1. BLOOD TRANSFUSION SAFETY: PROGRESS REPORT 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization 142 nd Session of the Executive Committee 23-29 June 2008, Washington DC Pan American Health Organization

2. Pan American Health Organization 2008 2 COVERAGE OF SCREENING FOR TTI LATIN AMERICA AND CARIBBEAN 2000 -2005 %

3. Pan American Health Organization 2008 3 PARTICIPATION IN PEEP FOR TTI VOLUNTARY BLOOD DONATION LATIN AMERICA 2000-2005 %

4. Pan American Health Organization 2008 4 RISK OF INFECTED TRANSFUSIONS 2003-2005* * per 100,000 donations

5. Pan American Health Organization 2008 5 EFFICIENCY OF BLOOD COLLECTION LATIN AMERICAN COUNTRIES, 2005 N UNITS1,4042,3345,888p<0.0005 DONATION RATE/10,000 (95% CI) 100.85 (95 - 107) 115.90 (111 - 121) 186.81 (182 - 192) P<0.005 VBD (MEAN)10.418.551.3p<0.010 DONOR DEFERRAL (%) 20.124.77.9p<0.050 MEAN UNITS DISCARDED (%) 10.79.910.3p> 0.90

6. Pan American Health Organization 2008 6 EFFICIENCY OF BLOOD COLLECTION CARIBBEAN COUNTRIES 2005 COUNTRIES WITH DERERRAL RATE 20-53% (n=8) COUNTRIES WITH DEFERRAL RATE 0-10% (n=7) DONATION RATE (MEDIAN)87.7167.6 COUNTRIES WITH 100% VBD 0/84/7 PREVALENCE TTI (MEDIAN) 4.090.90 DISCARD RATE (MEAN) 9.38.8

7. Pan American Health Organization 2008 7 FINANCIAL RESOURCES LOST LATIN AMERICAN AND CARIBBEAN COUNTRIES 2005 LATIN AMERICACARIBBEAN # UNITS REACTIVE/POSITIVE FOR TTI 235,1343,562 # UNITS OF RBC OUTDATED & DISCARDED 603,9506,425 TOTAL UNITS LOST839,0849,987 TOTAL COST US $ 56/UNIT 46 988 704559,272

8. Pan American Health Organization 2008 8 THE WAY FORWARD HEALTH AUTHORITIES LEAD PLANNING AND MANAGEMENT OF NATIONAL BLOOD NETWORK SYSTEMS NEED FOR BLOOD COMPONENTS AT THE NATIONAL LEVEL IS ESTIMATED A SOCIAL NETWORK IS FORMED AND BLOOD DONORS ARE EDUCATED REPLACEMENT AND PAID DONATIONS ARE TERMINATED