TRANSFUSION MEDICINE IN THE CARIBBEAN AND ...SAV NR NR NR NR NR NR NR NR SUR 1 5,246 - 99.96 - 0.04...

Essential Medicines, Vaccines and Health Technologies (EV)

Technology and Health ServicesDelivery Area (THS)

T E C H N I C A L D O C U M E N T S

Access to Quality Products

TRANSFUSIONMEDICINE IN THECARIBBEAN AND

LATIN AMERICANCOUNTRIES,

2000-2003

THS/EV -2005/005 I

Transfusion Medicine in the Caribbean and Latin American Countries

PAHO HQ Library Cataloguing-in-Publication

Pan American Health Organization, Area of Technology and Health Services Delivery, Unit of Essential Medicines, Vaccinesand Health Technologies.

Transfusion Medicine in the Caribbean and Latin American Countries, 2000-2003.Washington, D.C : PAHO, © 2005.(Technical Documents. Access to Quality Products. THS/EV-2005/005 I)

ISBN 92 75 12568 6

I. Title II. SeriesIII. Cruz, José Ramiro - comp IV. Pérez-Rosales, Maria Dolores - comp

1. BLOOD TRANSFUSION2. BLOOD DONORS3. BLOOD BANKS4. TRANSFUSION-TRANSMITTED VIRUS5. LATIN AMERICA6. CARIBBEAN REGION

NLM WB 356

Data compiled by José Ramiro CruzMaria Dolores Pérez-Rosales

Final document typed by Martha Koev

Graphic design by Alex WinderPAHO, Washington, D.C., USA

iii


iv

The information summarized in the present publication is part of the Regional Blood Safety Initiative, supported by agrant from the Bill and Melinda Gates Foundation.

The Pan American Health Organization welcomes requests for permission to reproduce or translate its publications, inpart or in full. Applications and inquiries should be addressed to the Essential Medicines Unit, Vaccines and HealthTechnologies, Pan American Health Organization, Washington, D.C., USA, which will be glad to provide the latest informa-tion on any changes made to the text, plans for new editions, and reprints and translations already available.

© Pan American Health Organization, 2005

Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions ofProtocol 2 of the Universal Copyright Convention. All rights are reserved.

The designations employed and the presentation of the material in this publication do not imply the expression of anyopinion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the status of anycountry, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.

The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recom-mended by the Pan American Health Organization in preference to others of a similar nature that are not mentioned. Errorsand omissions excepted, the names of proprietary products are distinguished by initial capital letters.

TABLE OF CONTENTS

ABBREVIATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VIIINTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VIII

CARIBBEAN COUNTRIES

Year 2000

BLOOD COLLECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1BLOOD SCREENING FOR INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1UNITS THAT WERE NOT SCREENED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2PREVALENCE OF INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2COMPONENT AVAILABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3NATIONAL BLOOD SYSTEM ORGANIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3RESPONSIBLE FOR PROVIDING NATIONAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Year 2001

BLOOD COLLECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9BLOOD SCREENING FOR INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9UNITS THAT WERE NOT SCREENED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10PREVALENCE OF INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10COMPONENT AVAILABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11NATIONAL BLOOD SYSTEM ORGANIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11RESPONSIBLE FOR PROVIDING NATIONAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Year 2002

BLOOD COLLECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17SCREENING FOR INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17UNITS THAT WERE NOT SCREENED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18PREVALENCE OF INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18COMPONENT AVAILABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19NATIONAL BLOOD SYSTEM ORGANIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19RESPONSIBLE FOR PROVIDING NATIONAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Year 2003

BLOOD COLLECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27BLOOD SCREENING FOR INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27UNITS THAT WERE NOT SCREENED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28PREVALENCE OF INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28COMPONENT AVAILABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29NATIONAL BLOOD SYSTEM ORGANIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29RESPONSIBLE FOR PROVIDING NATIONAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35


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LATIN AMERICAN COUNTRIES

Year 2000

BLOOD COLLECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38BLOOD SCREENING FOR INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38UNITS THAT WERE NOT SCREENED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39PREVALENCE OF INFECTIOUS MARKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39COMPONENT AVAILABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40NATIONAL BLOOD SYSTEM ORGANIZATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40RESPONSIBLE OF PROVIDING NATIONAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Year 2001


Year 2002


Year 2003


ANNEX: DATA COLLECTION FORM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76


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ABBREVIATIONS

COUNTRY CODES OTHERS

ANU Anguilla CRYO CryoprecipitateANI Antigua and Barbuda FFP Fresh Frozen PlasmaARG Argentina FP Frozen PlasmaARU Aruba HBsAg Hepatitis B Surface AntigenBAH Bahamas HBV Hepatitis B VirusBAR Barbados HCV Hepatitis C VirusBLZ Belize HIV Human Immunodeficiency VirusBER Bermuda HTLV I/II Human T Cell LymphotropicBOL Bolivia Virus type I and IIBRA Brazil NA Not ApplicableVIB British Virginia Islands NR Not ReportedCAY Cayman Islands NT Not TestedCHI Chile PL PlateletsCOL Colombia RBC Red Blood CellsCOR Costa Rica - 0.00CUB Cuba TTI Transfusion - TransmittedDOM Dominica InfectionsCUR CurazaoDOR Dominican RepublicECU EcuadorELS El SalvadorGRA GrenadaGUT GuatemalaGUY GuyanaHAI HaitiHON HondurasJAM JamaicaMEX MexicoMOT MonserratNIC NicaraguaPAN PanamaPAR ParaguayPER PeruSCN Saint Kitts and NevisSAL Saint LuciaSAV Saint Vincent and the GrenadinesSUR SurinameTRT Trinidad and TobagoTCA Turks and Caicos IslandsURU UruguayVEN Venezuela


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INTRODUCTION

The 41st Directing Council of the Pan American Health Organization (PAHO) adopted resolution CD41.R15,Strengthening Blood Banks in the Region of the Americas, in Puerto Rico in September/October 1999. In the resolution,the Ministers of Health requested that PAHO “document the progress of national blood programs,” among other

activities.

In response to the specific request, PAHO has collected information from the countries on a yearly basis, using a standardizedform which was developed in consultation with those individuals responsible for the national blood programs in LatinAmerican countries, and for the national blood banks in the Caribbean subregion (Annex 1). The summary data included inthe annual survey allow both local health authorities and PAHO to analyze the availability and safety of blood by countryand by subregion.

The present document summarizes the status of transfusion medicine in each of the Caribbean and Latin American countriesfrom 2000 to 2003. Information on the number of blood banks, number and type of blood donors, proportion of blood unitsscreened for infectious markers, prevalence of those markers among blood donors, proportion of units separated into com-ponents, and proportion of units discarded are presented.

The document also provides information on the organizational aspects of each national blood program, a summary of thecountries with 100% screening for infectious markers, with 50% or more voluntary donors, and with a national program inproficiency testing/external evaluation of performance of serology and immunohematology, major indicators of the degreeof development of the national blood programs.

Finally a list of personnel responsible for submitting the information to PAHO is provided.


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BLOOD COLLECTION, 2000

COUNTRY # # REMUNERATED VOLUNTARY REPLACEMENT AUTOLOGOUS UNITS / UNITS/ DAYBANKS UNITS DONORS (%) DONORS (%) DONORS (%) DONORS (%) BANK (260 DAYS)

ANU 1 26 - 23.07 76.93 - 26 <1ANI 2 1,050 - 0.80 99.00 0.20 525 2ARU 1 2,903 - 99.89 - 0.10 2,903 11BAH NR NR NR NR NR NR NR NRBAR 1 3,481 - 24.77 72.33 2.90 3,481 13BLZ 7 3,127 - 6.10 93.90 - 447 2BER 1 2,299 - 98.08 0.27 1.65 2,299 9VIB 1 315 - 92.06 7.94 - 315 1CAY NR NR NR NR NR NR NR NRCUR 1 6,005 - 99.91 - 0.09 6,005 23DOM 1 885 - 3.73 96.16 0.11 885 3GRA 1 754 - 8.48 89.92 1.59 754 3GUY 1 3,343 - 20.61 78.55 0.57 3,343 13HAI* 1 1,834 - 80.00 20.00 NR 1,834 7JAM 9 25,990 - 19.60 80.31 0.08 2,888 11MOT NR NR NR NR NR NR NR NRSCN 1 232 - 0.43 99.14 0.43 232 <1SAL 2 1,599 - 75.09 24.22 0.69 799 3SAV NR NR NR NR NR NR NR NRSUR 1 5,246 - 99.96 - 0.04 5,246 20TRT 8 14,882 - 61.57 38.04 0.39 1,860 7TCA 2 161 - 25.00 75.00 - 80 <1

* Data from the Blood Transfusion Unit of the State University Hospital, only.

BLOOD SCREENING (%) FOR INFECTIOUS MARKERS, 2000

COUNTRY HIV HBsAg HCV SYPHILIS HTLV I-II

ANU 100 100 - 100 -ANI 100 100 - 100 -ARU 100 100 100 100 100BAH NR NR NR NR NRBAR 100 100 100 100 100BLZ 100 100 - 100 -BER 100 100 100 100 -VIB 100 100 - 100 100CAY NR NR NR NR NRCUR 100 100 100 100 100DOM 100 100 100 100 100GRA 100 100 - 100 100GUY 100 100 - 100 -HAI* 100 100 100 100 -JAM 100 100 100 100 100MOT NR NR NR NR NRSCN 100 100 - 100 -SAL 100 100 100 100 100SAV NR NR NR NR NRSUR 100 100 100 100 100TRT 100 100 100 100 100TCA 71.00 100 67.00 71.00 -



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UNITS (N) THAT WERE NOT SCREENED, 2000


ANU - - 26 - 26ANI - - 1,050 - 1,050ARU - - - - -BAH NR NR NR NR NRBAR - - - - -BLZ - - 3,127 - 3,127BER - - - - -VIB - - 315 - 315CAY NR NR NR NR NRCUR - - - - -DOM - - - - -GRA - - 754 - -GUY - - 3,343 - 3,343HAI* - - - - 1,834JAM - - - - -MOT NR NR NR NR NRSCN - - 232 - 232SAL - - - - -SAV NR NR NR NR NRSUR - - - - -TRT - - - - -TCA 46 - 53 46 161

TOTAL 46 - 8,900 46 10,088


PREVALENCE (%) OF INFECTIOUS MARKERS, 2000


ANU 0.00 0.00 NT 0.00 NTANI 0.30 0.80 NT 0.80 NTARU 0.00 0.10 0.20 0.20 0.24BAH NR NR NR NR NRBAR 0.20 0.30 0.20 0.30 0.50BLZ 0.40 1.00 NT 2.80 NTBER 0.08 0.13 0.04 0.13 NTVIB 0.31 0.37 NT 0.63 0.00CAY NR NR NR NR NRCUR 0.00 0.00 0.03 0.02 0.02DOM 0.45 1.18 0.00 1.24 2.14GRA 0.30 2.10 NT 0.40 3.40GUY 1.00 2.20 NT 4.70 NTHAI* 2.60 5.56 1.20 0.55 NTJAM 0.50 0.50 1.10 0.30 2.50MOT NR NR NR NR NRSCN 0.40 6.00 NT 2.00 NTSAL 0.13 0.40 0.00 0.63 0.80SAV NR NR NR NR NRSUR 0.13 0.29 0.10 0.04 0.10TRT 0.19 0.83 0.37 0.55 0.94TCA 0.00 0.60 0.00 0.60 NT



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COMPONENT AVAILABILITY, 2000

COUNTRY % SEPARATION INTO COMPONENTS % DISCARDED BLOOD AND BLOOD COMPONENTSRBC FFP FP CRYO PL WB RBC FFP FP CRYO PL

ANU 3.84 - - - - 23.07 - NA NA NA NAANI 13.14 0.09 - - - 9.71 0.19 NA NA NA NAARU 100 50.00 - 0.4 100 - 8.00 17.00 NR - 60.00BAH NR NR NR NR NR NR NR NR NR NR NRBAR 37.46 10.60 - - 4.62 1.18 1.95 - NA NA 1.09BLZ 1.92 1.92 - - - 5.40 0.41 NR NA NA NABER 60.20 15.22 0.48 - 20.97 4.34 5.27 NR NR NA 76.55VIB - - - - - 1.73 NA NA NA NA NACAY NR NR NR NR NR NR NR NR NR NR NRCUR 100 33.33 - - 10.00 NA 11.66 5.00 NA NA 20.00DOM - - - - - NR NA NA NA NA NAGRA 59.81 59.81 - - - 3.84 4.87 NA NA NA NAGUY 60.00 60.00 15.01 - 15.01 5.50 7.48 4.27 34.86 NA 31.87HAI NR NR NR NR NR NR NR NR NR NR NRJAM 48.09 40.40 76.95 9.22 20.49 52.48 2.40 1.43 40.00 NR -MOT NR NR NR NR NR NR NR NR NR NR NRSCN 5.17 - - - - 5.17 - NA NA NA NASAL 99.40 - - - 2.75 0.44 24.37 NA NA NA NASAV NR NR NR NR NR NR NR NR NR NR NRSUR 100 18.40 - - 27.70 NR 1.40 5.90 NA NA 18.60TRT 27.05 20.06 - 6.02 6.02 1.48 4.24 5.66 NA NR 15.18TCA - - - - - 1.24 NA NA NA NA NA

NATIONAL BLOOD SYSTEM ORGANIZATION, 2000

COUNTRY SPECIFIC LAW UNIT AT MOH SPECIFIC BUDGET NATIONAL POLICY NATIONAL COMMISSION

ANU NO YES NO NO NOANI NO YES NO NO NOARU NO NO NO NO NOBAH NR NR NR NR NRBAR NO NO NO NO NOBLZ NO NO NO NO NOBER NO NO NO NO NOVIB NO NO NO NR NOCAY NR NR NR NR NRCUR NO NO NO NO NODOM NO YES NO NO NOGRA NO NO NO NO NOGUY NO YES YES NO YESHAI YES NO NO NO YES*JAM NO NO YES NO NOMOT NR NR NR NR NRSCN NO NO NO NO NOSAL NO NO NO NO NOSAV NR NR NR NR NRSUR NO NO NO NO NOTRT NO YES NR NO NOTCA NO NO NO NO NO

*Not functional


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COUNTRY REFERENCE NATIONAL DONOR OPERATIONS GUIDELINES BLOOD BANKBANK PLAN STANDARDS STANDARDS USE OF BLOOD REGISTRATION

ANU NO NO YES NO NO NOANI NO NO YES NO NO NOARU NO NO YES NO NO NOBAH NR NR NR NR NR NRBAR NO NO YES NO NO NOBLZ NO NO NO NO NO NOBER NO NO YES* NO NO NOVIB NO NO YES NO NR YESCAY NR NR NR NR NR NRCUR NO NO YES NO NO NODOM NO NO YES NO NO NOGRA NO NO YES NO NO NOGUY NO NO YES NO NO NOHAI YES NO YES NO NO YESJAM YES NO YES YES YES YESMOT NR NR NR NR NR NRSCN NO NO YES YES YES YESSAL YES NO NO NO NO NOSAV NR NR NR NR NR NRSUR NO NO YES YES NO YESTRT YES NO YES NO NO NOTCA NO NO YES YES NO NO

*Policy and Procedures Manual, only.


COUNTRY QUALITY EXTERNAL EXTERNAL BLOOD BANK NATIONAL PROGRAMASSURANCE EVALUATION EVALUATION OF INSPECTION OF CONTINUED

POLICY SEROLOGY-TTI IMMUNOHEMATOLOGY PROGRAM EDUCATION

ANU NO YES YES NO NOANI NO YES YES NO NOARU NO NO YES YES NOBAH NR NR NR NR NRBAR NO YES YES NO NOBLZ NO NO NO NO NOBER NO YES* YES NO NOVIB NR NO NO NR NRCAY NR NR NR NR NRCUR NO YES YES NO YESDOM NO YES YES NO NOGRA NO NO NO NO NOGUY NO NO YES NO NOHAI NO NO NO NO NOJAM NO YES YES YES YESMOT NR NR NR NR NRSCN NO NO NO YES NOSAL NO NO YES NO NOSAV NR NR NR NR NRSUR YES YES NO NO NOTRT YES YES YES NO YESTCA NO NO NO NO NO*HIV only.


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COUNTRY PERSONNEL CERTIFICATION BLOOD BANK ACCREDITATION

ANU NO NOANI NO NOARU NO NOBAH NR NRBAR NO NOBLZ NO NOBER YES NOVIB NR NRCAY NR NRCUR YES NODOM NO NOGRA NO NOGUY NO NOHAI NO NOJAM YES YESMOT NR NRSCN YES NRSAL NO NOSAV NR NRSUR NO NOTRT YES NOTCA NO NO

COUNTRIES WITH 100% SCREENIG FOR INFECTIOUS MARKERS, 2000

HIV HBV HCV SYPHILIS HTLV I-II ALL MARKERS

ANU ANU ARU ANU ARU ARUANI ANI BAR ANI BAR BARARU ARU BER ARU CUR CURBAR BAR CUR BAR DOM DOMBLZ BLZ DOM BLZ JAM JAMBER BER HAI BER SAL SALVIB VIB JAM VIB SUR SURCUR CUR SAL CUR TRT TRTDOM DOM SUR DOM VIBGRA GRA TRT GRAGUY GUY GUYHAI HAI HAIJAM JAM JAMSCN SCN SCNSAL SAL SALSUR SUR SURTRT TRT TRT

TCA

17 18 10 17 9 8

8 COUNTRIES WITH > 50% VOLUNTARY DONORS, 2000

ARU, BER, VIB, CUR, HAI, SAL, SUR, TRT


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RESPONSIBLE FOR PROVIDING NATIONAL INFORMATION, 2000

COUNTRY NAME POSITION ADDRESS

ANGUILLA EVERETTE DUNCAN SENIOR MEDICAL PRINCESS ALEXANDRA HOSPITALTECHNOLOGIST STUNEY GROUND, ANGUILLA

Phone: 264- 497- 2551/2Fax: 264-497- 5745

ANTIGUA HAZALYN MARTIN CHIEF MEDICAL HELBERTON HOSPITAL QUEEN ELIZABETH,and BARBUDA TECHNOLOGIST HIGHWAY, ANTIGUA

Phone: 268-462-2461Fax: 268-462-2461

ARUBA VIVIAN LAMPE MANAGER STICHTING BLOOD BANK, ARUBAC/O DR. HORACIO ODUBER HOSPITALPhone: 297-874260Fax: 297-8721 74

BARBADOS BARBARA ROBINSON MEDICAL TECHNOLOGIST MARTINEDALE ROAD, ST MICHEL,(FMT) BARABDOS.

