Five of these (0 004%) were confirmed by the Venereal Disease Reference Laboratory at Whitechapel. During 1979, the laboratory staff were instructed to scrutinise the tests more critically and refer all positive reactions, however minimal or weak. Twenty-nine VDRL positives were reported in 1979 out of 108 310 donations. Eleven of these (0-01%) were confirmed as cases of syphilis. In 1980, 13 VDRL positives were found out of 116 757 donors of which seven were confirmed (0 007%). Of these donors, 20 670 were new donors. In this group there were seven VDRL positives of which four were confirmed (0 02%).