Latest news with #NAT
Time of India
5 days ago
- Health
- Time of India
NAT should be mandatory at all blood banks: Experts
New Delhi: Diagnosed with thalassemia at the age of two, a 23-year-old woman depended on blood transfusions every three weeks to stay alive. But when she was hospitalised with dengue in Class VIII, doctors discovered something more alarming - she was diagnosed as HIV-positive. "I wasn't recovering. After several tests, they told me I was HIV-positive. I suspect it came from a transfusion. If the blood was properly tested, maybe this wouldn't have happened," she said. Now living with both thalassemia and HIV, she depends not only on regular transfusions, but also on antiretroviral treatment. The woman's testimony at the roundtable on "Ensuring Safe Blood for All: Strengthening Blood Safety Practices", organised by the Thalassemia Patients Advocacy Group (TPAG) at India International Centre on Thursday, brought into sharp focus the urgent need to fix India's entire blood safety ecosystem. Experts at the event called for comprehensive reforms - from mandatory nucleic acid testing ( NAT ) at all blood banks to boosting voluntary blood donation and patient participation in policymaking. NAT, which detects HIV, Hepatitis B and Hepatitis C during the early infection "window period", is far more effective than standard tests, but is not yet mandatory across India. "Safe blood is not just about testing - it begins at the source," said Dr Sangeeta Pathak, secretary general of Indian Society of Blood Transfusion & Immunohematology (ISBTI) and head of Transfusion Medicine at Max Saket. "Voluntary, non-remunerated blood donation is key. Sri Lanka has achieved 100% voluntary donation. Why not India?" She called on both professionals and the public to take ownership. "We must talk about it, promote it, and strengthen the culture of safe, voluntary blood donation." Anubha Taneja Mukherjee, member secretary, TPAG, reminded participants that blood safety is a matter of human rights. "This isn't just a technical issue. It's about dignity, equity, and the right to safe, life-saving interventions." Public health advocate Prof Bejon Kumar Misra emphasised the need for transparency and accountability. "Safety is non-negotiable. People have a right to know what is being done - and what's not. Communication is critical. We need strategies that ensure no patient falls through the cracks." P C Sen, senior Supreme Court advocate, reiterated the state's legal obligation to ensure access to pathogen-free blood .
The Hindu
6 days ago
- Health
- The Hindu
Thalassemia patients call for standardised tests to reduce transfusion-transmitted infections
On Thursday (July 17, 2025), the Thalassemia Patients Advocacy Group (TPAG), along with legal and health experts, called for the need to strengthen blood safety practices across the country – particularly the need for a standardised test to screen blood donations – to reduce the risk of transfusion-transmitted infections. Following the discussion, held at India International Centre in Delhi on Thursday (July 17, 2025), the group said they would be submitting their recommendations to stakeholders including state and central governments. A 23-year-old Thalassemia patient from Kolkata, present during the discussion, shared her experience of contracting dengue and then testing positive for HIV, to which lack of blood screening could have contributed. She said, 'From the age of two, I have been taking blood transfusions. As a Thalassemia patient, I would require it every 21 days. When I was in Class 8, I contracted dengue and then tested positive with HIV. I don't know for sure if I got it during the blood transfusion or not, but the testing has an important role to play.' At present, Nucleic Acid Testing (NAT), a highly sensitive molecular technique used to screen blood donations for infectious diseases, is used in some hospitals. While it is treated as a gold standard, it is not mandatory across the country. Tuhin A. Sinha, a BJP spokesperson present during the discussion vowed to the group that he would help them take the dialogue forward. Speaking about the importance of NAT testing, he said, 'The Delhi government hospitals have been quick to ensure that it is in place. But one of the important steps should be to develop advocacy for implementing it across the country.' He also suggested incentivising blood donations, saying, 'The more people join the ecosystem, either by way of espousing the idea of donating blood, it will lead to the institutionalisation of systems where checks and balances can be implemented more aggressively.' The discussion was moderated by Anubha Taneja Mukherjee, Member Secretary of TPAG, which is a network of over 10,000 thalassemia patients in the country. She said, 'Based on today's discussion, we will send recommendations to stakeholders including the government, and government agencies.' The recommendations included standardised blood transfusion practises and a mandate for NAT, a national-level blood donation campaign involving influencers, mandatory thalassemia screening for pregnant women. She added that in an attempt to reduce dependence on blood transfusion, hospitals should also make available, novel therapies such as gene therapy. During the discussion, P.C. Sen, a Supreme Court advocate, spoke about the legal and ethical responsibilities of the state and institutions to ensure pathogen-free blood as a constitutional right. Meanwhile, Professor N.K. Ganguly, former Director General of Indian Council of Medical Research (ICMR) suggested an approach that would also involve patients of other blood disorders such as sickle cell anaemia.
