Beijing called off "mutual blood donation", the next "blood shortage" how to deal with?
Beijing called off "mutual blood donation", the next "blood shortage" how to deal with? 
Dr. Clove is here to answer that question.
If the attending physician hadn't been notified that Beijing had canceled mutual blood donations, Pu Baochen, who suffers from aplastic anemia, would have been in the middle of a bone marrow transplant.February 6 was the second day that Pu Baochen had been admitted to the warehouse. Ten minutes into her chemotherapy treatment, a call came into the sterile room. The doctor who got the message had to stop her treatment because of the large amount of blood that would be used during the transplant and the lack of a sufficient blood supply. 3 days later, Pu Baozhen was forced to leave the sterile room and return to her rented house.
On February 10th, the red-topped document on the abolition of mutual blood donation in Beijing, which had been circulating among doctors and patients for a long time, came into effect.
"Maybe I'm the first one to pay the price for the Beijing Healthcare [2018] 27," Poh Poh Chun said.
After the treatment was discontinued, her blood count kept dropping, bleeding from her nose, other parts of her body, and even a brain hemorrhage at any time; but if the surgery had not been called off, and her relatives and friends could not donate blood for her, if the hospital did not have any platelets, "it would have been a certain death".
Hematology patients often require large amounts of platelets for surgery and during maintenance. Platelet shortages are the norm. As a result, most of the platelets needed by hematology patients come from "mutual blood donations" from relatives and friends. The abolition of mutual blood donation in Beijing has sent everyone, including hematologists, into a panic.
Their concern is the same: what will happen to the blood shortage after the abolition of mutual blood donation?
Breakdown or impasse?
The response she received was: it is recommended to negotiate with the hospital to solve the problem. Doctors from the hematology department of the People's Hospital negotiated with the blood station, and the feedback Pu Baozhen received was: "The blood bank replied with just two words: no blood".
People's Hospital is not the only one affected by Document 27.
On February 9, the Department of Hematology of Aisino Central Hospital sent a petition to the Health Planning Commission and the Central Blood Station. In the petition, it was mentioned that: "The Department of Hematology of the Aerospace Center Hospital specializes in allogeneic hematopoietic stem cell transplantation for refractory and recurrent hematologic tumors, and every day, the public bank of the Central Blood Station can only provide 0-2 single platelets, whereas the hematology wards of the Aerospace Center Hospital need an average of 25-30 single platelets per day, and there is a huge gap between them, so that if the patients cannot be transfused with platelets in a timely manner, the patients would suffer from severe bleeding and their lives would be endangered. If a patient cannot be transfused with platelets in time, the patient will suffer from serious bleeding and endanger his/her life. Therefore, a large number of platelet donations from mutual aid are needed every day in order to make up for the shortfall and maintain the patient's life. Now that the Beijing Municipal Commission of Health and Planning has canceled mutual blood donation, the patient's life is under serious threat. In the face of the dying life, all the staff of the Department of Hematology of the Aerospace Center Hospital take the lead in advocating free blood donation to save the patient's life, and at the same time, set up a green channel for the voluntary donation of single platelets in the Aerospace Center Hospital, and ask for the leadership to approve it.
Some emotions are festering among doctors and blood patients. They believe that Beijing's "abolition of mutual blood donation" has taken into consideration emergency and maternal blood use, but not blood patients. Warm White Hut, which was co-founded by leukemia patients and their families, published an article titled "We are not a little bit prepared, you do not have the slightest consideration, so cancel the mutual blood donation".
Some blood patients have found out the provisions of the Blood Donation Law on "mutual assistance in blood donation": in order to guarantee the need of citizens for blood for clinical emergencies, the State promotes and guides patients undergoing elective surgeries to store their own blood, and mobilizes their families, relatives and friends, the units they work in, and the society to help each other to donate blood.
"How come mutual blood donation has been canceled?" More than one person has asked in a group of blood patients.
