Blood donation in the Middle East: The gift of life that is easy to give

Achieving self-sufficiency in blood supplies remains a challenge for many Gulf countries despite initiatives to promote awareness of the lifesaving importance of regular donations. (Shutterstock)
Updated 14 June 2019
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Blood donation in the Middle East: The gift of life that is easy to give

  • World Blood Donor Day observed on June 14 to raise awareness of the life-saving importance of blood donation
  • Regular, voluntary donors are vital worldwide for adequate supply of safe blood and blood products

DUBAI: Blood donations in the Middle East have been described as “the gift of life” as the region struggles to cope with the demands posed by conflicts, humanitarian emergencies and the medical needs of a growing population.

International health experts have called on regular donors to step forward to mark World Blood Donor Day on June 14.

This year’s campaign focuses on blood donation and universal access to safe blood transfusion, and according to the World Health Organization (WHO), more donors are needed “to step forward to give the gift of life.”

Those who benefit most from blood donations include people suffering from thalassaemia, a blood disorder that affects hemoglobin and the red blood cell count, as well as victims of road accidents, cancer patients and sickle-cell disease patients.

Experts say while the Gulf Cooperation Council (GCC) countries have launched numerous initiatives to raise awareness of the lifesaving importance of blood donation, there is an increasing need across a wider region for regular donors.

“Many countries in the region face challenges in making sufficient blood available while also ensuring its quality and safety, especially during humanitarian emergencies and conflicts,” Dr. Ahmed Al-Mandhari, WHO regional director for the Eastern Mediterranean, told Arab News.

The GCC countries say they collect in total more than 10 whole blood donations per 1,000 population per year, or about 1 percent, Al-Mandhari said.

According to WHO, blood donations by 1 to 3 percent of the population are sufficient to meet a country’s needs. Even so, achieving self-sufficiency is a daunting challenge for many countries.

Al-Mandhari said that more than 90 percent of the blood is collected from voluntary, unpaid donors, aged from 18 to 44, with an increasing proportion of repeat donors. What is more, blood demand is unpredictable and even differs with each blood type. “For example O- blood can be given to patients with all blood types. But AB+ can only be given to patients with AB+,” he said.

Then there is the issue of short shelf life.

“To be ready to help patients in all hospitals, countries aim to stock usually six days’ worth of each blood type at all times,” Al-Mandhari said. “Since blood has a short shelf life — a 42-day window — and cannot be stockpiled, blood banks are forced to depend on donors to help maintain stocks.”

WHO’s most recent report on blood safety and availability points to “gaps in the key elements of national blood systems” in the Middle East.

A Saudi donor flashes the v-sign for victory as he gives blood in Jeddah. The Kingdom has one of the highest rates of repeat donors in the region. (AFP )

While GCC countries have taken steps to keep stocks at optimum levels, other countries in the Middle East are lagging behind international standards. The WHO report shows wide variations in annual blood-donation rates among countries, ranging from 0.7 per 1,000 population in Yemen to 29 per 1,000 population in Lebanon.

Al-Mandhari laid out the solution in a few easy steps: “Governments need to provide adequate resources, and put in place systems and infrastructure to increase the collection of blood from voluntary, regular unpaid blood donors, provide quality donor care, promote and implement appropriate clinical use of blood; and set up systems for oversight and surveillance across the blood-transfusion supply chain.”

On the positive side, Saudi Arabia recorded a rate of 13.8 per 1,000 population, with a healthy spread across all age groups. The country also has one of the highest rates of repeat donors (91 percent) in the region. According to the WHO report, the proportion of repeat, voluntary, non-remunerated blood donation in the Kingdom is 65.3 percent, which “will keep the prevalence of transfusion-transmissible infections among blood donors at much lower levels than in the general population.”

In recent years, Saudi health officials have introduced a number of measures to ensure adequate stocks in blood banks, including those run by the Ministry of Health and dedicated centers. These include a large facility at King Fahad Medical City (KFMC) and the country’s Central Blood Bank.

In the Kingdom, to be eligible for blood donation, donors must be aged over 17, weigh more than 50 kg, and have passed a brief medical examination. The health ministry recently launched Wateen, an app designed to ease blood-donation procedures and help ensure facilities across the Kingdom have adequate quantities of blood by 2020.

KFMC officials say that every day at least 2,000 units of blood components are needed to sustain a minimum supply for patients at the facility and other governmental and non-governmental hospitals in Riyadh. Donated blood components are essential for the management of cases involving cancer, sickle-cell disease, organ transplant, surgery, childbirth and trauma, to name just a few.

The situation is not very different in the other GCC countries, which also need more donors.

In the UAE, Dubai Blood Donation Center, which accounts for roughly half of the total blood collected in the emirates, frequently highlights the urgent need for donors. In 2018 alone, it ran 635 blood-donation campaigns, which resulted in 63,735 donors and a collection of 50,456 blood units.