Phone: 246-463-6450 XT 6124Fax: 246-429-5374

BELIZE JOY CHARLEY SUPERVISOR BLOOD BANK PRINCESS MARGARET DRIVE, BELIZEPhone: 501-2-45010Fax: 501-2-35442

BERMUDA ELFREDA J. LINES FIBMS SENIOR TECHNOLOGIST KING EDWARD MEMORIAL HOSPITAL, 7BLOOD TRANSFUSION POINT FINGER RD, PAGET, BERMUDA

Phone: 441-236-2345 XT 1818Fax: 441-236-9200

BRITISH VIRGIN ROSETTA SAMUEL LABORATORY DIRECTOR PEEBLES HOSPITAL RD TOWN, TORTOLR, BVI.ISLANDS Phone: 284-494-3497

Fax: 284-494-3833

CURACAO A.J. DUITS DIRECTOR RED CROOS BLOOD BANKS, CURACAO,BREEDESTRAAT.Phone: 5999-4624900Fax: 5999-4624930

DOMINICA AUGUSTUS GADERE LABORATORY DIRECTOR PRINCESS MARGARET HOSPITAL,GOODWILL, DOMINICA.Phone: 767-4482231Fax: 767-4488124

GRENADA EVERLYN PETERS SENIOR TECHNOLOGIST GOVERNMENT PATHOLOGICALLABORATORY, GENERAL HOSPITAL,ST. GEORGES, GRENADA.Phone: 473-440-5578Fax; 473-440-8892


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GUYANA CLEMENT FELIX McEWAN MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,C/O PHG, GUYANA.Phone: 225-4972Fax: 226-9022

HAITÍ ELYESE CHALUMEAU DIRECTOR HAITIAN RED CROSS100, RUE DES MIRACLES,PORT-AU-PRINCE

ELYESE SALNAVE LABORATORY CHIEF HOPITAL UNIVERSITAIRE DE L’ETATD’HAITI(HUEH),PORT-AU-PRINCE.

JAMAICA GRACE HAYNES DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,21 SLIPE PEN RD, KINGSTON, JAMAICA.Phone: 876-922-5181, 922-5185Fax: 876-967-3196

ST. KITTS AND CARLTON DANIEL SENIOR LABORATOY JOSEPH FRANCE HOSPITAL, BASSETERRE,NEVIS TECHNOLOGIST ST KITTS.

Phone: 869-465-2551Fax: 869-466-6681

ST. LUCIA VERONICA LEE MEDICAL TECHNOLOGIST ST LUCIA BLOOD BANK SERVICE, VICTORIAHOSPITAL CASTRIES, ST. LUCIA.Phone: 758-452-5430Fax: 758-452-1688

SURINAME MARIA TJON A. LOI MEDICAL DIRECTOR NATIONAL BLOOD BANK OF THE SURINAMERED CROSS SOCIETY RODE KRNISLAAN 24, SURINAME.Phone: 597-498410Fax: 597-464780

TRINIDAD & W. CHARLES DIRECTOR 160, CHARLOTTE STREET, PORT OF SPAIN, T & T.TOBAGO Phone: 868-627-2619

TURKS & CAICOS EDWIN ASTWOOD CHIEF LABORATORY TURKS & CAICOS GOVERNMENT, GRANDISLANDS TECHNOLOGIST TURKS HOSPITAL, T & C.

Phone: 649-946-2060Fax: 649-946-2060


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COUNTRY # # REMUNERATED VOLUNTARY REPLACEMENT AUTOLOGOUS UNITS / UNITS/ DAYBANKS UNITS DONORS (%) DONORS (%) DONORS (%) DONORS (%) BANK (260 days)

ANU 1 72 - 18.25 73.60 1.40 72 <1ANI 2 1,244 - 0.80 99.04 0.16 622 2.39ARU NR NR NR NR NR NR NR NRBAH 3 3,832 - 29.85 70.09 0.06 1,277 4.91BAR NR NR NR NR NR NR NR NRBLZ 7 2,795 - 11.40 88.70 - 399 1.54BER 1 2,135 - 96.00 - 4.00 2,135 8.21VIB 1 316 - 99.68 - 0.32 316 1.22CAY 1 710 - 97.30 1.00 1.70 710 2.73CUR NR NR NR NR NR NR NR NRDOM NR NR NR NR NR NR NR NRGRA 1 690 - 19.00 79.00 2.00 690 2.65GUY 1 3,798 - 25.78 74.17 0.13 3,798 14.61HAI 2 5,796 NR 16.17 83.42 1.41 2,898 11.15JAM 10 24,263 - 11.00 89.00 1.00 2,426 9.33MOT 1 76 - - 100 - 76 <1SCN 1 260 - 0.77 92.23 - 260 1.00SAL 1 1,691 - 67.59 32.11 0.30 1,691 6.50SAV 1 1,111 - 5.31 94.60 0.09 1,111 4.27SUR NR NR NR NR NR NR NR NRTRT NR NR NR NR NR NR NR NRTCA NR NR NR NR NR NR NR NR



ANU 100 100 - 100 -ANI 100 100 - 100 -ARU NR NR NR NR NRBAH 100 100 100 100 100BAR NR NR NR NR NRBLZ 100 100 - 100 -BER 100 100 100 100 -VIB 100 100 - 100 -CAY 100 100 100 100 100CUR NR NR NR NR NRDOM NR NR NR NR NRGRA 100 100 - 100 100GUY 100 100 94.00 100 -HAI 100 100 94.00 100 -JAM 100 100 100 100 100MOT 100 100 - 100 -SCN 100 100 - 100 -SAL 100 100 100 100 100SAV 100 100 100 100 100SUR NR NR NR NR NRTRT NR NR NR NR NRTCA NR NR NR NR NR


9



ANU - - 72 - 72ANI - - 1,244 - 1,244ARU NR NR NR NR NRBAH - - - - -BAR NR NR NR NR NRBLZ - - 2,795 - 2,795BER - - - - 2,135VIB - - 316 - 316CAY - - - - -CUR NR NR NR NR NRDOM NR NR NR NR NRGRA - - 690 - -GUY - - 223 - 3,798HAI - - 347 - 5,796JAM - - - - -MOT - - 76 - 76SCN - - 260 - 260SAL - - - - -SAV - - - - -SUR NR NR NR NR NRTRT NR NR NR NR NRTCA NR NR NR NR NR

TOTAL - - 6,023 - 16,492



ANU 0.00 0.60 NT 0.00 NTANI 0.20 1.10 NT 0.60 NTARU NR NR NR NR NRBAH 0.30 1.77 0.65 0.75 0.90BAR NR NR NR NR NRBLZ 0.70 1.60 NT 1.50 NTBER 0.05 0.00 0.23 0.05 NTVIB 0.00 0.30 NT 0.30 NTCAY 0.00 0.00 0.14 0.00 0.00CUR NR NR NR NR NRDOM NR NR NR NR NRGRA 0.00 2.00 NT 0.00 3.00GUY 1.00 2.50 1.00 2.30 NTHAI 1.90 4.10 0.76 0.40 NTJAM 0.45 0.85 1.30 1.20 4.50MOT 0.00 0.00 NT 0.00 NTSCN 0.00 5.50 NT 1.50 NTSAL 0.06 1.03 0.00 0.24 0.60SAV 0.27 1.60 0.45 2.90 2.80SUR NR NR NR NR NRTRT NR NR NR NR NRTCA NR NR NR NR NR


10


COUNTRY % SEPARATION INTO COMPONENTS % DISCARDED BLOOD AND BLOOD COMPONENTSRBC FFP FP CRYO PL WB RBC FFP FP CRYO PL

ANU 18.05 - - - - 27.78 - NA NA NA NAANI 6.68 - 0.40 0.40 0.24 7.23 6.02 NA - - -ARU NR NR NR NR NR NR NR NR NR NR NRBAH 79.50 23.20 - - 26.75 5.70 6.10 21.70 NA NA 29.80BAR NR NR NR NR NR NR NR NR NR NR NRBLZ 19.03 1.93 8.26 - - 7.20 2.25 - 59.74 NA NABER 57.17 15.60 1.03 - 31.28 12.13 - 85.58 - NA 27.89VIB - - - - - 1.58 NA NA NA NA NACAY 57.00 24.80 - - - 19.2 NR 30.67 NA NA 16CUR NR NR NR NR NR NR NR NR NR NR NRDOM NR NR NR NR NR NR NR NR NR NR NRGRA 87.24 72.46 - - - - 13.45 20.40 NA NA NAGUY 66.00 65.24 6.53 - 6.16 5.80 10.00 19.07 16.13 NA 59.40HAI - - - - - 27.93 NA NA NA NA NAJAM 31.38 18.39 4.68 4.45 2.7 67.50 - 12.82 - NR -MOT - - - - - 46.05 NA NA NA NA NASCN 9.97 - - - - 9.58 NA NA NA NA NASAL NR NR NR NR 15.55 0.18 5.75 5.17 NR NR 51.33SAV 37.08 - - - - 1.98 NR NA NA NA NASUR NR NR NR NR NR NR NR NR NR NR NRTRT NR NR NR NR NR NR NR NR NR NR NRTCA NR NR NR NR NR NR NR NR NR NR NR


COUNTRY SPECIFIC UNIT AT SPECIFIC NATIONAL NATIONALLAW MOH BUDGT POLICY COMMISSION

ANU NO NO NO NO NOANI NO YES NO NO YESARU NO NO NO NO NOBAH NO NO NO NO NOBAR NO NO NO NO NOBLZ NO NO NO NO NOBER NO NO NO NO NOVIB NO NO NO NO NOCAY NO NO NO NO NOCUR NO NO NO NO NODOM NO YES NO NO NOGRA NO NO NO NO NOGUY NO YES YES NO YESHAI NO NO NO NO NOJAM NO YES YES YES NOMOT NO NO NO NO NOSCN NO NO NO NO NOSAL NO NO NO NO NOSAV NO NO NO NO NOSUR NO NO NO NO NOTRT NO YES NR NO NOTCA NO NO NO NO NO


11


COUNTRY REFERENCE NATIONAL DONOR OPERATION GUIDELINES BLOOD BANBANK PLAN STANDARDS STANDARDS USE OF BLOOD REGISTRATION

ANU NO NO YES NO NO NOANI NO NO YES NO NO NOARU NO NO YES NO NO NOBAH NO NO YES NO NO NOBAR NO NO YES NO NO* NOBLZ NO NO NO NO NO NOBER NO NO YES* NO NO NOVIB NO NO YES NO NO NOCAY NO NO NO NO NO NOCUR NO NO YES NO NO NODOM NO NO YES NO NO NOGRA NO NO YES NO NO NOGUY YES NO YES NO NO NOHAI NO NO YES NO NO NOJAM YES YES YES YES NO NOMOT NO NO YES NO NO NOSCN NO NO YES YES NO NOSAL NO NO NO NO NO NOSAV NO NO YES NR NO NOSUR NO NO YES YES NO YESTRT YES NO YES NO NO NOTCA NO NO YES YES NO NO

*Policy and Procedures Manual only


COUNTRY QUALITY EXTERNAL EXTERNAL BLOOD BANK NATIONAL PROGRAMASSURANCE EVALUATION OF EVALUATION OF INSPECTION OF CONTINUED

POLICY SEROLOGY-TTI IMMUNOHEMATOLOGY PROGRAM EDUCATION

ANU NO YES YES NO NOANI NO YES YES NO NOARU NO NO YES YES NOBAH NO YES YES NO NOBAR NO YES YES NO NOBLZ NO NO NO NO NOBER NO YES* YES NO NOVIB NO YES YES NO NOCAY NO YES YES NO NOCUR NO YES YES NO YESDOM NO YES YES NO NOGRA NO NO NO NO NOGUY NO YES YES NO NOHAI NO NO NO NO NOJAM NO YES YES NO NOMOT NO YES YES NO NOSCN NO YES YES YES NOSAL NO YES YES NO NOSAV NO YES YES NO NOSUR YES YES NO NO NOTRT NO YES YES NO YESTCA NO NO NO NO NO*HIV only


12



ANU NO NOANI NO NOARU NO NOBAH YES NOBAR NO NOBLZ NO NOBER YES NOVIB NO NOCAY NO NOCUR YES NODOM NO NOGRA NO NOGUY NO NOHAI NO NOJAM YES NOMOT NO NOSCN YES NRSAL NO NOSAV NR NOSUR NO NOTRT YES NOTCA NO NO



ANU ANU BAH ANU BAH BAHANI ANI BER ANI CAY CAYBAH BAH CAY BAH GRA JAMBLZ BLZ JAM BLZ JAM SALBER BER SAL BER SAL SAVVIB VIB SAV VIB SAVCAY CAY CAYGRA GRA GRAGUY GUY GUYHAI HAI HAIJAM JAM JAMMOT MOT MOTSCN SCN SCNSAL SAL SALSAV SAV SAV

15 15 6 15 6 5

3 COUNTRIES WITH > 50% VOLUNTARY DONORS,2001

VIB, CAY, SAL

17 COUNTRIES WITH 100% PARTICIPATING IN EXTERNALEVALUATION OF SEROLOGY (ITT), 2001

ANU, ANI, ARU, BAH, BAR, BLZ, BER, CAY, DOM, GRA, GUY, JAM, MOT, SCN, SAL, SAV, TRT


13




Phone: 264- 497- 2551/2Fax: 264-497- 5745e-mail: [email protected]

ANTIGUA HAZALYN MARTIN- CHIEF MEDICAL HELBERTON HOSPITAL QUEEN ELIZABETH,AND BARBUDA HENRY TECHNOLOGIST HIGHWAY, ANTIGUA

Phone: 268-462-2461Fax: [email protected]

ARUBA VIVIAN LAMPE MANAGER STICHTING BLOOD BANK, ARUBAC/O DR. HORACIO ODUBER HOSPITALPhone: 297-874260Fax: 297-8721 74

BAHAMAS EVERETTE MILLER SUPERVISORS PRINCESS MARGARET HOSPITALCAROLYN AZIKIWE

Phone: 242-3228077Fax: 242-3222326e-mail: [email protected]

BARBADOS BARBARA ROBINSON MEDICAL TECHNOLOGIST MARTINEDALE ROAD, ST MICHEL(FMT) BARABDOS.

Phone: 246-463-6450 XT 6124Fax: 246-429-5374



Phone: 441-236-2345 XT 1818Fax: 441-236-9200

BRITISH VIRGIN ALLENE BREWLEY MEDICAL TECHNOLOGIST PEEBLES HOSPITAL RD TOWN, TORTOLA, BVIISLANDS Phone: 284-494-3497

Fax: 284-494-3833e-mail: [email protected]

CAYMAN ISLANDS JUDITH CLARKE MEDICAL TECHNOLOGIST P.O. BOX 915 G.T. GRAND CAYMANPhone: 345-949-8600 XT 2669-74Fax: 345-945-1364e-mail: [email protected]

CURACAO A.J. DUITS DIRECTOR RED CROOS BLOOD BANKS, CURACAO,BREEDESTRAAT.Phone: 5999-4624900Fax: 5999-4624930

DOMINICA AUGUSTUS GADERE LABORATORY DIRECTOR PRINCESS MARGARET HOSPITAL,GOODWILL, DOMINICA.Phone: 767-4482231Fax: 767-4488124


15

GRENADA EVERLYN PETERS SENIOR TECHNOLOGIST GOVERNMENT PATHOLOGICAL LABORATORY,GENERAL HOSPITAL, ST. GEORGES, GRENADA.Phone: 473-440-5578Fax; 473-440-8892e-mail: [email protected]

GUYANA CLEMENT FELIX McEWAN MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,C/O PHG, GUYANA.Phone: 225-4972Fax: 226-9022e-mail: [email protected]

HAITI MARIE MARCELLE CAUVIN DIRECTOR HAITIAN RED CROSS100, RUE DES MIRACLES,PORT-AU-PRINCEPhone: 509-223-1033, 1034,Fax: 509-244-2211e-mail: [email protected]

JAMAICA LUNDIE RICHARDS MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,21 SLIPE PEN RD, KINGSTON.Phone: 876-922-5181, 922-5185Fax: 876-967-3196e-mail: [email protected]

MONTSERRAT LINELLE LEE SENIOR LABORATOY GLENDON HOSPITAL LABORATORY,TECHNOLOGIST ST. JOHNS

Phone: 664-491-2843Fax: 664-491-6413e-mail: [email protected]

ST. KITTS CARLTON DANIEL SENIOR LABORATOY JOSEPH FRANCE HOSPITAL, BASSETERRE.AND NEVIS TECHNOLOGIST Phone: 869-465-2551

Fax: 869-466-6681

ST. LUCIA VERONICA LEE MEDICAL TECHNOLOGIST ST LUCIA BLOOD BANK SERVICE, VICTORIAHOSPITAL CASTRIESPhone: 758-452-5430Fax: [email protected]

ST. VICENT JACINTHA E. BROWNE MEDICAL TECHNOLOGIST MILTON CATO MEMORIAL HOSPITALAND THE BENTICK STREET, KINGSTOWN.GRANADINES Phone: 784-456-1185 XT 149

Fax: 784- 457-1014e-mail: [email protected]

SURINAME MARIA TJON A. LOI MEDICAL DIRECTOR NATIONAL BLOOD BANK OF THE SURINAMERED CROSS SOCIETY, RODE KRNISLAAN 24SURINAME.Phone: 597-498410Fax: 597-464780

TRINIDAD & W. CHARLES DIRECTOR 160, CHARLOTTE STREET, PORT OF SPAIN,TOBAGO T & T.

