Kermanshah earthquake blood supply experience: Turning the risk into opportunity
DOI:
https://doi.org/10.5055/ajdm.0502Keywords:
transfusion, earthquake, Iran, blood, disasterAbstract
Recent conflicts in the Middle East illustrate the urgent need for adaptive blood supply strategies. Lessons from the Iranian Blood Transfusion Organization’s (IBTO) response to the Kermanshah earthquake suggest that targeted donations can improve the availability of blood units and reduce wastage during crises. Considering this, we decided to report on the IBTO’s decisions during the Kermanshah earthquake, which may help improve blood management by transfusion organizations during the ongoing crises. The O-negative blood type, comprising nearly 10 percent of the population, is crucial in emergencies due to its universal compatibility. During the 2018 Sarpol-e Zahab earthquake in Kermanshah, Iran, the IBTO optimized its blood-collecting program, emphasizing Rh-negative donations, given the sufficiency of other blood type reserves. This retrospective study evaluates the effectiveness of this strategy by analyzing donation patterns, particularly focusing on first-time O-negative donors. During the earthquake, total volunteer donations surged to 20,840 per day, a 2.4-fold increase compared to the 6-month daily mean. First-time O-negative donors showed a remarkable 31.7-fold increase, comprising nearly half of all registrations on the second day. This experience suggests that targeted interventions during disasters can enhance blood supply efficiency, reduce wastage and align donor types with emergency needs.
References
Erika Paola B, Kelly H, Leslie G, et al.: Walking blood bank: A plan to ensure self-sufficiency in an era of blood shortage. Trauma Surg Acute Care Open. 2024; 9(Suppl. 1): e001151.
Divkolaye NSH, Seighali F, Pourfathollah AA, et al.: Meeting the challenges of international crises: The experience of the Iranian Blood Transfusion Organization. Disaster Med Public Health Prep. 2019; 13(3): 410-413.
Kundu S, Gerk A, Glatter R, et al.: Innovative transfusion strategies for blood deserts in disaster settings. BMJ Glob Health. 2024; 9(10): e016854.
Omidkhoda A, Kafi-Abad SA, Pourfatollah AA, et al.: Blood collection, components preparation and distribution in Iran, 2008–2012. Transfus Apher Sci. 2016; 54(1): 117-121.
Hashemi S, Maghsudlu M, Nasizadeh S, et al.: Effective ways to retain first-time blood donors: A field-trial study. Transfusion. 2019; 59(9): 2893-2898.
Chegini A, Torab SA, Pourfatollah AA: A successful experience of the Iranian Blood Transfusion Organization in improving accessibility and affordability of plasma derived medicine. Transfus Apher Sci. 2017; 56(1): 12-16.
Glasgow S, Allard S, Doughty H, et al.: Blood and bombs: The demand and use of blood following the London bombings of 7 July 2005—A retrospective review. Transfus Med. 2012; 22(4): 244-250.
Glynn SA, Busch MP, Schreiber GB, et al.: Effect of a national disaster on blood supply and safety: The September 11 experience. JAMA. 2003; 289(17): 2246-2253.
Compernolle V, Najdovski T, De Bouyalski I, et al.: Lessons for blood services following the Brussels terrorist attacks in March 2016. ISBT Sci Ser. 2018; 13(1): 47-50.
Dodd RY, Orton SL, Notari EP: Viral marker rates among blood donors before and after the terrorist attacks on the United States on September 11, 2001. Transfusion. 2002; 42: 1240-1241.
Abolghasemi H, Radfar MH, Tabatabaee M, et al.: Revisiting blood transfusion preparedness: Experience from the bam earthquake response. Prehosp Disaster Med. 2008; 23(5): 391-394.
Makin JK, Francis KL, Polonsky MJ, et al.: Interventions to increase blood donation among ethnic/racial minorities: A systematic review. J Environ Public Health. 2019; 2019(1): 1-14.
Katsaliaki K, Brailsford SC: Using simulation to improve the blood supply chain. J Oper Res Soc. 2007; 58(2): 219-227.
Tan C, Yong A: What motivates regular blood donations? ISBT Sci Ser. 2011; 6(2): 320-323.
Javadzadeh Shahshahani H: Why don’t women volunteer to give blood? A study of knowledge, attitude and practice of women about blood donation, Yazd, Iran, 2005. Transfus Med. 2007; 17(6): 451-454.
Korcok M: Blood donations dwindle in US after post-September 11 wastage publicized. CMAJ. 2002; 167(8): 907.
Tran S, Lewalski EA, Dwyre DM, et al.: Does donating blood for the first time during a national emergency create a better commitment to donating again? Vox Sang. 2010; 98(3): e219-e224.

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