Legal status | Not-for-profit organisation |
---|---|
Purpose | Collection and distribution of human medical products |
Region | Australia |
Products |
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Parent organization | Australian Red Cross |
Website | www |
Formerly called | Australian Red Cross Blood Service |
Australian Red Cross Lifeblood, simply known as Lifeblood, is a branch of the Australian Red Cross responsible for the collection and distribution of blood and biological products in Australia. Lifeblood employs around 3,700 employees across scientific, clinical and support services, processing over one and a half a million blood donations each year. Lifeblood is primarily funded by the Australian Government and state and territory governments.
The Red Cross' Australian blood services were initially managed by state-level organisations. Victoria's Blood Transfusion Service was founded in 1929 by Hematologist Lucy Meredith Bryce, who was the founding director from 1929 to 1954 of the then Victorian Red Cross, and by 1941 each state had its own Organ Transfusion Service. Also in 1941, the National Emergency Blood Transfusion Service (later the National Blood Transfusion Committee) was formed to coordinate the state groups. In 1945, the Red Cross took over blood and serum preparation units established by the Australian Army.[ citation needed ]
In 1995, a government report recommended the foundation of a separate national structure, and the Australian Red Cross Blood Service was formed in 1996, encompassing the old state and territory blood donation/transfusion services.[ citation needed ]
On 15 November 2019, the Australian Red Cross Blood Service changed its name and branding to Australian Red Cross Lifeblood, citing its increasing responsibility for non-blood products such as microbiota, tissue and organs and breast milk. [1] [2]
Australian Red Cross Lifeblood and its predecessors had a long-standing relationship with the Commonwealth Serum Laboratories (CSL), a government medical body founded in 1916. The Blood Service supplied CSL with donated blood for use in research and manufacture of medical products (e.g. serum for transfusion).[ citation needed ]
In 1994, CSL was privatised, becoming CSL Limited. The Australian Red Cross Blood Service continued to supply CSL with donated blood.[ citation needed ]
Blood donated in Australia has been tested for hepatitis B since 1972, HIV-1 since 1985, hepatitis C since 1990, HIV-2 since 1992/3, and HTLV-1 since 1993.[ citation needed ]
As with other blood transfusion services, the Red Cross has had to strike a balance between protecting blood recipients against infection, and accepting enough donors to maintain an adequate supply of blood. This has led to debate over which categories of potential donors should be excluded.
In 2003, a federal government report found that despite the introduction of hepatitis C screening from February 1990, infected donors were told to keep donating until July of that same year; a total of 20,000 people were estimated to have been infected with hepatitis C via blood products. Some infected blood was given to CSL and may have been used in thousands of CSL products, although it has not been shown that any of these products caused infection in the recipients. [3]
The service has a policy of barring men who have had sex with men (MSM) during the previous twelve months from donating blood (an earlier policy had excluded any men who had had sex with other men since 1980, regardless of time elapsed). This has been the source of ongoing controversy, with a case (in 2008) referred to the Tasmanian Anti-Discrimination Commission. [4] People who have engaged in heterosexual or female-to-female sex during the past 12 months are allowed to give blood. Female-to-female transmission is considered by the Centers for Disease Control to be rare. [5] As well as deferring blood donations from MSM, other categories of sexual activity can also result in a 12-month deferral, such as sex with a prostitute or having a partner who has tested positive to hepatitis B or C. [6]
In 2014, several gay men again requested that the Australian Red Cross Blood Service permit them to donate blood. [7] [8] The Red Cross, in noting their concern, said they were receptive to a reduction in the current deferral period from 12 to 6 months. However, the Australian Therapeutic Goods Administration rejected their submission, arguing that there would be a greater risk of HIV without a significant increase in blood supply. [9] The Red Cross say they do not defer based on sexuality or relationships, but rather on sexual activity, and for this reason it is not possible to deal with MSM on an individual basis. [10]
In April 2020 the Therapeutic Goods Administration revised the deferral period for MSM down to three months. The revision required approval of the federal, state and territory governments before it could go into effect. [11] The revised policy came into effect on 31 January 2021. [12]
In April 2022, the Therapeutic Goods Administration accepted the submission of Lifeblood and the University of New South Wales and removed the rule that made people who had lived in the United Kingdom for more than six months between 1980 and 1996 ineligible. Before the change came into effect in July 2022, these donors were unable to donate due to the risk of human variant Creutzfeldt–Jakob disease (vCJD, or "mad cow disease") exposure. [13]
Blood plasma is a light amber-colored liquid component of blood in which blood cells are absent, but which contains proteins and other constituents of whole blood in suspension. It makes up about 55% of the body's total blood volume. It is the intravascular part of extracellular fluid. It is mostly water, and contains important dissolved proteins, glucose, clotting factors, electrolytes, hormones, carbon dioxide, and oxygen. It plays a vital role in an intravascular osmotic effect that keeps electrolyte concentration balanced and protects the body from infection and other blood-related disorders.
