Yang Bao-Cheng, Shao Chao-Peng, Zhang Yan-Yan, Kong Lingkui, Xu Yun-Ping
Shenzhen Blood Center (SZBC), Shenzhen, Guangdong, China.
Shenzhen Second People's Hospitial, Shenzhen, Guangdong, China.
Transfusion. 2015 May;55(5):1108-14. doi: 10.1111/trf.12964. Epub 2014 Dec 18.
As an emerging metropolis with population expansion from 2 million to 10 million from 1993 to 2012, the clinical demand for blood in Shenzhen has increased 20 times. To deal with this big challenge, Shenzhen utilized voluntary nonremunerated blood donation (VNRBD) in 1993 for the first time in China. After two decades of efforts, Shenzhen has achieved self-sufficiency in its blood supply and guaranteed its blood security by nonpaid blood donation.
We summarized the strategies to achieve self-sufficiency and security in the blood supply in Shenzhen during two decades, including the legal construction of VNRBDs and the continuously improving strategies to recruit and retain nonpaid donors. The collection data of whole blood (WB) and apheresis platelet (PLT) donations were retrieved, and donor demographic and donation characteristics were analyzed.
From 1993 to 1998, paid and nonpaid blood donations coexisted in Shenzhen. From the year 1999, all WB for clinical use came from VNRBDs. From 1999 to 2012, the donors who chose to donate 400 mL each time and repeat and regular donors increased sharply to meet the fast growth of clinical demand. From the year 2005, the clinical demand for PLTs was entirely satisfied by nonpaid donations.
After two decades of practice, we believe that the legal regime of VNRBD is fundamental guarantee for long-term self-sufficiency and security in the blood supply. In addition, strengthening the publicity to improve the public's awareness and improving donation services and measures to recruit more nonpaid donors and retain repeat and regular donors are very important.
深圳作为一座新兴大都市，从1993年到2012年人口从200万增长至1000万，临床用血需求增长了20倍。为应对这一巨大挑战，深圳于1993年在中国首次采用自愿无偿献血。经过二十年的努力，深圳实现了血液供应的自给自足，并通过无偿献血保障了血液安全。
我们总结了深圳二十年来实现血液供应自给自足和安全的策略，包括无偿献血的法制建设以及不断改进的招募和留住无偿献血者的策略。检索了全血（WB）和单采血小板（PLT）的采集数据，并分析了献血者的人口统计学和献血特征。
1993年至1998年，深圳有偿献血和无偿献血并存。从1999年起，临床使用的所有全血均来自无偿献血。1999年至2012年，每次选择捐献400毫升的献血者以及重复献血者和定期献血者大幅增加，以满足临床需求的快速增长。从2005年起，临床对血小板的需求完全通过无偿献血得到满足。
经过二十年的实践，我们认为无偿献血的法律制度是血液供应长期自给自足和安全的根本保障。此外，加强宣传以提高公众意识，改善献血服务和措施以招募更多无偿献血者并留住重复献血者和定期献血者非常重要。
