RA 7719

RA 7719

Section 1
• Subject: An Act promoting voluntary blood donation, providing for an adequate supply of safe blood, regulating blood banks, and providing penalties for violation thereof

National Blood Services Act of 1994

Section 1
RA 7719
Title:

voluntary blood donation

Declaration of Policy
Promote and encourage _______________________ by the citizenry and to instill public consciousness of the principle that blood donation is a humanitarian act

not a sale of a commodity

Declaration of Policy
Lay down the legal principle that the provision of blood for transfusion is a professional medical service and _____________________________.

adequate, safe, affordable and equitable

Declaration of Policy
Provide for _____________________________ distribution of supply of blood and blood products

need for voluntary blood donation

Declaration of Policy
Inform the public of the _____________________________________ to curb the hazards caused by the commercial sale of blood

teach the benefits and rationale of voluntary blood donation

Declaration of Policy
_____________________________________ in the existing
health subjects of the formal education system in all public and private schools, in the elementary, high school and college levels as well as the non-formal education system;

mobilize all sectors of the community

Declaration of Policy
_______________________________ to participate in mechanisms for voluntary and non-profit collection of blood;

mandate DOH to establish and organize a National Blood Transfusion Service Network

Declaration of Policy
_____________________________________________________ in order to rationalize and improve the provision of adequate and safe supply of blood;

Provide for adequate assistance to institutions promoting voluntary blood donation and providing non-profit blood services

Declaration of Policy
• ________________________________________________________, either through a system of reimbursement for costs from patients who can afford to pay, or donations from governmental and non-governmental entities

operate on a non-profit basis

Declaration of Policy
require all blood collection units and blood banks/centers to_________________________;

establish scientific and professional standards

Declaration of Policy
_________________________________________ for the operation of blood collection units and blood banks/centers in the Philippines

regulate and ensure the safety of all activities

Declaration of Policy
______________________________________ related to the collection, storage and banking of blood; and

require upgrading of blood banks/centers

Declaration of Policy
__________________________________ to include preventive services and education to control spread of blood transfusion transmissible diseases.

Blood/blood product

refers to human blood, processed or unprocessed and includes blood components, its products and derivatives

Blood bank/center

a laboratory or institution with the capability to recruit and screen blood donors, collect, process, store, transport and issue blood for transfusion and provide information and/ or education on blood transfusion transmissible diseases

Commercial blood bank

a blood bank that exists for profit

Hospital-based blood bank

a blood bank which is located within the premises of a hospital and which can perform compatibility testing of blood

Blood collection unit

an institution or facility duly authorized by the Department of Health to recruit and screen donors and collect blood

Voluntary blood donor

one who donates blood on one's own volition or initiative and without monetary compensation

Department

the Department of Health

Blood transfusion transmissible diseases

diseases which may be transmitted as a result of blood transfusion, including AIDS, Hepatitis-B, Malaria and Syphilis

Secretary of Health

the ______________________ or any other person to whom the Secretary delegates the responsibility of carrying out the provisions of this Act

Walking blood donor

an individual included in the list of qualified voluntary blood donors who is ready to donate blood when needed in his/her community

Public educationPhilippine National Red Cross (PNRC)
Philippine Blood Coordinating Council (PBCC)

PROMOTION OF VOLUNTARY BLOOD DONATION
1. Public education

DOH

PROMOTION OF VOLUNTARY BLOOD DONATION
1. Public education

The __________________ is hereby authorized to set aside funds and generate financial support for all sectors involved in the collection and processing of blood from voluntary blood donors through a system of reimbursement for costs for patients who can afford to pay or from donations from government and private institutions.

Voluntary donors

PROMOTION OF VOLUNTARY BLOOD DONATION
1. Public education
______________________ shall likewise be provided non- monetary incentives as may be determined by the Department.

