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Britain's Cow Illness Is Issue in Donating of Blood

By WARREN LEARY

WASHINGTON -- A scientific advisory panel is asking the Food and Drug

Administration to consider a basic question: Should a past travel itinerary

help determine who is eligible to donate blood?

The panel wants the agency to examine the possibility of barring blood

donations from people who have lived in or visited Great Britain since 1980

because of concerns about mad cow disease. Most reported cases of this fatal

animal disease, and a human variant, have occurred in the British Isles.

Because such a move could have a huge impact on blood collection in the

United States, the panel asked the FDA and blood supply groups to survey

donors and assess the ramifications of blocking perhaps hundreds of thousands

of current contributors from giving blood.

Although there is no evidence that a human version of mad cow disease is

transmitted through blood or blood products, and there are no recorded cases

of the human disease in the United States, experts on the panel said they were

concerned about the possibility that a link between blood and the disease

could arise.

The risk of transmitting the disease through blood appears to be very low,

said a panel member, Dr. S. Burke, the director of the Center for

Immunization Research at s Hopkins University School of Hygiene and Public

Health.

" However, we don't want to find ourselves in a position where we didn't take

the problem seriously and it crops up as a major health issue 10 or 20 years

later, " Burke said in an interview.

He noted the criticism leveled at health authorities over AIDS by those who

contend the epidemic might have been mitigated if the disease had been taken

more seriously and fought more aggressively earlier.

Mad cow disease, or bovine spongiform encephalopathy, is believed to be

caused by infectious protein particles called prions, perhaps with the aid of

viruses or other agents. The disease kills brain cells, leaving the organ

full of holes and resembling a sponge.

A small percentage of people develop a similar condition, usually late in

life, called Creutzfeldt-Jakob disease, which appears to be hereditary in many

cases but sometimes occurs in isolation.

In Britain, 34 people have come down with what is called new variant

Creutzfeldt-Jakob disease, which afflicts a younger population than the

traditional condition. Some scientists suspect that the new illness is a

variation of the animal disease, which may be transferred to humans from

contaminated meat.

At a meeting last month, the agency advisory committee on Transmissible

Spongiform Encephalopathies, which is composed of medical and veterinary

experts, voted 9-6 to consider blocking blood donations from people who had

spent time in Britain in the height of the mad cow outbreak and, therefore,

may have been exposed to the disease.

Representatives of the American Red Cross told the panel that preliminary

surveys of donors indicated that barring blood donations by people who lived

or traveled in Britain would reduce the nation's blood supply by 10 percent

and require recruiting as many as one million donors.

Panel members say that before they take up the matter again at a meeting

this spring, when they are likely to vote on a formal recommendation to the

agency, they need more information on the impact of such a policy.

Besides worries about the effects on blood availability in this country,

panelists said they were concerned about the impact on rejected donors and the

perceptions they might harbor over their individual risks of disease.

There is also the question of time spent in Britain. Would a person who

passed through a British airport or someone who spent a weekend in London be

ineligible to donate blood? Or would living in the country for several weeks

or months be required?

Tuesday, January 19, 1999

aol://4344:104.nytcopy.6445375.574106743 " >Copyright 1999 The New York

Times

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Just a little tidbit for anyone interested....

My cousin received a call from Bonfils Blood Center here in Denver asking her

to come and donate blood because they were low on supply and she has an O

blood type that anyone can receive.

Every time she goes, she has to fill out a Health Inventory Questionerre.

One of the last questions, which was not there before was " Has any blood

relative been diagnosed with CJD? " She answered the question, yes, and went

back to talk to the nurse there. She explained that had gotten CJD from

dura mater during her surgery and that there was no sign of a genetic link.

They told her that they were sure that was true, however, as a precaution,

they were no longer going to accept blood from anyone that had a blood

relative with CJD.

I thought that was interesting...

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Hi,

Here in CT that is the case too.My Sisiter was turned down as a blood

donor because of our Mothers death from CJD.That is what made me turn towards

the WWW in search of more information on the disease after 10 years have

passed since my Mothers death.This forum has been a wealth of

information.Thank God for all the hard work involved here.

Holly

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:

I am so perplexed by the double standards here concerning blood. Let me

try to explain....they will defer a relative from donating blood, if you

have had HGH injections, or a blood relative pass away from the disease.

They WILL NOT recall product that has been donated from a person with CJD

as found recently with the new lax rulings.

My son who received recalled product (when they did recall) can still

donate his own blood.

So under their rulings it makes NO sense to defer relatives from

donating.......

And they wonder why the blood issue is and remains a sensitive issue for

most people.

a G.

----------

> From: Bunababy@...

> To: cjdvoice (AT) onelist (DOT) com

> Subject: Re: New York Times Article

> Date: Tuesday, January 19, 1999 8:55 PM

>

> From: Bunababy@...

>

> Just a little tidbit for anyone interested....

>

> My cousin received a call from Bonfils Blood Center here in Denver

asking her

> to come and donate blood because they were low on supply and she has an O

> blood type that anyone can receive.

>

> Every time she goes, she has to fill out a Health Inventory

Questionerre.

> One of the last questions, which was not there before was " Has any blood

> relative been diagnosed with CJD? " She answered the question, yes, and

went

> back to talk to the nurse there. She explained that had gotten CJD

from

> dura mater during her surgery and that there was no sign of a genetic

link.

> They told her that they were sure that was true, however, as a

precaution,

> they were no longer going to accept blood from anyone that had a blood

> relative with CJD.

>

> I thought that was interesting...

>

>

>

> ------------------------------------------------------------------------

>

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