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CRS   INSIGHT


Orlando Shooting Revives Debate over Restricting

Blood Donations by Gay Men

August 1, 2016 (IN10535)




Related  Author


     C, Stephen Redhead




C. Stephen Redhead, Specialist in Health Policy (credheadcrs loc.ov, 7-2261)

Within hours of the shooting at Pulse, a gay nightclub in Orlando, hundreds of people responded to the call for blood
donations to help the injured. Gay men were among those who lined up outside local donation centers. They were
motivated by rumors that the regional blood bank .neBlood, which serves the Orlando area, had lifted the decades-old
ban on donations from sexually active gay men.

The rumors turned out to be untrue, and most of the gay men who showed up were turned away. OneBlood released a
gtatem..nt on social media that the ban had not been suspended.

                                        Since the 1980s, the Food and Drug Administration (FDA) has
                                        recommended that men who have sex with men (MSM) be indefinitely
                                        deferred (i.e., permanently banned) from donating blood. This action was
                                        taken to help control the spread of the human immunodeficiency virus
                                        (HIV) through the blood supply.

                                        Last December, after years of advocacy and debate, FDA issued new
                                        industry .guidance with revised donor deferral recommendations. The
                                        agency recommended reducing the MSM permanent ban to a 12-month
                                        deferral. Under the new MSM deferral policy, gay men may not donate if
                                        they have had sex with another man within the past year. While the
                                        recommendations are nonbinding, all blood banks are implementing
                                        them.

                                        Gay rights advocates say that while the change is a step in the right
direction, it will have limited impact. Sexually active gay men will still be excluded. Advocates also contend that the
new deferral policy is no less discriminatory than the one it replaces, because it is still based on sexual orientation and
fails to take into account differences in individual behavior that affect risk. They note, for example, that a married gay
man who  always uses a condom is at far lower risk of HIV infection than a single gay man who is sexually promiscuous
and never uses a condom. But the policy makes no distinction between these two types of individuals.

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