How safe is the blood supply today?
As steward of more than half of the nation's blood
supply, the American Red Cross painstakingly and continually updates and
refines procedures to ensure that today's supply is safer than it ever
has been. In the face of recent threats to the blood supply, including
hepatitis and HIV, medical advances in screening donors and testing
blood have dramatically improved blood safety. The Red Cross continues
to assure the safety of the blood supply through its state-of-the-art
blood services operations which have been developed to meet the blood
banking challenges of the next century.
What is a recall?
As defined by the Food and Drug Administration (FDA), a
recall is "an action taken by a firm to either remove a product
from the market or to conduct a field correction." A field
correction is a recall that does not result in the destruction of a
blood product. It is a labeling error that must be corrected before the
product is used.
There are three types of recalls: Class I recalls are
for dangerous or defective blood products that could cause serious
health problems or death. It is important to note that the Red Cross has
only had a handful of Class I recalls, all due to bacterial
contamination, an exceedingly rare and largely unavoidable occurrence.
Class II recalls are for products that might cause a temporary health
problem, or pose only a slight threat of a serious nature. Class III
recalls are for products that are unlikely to cause any adverse health
reaction but are in violation of FDA regulations.
If the blood supply is safe, why are
there errors and blood recalls?
The vast majority of errors that occur do not pose a
safety risk to blood recipients. Currently, more than 90% of errors are
discovered before the blood is distributed. Because our error detection
systems are continually improving, we are discovering more errors and
accidents, including many that occurred long ago. Errors that are
discovered from long ago are reported and recalls are conducted based on
the new information. Because of the age and type of these errors, in
most cases the blood has already been safely transfused.
Some recalls have been prompted by clarification in FDA
policy with no prior indication that earlier procedures were
inappropriate. Many recalls are a result of accidents, which are both
unpredictable and unpreventable, rather than errors on the part of the
Red Cross.
Because the operations of the Red Cross Blood Services
involve tens of millions of transactions, errors are inevitable. These
errors range from equipment malfunction, such as fluctuating storage
temperatures in blood refrigerators to improper or missing
documentation. Not every error or accident affects the quality of the
blood, and in most cases, the errors are discovered prior to release of
the product. However, if a unit associated with an error is released, it
must be recalled.
What types of transmissible diseases
does the Red Cross test for?
Every unit of blood is tested for evidence of exposure
to viruses which might cause diseases. Blood is tested for HIV-1 and
HIV-2 (the viruses that cause AIDS), hepatitis B, hepatitis C, human
T-cell lymphotropic viruses (HTLV-I and HTLV-II), ALT (the level of a
liver enzyme), and syphilis.
What measures has the Red Cross
implemented to screen donors for hepatitis?
new tests are being developed and implemented all the
time. The introduction of hepatitis C testing in May 1990 reduced the
rate of infection with hepatitis C by more than 90%, from approximately
1 in 200 to less than 1 in 3,000, and the introduction of an improved
test in March 1992 has reduced that risk again. The current estimate is
1 in 103,000.
What measures has the Red Cross
implemented to screen donors for HIV?
In spring of 1985, the Red Cross began testing all newly
donated blood to detect the antibody to HIV-1 (AIDS). In April 1987, the
Red Cross adopted the use of an improved FDA-licensed HIV-1 test that
effectively detected at least 80% of blood that was infected with HIV-2
- a second AIDS-like virus. In February 1992, the Red Cross implemented
the FDA licensed HIV-1/2 combination test that tests for a new strain of
the AIDS virus still very rare in this country. In March 1996, the Red
Cross began additional testing of all donated blood for the HIV antigen.
Currently, the estimated risk that an HIV infection
donation would be available for transfusion is 1 in 676,000. In addition
to the implementation of tests to screen the blood supply for HIV,
factors which have contributed significantly to the reduction in risk
are donor education, the introduction of donor screening which includes
direct questions regarding risk factors, and screening each donor
against a national Red Cross file of donors who may transmit an
infectious disease.
Will I be informed by the Red Cross if
I receive a tainted transfusion?
If a unit of blood is released and later discovered to
be tainted or determined to be at risk of contamination, the Red Cross
will conduct a "look back," a process that tracks and
identifies recipients who may be at risk for infection. The Red Cross
then notifies the hospital where the patient was treated. The hospital
is then responsible for notifying the recipient as soon as possible.