Background and objectives In France, blood donation deferral for men who have sex with men (MSM) was reduced from permanent to 12 months in July 2016. Assessing noncompliance (rate and reasons) with this criterion is important to maintain a high level of viral safety in blood products. Materials and methods An anonymous online survey (Complidon) of a sample of blood donors was conducted in 2017. Data were post-stratified to be representative of all those who donated blood between July 2016 and December 2017. A multivariable analysis was performed to assess factors associated with noncompliance. Results Among male donors, 0Á73% [95% CI: 0Á63-0Á83] reported having sex with men in the 12 months preceding their donation. Factors associated with noncompliance were as follows: young age, a low educational level, concerns about privacy, and better knowledge of donor selection criteria and the window period than compliant men. More than half of noncompliant MSM donors (57Á6% [95% CI: 50Á6-64Á3]) felt that sexual orientation should not be a criterion for donation, 47Á2% [95% CI: 40Á4-54Á0] did not disclose their male-to-male sexual relations in order to avoid being excluded from donating, 40Á5% [95% CI: 34Á0-47Á4] reported using condoms and 21Á8% [95% CI: 16Á7-27Á9] had the same male partner for at least 12 months. Conclusion Complidon showed that compliance with blood donation criteria in MSM was high, but not optimal, especially among younger men. HIV residual risk did not increase after the implementation of 12-month deferral. Data from Complidon helped French policymakers to assess the additional HIV risk posed by increased access to blood donation for MSM.
terrorists committed several attacks in Saint-Denis and the East Parisian districts. These attacks, claimed by the organization Islamic State, constitute the deadliest series of multisite attacks that France has experienced. The stake for the Etablissement Franc ßais du Sang (EFS, the French public blood service) was to face the shockwave that propagated throughout the whole establishment from the very minutes following the events, impacting all the processes and stakeholders involved in the transfusion chain, which were challenged by a massive blood donor influx as soon as 14 November 2015. This article covers the impacts of the attacks on immunohaematology and delivery activities as well as the actions that were implemented to ensure sufficient blood supply. Then, the impacts on blood component production are set out. EFS integrated organization and available stocks allowed meeting blood requirements and enabled a strong control of outdating, after unprecedented blood collections during the weeks following 13 November 2015. Lastly, the article presents EFS experience feedback of Paris attacks and of the event that occurred in Nice on 14 July 2016, which helped improve our crisis management pattern with:1 Specific steps implemented in delivery facilities located in hospitals that were flooded by a large number of victims; 2 An analysis of the postattack donor population; 3 A reflection on optimal organizational schemes to face a donation influx; 4 Actions to leverage the consequences of a 'media wave' that could potentially result in useless, excessive blood collections.
Un cas d'ehrlichiose probable chez le chat par F. CHARPENTIER. et P. GROULADE •• RÉSUMÉ Les auteurs ont observé chez un chat une anémie importante accom pagnée d'hyperthermie et d'extrême fatigue, avec la présence dans le cytoplasme des mononucléaires d'inclusions ayant l'aspect de Morula d' ehrlichia. Mots clés : Chat-Inclusions intracytoplasmiques-Ehrlichiose. SUMMA RY REPORT OF ONE CASE OF PROBABLE FELINE EHRLICHIOSIS The authors observed in one cat : anemia, fever, anorexia, weight loss, a Morula of erhlichia canis in the cytoplasma of feline monocytes.
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