Blood Transfusion Services

1
Blood Transfusion Services

• By
• Dr.Farrukh Hasan
• M.B.B.S. Dip In Hematology, M.B.A.
• Medical Director, National Hematology Centre
  Blood Bank
• (Pakistan)

2
Pakistan

• Total area 803,940 sq km (310,403 sq miles)
• Land area 778,720 sq km
• Water area 25,220 sq km
• Population 150 million
• Male/female ratio 45 males 55 Females

3
Blood Banks in the country

• Total No. 820
• In public Sector 470
• In Private Sector 350
• Highest No. In Sind province
• Most blood collection In Punjab

4
Organizational structure of the countrys blood
transfusion system

• National Blood Policy - yes
• National and technical guidelines on blood
  transfusion activities - yes
• National authority, Provincial authorities
  coordinate countrys blood transfusion
  activities- to a little extent
• National Blood Transfusion Service--no
• Involvement of Government is slowly increasing
  but, it does not have the appropriate funds
  allocated nor the independent infra structure.
• NGOs (eg Husaini Blood Bank, Fatmid B.B, Red
  cross/ Red crescent etc.), hospital based private
  blood banks and non hospital based private blood
  banks.

5
National data on blood transfusion activities

• National data on blood transfusion activities is
  reported on the basis of collective data provide
  by different NGOs, private sector and government
  institutions and coincides with the import of
  blood bags.
• There no institution or ministry section which
  collect these data to monitor blood transfusion
  activities of the country?
• This data is available by personal efforts,
  collection in various conference and to those who
  are working in this field.
• It is authentic in the sense that it is
  officially agreed upon but not published as such
  or backed up by clear evidence or the mode of its
  collection.

6
Transfusion Reactions

• Reporting
• Confirmation of the reason of Reaction?

7
Blood Collection System

• Blood donors in 2003-- 1.1 million
• 2004--- 1.3 million
• 2005 1.5million
• Female donors are less than 3.
• of Voluntary non remunerated donors 10 (urban)
  
• System registry of Regular donors Only at a
  few NGOs who are well organized.
• of Replacement donors around 85
• of paid donors less than 5

8
TTI testing of donated blood

• Percentage () of collected blood tested for
  infection markers- HIV12, Hep B, Hep C,
  Syphilis, Malaria
• Nationally defined compulsory tests? All the
  above
• Screening methods used for above tests (eg ELISA,
  Rapid tests, RPR, TPHA etc.
• Percentage () of screening positive donations
  with regard to each of the above infections
  HCV3.7, HBV4,HIV0.01,Syphlis0.5,Malaria0
  .1
• Confirmatory testing on positive donations Only
  for HIV Informing the donors about their
  screening or confirmatory positive status?

9
Component preparation

• National. Less than 5
• Regional More in Sind Punjab
• Institutional data
• of whole blood units processed into components
• Types of components prepared
• Number (and of total collection) used as whole
  blood in clinical use More than 80

10
Advances in Blood Transfusion

• National.
• Regional
• Institutional
• Apheresis blood collection
• Automated Theraputic plasma exchange
• Automation in Donation testing
• Luecoreduction of blood components
• Academic developments in transfusion medicine
  eg Diploma, MD in TM
• Quality systems in blood transfusion

11

• The formation of a National Blood
  Transfusion
• Authority is never the less regarded by
  us,
• as the famous Chinese saying goes
• Journey of a thousand miles must begin
• with a single step
• THANK YOU