active participation of authoritiesfrom the 12 communes in theregion, contributed to the successof this campaign.Concepción <strong>Health</strong> Service :visual aids such as banners werealso prominent in the voluntaryblood collection campaign in alltowns in this region. Breakingnews was the signature of acooperative agreement <strong>with</strong> Maule<strong>Health</strong> Service, and a ceremony toacknowledge repeated voluntaryblood donors in the presence oflocal authorities.Talcahuano <strong>Health</strong> Service:the Hospital Las Higuerascampaigned to promote repeatedaltruistic voluntary blooddonations, carried out an audit onthe clinical use of blood and bloodproducts, and supported a meetingto discuss the clinical use of bloodguides.Araucanía Sur : the Temuco andValdivia hospitals were instrumentalin the success of a campaign topromote repeated voluntary blooddonations. The signing of acollaborative agreement <strong>with</strong> theRed Cross, a photographic exhibit,clinical meetings in hospitals, anaudit on the clinical use of bloodand blood products, and closecollaboration <strong>with</strong> local media allreinforced the messages of bloodtransfusion safety.Osorno <strong>Health</strong> Service: localmedia noted that regionalauthorities paid homage to thework of the blood bank in thisregion, the Red Cross dedicatedlocations to promote voluntaryblood donations, and thateducational materials weredistributed to all health services.Workshops were also held todiscuss the clinical use of bloodand blood products, andcollaboration was actively sought<strong>with</strong> all institutions andorganizations involved in bloodsafety.Llanchipal <strong>Health</strong> Service:organized a campaign consistingof a press conference <strong>with</strong> localmedia and a blood collection bythe Hospital Puerto Montt, theRed Cross and medical technologystudents.Aisén <strong>Health</strong> Service : hospitalsdistributed pamphlets andarranged panel exhibitions; themedia reinforced the messages,and meetings on the appropriateuse of blood took place at theCoyhaique and Puerto AisénHospitals. Clinical meetings <strong>with</strong>directors at different hospitalstook place to promote voluntaryblood donation and blood safety.<strong>Me</strong>tropolitan Central<strong>Health</strong> Service: The EmergencyHospital held a conference forworkers in the field of emergencyrelief and a poster exhibition onits voluntary blood donors club.<strong>Me</strong>gavisión broadcasted televisionspots and a blood collection wassuccessful at the University, <strong>with</strong>the blood mobile from the RedCross. In addition, a conference ontransfusion medicine wasspecially designed for surgeons.<strong>Me</strong>tropolitan East <strong>Health</strong>Service: At the Hospital ElSalvador, a clinical audit on theuse of blood was held at ToraxHospital and Neurosurgery.<strong>Me</strong>tropolitan South <strong>Health</strong>Service: the Sótero del Río andPadre Hurtado hospitals set uppromotions of voluntary blooddonation and blood bank activities,including a video. <strong>Health</strong> workerswere invited to participate asvoluntary blood donors and apanel was held at the hospitals onthis special <strong>World</strong> <strong>Health</strong> Day.The Hospital Barros Luco yExequiel Gonzalez Cortés sent aletter to all its personnelpromoting voluntary blooddonation and organized a bloodcollection at the San MiguelCouncil. An audit was also carriedout on the use of plasma insurgery, and a practical guide forthe clinical use of blood and bloodproducts was delivered at aclinical meeting.<strong>Me</strong>tropolitan West <strong>Health</strong>Service: Under the auspices ofthe Hospital San Juan de Dios, apromotional campaign was set upbased on panel exhibits and aconference and blood collection atthe University of Santiago. Clinicalunits had a meeting and audit onthe clinical use of plasma.34 ▲ WORLD HEALTH DAY ▼ SAFE BLOOD STARTS WITH ME
<strong>Me</strong>tropolitan North <strong>Health</strong>Service: the Hospital San Joséwas the centre for this blooddonation campaign <strong>with</strong>in hospitalpersonnel, extending to schools <strong>int</strong>he area about voluntary blooddonation. Visits to the blood bankwere organized, an audit on theclinical use of red cells andplasma and a clinical meeting toreport the results of the auditwere highlights of <strong>World</strong> <strong>Health</strong>Day.Other health servicesactivitiesCatholic University <strong>Me</strong>dicalSchool: information waschannelled to the public throughthe Catholic University TV onvoluntary blood donation and<strong>World</strong> <strong>Health</strong> Day. <strong>Blood</strong> wascollected by medical students incoordination <strong>with</strong> the Red Crossand articles were published by themedia on voluntary altruisticblood donations.Chilean Navy: an exhibition wasmounted by the Hospital NavalViña del Mar in the main hall andoutpatient clinics on <strong>World</strong> <strong>Health</strong>Day and voluntary blooddonations. Further clinicalmeetings were organized <strong>with</strong>Internal <strong>Me</strong>dicine, Surgery,Obstetrics and Anesthesiology<strong>int</strong>roducing WHO concepts ofblood safety, the appropriateclinical use of blood and apresentation of the results of anaudit on the use of <strong>who</strong>le blood,red cells and plasma.SummaryAn evaluation of the activitiescarried out shows that:— The Chilean population issensitive to solidarity acts suchas voluntary blood donation,especially the youth, showingthat this could be attained <strong>int</strong>he mid term.— The authorities understand theimportance of the problem andare very involved in theactivities of blood banks.— It was possible to demonstratefailures in the clinical use ofblood in all places were anaudit was performed, allowingmany hospitals to take actionand form <strong>Blood</strong> TransfusionCommittees.Valparaiso AgreementWe the undersigned, representativesof organizations attendingthe <strong>World</strong> <strong>Health</strong> Day ceremonyhere in the city of Valparaíso, inconsidering past experiences,hereby endorse the “ValaparaísoAgreement” as follows:Current situation<strong>Blood</strong> is essential for life, bloodtransfusions are needed for sometreatments, and there is currentlyno substitute for it.The only source of blood fortransfusion is blood donation.Donated blood can be fractionated<strong>int</strong>o components, allowing thedevelopment of different areas ofmedicine. The fractionationprocess is more and moredemanding given the need toattain quality standards in line<strong>with</strong> the health services and dothis <strong>with</strong>in available resources.Although technological developmenthas provided alternatives tosome blood products, they are notalways used.In Chile, the blood supply is basedon family/replacement donations.The change from this system toone based on repeated, voluntary,altruistic blood donations, whichexhibit a lower incidence ofmarkers for infectious agents, is amedium term goal that dependsnot only on health workers, but onthe community as a <strong>who</strong>le.<strong>Blood</strong> transfusion, as <strong>with</strong> allhealth <strong>int</strong>erventions, is not riskfree,necessitating a constantreview of clinical practices inprescribing blood.To increase the safety of the <strong>who</strong>leprocess, we must simultaneouslycheck all links in the chain,starting <strong>with</strong> the blood donor,continuing <strong>with</strong> the processingand distribution and ending <strong>with</strong>the appropriate use in the bloodreceiver. To assure these linksneeds the active participation of35 ▲ WORLD HEALTH DAY ▼ SAFE BLOOD STARTS WITH ME
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express gratitude to theorganizers
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ANNEX 1Pledge 25—A blood donor cl
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Are there any risksin giving blood?
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ANNEX 4. THE APPROPRIATE CLINICAL U
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Department of Blood Safety and Clin