Department of Education, Culture and Sports (DECS)

PROMOTION OF VOLUNTARY BLOOD DONATION
2. Promotion in schools

___________________________________________________
• require the inclusion in its non- formal education curricula (benefits and rationale of donating blood)

>Department of Health
>Philippine Blood Coordination Council
>Philippine Society of Hematology and
Blood Transfusion
>Philippine Society of Pathologists
>Philippine Medical Association
>PAMET
>Philippine Nursing Association

PROMOTION OF VOLUNTARY BLOOD DONATION
3. Professional education

trainings on the rational use of
blood and blood products

PROMOTION OF VOLUNTARY BLOOD DONATION
3. Professional education

NOTE: They are encouraged to conduct for their respective members and as part of the continuing medical education,
____________________________________________________
including the merits of voluntary blood donation

Blood centers

PROMOTION OF VOLUNTARY BLOOD DONATION
4. Establishment of blood services network

_______________________ shall be strategically established in every province and city nationwide within the framework of a National Blood Transfusion Service Network spearheaded by the DOH, in coordination with the PNRC

promoted

PROMOTION OF VOLUNTARY BLOOD DONATION
4. Establishment of blood services network

> collection of blood in various areas in the community, such as schools, business enterprises, barangays, and military camps shall be _____________________.

Secretary

PROMOTION OF VOLUNTARY BLOOD DONATION
4. Establishment of blood services network

>set the standards for the scientific and professional establishment and operation of blood banks/centers and collection units

Department of Health

PROMOTION OF VOLUNTARY BLOOD DONATION
4. Establishment of blood services network

___________________________
§provide training programs and technical assistance to enable communities, schools, industrial and business sites, barangays, military camps and local government units to implement their own voluntary blood donation programs

inadequate blood banking facilities

PROMOTION OF VOLUNTARY BLOOD DONATION
5. Walking blood donor
In areas where there may be _____________________________________, the walking blood donor concept shall be encouraged and all government hospitals, rural-health units, health centers and barangays in these areas shall be required to keep at all times a list of qualified voluntary blood donors with their specified blood typing.

DOH

NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM

______________ in cooperation with the PNRC and PBCC and other government agencies and non-governmental organizations

National Voluntary Blood Services Program (NVBSP)

NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM

DOH in cooperation with the PNRC and PBCC and other government agencies and non-governmental organizations

• shall plan and implement a ________________________________ to meet in an evolutionary manner, the needs for blood transfusion in all regions of the country

budgetary allocation of the Department

NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM

DOH in cooperation with the PNRC and PBCC and other government agencies and non-governmental organizations

• Funds for this purpose shall be provided by the Government through the _____________________________________________.

P25,000,000

Budgetary Allocations:

Philippine Charity Sweepstakes Office (PCSO)
_____________________________

Philippine Amusement and Gaming
Corporation (PAGCOR)
>at least P25,000,000

Duty Free Shop (Duty Free Philippines)
>at least P20,000,000

contributions of other agencies such as civic organizations

at least P25,000,000

Budgetary Allocations:

Philippine Charity Sweepstakes Office (PCSO)
>P25,000,000

Philippine Amusement and Gaming
Corporation (PAGCOR)
>______________________________

Duty Free Shop (Duty Free Philippines)
>at least P20,000,000

contributions of other agencies such as civic organizations

at least P20,000,000

Budgetary Allocations:

Philippine Charity Sweepstakes Office (PCSO)
P25,000,000

Philippine Amusement and Gaming
Corporation (PAGCOR)
>at least P25,000,000

Duty Free Shop (Duty Free Philippines)
>______________________________

contributions of other agencies such as civic organizations

preventive health services

UPGRADING OF SERVICES AND FACILITIES
•All blood banks/ centers shall provide _________________________ such as education and counselling on blood transfusion transmissible diseases

required to establish voluntary blood donation programs

UPGRADING OF SERVICES AND FACILITIES
All government hospitals, including those that have been devolved, shall be ___________________________________________.

establish voluntary blood donation programs.