Phone: 868-627-2619


Phone: 649-946-2060Fax: 649-946-2060


16


COUNTRY # # REMUNERATED VOLUNTARY REPLACEMENT AUTOLOGOUS UNITS / UNITS/DAYBANKS UNITS DONORS (%) DONORS (%) DONORS (%) DONORS (%) BANK (260 days)

ANU NR NR NR NR NR NR NR NRANI 2 1,429 - 5.74 85.65 - 715 2.75ARU 2 2,650 - 100 - - 1,325 5.09BAH 3 5,097 - 9.50 90.50 - 1,699 6.53BAR NR NR NR NR NR NR NR NRBLZ 7 2,957 - 6.10 93.90 - 422 1.62BER NR NR NR NR NR NR NR NRVIB 1 314 - 99.90 - 0.10 314 1.21CAY 2 759 - 98.30 0.90 0.80 380 1.46CUR 1 7,000 - 100 - - 7,000 26.92DOM 1 926 - 5.08 94.17 0.54 926 3.56GRA 1 722 - 30.00 67.00 2.00 722 2.78GUY 5 4,781 - 16.30 83.60 0.10 956 3.68HAI 5 7,661 - 4.88 93.55 1.57 1,532 5.89JAM 10 27,488 - 9.80 90.20 - 2,749 10.57MOT 1 70 - - 100 - 70 <1SCN 1 305 - 18.03 82.50 - 305 1.17SAL 2 1,592 - 68.59 38.38 0.50 796 3.06SAV 1 987 - 6.70 91.00 2.00 987 3.80SUR 1 6,163 - 100 - - 6,163 23.70TRT 2 16,687 - 17.35 81.35 1.00 8,344 32.09TCA 2 200 - 50.00 50.00 - 100 <1

SCREENING (%) FOR INFECTIOUS MARKERS, 2002


ANU NR NR NR NR NRANI 100 100 - 100 -ARU 100 100 100 100 100BAH 100 100 100 100 100BAR NR NR NR NR NRBLZ* 100 100 - 100 NABER NR NR NR NR NRVIB 100 100 100 100 -CAY 100 100 100 100 100CUR 100 100 100 100 100DOM 100 100 27.60 100 100GRA 100 100 82.00 100 100GUY 100 100 100 100 -HAI 100 100 85.96 99.62 -JAM 100 100 100 100 100MOT 100 100 - 100 -SCN 100 100 - 100 -SAL 99.50 99.50 99.50 99.50 99.50SAV 100 100 100 100 100SUR 100 100 100 100 100TRT 100 100 100 100 100TCA 100 100 - 100 -

*Belize screens for T. cruzi.


17


COUNTRY HIV HBsAg HCV SYFHILIS HTLV I-II

ANU NR NR NR NR NRANI - - 1,429 - 1,429ARU - - - - -BAH - - - - -BAR NR NR NR NR NRBLZ - - 2,957 - -BER NR NR NR NR NRVIB - - - - 314CAY - - - - -CUR - - - - -DOM - - 670 - -GRA - - 130 - -GUY - - - - 4,781HAI - - 1,075 29 7,661JAM - - - - -MOT - - 70 - 70SCN - - 305 - 305SAL 8 8 8 8 8SAV - - - - -SUR - - - - -TRT - - - - -TCA - - 200 - 200

TOTAL 8 8 6,844 37 14,768


COUNTRY HIV HBsAg HCV SYFHILIS HTLV I-II

ANU NR NR NR NR NRANI 0.40 2.50 NT 2.20 NTARU 0.00 0.00 0.00 0.00 0.00BAH 0.35 1.16 0.33 0.78 0.39BAR NR NR NR NR NRBLZ 0.40 1.30 NT 1.40 NABER NR NR NR NR NRVIB 0.00 2.20 0.00 0.30 NTCAY 0.00 0.00 0.00 0.00 0.00CUR 0.00 0.00 0.04 0.00 0.03DOM 0.30 0.60 0.00 1.40 0.90GRA 0.00 2.20 0.00 1.50 1.20GUY 0.80 1.70 0.80 1.30 NTHAI 2.30 4.30 0.56 1.82 NTJAM 0.64 1.30 0.44 1.09 2.06MOT 0.00 0.00 NT 0.00 NTSCN 0.00 7.54 NT 0.65 NTSAL 0.06 0.40 0.00 0.50 0.90SAV 0.40 1.30 NR 2.30 3.20SUR 0.00 0.18 0.02 0.00 0.04TRT 0.39 0.60 0.39 2.57 1.18TCA 0.00 0.00 NT 0.00 NT


18


% SEPARATION INTO COMPONENTS % DISCARDED BLOOD AND BLOOD COMPONENTSCOUNTRY UNITS RBC FFP FP CRYO PL WB RBC FFP FP CRYO PL

ANU NR NR NR NR NR NR NR NR NR NR NR NRANI 1,429 2.70 0.60 0.50 - 1.10 7.30 2.60 - - NA -ARU 2,650 99.92 53.31 - - 99.40 NR NR NR NA NA NRBAH 5,097 97.62 24.24 - - 28.02 5.20 3.50 53.52 NA NA 45.51BAR NR NR NR NR NR NR NR NR NR NR NR NRBLZ 2,957 23.94 10.82 14.34 - - 12.00 0.40 - 8.60 NA NABER NR NR NR NR NR NR NR NR NR NR NR NRVIB 314 - - - - - 3.50 NA NA NA NA NACAY 759 55.00 17.00 - - - NR NR NR NA NA 19.00CUR 7,000 100 48.86 - - 14.28 - 3.42 - NA NA 20.00DOM 926 39.50 22.80 - 16.80 6.10 2.90 1.40 1.40 NA - 0.20GRA 722 97.23 97.23 - - 17.00 0.80 18.00 3.00 NA NA -GUY 4,781 77.40 77.40 5.70 - 5.70 2.11 4.01 7.17 0.70 NA 68.75HAI 7,661 - - - - - - NA NA NA NA NAJAM 27,488 28.97 16.63 6.25 4.74 4.09 NR NR NR NR NR NRMOT 70 - - - - - 50.00 NA NA NA NA NASCN 305 13.44 - - - - 14.09 - NA NA NA NASAL 1,592 99.50 NR - - NR 0.37 4.96 3.02 NA NA 0.94SAV 987 44.00 21.00 25.00 - 53.00 4.30 5.50 0.60 3.00 NA 0.30SUR 6,163 100 16.80 - - 12.10 0.70 1.50 1.50 NA NA 71.20TRT 16,687 NR NR NR NR NR NR NR NR NR NR NRTCA 200 - - - - - 20.00 NA NA NA NA NA


COUNTRY SPECIFIC UNIT AT SPECIFIC NATIONAL NATIONALLAW MOH BUDGET POLICY COMMISSION

ANU NO NO NO NO NOANI NO YES NO NO YESARU NO NO NO NO NOBAH NO NO NO NO YESBAR NO NO NO NO NOBLZ NO NO NO NO NOBER NO NO YES NO NOVIB NO NO NO NO NOCAY NO NO NO NO NOCUR YES NO NO NO NODOM NO NO NO NO NOGRA NO NO NO NO NOGUY NO YES YES NO NOHAI NO NO NO NO NOJAM YES YES YES YES NOMOT NO NO NO NO NOSCN NO NO NO NO NOSAL NO NO NO NO YESSAV NO NO NO NO NOSUR NO NO NO NO NOTRT NO YES NO NO NOTCA NO NO NO NO NO


19


COUNTRY REFERENCE NATIONAL DONOR OPERATION GUIDELINES BLOOD BANKBANK PLAN STANDARDS STANDARDS USE OF BLOOD REGISTRATION

ANU NO NO YES NO NO NOANI NO NO YES NO NO NOARU NO NO YES NO NO NOBAH NO NO NO NO NO NOBAR NO NO YES NO NO NOBLZ NO NO YES NO NO NOBER NO NO YES NO NO NOVIB NO NO NO NO NO NOCAY NO NO NO NO NO NOCUR NO NO YES YES NO NODOM NO NO YES NO NO NOGRA NO NO YES NO NO NOGUY YES YES YES YES NO NOHAI YES NO NO NO NO NOJAM YES YES YES YES NO NOMOT NO NO YES NO NO NOSCN YES NO YES YES NO NOSAL YES NO YES YES NO NOSAV NO NO YES NO NO NOSUR NO NO YES YES NO YESTRT YES NO YES YES NO YESTCA NO NO YES YES NO NO


COUNTRY QUALITY EXTERNAL EXTERNAL BLOOD BANK NATIONALASSURANCE EVALUATION OF EVALUATION OF INSPECTION PROGRAM OF

POLICY SEROLOGY-TTI IMMUNOHEMATOLOGY PROGRAM CONTINUEDEDUCATION

ANU NO YES YES NO NOANI NO YES YES NO NOARU NO YES YES YES NOBAH NO YES YES NO NOBAR NO YES YES NO NOBLZ NO YES YES NO NOBER NO YES YES NO NOVIB NO YES YES NO NOCAY NO YES YES NO NOCUR YES YES YES YES YESDOM NO YES YES NO NOGRA NO YES YES NO NOGUY NO YES YES NO NOHAI NO NO NO NO NOJAM NO YES YES NO YESMOT NO YES YES NO NOSCN NO YES YES NO NOSAL NO YES YES NO NOSAV NO YES YES NO NOSUR YES YES NO YES NOTRT NO YES YES NO YESTCA NO YES YES NO NO


20



ANU NO NOANI NO NOARU NO NOBAH YES NOBAR NO NOBLZ NO NOBER YES NOVIB NO NOCAY NO NOCUR NO NODOM NO NOGRA NO NOGUY NO NOHAI NO NOJAM YES NOMOT NO NOSCN NO NOSAL NO NOSAV NR NOSUR NO NOTRT YES NOTCA NO NO



ANI ANI ARU ANI ARU ARUARU ARU BAH ARU BAH BAHBAH BAH VIB BAH CAY CAYBLZ BLZ CAY BLZ CUR CURVIB VIB CUR VIB DOM JAMCAY CAY GUY CAY GRA SAVCUR CUR JAM CUR JAM SURDOM DOM SAV DOM SAV TRTGRA GRA SUR GRA SURGUY GUY TRT GUY TRTHAI HAI JAMJAM JAM MOTMOT MOT SCNSCN SCN SAVSAV SAV SURSUR SUR TRTTRT TRT TCATCA TCA

18 18 10 17 10 8


21


ARU, BER, VIB, CAY, CUR, SAL, SUR, TCA

PARTICIPATION IN EXTERNAL EVALUATION OFPERFORMANCE OF SEROLOGY (ITT), 2002

COUNTRY EXISTING PARTICIPANTS

ANU 1 1 (100%)ANI 2 1 (50%)ARU 2 1 (50%)BAR 1 1 (100%)BER 1 1 (100%)VIB 1 1 (100%)CAY 2 1 (50%)CUR 1 1 (100%)DOM 1 1 (100%)GRA 1 1 (100%)GUY 5 1 (20%)JAM 10 1 (10%)MOT 1 1 (100%)SAL 2 1 (50%)SAV 1 1 (100%)TRT 2 2 (100%)

16 38 17 (45%)

PARTICIPATION IN PROGRAMS OF EXTERNALEVALUATION OF IMMUNOHEMATOLOGY, 2002


ANU 1 1 (100%) ANI 2 1 (50%)ARU 2 1 (50%)BAH 3 1 (33%)BAR 1 1 (100%)BLZ 7 1 (14%)VER 1 1 (100%)VIB 1 1 (100%)CAY 2 1 (50%)CUR 1 1 (100%)DOM 1 1 (100%)GRA 1 1 (100%)GUY 5 1 (100%)JAM 10 1 (10%)MOT 1 1 (100%)SCN 1 1 (100%)SAL 2 1 (50%)SAV 1 1 (100%)TRT 2 1 (50%)TCA 2 1 (50%)

20 47 20 (43%)


22


25




Phone: 264- 497- 2551/2Fax: 264-497- 5745e-mail: [email protected]

ANTIGUA HAZALYN MARTIN- CHIEF MEDICAL HELBERTON HOSPITAL QUEEN ELIZABETH,AND HENRY TECHNOLOGIST HIGHWAY, ANTIGUABARBUDA Phone: 268-462-2461

Fax: [email protected]

ARUBA RICARDO GORGOZA MEDICAL DIRECTOR STICHTING BLOOD BANK, ARUBAC/O DR. HORACIO ODUBER HOSPITAL, EAGLEPhone: 297-5874260Fax: 297-58721 74

BAHAMAS EVERETTE MILLER SUPERVISORS PRINCESS MARGARET HOSPITALCAROLYN AZIKIWE Phone: 242-3228077

Fax: 242-3222326e-mail: [email protected]

BARBADOS BARBARA ROBINSON MEDICAL TECHNOLOGIST MARTINEDALE ROAD, ST MICHEL, BARABDOS.(FMT) Phone: 246-463-6450 XT 6124

Fax: 246-429-5374


BERMUDA ELFREDA J. LINES FIBMS SENIOR TECHNOLOGIST KING EDWARD MEMORIAL HOSPITAL,BLOOD TRANSFUSION 7 POINT FINGER RD, PAGET, BERMUDA

Phone: 441-236-2345 XT 1818Fax: 441-236-9200

BRITISH VIRGIN ALLENE BREWLEY MEDICAL TECHNOLOGIST PEEBLES HOSPITAL RD TOWN,ISLANDS TORTOLA, BVI.



CURACAO A. J. DUITS DIRECTOR RED CROOS BLOOD BANKS,CURACAO, BREEDESTRAAT.Phone: 5999-4624900Fax: 5999-4624930

DOMINICA NINA PIERRE DIRECTOR BLOOD BANK PRINCESS MARGARET HOSPITAL,GOODWILL, DOMINICA.Phone: 767-4482231Fax: 767-4488124

GRENADA EVERLYN PETERS SENIOR TECHNOLOGIST GOVERNMENT PATHOLOGICAL LABORATORY,GENERAL HOSPITAL, ST. GEORGES, GRENADA.Phone: 473-440-5578Fax; 473-440-8892e-mail: [email protected]

GUYANA CLEMENT FELIX McEWAN MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,C/O PHG, GUYANA.Phone: 225-4972Fax: 226-9022e-mail: [email protected]

HAITI MARIE MARCELLE CAUVIN DIRECTOR HAITIAN RED CROSS100, RUE DES MIRACLES,PORT-AU-PRINCEPhone: 509-223-1033, 1034,Fax: 509-244-2211e-mail: [email protected]

JAMAICA LUNDIE RICHARDS MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE21 SLIPE PEN RD, KINGSTON.Phone: 876-922-5181, 922-5185Fax: 876-967-3196e-mail: [email protected]



ST. KITTS JASMIN HANLEY LABORATOY MANAGER J. N. FRANCE HOSPITAL, BASSETERRE.AND NEVIS Phone: 869-465-2551

Fax: 869-466-6681

ST. LUCIA VERONICA LEE MEDICAL TECHNOLOGIST ST LUCIA BLOOD BANK SERVICE, VICTORIAHOSPITAL CASTRIESPhone: 758-452-5430Fax: [email protected]

ST. VICENT JACINTHA E. BROWNE MEDICAL TECHNOLOGIST MILTON CATO MEMORIAL HOSPITALAND THE BENTICK STREET, KINGSTOWN.GRANADINES Phone: 784-456-1185 XT 149

Fax: 784- 457-1014e-mail: [email protected]

SURINAME MARIA TJON A. LOI MEDICAL DIRECTOR NATIONAL BLOOD BANK OF THE SURINAMERED CROSS SOCIETY, RODE KRNISLAAN 24,SURINAME.Phone: 597-498410Fax: 597-464780s



Phone: 649-946-2060Fax: 649-946-2060


26 26


COUNTRY # # REMUNERATED VOLUNTARY REPLACEMENT AUTOLOGOUS UNITS/ UNITS/ DAYBANKS UNITS DONORS (%) DONORS (%) DONORS (%) DONORS (%) BANK (260 days)

ANU 1 124 - - 99.20 0.80 124 <1ANI 2 1,330 - 6.10 93.80 0.10 665 2.56ARU 2 2,651 - 100 - 0.26 1,325 5.09BAH 3 5,134 - 15.50 84.50 0.20 1,711 6.60BAR NR NR NR NR NR NR NR NRBLZ 7 2,883 - 9.00 91.00 - 412 1.59BER 1 2,277 - 98.12 0.08 1.80 2,277 8.75VIB 1 318 - 24.00 76.00 - 318 1.22CAY 2 731 - 99.60 0.10 0.30 365 1.40CUR 1 6,066 - 100 - 0.04 6,066 23.33DOM NR NR NR NR NR NR NR NRGRA 1 808 - 38.50 60.30 1.24 808 3.11GUY 5 4,250 - 21.70 78.30 0.30 850 3.27HAI 5 8,711 - 5.21 94.79 - 1,742 6.70JAM 10 26,092 - 11.50 87.76 0.11 2,609 10MOT 1 66 - - 100 - 66 <1SCN 1 420 - 3.60 96.00 0.24 420 1.61SAL 2 1,653 - 78.80 20.60 0.60 826 3.18SAV 1 939 - 11.50 85.10 3.41 939 3.61SUR 1 6,240 - 100 - - 6,240 24TRT NR NR NR NR NR NR NR NRTCA 2 211 - 32.20 67.80 - 105 <1