A blood donation occurs when a person voluntarily has blood drawn and used for transfusions and/or made into biopharmaceutical medications by a process called fractionation. Donation may be of whole blood, or of specific components directly (apheresis). Blood banks often participate in the collection process as well as the procedures that follow it.
Men who have sex with men (MSM) refers to all men who engage in sexual activity with other men, regardless of their sexual orientation or sexual identity. The term was created by epidemiologists in the 1990s, to better study and communicate the spread of sexually transmitted infections such as HIV/AIDS between all sexually active males, not strictly those identifying as gay, bisexual, pansexual or various other sexualities, but also for example male prostitutes. The term is often used in medical literature and social research to describe such men as a group. It does not describe any specific kind of sexual activity, and which activities are covered by the term depends on context. An alternative term, males who have sex with males is sometimes considered more accurate in cases where those described may not be legal adults.
The Canadian Red Cross Society is a Canadian humanitarian charitable organization, and one of 192 national Red Cross and Red Crescent societies. The organization receives funding from both private donations and from Canadian government departments.
Plasmapheresis is the removal, treatment, and return or exchange of blood plasma or components thereof from and to the blood circulation. It is thus an extracorporeal therapy, a medical procedure performed outside the body.
Canadian Blood Services is a non-profit charitable organization that is independent from the Canadian government. The Canadian Blood Services was established as Canada's blood authority in all provinces and territories except for Quebec in 1998. The federal, provincial and territorial governments created the Canadian Blood Services through a memorandum of understanding. Canadian Blood Services is funded mainly through the provincial and territorial governments.
The tainted blood disaster, or the tainted blood scandal, was a Canadian public health crisis in the 1980s in which thousands of people were exposed to HIV and hepatitis C through contaminated blood products. It became apparent that inadequately-screened blood, often coming from high-risk populations, was entering the system through blood transfusions. It is now considered to be the largest single (preventable) public health disaster in the history of Canada.
Lesbian, gay, bisexual, and transgender (LGBT) rights in the Republic of Ireland are among the most advanced in Europe. Ireland is notable for its transformation from a country holding overwhelmingly conservative attitudes toward LGBT issues, in part due to the opposition by the Roman Catholic Church, to one holding overwhelmingly liberal views in the space of a generation. In May 2015, Ireland became the first country to legalise same-sex marriage on a national level by popular vote. The New York Times declared that the result put Ireland at the "vanguard of social change". Since July 2015, transgender people in Ireland can self-declare their gender for the purpose of updating passports, driving licences, obtaining new birth certificates, and getting married. Both male and female expressions of homosexuality were decriminalised in 1993, and most forms of discrimination based on sexual orientation are now outlawed. Ireland also forbids incitement to hatred based on sexual orientation. Article 41 of the Constitution of Ireland explicitly protects the right to marriage irrespective of sex.
In England, blood and other tissues are collected by NHS Blood and Transplant (NHSBT). NHSBT Blood Donation was previously known as the National Blood Service until it merged with UK Transplant in 2005 to form a NHS special health authority. Other official blood services in the United Kingdom include the Northern Ireland Blood Transfusion Service, the Scottish National Blood Transfusion Service and the Welsh Blood Service.
The Irish Blood Transfusion Service (IBTS), or Seirbhís Fuilaistriúcháin na hÉireann in Irish, was established in Ireland as the Blood Transfusion Service Board (BTSB) by the Blood Transfusion Service Board (Establishment) Order, 1965. It took its current name in April 2000 by Statutory Instrument issued by the Minister for Health and Children to whom it is responsible. The Service provides blood and blood products for humans.
Contaminated hemophilia blood products were a serious public health problem in the late 1970s up to 1985.
