Please looking at malaria testing prior to transfusion especially in endemic areas like in Africa, in Europe someone coming from endemic zones are usually deferred from donating for a period of time but here in Africa during transfusion some centers will screen for malaria and some will not screen. The first question will be, it's necessary to screen for malaria in endemic areas before donating blood or not screening knowing knowing half or more than half of the population can test positive for malaria? and the second question what is the better tool for screening microscopy or rapid diagnostic test using serological cassette?

Going to be grateful with feedback 🫲🫲🫲

Here in the US we don't test for malaria; we "screen" by questionnaire only.

The FDA has a new guidance on malaria, it's a draft, but you may want to review it. https://www.pathlabtalk.com/forum/index.php?/files/file/278-recommendations-to-reduce-the-risk-of-transfusion-transmitted-malaria-draft-guidance-for-industry/

The current approved document from FDA is here https://www.pathlabtalk.com/forum/index.php?/files/file/250-recommendations-to-reduce-the-risk-of-transfusion-transmitted-malaria/

AABB has lots of great resources here, https://www.aabb.org/news-resources/resources/donor-history-questionnaires/blood-donor-history-questionnaires. There is a chart including in the questionnaire for malaria.

I suggest you review these materials and make a decision with your medical director.

Thanks. I have gone through what you sent, my worry is, am in Cameroon an endemic zone for malaria and most of the case that requires transfusion are usually malaria cases. If we want to use same strategies done in US, like everyone will not donate, can testing be the only for deferal?

Edited June 21Jun 21 by ching Nelson tsoine