Collecting blood just from voluntary repeated blood donors is the wisdom strategy in Vietnam

Seyed Moayed Alavian

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Year : 2013 | Volume : 137 | Issue : 4 | Page : 813

Collecting blood just from voluntary repeated blood donors is the wisdom strategy in Vietnam

Seyed Moayed Alavian
Department of Hepatology Baqiyatallah Research Center for Gastroenterology & Liver Disease Tehran, Iran

Date of Web Publication

17-May-2013

Correspondence Address:
Seyed Moayed Alavian
Department of Hepatology Baqiyatallah Research Center for Gastroenterology & Liver Disease Tehran
Iran

Source of Support: None, Conflict of Interest: None

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PMID: 23703354

How to cite this article:
Alavian SM. Collecting blood just from voluntary repeated blood donors is the wisdom strategy in Vietnam. Indian J Med Res 2013;137:813

How to cite this URL:
Alavian SM. Collecting blood just from voluntary repeated blood donors is the wisdom strategy in Vietnam. Indian J Med Res [serial online] 2013 [cited 2021 May 18];137:813. Available from: https://www.ijmr.org.in/text.asp?2013/137/4/813/112043

Sir,

I read with interest the article by Veit et al^[1] recently. The high prevalence of HBs Ag and anti-HBc antibody in their study group is alarming and indicates the possibility of role of transfusion in transmission of hepatitis B virus (HBV) infection in their community. Blood transfusion is a life-saving component of health care systems, but it can expose the patients to the risk of transmission of infectious agents ^[2] . The blood banks' activities in collecting blood from safe blood donors can help in prevention of residual risk of transmission ^[3] . Decreasing the prevalence of HBV and HCV infection in blood donors is related to improvements in donor recruitment and selection, implementation of automation in transfusion services, and a possibly decreasing HBV infection prevalence in the general population ^[4] . Shifting from paid and replacement blood donors to volunteer donors should be an important strategy. The authors stated that due to the very high prevalence of anti-HBc antibody (>50%), exclusion of them was not possible. They recommended nucleic acid amplification testing for HBV to be considered for blood donor screening in Vietnam. But performing nucleic acid amplification testing may not be cost-effective in their community. Another strategy which may be considered is to increase the age of HBV vaccination coverage in their community ^[2] .

References

1.	Viet L, Lan NT, Ty PX, Bjorkvoll B, Hoel H, Gutteberg T, et al. Prevalence of hepatitis B & hepatitis C virus infections in potential blood donors in rural Vietnam. Indian J Med Res 2012; 136 : 74-81.
2.	Cheraghali AM. Blood safety concerns in the Eastern Mediterranean region. Hepat Mon 2011; 11 : 422-6.
3.	Cheraghali AM. Effectiveness of confidential unit exclusion option in blood transfusion services needs re-evaluation. Hepat Mon 2011; 11 : 295-8.
4.	Kafi-abad SA, Rezvan H, Abolghasemi H. Trends in prevalence of hepatitis B virus infection among Iranian blood donors, 1998-2007. Transfus Med 2009; 19 : 189-94.

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