Hindustan Times
14-06-2025
- Health
- Hindustan Times
Why India needs inclusive blood donation policies now
Every year, thousands of Indians in critical medical need depend on life-saving blood transfusions. Yet, even as blood shortages persist, the country continues to enforce exclusionary policies that bar entire groups—particularly individuals from LGBTQIA+ communities and sex workers—from donating blood. These outdated bans are not just unscientific; they are discriminatory, rooted in stigma rather than evidence. It's time India reform its blood donation laws to reflect both medical advancements and human rights. India's blood donation guidelines, modeled after policies formed in the early days of the HIV/AIDS epidemic, impose blanket bans on certain populations. Men who have sex with men (MSM), trans persons, and sex workers are automatically disqualified, regardless of their individual sexual behavior, health status, or willingness to undergo testing. These guidelines paint entire communities with the same brush and are based on the assumption that persons from these communities indulge in unsafe sexual practices. Not only is this rooted in regressive moralistic codes, but it also takes the focus away from safe-sex, plurality of desire, and sexual health. Another key issue is the sidelining of advances in screening technologies and global best practices that enable safe blood collection from all individuals—regardless of identity. Modern blood banks use nucleic acid testing (NAT), which can detect HIV and other infections within days of exposure. NAT is revolutionising blood safety by detecting infections earlier than traditional serology-based tests. Unlike conventional methods, which may take weeks to detect infections, NAT identifies viral DNA or RNA within days of exposure, significantly reducing the risk of TTIs. For thalassemia patients, who undergo repeated transfusions, NAT can mean the difference between life-saving care and life-threatening complications. Excluding people based on identity rather than scientific risk factors not only violates their fundamental right to equality but also deprives the health system of potential donors. It perpetuates the harmful myth that LGBTQIA+ individuals and sex workers are inherently dangerous, further entrenching social stigma and institutional discrimination. India must urgently reform its blood donation guidelines in line with international scientific evidence and human rights norms. This begins by replacing identity-based deferrals with behavior-based screening protocols. All donors—regardless of sexual orientation, gender identity, or profession—should be assessed equally based on recent activities that may pose risk. The path forward requires a coordinated, multi-stakeholder strategy: India is at a crossroads. We can continue to let fear and misinformation dictate public health policy—or we can lead with science and compassion. We need a comprehensive review of India's blood donor eligibility criteria. This review must include consultations with medical experts, human rights advocates, and affected communities. India deserves a blood donation policy that reflects the values of equality, dignity, and modern science. This article is authored by Anubha Taneja Mukherjee, member secretary, Thalassemia Patients Advocacy Group and Rituparna Borah, co-founder and executive director, Nazariya Queer Feminist Resource Group.
