Evaluation of the de‐selection of men who have had sex with men from blood donation in England

Soldan, Kate; Sinka, Katy

doi:10.1046/j.1423-0410.2003.00295.x

Cited by 55 publications

(63 citation statements)

References 19 publications

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“…They might not accept the donor selection criteria because they consider them to be discriminatory, especially for MSM. The question whether the permanent deferral from blood donation for MSM should be changed to a temporary deferral leading to a better compliance with the deferral criteria and eventually to higher safety of the blood supply has been discussed intensively on an international level [33][34][35]. Offergeld/Hamouda/Burger analyses.…”

Section: Resultsmentioning

confidence: 99%

Epidemiological Data – an Important Part of the Hemovigilance System

Offergeld

Hamouda²,

Bürger³

2010

Transfus Med Hemother

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Epidemiological data are essential for monitoring trends and outbreaks of infectious diseases in the general population. The reporting system pursuant to the Infection Protection Act in Germany results in a very good quality of timely nationwide data on all reportable diseases including those relevant for the blood supply: HIV, hepatitis C, hepatitis B and syphilis. Notifications of acute hepatitis B and first-time diagnosed hepatitis C infections in the general population showed a declining trend in the past years, but the number of reports of HIV and syphilis infections increased until 2007 especially among men who have sex with men. New preventive strategies should also address changes in sexual behavior. The specific surveillance of blood donors is an important part of the hemovigilance system. The highly effective donor selection process results in a small number of confirmed infections among donors in Germany. The surveillance data enable us to identify specific trends that might challenge blood safety like the increase in HIV infections among repeat donors. Specific evaluations are performed when needed. These additional studies can be used to modify guidelines or recommendations and to (re)evaluate the need for or the effect of further testing.

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Section: Resultsmentioning

confidence: 99%

Epidemiological Data – an Important Part of the Hemovigilance System

Offergeld

Hamouda²,

Bürger³

2010

Transfus Med Hemother

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“…The USA study [9] was supplemented by an additional study from England and Wales with a 3.5% prevalence [25] in order to estimate the effect of a 5 years deferral period. A further paper from England was not included as it was based on pre-Nucleic Acid Test detection technologies [26]. …”

Section: Methodsmentioning

confidence: 99%

Should Men who have sex with Men be allowed to donate blood in Israel?

Ginsberg

Shinar

Kopel

et al. 2016

Isr J Health Policy Res

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BackgroundThe present permanent deferral policy in Israel for MSM was established in 1977 and was based on the previous (now outdated) USA Food and Drug Administration standards. This study analyses epidemiological data regarding blood donations among MSM, in order to estimate the risk for HIV transfusion transmitted infection (TTI) if the policy is changed to allow at-risk MSM to donate blood.MethodsAn Excel based spreadsheet model integrated demographic, epidemiological data from the HIV National Register, laboratory, blood donation and testing data in order to calculate TTI due to false-negatives in known HIV+ donors, windows period donations, asymptomatic carriers and laboratory misclassification errors. A sensitivity analysis of our estimated TTIs for deferral periods for MSM was performed based on a literature review regarding this overall policy issue worldwide.ResultsMSM in Israel have a considerably higher relative risk (RR) of both prevalence (115) and incidence (143) of being HIV+ than persons without a risk factor. Allowing MSM to donate blood, without any deferral period, will add an additional five HIV TTI cases over the next decade. Imposition of a 1 or 5 years deferral of abstinence will increase the number of HIV TTI cases only by 0.10 and 0.05 cases, respectively.ConclusionA 1 year deferral period for blood donations from MSM in Israel is recommended.

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“…None of the four references listed at the end of this document is cited in the document text. Furthermore, the references are of questionable value in justifying current U.S. policy: Two of the four references assess the risk effects of MSM policy change in other countries-Canada (Germain, Remis, and Delage 2003) and England (Soldan and Sinka 2003). A third reference compares HIV risk reduction in the United States given two types of NAT screening (Busch et al 2005), and the fourth reference, "Presentation at FDA Blood Products Advisory Committee Meeting, September 2000," includes no specific reference to author or page in this 315-page meeting transcript.…”

Section: The "Iffy" Science Behind the Policy: "Between A Bread Box Amentioning

confidence: 99%

Blood Donation, Deferral, and Discrimination: FDA Donor Deferral Policy for Men Who Have Sex With Men

Galarneau

2010

The American Journal of Bioethics

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U.S. Food and Drug Administration (FDA) policy prohibits blood donation from men who have had sex with men (MSM) even one time since 1977. Growing moral criticism claims that this policy is discriminatory, a claim rejected by the FDA. An overview of U.S. blood donation, recent donor deferral policy, and the conventional ethical debate introduce the need for a different approach to analyzing discrimination claims. I draw on an institutional understanding of injustice to discern and describe five features of the MSM policy and its FDA context that contribute to its discriminatory effect. I note significant similarities in the 1980s policy of deferring Haitians, suggesting an historical pattern of discrimination in FDA deferral policy. Finally, I point to changes needed to move toward a nondiscriminatory deferral policy.

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Evaluation of the de‐selection of men who have had sex with men from blood donation in England

Cited by 55 publications

References 19 publications

Epidemiological Data – an Important Part of the Hemovigilance System

Epidemiological Data – an Important Part of the Hemovigilance System

Should Men who have sex with Men be allowed to donate blood in Israel?

Blood Donation, Deferral, and Discrimination: FDA Donor Deferral Policy for Men Who Have Sex With Men

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