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In a damning inquiry report released on Monday, the UK’s contaminated blood scandal has been characterized as a catastrophic event that could have been largely prevented. The inquiry, investigating decades of negligence and cover-up, highlighted systemic failures by successive governments and healthcare providers that led to over 3,000 deaths and thousands infected with HIV and hepatitis viruses.

The scandal, which unfolded between the 1970s and early 1990s, primarily affected patients with haemophilia and other bleeding disorders who received infected blood and blood products. According to the report cited by Xinhua news agency, the inquiry described the situation as “the worst treatment disaster” in the history of Britain’s National Health Service (NHS).

The report pointed out that the magnitude of deaths and infections could have been significantly reduced if proper precautions and transparency had been maintained. It criticized a pervasive culture of hiding facts to “save face and expense,” rather than addressing the public health crisis head-on.

The inquiry identified a critical link to contaminated clotting factor imported from the US, sourced from high-risk paid donors. This supply chain decision, alongside inadequate screening measures, contributed significantly to the scale of the tragedy.

“The questions surrounding why so many deaths and infections occurred have been left unanswered for too long,” the report stated, underscoring the delayed acknowledgment and accountability for the widespread harm caused.

In response to mounting pressure and the scale of the disaster, the UK government initiated a public inquiry in 2017 to thoroughly investigate the circumstances leading to the contamination. By 2022, interim compensation payments totaling £100,000 ($127,000) each were distributed to approximately 4,000 affected individuals and bereaved partners through the country’s infected blood support schemes.

The report’s findings have sparked renewed calls for justice and comprehensive reforms within the healthcare system to prevent such tragedies from recurring. The inquiry’s conclusion serves as a stark reminder of the human cost of systemic failures in healthcare governance and oversight.

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