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Peter G Tatchell

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Needless Restrictions Remain on Gay Blood Donors

Posted: 7/11/2011 22:00

Gay and bisexual men who have not had oral or anal sex in the last year are now officially allowed to give blood, according to the UK Department of Health.

This ends Britain's blanket, lifetime ban on gay and bisexual blood donors. It had been in force for nearly 30 years, since the early days of the HIV pandemic in the 1980s.

Although the new policy is a big improvement, the revised rules are still excessive, unjustified and discriminatory.

The 12 month ban is too sweeping and draconian. It applies to men who always use a condom and who test HIV-negative.

The fact is that most gay and bisexual men do not have HIV and will never have HIV. If they always have safe sex with a condom and test HIV negative, their blood is safe to donate. They can and should be allowed to help save lives by becoming donors.

Curiously, there are no similar blanket restrictions on heterosexual men and women who engage in risky sexual behaviour.

The blood service does not, for example, exclude men who regularly travel to cities such as New York, which has a high rate of heterosexually-transmitted HIV infection, and who have vaginal or oral sex with multiple women partners without a condom. The rules smack of double standards.

I have been campaigning for 20 years for an evidence-based policy which protects the blood supply while not needlessly discriminating against men who have sex with men.

Although safeguarding the health of blood donation recipients is the number one priority, ensuring blood safety does not require such a lengthy time span during which gay and bisexual men are barred from donating blood.

The UK blood service could have opted for a much shorter exclusion period. The restrictions should focus on excluding donors who have engaged in risky sexual behaviour and those whose HIV status cannot be accurately determined because of the delay between the date of infection and the date when the HIV virus and HIV antibodies manifest and become detectable in an infected person's blood.

In my view, reducing the exclusion period for blood donations from gay and bisexual men should go hand-in-hand with a number of wider reforms of the blood donation service.

There is a compelling case for a 'safe blood' education campaign targeted at the gay community, to ensure that no one donates blood if they are at risk of HIV and other blood-borne infections due to unsafe sexual behaviour.

We also need a major drive to vaccinate gay and bisexual men against Hepatitis A and B, to protect their health and to prevent these infections getting into the blood supply.

In addition, the questionnaire that would-be blood donors have to answer should be made more detailed for men who've had sex with men, in order to more accurately identify the degree of risk, if any, that their blood may pose. A few additional questions would improve donor awareness of risk factors and more accurately exclude those whose blood may not be safe.

With the adoption of these reforms, most gay and bisexual men would not need to be excluded as donors unless they'd had risky sex without a condom within the preceding six months.

Bizarrely, the blood service's new policy makes no distinction between sex with a condom and sex without one. Any oral or anal sex between men in the previous 12 months - even with a condom - will be grounds for continuing to refuse a donor under the new rules. This is unjustified. If a condom is used correctly, it is absolute protection against the transmission and contraction of HIV. Men who use condoms every time without breakages - and who test HIV negative - should not be barred from donating blood.

With these provisos and safeguards, a shorter exclusion period would be reasonable and not endanger the blood supply. The blood donated would be safe.

 
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Gay and bisexual men who have not had oral or anal sex in the last year are now officially allowed to give blood, according to the UK Department of Health. This ends Britain's blanket, lifetime ban ...
Gay and bisexual men who have not had oral or anal sex in the last year are now officially allowed to give blood, according to the UK Department of Health. This ends Britain's blanket, lifetime ban ...
 
 
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This user has chosen to opt out of the Badges program
09:24 PM on 11/13/2011
You appear obsessed with the feelings of perhaps 10% of the population while ignoring those of the other 90% who do not want to take unnecessary clinical risks.
03:25 PM on 11/13/2011
Have a look at Bloodless Surgery on youtube,be interesting to get your opinion.
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Freddie27
Liberal Gay Jewish Atheist
04:25 AM on 11/13/2011
It is offensive to ban even monogamous gays from giving blood. While I do understand that gays have a higher rate of HIV than counterparts in the heterosexual community, this is the result of risky sexual activities practised by a minority of gays. We should ban those who engage in risky sexual behaviours, not all gays, from giving blood.
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12:05 AM on 11/13/2011
Why does nobody mention that the ban on gays giving blood, came about after nearly 5000 people in the Uk received contaminated blood (HIV and Hep C) during the 80s.

In fact the government only this year handed over a huge payment to the people who caught Hep C and Aids because of that.
http://www.dh.gov.uk/en/Aboutus/Features/DH_123381

It would be nice if for once the UK, took notice of actual victims rather than the feelings of any group which feels it is getting hard done by.
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09:28 PM on 11/13/2011
Of course you're right. In protecting the innocent there should be no consideration given to the feelings of those who represent a statistical risk, especially when nothing is required of them as a result.
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Mickey Mouse 1
There are no lies or deceit on a chess board.
02:45 PM on 11/10/2011
Ugh!
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Freddie27
Liberal Gay Jewish Atheist
04:22 AM on 11/13/2011
I know, discrimination against homosexuals provokes the same reaction from me.
09:53 AM on 11/08/2011
France operates a blanket ban against blood donors who have lived in the UK for a year between 1980 and 1996, though this is a precaution against the transmission of CJD rather than HIV.
09:24 AM on 11/08/2011
Sadly this policy is not being followed by the Minister of Health, Social Services and Public Safety in the Northern Ireland Executive. Pressure is still needed here so that he actually follows the advice that has been given. It would be helpful if those reporting the lifting of the ban in Great Britain would refer to it as that - as this part of the United Kingdom (Northern Ireland) very much still does have a ban.
12:36 AM on 11/08/2011
I had cancer 30 years ago. Still banned. Blood donation is designed to help those who receive it, not to make the donors feel happy about themselves. At present there are enough donors in the risk free categories to meet the need.
08:37 AM on 11/08/2011
Firstly, we do not currently have enough blood donors. If we did, the NBS wouldn't need so much TV and billboard advertising to recruit more.

There is no such thing as a "risk free" category. That is precisely the point that Peter is making in the article, that by asking a more sensible set of questions about sexual behaviour, we can increase the donor pool, and simultaneously lower risk levels, or at least keep them the same.
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02:23 PM on 11/13/2011
Of course there is no such thing as risk free, this is the whole point of doing risk assessments with regard to everyday activities in the workplace so that the risk can be controlled. Anything that is outside what would be classed as a normal activity is generally given a higher score, that is all that was being done with regard to blood donors and it was absolutely right.

Finally, Elton John contributes so much to aids charities because he's lost a lot of friends to the disease and knows that it is a high risk among homosexuals.
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Thomas Platt
08:40 AM on 11/08/2011
I agree, blood donation shouldn't be about making donors feel better about themselves - but, while there may be enough donors at present to meet the need, this has not always been the case and may not always be the case. If ever there's a blood shortage in future, doesn't it make sense that healthy, sexually responsible individuals should be allowed to contribute towards it when there's absolutely no reason they shouldn't?