The history of HIV/AIDS in Australia is distinctive, as Australian government bodies recognised and responded to the AIDS pandemic relatively swiftly, with the implementation of effective disease prevention and public health programs, such as needle and syringe programs (NSPs). As a result, despite significant numbers of at-risk group members contracting the virus in the early period following its discovery, Australia achieved and has maintained a low rate of HIV infection in comparison to the rest of the world.
The New Zealand Blood Service is the provider of blood services for New Zealand. The service is a Crown entity responsible to New Zealand's Parliament and is governed by a Board appointed by the Minister of Health.
Many countries have laws, regulations, or recommendations that effectively prohibit donations of blood or tissue for organ and corneal transplants from men who have sex with men (MSM), a classification irrespective of their sexual activities with same-sex partners and of whether they identify themselves as bisexual or gay. Temporary restrictions are sometimes called "deferrals", since blood donors who are found ineligible may be found eligible at a later date. However, many deferrals are indefinite meaning that donations are not accepted at any point in the future, constituting a de facto ban. Even men who have monogamous relations with their same-sex partners are found ineligible.
A transfusion transmitted infection (TTI) is a virus, parasite, or other potential pathogen that can be transmitted in donated blood through a transfusion to a recipient. The term is usually limited to known pathogens, but also sometimes includes agents such as simian foamy virus which are not known to cause disease.
The contaminated blood scandal, also known as the infected blood scandal, is a British medical scandal in which a large number of people were infected with hepatitis C and HIV, as a result of receiving contaminated blood or contaminated clotting factor products. Many of the products were imported from the US, and distributed to patients by the National Health Service throughout the 1970s and 1980s. Most recipients had haemophilia or had received a blood transfusion following childbirth or surgery. It has been estimated that more than 30,000 patients received contaminated blood, resulting in the deaths of at least 3,000 people. In July 2017, Prime Minister Theresa May announced an independent public inquiry into the scandal, stating that "the victims and their families who have suffered so much pain and hardship deserve answers as to how this could possibly have happened." The final report was published in seven volumes on 20 May 2024, concluding that the scandal could have been largely avoided, patients were knowingly exposed to "unacceptable risks", and that doctors, the government and NHS tried to cover-up what happened by "hiding the truth".
Discrimination against people with HIV/AIDS or serophobia is the prejudice, fear, rejection, and stigmatization of people with HIV/AIDS. Marginalized, at-risk groups such as members of the LGBTQ+ community, intravenous drug users, and sex workers are most vulnerable to facing HIV/AIDS discrimination. The consequences of societal stigma against PLHIV are quite severe, as HIV/AIDS discrimination actively hinders access to HIV/AIDS screening and care around the world. Moreover, these negative stigmas become used against members of the LGBTQ+ community in the form of stereotypes held by physicians.
The South African National Blood Service (SANBS) is a non-profit organisation that provides human blood for transfusion that operates in South Africa, with the exception of the Western Cape, which has its own blood service. The head office of the SANBS is in Constantia Kloof, Gauteng, near Johannesburg, but there are blood collection operations in eight of the nine provinces. Western Cape has a separate blood centre, the Western Cape Blood Service. SANBS was founded in 2001 from a merger of seven blood centres, and was embroiled in controversy in 2004 over a policy of racial profiling for blood safety.
The MSM blood donor controversy in the United Kingdom refers to the former deferral policy of men who have had sex with men (MSM) in the United Kingdom who wish to donate their blood to UK blood donation services. Since June 2021, there is no deferral period in all four home nations. This followed an announcement in December 2020 that blood donation policies specific to MSM would be scrapped in favour of personalised risk assessment based on sexual behaviour.
Blood donations in India are conducted by organisations and hospitals through blood donation camps. Donors can also visit blood banks in hospitals to donate blood. Efforts by the government and advocacy groups over the years have helped bridge the gap between demand and supply. The regulatory framework for blood donation and blood bank management rests with the Central Drugs Standard Control Organisation, while technical bodies like the National Blood Transfusion Council and National AIDS Control Organisation formulate guidelines and recommendations for transfusion medicine and blood bank management. Challenges persist with regards to regulation of blood banks and transfusion practices as the sector is largely fragmented with uneven distribution of blood banks and supply of blood in parts of the country. Donors are usually provided with refreshments after the procedure, which include glucose drinks, biscuits and fruits. Some organisations offer transportation facilities, as well as certificates or badges as gratitude.
To recognise this, in November 2019 we changed our name to Australian Red Cross Lifeblood.
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: CS1 maint: archived copy as title (link) Australian Red Cross Blood Donor Eligibility