While all blood types are needed, negative blood types are in greater demand due to their rarity. “There is a continuous demand for all blood types as blood lasts for only 42 days. So donors are always needed to come forward to replenish these stocks,” Dr. Mai Raouf, director of Dubai Blood Donation Center, said.

“People can donate blood every eight weeks, with each donation potentially saving up to three lives,” she told Arab News. 

Given that transfusion of blood and blood products save millions of lives every year, and the fact that “regular donors are the safest group of donors,” the importance of encouraging people to return to donate blood, rather than be one-time donors, can hardly be overemphasized, experts say.

“Without a system based on voluntary, unpaid blood donation, particularly regular voluntary donation, no country can provide sufficient blood for all patients who require transfusion,” Al-Mandhari said.

“WHO is calling on all countries in the region to celebrate and thank individuals who donate blood — and to encourage those who have not yet donated blood to start donating,” he said.

 


Sudan is heading in the right direction but much work remains, says US envoy

US is working with other governments in the region to build support for the transitional process in Sudan. (Reuters)
Updated 24 July 2019
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Sudan is heading in the right direction but much work remains, says US envoy

CHICAGO: US Special Envoy for Sudan Donald E. Booth on Tuesday said that leaders of the military government and the opposition in the African nation are moving toward a reconciliation, but added “there is a lot” that still needs to be done.
Booth, who was appointed by President Donald Trump in June, is charged with leading the US efforts to support a political solution to the current crisis that reflects the will of the Sudanese people.
Both sides in Sudan agreed a political power-sharing deal on July 17 that set out a 39-month period of transition, led by Sudan’s new “Sovereign Council,” before constitutional changes can be made. Under the agreement, a military general will lead the council for the first 21 months, a civilian for the following 18 months, and then elections will be held.
“That political declaration really addresses the structure of a transitional government and not the entire structure,” Booth said. “(The July 17 agreement) has put off the question of the legislative council. It is a document that is the beginning of a process. We welcome the agreement on that but there are still a lot of negotiations to be conducted on what the Sudanese call their constitutional declaration.”
The envoy said he expects the Sovereign Council “will have to address what the functions of the different parts of the transitional government will be,” such as the roles and powers of “the sovereign council, the prime minister, the cabinet and, ultimately, the legislative cabinet. Who will lead that transitional government is still undecided.”
The crisis in Sudan came to a head in December 2018 when President Omar Al-Bashir imposed emergency austerity measures that prompted widespread public protests.
He was overthrown by the Sudanese military in April 2018 as a result of the unrest but the protests continued. Demonstrations in Khartoum turned violent on June 3 when 150 civilians were killed, sparking nationwide protests in which nearly a million people took part.
Booth said these protests had changed the dynamics in Sudan, forcing the military to negotiate with the people.
“The 3rd of June was a signal of the limits of people power,” he said. “But then there was the 30th of June, in which close to a million people took to the streets outside of Sudan and I think that demonstrated the limits of the military power over the people.”
Some have asked whether individuals might face prosecution for past human-rights violations, including Lt. Gen. Mohamed Hamdan Dagalo, better known as Gen. Hemeti, who was appointed head of the ruling transitional military council in April after Al-Bashir was removed from power. Booth said this would be a decision for the new transitional government.
“One has to recognize that General Hemeti is a powerful figure currently in Sudan,” he said. “He has considerable forces loyal to him. He has significant economic assets as well. So, he has been a prominent member of this transitional military council. But he has been one of the chief negotiators for the forces of Freedom and Change.

HIGHLIGHTS

• Both sides in Sudan agreed on a political power-sharing deal on July 17 that set out a 39-month period of transition, led by Sudan’s new ‘Sovereign Council,’ before constitutional changes can be made.

• Under the agreement, a military general will lead the council for the first 21 months, a civilian for the following 18 months, and then elections will be held.

• We will have to wait and see what type of agreement Sudanese will come up with, says US envoy.

“We will have to wait and see what type of agreement they will come up with…we don’t want to prejudge where the Sudanese will come out on that. It is their country and their decision on how they move forward. Our goal is to support the desire for a truly civilian-led transition.”
Booth noted that although sanctions on Sudan have been lifted, the designation of the nation as a state sponsor of terrorism remains in force. He also said he expects the pressures and restrictions on journalists covering Sudan’s transition to ease as progress continues toward redefining Sudan’s government.
“As you can see, there is still a lot that the Sudanese need to do,” said Booth. “But we fully support the desire of the Sudanese people to have a civilian-led transitional government that will tackle the issues of constitutional revision and organizing elections, free and fair democratic elections, at the end of the transitional period.”
He added that the US is working with other governments in the region to build support for the transitional process, including expanded religious freedoms, an end to the recruitment of children for military service, and improving Sudan’s economy.
“I think it is important we give the Sudanese space to negotiate with each other, and to continue to express our support to get to the civilian-led transition government that will be broadly supported by the Sudanese people,” said Booth.