In 1998, the Law of the People's Republic of China on Blood Donation was promulgated, and a system of gratuitous blood donation was introduced in China, which explicitly prohibited the 'sale and purchase of blood'. Theoretically, it is not the patient's obligation to look for platelets. Only in the case of insufficient gratuitous blood donation, in order to guarantee the need of citizens for clinical emergency blood, the state promotes and guides patients undergoing elective surgery to store their own blood, and mobilizes their families, relatives and friends, their units, and the society to carry out self-help blood donation with designated beneficiaries. Self-help blood donation is the place where the black money trade of "blood head" and "blood barons" is most likely to breed. Due to the strong demand for blood, the phenomenon of blood trafficking has not yet been eliminated. The abolition of mutual blood donation is to stop blood trading at source and to safeguard blood safety.
It has long been a consensus in the field of blood donation that "mutual blood donation is a thirst quencher" and "the abolition of mutual blood donation is a general trend".
And how did Beijing's path-breaking move to abolish mutual blood donations fall into the much-criticized 'stalemate'?
A statistic from the eighth edition of Internal Medicine may provide a partial explanation of the source of anxiety among hematologists and patients. "Acute leukemias account for 62.24% of deaths from bleeding, 87% of which are intracranial. To prevent bleeding, they require repeated platelet transfusions to maintain adequate platelet counts."
"Shouldn't the premise of eliminating (mutual blood donations) be considered to ensure the use of blood in the first place? What about transitional treatment? Why don't you think about it more thoroughly? Has the document been issued without any research among the blood disease population? Did they listen to the voices of patients and their families?"
In Beijing and Yanjiao Lu Daopei's various hematology patients' groups, the voices of skepticism are rising and falling. Hematologists, who are unable to continue treatment because of the lack of platelets, have begun to advise some of their patients to return to their hometowns for treatment.
A doctor from the Hematology Department of the Aerospace Center Hospital wrote in his circle of friends, "It's late at night, and I've already taken two clonazepam (a kind of sleeping pills) or I can't sleep. ...... The cancellation of the document on mutual aid in donating blood almost destroys me, and the patients who are already poor have already lost all their family's money and come to Beijing for transplants with a ray of hope. Some patients are about to enter the warehouse transplant, some patients in critical condition need platelets to maintain life, the sudden cancellation of the mutual platelet, almost destroyed the last hope of these patients. 8 afternoon we one by one and the patient's family to talk about, playing all over the country transplantation centers of the phone, because we have to evacuate the patient to the city of adequate blood supply, but the patient does not go ah, they said the cold winter where do you want us to go ah! ...... patient's platelets are very low, the road can be safe, see a patient's family in the corridor squatting on the ground crying, my heart like a knife, eyes in tears, heart bleeding, we are sorry for the patient ......"
The doctor's mind was in a state of turmoil, there was always a bag of platelets shaking in front of his eyes, "No sleep, no sleep at all until the problem is solved."
Who's going to hold the bag for life-saving blood?
In order to ensure her son's platelet supply during the transplant, she organized a recovery support group of nearly 60 people, all relatives, friends and classmates. The first batch of 11 friends and relatives with the same blood type were ready to donate blood for their children. On the 9th, after she had donated 3 units of platelets for her son, the mutual blood donation in Beijing was canceled. This disrupted all her plans.
"Natural disaster, man-made disaster, burnt out," she said over and over again. The transplant surgery, scheduled for February 13-15, was not known to be possible. Tong was the donor for her son's bone marrow transplant. Because her son, who is 180 centimeters and 73 kilograms, is so different in height and weight, she needed to be pumped for three days to complete the amount of bone marrow she needed. She was supposed to be resting before the bone marrow donation, but she couldn't sleep or eat well.
A bone marrow transplant is a process in which the body's immune system is destroyed and rebuilt. Her son was going through the process of his immune system being destroyed and could not be rebuilt again until he received a transplant from a donor. As she watched her son's blood picture go down day by day, she learned that mutual blood donation had been canceled, and her mother, who had always been rational and gentle, couldn't help herself. "If I see that my child's platelets are in the single digits, I'm going to jump off a building". This mother is not the only family member of a blood patient who feels this way.
After the elimination of mutual blood donations, who exactly should be on the hook for life-saving blood? Families? Hospitals? Blood centers? Or the policy makers?
Pu Baozhen's sister called the Beijing Mayor's Hotline and the Beijing Municipal Health Planning Commission Hotline countless times, and the answer she eventually got was that she wanted the hospital to negotiate a solution to the problem.