Time of India
13-06-2025
- Health
- Time of India
Lack of voluntary blood donations help ‘red market' thrive
1 2 3 Nagpur: As the world observes World Blood Donor Day 2025 under the theme "Give blood, give hope: Together we save lives," Maharashtra's health minister, Prakash Abitkar, directed officials to urgently implement a "No Shortage, No Wastage" policy. The policy aims to ensure timely access to safe blood for patients while also curbing avoidable wastage due to poor coordination. "Blood is a national resource, and its collection, storage, and use must be meticulously managed," said Abitkar during a state-level review of blood services. He noted that seasonal imbalances, such as massive blood collection during national events or birthdays of politicians, often contrast with shortfalls during festivals and summer, creating a mismatch in supply and demand. He directed health authorities to design and submit a comprehensive policy immediately. The state govt also plans to introduce new rules for granting NOCs to blood bank operators and explore NAT (Nucleic Acid Testing) in govt blood banks for higher safety. Meanwhile, Dr Sunil Khaparde, former director of NACO and now a city-based national expert on blood safety, raised alarm over India's growing dependence on paid or professional donors, despite legal bans. "With a demand of 1.2 crore units annually, we still fall short by over 30 lakh units. The deficit often drives patients to the underground 'Red Market,' where ethics and safety are routinely compromised," said Dr Khaparde. He stressed that while portals like e-RaktKosh and govt campaigns have made strides, the absence of a centralized national blood collection agency is keenly felt. "Even today, much of our blood supply comes from professional donors or family replacements. Genuine voluntary donation remains under 50%," he noted. Dr Harish Warbhe, medical director of Lifeline Blood Centre in the city, emphasized the health benefits of voluntary donation even for the donors themselves. "Regular voluntary blood donation not only saves lives but also stimulates the donor's bone marrow to produce fresh, healthier blood cells. It reduces iron overload in the body and gives a sense of purpose and community connection. It's a simple act with profound benefits — for recipients and donors alike," he said. India's Blood Gap: Key Facts India needs around 1.2 crore units of blood every year Only about 90 lakh units are collected annually This leads to a shortfall of approximately 30 lakh units each year In the summer months, the shortfall often touches 50%, worsening the crisis India still does not meet the WHO-recommended 1% blood reserve based on the total population Less than 50% of blood donations are truly voluntary; the rest come from relatives if patients Follow more information on Air India plane crash in Ahmedabad here . Get real-time live updates on rescue operations and check full list of passengers onboard AI 171 .
Time of India
13-06-2025
- Health
- Time of India
Lack of blood donations help ‘red market' thrive
slug: World Blood Donor's Day Nagpur: As the world observes World Blood Donor Day 2025 under the theme "Give blood, give hope: Together we save lives," Maharashtra's health minister, Prakash Abitkar, directed officials to urgently implement a "No Shortage, No Wastage" policy. The policy aims to ensure timely access to safe blood for patients while also curbing avoidable wastage due to poor coordination. "Blood is a national resource, and its collection, storage, and use must be meticulously managed," said Abitkar during a state-level review of blood services. He noted that seasonal imbalances, such as massive blood collection during national events or birthdays of politicians, often contrast with shortfalls during festivals and summer, creating a mismatch in supply and demand. He directed health authorities to design and submit a comprehensive policy immediately. The state govt also plans to introduce new rules for granting NOCs to blood bank operators and explore NAT (Nucleic Acid Testing) in govt blood banks for higher safety. Meanwhile, Dr Sunil Khaparde, former director of NACO and now a city-based national expert on blood safety, raised alarm over India's growing dependence on paid or professional donors, despite legal bans. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Buy Brass Idols - Handmade Brass Statues for Home & Gifting Luxeartisanship Buy Now Undo "With a demand of 1.2 crore units annually, we still fall short by over 30 lakh units. The deficit often drives patients to the underground 'Red Market,' where ethics and safety are routinely compromised," said Dr Khaparde. He stressed that while portals like e-RaktKosh and govt campaigns have made strides, the absence of a centralized national blood collection agency is keenly felt. "Even today, much of our blood supply comes from professional donors or family replacements. Genuine voluntary donation remains under 50%," he noted. Dr Harish Warbhe, medical director of Lifeline Blood Centre in the city, emphasized the health benefits of voluntary donation even for the donors themselves. "Regular voluntary blood donation not only saves lives but also stimulates the donor's bone marrow to produce fresh, healthier blood cells. It reduces iron overload in the body and gives a sense of purpose and community connection. It's a simple act with profound benefits — for recipients and donors alike," he said. India's Blood Gap: Key Facts India needs around 1.2 crore units of blood every year Only about 90 lakh units are collected annually This leads to a shortfall of approximately 30 lakh units each year In the summer months, the shortfall often touches 50%, worsening the crisis India still does not meet the WHO-recommended 1% blood reserve based on the total population Less than 50% of blood donations are truly voluntary; the rest come from relatives if patients Follow more information on Air India plane crash in Ahmedabad here . Get real-time live updates on rescue operations and check full list of passengers onboard AI 171 .
