F.D.A. Ends Ban on Blood Donations From Gay and Bisexual Men

The News

The Food and Drug Administration introduced on Thursday that it had formally ended the company’s wide-ranging prohibition on blood donations from homosexual and bisexual males, a longstanding coverage that had been denounced as discriminatory.

Instead, the F.D.A. is finalizing steerage that features a questionnaire for all donors that’s aimed toward studying about their latest sexual exercise. The extra focused questions will concentrate on whether or not somebody has had new or a number of intercourse companions or anal intercourse within the final three months.

Potential donors who had latest intercourse beneath these screening standards can be turned away.

The revised coverage would additionally preclude blood donations from individuals taking oral PrEP to forestall H.I.V. an infection, a restriction the company mentioned was designed to keep away from false-negative outcomes throughout blood screening.

In the revised coverage the F.D.A. took its cues from Canada and the United Kingdom, which adopted related approaches. The U.S. company has been engaged on the change for months and mentioned it additionally reviewed information from different nations and from a U.S. examine analyzing this methodology.

Why It Matters: There is a blood scarcity

Blood donations are sorely wanted. They fell throughout and after the pandemic with the lower in school- and office-based blood drives.

The previous guidelines have been much more restrictive in screening out homosexual or bisexual males. The replace permits blood donation firms to make use of a extra evidence-based solution to scale back the chance of H.I.V. transmission whereas additionally maximizing donations.

“This shift toward individual donor assessments prioritizes the safety of America’s blood supply while treating all donors with the fairness and respect they deserve,” mentioned Kate Fry, the chief government of America’s Blood Centers, which represents unbiased blood facilities that offer 60 % of the nation’s donations.

Background: PrEP standards have been criticized

GLAAD, an L.G.B.T.Q. advocacy group, applauded the change as an finish to “a dark and discriminatory past rooted in fear and homophobia.” But the group criticized the F.D.A.’s choice to show away donors taking PrEP medicines, saying the measure would add “unnecessary stigma.”

“The bias embedded into this policy may, in fact, cost lives,” GLAAD mentioned in an announcement Thursday.

The company mentioned that PrEP medication have been efficient in lowering the unfold of H.I.V. via sexual contact, however warned that blood transfusions might carry a better threat of an infection.

“Although H.I.V. is not transmitted sexually by individuals with undetectable viral levels, this does not apply to transfusion transmission of H.I.V. because a blood transfusion is administered intravenously, and a transfusion involves a large volume of blood compared to exposure with sexual contact,” the F.D.A. mentioned in a news launch on Thursday.

What’s Next: Blood facilities will replace insurance policies

Vitalent, a blood donation firm, has mentioned that it will undertake the company’s revised screening guidelines by updating its donor historical past questionnaire and laptop techniques and by coaching workers.