ANU 100 100 - 100 -ANI 100 100 - 100 -ARU 100 100 100 100 100BAH 100 100 100 100 100BAR NR NR NR NR NRBLZ * 100 100 - 100 NABER 100 100 100 100 -VIB 100 100 52.00 100 -CAY 100 100 100 100 100CUR 100 100 100 100 100DOM NR NR NR NR NRGRA 100 100 100 100 100GUY 100 100 100 100 -HAI 100 100 89.03 100 -JAM 100 100 100 100 100MOT 100 100 - 100 -SCN 100 100 - 100 -SAL 100 100 100 100 100SAV 100 100 100 100 100SUR 100 100 100 100 100TRT NR NR NR NR NRTCA 100 100 60.20 100 -

* Belize screens for T. cruzi


27



ANU - - 124 - 124ANI - - 1,330 - 1,330ARU - - - - -BAH - - - - -BAR NR NR NR NR NRBLZ - - 2,883 - NABER - - - - 2,277VIB - - 153 - 318CAY - - - - -CUR - - - - -DOM NR NR NR NR NRGRA - - - - -GUY - - - - 4,250HAI - - 956 - 8,711JAM - - - - -MOT - - 66 - 66SCN - - 420 - 420SAL - - - - -SAV - - - - -SUR - - - - -TRT NR NR NR NR NRTCA - - 84 - 211

TOTAL - - 6,016 - 17,707



ANU 0.00 0.70 NT 1.30 NTANI 0.00 0.40 NT 0.80 NTARU 0.00 0.008 0.008 0.001 0.00BAH 0.20 1.30 0.60 0.80 0.80BAR NR NR NR NR NRBLZ 0.50 2.00 NT 0.90 NABER 0.00 0.13 0.08 0.13 NTVIB 0.00 0.63 0.00 0.31 NTCAY 0.00 0.00 0.00 0.00 0.00CUR 0.02 0.02 0.02 0.00 0.05DOM NR NR NR NR NRGRA 0.12 2.10 0.50 0.37 1.61GUY 0.80 1.90 0.40 1.20 NTHAI 1.69 4.36 0.42 2.59 NTJAM 1.40 1.26 0.86 1.89 1.88MOT 0.00 0.00 NT 0.00 NTSCN 0.24 4.5 NT 0.48 NTSAL 0.00 0.50 0.00 0.60 0.40SAV 0.40 1.30 0.10 2.00 2.70SUR 0.06 0.18 0.06 0.00 0.03TRT NR NR NR NR NRTCA 0.95 3.30 NT 0.00 NT


28


29


% SEPARATION INTO COMPONENTS % DISCARDED BLOOD AND BLOOD COMPONENTS

COUNTRY UNITS RBC FFP FP CRYO PL WB RBC FFP FP CRYO PL

ANU 124 33.06 - 8.06 - - 41.12 - NA - NA NAANI 1,330 2.70 0.60 0.50 - 1.10 2.30 - - - NA -ARU 2,651 100 45.26 - - 100 NR 6.03 17.16 NA NA NRBAH 5,134 83.90 23.60 - - 30.40 46.40 7.20 15.90 NA NA 41.70BAR NR NR NR NR NR NR NR NR NR NR NR NRBLZ 2,883 24.10 5.69 18.38 - - 15.00 0.70 0.10 8.00 NA NABER 2,277 82.21 15.28 - - 4.08 NR NR NR NA NA NRVIB 318 - - - - - 2.83 NA NA NA NA NACAY 731 83.00 52.00 - - - NR NR 20.80 NA NA NACUR 6,066 100 32.98 - - 13.19 12.62 2.47 - NA NA 37.50DOM NR NR NR NR NR NR NR NR NR NR NR NRGRA 808 98.76 97.52 - - 1.86 NR 23.00 1.50 NA NA -GUY 4,250 75.13 75.13 8.23 - 8.23 5.10 7.83 1.75 NR NA 75.14HAI 8,257 - - - - - 8.85 NA NA NA NA NAJAM 26,092 41.00 16.89 9.31 4.94 3.58 67.20 - - - NR -MOT 66 - - - - - 48.50 NA NA NA NA NASCN 420 NR - - - - 22.86 NA NA NA NA NASAL 1,653 99.40 13.67 36.84 - 36.72 0.30 5.30 20.80 93.43 NA 54.36SAV 939 96.00 32.00 - - 11.00 16.66 13.20 14.42 NA NA 69.23SUR 6,240 99.00 13.80 - - 17.50 2.13 1.70 1.20 NA NA 67.30TRT NR NR NR NR NR NR NR NR NR NR NR NRTCA 211 - - - - - 11.24 NA NA NA NA NA



ANU NO NO NO NO NOANI NO YES NO NO YESARU NO NO NO NO NOBAH NO NO NO NO YESBAR NO NO NO NO NOBLZ NO NO NO NO NOBER NO NO YES NO NOVIB NO NO YES NO NOCAY NO NO NO NO NOCUR YES NO NO YES NODOM NO NO NO NO NOGRA NO NO NO NO NOGUY NO YES YES NO NOHAI YES NO YES NO NOJAM YES YES YES YES YESMOT NO NO NO NO NOSCN NO NO NO NO YESSAL NO NO NO NO YESSAV NO NO NO NO YESSUR NO NO NO NO NOTRT NO YES NO NO NOTCA NO NO NO NO NO


30


COUNTRY NATIONAL NATIONAL DONOR OPERATIONS GUIDELINES BLOOD BANKBANK PLAN STANDARDS STANDARDS USE OF BLOOD REGISTRATION

ANU NO NO NO YES NO NOANI NO NO YES NO NO NOARU NO NO YES NO NO NOBAH NO NO NO NO NO NOBAR NO NO YES NO NO NOBLZ NO NO YES NO NO NOBER NO NO YES NO NO NOVIB NO YES NO NO NO NOCAY NO NO NO NO NO NOCUR YES YES YES NO YES NODOM NO NO YES NO NO NOGRA NO NO YES NO NO NOGUY YES YES YES YES NO NOHAI YES YES YES NO NO NOJAM YES YES YES YES NO NOMOT NO NO YES NO NO NOSCN NO NO NR YES YES NOSAL YES NO YES YES NO NOSAV NO NO YES NO NO NOSUR NO NO YES YES NO YESTRT YES NO YES YES NO YESTCA NO NO YES YES NO NO


COUNTRY QUALITY EXTERNAL EXTERNAL BLOOD BANK NATIONALASSURANCE EVALUATION OF EVALUATION OF INSPECTION PROGRAM OF

POLICY SEROLOGY-TTI IMMUNOHEMATOLOGY PROGRAM CONTINUEDEDUCATION

ANU NO YES YES NO NOANI NO YES YES NO NOARU NO YES YES YES NOBAH YES YES YES NO NOBAR NO YES YES NO NOBLZ NO YES YES NO NOBER NO YES YES NO NOVIB NO YES YES NO NOCAY NO YES YES NO NOCUR NO YES YES YES YESDOM YES YES YES NO NOGRA NO YES YES NO NOGUY NO YES YES NO NOHAI YES NO NO NO YESJAM YES YES YES YES YESMOT NO YES YES NO NOSCN NO YES YES NO NOSAL NO YES YES NO NOSAV NO YES YES NO NOSUR YES YES NO YES YESTRT NO YES YES NO YESTCA YES YES YES NO NO



ANU NO NOANI NO NOARU NO NOBAH YES NOBAR NO NOBLZ NO NOBER YES NOVIB NO NOCAY NO NOCUR YES NODOM NO NOGRA NO NOGUY NO NOHAI NO NOJAM YES NOMOT NO NOSCN NO NOSAL NO NOSAV NO NOSUR YES NOTRT YES NOTCA NO NO



ANU ANU ARU ANU ARU ARUANI ANI BAH ANI BAH BAHARU ARU BER ARU CAY CAYBAH BAH CAY BAH CUR CURBLZ BLZ CUR BLZ GRA GRABER BER GRA BER JAM JAMVIB VIB GUY VIB SAL SALCAY CAY JAM CAY SAV SAVCUR CUR SAL CUR SUR SURGRA GRA SAV GRAGUY GUY SUR GUYHAI HAI HAIJAM JAM JAMMOT MOT MOTSCN SCN SCNSAL SAL SALSAV SAV SAVSUR SUR SURTCA TCA TCA

19 19 11 19 9 9


31


ARU, BER, CAY, CUR, SAL, SUR

PARTICIPATION IN EXTERNAL EVALUATION OFPERFORMANCE OF SEROLOGY (ITT), 2003


ANU 1 1 (100%)ANI 2 1 (50%)ARU 2 2 (100%)BAH 3 2 (67%)BAR 1 1 (100%)BLZ 7 1 (14%)BER 1 1 (100%)CAY 2 1 (50%)CUR 1 1 (100%)DOM 1 1 (100%)GRA 1 1 (100%)GUY 5 1 (20%)JAM 10 1 (10%)MOT 1 1 (100%)SCN 1 1 (100%)SAL 2 1 (50%)SAV 1 1 (100%)TRT 2 2 (100%)

18 50 21 (42%)

PARTICIPATION IN PROGRAMS OF EXTERNAL EVALUATIONOF IMMUNOHEMATOLOGY, 2003


ANU 1 1 (100%) ANI 2 1 (50%)ARU 2 1 (50%)BAH 3 1 (33.33%)BAR 1 1 (100%)BLZ 7 1 (14.28%)BER 1 1 (100%)VIB 1 1 (100%)CAY 2 1 (50%)CUR 1 1 (100%)DOM 1 1 (100%)GRA 1 1 (100%)GUY 5 1 (20%)JAM 10 1 (10%)MOT 1 1 (100%)SCN 1 1 (100%)SAL 2 1 (50%)SAV 1 1 (100%)TRT 2 1 (50%)TCA 2 1 (50%)

20 47 20 (45%)


32


35




Phone: 1-264- 497- 2551/2Fax: 1-264-497- 5745e-mail: [email protected]

ANTIGUA HAZALYN MARTIN-HENRY CHIEF MEDICAL HOLBERTON HOSPITAL.AND BARBUDA TECHNOLOGIST QUEEN ELIZABETH HIGHWAY

ST JOHN’S, ANTIGUAPhone: 1-268-462-2461Fax: 1-268-462-2461e-mail: [email protected]

ARUBA VIVIAN LAMPE MANAGER STICHTING BLOOD BANK, ARUBAC/O DR. HORACIO ODUBER HOSPITAL,EAGLEPhone: 297-5874260Fax: 297-58721 74e-mail: [email protected]

BAHAMAS EVERETTE MILLER SUPERVISORS PRINCESS MARGARET HOSPITALCAROLYN AZIKIWE Phone: 242-3228077

Fax: 242-3222326e-mail: [email protected]

BARBADOS BARBARA ROBINSON MEDICAL TECHNOLOGIST MARTINEDALE ROAD, ST MICHEL, BARABDOS.(FMT) Phone: 246-463-6450 XT 6124

Fax: 246-429-5374

BELIZE JOY CHARLEY SUPERVISOR BLOOD BANK PRINCESS MARGARET DRIVE, BELIZEPhone: 501-2-245010Fax: 501-2-235442e-mail: [email protected]


Phone: 441-236-2345 XT 1419Fax: 441-236-9200

BRITISH VIRGIN ALLENE BREWLEY LABORATORY PEEBLES HOSPITALISLANDS TECHNOLOGIST ROAD TOWN, TORTOLA, BVI.

Phone: 284-494-3497Fax: 284-494-3833


CURACAO AJ DUITS MEDICAL DIRECTOR RED CROOS BLOOD BANK FOUNDATIONPATER EUWENSWEG 36, CURACAOPhone: 5999-4625416Fax: 5999-4624930e-mail: [email protected]


36

DOMINICA NINA PIERRE DIRECTOR BLOOD BANK PRINCESS MARGARET HOSPITAL,GOODWILL, DOMINICA.Phone: 767-4482231Fax: 767-4488124

GRENADA EVERLYN PETERS SENIOR MEDICAL GOVERNMENT PATHOLOGICAL LABORATORY,TECHNOLOGIST GENERAL HOSPITAL, ST. GEORGES, GRENADA.

Phone: 473-440-5578Fax; 473-440-8892e-mail: [email protected]

GUYANA CLEMENT FELIX MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,McEWAN C/O PHG, GEORGETOWN, GUYANA.


HAITI MARIE MARCELLE CAUVIN CHEF DU SERVICES DE CROIX ROUGE HAITIENNETRANSFUSIONSANGUINE 100, RUE DES MIRACLES,

Boite Postale 1337PORT-AU-PRINCE,Phone: 509-223-1033, 1034,Fax: 509-244-2211e-mail: [email protected] ; [email protected]

JAMAICA LUNDIE RICHARDS MEDICAL DIRECTOR NATIONAL BLOOD TRANSFUSION SERVICE,21 SLIPE PEN RD, KINGSTON.Phone: 876-922-5181, 922-5185Fax: 876-967-3196e-mail: [email protected]



ST. KITTS JASMIN HANLEY LABORATOY MANAGER J. N. FRANCE HOSPITAL,AND NEVIS BLUCKLEY’S YESTE BASSETERRE.

Phone: 869-465-2551Fax: [email protected]

ST. LUCIA VERONICA LEE MEDICAL TECHNOLOGIST, ST LUCIA BLOOD BANK SERVICE, VICTORIA(BLOOD BANK MANAGER) HOSPITAL CASTRIES


ST. VINCENT & JACINTHA E. BROWNE MEDICAL TECHNOLOGIST- MILTON CATO MEMORIAL HOSPITAL THE GRENADINES BLOOD BANKS BLOOD BANK

BENTICK STREET, KINGSTOWN.Phone: 784-456-1185 XT 149Fax: 784- 457-1014e-mail: [email protected]


37

SURINAME MARIA TJON A. LOI MEDICAL DIRECTOR NATIONAL BLOOD BANK OF THE SURINAMERED CROSS SOCIETY, RODE KRNISLAAN 24,SURINAME.Phone: 597-498410Fax: 597-464780e-mail: [email protected]


TURKS & CAICOS EDWIN ASTWOOD LABORATORY MANAGER TURKS & CAICOS GOVERNMENT, GRANDISLANDS TURKS HOSPITAL, T & C.



COUNTRY # # REMUNERATED VOLUNTARY REPLACEMENT AUTOLOGOUS UNITS / UNITS/DAYBANKS UNITS DONORS (%) DONORS (%) DONORS (%) DONORS (%) BANK (260 DAYS)

ARG 781 804,018 - 7.22 91.82 0.96 1,029 3.96BOL NR NR NR NR NR NR NR NRBRA 2,116 1,827,937 - - 100.00 - 864 3.32CHI 162 218,371 - 1.20 98.80 - 1,348 5.18COL 159 398,000 - 29.20 68.00 2.80 2,503 9.63COR 25 59,218 - 45.00 55.00 - 2,369 9.11CUB 42 574,320 - 100.00 - - 13,674 52.60ECU 38 82,237 - 30.30 69.70 - 2,164 8.32ELS 59 76,096 - 12.20 87.67 0.06 1,290 4.96GUT * 31 25,482 - - 100.00 - 822 3.16HON 29 38,328 9.66 23.57 66.69 0.08 1,321 5.08MEX 589 1,234,414 - 3.58 96.00 0.42 2,096 8.06NIC 26 50,581 - 37.26 62.72 0.02 1,945 7.48PAN 25 44,496 47.80 2.40 49.80 - 1,780 6.85PAR 41 47,209 - 3.46 96.44 0.09 1,151 4.43PER 144 332,800 1.70 13.70 80.10 4.50 2,311 8.90DOR 77 60,885 1.80 24.13 73.57 0.50 791 3.04URU 72 116,584 - 7.53 91.46 1.01 1,619 6.22VEN 262 323,860 - - 100.00 - 1,236 4.75

* Only the Blood Banks of the MOH.