"Can the hospital create blood without rice?" Po Po Chun asked.
Hospitals are indeed trying to figure out what to do. Whether it was the hematology department of the People's Hospital or the hematology department of the Aerospace Center Hospital, the doctors organized one explanation and mobilization meeting after another for the patients' families. At the meeting of the families of patients in the transplant warehouse, which Tong Zhuzhu attended, the doctors gave the advice to save themselves.
Doctors at the People's Hospital notified patients' families of the mission through various channels: "After the cancellation of mutual aid blood donation, after repeated communication with the National Health Planning Commission, a small window of transition was opened, and the policy was introduced after the 2~11 (number) to start the People's Hospital group voluntary blood donation, i.e., platelets (excluding red blood cells and plasma) donated by family members of the patients of the People's Hospital to go to the voluntary donation will be returned to the People's Hospital by the Beijing Blood Station, but the return of the The blood bank allocates the blood according to the condition, and cannot designate mutual aid to a certain patient".
The family has worked hard to cooperate with the doctors. Tong Zhuqiao asked for help from her son's recovery support group and has discussed arranging for a large number of friends and relatives to donate platelets in Beijing. Train tickets are hard to come by during the Spring Festival, so a friend drove a carload of platelets from Zhengzhou to Beijing. In order for her son to get life-saving platelets, Tong Zhuqiao, who has spent more than 1.8 million dollars, has not cared about anything outside the world. She even made a wish that after her son passed through this difficult time, she would be willing to work with her friends and family to contribute three times as many platelets as her son needed.
The petition submitted by the Aerospace Center Hospital expresses the demand for "active mutual blood donation by medical staff for patients" and "establishment of blood collection points for single platelet collection in the hospital".
More blood patients and their families joined the team that went to the Health Planning Commission to express their demands. This group of blood patients was mainly from the hematology department of the People's Hospital and the hematology department of the Aviation Center Hospital, and patients from the Lu Daopei Hematology Hospital in Yanjiao also came to express their solidarity. Although the policy of "canceling mutual blood donation" has not yet been implemented in Hebei, Yanjiao hematology patients, who have been suffering from a "blood shortage", are very worried that the cancellation of "mutual blood donation" will put normal treatment into a "shock" like the patients in Beijing.
The last batch of Mutual Blood Platelets was on February 9th. Blood is still available for patients with hematologic disorders who queued up on that day to grab one of the only 300 "Mutual Blood Donation" slots. Since the expiry date of platelets is 5 days, we will not know whether there is a shortage of platelets until the last batch of platelets expires on February 14th.
February 15 is New Year's Eve, and I'm afraid no one is going to have a good year.
What happens when the last batch of Mutual Platelets fail? Will someone's life be in danger due to lack of platelets? Do you dare to wait? Do you dare to wait and see? The panic in the "Blood Mutual Discussion Group" continues. At the moment, the only thing that seems feasible is to save ourselves.
On the evening of February 11th, several groups of hematology patients in Peking University People's Hospital received an urgent notice: after many efforts, we (Peking University People's Hospital) have been approved to start hospital group blood donation tomorrow. Tomorrow morning, the blood donation promoter of the Blood Center can come to our hospital to carry out the registration of blood donation. ...... Please arrange blood donation volunteers in a planned and orderly manner for 20 people to donate platelets every day, so as to ensure the continuous protection during the Spring Festival. ......".
The relay of patients' families signing up to donate platelets then began.
How far is "mutual blood donation" from the history books?
According to public data, the rate of mutual blood donation in China has decreased from 4.2% in 2015 to 3.2% in 2016. Some provinces, such as Jilin and Heilongjiang, basically do not conduct mutual blood donation. Hainan, Gansu and other provinces have seen a significant drop in the rate of mutual aid blood donation. Guangxi Nanning stopped conducting mutual blood donations in December 2016, and the Sichuan Provincial Health Planning Commission issued a Notice on the Issuance of the Work Program for Stopping Mutual Blood Donations to Ensure the Blood Supply in Sichuan Province in 2017.
