Category: International EM
Keywords: World Health Organization, blood donation (PubMed Search)
Posted: 7/9/2016 by Jon Mark Hirshon, MD, MPH, PhD
(Emailed: 7/20/2016)
(Updated: 7/20/2016)
Click here to contact Jon Mark Hirshon, MD, MPH, PhD
Just the Facts:
112.5-million blood donations globally and half of these come from High-income countries
High-income countries more often use blood for supportive care during surgery, in traumas or therapy for malignancies
Low and middle-income countries more often use blood to manage pregnancy-related complications or in severe childhood anemia
General availability of blood is based on the donation rate
High-income countries have 33.1 donations/1000 people
Middle-income countries have 11.7 donations/1000 people
Low-income countries have 4.6 donations/1000 people
70 countries reported collecting fewer than 10 donations per 1000 people and half of these countries were in the African region
Disease prevalence in the region is reflected in the transmission rate of transfusion-transmissible infections (TTI)
Table 1. Prevalence of TTIs in blood donations (Median, Interquartile range (IQR)), by income groups
|
| HIV | HBV | HCV |
|
|---|---|---|---|---|
| High-income countries | 0.003% (0.001% – 0.040%) | 0.030% (0.008% – 0.180%) | 0.020% (0.003% – 0.160%) | |
| Middle-income countries | 0.120% (0.020% – 0.340%) | 0.910% (0.280% – 2.460%) | 0.320% (0.090% – 0.690%) | |
| Low-income countries | 1.080% (0.560% – 2.690%) | 3.700% (3.340% – 8.470%) | 1.030% (0.670% – 1.800%) |
Submitted by: Dr. Laura Diegelmann