COUNTRY HIV HBsAg HCV SYPHILIS T. cruzi

ARG 100 99.99 98.33 100 100BOL NR NR NR NR NRBRA 100 100 100 100 100CHI 97.50 97.30 97.10 96.30 91.00COL 99.80 99.80 99.70 100 99.80COR 100 100 100 100 5.82CUB 100 100 100 100 NAECU 100 100 99.67 100 91.50ELS 100 100 100 100 100GUT 99.29 99.78 84.08 100 97.94HON 100 99.88 94.41 100 99.89MEX 100 100 100 100 14.68NIC 100 100 67.57 100 74.16PAN 100 100 100 100 29.00PAR 98.64 98.32 69.00 98.62 98.61PER 100 100 100 100 100DOR 100 100 99.84 99.32 NAURU 100 100 100 100 100VEN 100 100 100 100 100


38



ARG - 80 13,427 - -BOL NR NR NR NR NRBRA - - - - -CHI 5,459 5,896 6,333 8,080 19,653COL 796 726 1,194 - 796COR - - - - 55,772CUB - - - - NAECU - - 271 - 6,990ELS - - - - -GUT 181 56 4,057 - 525HON - 46 2,143 - 42MEX - - - - 1.053,202NIC - - 16,403 - 13,070PAN - - - - 31,592PAR 642 793 14,635 651 656PER - - - - -DOR - - 97 414 NAURU - - - - -VEN - - - - -

TOTAL 7,078 7,597 58,560 9,145 1.182,298



ARG 0.18 0.60 0.66 0.92 4.40BOL NR NR NR NR NRBRA 0.41 0.66 0.67 1.03 0.60CHI 0.04* 0.16 0.13 0.88 0.61COL 0.25 0.48 0.56 1.56 0.67COR 0.06 0.20 0.20 0.48 1.94CUB 0.009 0.70 0.74 3.00 NAECU 0.20 0.21 0.54 0.85 0.09ELS 0.13 0.37 0.15 1.02 2.48GUT 0.65 0.68 0.68 1.44 0.84HON 0.31 0.41 0.60 1.67 1.53MEX 0.28 0.47 0.72 0.34 0.60NIC 0.10 0.34 0.81 1.40 0.03PAN 0.10 1.50 0.60 0.50 0.60PAR 0.21 0.53 0.61 6.04 4.34PER 0.12 0.85 0.30 0.97 0.20DOR 0.42 1.20 0.64 0.86 NAURU 0.06* 0.41 0.43 0.90 0.60VEN 0.20 0.71 0.60 1.18 0.55

* Confirmed as positive


39


COUNTRY % SEPARATION INTO COMPONENTS % DISCARDED BLOOD AND BLOOD COMPONENTSRBC FFP FP CRYO PL S C RBC FFP FP CRYO PL

ARG 81.00 64.85 16.15 8.00 50.00 15.80 6.00 19.60 6.20 3.00 42BOL NR NR NR NR NR NR NR NR NR NR NRBRA NR NR NR NR NR NR NR NR NR NR NRCHI 73.18 - 59.43* 31.86 32.26 6.10 6.81 NA 10.84* 2.07 9.76COL 78.00 NR NR NR NR NR NR NR NR NR NRCOR 55.38 NR NR 11.20 50.68 80.00 3.12 NR NR NR 14.37CUB 72.00 72.00 - 7.00 9.00 NR NR NR NA NR NRECU 67.20 15.38 48.78 16.90 23.20 2.41 2.00 3.47 25.17 2.77 13.00ELS 76.74 58.42 - 7.40 51.78 1.24 5.40 8.49 NA 0.37 4.60GUT 70.07 18.10 17.95 12.44 19.38 22.16 NR NR NR NR NRHON ** 39.26 28.32 - 10.03 34.62 NR NR NR NA NR NRMEX 82.61 26.87 51.76 13.74 35.65 18.22 6.24 49.55 15.40 12.81 20.49NIC 61.75 33.31 5.06 8.90 23.54 5.12 2.81 NR 3.57 - 2.05PAN 94.14 19.63 - 0.85 36.23 96.68 4.50 5.12 NA NR 16.83PAR 61.52 53.20 - 0.38 9.45 27.92 3.56 64.84 NA 49.16 12.18PER 70.20 29.80 40.40 7.20 27.10 53.00 17.60 23.60 21.70 5.20 48.10DOR 23.85 8.54 4.08 0.02 4.07 3.41 2.10 2.20 1.60 - 1.20URU NR NR NR NR NR NR NR NR NR NR NRVEN 86.14 64.24 15.55 10.29 36.80 NR NR 28.37 NR 4.52 11.88

* All type of Plasma / ** Information for the Red Cross only



ARG YES YES NO YES YESBOL NR NR NR NR NRBRA YES YES YES YES YESCHI NO YES NO NO NOCOL YES YES NO NO YESCOR YES NO YES NO YESCUB YES YES NO YES YESECU YES NO* NO NO YESELS NO YES NO YES YESGUT YES YES NO YES YESHON YES YES NO YES YESMEX YES YES YES YES YESNIC YES YES YES YES NOPAN YES NO NO NO NOPAR YES YES NO YES YESPER YES YES YES YES YESDOR YES YES NO YES NOURU YES YES YES YES YESVEN YES YES YES YES YES

* The MOH delegated the responsibility to the Red Cross


40



ARG NO YES YES NO NO NOBOL NR NR NR NR NR NRBRA NO* YES YES YES NO YESCHI NO NO YES YES YES YESCOL NO YES NO NO YES YESCOR YES NO YES YES YES YESCUB YES YES YES YES YES YESECU NO NO YES YES YES YESELS YES YES** YES NO YES YES***GUT NO YES YES NO YES YESHON YES YES YES YES YES YESMÉX YES YES YES YES NO YESNIC YES NO YES NO NO YESPAN YES NO YES NO NO NOPAR YES YES YES NO YES YESPER YES YES YES YES YES YESDOR YES YES NO NO NO YESURU YES YES YES YES YES YESVEN YES YES YES YES YES**** YES

*There is a Blood Bank coordinator in each state (27) /** Partially, /*** 2 Registries, /**** Every centre has its guidelines for the clinical use of blood.


COUNTRY QUALITY QUALITY EXTERNAL EXTERNAL BLOOD BANKASSURANCE ASSURANCE EVALUATION OF EVALUATION OF INSPECTION

POLICY PROGRAM SEROLOGY-TTI IMMUNOHEMATOLOGY PROGRAM

ARG NO YES YES NO NOBOL NR NR NR NR NRBRA YES YES YES YES YESCHI NO YES YES NO YESCOL NO YES YES NO YESCOR NO YES* YES** NO NOCUB YES YES YES YES YESECU NO NO NO NO NOELS YES*** YES*** YES YES NOGUT YES YES NO NO YESHON NO YES YES YES NOMEX YES YES YES NO YESNIC NO YES YES NO NOPAN NO YES NO NO YESPAR NO NO YES NO YESPER YES YES NO NO YESDOR NO NO NO NO YESURU YES YES NO**** YES YESVEN YES YES YES NO YES

* It is not specific for Blood Banking, /** Only for HIV, Hepatitis B and C, /* **Partially, /****In progress.


41


42


COUNTRY NATIONAL PROGRAM OF PERSONNEL BLOOD BANKCONTINUED EDUCATION CERTIFICATION ACCREDITATION

ARG YES YES YESBOL NR NR NRBRA YES NO YESCHI NO NO YESCOL YES NO NOCOR NO YES NOCUB YES YES YESECU NO NO NOELS YES NO NOGUT YES NO NOHON YES NO NOMEX YES YES YESNIC YES NO NOPAN NO NO NOPAR YES YES YESPER YES YES YESDOR YES YES NOURU NO YES NOVEN YES NO NO*

* In progress.


HIV HBV HCV SYPHILIS T. cruzi ALL MARKERS

ARG BRA BRA ARG ARG BRABRA COR COR BRA BRA CUB*COR CUB CUB COL ELS ELSCUB ECU ELS COR PER PERECU ELS MEX CUB URU URUELS MEX PAN ECU VEN VENHON NIC PER ELS MEX PAN URU GUTNIC PER VEN HONPAN DOR MEXPER URU NICDOR VEN PANURU PERVEN URU

VEN

14 12 9 15 6 6

* Considered with all markers, because T. cruzi screening is not requiered

1 COUNTRY WITH > 50% VOLUNTARY DONORS, 2000

CUBA


EL SALVADOR, MEXICO


45

RESPONSIBLE OF PROVIDING NATIONAL INFORMATION, 2000


ARGENTINA HÉCTOR MOGUILEVSKY SECRETARIO DE POLÍTICAS Avenida 9 de julio 1925, CP 1332, Buenos Aires.Y REGULACIÓN SANITARIA Phone: 54-11-4379-9011

Fax: 54-11-4379-9118e-mail: [email protected]

BRAZIL BEATRIZ MAC DOWELL GERENTE GENERAL DE SEPN Quadra 515 Bloco "B" Ed. Omega, 4o.SOARES SANGRE Y Andar, Sala 406 CEP: 70770-520, BRAZILia-DF

HEMODERIVADOS Phone: 61-448-1316 y 448-1370Fax: 61-448-1355e-mail: [email protected]

CHILE IGNACIO ASTORGA J. JEFE DE DIVISIÓN DE Mac Iver No. 541, Santiago de Chile.INVERSIONES Y DESARROLLO Phone: 56-2-6300447DE LA RED ASISTENCIAL, e-mail: [email protected] DE SALUD

COLOMBIA MAURICIO BELTRÁN COORDINADOR RED Avenida el Dorado Carrera 50, Zona 6-Santa FeDURAN NACIONAL DE BANCOS de Bogotá DC

DE SANGRE Phone: 57-1-222-5077, ext 420-421 57-1-336-5077, ext 1523-1524 Fax: 57-1-222-5077, ext 42157-1-336-5077, ext 1075-1700e-mail: [email protected]

COSTA RICA JOSÉ LUÍS SALAS JEFE SECCIÓN Oficinas Centrales CCSS, ADDRESS Técnica de OVIEDO LABORATORIOS CLÍNICOS, Servicios de Salud, Sección Laboratorios

CCSS Clínicos, San José.Phone: 505-295-2284, Fax: 255-2784

CUBA JOSE M. BALLESTER DIRECTOR DEL INSTITUTO San Francisco y Perla, Altahabana, MunicipioDE HEMATOLOGÍA E Boyeros, Apartado de Correos 8070, CiudadINMUNOLOGÍA de la Habana, CP 10800.

Phone: 537-57-8268, 54-4214Fax: 537-33-8979e-mail: [email protected]

ECUADOR MARIANA CARRILLO SECRETARÍA NACIONAL Avenida Colombia y Elizalde esq, Quito.DE SANGRE, CRUZ ROJA Phone: 593-2-582485ECUATORIANA

EL SALVADOR GRACIELA ECHEGOYÉN DIRECTORA CENTRO DE Alameda Roosevelt, contiguo al HospitalDE HERNÁNDEZ SANGRE, CRUZ ROJA Rosales,

SALVADOREÑA El Salvador.ANA VILMA GUEVARA Phone: 503-221-5751 y 271-1329DE AGUILAR JEFE DE SECCIÓN BANCOS Fax: 503- 271-1337

DE SANGRE MINISTERIODE SALUD PÚBLICA YASISTENCIA SOCIAL

GUATEMALA CARLOS VALDEZ KUNZE COORDINADOR PROGRAMA 5a. Av. 11-40, Zona 11, Ciudad de GuatemalaNACIONAL BANCOS DE Phone: 502-471-9540, 401-9397SANGRE

HONDURAS ELIZABETH VINELLI DIRECTOR MEDICO, 2a Avenida entre 6a y 7a calle, Comayaguela,PROGRAMA NACIONAL DE MDC.SANGRE, CRUZ ROJA Phone: 504-237- 1800HONDUREÑA Fax: 504-238-0185

e-mail: [email protected]

ADELA ZELAYA JEFE UNIDAD BANCO Tercer piso, Centro de Salud Alonso Suazo,DE SANGRE, Tegucigalpa.SECRETARÍA DE SALUD Phone: 504-232-5840


MEXICO ANTONIO MARÍN LÓPEZ DIRECTOR GENERAL, Goya No. 35 Insurgentes MixcoacCENTRO NACIONAL DE LA México 03920, D.F.TRANSFUSIÓN SANGUÍNEA Phone: 525-598-4204


NICARAGUA JUSTO REYES CERROS DIRECTOR DE Complejo Nacional de Salud “Dra ConcepciónMICROBIOLOGÍA DEL CNDR Palacios, Managua.

Phone: 505-2897723, Fax: 505- 2897723e-mail: [email protected]

PANAMA HERIBERTO ESPINO JEFE MÉDICO BANCO DE Hospital Santo Tomas, Apdo. Postal 720-9ASANGRE Ciudad de Panamá.

Phone: 507-225-3139, Fax: 507-223-6928

PARAGUAY LENI FUNK DE ISAAK DIRECTORA CENTRO General Santos y Teodoro S. Mongelos,NACIONAL DE TRANSFUSIÓN Asunción.SANGUÍNEA Phone: 595-204-668, Fax: 595-204-668

PERU JOSÉ FUENTES-RIVERA DIRECTOR PROGRAMA Avenida Pachacútec 900, Jesús María, Lima.SALCEDO NACIONAL DE Phone / Fax: 511-433-6671

HEMOTERAPIA Y BANCOS e-mail: [email protected] SANGRE (PRONAHEBAS) [email protected]

DOMINICAN HÉCTOR RUIZ CAMACHO Avenida San Cristóbal equina Tiradentes,REPUBLIC SUBGERENCIA DE BANCOS Santo Domingo

DE SANGRE Phone: 809-541-3121, ext 472 y 776,541-4255

URUGUAY ANDREW MILLER DIRECTOR TÉCNICO Avda. 8 de Octubre 2720, Montevideo.SERVICIO NACIONAL Phone: 598-2-487-5685, 487-2414DE SANGRE / MSP Fax: 598-2-487-3240


VENEZUELA MAURICIO SALAZAR COORDINADOR PROGRAMA Ministerio de Salud y Asistencia Social.CAMPO NACIONAL DE SANGRE Centro Simón Bolívar. Edificio Sur. Piso 8.

Caracas. DF.Phone / Fax: 58-2-481-0649e-mail: [email protected]

46




ARG 752 804,018 NR NR NR NR 1,069 4.11BOL 60 24,747 12.55 10.92 75.68 0.84 412 1.59BRA* 3,000 1.763,130 - - 100 - 588 2.26CHI 162 210,403 - - 100 - 1,299 5.00COL 161 399,171 - 18.80 80.00 1.20 2,479 9.54COR 35 55,737 - 49.00 51.00 - 1,592 6.12CUB 42 575,203 - 100 - NR 13,695 52.67ECU 39 65,496 - 35.88 64.11 - 1,679 6.46ELS 59 72,545 - 9.70 90.00 - 1,230 4.73GUT 47 43,622 - 1.29 98.70 0.01 928 3.57HON 29 36,781 4.83 22.78 72.13 NR 1,268 4.88MEX 529 1.135,397 - 4.80 95.00 0.20 2,146 8.26NIC 24 49,346 - 40.95 59.05 0.02 2,056 7.91PAN 35 42,867 47.00 1.80 51.20 - 1,225 4.71PAR 23 48,406 - 2.30 94.50 0.20 2,105 8.09PER 160 347,250 1.50 19.20 74.60 4.70 2,170 8.35DOR 81 70,020 2.60 14.50 82.30 0.40 864 3.32URU NR NR NR NR NR NR NR NRVEN 264 345,953 - 5.55 94.48 - 1,310 5.04

* The information for Brazil is from the 27 coordinating blood centers



ARG 100 99.90 98.33 100 100BOL 86.15 84.22 49.03 85.95 86.09BRA* 100 100 100 100 100CHI 100 100 100 100 81.42COL 99.70 99.80 99.60 99.90 99.80COR 100 100 100 100 6.17CUB 100 100 100 100 NAECU 100 99.99 99.90 99.89 94.05ELS 100 100 100 100 100GUT 96.60 93.35 92.07 66.29 92.27HON 100 100 97.95 100 100MEX 100 100 100 100 13.30NIC 100 100 71.00 100 94.00PAN 100 100 100 100 33.00PAR 99.15 98.25 84.32 92.22 99.15PER 100 100 100 100 100DOR 100 100 99.80 99.30 NAURU NR NR NR NR NRVEN 100 100 100 100 100



47



ARG - 804 13,427 - -BOL 3,427 3,905 12,614 3,477 3,442BRA - - - - -CHI - - - - 39,093COL 1,198 798 1,597 399 798COR - - - - 52,298CUB - - - - NAECU - 7 65 72 3,897ELS - - - - -GUT 1,483 2,901 3,459 14,705 3,372HON - - 754 - -MÉX - - - - 984,389NIC - - 14,310 - 2,961PAN - - - - 28,721PAR 411 847 7,590 3,766 411PER - - - - -DOR - - 140 490 NAURU NR NR NR NR NRVEN - - - - -

TOTAL 6,519 9,262 53,956 22,909 1,119,382



ARG 0.18 0.60 0.66 0.92 4.50BOL 0.04 0.57 0.28 1.54 9.91BRA* 0.33 0.88 0.78 1.08 0.65CHI 0.04 0.16 0.13 0.88 0.61COL 0.25 0.48 0.56 1.56 0.67COR 0.05 0.16 0.21 0.38 0.58CUB 0.01 0.70 0.74 0.55 NAECU 0.24 0.27 0.20 0.52 0.08ELS 0.20 0.43 0.25 0.93 3.70GUT 3.71 0.93 1.08 2.38 1.48HON 0.38 0.43 0.65 0.85 1.40MÉX 0.20 0.05 0.07 0.02 0.05NIC 0.17 0.52 0.28 1.06 0.56PAN 0.10 1.70 0.60 0.40 0.90PAR 0.20 0.52 0.59 4.42 4.46PER 0.10 0.82 0.50 0.89 0.29DOR 0.42 1.20 0.64 0.86 NAURU NR NR NR NR NRVEN 0.25 0.94 0.56 1.40 0.67



48


% SEPARATION INTO COMPONENTS % DISCARDES BLOOD AND BLOOD COMPONENTS

COUNTRY UNITS RBC FFP FP CRYO PL WB RBC FFP FP CRYO PL

ARG 804,018 81.00 16.00 68.00 8.00 50.00 NR NR NR NR NR NRBOL 24,747 53.21 29.12 17.48 4.52 10.12 5.18 5.02 4.12 8.00 3.31 3.59BRA* NR NR NR NR NR NR NR NR NR NR NR NRCHI 210,403 75.96 NR NR 33.07 33.48 22.75 9.31 NR NR 6.49 30.28COL 399,171 NR NR NR NR NR 2.50 4.50 17.90 NR 0.70 8.20COR 55,737 83.85 NR 83.85 16.42 62.11 0.89 37.50 NR 72.94 13.91 6.81CUB 575,203 45.00 17.25 - 10.30 15.00 NR NR NR NA NR NRECU 65,496 74.58 42.55 15.30 18.50 23.64 0.42 1.06 3.08 38.43 2.74 5.83ELS 72,545 79.34 58.66 - 8.72 45.20 9.24 0.73 40.46 NA 21.68 20.96GUT 43,622 67.38 29.84 - 3.71 20.43 NR NR NR NA NR NRHON 36,781 25.05 22.29 NR 1.79 23.72 63.03 NR 15.15 NR 37.90 40.34MEX 1,135,397 0.85 NR NR 7.70 36.80 NR 6.00 NR NR 17.00 15.00NIC 49,346 69.51 48.50 13.86 10.50 29.94 2.45 5.95 14.71 44.99 2.03 11.76PAN 42,867 87.51 21.90 - 1.78 35.99 0.06 2.76 2.44 NA NR 19.40PAR 48,406 59.14 48.49 12.49 0.99 9.54 13.02 13.19 NR NR 20.55 30.27PER 347,250 75.10 26.80 48.30 9.70 33.50 10.83 18.80 29.30 17.20 1.40 49.80DOR 70,020 58.20 16.30 14.10 0.60 10.70 50.20 30.91 68.85 NR 50.86 25.51URU NR NR NR NR NR NR NR NR NR NR NR NRVEN 345,953 93.72 67.05 17.51 12.53 0.39 95.27 12.01 38.17 NR 36.56 24.72




ARG YES YES NO YES YESBOL YES YES YES YES YESBRA YES YES YES YES YESCHI YES YES YES YES YESCOL YES YES NO YES YESCOR YES YES YES YES YESCUB YES YES NO YES YESECU YES YES NO YES YESELS NO* YES NO YES YESGUT YES YES YES YES YESHON YES YES NO YES YESMEX YES YES YES YES YESNIC YES YES YES YES NOPAN YES NO NO NO YESPAR YES YES YES YES YESPER YES YES YES YES YESDOR YES YES NO YES YESURU NR NR NR NR NRVEN YES YES YES YES YES

* No, but there is a proposal for integrate it in the Health Code


49



ARG NO YES YES YES NO YESBOL NO YES YES NO YES NOBRA NO* YES YES YES YES YESCHI NO YES YES YES YES YESCOL YES YES NO YES NO YESCOR YES YES YES YES YES YESCUB YES YES YES YES YES YESECU NO YES YES YES YES YESELS YES YES** YES NO YES YES***GUT NO YES YES NO NO YESHON YES YES YES YES YES YESMEX YES YES YES YES YES YESNIC YES NO YES YES NO YESPAN NO NO NO YES NO YESPAR YES YES YES YES YES YESPER YES YES YES YES YES YESDOR YES YES YES NO NO YESURU NR NR NR NR NR NRVEN YES YES YES YES YES**** YES

* There is a Blood Bank coordinator in each state (27) ** Partially, /*** 2 Registries, /**** Every centre has its guidelines for the clinical use of blood.



