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CRS   INSIGHT


Zika Testing Poses Challenges for Blood Centers

September 2, 2016 (IN10544)




Related  Authors


   * C. Stephen Redhead

   * Sarah ALister




C. Stephen Redhead, Specialist in Health Policy (credhead( crsbc go  7-2261)
Sarah A. Lister, Specialist in Public Health and Epidemiology (sisterLcrs.Qcgov, 7-7320)

Introduction

On August 26, the Food and Drug Administration (FDA) issued an updatiguidan~jQ recommending that all U.S. blood
centers begin testing donations for Zika virus (ZIKV) using an investigational test cleared by FDA. While the
recommendation is nonbinding, all blood centers are expected to comply.

Blood donations in Puerto Rico and Florida, the only areas within the United States where local mosquito-borne ZIKV
transmission has been confirmed, are already being tested. Testing is also being conducted on donations in high-risk
areas of Texas.

The guidance is the latest in a series of steps to prevent the spread of ZIKV in the blood supply. In February, FDA
released a set of donor srninan dfrral  recomndains, which U.S.   blood banks implemented. The agency also
recommended  suspending blood collections in areas where ZIKV was found to be spreading locally by mosquitoes until
testing could be implemented.

Zika-related donor deferrals have exacerbated an already tight U.S. blood supply this summer. In July, the nation's blood
bankers issued a joint appeal for blood donors to sustain inventories across the country. Blood centers also face the
challenge of recovering the costs of ZIKV testing.


Figure 1. An American Red Cross Worker Testing Donated
Blood

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