singapore’s experience on maintaining blood supply and ......2020. cai x et al (2020). blood...
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Dr. Kam Wooi SeongBlood Services GroupHealth Sciences AuthoritySingapore
Singapore’s experience on maintaining blood supply and keeping our donors and staff safe in
the COVID-19 pandemicISBT Webinar
23 April 2020
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Outline
• Singapore National Blood Programme
• COVID-19 in Singapore
• Impact of COVID-19 to the blood supply
• Key challenges
• Measures to secure blood supply
• Keeping donors safe
• Keeping staff safe
• Moving forward
• Concluding remarks
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Singapore National Blood Programme
SRC focuses on 3 main functions in the NBP:
1. Recruitment & retention of blood donors
2. Promotion and education on the importance of blood donation
3. Organization of mobile blood donation drives
Centralised national blood service operated byBlood Services Group, Health SciencesAuthority, a statutory board of the Ministry ofHealth, Singapore
Responsible for the collection, testing, andsupply of blood products to all patients inSingapore, with oversight of the national bloodinventory
Key objective: ensure all patients in Singaporeregardless of nationality and residential status,have access to a safe and sufficient blood supply
HSA & Singapore Red Cross (SRC) which wasappointed as the national blood donor recruiterin April 2001, work in partnership to collectblood from donors on a voluntary,non-remunerated basis
https://www.hsa.gov.sg/about-us/blood-services/national-blood-programme
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COVID-19 in Singapore
• 0.4% of confirmed cases globally
• 0.12% of recovered cases globally
• 0.006% of deaths globally
2,117.08 cases per 1 million population
As of 24 April 2020 17:30
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Daily COVID-19 cases in Singapore
0
200
400
600
800
1000
1200
1400
1600
1-jan-20 8-jan-20 15-jan-20 22-jan-20 29-jan-20 5-feb-20 12-feb-20 19-feb-20 26-feb-20 4-mrt-20 11-mrt-20 18-mrt-20 25-mrt-20 1-apr-20 8-apr-20 15-apr-20 22-apr-20
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COVID-19 in Singapore – significant events
0
200
400
600
800
1000
1200
1400
1600
1-jan-20 8-jan-20 15-jan-20 22-jan-20 29-jan-20 5-feb-20 12-feb-20 19-feb-20 26-feb-20 4-mrt-20 11-mrt-20 18-mrt-20 25-mrt-20 1-apr-20 8-apr-20 15-apr-20 22-apr-20
23 Jan:1st case of COVID-19
7 AprilCircuit breaker
7 FebDORSCON Orange
13 MarchSocial distancing measures
22 MarchBorder control measuresAll returning residents issued SHN
14
21 April:Circuit breaker extension
4 Feb1st case local transmission
24 MarchTighter safe distancing measures
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Key challenges
• public fear and anxiety
• travel history
• unaware that blood banks are still operating
• mandatory work-from-home
Reduced donor attendance
• cancellation of blood mobile drives
• use of mobile venues for COVID-19 related activities
• ↓ centre bookings due to social distancing measures
• school closures
Disruption of blood transfusion activities
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Mobile deployment
Data from BDRP, SRC
35%
22%
20%
13%
5%5%
Mobile drives
Private companies Educational institutions
Community groups Religious organisations
Hospitals Uniformed groups
2019: 467 mobiles
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COVID-19: Blood collection
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COVID-19: Blood supply
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COVID-19: Blood collection & blood supply
4 Feb1st case local transmission
24 MarchTighter safe distancing measures
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COVID-19: Impact on blood collection & blood supply
Mobile cancellation 0%
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Measures to secure blood supply
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Securing blood supply
Measures to increase blood collection
• Media reporting of critical blood stock
• HSA & SRC conducted numerous interviews
• Reassurance: additional precautionary measures to protect well-being of donors communicated to blood donors & blood mobile organizers via
• Letters sent to donors individually
• Emails to organizers
• Continuous donor engagement via HSA website and social media of additional precautionary measures
• Active telerecruitment & blast SMS
• Encouraging scheduling of appointment
↑ 40% donor appointment and fulfillment rate
Measures to bring down blood usage (6 Feb – 12 March)
• Appealed to hospitals to step up PBM
• Postponement of non-urgent elective surgeries with significant transfusion requirements (>2 units of rbc)
↓ 26.5% usage
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Lowest point = turning point
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Letters to blood donors
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Blood donation is an essential service
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Measures to protect donors
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Mandatory pre-screening
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Safe distancing
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Safe distancing
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Staggering of donors
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Reassurance is important during COVID-19 pandemic
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Schedule an appointment
Appointment rate ↑
Appointment fulfillment rate↑
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Mr Tan Chin Hock
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Circuit breaker
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Blood Donation is Essential
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Blood donation is essential
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SMS text message
Dear Donor, blood donation is still essential during this critical period……………
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Media coverage
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Measures to ensure staff safety
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• Keeping staff updated and informed about the COVID-19 situation
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Mask up when out
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MEASURES TO SECURE THE BLOOD SUPPLY
MEASURES TO PROTECT DONORS
MEASURES TO PROTECT STAFF
• Reassurance to allay anxiety and fear
• Transparency• Clear and effective communication
about the additional precautionary measures & blood donation as an essential service
• Continuous media & donor engagement
• Use of social media• Active tele-recruitment and sending
SMS• Rebooking - appointment• Collaborate with different agencies• Convenience • Close monitoring of blood
utilization, PBM
• Reinforce self-deferral• Mandatory pre-screening - defer
donors with fever and at risk of COVID-19 and
• Safe distancing• Better planning crowd control• Only allowing donors to enter blood
donation premises• Encouraging donors to schedule
appointment• Disinfection of blood donation
premises• Hand sanitizers• Mandatory mask-wearing
• Briefing to update staff • Twice-daily temperature checking• Team segregation• Mandatory mask-wearing• Mandatory leave of absence for staff
who returned from overseas
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Moving forward
• Business continuity
• Plan ahead to ensure sustainability of blood supply
• Strategic approaches
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Concluding remarks
• Learn from past experience and learn from others
• Reassurance and effective communication are key
• Donor care is still important
• Agile to react quickly in appropriate and proportionate manner
• Different approaches and modalities at different phases of the pandemic
• Prepare for the worst
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References
Mascaretti L, De Angelis V, Berti P. et al (2020). The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and Transfusion Medicine: reflections from Italy. Blood Transfus. 2020; 18(2):77-78
Franchini, M., et al., The impact of the SARS-CoV-2 outbreak on the safety and availability of blood transfusions in Italy. Vox Sang, 2020.
Cai X et al (2020). Blood transfusion during the COVID-19 outbreak. Blood Transfus. 2020; 18:79-82
World Heath Organization, Maintaining a safe and adequate blood supply during the pandemic outbreak of coronavirus disease (COVID-19): Interim guidance. 20 March 2020.
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Acknowledgement
HSA• Dr. Ang Ai Leen• Dr. Tan Hwee Huang• William & Blood Resources• Maznah• Albert• Aida• Michael See• Kooi Sim• Pei Huey• Sally• Estelle• Sandra
BDP (SRC)
• Robert
• Shirley
• Gracinia