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Transfusion Medicine and Blood

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Front. Med. | doi: 10.3389/fmed.2018.00045

How Can Eastern/Southern Mediterranean Countries Resolve Quality and Safety Issues in Transfusion Medicine?

  • 1Clinical Pathology and Blood Banking, Sacre Coeur Hospital, Lebanon
  • 2Université de Lyon, France
  • 3Laboratory Medicine, Hopital psychiatrique de la croix, Lebanon
  • 4Institut National de la Transfusion Sanguine, France

Unlike their Western counterparts, some of the Eastern/Southern Mediterranean countries lack centralized coordinated blood transfusion services leading to an unequal blood safety level. This was recently highlighted by a recent WHO regional committee report in which WHO urges these countries to establish and implement a national blood system with well-coordinated blood transfusion activities and to make attempts to reach 100% Voluntary non-remunerated blood donation. The objective is thus to meet the same levels or standards as Western countries in term of self-sufficiency and blood safety.
This raises the question whether these countries can either comply with Western countries’ guidelines and experiences, or develop their own safety scheme based on proper socio-political and economic features. Another option is to identify efficient and cost-effective strategies set up successfully in neighbor countries sharing cultural and economic features. To address this issue—and make an attempt to achieve this goal—, we designed a number of surveys specifically addressed to Mediterranean countries, that were sent out to the national authorities; so far, five surveys aim at covering all aspects in blood collection, processing, testing, inventory and distribution, as well as patient immune-hematological testing and follow up (including surveillance and vigilances). It is anticipated that such practice can help identifying and then sharing the more successful and cost-effective experiences, and be really focused on Mediterranean areas while not necessarily copying and pasting experiences designed for Western/Northern areas with significantly distinct situations.

Keywords: transfusion, Eastern Mediterranean, quality, Safety, VNRD, Blood supply, Southern Mediterranean

Received: 05 Dec 2017; Accepted: 07 Feb 2018.

Edited by:

Michel Prudent, Transfusion Interrégionale CRS SA, Switzerland

Reviewed by:

Anastasios G. Kriebardis, Technological Educational Institute of Athens, Greece
Giuliano Grazzini, Centro Nazionale Sangue, Italy  

Copyright: © 2018 Haddad, Bou Assi and Garraud. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Antoine Haddad, Sacre Coeur Hospital, Clinical Pathology and Blood Banking, Baabda, Lebanon,