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The impact of COVID-19 pandemic on blood supplies and transfusion services in Eastern Mediterranean Region - 31/01/21

Impact de la pandémie du COVID-19 sur les services d’approvisionnement en sang et de transfusion sanguine dans la région de la Méditerranée orientale

Doi : 10.1016/j.tracli.2020.11.002 
A.Z. Al-Riyami a, , Y.E. Abdella b , M.A. Badawi c, d , S.M. Panchatcharam e , Y. Ghaleb f , M. Maghsudlu g , M. Satti h , K. Lahjouji i , Z. Merenkov j , A. Adwan k , R. Feghali l , N. Gebril m , S. Hejress n , S. Hmida o , H. AlHumaidan p , D. Jamal q , O. Najjar r , M. Raouf s
a Department of Haematology, Sultan Qaboos University Hospital, Muscat, Oman 
b Regional office for the Eastern Mediterranean, World Health Organization, Cairo, Egypt 
c King Abdulaziz University, Jeddah, Saudi Arabia 
d King Abdulaziz University Hospital, Jeddah, Saudi Arabia 
e Oman Medical Specialty Board, Muscat, Oman 
f National Blood Transfusion and Research Center, Sana’a, Yemen 
g Blood Transfusion Research Center, High Institution for Research and Education in Transfusion Medicine, Tehran, Iran 
h Department of Pathology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan 
i National Blood Transfusion and Hematology, Rabat, Morocco 
j Transfusion Medicine and Laboratory Information Systems, Hamad Medical Corporation, Doha, Qatar 
k Ministry of health, Amman, Jordan 
l Department of Laboratory Medicine, Rafik-Hariri University Hospital, Beirut, Lebanon 
m National Blood Services, Tripoli, Libya 
n Blood Bank and Laboratory Medicine, Department of Pathology, King Hamad University Hospital & Bahrain Oncology Centre, Al-Sayh, Bahrain 
o National Blood Transfusion Centre of Tunis, Tunis, Tunisia 
p Department of Pathology & Laboratory Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia 
q Sindh Blood Transfusion Authority, Karachi, Pakistan 
r Palestinian Ministry of Health, Ramallah, Palestine 
s Dubai Blood Donation Centre, Dubai Health Authority, Dubai, United Arab Emirates 

Corresponding author.

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Abstract

Background

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has spurred a global health crisis. The safety and supply of blood during this pandemic has been a concern of blood banks and transfusion services as it is expected to adversely affect blood system activities. We aim to assess the situation in the Eastern Mediterranean Region (EMR) during the first months of the pandemic.

Materials and methods

A survey was designed to address blood supply, transfusion demand, and donor management during the coronavirus disease-19 (COVID-19) pandemic. Medical directors of different blood banks were invited to participate.

Results

A total of 16 centers participated with representation from 15/19 countries in the region. In total, 75% were from national blood banks. Most centres had a decrease in the blood supply, ranging from 26–50%. Representatives from 14 countries (93.3%) believed that public fear has contributed to a decrease in donations. Most centres (n=12, 75%) had a reduction in transfusion demand, while those who did not, reported heavy involvement in treating patients with underlying haemoglobinopathies and haematological malignancies. Half of the centres activated their contingency plans. Four centres had to alter the blood donor eligibility criteria to meet demands. All centres implemented donor deferral criteria in relation to SARS-CoV-2, but were variable in measures to mitigate the risk of donor and staff exposure.

Conclusion

Blood services in the region faced variable degrees of blood shortages. We summarize lessons learnt during this pandemic for the blood banks to consider to plan, assess, and respond proportionately to future similar pandemics.

El texto completo de este artículo está disponible en PDF.

Keywords : Blood supply, COVID-19, Eastern Mediterranean Region, Donors, Transfusion


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© 2020  Société française de transfusion sanguine (SFTS). Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 28 - N° 1

P. 16-24 - février 2021 Regresar al número
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