The blood supply in Sub-Saharan Africa: Needs, challenges, and solutions

被引:44
作者
Lund, Troy C. [1 ]
Hume, Heather [2 ]
Allain, Jean P. [3 ]
McCullough, Jeffrey [4 ]
Dzik, Walter [5 ]
机构
[1] Univ Minnesota, Dept Pediat Blood & Marrow Transplant, Minneapolis, MN 55455 USA
[2] Univ Montreal, CHU St Justine, Serv Hematol Oncol, Dept Pediat, Montreal, PQ H3T 1C5, Canada
[3] Univ Cambridge, Dept Haematol, Div Transfus Med, Cambridge, England
[4] Univ Minnesota, Dept Lab Med & Pathol, Minneapolis, MN 55455 USA
[5] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
关键词
Sub Saharan Africa; Transfusion; Blood Supply; Global; ACUTE CHEST SYNDROME; 1ST-TIME VOLUNTEER; FALCIPARUM-MALARIA; REPLACEMENT DONORS; RELATIVE SAFETY; SEVERE ANEMIA; CHILDREN; SICKLE; MORBIDITY; MORTALITY;
D O I
10.1016/j.transci.2013.06.014
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sub-Saharan Africa (SSA) is burdened with a growing population and poor health care resources. Transfusion medicine is uniquely affected for SSA as a result of a combination of factors which put tremendous pressure on the blood supply. In this review, we consider these factors including: malaria, sickle cell anemia, transfusion medicine infrastructure, and past transfusion medicine policies including those which are tied to foreign aid, such as a VNRD-only practice. We also consider how SSA can overcome some of these hurdles to achieve a safe and adequate blood supply for its people through the advent of new vaccines, medications, infrastructure development, policy changes, and education. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:416 / 421
页数:6
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