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AIDS expert Kunal Saha is calling on World Bank officials to release a report on faulty diagnostic HIV test kits that could be putting Indians at risk for the virus. Saha, a professor at Ohio State University, also wants officials to ensure the kits, which he said produce false negative results, are removed from blood banks and hospitals in the country.

Earlier this year, Saha went on a bank-sponsored mission to India to examine a program to combat the spread of HIV. He and two India-based medical specialists visited hospitals and blood banks in major cities, gathering lab documents concerning the faulty kits. He cited 2004 and 2005 test results from two Indian hospitals in which blood samples that were known to be HIV-positive instead tested negative during a second, confirmatory test using the defective kits.

A draft report by Saha and the other doctors warns of serious quality issues with the kits at blood banks and hospitals between 2003 and 2006. "If people are getting HIV because of defective test kits, it's horrendous, it's unthinkable," said Saha.

The World Bank's top public health expert in South Asia, Kees Kostermans, said a bank report on the matter should be completed in a couple of months. Kostermans said there is no specific evidence of HIV transmissions due to the faulty kits, which were not purchased directly by the bank. The bank's partners at India's National AIDS Control Organization have assured him the kits are no longer being purchased and that none remain in use, he said.

Saha said he has seen evidence suggesting some of the flawed kits were in use as recently as April. But Kostermans disputed this, saying Saha was "mistaken" about the origin and make of the kits he saw on shelves in India earlier this year. "It is in nobody's interest to have poor-quality test kits," Kostermans noted.

Washington Post    (09.28.07):: Carrie Johnson

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