Men who have sex with men blood donor controversy in the United Kingdom

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A Donation Not Discrimination protester at the University of Nottingham. University Park MMB G4 Donation not Discrimination.jpg
A Donation Not Discrimination protester at the University of Nottingham.

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 (NHS Blood and Transplant in England, the Welsh Blood Service in Wales, Scotblood in Scotland and the Northern Ireland Blood Transfusion Service in Northern Ireland). 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. [1]

Contents

The UK blood donation services had previously argued that a deferral policy was necessary in order to protect public health and minimise the spread of blood-borne sexually transmitted infections (STIs) such as HIV. The policy was adopted based on the scientific advice of the Advisory Committee on the Safety of Blood, Tissues and Organs and was kept under regular review, with the advisory committee advising that the policy was scrapped in December 2020. [1] The policy was criticised as being discriminatory towards gay men, and the deferral was opposed by groups such as the LGBT campaign of the NUS and Stonewall.

History

Blood donation policies for men who have sex with men .mw-parser-output .legend{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .legend-color{display:inline-block;min-width:1.25em;height:1.25em;line-height:1.25;margin:1px 0;text-align:center;border:1px solid black;background-color:transparent;color:black}.mw-parser-output .legend-text{} Men who have sex with men may donate blood; No deferral Men who have sex with men may donate blood; Temporary deferral Men who have sex with men may not donate blood; Permanent deferral No Data Map of blood donation policies for men who have sex with men.svg
Blood donation policies for men who have sex with men
  Men who have sex with men may donate blood; No deferral
  Men who have sex with men may donate blood; Temporary deferral
  Men who have sex with men may not donate blood; Permanent deferral
  No Data

1980 lifetime ban

In 1980, MSM were placed under a lifetime ban in terms of blood donation due to the HIV/AIDS crisis of the 1980s.[ citation needed ]

2011 one-year deferral

In September 2011 this lifetime ban was lifted in all parts of the UK (excluding Northern Ireland until September 2016), [2] and a 1-year ban was put in place for MSM who are sexually active, regardless of whether safe sex practises were undertaken. [3] [4]

The gay rights group Stonewall said the move was a "step in the right direction". [5] However, a spokesperson pointed to the fact that high-risk heterosexuals would still be less controlled than low-risk gay men: "A gay man in a monogamous relationship who has only had oral sex will still automatically be unable to give blood but a heterosexual man who has had multiple partners and not worn a condom will not be questioned about his behaviour, or even then, excluded." [5] The Independent reported that Andy Wasley, editor in chief of So So Gay magazine, called for "more precise selection criteria" to be used in identifying high-risk potential donors. [6]

It was not clear how much the total amount of blood donated would change following this change, Sir Nick Partridge, chief executive of the Terrence Higgins Trust, is quoted as saying it is impossible to say how many men would actually be able to start donating blood, as "the vast majority of gay men are still (sexually) active". [5]

Political opposition to deferral

In 2015, the Green Party of England and Wales claimed that they would "push for consultation on reducing the 12-month blood donation deferral period for men who have sex with men, based on individual risk assessment where the donor is identified to be not at risk of passing infections into the blood supply" in their General Election Manifesto and LGBTIQ Manifesto. [7] [8]

In 2015, Welsh writer and poet RJ Arkhipov exhibited a poetry series written with his own blood as ink in protest of the MSM blood donor restrictions. [9] [10] [11]

The Liberal Democrats' first opposition day motion in the 2015 Parliament called for the government to end the 'gay blood ban'. [12]

2017 three-month deferral

In November 2017, a new blood donation policy within Scotland, England and Wales was enacted, which allowed men who have sex with men to give blood three months after their last sexual activity, instead of 12. Experts said the move would give more people the opportunity to donate blood without affecting blood supply safety. The UK Advisory Committee on the Safety of Blood, Tissues and Organs – which advises UK health departments – recommended the changes after concluding that new testing systems were accurate and donors were good at complying with the rules. [13]

Following the restoration of devolution in Northern Ireland in January 2020, the deferral period there was reduced to 3 months, in effect since 1 June 2020. [14]

Criticism

Following the change in deferral period to three months, Stonewall released a statement stating "while a shortened deferral period is an important move, the reality is that most gay and bi men will still be excluded from donating blood." [15] Gay rights groups called for a move to an individualised risk assessment, which takes into account the risk associated with sexual behaviour, regardless of the gender or sex of their partner. [16] This would follow a similar model to Italy, which saw no increase in risk of HIV infection following the change in 2011. [17]

Current policy

Background

In 2019, the UK blood donation services set up the FAIR steering group to explore possibilities of individualised risk assessment with regards to sexual behaviours and risk, in conjunction with Public Health England, Stonewall, the Terrence Higgins Trust and other groups. [18] In December 2020 the FAIR steering group released a report detailing changes to the blood donation requirements to avoid excluding gay, bisexual and other men who have sex with men. The Advisory Committee on the Safety of Blood, Tissues and Organs recommended that the blood donation services implement the new policy recommendations. [1]

Policy

On 14 June 2021, the UK implemented a new blood donation policy allowing gay, bisexual and other men who have sex with men to donate blood without any waiting periods - provided that they, like every donor, are monogamous (one partner), practice safe sexual behaviour and are completely honest on forms, as per every blood donor, with a “legally-binding and signed” statutory declaration. [19]

The current policy around sexual behaviour and blood donation eligibility is as follows:

Anyone who has had anal sex and has had more than one partner (or a new partner) in the last three months is still ineligible for donation. [1]

See also

Related Research Articles

Men who have sex with men (MSM) refers to all men who engage in sexual activity with other men, regardless of 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 or bisexual, 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.

