Looking at those conditions listed above, cancer, bleeding conditions, heart and lungs conditions which sometimes can pose a serious problems with the donors when donating blood and to a less exend may affect the recipients. How can such conditions be identify in donors who have never be diagnosed on such conditions and might be having it and don't know they're having it? What can be done to rule out these conditions? Thanks 

Hi,

I realize you are not un the US; however, AABB has a lot of terrific resources available, for free.

https://www.aabb.org/news-resources/resources/donor-history-questionnaires/blood-donor-history-questionnaires

There is a questionnaire that you can administer, which will uncover the conditions you are looking at, and they also have guidelines on how to proceed should you receive an unexpected answer.

These should be reviewed with your medical director to ensure the suggestions are what they would like implemented.

In the last blood center where I worked, we pretty much followed them exactly.  Why reinvent the wheel 

Thanks very much, looking at the questionnaire if someone can't fulfill just one or two, meaning with defer the donor? Looking at drug list for deferal can the same drugs apply in my country? Thanks 

15 minutes ago, ching Nelson tsoine said:

Looking at drug list for deferal can the same drugs apply in my country? Thanks 

There are many drugs legally prescribed in Europe but not in USA, and vise versa. I therefore suggest you go through the list and find out which drugs can be prescribed and what can't to make your list.   

12 hours ago, ching Nelson tsoine said:

Thanks very much, looking at the questionnaire if someone can't fulfill just one or two, meaning with defer the donor? Looking at drug list for deferal can the same drugs apply in my country? Thanks 

Hi @ching Nelson tsoine, as @Ensis01 indicated, you need to check with your local authorities.

You have two primary concerns when it comes to blood donation.

First - is it safe for the donor to donate?  The answer isn't always yes.  That's why we do things like a pre-donation hemoglobin / hematocrit, blood pressure, health history questionnaire...  Sometimes these also elicit info that might make that donation unsafe for the recipient.

Second - is it safe for the recipient to receive that product?  When it comes to the vast majority of the thousands of meds that are out there, the answer is usually yes.  There are a few that can harm an unborn fetus.  Some indicate an underlying medical condition that might make it unsafe for the donor.

There is no one size fits all answer.  We worked with a plasma manufacturer in Korea, we needed to change some of our policies based on what their local laws were.

When in doubt, always check your local laws, the AABB guidelines will not work in every country, and they are not a law in the US, but a guideline.  The questionnaire is accepted by the FDA 9in the US) as an acceptable donor questionnaire.  In fact, AABB and FDA collaborated on it.

If the donor passes your screening questions and seems clinically fine overall, there is literally no need to worry about these issues, either in terms of donor or recipient safety.  The history and physical exam are by far the most important information in evaluation of patients or donors.