POLICY PROGRAM OF SEROLOGY-TTI IMMUNOHEMATOLOGY PROGRAM

ARG NO NO YES YES NOBOL NO YES YES NO NOBRA YES YES YES YES YESCHI NO YES YES NO YESCOL YES YES YES NO YESCOR NO YES YES NO YESCUB YES YES YES YES YESECU YES YES YES NO NOELS YES YES* YES YES NOGUT YES YES YES NO YESHON NO NO YES YES NOMEX YES YES YES NO YESNIC NO YES YES YES NOPAN NO NO YES NO YESPAR YES NO YES NO YESPER YES YES YES YES YESDOR YES** YES YES NO YESURU NR NR NR NR NRVEN YES YES YES YES YES

*Partially, / ** In progress


50


51



ARG YES YES YESBOL NO NO NOBRA YES YES YESCHI NO YES YESCOL YES NO NOCOR YES YES YESCUB YES YES YESECU NO NO NOELS YES NO NOGUT YES YES YESHON NO NO NOMEX YES NO YESNIC YES NO NOPAN YES NO NOPAR YES YES YESPER YES YES YESDOR YES NO NOURU NR NR NRVEN YES NO NO



ARG BRA BRA ARG ARG BRABRA CHI CHI BRA BRA CUB *CHI COR COR CHI ELS ELSCOR CUB CUB COR HON PERCUB ELS ELS CUB PER VENECU HON MEX ELS VENELS MEX PAN HONHON NIC PER MEXMEX PAN VEN NICNIC PER PANPAN DOR PERPER VEN VENDORVEN

14 12 9 12 6 5

* Considered with all markers, because T. cruzi screening is not required


CUBA


CHILE, CUBA, EL SALVADOR, MEXICO, PANAMA

2 COUNTRIES WITH 100% PARTICIPATING IN EXTERNALEVALUATION OF INMUNOHEMATOLOGY, 2001

CUBA, EL SALVADOR



ARGENTINA DANIEL FONTANA DIRECTOR, PLAN Instituto de Hemoterapia , Ministerio de SaludNACIONAL DE SANGRE Provincia de Buenos Aires, Calle 15 esq. 66

1900 La PlataPhone: 54-221-453-4012e-mail: [email protected]

BOLIVIA MARIO LUÍS TEJERINA CONSULTOR NACIONAL, Ministerio de Salud y Prevención SocialVALLE PROGRAMA NACIONAL Plaza de Estudiante S/N, Oficina UCP/BID.

DE SANGRE M.S.P.S. La Paz.Phone: 591-248-3612, 248-9934e-mail: [email protected]

BRAZIL BEATRIZ MAC GERENTE GENERAL DE SEPN Quadra 515 Bloco "B" Ed. Omega, 4o.DOWELL SOARES SANGRE Y Andar, Sala 406 CEP: 70770-520, BRAZILia-DF


CHILE IGNACIO ASTORGA J. JEFE DE DIVISIÓN DE Mac Iver No. 541, Santiago de Chile.INVERSIONES Y Phone: 56-2-6300447DESARROLLO DE LA RED e-mail: [email protected],MINISTERIO DE SALUD

COLOMBIA MAURICIO BELTRÁN COORDINADOR, RED Avenida calle 26 # 51-60, Santa Fe de BogotáDURÁN NACIONAL DE BANCOS DC

DE SANGRE Phone: 57-1-220-7700, ext. 420-421 Fax: 57-1-220-0901e-mail: [email protected]

COSTA RICA JOSÉ LUÍS SALAS JEFE, SECCIÓN Oficinas Centrales CCSS, ADDRESS Técnica deOVIEDO LABORATORIOS Servicios de Salud, Sección Laboratorios

CLÍNICOS, CCSS Clínicos, San José.Phone: 505-295-2284, Fax: 255-2784

CUBA JOSE M. BALLESTER DIRECTOR DEL San Francisco y Perla, Altahabana, MunicipioINSTITUTO DE Boyeros, Apartado de Correos 8070, Ciudad deHEMATOLOGÍA E la Habana, CP 10800.INMUNOLOGÍA Phone: 537-57-8268, 54-4214


ECUADOR ROBERTO YAJAMÍN SECRETARIO GENERAL Avenida Colombia y Elizalde esq.DE SANGRE, SECRETARÍA Cruz Roja Ecuatoriana, QuitoNACIONAL DE SANGRE Phone: 593-2-582485, ext. 324


EL SALVADOR GRACIELA ECHEGOYÉN DIRECTORA, CENTRO DE Laboratorio Central “Dr. Max Bloch”DE HERNÁNDEZ SANGRE, CRUZ ROJA Alameda Roosevelt, contiguo al Hospital

SALVADOREÑA Rosales, El Salvador.Phone: 503-221-5751 y 271-1329

ANA VILMA GUEVARA JEFE DE SECCIÓN BANCOS Fax: 503- 271-1337DE AGUILAR DE SANGRE, MINISTERIO e-mail: [email protected]

DE SALUD PÚBLICA YASISTENCIA SOCIAL


53

GUATEMALA EMILIO GARCÍA COORDINADOR, 11a. Avenida A. 12-19, Zona 7, Finca la Verbena,FUENTES PROGRAMA NACIONAL Ciudad de Guatemala

BANCOS DE SANGRE Phone: 502-472-0298, 471-0228Fax: 502-471-0228e-mail: [email protected]

HONDURAS ELIZABETH VINELLI DIRECTOR MÉDICO, 2a Avenida entre 6a y 7a calle, Comayaguela,PROGRAMA NACIONAL MDC.DE SANGRE, CRUZ ROJA Phone: 504-237- 1800HONDUREÑA Fax: 504-238-0185


ADELA ZELAYA JEFE UNIDAD BANCO Tercer piso, Centro de Salud Alonso Suazo,DE SANGRE, Tegucigalpa.SECRETARÍA DE SALUD Phone: 504-232-5840


MEXICO RAFAEL ANTONIO DIRECTOR GENERAL, Goya No. 35 Insurgentes MixcoacMARÍN LÓPEZ CENTRO NACIONAL DE México 03920, D.F.

LA TRANSFUSIÓN Phone: 525-55-11-92832SANGUÍNEA e-mail: [email protected]

NICARAGUA ALCIDES GONZÁLES DIRECTOR GENERAL Complejo Nacional de Salud “Dra. ConcepciónDEL CNDR Palacios”, Managua.


PANAMA ZOILA C. DE CASTILLO DIRECTORA DEL Instituto Gorzas, entre calle 35 y 36 (Avda.LABORATORIO CENTRAL Justo Arosamena), Ciudad de Panamá.DE REFERENCIA EN Phone: 507-227-7121, Fax: 507-227-7121SALUD PÚBLICA e-mail: [email protected]

PARAGUAY LENI FUNK DE ISAAK DIRECTORA, CENTRO General Santos y Teodoro S. Mongelós,NACIONAL DE Asunción.TRANSFUSIÓN Phone: 595-204-668, Fax: 595-204-668SANGUÍNEA

PERU JOSÉ FUENTES-RIVERA DIRECTOR, PROGRAMA Avenida Pachacútec 900, Jesús María, Lima.SALCEDO NACIONAL DE Phone / Fax: 511-433-6671

HEMOTERAPIA Y BANCOS e-mail: [email protected] yDE SANGRE (PRONAHEBAS) [email protected]

DOMINICAN HÉCTOR RUIZ CAMACHO DIRECTOR NACIONAL Avenida San Cristóbal equina Tiradentes, SantoREPUBLIC DE BANCOS DE SANGRE, Domingo

SECRETARÍA NACIONAL Phone: 809-541-3121, ext. 472 y 776,DE SALUD PÚBLICA Y 541-4255ASISTENCIA SOCIAL



VENEZUELA MAURICIO SALAZAR COORDINADOR, Ministerio de Salud y Asistencia Social. CentroCAMPO PROGRAMA NACIONAL Simón Bolívar. Edificio Sur. Piso 8, dec. 826.

DE SANGRE Caracas. DC.Phone / Fax: 58-2-481-0649e-mail: [email protected] y

[email protected]


54


55


COUNTRY # # REMUNERATED VOLUNTARY REPLACEMENT AUTOLOGOUS UNITS/ UNITS/ DAYBANKS UNITS DONORS (%) DONORS (%) DONORS (%) DONORS (%) BANK (260 DAYS)

ARG 578 680,439 - 5.80 94.20 - 1,177 4.53BOL 38 24,649 3.90 24.40 71.40 0.30 649 2.49BRA 2,583 3.014,184 - 46.90 53.04 0.06 1,167 4.49CHI 106 226,119 - 2.00 98.00 - 2,133 8.20COL 151 424,899 - 41.00 57.00 2.00 2,814 10.82COR 26 53,465 - 47.70 52.30 - 2,056 7.91CUB 44 563,204 - 100 - - 12,800 49.23ECU 33 76,257 - 41.50 58.50 - 2,311 8.89ELS 32 73,594 - 10.09 89.90 - 2,300 8.85GUT 49 71,959 - 3.87 95.97 0.16 1,635 6.29HON 27 40,755 8.77 22.00 69.05 0.18 1,509 5.81MEX 524 1.027,253 - 2.97 96.77 0.25 1,960 7.54NIC 24 48,921 - 55.78 44.21 - 2,038 7.84PAN 23 46,669 47.90 1.90 50.20 - 2,029 7.80PAR 31 45,533 - 3.26 96.57 0.16 1,469 5.65PER 172 149,077 3.22 6.14 90.25 0.39 867 3.33DOR 88 81,897 - 17.00 82.73 0.33 931 3.58URU 45 101,669 - 34.80 65.20 0.21 2,259 8.69VEN 270 369,440 - 11.32 88.68 - 1,368 5.26



ARG 99.60 99.60 99.30 99.80 99.80BOL 98.00 89.70 71.00 98.00 89.30BRA 100 100 100 100 100CHI 100 100 100 100 75.18COL 99.72 99.79 99.70 100 99.75COR 100 100 100 100 25.08CUB 100 100 100 100 NAECU 100 100 100 100 100ELS 100 100 100 100 100GUT 93.44 93.37 92.95 93.35 92.73HON 100 100 95.45 100 100MEX 100 100 100 100 27.00NIC 100 95.00 74.00 100 95.00PAN 100 100 100 100 34.00PAR 99.45 99.40 96.94 99.71 99.78PER 100 100 99.40 100 99.40DOR 100 100 100 100 NAURU 100 100 100 100 100VEN 100 100 100 100 100


56



ARG 2,722 2,722 4,763 1,361 1,361BOL 493 2,539 7,148 493 2,637BRA - - - - -CHI - - - - 56,123COL 1,190 892 1,275 - 1,062COR - - - - 40,056CUB - - - - NAECU - - - - -ELS - - - - -GUT 4,721 4,771 5,073 4,785 5,231HON - - 1,854 - -MEX - - - - 749,895NIC - 2,446 12,719 - 2,446PAN - - - - 30,802PAR 250 273 1,393 132 100PER - - 894 - 894DOR - - - - NAURU - - - - -VEN - - - - -

TOTAL 9,376 13,643 35,119 6,771 890,607



ARG NR NR NR NR NRBOL NR NR NR NR NRBRA 0.46 0.50 0.52 0.84 0.61CHI 0.03 0.07 0.13 0.27 0.47COL 0.46 0.62 1.10 1.07 0.98COR 0.09 0.26 0.66 0.44 0.36CUB 0.01 0.60 0.71 1.84 NAECU 0.28 0.22 0.26 1.02 0.15ELS 0.15 0.29 0.15 0.58 3.00GUT 0.50 1.13 0.80 2.26 1.02HON 0.26 0.39 0.62 1.06 0.87MEX 0.36 0.46 0.69 0.28 0.24NIC 0.28 0.44 0.50 1.23 0.49PAN NR NR NR NR NRPAR 0.15 0.37 0.86 2.56 2.80PER 0.34 0.42 0.67 1.29 0.26DOR 0.47 1.50 0.46 0.45 NAURU 0.69 0.31 0.35 0.54 0.47VEN 0.26 0.77 0.51 1.20 0.67



ARG 680,439 NR NR NR NR NR NR NR NR NR NR NRBOL 24,649 53.84 26.90 26.94 3.77 9.05 17.31 2.09 2.14 2.51 6.02 6.41BRA 3,014,184 38.00 32.20 8.40 1.80 17.00 NR NR NR NR NR NRCHI 226,119 34.00 31.00 NR 13.00 18.00 25.00 3.00 5.00 NR 1.00 22.00COL 424,899 NR NR NR NR NR NR NR NR NR NR NRCOR 533,465 7.28 NR NR 1.27 6.51 71.50 - NR NR 75.02 49.31CUB 563,204 49.04 13.25 - 6.62 9.96 NR NR NR NA NR NRECU 76,257 73.58 55.35 18.25 13.69 26.19 3.14 0.86 2.45 34.58 2.81 5.97ELS 73,594 80.86 62.28 - 8.10 49.79 NR NR NR NA NR NRGUT 71,959 70.15 23.49 0.15 10.49 22.39 NR NR NR NR NR NRHON 40,755 NR NR NR NR NR NR NR NR NR NR NRMEX 1,027,253 86.60 59.30 24.60 10.50 36.20 3.30 6.40 18.92 57.18 10.47 20.47NIC 48,921 78.15 48.91 9.91 7.91 40.51 6.49 0.49 0.01 9.79 0.10 3.27PAN 46,669 NR NR NR NR NR NR NR NR NR NR NRPAR 45,533 51.01 26.31 1.47 12.87 7.35 NR NR NR NR NR NRPER 149,077 69.53 15.44 54.78 9.50 46.16 2.02 11.90 36.50 20.26 15.55 21.17DOR 81,897 22.99 7.17 5.99 - 7.94 8.94 8.13 2.37 NR NA 5.43URU 101,669 NR NR NR NR NR NR 3.77 NR NR NR 8.59VEN 368,880 92.87 73.18 24.54 9.13 40.21 96.17 6.97 44.40 70.89 62.93 30.29



ARG YES YES NO YES YESBOL YES YES YES YES YESBRA YES YES YES YES YESCHI YES YES YES YES YESCOL YES YES NO YES YESCOR YES YES YES YES YESCUB YES YES NO YES YESECU YES YES YES YES YESELS NO YES NO YES YESGUT YES YES YES YES YESHON YES YES NO YES YESMEX YES YES YES YES YESNIC YES YES YES YES NOPAN YES YES NO NO YESPAR YES YES YES YES YESPER YES YES NO YES NODOR YES YES NO YES YESURU YES YES YES YES NOVEN YES YES YES YES YES


57


58



ARG NO YES YES YES NO YESBOL NO YES YES NO YES NOBRA YES* YES YES YES YES YESCHI NO YES YES YES YES YESCOL YES YES YES YES YES** YESCOR YES YES YES YES YES YESCUB YES YES YES YES YES YESECU NO YES YES YES YES YESELS YES YES*** YES NO YES YESGUT NO YES YES NO NO YESHON YES YES YES YES YES YESMEX YES YES YES YES YES YESNIC YES NO YES YES NO YESPAN YES YES NO YES NO YESPAR YES YES YES YES YES YESPER NO YES YES YES NO YESDOR YES YES YES NO NO YESURU YES YES YES YES YES YESVEN YES YES YES YES YES YES

* There is a Blood Bank coordinator in each state (27) ** Partially, /*** 2 Registries.


