Should Men who have sex with Men be allowed to donate blood in Israel?
نویسندگان
چکیده
BACKGROUND The present permanent deferral policy in Israel for MSM was established in 1977 and was based on the previous (now outdated) USA Food and Drug Administration standards. This study analyses epidemiological data regarding blood donations among MSM, in order to estimate the risk for HIV transfusion transmitted infection (TTI) if the policy is changed to allow at-risk MSM to donate blood. METHODS An Excel based spreadsheet model integrated demographic, epidemiological data from the HIV National Register, laboratory, blood donation and testing data in order to calculate TTI due to false-negatives in known HIV+ donors, windows period donations, asymptomatic carriers and laboratory misclassification errors. A sensitivity analysis of our estimated TTIs for deferral periods for MSM was performed based on a literature review regarding this overall policy issue worldwide. RESULTS MSM in Israel have a considerably higher relative risk (RR) of both prevalence (115) and incidence (143) of being HIV+ than persons without a risk factor. Allowing MSM to donate blood, without any deferral period, will add an additional five HIV TTI cases over the next decade. Imposition of a 1 or 5 years deferral of abstinence will increase the number of HIV TTI cases only by 0.10 and 0.05 cases, respectively. CONCLUSION A 1 year deferral period for blood donations from MSM in Israel is recommended.
منابع مشابه
An end to lifetime blood donation ban in Israel for MSM would be a major step toward a science-based policy that reduces stigma
In recent years, countries around the world have revised their blood donation policies regarding gay and bisexual men, and other men who have sex with men (MSM). The United States lifted the lifetime ban on MSM from donating blood in 2015, replacing it with a 1 year deferral policy allowing MSM to donate if they abstain from sex for 12 months. Other countries followed suit, while Italy and Spai...
متن کاملWhy can't men who have sex with men (MSM) donate blood?
This week, my school hosted a blood drive. Gay men were not allowed to donate. I was so repulsed by this that I, a female friend, refused to donate just on principle. Is there some reason why gay men are still excluded from blood drives? Are they still so much more likely to be HIV positive than heterosexuals? Is this a policy from a time before blood screening was required? Someone said it was...
متن کاملWhy can't men who have sex with men (MSM) donate blood?
This week, my school hosted a blood drive. Gay men were not allowed to donate. I was so repulsed by this that I, a female friend, refused to donate just on principle. Is there some reason why gay men are still excluded from blood drives? Are they still so much more likely to be HIV positive than heterosexuals? Is this a policy from a time before blood screening was required? Someone said it was...
متن کاملWhy can't men who have sex with men (MSM) donate blood?
This week, my school hosted a blood drive. Gay men were not allowed to donate. I was so repulsed by this that I, a female friend, refused to donate just on principle. Is there some reason why gay men are still excluded from blood drives? Are they still so much more likely to be HIV positive than heterosexuals? Is this a policy from a time before blood screening was required? Someone said it was...
متن کاملWhy can't men who have sex with men (MSM) donate blood?
This week, my school hosted a blood drive. Gay men were not allowed to donate. I was so repulsed by this that I, a female friend, refused to donate just on principle. Is there some reason why gay men are still excluded from blood drives? Are they still so much more likely to be HIV positive than heterosexuals? Is this a policy from a time before blood screening was required? Someone said it was...
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