cross- examination questions to save time, other participants touched on
the subject as well; nonetheless, counsel for the Canadian AIDS Society
revisited the idea nine separate times, the most of any group, of which
Elliott led eight.
Time restrictions also affected the examination strategies adopted
by the commission of inquiry and the intervening parties. Initially faced
with an impossibly short period of less than twelve months in which
to conduct his hearings and write a report, Krever protested and was
granted more than one extension. Even so, with more than twenty par-
ties granted standing and nearly forty lawyers directly involved in the
proceedings, the inquiry was constantly wrestling with time constraints.
60. Elliott, August 27, 2008, recording C1491/39, tape 2, side B. Elliott nonetheless be-
lieved that Dugas had likely been careless in his sexual behavior: “Doubtless he caused
some infections, and doubtless some of that was done in an irresponsible way, but he didn’t
single- handedly cause the epidemic” (ibid.).
61. I have not included in this count a fascinating metaphorical reference by one par-
ticipant, Alan Powell, who employed the term patient zero to suggest that the lack of a pri-
mary case among recipients of hepatitis C– infected blood hindered the commission’s abil-
ity to establish an offi cial history for their infections: “Since we didn’t have a patient zero
we couldn’t do the backtracking involved to fi nd out when and where it fi rst became prev-
alent in North America or anywhere else in the world”; quoted in Verbatim Transcripts of
Commission of Inquiry on the Blood System in Canada, 247 vols. (Gloucester, ON: Inter-
national Rose Reporting, 1997), CD- ROM, 199:42196.
)
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Patient Zero and the Making of the AIDS Epidemic Page 44