COUNTRY QUALITY QUALITY EXTERNAL EXTERNAL BLOOD BANK ASSURANCE ASSURANCE EVALUATION OF EVALUATION OF INSPECTION


ARG NO NO YES YES NOBOL YES YES YES NO NOBRA YES YES YES YES YESCHI YES YES YES NO YESCOL YES YES YES NO YESCOR NO YES YES NO YESCUB YES YES YES YES YESECU YES YES YES YES YESELS YES* YES* YES YES NOGUT YES YES YES NO YESHON NO NO YES YES NOMEX YES YES YES NO YESNIC NO YES YES YES NOPAN NO NO YES NO NOPAR YES YES YES YES YESPER NO NO NO NO YESDOR YES** YES YES NO YESURU NO NO NO YES YESVEN YES YES YES YES YES

*Parcially, / ** In progress



ARG YES YES YESBOL NO NO NOBRA YES YES YESCHI NO YES YESCOL YES NO NOCOR YES YES YESCUB YES YES YESECU YES YES YESELS YES NO NOGUT YES YES YESHON NO NO NOMEX YES NO YESNIC YES NO NOPAN NO NO NOPAR YES YES YESPER YES YES YESDOR YES NO NOURU YES YES NOVEN YES NO NO

COUNTRIES WITH 100% SCREENING FOR INFECTIOUS MARKERS, 2002


BRA BRA BRA BRA BRA BRACHI CHI CHI CHI ECU CUB *COR COR COR COL ELS ECUCUB CUB CUB COR HON ELSECU ECU ECU CUB URU DOR*ELS ELS ELS ECU VEN URUHON HON MEX ELS VENMEX MEX PAN HONNIC PAN DOR MEXPAN PER URU NICPER DOR VEN PANDOR URU PERURU VEN DORVEN URU

VEN

14 13 11 15 6 7



59


CUBA

PARTICIPATION IN EXTERNAL EVALUATION OF PERFORMANCEOF SEROLOGY (ITT), 2002


ARG 578 118 (20%)BOL 38 38 (100%)BRA 2,583 123 (5%)CHI 106 53 (50%)COL 151 76 (50%)COR 26 26 (100%)CUB 44 44 (100%)ECU 33 8 (24%)ELS 32 32 (100%)GUT 49 24 (49%)HON 27 16 (59.%)MEX 524 524 (100%)NIC 24 16 (67%)PAN 23 23 (100%)VEN 270 132 (49%)

15 4,508 1,253 (28%)



ARG 578 118 (20%)BOL 38 38 (100%)BRA 2,583 800 (31%)CUB 44 44 (100%)ELS 32 32 (100%)HON 27 17 (63%)PAR 31 3 (10%)URU 45 41 (91%)

8 3,378 1,093 (32%)


60



ARGENTINA DANIEL FONTANA DIRECTOR, PLAN NACIONAL Instituto de Hemoterapia , Ministerio de SaludDE SANGRE Provincia de Buenos Aires, Calle 15 esq. 66

1900 La PlataPhone: 54-221-453-4012e-mail: [email protected]

BOLIVIA MARIO LUÍS TEJERINA CONSULTOR NACIONAL, Ministerio de Salud y Prevención SocialVALLE PROGRAMA NACIONAL Plaza de Estudiante S/N, Oficina UCP/BID.

DE SANGRE M.S.P.S. La Paz.Phone: 591-248-3612, 248-9934e-mail: [email protected]

BRAZIL BEATRIZ MAC DOWELL GERENTE GENERAL DE SEPN Quadra 515 Bloco "B" Ed. Omega, 4o.SOARES SANGRE Y Andar, Sala 406 CEP: 70770-520, BRAZILia-DF


[email protected]

CHILE IGNACIO ASTORGA J. JEFE DE DIVISIÓN DE Mac Iver No. 541, Santiago de Chile.INVERSIONES Y Phone: 56-2-6300447DESARROLLO DE LA RED e-mail: [email protected], MINISTERIODE SALUD

COLOMBIA MAURICIO BELTRÁN COORDINADOR, RED Avenida calle 26 # 51-60, Santa Fe de Bogotá DCDURÁN NACIONAL DE BANCOS Phone: 57-1-220-7700, ext. 420-421

DE SANGRE Fax: 57-1-220-0901e-mail: [email protected]

COSTA RICA JOSÉ LUÍS SALAS JEFE, SECCIÓN Oficinas Centrales CCSS, ADDRESS Técnica deOVIEDO LABORATORIOS CLÍNICOS, Servicios de Salud, Sección Laboratorios

CCSS Clínicos, San José.Phone: 505-295-2284, Fax: 255-2784

CUBA JOSE M. BALLESTER DIRECTOR DEL INSTITUTO San Francisco y Perla, Altahabana, MunicipioDE HEMATOLOGÍA E Boyeros, Apartado de Correos 8070, Ciudad deINMUNOLOGÍA la Habana, CP 10800.


ECUADOR ROBERTO YAJAMÍN SECRETARIO GENERAL Avenida Colombia y Elizalde esq.DE SANGRE, SECRETARÍA Cruz Roja Ecuatoriana, QuitoNACIONAL DE SANGRE Phone: 593-2-582485, ext. 324


EL SALVADOR GRACIELA ECHEGOYÉN DIRECTORA, CENTRO DE Laboratorio Central “Dr. Max Bloch”DE HERNÁNDEZ SANGRE, CRUZ ROJA Alameda Roosevelt, contiguo al Hospital

SALVADOREÑA Rosales, El Salvador.Phone: 503-221-5751 y 271-1329

ANA VILMA GUEVARA JEFE DE SECCIÓN BANCOS Fax: 503- 271-1337DE AGUILAR DE SANGRE, MINISTERIO e-mail: [email protected]

DE SALUD PÚBLICA YASISTENCIA SOCIAL


63

GUATEMALA CARLOS J. VALDEZ COORDINADOR, PROGRAMA 11a. Avenida A. 12-19, Zona 7, Finca la Verbena,KUNKE NACIONAL BANCOS DE Ciudad de Guatemala

SANGRE Phone: 502-472-0298, 471-0228Fax: 502-471-0228e-mail: [email protected]

HONDURAS ELIZABETH VINELLI DIRECTOR MÉDICO, 2a Avenida entre 6a y 7a calle, Comayaguela, MDC.PROGRAMA NACIONAL Phone: 504-237- 1800DE SANGRE, CRUZ ROJA Fax: 504-238-0185HONDUREÑA e-mail: [email protected]

ADELA ZELAYA JEFE UNIDAD BANCO DE Tercer piso, Centro de Salud Alonso Suazo,SANGRE, Tegucigalpa.SECRETARÍA DE SALUD Phone: 504-232-5840


MEXICO RAFAEL ANTONIO DIRECTOR GENERAL, Goya No. 35 Insurgentes MixcoacMARÍN LÓPEZ CENTRO NACIONAL DE México 03920, D.F.

LA TRANSFUSIÓN Phone: 525-598-4204SANGUÍNEA e-mail: [email protected]

NICARAGUA ALCIDES GONZÁLES DIRECTOR GENERAL DEL Complejo Nacional de Salud “Dra. ConcepciónCNDR Palacios”, Managua.


PANAMA HERIBERTO ESPINO JEFE MÉDICO BANCO DE La Exposición Cl. 34, Ciudad de PanamáSANGRE HOSPITAL SANTO Phone: 507-225-3139TOMÁS Fax: 507-2253139

e-mail: [email protected] BÓSQUEZ JEFA TÉCNICA BANCO DE e-mail: [email protected]

SANGRE HOSPITAL SANTOTOMÁS

PARAGUAY BEATRIZ COHENCA DIRECTORA, CENTRO General Santos y Teodoro S. Mongelós, Asunción.NACIONAL DE Phone: 595-204-668, Fax: 595-204-668TRANSFUSIÓN SANGUÍNEA

PERU MARIELA DELGADO COORDINADORA, Avenida Salaverry Cdra. 8 S/N Jesús María, Lima.BURGA PROGRAMA NACIONAL DE Phone : 511-3156600 AN. 2540

HEMOTERAPIA Y BANCOS Fax: 511-3156600 AN. 2712DE SANGRE (PRONAHEBAS) e-mail: [email protected]

DOMINICAN HÉCTOR RUIZ CAMACHO DIRECTOR NACIONAL DE Avenida San Cristóbal equina Tiradentes, SantoREPUBLIC BANCOS DE SANGRE, Domingo

SECRETARÍA NACIONAL DE Phone: 809-541-3121, ext. 472 y 776,SALUD PÚBLICA Y 541-4255ASISTENCIA SOCIAL

URUGUAY ANDREW MILLER DIRECTOR TÉCNICO Avda. 8 de Octubre 2720, Montevideo.SERVICIO NACIONAL DE Phone: 598-2-487-5685, 487-2414SANGRE / MSP Fax: 598-2-487-3240


VENEZUELA MAURICIO SALAZAR COORDINADOR, PROGRAMA Ministerio de Salud y Asistencia Social. CentroCAMPO NACIONAL DE SANGRE Simón Bolívar. Edificio Sur. Piso 8, dec. 826.

Caracas. DC.Phone / Fax: 212-481-0649e-mail: [email protected] [email protected]

[email protected]


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65



ARG 578 780,440 - 8.00 92.00 - 1,350 5.20BOL 38 38,621 7.63 17.58 74.38 0.41 1,016 3.91BRA 367 2,931,813 - 50.81 49.11 0.08 7,988 30.72CHI 55 173,814 - 6.00 93.88 0.12 3,160 12.15COL 142 495,004 - 41.70 57.63 0.60 3,486 13.41COR 24 48,625 - 49.00 51.00 - 2,026 7.80CUB 44 589,106 - 100 - - 13,388 51.50ECU 33 79,204 - 29.91 62.13 - 2,400 9.23ELS 32 76,142 - 10.00 89.99 0.01 2,379 9.15GUT 48 68,626 - 4.05 95.87 0.06 1,430 5.50HON 28 48,783 1.95 18.9 79.00 0.12 1,742 6.70MEX 540 1,136,047 - 3.92 95.87 0.20 2,158 8.30NIC 24 46,558 - 44.82 55.18 0.01 2,104 8.09PAN 23 46,176 44.00 1.90 54.10 - 2,008 7.72PAR 49 29,718 0.11 5.77 94.04 0.07 606 2.33PER 92 145,665 1.12 5.31 93.29 0.25 1,583 6.09DOR 81 77,115 - 18.02 81.76 0.20 952 3.66URU 41 99,675 - 32.31 67.10 0.59 2,431 9.35VEN 270 342,526 - 4.05 95.95 - 1,269 4.88



ARG 100 100 99.30 100 100BOL 94.17 92.50 81.88 95.32 79.58BRA 100 100 100 100 100CHI* 100 100 100 100 67.00COL 99.88 99.88 99.49 99.98 99.90COR 100 100 100 100 93.00CUB 100 100 100 100 NAECU 100 100 100 100 100ELS 100 100 100 100 100GUT 99.99 99.99 99.99 99.99 99.82HON 100 100 100 100 100MEX 100 100 100 100 32.67NIC 100 100 75.70 100 94.20PAN 100 100 100 100 95.50PAR 96.63 96.34 96.39 95.35 96.10PER 99.35 96.35 98.86 94.19 96.36DOR 100 100 100 100 NAURU 100 100 100 100 100VEN 100 100 100 100 100

* The information is only from the National Health Services System, it represents about 66% of Blood Banks.



ARG - - 5,463 - -BOL 2,252 2,897 6,998 1,807 7,886BRA - - - - -CHI - - - - 57,359COL 594 594 2,525 99 495COR - - - - 3,404CUB - - - - NAECU - - - - -ELS - - - - -GUT 7 7 7 7 124HON - - - - -MEX - - - - 764,900NIC - - 11,314 - 2,700PAN - - - - 2,078PAR 1,001 1,088 1,073 1,382 1,159PER 947 5,317 1,661 8,463 5,302DOR - - - - NAURU - - - - -VEN - - - - -

TOTAL 4,801 9,903 29,041 11,758 845,407



ARG 0.18 0.60 0.65 0.92 4.50BOL 0.10 0.38 0.89 0.92 7.65BRA 0.51 0.53 0.51 0.88 0.60CHI* 0.03** 0.02 0.01 0.11 0.51COL 0.29 0.39 0.47 1.38 0.41COR 0.10 0.28 1.12 0.75 0.24CUB 0.013 0.59 0.70 1.77 NAECU 0.28 0.15 0.35 3.90 0.36ELS 0.20 0.24 0.22 0.72 3.30GUT 0.87 0.58 0.81 1.79 1.23HON 0.30 0.30 0.90 1.30 1.30MÉX 0.32 0.36 0.66 0.27 0.44NIC 0.28 0.30 1.22 1.23 0.63PAN 0.09 0.58 0.50 0.15 0.13PAR 0.33 0.55 0.64 4.76 4.14PER 0.27 0.62 0.55 1.58 0.84DOR 0.57 1.40 0.51 0.49 NAURU 0.06** 0.43 0.43** 0.69 0.36VEN 0.34 0.76 0.56 1.24 0.65

*The information is only from the National Health Services System, it represents about 66% of Blood Banks.

** Positive by confirmatory testing.


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67



ARG 780,440 81.00 13.00 68.00 8.00 40.00 NR NR NR NR NR NRBOL 38,623 31.25 14.53 6.08 2.07 9.99 0.49 7.47 27.88 30.06 5.32 32.44BRA 2,931,813 58.60 2.00 18.50 2.70 17.70 NR NR NR NR NR NRCHI 173,814 91.73 49.10 26.63 20.09 48.26 1.82 5.50 14.07 24.67 6.30 24.70COL 495,004 86.59 63.77 - 7.02 33.25 10.36 4.12 31.52 NA 7.21 15.06COR 48,625 92.92 - 87.39 11.36 63.65 10.93 7.98 NA 16.33 62.30 23.08CUB 589,106 NR NR NR NR NR NR NR NR NR NR NRECU 79,204 73.05 52.17 31.19 14.50 25.85 2.88 1.41 3.20 17.33 2.64 9.26ELS 76,142 NR NR NR NR NR NR NR NR NR NR NRGUT 68,626 85.69 23.30 - 6.78 23.96 90.77 6.02 8.71 NA 2.15 NRHON 48,783 61.77 16.21 - 1.21 8.99 21.29 5.10 10.35 NA NR NRMEX 1,136,047 88.10 59.10 25.40 9.20 33.90 3.16 6.79 13.17 66.33 13.32 22.93NIC 46,738 73.45 50.33 8.88 7.56 43.58 30.51 2.20 NR 27.71 0.08 1.44PAN 46,176 NR NR NR NR NR NR NR NR NR NR NRPAR 29,718 40.11 35.05 1.36 1.74 7.41 6.56 28.76 15.96 96.28 12.45 70.24PER 147,828 69.45 55.85 7.18 5.77 34.82 1.96 10.85 21.65 53.99 10.47 30.53DOR 77,155 25.22 25.22 NR NR NR NR NR NR NR NR NRURU 99,675 NR NR NR NR NR NR NR NR NR NR NRVEN 342,526 92.42 72.66 9.82 8.51 41.12 93.11 NR 38.24 71.95 13.50 17.40



ARG YES YES YES YES YESBOL YES YES YES YES YESBRA YES YES YES YES YESCHI YES YES NO NO YESCOL YES YES NO YES YESCOR YES NO YES YES YESCUB YES YES NO YES YESECU YES YES YES YES YESELS NO YES NO YES YESGUT YES YES YES YES YESHON YES YES NO YES YESMEX YES YES YES YES YESNIC YES YES YES YES NOPAN YES YES NO NO YESPAR YES YES YES YES YESPER YES YES NO YES NODOR YES YES NO YES YESURU YES YES YES YES NOVEN YES YES YES YES YES

Transfusion Medicine in the Caribbean and Latin American countries

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ARG NO YES YES YES NO YESBOL NO YES YES YES YES YESBRA YES* YES YES YES YES YESCHI NO YES YES YES YES YESCOL YES YES NR YES YES YESCOR YES YES YES YES YES YESCUB YES YES YES YES YES YESECU NO YES YES YES YES YESELS YES YES YES YES** YES YESGUT NO YES YES NO NO YESHON YES YES YES YES YES YESMEX YES YES YES YES YES YESNIC YES NO YES YES NO YESPAN YES NO NO YES NO YESPAR YES YES YES YES YES YESPER NO YES YES YES NO YESDOR YES YES YES YES NO YESURU YES YES YES YES YES YESVEN YES YES YES YES YES YES

* There is a Blood Bank coordinator in each state (27) ** Pending for approval.




ARG YES NO YES YES*** NOBOL YES YES YES NO YESBRA YES YES YES YES YESCHI YES YES YES YES NOCOL YES NR YES NR NRCOR YES YES YES NO YESCUB YES YES YES YES YESECU YES YES YES NO YESELS YES* YES* YES YES NOGUT NO YES YES NO YESHON NO NO YES YES NOMEX YES YES YES YES YESNIC NO YES NO NO NOPAN NO NO YES NO YESPAR YES YES YES NO YESPER YES YES YES NO YESDOR YES** YES NO NO YESURU YES YES YES YES YESVEN YES YES YES YES YES

*Partially, / ** In progress, *** It is not carried out by the National Blood Program, It is by private company


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COUNTRY NATIONAL PROGRAM OF PERSONNEL BLOOD BANK CONTINUED EDUCATION CERTIFICATION ACCREDITATION

ARG YES YES YESBOL YES NO NO*BRA YES YES YESCHI NO NO YESCOL NR NR NRCOR YES YES YESCUB YES YES YESECU YES YES YESELS YES NO NOGUT YES YES NOHON NO NO NOMEX YES YES YESNIC YES NO NOPAN NO NO NOPAR YES YES YESPER NO YES YESDOR YES NO NOURU YES YES NOVEN YES NO NO

* There is a system, but it is not implemented.

