Haddad Antoine, Bou Assi Tarek, Garraud Olivier
Department of Clinical Pathology and Blood Banking, Sacré-Coeur Hospital, Lebanese University, Beirut, Lebanon.
EA3064, Faculty of Medicine of Saint-Etienne, University of Lyon, Saint-Etienne, France.
Front Med (Lausanne). 2018 Feb 27;5:45. doi: 10.3389/fmed.2018.00045. eCollection 2018.
Unlike their Western counterparts, some of the Eastern/Southern Mediterranean countries lack centralized coordinated blood transfusion services leading to an unequal blood safety level. This was recently highlighted by a recent World Health Organization (WHO) regional committee report in which WHO urges these countries to establish and implement a national blood system with well-coordinated blood transfusion activities and to make attempts to reach 100% voluntary non-remunerated blood donation. The objective is thus to meet the same levels or standards as Western countries in term of self-sufficiency and blood safety. This raises the question whether these countries can either comply with Western countries' guidelines and experiences or develop their own safety scheme based on proper sociopolitical and economic features. Another option is to identify efficient and cost-effective strategies setup successfully in neighbor countries sharing cultural and economic features. To address this issue-and make an attempt to achieve this goal-we designed a number of surveys specifically addressed to Mediterranean countries, which were sent out to the national authorities; so far, five surveys aim at covering all aspects in blood collection, processing, testing, inventory and distribution, as well as patient immune-hematological testing and follow-up (including surveillance and vigilances). It is anticipated that such practice can help identifying and then sharing the more successful and cost-effective experiences, and be really focused on Mediterranean areas while not necessarily copying and pasting experiences designed for Western/Northern areas with significantly distinct situations.
与西方同行不同，一些东地中海和南地中海国家缺乏集中协调的输血服务，导致血液安全水平参差不齐。世界卫生组织（WHO）最近的一份区域委员会报告强调了这一点，其中WHO敦促这些国家建立并实施一个国家血液系统，使输血活动得到良好协调，并努力实现100%自愿无偿献血。因此，目标是在自给自足和血液安全方面达到与西方国家相同的水平或标准。这就提出了一个问题，即这些国家是能够遵循西方国家的指导方针和经验，还是能够根据自身适当的社会政治和经济特征制定自己的安全方案。另一种选择是确定在具有文化和经济特征的邻国成功建立的高效且具有成本效益的策略。为了解决这个问题并努力实现这一目标，我们针对地中海国家设计了一系列调查问卷，并发送给了各国当局；到目前为止，已有五项调查旨在涵盖血液采集、处理、检测、库存和分发的各个方面，以及患者免疫血液学检测和随访（包括监测和警戒）。预计这种做法有助于识别并分享更成功且具有成本效益的经验，真正聚焦地中海地区，而不一定照搬为情况显著不同的西方/北方地区设计的经验。
