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Use of a rapid electronic survey methodology to estimate blood donors' potential exposure to emerging infectious diseases: Application of a statistically representative sampling methodology to assess risk in US blood centers.
Whitaker, Barbee I; Walderhaug, Mark; Hinkins, Susan; Steele, Whitney R; Custer, Brian; Kessler, Debra; Leparc, German; Gottschall, Jerome L; Bialkowski, Walter; Stramer, Susan L; Dodd, Roger Y; Crowder, Lauren; Vahidnia, Farnaz; Shaz, Beth H; Kamel, Hany; Rebosa, Mark; Stern, Michael; Anderson, Steven A.
  • Whitaker BI; U.S. Food and Drug Administration/Center for Biologics Evaluation and Research/Office of Biostatistics and Epidemiology, Silver Spring, Maryland, USA.
  • Walderhaug M; U.S. Food and Drug Administration/Center for Biologics Evaluation and Research/Office of Biostatistics and Epidemiology, Silver Spring, Maryland, USA.
  • Hinkins S; NORC at the University of Chicago, Chicago, Illinois, USA.
  • Steele WR; American Red Cross, Rockville, Maryland, USA.
  • Custer B; Vitalant Research Institute, Scottsdale, Arizona, USA.
  • Kessler D; New York Blood Center, New York, New York, USA.
  • Leparc G; OneBlood, Tampa, Florida, USA.
  • Gottschall JL; Blood Research Institute, Versiti Wisconsin, Milwaukee, Wisconsin, USA.
  • Bialkowski W; Blood Research Institute, Versiti Wisconsin, Milwaukee, Wisconsin, USA.
  • Stramer SL; American Red Cross, Rockville, Maryland, USA.
  • Dodd RY; American Red Cross, Rockville, Maryland, USA.
  • Crowder L; American Red Cross, Rockville, Maryland, USA.
  • Vahidnia F; Vitalant Research Institute, Scottsdale, Arizona, USA.
  • Shaz BH; New York Blood Center, New York, New York, USA.
  • Kamel H; Vitalant Research Institute, Scottsdale, Arizona, USA.
  • Rebosa M; New York Blood Center, New York, New York, USA.
  • Stern M; NORC at the University of Chicago, Chicago, Illinois, USA.
  • Anderson SA; U.S. Food and Drug Administration/Center for Biologics Evaluation and Research/Office of Biostatistics and Epidemiology, Silver Spring, Maryland, USA.
Transfusion ; 60(9): 1987-1997, 2020 09.
Article in English | MEDLINE | ID: covidwho-796294
ABSTRACT
Risk assessments of transfusion-transmitted emerging infectious diseases (EIDs) are complicated by the fact that blood donors' demographics and behaviors can be different from the general population. Therefore, when assessing potential blood donor exposure to EIDs, the use of general population characteristics, such as U.S. travel statistics, may invoke uncertainties that result in inaccurate estimates of blood donor exposure. This may, in turn, lead to the creation of donor deferral policies that do not match actual risk. STUDY DESIGN AND

METHODS:

This article reports on the development of a system to rapidly assess EID risks for a nationally representative portion of the U.S. blood donor population. To assess the effectiveness of this system, a test survey was developed and deployed to a statistically representative sample frame of blood donors from five blood collecting organizations. Donors were directed to an online survey to ascertain their recent travel and potential exposure to Middle East respiratory syndrome coronavirus (MERS-CoV).

RESULTS:

A total of 7128 responses were received from 54 256 invitations. The age-adjusted estimated total number of blood donors potentially exposed to MERS-CoV was approximately 15 640 blood donors compared to a lower U.S. general population-based estimate of 9610 blood donors.

CONCLUSION:

The structured donor demographic sample-based data provided an assessment of blood donors' potential exposure to an emerging pathogen that was 63% larger than the U.S. population-based estimate. This illustrates the need for tailored blood donor-based EID risk assessments that provide more specific demographic risk intelligence and can inform appropriate regulatory decision making.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Donors / Blood Transfusion / Surveys and Questionnaires / Coronavirus Infections / Risk Assessment / Communicable Diseases, Emerging / Environmental Exposure / Communicable Diseases, Imported / Travel-Related Illness / Blood-Borne Infections Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America / Asia Language: English Journal: Transfusion Year: 2020 Document Type: Article Affiliation country: Trf.15941

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Donors / Blood Transfusion / Surveys and Questionnaires / Coronavirus Infections / Risk Assessment / Communicable Diseases, Emerging / Environmental Exposure / Communicable Diseases, Imported / Travel-Related Illness / Blood-Borne Infections Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America / Asia Language: English Journal: Transfusion Year: 2020 Document Type: Article Affiliation country: Trf.15941