Armed Services Blood Program

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• Armed Services Blood Program
• TSEAC Update vCJD Deferrals
• RONNY G. ALFORD, Major, USAF, BSC
• Deputy Director, Armed Services Blood Program
• [phone]

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DoD POLICY

• Variant CJD Donor Deferrals - Effective 29 Oct 01
• Defers DoD Personnel stationed in Europe for over
  6 months from 1980 1996
• Reduces UK travel time from 6 months to 3 months
• If you spent 5 years in Europe from 1980 through
  the present and were not a DoD employee you would
  be deferred
• After 1996 the 5 year deferral criteria applies
  regardless of why you were in Europe
• If you received a transfusion in the UK from 1980
  to the present you are deferred
• Defers additional 18 percent of DoD Donor
  population
• Prior to this DoD deferral rate was about 25
• Time aboard ship is not included

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CONUS BLOOD DONOR CENTERS
ASBBC - 2
USA 7
USN 4
USAF 5
ASBBC, Ft, Lewis, Tacoma, WA
Wright-Patterson AFB Dayton, OH
NH, Great Lakes Waukegan, IL
ASBBC, NCA, Bethesda, MD
DGMC, Travis AFB, Fairfield, CA,
Scott AFB Belleville, IL
CMBC, Ft. Knox, Louisville, KY
NMC Portsmouth, Portsmouth, VA
MACH, Ft. Jackson, Columbia, SC
NMC, San Diego, CA
WAMC, Ft. Bragg, Fayetteville, NC
EAMC, Ft. Gordon, Augusta, GA
BBC, Ft. Hood, Killeen, TX
WBAMC, El Paso, TX
NH, Charleston, SC
WHMC, Lackland AFB San Antonio, TX
KMC, Keesler AFB, Biloxi, MS
BAMC, Ft. Sam Houston, San Antonio, TX
TOTAL 18
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BLOOD DONOR CENTERS

• 18 Donor Centers in CONUS
• 6 Donor Centers OCONUS
• Germany
• United Kingdom
• Alaska
• Hawaii
• Japan
• Guam
• 24 Donor Centers Worldwide

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DONOR POPULATION

• Active Duty 1.38M
• Family Members 1.95M
• 92 of donations are from Active Duty military
  members
• 6 of donations are from federal civilian
  employees
• 2 of donations are from active duty family
  members (non-federal civilian employees)
• Recruit 130,000 donors per year from 32 of 318
  major active duty installations (9 penetration
  AD population)
• 18 current AD Population affected by vCJD
  deferral Distribution is not even

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IMPACT

• Difficult to accurately determine impact of vCJD
  deferrals
• Self-Deferral
• Added recruiters to our donor centers
  Aggressive education, use of base media as a part
  of recruitment effort
• Self Deferral during command briefings as high as
  50
• DoD news spots, messages, and articles
• Operation Enduring Freedom (OEF)
• Eased recruitment burden
• 15,000 units packed cells to SW Asia to date
• Lost CONUS donor center staff to deployments
• Reserve augmentation
• Expanded collections at basic training commands

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RESULTS

• Oct 00 Mar 01 vs. Oct 01 Mar 02
• WB collections have increased 9
• vCJD deferrals currently averaging 12 despite
  donor education efforts during unit recruitment
• Greatest impact Operational units with
  significant European rotations (up to 50
  deferrals)
• Least impact Basic Training units (less than 1
  deferrals)
• Total Deferrals (Donor Interview)
• Oct 00 Sep 01 25
• Jan 02 - May 02 16

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WHOLE BLOOD DONATIONS
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SUMMARY

• Implemented deferrals in Oct 01
• Added Recruiters and shifted collections to focus
  on 18-25 y/o trainees
• Went to war
• Increased eligible donors by 9
• vCJD deferrals average 12
• Range 1 - 50
• Decreased total deferrals by 40
• Oct 00 Sep 01 25
• Jan 02 - May 02 16
• ? vCJD Deferrals