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2010年海地地震前后采血的地理分布情况。

Geographic distribution of blood collections in Haiti before and after the 2010 earthquake.

作者信息

Bjork A, Jean Baptiste A E, Noel E, Jean Charles N P D, Polo E, Pitman J P

机构信息

Division of Global HIV/AIDS and TB (DGHT), Center for Global Health (CGH), Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.

DGHT, CGH, CDC, Port-au-Prince, Haiti.

出版信息

ISBT Sci Ser. 2017 May;12(2):291-296. doi: 10.1111/voxs.12319.

DOI:10.1111/voxs.12319
PMID:28890732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5584377/
Abstract

BACKGROUND

The January 2010 Haiti earthquake destroyed the National Blood Transfusion Center and reduced monthly national blood collections by > 46%. Efforts to rapidly scale-up blood collections outside of the earthquake-affected region were investigated.

STUDY DESIGN AND METHODS

Blood collection data for 2004-2014 from Haiti's 10 administrative departments were grouped into four regions: Northern, Central, Port-au-Prince and Southern. Analyses compared regional collection totals during the study period.

RESULTS

Collections in Port-au-Prince accounted for 52% of Haiti's blood supply in 2009, but fell 96% in February 2010. Haiti subsequently increased blood collections in the North, Central and Southern regions to compensate. By May 2010, national blood collections were only 10·9% lower than in May 2009, with 70% of collections coming from outside of Port-au-Prince. By 2013 national collections (27 478 units) had surpassed 2009 levels by 30%, and Port-au-Prince collections had recovered (from 11 074 units in 2009 to 11 670 units in 2013).

CONCLUSION

Haiti's National Blood Safety Program managed a rapid expansion of collections outside of Port-au-Prince following the earthquake. Annual collections exceeded pre-earthquake levels by 2012 and continued rising annually. Increased regional collections provided a greater share of the national blood supply, reducing dependence on Port-au-Prince for collections.

摘要

背景

2010年1月海地地震摧毁了国家输血中心,使全国每月的血液采集量减少了46%以上。研究人员对在地震受灾地区以外迅速扩大血液采集量的努力进行了调查。

研究设计与方法

将2004 - 2014年来自海地10个行政区的血液采集数据分为四个区域:北部、中部、太子港和南部。分析比较了研究期间各区域的采集总量。

结果

太子港的血液采集量在2009年占海地血液供应的52%,但在2010年2月下降了96%。海地随后增加了北部、中部和南部地区的血液采集量以作补偿。到2010年5月,全国血液采集量仅比2009年5月低10.9%,其中70%的采集量来自太子港以外地区。到2013年,全国采集量(27478单位)比2009年水平高出30%,太子港的采集量也已恢复(从2009年的11074单位增至2013年的11670单位)。

结论

海地国家血液安全计划在地震后成功迅速扩大了太子港以外地区的血液采集量。到2012年,年度采集量超过了震前水平,并持续逐年上升。各区域采集量的增加在全国血液供应中所占份额更大,减少了对太子港血液采集的依赖。

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本文引用的文献

1
Progress Toward Strengthening National Blood Transfusion Services - 14 Countries, 2011-2014.加强国家血液服务进展 - 14 个国家,2011-2014 年。
MMWR Morb Mortal Wkly Rep. 2016 Feb 12;65(5):115-9. doi: 10.15585/mmwr.mm6505a4.
2
Blood component use in a sub-Saharan African country: results of a 4-year evaluation of diagnoses associated with transfusion orders in Namibia.撒哈拉以南非洲国家的血液成分使用情况:纳米比亚输血医嘱相关诊断的4年评估结果
Transfus Med Rev. 2015 Jan;29(1):45-51. doi: 10.1016/j.tmrv.2014.11.003. Epub 2014 Nov 27.
3
Progress toward strengthening national blood transfusion services--14 countries, 2008-2010.
加强国家输血服务工作的进展情况--14 个国家,2008-2010 年。
MMWR Morb Mortal Wkly Rep. 2011 Nov 25;60(46):1577-82.