Wuhan, where mutual blood donation has been abolished, has achieved a balance between blood supply and demand. Du Xiangjun, an independent observer on blood issues, mentioned Wuhan's successful experience, "Wuhan's machine-collected platelets can be sent to Shanghai for use when they are not used up in the city, and Wuhan itself is a major medical center with a large number of patients, which is not easy to do. It has done this by publicizing and educating the public, cultivating a team of volunteers, and providing appropriate material compensation for platelet donation in view of the higher costs of time and travel compared to whole blood donation."
This 'abolition of mutual blood donation' in Beijing is not without data support.In 2017, the National Health and Planning Commission released data stating that in 2016, a total of 14 million people nationwide took part in unpaid blood donation, an increase of 6.1% over 2015, the highest increase in recent years, and that the rate of blood donations reached 10.5 donations per 1,000 people. According to the Beijing Municipal Commission of Health and Planning, the rate of unpaid blood donation among the resident population of Beijing reached 18.7 times per 1,000 people, which is the highest among all cities in the country.
Is the nation's top rate of non-remunerated blood donation enough to justify the "abolition of mutual blood donation"?
A few years ago, the World Health Organization reported that the number of unpaid blood donors in China accounted for 0.9% of the total population in 2011, which was far lower than the average of the United States, Japan and other countries in Europe and the United States during the same period. The blood donation rate in the United States during the same period was 6%, and 7% in Japan. According to the World Health Organization, the number of unpaid blood donors should account for 1% to 3% of the total population of a country in order to meet the basic demand for blood supply.
In 2016, after five years of efforts, the number of blood donors in China climbed from 0.9% to more than 1%. If you compare the World Health Organization's and China's unpaid blood donation rates after unifying the units of calculation, it is when the rate of unpaid blood donations reaches 10 to 30 per 1,000 people in order to meet the basic blood supply needs. Beijing's figures are above the passing line.
However, blood shortages are not a coincidence in cities with a relative concentration of medical resources such as the North.
Liu Jiang, director of Beijing Red Cross Blood Center, revealed in an interview with Beijing Daily, "At present, Beijing's local blood collection is dominated by the resident population in the Beijing area. Due to the concentration of high-quality medical and healthcare resources in Beijing, a large number of emergency and critical patients from all over the country come to Beijing for medical treatment, and the likelihood of using blood is often higher. Currently, half of the blood used is for patients from outside of Beijing."
In the blood-stressed mega-cities, how to co-ordinate and plan to ensure an adequate blood supply is a test of the governing ability of the authorities concerned.
The shortage of platelets, which is a concern for patients with hematologic disorders, is a "component blood" and differs significantly from "whole blood" in terms of blood collection and storage time. The collection of 1 to 2 units of platelets takes 1 to 2 hours and needs to be done in a blood donation center with machine-recovered platelet equipment. The conditions for platelet donation are stricter and have higher physical requirements for donors. In addition to tests for hepatitis, syphilis, and HIV, blood pressure, heart rate, platelet count, white blood cell count, and red blood cell pressure must all meet the conditions for donation.
At the end of 2017, the media focused on the predicament of 'blood shortage' for patients with hematologic diseases after the local crackdown on bloodheads in Yanjiao. Families of blood patients cried out, "Why is the blood shortage getting worse despite the crackdown on bloodheads? Is it that the bloodheads have caused the blood shortage or that the blood shortage has given the bloodheads room for profit?"
Yu Chengpu, a dual-appointed associate professor at the Department of Anthropology of Sun Yat-sen University and Sun Yat-sen University Sun Yat-sen School of Medicine, has commented on the blood shortage of blood patients in Yanjiao, "Generally speaking, platelet donors donate with anticipation and in a planned manner. In response to this situation, we still have a lot of work to do on how to develop volunteers who donate platelets for the first time into a regular source of blood donors, so that when patients need platelets, they can donate blood by making appointments and contacting a regular source of blood donors. We criticize the organization on the one hand, and on the other hand, we have not yet found a better way to recruit."
