitals to notify past blood recipients. Unknowing transmission of pre-HIV test transfusion-related AIDS is a public health issue that in most cases is best assessed and resolved on an individual basis by patients and their physicians. The purpose of this communication is to inform hospitals about the existence of the risk group, to provide historical perspective on the issue, and to suggest ways in which hospitals can cooperate with and support medical staff in routinizing protection of this risk group and their contacts.

Blood Banks↗