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Achievement of self-sufficiency in blood and plasma products from voluntary non remunerated healthy donors has been advocated by WHO in a resolution dating back nearly 40 years1,2 and it is the current basis for the collection of blood in almost all European countries; in Italy, self-sufficiency obtained through donations from volunteer donors, not only in labile components but also in plasma products, is an aim stated by the legislation3. Is self-sufficiency from national plasma a practice goal for Italy and, if so, to what extent is it feasible? In this paper we will try to analyse some factors that can contribute to answer the question: the origin of plasma for fractionation and the rate of collection, the influence of production processes, the products for which self-sufficiency would be advisable and the policies for an appropriate utilisation of plasma products.
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