Impact of a 5‐year deferral from blood donation for men who have sex with men

Sheila F. O’Brien · Lori Osmond · Wenli Fan · Qilong Yi · Mindy Goldman

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Blood donation and transfusion practices HIV/AIDS Research and Interventions HIV, Drug Use, Sexual Risk

Abstract

BACKGROUND: The deferral for men who have sex with men (MSM) changed from a permanent deferral since 1977 to a 5-year deferral on July 22, 2013, in Canada. We assessed the impact on safety and adequacy of the blood supply at Canadian Blood Services. STUDY DESIGN AND METHODS: Human immunodeficiency virus (HIV) rates were monitored from January 1, 2010, to July 21, 2015. Risk factors were assessed in notification interviews. Anonymous online surveys of male whole blood donors assessed compliance before and after implementation. RESULTS: HIV rates were 0.2, 0.5, and 0.51 per 100,000 donations in 2010 to 2012; they were 0.54 and 0.22 in the first and second years after implementation (p = 0.8). Of four male HIV-positive donors after implementation, three denied risk factors and one knew he had HIV. Before implementation 9669 of 19,437 (49.7%) donors participated in the survey, and after implementation, 6881 of 18,934 (36.3%). Before implementation 0.67% of male donors were noncompliant, and after implementation, 0.44%. There was no difference before versus after implementation in male donors with MSM history in the past 5 years (0.37% vs. 0.43%, p = 0.54). After implementation, eligible MSM donors increased (0.42% vs. 0.66%, p = 0.04), with approximately 500 more donors in 2014. CONCLUSION: Implementation of a 5-year deferral for MSM had no impact on HIV rates in 2 years of postimplementation monitoring. Donor compliance improved after implementation due to MSM donors who were previously ineligible becoming eligible. There was no change in the percentage of male donors with recent male partners but there was a modest increase in eligible MSM in the donor pool.

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2012Current incidence and residual risk of HIV, HBV and HCV at Canadian Blood Services 2010No evidence of a significantly increased risk of transfusion‐transmitted human immunodeficiency virus infection in Australia subsequent to implementing a 12‐month deferral for men who have had sex with men (CME)2015Blood donor deferral for men who have sex with men: the Blood Donation Rules Opinion Study (Blood DROPS)2011Deferral of males who had sex with other males 2013The risk of transfusion‐transmitted HIV from blood donations of men who have sex with men, 12 months after last sex with a man: 2005–2007 estimates from England and Wales

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2021Blood donation by men who have sex with men: using evidence to change policy 2022Removing the men who have sex with men blood donation deferral: Informing risk models using Canadian public health surveillance data 2016Reasons for noncompliance in donor risk reporting regarding male‐to‐male sex 2018Blood donation deferral policies among men who have sex with men in Brazil 2017Eligibility and willingness to donate blood in men who have (had) sex with men 2020Noncompliance to blood donor selection criteria by men who have sex with men – Complidon 2017, France

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