Yu Chengpu has conducted extensive research on the issue of blood donation in China. His paper "Blood Scarcity as an Organizational Problem: A Sociological Inquiry" suggests that "blood scarcity is, in the final analysis, an organizational problem": through case studies, he details the decisions and actions taken by blood collection agencies in response to the blood scarcity, pointing out that the appropriate mobilization of resources, especially administrative resources, by blood collection agencies can be transformed into mobilizing the public, thus achieving the elimination of the blood scarcity.
In June 2017, the World Health Organization's Fact Sheet on Blood Safety and Availability gave the data that between 2008 and 2013, 74 countries received more than 90% of their blood supply from voluntary, unpaid donors; however, 71 countries received more than 50% of their blood supply from relatives/alternative donors or paid donors.
In the opinion of Du Xiangjun, an independent observer of blood donation, there is still a lot of room for improvement in the ways and means of blood donation in China.
In international experience, social forces are widely involved in blood donation. Blood collection and supply organizations are not always managed by the government alone. In countries such as the United States and Japan, blood stations are organized by public welfare organizations such as the Red Cross, and their operations are supported by medical insurance payments. Blood stations are strictly regulated by disclosing information to the public.
In the United States, there are even more than two blood centers organized by different organizations in the same area, encouraging competition for better blood donations. In France, blood centers operate autonomously on a contractual basis. Blood centers are regulated by society, and civil society organizations are represented on the administrative boards of blood centers.
"I have never thought that the concept of blood donation in China is not strong. The concept is not strong because you do not go 'marketing', you have the obligation to make a lot of noise about these things, so that everyone knows. Donors come over, give you a warm feeling, make you feel kinda honorable, not like lining up at the hospital, I'm still begging you to come and give you blood? Like these things, Wuhan is also relying on the Red Cross and volunteers to make the content of donating component blood clear to the people, so that people are not afraid. However, to make these things clear is not something that can be practiced in a day or two. It takes a professional team. I think nowadays, including the so-called public welfare organizations are reluctant to talk about it, and social marketing is a very important subject.'' Du Xiangjun said.
In Guangzhou, the amount of clinical blood used annually is up to 100 million mL, ranking second in the country. However, because it is a city with a relatively high concentration of medical resources, there is often a shortage of medical blood supply. in the whole year of 2014, Guangzhou collected more than 52,300 platelets. This seems to be a huge amount, but on average, only 147 platelets were collected every day. Take Nanfang Hospital of Southern Medical University in Guangzhou as an example: in 2014, the hospital received about 8,000 platelets, of which less than 4,000 were distributed to the hematology department, and more platelets were used for trauma rescue, large-scale surgeries, and emergency, critical, and severe disease rescue.
At Nanfang Hospital, Dada, a 17-year-old girl, was given a critical care notice after suffering serious complications following an autologous transplant. She needed the scarce AB platelets, basically one per two days. A total of 25 units of platelets were transfused during that hospitalization. According to our statistics, only one-third of healthy people who donate platelets are qualified," says Dr. Jiang Qianli of the hematology department at Nanfang Hospital. So that means that at least 75 people have gone through medical checkups to donate platelets, plus a few more who didn't qualify, which could be in the hundreds. If all of Dada's friends and relatives were to donate platelets when she fell ill, she would need to prepare a group of hundreds of friends and relatives, all of the same blood type, ready at any time to save her life. This is such a big burden. All the doctors and nurses in the hematology department of Nanfang Hospital, from the director down to the interns, have donated platelets. But there are only about 100 of them, "We only have a few thousand people in the whole hospital, how can we save so many patients?"
Eventually, they formed the Southern Bloodline Service Team to form a patient-hospital-student (community) medical triangle. To realize a win-win situation where patients are helped, hospitals are supported and students are practiced. The most important thing that the Southern Bloodline Service Team wants to achieve is to keep the volunteers who donate platelets as regular blood donors.
tail and voice
When some people in the Yanjiao Blood Disease Patients' "Hand-in-Hand Blood Drought Group" heard that Hebei Province's document on "canceling mutual blood donation" was approaching, it was like a drop of water falling into a frying pan, and anxiety began to spread rapidly.
How far is "canceling mutual blood donation" out of history? Have we done enough to reassure patients? We shall see.
Answers are reprinted from to-cure-sometimes, a public website of Dr. Clove, which documents the way people live with disease, aging and death.
