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BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization

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Page 1: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

BLOOD TRANSFUSION SAFETY: PROGRESS REPORT

BLOOD TRANSFUSION SAFETY: PROGRESS REPORT

142nd Session of the Executive Committee

23-29 June 2008, Washington DC

Pan American Health Organization

142nd Session of the Executive Committee

23-29 June 2008, Washington DC

Pan American Health Organization

Page 2: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 2

COVERAGE OF SCREENING FOR TTILATIN AMERICA AND CARIBBEAN 2000 -2005

COVERAGE OF SCREENING FOR TTILATIN AMERICA AND CARIBBEAN 2000 -2005

95

96

97

98

99

100

101

2000 2003 2004 2005

HIV

HBV

HCV

SYP

%

Page 3: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 3

PARTICIPATION IN PEEP FOR TTIVOLUNTARY BLOOD DONATION

LATIN AMERICA 2000-2005

PARTICIPATION IN PEEP FOR TTIVOLUNTARY BLOOD DONATION

LATIN AMERICA 2000-2005

0

10

20

30

40

50

60

2000 2003 2004 2005

PEEP

VBD%

Page 4: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 4

RISK OF INFECTED TRANSFUSIONS2003-2005*

RISK OF INFECTED TRANSFUSIONS2003-2005*

0

5

10

15

20

25

30

35

VIRAL T. cruzi

2003

2004

2005

* per 100,000 donations

Page 5: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 5

EFFICIENCY OF BLOOD COLLECTIONLATIN AMERICAN COUNTRIES, 2005EFFICIENCY OF BLOOD COLLECTIONLATIN AMERICAN COUNTRIES, 2005

N UNITS 1,404 2,334 5,888 p<0.0005

DONATION RATE/10,000

(95% CI)100.85

(95 - 107)

115.90

(111 - 121)

186.81

(182 - 192)

P<0.005

VBD

(MEAN) 10.4 18.5 51.3 p<0.010

DONOR

DEFERRAL

(%)

20.1 24.7 7.9 p<0.050

MEAN UNITS

DISCARDED

(%)

10.7 9.9 10.3 p> 0.90

Page 6: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 6

EFFICIENCY OF BLOOD COLLECTION CARIBBEAN COUNTRIES 2005

EFFICIENCY OF BLOOD COLLECTION CARIBBEAN COUNTRIES 2005

COUNTRIES WITH

DERERRAL RATE

20-53%

(n=8)

COUNTRIES WITH

DEFERRAL RATE

0-10%

(n=7)

DONATION RATE

(MEDIAN) 87.7 167.6

COUNTRIES WITH 100% VBD 0/8 4/7

PREVALENCE TTI (MEDIAN)

4.09 0.90

DISCARD RATE

(MEAN)

9.3 8.8

Page 7: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 7

FINANCIAL RESOURCES LOSTLATIN AMERICAN AND CARIBBEAN COUNTRIES 2005

FINANCIAL RESOURCES LOSTLATIN AMERICAN AND CARIBBEAN COUNTRIES 2005

LATIN AMERICA CARIBBEAN

# UNITS REACTIVE/POSITIVE

FOR TTI235,134 3,562

# UNITS OF RBC

OUTDATED

& DISCARDED

603,950 6,425

TOTAL UNITS LOST 839,084 9,987

TOTAL COST

US $ 56/UNIT

46 988 704 559,272

Page 8: BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142

Pan American Health Organization 2008 8

THE WAY FORWARDTHE WAY FORWARD• HEALTH AUTHORITIES LEAD PLANNING AND

MANAGEMENT OF NATIONAL BLOOD NETWORK SYSTEMS

• NEED FOR BLOOD COMPONENTS AT THE NATIONAL LEVEL IS ESTIMATED

• A SOCIAL NETWORK IS FORMED AND BLOOD DONORS ARE EDUCATED

• REPLACEMENT AND PAID DONATIONS ARE TERMINATED