The approach taken by a Central/Eastern European Blood

Transfusion Organisation:POLAND

Magdalena Łętowska

National Centre for Transfusion Medicine

Warsaw, Poland

• Population: 38.5 mln

• Blood Transfusion Centres: 21

• Donations: 1mln/year

Legal basis for Blood Transfusion Service

Public Blood Transfusion Service Law of 22nd August 1997

Structure: National Centre for Transfusion Medicine Regional Blood Centres Blood Banks -integral part of Regional Centres

blood and plasma collected in Regional Centres exclusively

no private collections centers permitted

Organization of Blood Transfusion Service in Poland

Ministry of Health

National Centre for Transfusion MedicineInstitute of Haematology and Blood Transfusion

Regional Blood Centres21

Blood Banks 229

BTS - scientific and medical supervision

National Centre for Transfusion

Medicine

Institute of Haematology

and Blood Transfusion

• Guidelines• Quality assurance• GMP• Audits• Training• Lectures

Central Programme – Polish Ministry of Health

Fractionation of FFP Blood bags Viral markers tests Anti-RhD intramuscular

immunoglobulin production Coagulation factors

Regional Blood Centres

Szczecin

Gdańsk Olsztyn

Białystok

Lublin

RzeszówKraków

Kielce

Warszawa

RadomŁódź

Bydgoszcz

Katowice

Opole

Wrocław

Poznań

Zielona Góra

.Słupsk

.

.

.Racibórz

Kalisz

Wałbrzych

Regional Blood Centers

Uniform organization structure Uniform quality assurance system Two financing sources:

– central budget– hospital (reinbursment for blood

and blood components)

Reorganization of Blood Collection

Year 1999 2000 2001 2002

Number of Blood Banks

329 271 248 229

Number of mobile collectio

ns

2029 2907 3546 4419

Blood donors in Poland

Year 1998 1999 2000 2001 2002

Total437 113

442 178 388 292 413 084 436 686

Non-remunerat

ed (%)98,9 99,3 99,3 99,4 99,5

Donations in Poland (whole blood and plasma)

Year 1999 2000 2001 2002

Number of

donations

893 144 890 526 924 470 946 362

Whole Blood and Apheresis Plasma 1996-2002

YearWhole blood

x 1000 l

Apheresis plasma

x 1000 l

1996 350 121

1997 352 132

1998 369 144

1999 358 114

2000 356 63

2001 374 68

2002 390 48

RBCs, FFP and PCs 1996-2002

Year RBCs x 1000 l FFP x 1000 l

1996 329 260

1997 338 263

1998 354 236

1999 351 241

2000 352 216

2001 369 226

2002 387 220

Screening tests for each donation:

Syphilis test AlAT HBsAg Anti-HCV Anti-HIV HCV-RNA (since January 2, 2002)

Plasma for fractionation

HCV-RNA testing in minipools

since July 1, 2000

Incidence of viral markers (%)

Year 1997 1998 1999 2000 2001 2002

HBV 0,14 0,18 0,16 0,17 0,13 0,11

HCV 0,19 0,20 0,19 0,22 0,17 0,16

HIV0,002

00,002

00,003

00,004

00,002

70,002

2