UMEM Educational Pearls

Category: International EM

Title: International Blood Donation

Keywords: World Health Organization, blood donation (PubMed Search)

Posted: 7/9/2016 by Jon Mark Hirshon, MD, MPH (Emailed: 7/20/2016) (Updated: 7/20/2016)
Click here to contact Jon Mark Hirshon, MD, MPH

  • 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