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<span class="mw-page-title-main">LGBT rights in the Republic of Ireland</span>

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<span class="mw-page-title-main">Blood donation in England</span>

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<span class="mw-page-title-main">LGBT rights in Iceland</span>

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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.

<span class="mw-page-title-main">LGBT rights in Sweden</span>

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<span class="mw-page-title-main">LGBT rights in the Netherlands</span>

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<span class="mw-page-title-main">LGBT rights in Norway</span>

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<span class="mw-page-title-main">LGBT rights in Northern Ireland</span>

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<span class="mw-page-title-main">LGBT rights in Jersey</span>

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References

  1. 1 2 3 4 5 "Blood donation: Rule change means more gay and bisexual men can give blood". BBC News. 14 December 2020. Retrieved 15 December 2020.
  2. ↑ "Northern Ireland to lift gay blood donor ban from September". gaynewsnetwork.com.au. Archived from the original on 20 December 2016.
  3. ↑ Prendergast, Padraig (14 June 2016). "Government to review 12-month deferral period for gay men donating blood". Newsbeat . Retrieved 25 February 2017.
  4. ↑ "Donor selection criteria review". Department of Health . Retrieved 8 September 2011.
  5. 1 2 3 Gallagher, James (8 September 2011). "BBC News – Gay men blood donor ban to be lifted". bbc.co.uk. Retrieved 21 September 2011.
  6. ↑ "Lifetime ban on gay men donating blood is lifted – Health News, Health & Families" . The Independent. 9 September 2011. Archived from the original on 12 May 2022. Retrieved 21 September 2011.
  7. ↑ "EQUALITY FOR ALL: LGBTIQ GENERAL ELECTION MANIFESTO 2015" (PDF). Green Party of England and Wales. Retrieved 10 May 2015.
  8. ↑ "FOR THE COMMON GOOD: GENERAL ELECTION MANIFESTO 2015" (PDF). Green Party of England and Wales. Retrieved 10 May 2015.
  9. ↑ "Welsh Poet RJ Arkhipov Works With His Own Blood to Protest Ban On Gay Donors". www.out.com. 25 September 2015. Retrieved 30 January 2020.
  10. ↑ "Gay Welsh poet tackles the stigma of 'gay blood' on World Blood Donor Day". Attitude.co.uk. 16 June 2017. Archived from the original on 1 January 2022. Retrieved 30 January 2020.
  11. ↑ "This man is writing poetry in his own blood to protest gay blood donations rules". PinkNews. 23 June 2017. Retrieved 30 January 2020.
  12. ↑ "Interview: Tim Farron addresses LGBT voting record and calls for Church of England to be disestablished". 20 May 2015.
  13. ↑ Greenfield, Patrick (23 July 2017). "Gay men to be allowed to give blood three months after sex". The Guardian– via www.theguardian.com.
  14. ↑ "Same-sex blood donation rules relaxed". BBC News. 29 April 2020. Retrieved 29 April 2020.
  15. ↑ "Blood donation: a step forward". Stonewall (in Welsh). 21 July 2017. Retrieved 18 May 2020.
  16. ↑ Arnull, Liam (1 June 2018). "Fighting for the Right to Donate Blood: Reviewing Changes to the UK's Separate, but Equal, Policy Towards LGBT+". Oxford Human Rights Hub. Retrieved 3 February 2021.
  17. ↑ Suligoi, Barbara; Pupella, Simonetta; Regine, Vincenza; Raimondo, Mariangela; Velati, Claudio; Grazzini, Giuliano (July 2013). "Changing blood donor screening criteria from permanent deferral for men who have sex with men to individual sexual risk assessment: no evidence of a significant impact on the human immunodeficiency virus epidemic in Italy". Blood Transfusion. 11 (3): 441–448. doi:10.2450/2013.0162-12. ISSN   1723-2007. PMC   3729137 . PMID   23867178.
  18. ↑ "FAIR steering group". NHS Blood Donation. Retrieved 18 May 2020.
  19. ↑ "Blood donation: Gay couple 'thrilled' after rules change". BBC News. 14 June 2021.
  20. ↑ Welle (www.dw.com), Deutsche. "UK drops abstinence period on gay men donating blood | DW | 14.12.2020". DW.COM. Retrieved 15 December 2020.
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