Safe Blood Starts with Me - libdoc.who.int - World Health Organization

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SAFE BLOOD STARTS WITH ME – BLOOD SAVES LIVESSloveniaA young countrySlovenia is a small, new Europeancountry with an ethnically homogenouspopulation, 90% of whomare Slovenes. The populationgrowth is expected to stagnateover the coming years, with theproportion of children continuingto decrease, and the percentage ofpeople over 65 on the increase.Soon after its independence in1991, Slovenia was grantedinternational recognition by theEuropean Community andadmitted to leading internationalorganizations such as WHO. Thecountry has a well-developed,mandatory health insurancesystemThe typicalSlovenian blooddonor is a 35- to45-year-oldmale.and,althoughhealthindicatorsplace itsomewhatbehind the leaders, Sloveniaremains ahead of most othercountries in the central andeastern European region.History of the BloodTransfusion Servicesin SloveniaThe first bottles of blood werecollected in the new BloodTransfusion Services of Slovenia atthe end of World War II. Blooddonors were paid with oil, sugaretc., in line with local custom. In1953, blood donation became nonremunerativeand voluntary andthe number of blood donors grewunder the direction of theSlovenian Red Cross, reaching125,000 in 1984—5.6% of thepopulation.Today, the National BloodTransfusion Centre (NBTC),closely connected with the ClinicalHospital inLjubljana, has eightdepartments locatedin regional hospitalsunder thesupervision of atransfusionist. TheNBTC collectsnearly half of the100,000 units ofblood donated each year. Mobileunits operate 170 days a year atdifferent places in Slovenia and onthe remaining days, blood iscollected at the TransfusionCentre or other Transfusiondepartments. Blood donors arealso called in daily for theplasmapheresis programme andfor collecting fresh whole blood forthe citopheresis programme.Whether voluntary or targeteddonors, no-one gets remunerated.My blood—safe blood. For me, for you, for everyone.The processing of bloodBlood is mainly collected bymobile units in triple bags withSAGM and processed into redblood concentrate, fresh frozenplasma or platelet concentrate. Asmall amount is used as wholeblood for open-heart surgery, livertransplants or bone marrow forexample, for which there is aspecial transplantation team.Plasma and platelets areadditionally collected byaphaeresis from voluntary,unremunerated donors.78 ▲ WORLD HEALTH DAY ▼ SAFE BLOOD STARTS WITH ME
Given the relatively short storagelife for all blood cellcomponents—from six weeks forred blood cells down to only oneday for granulocites—it isimportant to focus on qualitycontrol and cost benefit whenchoosing a preparation method.Some special components areprepared only in the larger BloodTransfusion Centres beforedelivery to the smaller hospitals.Slovenia is still developing itspolicy on self-sufficiency for bloodderivatives. The country has noeconomic reason to have its ownfractionation plant since itspartners fractionate the greatmajority of collected plasma foralbumin, Factor VIII, IXconcentrate and gamma globulin.Slovenia is, however, selfsufficientfor all blood componentsand products with the exception ofFactor VIII, for which half of the6 million units used per year areimported.ScreeningAll units are tested for syphilis,HIV 1/2, hepatitis B and C, thelatter using PCR. Testing, groupingand cross matching of donatedblood is carried out beforetransfusion. The functions of theBlood Transfusion Service alsoinclude antenatal screening andcoordination of anti-D protection,a tissue typing laboratory and anauto transfusion unit foroutpatients.Quality ManagementProgrammeTo reinforce a strong Researchand Development team, thepriority is to introduce effectivequality control and build a uniquequality assurance system for thewhole country.Training in the field of bloodtransfusion is high on the agenda.Administrative errors are one ofthe most common sources in theblood transfusion service which iswhy fifteen years ago, Sloveniaadopted a special automatedprogramme to make routinedecisions, guide procedures andproduce reports, statistics andanalyses, all of which has madeblood transfusion safer. A networkconnects all transfusion departmentsto the Slovenian register ofblood donors, although a datalinkbetween clinics and blood transfusionservices would improvesupervision of the clinical use ofblood and blood derivatives, andalso form the basis for an effectivehaemovigilance system.World Health Day—A Red FlagWorld Health Day, with its slogan“Safe blood starts with me—bloodsaves lives” was a challenge tothis nation, in the midst oftransition and reorganization of itsblood transfusion and donorrecruitment system. The challengewas to increase public awarenessand understanding of blood safetythrough voluntary, nonremuneratedblood donation fromlow risk populations. Gaininginformation on the behaviouralcharacteristics of present andpotential donors was considered avital starting point.Several manifestations andactivities took place on 7 Aprilfocusing on donor recruitment andhealth professionals. Key playersin the public informationcampaign for safe transfusionwere the President of Slovenia,the Minister of Health, representativesof the Red Cross andhealth care personnel.Manual for blood donor andrecruitment personnel79 ▲ WORLD HEALTH DAY ▼ SAFE BLOOD STARTS WITH ME
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WHO/BCT/01.03 • Original: English
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SAFE BLOOD STARTS WITH ME - BLOOD S
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It is our hope that the ideas and e
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continual technical assistance toen
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leaflets, flags, pins, stickers and
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WHO House in New Delhi. In thisregi
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Another example of industrialpartne
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the University of Bujumburatwirled,
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Faithful Blood Donor Prizes1st 150k
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The Johannesburg cycling team.Polic
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Masiyarwa Secondary School bannerpr
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Healy, American Association ofBlood
Page 35 and 36: What is blood used for?Red cells ar
Page 37 and 38: Youth solidarity with the blood don
Page 39 and 40: MaterialsEvery form imaginable was
Page 41 and 42: targeted at health personnel of the
Page 43 and 44: Metropolitan North HealthService: t
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Page 47 and 48: Campaign at local universityBlood d
Page 49 and 50: — Love of our fellow humanbeings;
Page 51 and 52: Laboratory in Coahuilatragedy, or p
Page 55 and 56: During the event, diplomas andT-shi
Page 57 and 58: own video film on blood safety,usin
Page 59 and 60: pressure. The Bahrain DiabetesSocie
Page 63 and 64: Quality management— quality depar
Page 65 and 66: donation campaigns. The specificobj
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Page 71 and 72: BLOOD SAVES LIVES IN WHO’S REGION
Page 75 and 76: World Health Day 2000In promoting b
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Page 85: ConclusionThe national authorities
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Page 91 and 92: Press conferenceA press conference
Page 93 and 94: with messages on the theme of theda
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Page 105 and 106: express gratitude to theorganizers
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Page 117 and 118: An altruistic IssueIt is not only i
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Page 125 and 126: ANNEX 1Pledge 25—A blood donor cl
Page 127 and 128: — Albumin, which is an importantp
Page 129 and 130: Are there any risksin giving blood?
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Page 133 and 134: ANNEX 4. THE APPROPRIATE CLINICAL U
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should define the measures that wil
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Department of Blood Safety and Clin
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