UPGRADING OF SERVICES AND FACILITIES
All private hospitals shall be encouraged to ______________________________________________.

establish guidelines for the rational use of blood and blood products.

UPGRADING OF SERVICES AND FACILITIES
The DOH, in consultation with the PSHBT and the PSP, shall also __________________________.

2 years after the effectivity of this Act

PHASE-OUT OF COMMERCIAL BLOOD BANKS
•Commercial blood banks shall be phased-out over a period of ____________________________, extendable to a maximum period of 2 years by the Secretary

maximum period of 2 years

PHASE-OUT OF COMMERCIAL BLOOD BANKS
•Commercial blood banks shall be phased-out over a period of 2 years after the effectivity of this Act, extendable to a __________________________ by the Secretary

non-profit basis

NON-PROFIT OPERATION
•All blood banks/centers shall operate on a ________________________.

healthy voluntary donors only

NON-PROFIT OPERATION
•Blood shall be collected from _______________________________.

refer to Section 3 of RA No. 1517

REGULATION OF BLOOD SERVICES

tax and duty-free by the PNRC

IMPORTATION OF BLOOD BANK EQUIPMENT, BLOOD BAGS AND REAGENTS
•Equipment, blood bags and reagents used for the screening and testing of donors, collection and processing and storage of blood shall be imported _________________________________, blood banks and hospitals participating actively in the National Voluntary Blood Services Program

PENALTIES

•imprisonment of not less than 1 month nor more than 6 months; or
•Fine of not less than P5,000 nor more than P50,000; or
•both imprisonment and fine

without securing any license to operate

PENALTIES

Any person who shall establish and operate a blood bank _______________________________________________:

• imprisonment of not less than 12 years and 1 day nor more than 20 years; or
• fine of not less than P50,000 nor P500,000; or
• both imprisonment and fine

10 years

PENALTIES

NOTE: The head of the blood bank and the necessary trained personnel under the head's direct supervision found responsible for dispensing, transfusing and failing to dispose, within 48 hours, blood which have been proven contaminated with blood transfusion transmissible diseases shall be imprisoned for _____________.

48 hours

PENALTIES

NOTE: The head of the blood bank and the necessary trained personnel under the head's direct supervision found responsible for dispensing, transfusing and failing to dispose, within _______________, blood which have been prterm-55oven contaminated with blood transfusion transmissible diseases shall be imprisoned for 10 years.

• Directed
• Allogenic
• Autologous
• Apheresis

4 TYPES OF BLOOD DONATION

DIRECTED

4 TYPES OF BLOOD DONATION

>blood is intended for the use of specific patient

>a donation in which the recipient chooses the donor

>blood from directed donors is no safer than blood from the volunteer blood supply

ALLOGENIC

4 TYPES OF BLOOD DONATION

•commonly referred to as whole blood donation

•blood donated is intended for the use of general patient population

•example: mass blood donation

AUTOLOGOUS

4 TYPES OF BLOOD DONATION

•blood donated by the owner for future use

APHERESIS

4 TYPES OF BLOOD DONATION

>blood donation in which a specific component of the blood is only extracted and the remaining components are returned back to the donor

>the process takes about 2-3 hours

>1 donor can harvest a maximum of 4 bags

• Voluntarynon-remunerated
• Professional/Commercial
• Family/Replacement

3 TYPES OF BLOOD DONOR

VOLUNTARY NON- RENUMERATED

3 TYPES OF BLOOD DONOR

•donates blood on his own free will without receiving any payment

PROFESSIONAL / COMMERCIAL

3 TYPES OF BLOOD DONOR

•donates blood for the sake of money

FAMILY / REPLACEMENT

3 TYPES OF BLOOD DONOR

•donates blood for somebody in the community

•allows family and friends to make donations to replace blood that was utilized by you

