Patient Zero and the Making of the AIDS Epidemic
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Ghosts and Blood 273
This demanding schedule in turn limited the questions which different
lawyers were able to ask of those giving testimony and forced them to
prioritize their lines of interrogation, often at the last minute. Given this
shortage of time, it is suggestive that some lawyers repeatedly prioritized
the idea of “Patient Zero” as a question point for a number of witnesses
throughout the inquiry.
Border Guards or UN Observers?
Elliott summarized his general line of attack— into which Dugas’s story
would fi t— during his April 1995 examination of Dr. Richard Mathias, a
provincial epidemiologist based in British Columbia who had also been
a member of NAC- AIDS. Although Krever’s main task was to deter-
mine what had gone wrong with the blood system, the commissioner and
his counsel clearly realized that to fulfi ll this mandate, they would need
to gather information about the state of the provincial and national pub-
lic health systems for the period in question. A safe blood supply de-
pended in part on a strong public health system that effi ciently gathered
and distributed information regarding health risks to Canadians.
Only partially addressing his witness, Elliott ended his questioning
of the epidemiologist with a rhetorical fl ourish, drawing a comparison
between interprovincial cooperation and international affairs. He ask-
ing the hearing room, “Do we have the right— do Canadians have a right
to expect that provincial epidemiologists are going to act like border
guards, and defend us from epidemics, rather than UN [United Nations]
observers who merely report on the damage after the fact?”62 Elliott’s
line of questioning posited public health as a space delimited by bound-
aries of region and nation. In this geographically and politically de-
fi ned environment, interregional communication and cooperation would
prove essential in preventing the spread of infectious disease across a