Original article / "After the abolition of mutual blood donation: no more bloodheads, blood shortage still exists?
Author / Yang Yang
When I was studying in Beijing and attending large bone tumor surgeries, I might need 20 to 30 units of blood for one surgery.
Normally a person donates 1.5 units of blood at a time, and twenty to thirty units of blood is equivalent to the total amount of blood donated by more than ten people.
Blood transfusion is a truly life-saving procedure in the treatment of major diseases. In the past, there were occasional blood shortages, and often some major bone tumor surgeries, pelvic surgeries, and even surgeries for multiple fractures of the whole body were suspended and delayed. Without the guarantee of sufficient blood volume, it is very likely that the patient will not be able to survive the surgical hemorrhage.
In recent years, all major hospitals have implemented a blood transfusion system, which means that the blood lost during surgery is filtered by a machine's extracorporeal circulation and reinjected back into the patient's own body. This saves the patient a lot of blood and money. However, this method is only suitable for sterile blood and cannot be used for transfusion of blood for bone tumors and other potentially blood-borne diseases.
Self-storage of blood is also being promoted, which means that each person donates blood when he or she is in good health and stores his or her own blood in a blood bank, and then retrieves it for transfusion when an accident occurs that requires the use of blood.
This policy change will lead to changes in some of the surgical treatment options that have become routine. The adjustment of the policy has its effects as well as its drawbacks. How to minimize its side effects and increase its effective role is something that society needs to think about further.
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How do you cope with a blood shortage?
Executive order followed by executive order response.
Civil servants, career staff, and college students take turns.
I'm guessing that's probably the first way to see it.
But not for long.
Other publicity and encouragement has been done for so many years, and it's a long way to go.
What to do? I don't know.
It's just that, blood drawers, can we be a little kinder and nicer?
In fact, this also reflects a problem, that is, how to make this society to recognize the issue of voluntary blood donation, which belongs to the popularization of science projects, it can be seen that China's popularization of science is very backward, especially in the medical category, I think, this must start from the children, so that everyone from childhood to get a healthy knowledge of medical science, to improve the quality of the whole population from the ground up!
In recent times, policies and news about mutual blood donation and Beijing's call for a halt to targeted mutual blood donation have aroused extensive public discussion.
First of all, as a clinician and also as a scientist, I believe that we are having these discussions for the betterment of the society, so that we can have better treatment when we are sick, and I hope that some of the critically ill patients can be better taken care of.
We're not just discussing for the sake of discussing, and we're not just arguing because I don't agree with you or you don't agree with me, based on the premise that I'm here to talk about my point of view.
First let's talk about the possible drawbacks of calling off targeted mutual blood donations.
The obvious point is that there will certainly be some patients, can no longer mobilize his friends and relatives, and so on, move up to carry out mutual aid blood donation, we know that now the hospital, there are many hospitalized patients, due to this or that reason, need blood transfusion treatment, in this case, if the blood bank blood inventory is insufficient, the doctor will recommend that they carry out the direction of mutual aid blood donation, you can mobilize siblings, relatives and friends to the blood bank to carry out blood donation, and specify the amount of blood donation quota given to the patient The doctor may mobilize siblings, relatives and friends to donate blood to the blood bank, and specify that a quota of the donated blood will be given to the patient. In this way, as the blood supply of the blood bank will be more sufficient, the clinical blood can be mobilized to the patient more adequately.
Therefore, if mutual blood donation is called off, it may bring about a great deal of clinical pressure and many patients will not be able to use the blood.
After the suspension of mutual blood donation, the pressure on the blood bank is also greater, because the blood bank has no other sources other than voluntary blood donation, and I believe that the pressure will increase after the suspension of targeted mutual blood donation, which is such a source of blood. (More data may be needed to support how great this pressure will be.)
Next, we'll talk about the benefits of calling off targeted mutual blood donations.
In fact, the relevant policy to call a halt to directed mutual blood donation, one of the reasons is that in some big cities near the development of hospitals appeared some groups specializing in the operation of mutual blood donation as an opportunity to pull a lot of people in the community, to carry out paid mutual blood donation, of course, this kind of paid mutual blood donation is not informed of the blood bank and hospitals, in the name of relatives and friends of the way to carry out, but this kind of paid mutual blood donation also for some of these organizations have an However, this kind of blood donation also provides a source of profit for some organizations with bad intentions.
