[Memo to Harry Dangerfield from Member of Walter Reed]

Feb 16, 1993

To: Harry G. Dangerfield, M.D.
Colonel, Medical Corps
Special Assistant to the Commander
United States Army Medical Research &
Development Command
Fort Detrick
Frederick, Maryland 21701-5012
The following information is provided by way of background.
Since 1982 1 have provided medical care for many persons with HIV
disease, in emergency rooms, intensive care units, hospital wards, HIV
Units, and outpatient dclinics. In the early 1980's we did not know the
cause of the epidemic or hcw best to treat persons with AIDS-defining
infections and malignancies. I acquired experience during these, early
years of the epidemic in San Francisco with investigational drugs and
treatment protocols as we tried to improve our therapies. I acquired
further training in HIV/AIDS as an Infectious Disease Fellow at Harvard.
In addition to providing direct clinical care to persons with HIV/AIDS,
I participated in clinical trials of drugs such as ribavirin (1985-1986)
and AZT (1987-1988), the latter as a Co-Investigator of an NIH-sponsored
AIDS Clinical Trials Group (ACTG). By 1988 I had also completed a
Masters Degree in Public Health at the Harvard School of Public Health.
In 1988 the USAF offered me the opportunity of volunteering to become
the director of the USAF HIV Unit at Wilford Hall Medical Center (WHMC) in
San Antonio. From 1988-1989 hundreds of HIV-positive USAF personnel
were medically evaluated on the USAF HIV Unit. I reviewed over 1,200
patient records that year in order to verify that each patient's Walter
__ Reed HIV stage was correct and that all AIDS-defining infections and
S malignancies were entered into the USAF HIV computerized database.
-o
-= During the following year in San Antonio (1989-1990) 1 served as director
___ of the HIV database and assumed responsibility for coordinating HIV
___ research, particularly between WHMC and collaborators at the NIH, the
____ FDA, Harvard, Southwest Foundation for Biomedical Research, and others.
I provided dinical care to persons with HIV/AIDS while an Attending
Physician on the Internal Medicine and Infectious Diseases. Service during
five months that year, as well as through the Infectious Diseases clinic.
I continued to travel to Walter Reed for HIV meetings and to give talks on
HIV in the community and in the hospital.

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