RA 7719

RA 7719

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

What is the title of RA 7719?

• Promote and encourage voluntary blood donation by the citizenry and to instill public consciousness of the principle that blood donation is a humanitarian act

• Lay down the legal principle that the provision of blood for transfusion is a professional medical service and not a sale of a commodity

• Provide for adequate, safe, affordable and equitable distribution of supply of blood and blood products

• Inform the public of the need for voluntary blood donation to curb the hazards caused by the commercial sale of blood

• teach the benefits and rationale of voluntary blood donation 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 to participate in mechanisms for voluntary and non-profit collection of blood;

• mandate DOH to establish and organize a National Blood Transfusion Service Network 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, either through a system of reimbursement for costs from patients who can afford to pay, or donations from governmental and non-governmental entities

• require all blood collection units and blood banks/centers to operate on a non-profit basis;

• establish scientific and professional standards for the operation of blood collection units and blood banks/centers in the Philippines

• regulate and ensure the safety of all activities related to the collection, storage and banking of blood; and

• require upgrading of blood banks/centers to include preventive services and education to control spread of blood transfusion transmissible diseases.

What are the Declaration Policies?

voluntary blood donation

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

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

adequate, safe, affordable and equitable

Provide for _________ distribution of supply of blood and blood products

need for voluntary blood donation

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

______ 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

________to participate in mechanisms for voluntary and non-profit collection of blood

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

________ 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

_________, 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

require all blood collection units and blood banks/centers to _______.

establish scientific and professional standards

___________for the operation of blood collection units and blood banks/centers in the Philippines

regulate and ensure the safety of all activities

________ related to the collection, storage and banking of blood; and

require upgrading of blood banks/centers

_____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 Secretary of Health 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

1. Public education
2. Promotion in schools
3. Professional education
4. Establishment of blood services network
5. Walking blood donor

PROMOTION OF VOLUNTARY BLOOD DONATION

a. Philippine National Red Cross (PNRC)
b. Philippine Blood Coordinating Council (PBCC)

Public education are composed of?

DOH ; Voluntary donors

In 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.
_________ shall likewise be provided nonmonetary incentives as may be determined by the Department.

Department of Education, Culture and Sports (DECS)

Promotion in schools is composed of?

Department of Education, Culture and Sports (DECS)

require the inclusion in its nonformal education curricula (benefits and rationale of donating blood)

a. Department of Health
b. Philippine Blood Coordination Council
c. Philippine Society of Hematology and Blood Transfusion
d. Philippine Society of Pathologists
e. Philippine Medical Association
f. PAMET
g. Philippine Nursing Association

Professional education are composed of?

trainings on the rational use of blood and blood products

In professional education, 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

• Secretary

• Department of Health

Establishment of blood services network are composed of?

Blood centers

_____ 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

National Blood Transfusion Service Network ; PNRC

Blood centers shall be strategically established in every province and city nationwide within the framework of a ________ spearheaded by the DOH, in coordination with the ______.

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

Secretary

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

Department of Health

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

Walking blood donor

In areas where there may be inadequate blood banking facilities, 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.

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 National Voluntary Blood Services Program (NVBSP) to meet in an evolutionary manner, the needs for blood transfusion in all regions of the country

• Funds for this purpose shall be provided by the Government through the budgetary allocation of the Department

• shall plan and implement a National Voluntary Blood Services Program (NVBSP) to meet in an evolutionary manner, the needs for blood transfusion in all regions of the country

• Funds for this purpose shall be provided by the Government through the budgetary allocation of the Department

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

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) - at least P20,000,000

• contributions of other agencies such as civic organizations

P25,000,000

How much is the budgetary allocation of Philippine Charity Sweepstakes Office (PCSO)

at least P25,000,000

How much is the budgetary allocation of Philippine Amusement and Gaming Corporation (PAGCOR)?

at least P20,000,000

How much is the budgetary allocation of Duty Free Shop (Duty Free Philippines)?

UPGRADING OF SERVICES AND FACILITIES:

• All blood banks/ centers shall provide preventive health services such as education and counselling on blood transfusion transmissible diseases

• All government hospitals, including those that have been devolved, shall be required to establish voluntary blood donation programs

• All private hospitals shall be encouraged to establish voluntary blood donation programs.