This has invariably increased some safety hazards, and I think the policy makers should have called a halt to targeted mutual blood donation for this reason.
No matter how we discuss such a topic, we should respect some of the decisions made by the authorities concerned. Of course, if a region wants to call a halt to targeted mutual blood donation, it should at least ensure the safety of the blood used by patients in the region and the assurance of the stock of blood, so as to avoid the occurrence of a blood shortage.
On February 10, 2018, Beijing officially canceled mutual blood donation, triggering public opinion and anxiety about "blood shortage". At that time, the Beijing Municipal Commission of Health and Family Planning eased the problem of blood tension by increasing the number of blood collection points, intensifying the recruitment of group blood donations, and transferring the use of blood from other provinces and cities. In fact, not only Beijing, from 1998, China to carry out mutual blood donation, to March 31, 2018, the latest version of the "People's Republic of China Blood Donation Law" in the complete abolition of mutual blood donation, the existence of this system in China for 20 years has been withdrawn from the stage of history, in the future, gratuitous blood donation will be the main source of blood supply.
On June 12, the National Health held a "blood donation" conference, the National Health Commission Medical Affairs Bureau of Zhou Changqiang, deputy director of the coin, said that the current blood supply can be guaranteed, but in a "tight balance" state, the future will be through the following ways to To cope with the possible "blood shortage" problem:
Continue to increase the number of blood collection points.By the end of 2017, there were 32 blood centers, 321 central blood stations and 99 central blood banks nationwide; there were 1,380 fixed blood collection points, a 41.3% increase from 2012. In the case of Beijing, there are now 63 street blood collection points, and an additional station for collecting component blood (i.e., platelets) has been set up on Zhao Dengyu Road.
Improvement of inter-provincial blood allocation mechanism.Last year, the Beijing-Tianjin-Hebei Health Planning Commission signed the "Beijing-Tianjin-Hebei blood collection and supply work cooperative development framework agreement", the three places will establish blood security and inter-provincial transfer mechanism.
Use of blood is more rationalized.Promote blood-saving techniques and concepts such as autologous blood transfusion and minimally invasive surgery.
Currently, the cumulative number of people who have participated in blood donation in Beijing has reached 6.14 million. in 2017, the city collected as much as 129 tons of blood, and the regional blood donation rate of 1.8%, which is the highest in the country's cities, but blood donation still needs us all to give a contribution.
In fact, the answer is very simple, after the abolition of mutual aid blood donation, blood resources are in short supply, and like other resource shortages, they can only be solved by opening up new sources of income and cutting down on expenses. Open source is to mobilize unpaid blood donations, cutting costs is to reduce the unreasonable use of blood, the use of synthetic products to replace, but cutting costs is certainly very little space, in a variety of blood norms under the role of the system, the use of blood in Beijing has been relatively standardized to reduce the use of blood can only be said to have been forced to reduce the so-called clever woman can not be corn of the cooking, the real need to use blood will not be reduced. Alternative products will not be able to come up at a moment's notice.
Then the most reliable is open source, the use of publicity and administrative means to call on people to donate blood, eliminate those online demonization of blood donation of untrue statements, please experts to explain the impact of blood donation on society, on blood donors, to win everyone's trust, through the publicity over the years, we have a lot less of the wrong understanding of blood donation to also need to continue to work. Of course, we should also increase the number of blood donation points to facilitate blood donation, the use of modern information means of publicity and appeal is also a good way, I used to accompany my relatives to the blood station to donate blood, was just accompanied, but by the impact of the site environment, but also can not help but go to donate blood, and then often receive the blood station's text messages, especially when the blood supply is in short supply, the call for blood donation, as long as the time permits, I will be actively cooperating with the program, which I think is a program that can continue to be promoted.