COUNTRIES WITH 100% SCREENING FOR INFECTIOUS MARKERS, 2003

HIV HBV VCH SYPHILIS T. cruzi ALL MARKERS

ARG ARG BRA ARG ARG BRABRA BRA CHI BRA BRA CUB *CHI CHI COR CHI ECU ECUCOR COR CUB COR ELS ELSCUB CUB ECU CUB HON HONECU ECU ELS ECU URU DOR*ELS ELS HON ELS VEN URUHON HON MEX HON VENMEX MEX PAN MEXNIC NIC DOR NICPAN PAN URU PANDOR DOR VEN DORURU URU URUVEN VEN VEN

14 14 12 14 7 8



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BRAZIL, CUBA

PARTICIPATION IN EXTERNAL EVALUATION OF PERFORMANCEOF SEROLOGY (ITT), 2003


ARG 578 127 (22%)BOL 38 35 (92%)BRA 367 123 (34%)CHI 55 55 (100%)COL 142 77 (54%)COR 24 24 (100%)CUB 44 44 (100%)ECU 33 19 (58%)ELS 32 32 (100%)GUT 48 10 (21%)HON 28 18 (54%)MEX 540 523 (97%)PAN 23 23 (100%)PAR 49 8 (16%)PER 92 21(23%)URU 41 41(100%)VEN 270 132 (49%)

15 2,404 1,312 (55%)



ARG 578 65 (11%)BRA 2,200* 800 (36%)CHI 55 55 (100%)CUB 44 44 (100%)ELS 59** 59 (100%)HON 28 28 (100%)MEX 540 150 (28%)PAR 49 3 (6%)URU 41 41 (100%)

9 3,594 1,245 (35%)

* Blood Banks, and Hemotherapy Services.* * Blood Banks, and Collection Centers.



ARGENTINA DANIEL FONTANA COORDINADOR GENERAL Lima 355 1er piso, Oficina “C”, CiudadHONORARIO DEL PLAN Autónoma de Buenos Aires, As. CFP1073 AA GNACIONAL DE SANGRE Phone: 54-11-4384-0324/25, ext 148


BOLIVIA MARIO LUÍS TEJERINA COORDINADOR NACIONAL,VALLE PROGRAMA DE SANGRE. Calle Capitán Ravelo # 2199 Edificio Ex escuela

M.S.P.S de Salud.La Paz.Phone: 591-2- 2442666 ext. 117, 591-70610929e-mail: [email protected]

[email protected]

BRAZIL BEATRIZ MAC DOWELL GERENTE GENERAL DE SEPN Quadra 515 Bloco "B" Ed. Omega, 4o.SOARES SANGRE Y HEMODERIVADOS Andar, Sala 406 CEP: 70770-520, BRAZILia-DF

Phone: 61-448-1316 y 448-1370Fax: 61-448-1355e-mail: [email protected]

[email protected]

CHILE IGNACIO SERGIO DE JEFE DEL DEPARTAMENTO Mac Iver No. 541, Santiago de Chile.LA TORRE DE INVERSIONES Y RED Phone: 56-2-6300529

ASISTENCIAL, MINISTERIO e-mail: [email protected] SALUD

COLOMBIA MAURICIO BELTRÁN COORDINADOR, RED Instituto Nacional de Salud, calle 26 # 51-60,DURÁN NACIONAL DE BANCOS Santa Fe de Bogotá DC

DE SANGRE Phone: 57-1-220-7700, ext. 420-421 Fax: 57-1-220-0901e-mail: [email protected]

COSTA RICA JOSÉ LUÍS SALAS JEFE, SECCIÓN Oficinas Centrales CCSS, ADDRESS Técnica deOVIEDO LABORATORIOS CLÍNICOS, Servicios de Salud, Sección Laboratorios

CCSS Clínicos, San José.Phone: 506-2951, Fax: 506-295-2917e-mail: [email protected];

[email protected]

CUBA JOSE M. BALLESTER DIRECTOR DEL INSTITUTO San Francisco y Perla, Altahabana, MunicipioDE HEMATOLOGÍA E Boyeros, Apartado de Correos 8070, Ciudad deINMUNOLOGÍA la Habana, CP 10800.


ECUADOR ROBERTO YAJAMÍN SECRETARIO GENERAL DE Avenida Elizalde y Gran ColombiaSANGRE, SECRETARÍA Cruz Roja Ecuatoriana, QuitoNACIONAL DE SANGRE Phone: 593-2-582485, ext. 324



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EL SALVADOR ANA VILMA GUEVARA JEFE DE ÁREA CLÍNICA Y Laboratorio Central “Dr. Max Bloch”DE AGUILAR BANCOS DE SANGRE, Alameda Roosevelt, contiguo al Hospital

MINISTERIO DE SALUD Rosales, El Salvador.PÚBLICA Y ASISTENCIA Télefax: 503-221-5751 y 271-1329, ext 222SOCIAL e-mail: [email protected]

GUATEMALA VILMA CHÁVEZ DE POP COORDINADOR, PROGRAMA 11a. Avenida A. 12-19, Zona 7, Finca la Verbena,NACIONAL BANCOS DE Ciudad de GuatemalaSANGRE Phone: 502-471-1344, 471-9540


[email protected]

HONDURAS ELIZABETH VINELLI DIRECTOR MÉDICO, 2a Avenida entre 6a y 7a calle, Comayaguela,PROGRAMA NACIONAL DE MDC.SANGRE, CRUZ ROJA Phone: 504-237- 1800HONDUREÑA Fax: 504-238-0185


ADELA ZALAYA JEFE UNIDAD BANCO DE Tercer piso, Centro de Salud Alonso Suazo,SANGRE, Tegucigalpa.SECRETARÍA DE SALUD Phone: 504-232-5840


MEXICO RAFAEL ANTONIO DIRECTOR GENERAL, Othon de Mendizábal, 195MARÍN LÓPEZ CENTRO NACIONAL DE LA Zacatenco, México 07360, D.F.

TRANSFUSIÓN SANGUÍNEA Phone: 525-5119-3963Fax: 525-5119-1418e-mail: [email protected]

NICARAGUA JUSTO REYES CERROS DIRECTOR DE Complejo Nacional de Salud “Dra. ConcepciónMICROBIOLOGÍA Palacios”, Managua.

Phone: 505-2897723, Fax: 505- 2897723e-mail: [email protected]; [email protected]

PANAMA HERIBERTO ESPINO JEFE MÉDICO BANCO DE La Exposición Cl. 34, Ciudad de PanamáSANGRE HOSPITAL SANTO Phone: 507-225-3139TOMÁS Fax: 507-225-3139

e-mail: [email protected] BÓSQUEZ JEFA TÉCNICA BANCO DE e-mail: [email protected]

SANGRE HOSPITAL SANTOTOMÁS

PARAGUAY MARIA OFELIA LEMIR JEFA DEL ÁREA TÉCNICA General Santos y Teodoro S. Mongelós, Asunción.DE ZELADA Phone: 595-21-204-668,

Fax: 595-21-204-668e-mail: [email protected]

PERU MARIELA DELGADO COORDINADORA, Avenida Salaverry Cdra. 8 S/N Jesús María, Lima.BURGA PROGRAMA NACIONAL DE Phone : 511-3156600 AN. 2540

HEMOTERAPIA Y BANCOS Fax: 511-3156600 AN. 2506DE SANGRE (PRONAHEBAS) e-mail: [email protected]

DOMINICAN HÉCTOR RUIZ CAMACHO DIRECTOR NACIONAL DE Avenida San Cristóbal equina Tiradentes, SantoREPUBLIC BANCOS DE SANGRE, Domingo

SECRETARÍA NACIONAL DE Phone: 809-541-3121, ext. 472 y 776,SALUD PÚBLICA Y 541-4255ASISTENCIA SOCIAL



VENEZUELA MAURICIO SALAZAR COORDINADOR, PROGRAMA Ministerio de Salud y Asistencia Social. CentroCAMPO NACIONAL DE SANGRE Simón Bolívar. Edificio Sur. Piso 8, dec. 826.

Caracas. DC.Phone: 212- 4080576 - 4080579Fax: 212-4080580e-mail: [email protected] [email protected]

[email protected]


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ANNEX

INSTRUCTIONS TO COMPLETE THE FORM“NATIONAL BLOOD PROGRAM”

The 41st Directing Council of the Pan American Health Organization adopted Resolution CD 41.R15, STRENGTHENINGBLOOD BANKS IN THE REGION OF THE AMERICAS, on October 1, 1999. One of the requests presented to the Director of theOrganization by the Ministers of Health is to “document the progress of national blood programs.” Following this a request,the Regional Program for Laboratory and Blood Services has developed a standardized form –NATIONAL BLOOD PROGRAM- tocollect official information from the Ministers of Health on matters pertaining to blood banks each year.

The form is to be completed with data for each calendar year by authorized personnel of the Ministry of Health and pre-sented to the Pan American Health Organization no later than March 30 of the following year. Since this is the first attemptto collected the information from English-speaking countries, the completed from should to reach the Regional Office inWashington, D.C., no later than June 30, 2001.

On page 1 of the form, data should be provided on who is responsible for the preparation of the report and therefore for theaccuracy of the information. Questions and comments regarding the data will be addressed to this person. Regional orSubregional summaries of the situation of the blood banks will be mailed to the provided in this section.

Table I is intended to collect information on organizational and functional structure of the national blood program.Simple Yes/No answers are required as a first step. If the answer to a question is “Yes”, additional data should be provided–such as names, ID numbers, and dates. A third column allows for comments.

Tables II - V are intended to collect information on the blood donation by each specific blood collection center. If a bloodbank has more than one fixed collection center, each one should be listed separately. Collections done by mobile units canbe included as one item, labeled “mobile units.” The name of each blood bank, what sector it belongs to, and the name ofthe Director of the blood bank should be provided.

Voluntary, altruistic, non-remunerated donors are those who donate voluntarily, without pressure of any type, from anyindividual –members of the health-care team or patients’ relatives or friends and who does not receive any kind of pay-ment, be it money or in-kind, including time off work, excluding that required for the blood donation process.

Family, replacement donors are those who donate blood in response to specific requests by either health-care personnelor relatives of the patient. The classical example is associated with the requirement by a hospital to bring a certain numberof donors for a patient to be admitted to or released from hospital, or to have surgery.

Remunerated donors are those who receive payments, in cash or kind, for giving blood. Remuneration can be providedby either the health-care system or the patients’ relatives or friends. Time off work, besides that associated with the dona-tion process itself, is considered remuneration.

Autologous donors provide blood for their own use. Autologous blood can only be transfused to the donor.

Table VI is intended to collect information on the process of screening for infectious markers. If a blood bank collects itsown units, the number of units received by that bank should match the number of units collected, listed in Table II. If ablood bank collects blood in various collection centers, the total number of units received from all those centers or mobileunits should be listed. Columns 5-10 are for the NUMBER AND PERCENT OF UNITS tested, not for the number of tests per-formed in the blood bank laboratory. For instance, if 200 units were received and all of them were tested by two differentHIV tests, the number of UNITS SCREENED is 200 and not 400. This figure should be divided by the number of units receivedto calculate the percent of units screened.

In Table VII, the NUMBER OF UNITS , and NOT the number of tests, that are reactive or positive should be listed. If 200units were tested for HIV using two different methodologies, two units are reactive/positive in the two tests, and one unit is


77

reactive/positive in only one test, the number of positive/reactive units is 3, and not 5. The percent should be calculated bydividing the number of reactive/positive units by the number of units screened.

The number and percent of units that are separated into components should be listed in Table VIII. Fresh-frozen plasma isplasma that is frozen no more than 8 h after collection.

Table IX is to list the number and percent of units that are released from the blood bank and actually transfused to patients.

Table X is to list the number and percent of units discarded by reasons other than POSITIVE INFECTIOUS MARKERS, inclu-ding hemolysis, contamination, non-conforming with standards, and expiration.

The final summary should represent the total numbers and percents for the country as a whole.


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NATIONAL BLOOD PROGRAM

COUNTRY

REPORT FOR PERIOD JANUARY-DECEMBER (YEAR)

REPORTED PREPARED BY

NAME

POSITION

INSTITUTION

ADDRESS

TELEPHONE

FAX

EMAIL ADDRESS

DATE OF REPORT


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TABLE I

COMMENTS1) Is there a specific LAW that regulates blood YES___ Law or decree What are the mean aspectsdonation, processing, storage and use? NO___ identification considered?

Date of enactment Is voluntary blood donation promoted?What tests for infectious markersare required?

2) Is there within the MoH a unit that is YES___ Name of the Unit Is there a specific physical office?responsible for blood banks and transfusion NO___ Name of Director, Number of staffmedicine at the national level? Chief Coordinator Professional

TechnicalAdministrative

3) Is there a specific budget for the YES___ Annual budget in US $ Does the technical unit participateoperation of blood banks? NO___ in the preparation?

What are the funding sources?

4) Is there a national blood policy? YES___ Document identification What aspects are considered?NO___ Date of publication

5) Is there a national blood YES___ Date when created How often does it meet?Commission/Committee? NO___ Who are the members?

6) Is there a National Reference Blood Bank? YES___ Name of the institution AddressNO___ Director, Chief Tel

FaxEmail address

7) Is there a national blood plan? YES___ Date of last revisionNO___

8) Are there any norms/guidelines/standards YES___ Date of publicationfor the recruitment, selection and education NO___of blood donors?

9) Are there any national standards for blood YES___ Date of publicationbank operations? NO___

10) Are there any national guidelines for YES___ Date of publicationthe clinical use of blood? NO___

11) Is there a system for blood bank YES___ Unit responsible Addressregistration? NO___ Tel

FaxEmail address

12) Is there a quality assurance policy for YES___ Date of publication What aspects a re considered?blood banks? NO___


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13) Do the blood banks participate in YES___ Program Frequency of surveysproficiency testing/external evaluation NO___of performance in serology of TTI?

14) Do the blood banks participate in YES___ Program Frequency of surveysproficiency testing/ external evaluation NO___of performance in immunohematology?

15) Are the blood banks inspected YES___ Who does the Frequency of inspectionsregularly? NO___ inspections?

16) Is there a program of continued YES___ Responsible unit What type of personnel is education for blood bank personnel? NO___ included?

17) Is blood bank staff subject to YES___ Responsible Unitcertification? NO___

18) Are the blood banks accredited? YES___ Responsible UnitNO___

19) How many centers collect blood How many units are in the country? collected per year?

20) How many centers process blood inthe country?

TABLE II

BLOOD DONATIONVOLUNTARY, ALTRUISTIC, NON-REMUNERATED

BLOOD DONORS

Name of blood bank Sector Name of Director # of donors # of permanently # of temporarily # of units(MoH, SS, interviewed deferred donors deferred donors collectedPrivate)

TABLE III

FAMILY, REPLACEMENT DONORS



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TABLE IV

REMUNERATED DONORS


TABLE V

AUTOLOGOUS DONORS

Name of blood bank Sector Name of Director # of donors # of permanently # of temporarily # of units (MoH, SS, interviewed deferred donors deferred donors collectedPrivate)

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TABLE VI

SCREENING FOR INFECTIOUS MARKERS

Name of blood Sector Director, Chief # units receivedbank # (%) of units screened for

HIV HBsAg HCV Syphilis HTLV Other

TABLE VII

UNITS THAT ARE REACTIVE/POSITIVE FORINFECTIOUS MARKERS

NUMBER AND PERCENT

Name of blood Sector Director, Chief # units Testedbank # (%) of units reactive/positive for

HIV HBsAg HCV Syphilis HTLV Other


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Transfusion Medicine in the Caribbean and Latin American countriesTransfusion Medicine in the Caribbean and Latin American countries

TABLE VIII

SEPARATION INTO COMPONENTS

Name of blood # of blood units # of units of # units of fresh # Units of # units # of units ofbank received packed RBC frozen plasma plasma cryoprecipitate platelets

TABLE IX

USE OF BLOOD AND BLOOD COMPONENTS

Name of blood # of units of whole # of units of packed # units of fresh frozen # units of frozen # units ofbank blood RBC plasma plasma platelets


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TABLE X

DISCARDED BLOOD AND BLOOD COMPONENTS

Name of blood # of units of whole # of units of packed # units of fresh froze # units of frozen # units ofbank blood RBC plasma plasma platelets


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SUMMARY

COUNTRYJANUARY- DECEMBERREPORT PREPARED BYNAMEPOSITIONADDRESSTELEPHONEFAXEMAIL ADDRESS

NUMBER OF BLOOD COLLECTION CENTERSNUMBER AND PERCENT OF UNITS COLLECTED FROM VOLUNTARY, ALTRUISTIC, NON-REMUNERATED DONORS

1. FAMILY/ REPLACEMENT DONORS2. REMMUNERATED DONORS4. TOTAL UNITS COLLECTED IN THE COUNTRY

NUMBER AND PERCENT OF UNITS SCREENED FOR1. HIV2. HbsAg3. HCV4. SYPHILIS5. HTLV6. OTHER

NUMBER AND PERCENT OF UNITS REACTIVE/POSITIVE FOR1. HIV2. HbsAg3. HCV4. SYPHILIS5. HTLV6. OTHER

NUMBER AND PERCENT OF UNITS SEPARATED INTO COMPONENTSNUMBER AND PERCENT OF UNITS DISCARDED

1. WHOLE BLOOD2. PACKED RBC3. FRESH FROZEN PLASMA4. FROZEN PLASMA5. CRYOPRECIPITATE6. PLATELETS

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