• The DOH, in consultation with the PSHBT and the PSP, shall also establish guidelines for the rational use of blood and blood products.

preventive health services

All blood banks/ centers shall provide ________ such as education and counselling on blood transfusion transmissible diseases

required to establish voluntary blood donation programs

All government hospitals, including those that have been devolved, shall be _______.

establish voluntary blood donation programs.

All private hospitals shall be encouraged to _______.

establish guidelines for the rational use of blood and blood products

The DOH, in consultation with the PSHBT and the PSP, shall also _______.

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 maximum period of 2 years by the Secretary

phased-out over a period of 2 years

Commercial blood banks shall be _______ after the effectivity of this Act, extendable to a maximum period of 2 years by the Secretary

NON-PROFIT OPERATION

• All blood banks/centers shall operate on a non-profit basis

• Blood shall be collected from healthy voluntary donors only

non-profit basis ; healthy voluntary donors only

• All blood banks/centers shall operate on a ______.

• Blood shall be collected from _______.

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 tax and duty-free by the PNRC, blood banks and hospitals participating actively in the National Voluntary Blood Services Program

tax and duty-free by the PNRC

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 IN RA 7719

• 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

• 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

Any person who shall establish and operate a blood bank without securing any license to operate:

48 HRS; 10 YRS

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 proven contaminated with blood transfusion transmissible diseases shall be imprisoned for _________.

• Directed

• Allogenic

• Autologous

• Apheresis

4 TYPES OF BLOOD DONATION

DIRECTED

• 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

• commonly referred to as whole blood donation

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

• example: mass blood donation

AUTOLOGOUS

blood donated by the owner for future use

APHERESIS

• 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

• Voluntary non-remunerated

• Professional/Commercial

• Family/Replacement

3 TYPES OF BLOOD DONOR

VOLUNTARY NONRENUMERATED

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

PROFESSIONAL / COMMERCIAL

• donates blood for the sake of money

FAMILY / REPLACEMENT

• donates blood for somebody in the community

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

1. donor recruitment and registration

2. medical history

3. physical examination

STEPS IN BLOOD DONATION:

• name

• date and time of donation

• address

• gender

• age

• DOB

DONOR RECRUITMENT AND REGISTRATION

• essential to ensure the benefit of both donor and recipient

• in a form of questionnaires

• questions about: previous donations, drug intake, previous health records

MEDICAL HISTORY

no age requirement ;

17-65 years old

Age

• autologous:

• allogeneic:

• parent’s consent

• physician’s consent

NOTE: 18 below must secure _____65 above must secure ______

• no weight requirement

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

Weight

• autologous:

• allogeneic:

• 37.5 oC/99.5 oF

• 50-100 beats per minute

• temperature:

• pulse rate:

• 90-160 mmhg

• 60-100 mmhg

blood pressure

• systolic:

• diastolic:

• 11 g/dl

• 12.5 g/dl

Hemoglobin

• autologous:

• allogeneic:

• 33%

• 38%

Hematocrit

• autologous:

• allogeneic:

• ABO/Rh

• Antibody screen

• HBsAG

• Anti-HBc

• Anti-HCV

• Anti-HIV ½

• Anti-HTLV

• Syphilis

• Malaria

WHAT ARE THE SEROLOGIC TESTS

• mild

• moderate

• severe

COMMON DONOR REACTIONS

• palor

• sweating

• nausea

• anxiety

• nervousness

• hyperventilation

• palpitations

WHAT ARE THE MILD REACTIONS:

• reactions seen under the mild category

• decreased pulse rate

• loss of consciousness/fainting/syncope

WHAT ARE THE MODERATE REACTIONS:

• convulsions

• seizures

WHAT ARE THE SEVERE REACTIONS

a. Permanent
b. Temporary

WHAT ARE THE TWO TYPES OF 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 past or 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)

PERMANENT

• 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 three years

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 one year

• recent blood donation

TEMPORARY for two months

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 one month

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

TEMPORARY for six weeks

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

TEMPORARY for two weeks

• whole blood donation deferred after hemapheresis

TEMPORARY for 48 hours