Of course, what is more controversial now is whether the time is ripe to abolish mutual aid in blood donation. Some regions in China have already abolished mutual aid in blood donation, which relies on unpaid blood donations to provide blood for the local community, and in fact, a lot of experience can be learned from this. For example, it can be analyzed to see to what extent the proportion of mutual aid in blood donation in the total blood supply has dropped to, in order to abolish mutual aid altogether so that the use of blood in medical treatment will not be affected, and whether there is a reasonable contingency plan to safeguard the blood supply. There should be reasonable contingency plans to ensure that different plans can be activated to deal with emergencies and make up for different degrees of tension in the blood supply, for example, by calling for blood donations, or by seeking assistance and support from blood stations in neighboring areas, or by making use of administrative means to intervene. In the final analysis, the concern is whether normal medical use of blood can be ensured after the abolition of mutual blood donation.
Blood, for some patients, is their saving grace.
Any element in the patient's blood that is reduced to a certain amount will need to be treated or replenished with the appropriate blood products, especially if the patient has a blood disorder or hemorrhage, they will need a large amount of blood products.
But blood is in short supply. There is a high demand for blood, but not many people donate blood, which creates a situation where the stock at the blood stations, is often insufficient.
A blood station cannot run out of blood, it must ensure that there is a certain amount of stock in case of emergencies, so the method of mutual blood donation has come into being.
Before the doctor anticipates that the patient needs a large amount of blood transfusion, he or she will ask the patient's family members and friends to go to the blood station to donate blood, and after donating, they have to hand in the blood donation card to the Blood Transfusion Department. Only in this way, when the patient needs a blood transfusion, he or she will be able to get the blood from the blood station in time, which is mutual aid blood donation.
However, for patients with some diseases, the amount of blood they need to be transfused is extremely large, while the blood donation from their family members is limited, especially for other non-local patients, it is really difficult to find someone to donate blood, and they only have to go to the "head of the blood bank" in order to get enough blood donation certificates.
"Bloodheads" have the ability to organize a large number of people to donate blood in a short period of time, and can "help" families to get more blood donation cards to get more blood, but this help is paid, saying that it is for the donor's nutritional expenses, but everyone knows that these But everyone knows that these "bloodheads" are in fact illegally buying and selling blood.
These bloods are "expensive", as depicted in the recently popular article "Middle-aged Beijingers under the Flu".
They have exploited the loopholes in the law and used the provision of mutual blood donation to trade blood illegally.
The sale of blood is not permitted by law and morality, and neither is disguised sale, which is likely to cause the spread of diseases, disrupt the normal order of blood-collection organizations, and even lead to such phenomena as forced sale of blood.
In order to put an end to such a phenomenon, all over the world in the crackdown on "bloodheads" at the same time also called a halt to the system of mutual blood donation, which is from the root of the source to cut off the illegal trade in blood source.
After mutual blood donation was called off, blood shortage also ensued, and the treatment of many patients' illnesses came to a standstill because of the blood shortage.
But the "illegal trade" of blood is not prohibited behavior is not, cancel mutual blood donation is the most effective way, want to solve the blood shortage, then we need more people to participate in blood donation, only blood stations have sufficient blood resources, patients can get the appropriate blood products for further treatment.
Blood donation is not harmful to the human body, but can help a lot of people in need of blood, I hope you can understand the "call off" this practice and actively participate in blood donation, only in this way can completely eliminate the "blood head", so that more people get treatment!
There is only one way out, and that is to strengthen the guarantee of services in the later stages of compulsory blood donation, simplify the procedures so that as long as there is a blood donation card, priority can be given to guaranteeing the use of blood for immediate family members, which is valid throughout the country, and to abolish the practice of discriminating against people from different places and reimbursing them across districts! This will motivate people to donate blood actively and proactively
In fact, the answer is very simple, after the abolition of mutual aid blood donation, blood resources are in short supply, and like other resource shortages, they can only be solved by opening up new sources of income and cutting down on expenses. Open source is to mobilize unpaid blood donations, cutting costs is to reduce the unreasonable use of blood, the use of synthetic products to replace, but cutting costs is certainly very little space, in a variety of blood norms under the role of the system, the use of blood in Beijing has been relatively standardized to reduce the use of blood can only be said to have been forced to reduce the so-called clever woman can not be corn of the cooking, the real need to use blood will not be reduced. Alternative products will not be able to come up at a moment's notice.
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