STEPS IN BLOOD DONATION

1. donor recruitment and registration
2. medical history
3. physical examination

1. DONOR RECRUITMENT AND REGISTRATION

STEPS IN BLOOD DONATION

§ name
§ date and time of donation
§ address
§ gender
§ age
§ DOB

2. MEDICAL HISTORY

STEPS IN BLOOD DONATION

•essential to ensure the benefit of both donor and recipient
•in a form of questionnaires
•questions about: previous donations, drug intake, previous health records

no age requirement

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION

Age
•autologous: ________________________

NOTE: 18 below must secure parent's consent 65 above must secure physician's consent

17-65 years old

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION

Age
•allogeneic: __________________________

NOTE: 18 below must secure parent's consent 65 above must secure physician's consent

110 lbs/50 kg. = 450 ml of blood: 63 ml anticoagulant

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION

Weight
•allogeneic:

no weight requirement

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION

Weight
•autologous:

37.5 oC/99.5 oF

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
temperature

50-100 beats per minute

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
pulse rate

90-120 mmhg

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
blood pressure
•systolic:

60-100 mmhg

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
blood pressure
•diastolic:

11 g/dl

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
Hemoglobin

•autologous:

12.5 g/dl

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
Hemoglobin

•allogeneic:

33%

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
Hematocrit

•autologous:

38%

STEPS IN BLOOD DONATION
3. PHYSICAL EXAMINATION
Hematocrit

•allogeneic:

SEROLOGIC TESTS

•ABO/Rh
•Anti-HIV 1⁄2
•Antibody screen
•Anti-HTLV
• HBsAG
• Syphilis
• Anti-HBc
• Malaria
• Anti-HCV

COMMON DONOR REACTIONS

• mild
• moderate
• severe

MILD

COMMON DONOR REACTIONS

• palor
• sweating
• nausea
• anxiety
• nervousness
• hyperventilation
• palpitations

MODERATE

COMMON DONOR REACTIONS

• reactions seen under the mild category
• decreased pulse rate
• loss of consciousness/fainting/syncope

SEVERE

COMMON DONOR REACTIONS

•convulsions
•seizures

DEFERRAL

Two types:
a. Permanent
b. Temporary

PERMANENT

DEFERRAL
• high risk history for AIDS, which includes:
a. men who have had sex with another man any time since 1977
b. hemophiliacs
c. IV drug abusers ,either pastor present
d. persons who have engaged in sex for money or drugs anytime since 1977
e. confirmed positive laboratory test for AIDS
f. viral hepatitis
g. jaundice of unknown origin
h. severe liver, cardiac, lung disease
i. those with autoimmune disorders (past or present)

TEMPORARY for three years

DEFERRAL
• an immigrant or refugee coming from an area considered endemic for malaria, three years after departure , or those who have had a diagnosis of malaria , three years after becoming asymptomatic

TEMPORARY for one year

DEFERRAL
a. after hepatitis b immune globulin administration
b. after therapeutic rabies vaccination
c. rape victims
d. tattoo
e. incarceration in a jail for more than 72 consecutive hours
f. transfusion of blood components
g. travel to areas endemic for malaria
h. history of syphilis and gonorrhea

TEMPORARY for two months

DEFERRAL
• recent blood donation

TEMPORARY for one month

DEFERRAL
for one month
a. German measles (rubella) vaccination
b. after cessation of the drug isotretinoin (accutane) for acne treatment
c.after cessation of the drug finasteride (proscar) for treatment of benign prostatic hyperplasia

TEMPORARY for six weeks

DEFERRAL
§following delivery of baby (AABB) in phil.: 9 months after child birth

TEMPORARY for two weeks

DEFERRAL
§after vaccination with oral polio, measles (rubeola), mumps or yellow fever, or for two weeks after the immune reaction to smallpox vaccination

TEMPORARY for 48 hours

DEFERRAL
§whole blood donation deferred after hemapheresis