BLOOD SAVES LIVES IN THE PAN AMERICAN HEALTH ORGANIZATION/WHO REGIONAL OFFICE FOR THEAmericasNew initiative launchedon <strong>World</strong> <strong>Health</strong> Day 2000rallies the Americas onblood safetyUnsafe blood and blood shortagesthreaten the health of people <strong>who</strong>need blood transfusions in somecountries of the Americas. A newinitiative has been launched toencourage more blood donationsand raise awareness of theimportance of having a safe andadequate blood supply at all times,Dr George A.O. Alleynesaid Dr George A.O. Alleyne,Director of the Pan American<strong>Health</strong> <strong>Organization</strong>.This initiative, launched on 7April, <strong>World</strong> <strong>Health</strong> Day 2000,focused on the critical issue ofsafe blood throughout theAmericas and the world, <strong>with</strong> thetheme: <strong>Safe</strong> <strong>Blood</strong> <strong>Starts</strong> With <strong>Me</strong>,<strong>Safe</strong> <strong>Blood</strong> Saves Lives.It is critical for all countries tojoin the effort to raise awarenessof the importance of safe,adequate blood supplies and forpeople everywhere to donate bloodat least twice a year. <strong>Safe</strong> blood,<strong>with</strong> no infectious agents, can onlycome through adequate screeningand testing of blood. All citizens ofthe Americas must be assured ofreceiving safe blood when theyneed it, Dr Alleyne said. We wantpeople to understand and acceptblood donation as a desirable,altruistic act, and health workersto discourage replacementdonation and retain and educatevolunteer donors, he added.<strong>Blood</strong> for transfusion is obtainedfrom voluntary, unpaid donors inonly a small proportion ofcountries and territories in theAmericas. At the national level,only Aruba, Curaçao, Cuba,Canada, and the United States,report 100% voluntary donations.Only 16 countries—eight in theEnglish-speaking Caribbean, six inLatin America, and Canada andthe United States—reportscreening 100% of donated unitsfor the human immunodeficiencyvirus (HIV), hepatitis B (HBV), andhepatitis C (HCV).Available data for the Americas,excluding Canada and the UnitedStates, indicate that 99% of allunits of blood collected arescreened for HIV and HBV and60% for HCV. This means that,annually, around 50,000 units aretransfused that have not beenscreened for HIV and HBV, andaround 1,500,000 units aretransfused that have not beenscreened for HCV, according toPAHO figures from the countries.In a <strong>World</strong> <strong>Health</strong> Day 2000ceremony at PAHO, Dr Alleyneaccepted a donation ofUS$100,000 from the PanAmerican <strong>Health</strong> and EducationFoundation (PAHEF) for PAHO’snew regional blood safetyinitiative. It was given by Sandrade Castro Buffington, VicePresident of Corporate Communicationsfor BuenaSalud.com, anda member of PAHEF’s Board ofTrustees.The <strong>World</strong> <strong>Health</strong> Day observationin Washington featured USSurgeon General Dr DavidSatcher, American Red CrossPresident and CEO Dr Bernadine24 ▲ WORLD HEALTH DAY ▼ SAFE BLOOD STARTS WITH ME
Healy, American Association of<strong>Blood</strong> Banks President Dr PaulNess, America’s <strong>Blood</strong> CentersPresident Dr Celso Bianco, andAmerican <strong>Blood</strong> ResourcesAssociation Chair Dr Toby Simon.The observance was organized inconjunction <strong>with</strong> the AmericanAssociation for <strong>World</strong> <strong>Health</strong> andthe US Department of <strong>Health</strong> andHuman Services.We know that the risk oftransfusion-transmitted infectionsis higher when blood productscome from paid or replacementdonors, rather than volunteer andrepeat donors, so we must meetthe challenge of promotingvoluntary blood donation, said DrAlleyne.<strong>Safe</strong> and adequate blood suppliesare needed in every country, yetsome lack the necessary infrastructureto manage bloodcollection and distribution. Inaddition, wars, civil unrest ornatural disasters can place severestrains on blood supplies. Screeningof all donated blood forinfection <strong>with</strong> HBV, HCV, syphilis,Trypanosoma cruzi, which causesChagas disease, and HIV is a veryimportant step which must betaken by all blood banks, said Dr.José Ramiro Cruz, PAHO’s regionaladvisor on blood safety.As a result of PAHO initiatives,there has been a significantincrease in the proportion of unitsof blood screened for HIV, HBV,HCV, and T. cruzi in the past fouryears. Laws, regulations, andstandards governing blood transfusionsin the Latin Americancountries have been promulgatedor amended. National bloodcommissions have beenestablished in some countries, andin others, technical committeeshave been formed to find ways toimprove the quality of the bloodbanks. PAHO has set up trainingprograms for national personneland a Distance Learning Programon <strong>Safe</strong> <strong>Blood</strong> and <strong>Blood</strong> Productsin 11 countries. Nationalinformation systems help evaluateprogress in each country andidentify priority areas for <strong>int</strong>ervention.Academic institutions,professional associations, andothers also are involved toguarantee that the trainingreaches physicians, nurses,laboratory staff, and personnel<strong>who</strong> work <strong>with</strong> blood donors.<strong>World</strong> <strong>Health</strong> DayCelebrations set for 7 April<strong>World</strong> <strong>Health</strong> Day 2000, focusingon the critical issue of safe blood,was observed in all communitiesaround the world.We want to raise the awareness <strong>int</strong>he Americas about theimportance of blood safety andencourage every country toestablish national blood programsand pass blood safety legislation,Dr. Cruz said. Working together,we can improve the safety of bloodbanking services throughout theWestern Hemisphere, and thusachieve the goals adopted by theministers of health in this regionof screening all blood and havingall blood banks participate inquality control programs, headded.The Pan American <strong>Health</strong><strong>Organization</strong> (PAHO) which servesas the regional office of WHO forthe Americas, works to improvehealth and raise living standardsin all the countries of theAmericas. ▲For further information on bloodsafety activities in the Americas,contact:Daniel EpsteinOffice of Public Information<strong>World</strong> <strong>Health</strong> <strong>Organization</strong>/PanAmerican <strong>Health</strong> <strong>Organization</strong>525, 23rd Street N.W.Washington, D.C. 20037Tel: +1 202 974-3459Fax +1 202 974-3143E-mail: epsteind@paho.orgInternet: www.paho.org25 ▲ WORLD HEALTH DAY ▼ SAFE BLOOD STARTS WITH ME
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