Creutzfeldt-Jakob disease primary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Primary Prevention
- Medical equipment is sterilized to kill organisms that may cause the disease.
- Persons who have a medical history of diagnosed or possible CJD are not used as cornea donors.
- Most countries now have strict guidelines for management of infected cows and strict restrictions regarding what they are fed, to avoid the potential for transmission of CJD to humans.
Blood Donor Restrictions
In 2004 a new report published in the Lancet medical journal showed that vCJD can be transmitted by blood transfusions.[1] The finding alarmed healthcare officials because a large epidemic of the disease might arise in the near future. There is no test to determine if a blood donor is infected and in the latent phase of vCJD. In reaction to this report, the British government banned anyone who had received a blood transfusion since January 1980 from donating blood.
On May 28, 2002, the United States Food and Drug Administration instituted a policy that excludes from donation anyone who spent at least 6 months in certain Western European countries, (or 3 months in the United Kingdom), from 1980 to 1996. Given the large number of U.S. military personnel and their dependents residing in Europe, it was expected that over 7% of donors would be deferred due to the policy. Later changes to this policy have relaxed the restriction to a cumulative total of 5 years or more of civilian travel in Western European countries (6 months or more if military). The 3-month restriction on travel to the UK, however, has not been changed.[2]
A similar policy applies to potential donors to the Australian Red Cross' Blood Service, precluding people who have spent a cumulative time of six months or more in the United Kingdom between 1980 and 1996.
The Singapore Red Cross precludes potential donors who have spent a cumulative time of three months or more in the United Kingdom between 1980 and 1996.
As of 1999, Health Canada announced a policy to defer individuals from donating blood if they have lived within the United Kingdom for one month or more from Jan. 1, 1980 to Dec. 31, 1996. In 2000, the same policy was applied to people who have resided in France, for at least three months from Jan. 1980 to Dec. 1996. Canada will not accept blood from a person who has spent more than 6 months in a Western European country since January 1, 1980.[[#cite_note-titleH�ma-Qu�bec,_blood,_donors,_blood_donation,_volunteers,_receivers,_blood_drives,_Globule,_blood_clinics,_stem_cells,_blood_cord,_human_tissues,_safety,_H�ma-Qu�bec,_job_openings,_press_center-3|[3]]]
The Association of Blood donors of Denmark precludes potential donors who have spent a cumulative time of at least twelve months in theUnited Kingdom between 1 January 1980 and 31 December 1996.
The Swiss Blutspendedienst SRK precludes potential donors who have spent a cumulative time of at least six months in the United Kingdom between 1 January 1980 and 31 December 1996.
References
- ↑ Peden AH, Head MW, Ritchie DL, Bell JE, Ironside JW (2004). "Preclinical vCJD after blood transfusion in a PRNP codon 129 heterozygous patient". Lancet. 364 (9433): 527–9. doi:10.1016/S0140-6736(04)16811-6. PMID 15302196.
- ↑ "In-Depth Discussion of Variant Creutzfeld-Jacob Disease and Blood Donation". Retrieved 2007-12-02.
- [[#cite_ref-titleH�ma-Qu�bec,_blood,_donors,_blood_donation,_volunteers,_receivers,_blood_drives,_Globule,_blood_clinics,_stem_cells,_blood_cord,_human_tissues,_safety,_H�ma-Qu�bec,_job_openings,_press_center_3-0|↑]] [http://www.hema-quebec.qc.ca/anglais/dondesang/qualifidonneurs.htm "H�ma-Qu�bec, blood, donors, blood donation, volunteers, receivers, blood drives, Globule, blood clinics, stem cells, blood cord, human tissues, safety, H�ma-Qu�bec, job openings, press center"]. Retrieved 2007-12-02. replacement character in
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