This can lead to donors withholding pertinent information and, potentially, making it through the screening process even when they should not be eligible to give blood due to concerns for patients’ or even their own safety. While donors who give blood in a volunteer-based system have little incentive to lie about their medical history and risk factors since their primary motivation is helping patients, donors in a paid system have money on the line. Therefore, deferring donors who report risk factors for certain infectious diseases is an added layer of safety for the blood supply. In addition, approved donor screening tests are not available for some infectious diseases.
does undergo rigorous testing before it is transfused, these tests can have decreased sensitivity in the days following an infection (“window period”). These questions are important because, while all blood in the U.S. Examples of these activities include traveling to a country with high rates of a certain disease and using non-sterile needles to inject drugs that are not prescribed by a doctor. that may be transmissible via transfusion. The UDHQ asks questions that pertain directly to your medical history as well as to activities that may put you at a greater risk for contracting a disease, virus, etc.
know, the longest part of giving blood is filling out and speaking to your medical history via the regulated Universal Donor History Questionnaire (UDHQ) that you’re required to fill out at each donation. While it may seem like simply paying donors or making donation more personal through family ties may solve blood supply issues, there are a number of factors that need to be considered when determining what is the best system for patients.Īs all donors in the U.S. According to WHO, of 135 countries surveyed, “79 countries collect over 90% of their blood supply from voluntary unpaid blood donors however, 56 countries collect more than 50% of their blood supply from family/replacement or paid donors.” In general, voluntary donation is more prevalent among “high-income countries,” though “middle-income” and “low-income” countries have been trending towards higher rates of volunteer donors in recent years. Ĭountries around the world differ on which methods are used most often (and, which are legally sanctioned). This is often a family member but can also be someone who has been asked or hired by the family to donate on the patient’s behalf. The third model, family/replacement, requires that a patient in need of a transfusion provide their own donor at the time treatment is needed. And a paid system is also what you’d expect: Donors are given monetary compensation for their donated blood. Its definition is fairly straightforward: Donors are not provided monetary compensation for their donation. As previously stated, voluntary blood donation is what we rely on here in the U.S. Globally, there are three models used to provide blood to patients: volunteer, paid and family/replacement.
While we will get into the reasons that volunteer donors are the “gold standard” below, first, a bit of context. While paying donors for transfusable products is legal in the United States, it is highly discouraged for a number of reasons that have been repeatedly touted by the World Health Organization (WHO) and are backed by scientific data. The short answer is, if a donation is paid for, hospitals are unlikely to use it to transfuse patients due to safety to concerns, and, since 1978, the FDA has required blood centers to label any donations for transfusion as coming from either paid or volunteer donors. Do we not value our donors? Is it too costly? Too logistically challenging? It’s not uncommon for SBC team members to receive questions as to why SBC does not pay donors who generously give their blood.
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Newsletter Archive 2002-2019 (LifeLink)īy Krista Thomas, Communications Strategist.
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