Blood donation deferral policies among men who have sex with men in Brazil
Reevaluation of the deferral from voluntary blood donation by men who have sex with men (MSM) is being discussed in several countries, motivated by the need to ensure a blood supply free from transfusion-transmissible infections (e.g., HIV, syphilis). Policies being considered include: permanent exc...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-04-01
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| Series: | Hematology, Transfusion and Cell Therapy |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2531137918301408 |
| _version_ | 1818841445367283712 |
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| author | Miriane Lucindo Zucoloto Thelma T. Gonçalez Willi McFarland Brian Custer Guilherme Galdino Edson Z. Martinez |
| author_facet | Miriane Lucindo Zucoloto Thelma T. Gonçalez Willi McFarland Brian Custer Guilherme Galdino Edson Z. Martinez |
| author_sort | Miriane Lucindo Zucoloto |
| collection | DOAJ |
| description | Reevaluation of the deferral from voluntary blood donation by men who have sex with men (MSM) is being discussed in several countries, motivated by the need to ensure a blood supply free from transfusion-transmissible infections (e.g., HIV, syphilis). Policies being considered include: permanent exclusion for any male-male sexual encounter, temporary deferral (3 months, 12 months, 5 years) from the last encounter, or specifying behaviors that differentiate MSM at high risk from those at low risk. Current Brazilian regulations defer MSM from blood donation for 12-months after the last male-male sexual encounter. Broad epidemiological evidence indicates that many MSM are at increased risk for HIV in the present era, and few data exist to distinguish which men are likely to be in the immunological window for detection of these infections. A multicenter study developed in Brazil demonstrated that the history of male-male sex was the most strongly associated with being an HIV-positive blood donor. Meanwhile, the blanket deferral of MSM from blood donation has generated considerable controversy. Rejection of the deferral policies stems in part from perspectives defending human rights, promoting equality and citizenship, and alleging bias and discrimination. The objective of this report is to discuss the current situation of blood donation among MSM in Brazil. We highlight the lack of evidence for a true risk profile for male-male sex in the context of blood donation upon which to base sound policy. We recommend research to establish effective and acceptable criteria for blood donation by MSM and other blood donors. Keywords: Men who have sex with men, Blood donation, Temporary deferral, HIV, Risk behaviors |
| first_indexed | 2024-12-19T04:26:12Z |
| format | Article |
| id | doaj.art-2b71b9da7fe54e2292792743452a6b30 |
| institution | Directory Open Access Journal |
| issn | 2531-1379 |
| language | English |
| last_indexed | 2024-12-19T04:26:12Z |
| publishDate | 2019-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Hematology, Transfusion and Cell Therapy |
| spelling | doaj.art-2b71b9da7fe54e2292792743452a6b302022-12-21T20:36:01ZengElsevierHematology, Transfusion and Cell Therapy2531-13792019-04-01412164168Blood donation deferral policies among men who have sex with men in BrazilMiriane Lucindo Zucoloto0Thelma T. Gonçalez1Willi McFarland2Brian Custer3Guilherme Galdino4Edson Z. Martinez5Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP USP), Ribeirão Preto, SP, Brazil; Corresponding author at: Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP USP), Av. Bandeirantes 3900, Ribeirão Preto, SP, Brazil.Vitalant Research Institute, San Francisco, CA, United StatesUniversity of California, San Francisco, United StatesVitalant Research Institute, San Francisco, CA, United States; University of California, San Francisco, United StatesUniversidade de Ribeirão Preto (UNAERP), Ribeirão Preto, SP, BrazilFaculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP USP), Ribeirão Preto, SP, BrazilReevaluation of the deferral from voluntary blood donation by men who have sex with men (MSM) is being discussed in several countries, motivated by the need to ensure a blood supply free from transfusion-transmissible infections (e.g., HIV, syphilis). Policies being considered include: permanent exclusion for any male-male sexual encounter, temporary deferral (3 months, 12 months, 5 years) from the last encounter, or specifying behaviors that differentiate MSM at high risk from those at low risk. Current Brazilian regulations defer MSM from blood donation for 12-months after the last male-male sexual encounter. Broad epidemiological evidence indicates that many MSM are at increased risk for HIV in the present era, and few data exist to distinguish which men are likely to be in the immunological window for detection of these infections. A multicenter study developed in Brazil demonstrated that the history of male-male sex was the most strongly associated with being an HIV-positive blood donor. Meanwhile, the blanket deferral of MSM from blood donation has generated considerable controversy. Rejection of the deferral policies stems in part from perspectives defending human rights, promoting equality and citizenship, and alleging bias and discrimination. The objective of this report is to discuss the current situation of blood donation among MSM in Brazil. We highlight the lack of evidence for a true risk profile for male-male sex in the context of blood donation upon which to base sound policy. We recommend research to establish effective and acceptable criteria for blood donation by MSM and other blood donors. Keywords: Men who have sex with men, Blood donation, Temporary deferral, HIV, Risk behaviorshttp://www.sciencedirect.com/science/article/pii/S2531137918301408 |
| spellingShingle | Miriane Lucindo Zucoloto Thelma T. Gonçalez Willi McFarland Brian Custer Guilherme Galdino Edson Z. Martinez Blood donation deferral policies among men who have sex with men in Brazil Hematology, Transfusion and Cell Therapy |
| title | Blood donation deferral policies among men who have sex with men in Brazil |
| title_full | Blood donation deferral policies among men who have sex with men in Brazil |
| title_fullStr | Blood donation deferral policies among men who have sex with men in Brazil |
| title_full_unstemmed | Blood donation deferral policies among men who have sex with men in Brazil |
| title_short | Blood donation deferral policies among men who have sex with men in Brazil |
| title_sort | blood donation deferral policies among men who have sex with men in brazil |
| url | http://www.sciencedirect.com/science/article/pii/S2531137918301408 |
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