C’garh discards over 75,000 units of blood collected every year

Source: The Hitavada      Date: 30 Dec 2017 10:57:23


Staff Reporter,


Despite shortage of blood in almost all public as well as private hospitals, Chhattisgarh discards over 75,000 units of blood collected every year. Although wastage of blood in State is lesser than its neighbouring states of Maharashtra, Uttar Pradesh, Madhya Pradesh and Odisha, but when it comes to severe shortage of blood in State, only 1.8 lakh units of blood are collected against the estimated annual requirement of 5 lakh blood units, it raises question mark over working and credibility of all blood banks in State.

According to the data of blood collection of Ministry of Health and Family Welfare, the reasons for discarding the collected blood include deterioration and expiry.
The largest chunk of wasted units is plasma, which could be used for various life saving treatments. A unit of blood (450 ml) can potentially save at least three lives, as per estimation and research work of the World Health Organisation (WHO).

On an average, about six units of blood are required for every heart surgery, while a accident victim could need blood up to 100 units. One out of every 10 people admitted to hospital needs blood. Reactivity for infections (malaria, syphilis, HIV, Hepatitis B, Hepatitis C) and expiry due to outdating, especially for platelets, which have a short shelf life of only 5 days, are among the reasons offered by the ministry of health and family welfare.

Others include deterioration during shortage in the form of discolouration, haemolysis, bacterial contamination and not meeting parameters after collection as well as production and non-completion of blood collection in requisite quantities due to donor reactions.

Several pathologist experts were of the view that though Chhattisgarh does not have a National Blood Transfusion Service, since public health is a state subject, state blood transfusion councils are set up in every state to monitor proper functioning of blood transfusion services. Dr. J P Meshram, senior pathologist and medical officer said that patients need blood after major accidents or surgeries in which there is loss of blood. After a miscarriage or child birth by c-section, the patient may need transfusion of a large amount of blood for saving her life or the child.

For patients with blood disorders like anaemia, haemophilia and thalassemia and blood cancer repeat of blood
transfusions are the only solution. In many other situations too, like poisoning, drug reactions, shock and burns, blood transfusion is the only way to save life, he added. WHO estimates that blood donation by 1% of a country's population is generally sufficient to meet its basic requirements for safe blood. Currently, an estimated 9.5 million Indians donate blood, which are 2.5 to 3 million less than the required number. Globally, more than 2,87,000 women die each year during pregnancy, childbirth or in the postpartum period - 99% of them in developing countries; availability of safe blood can save many of them, according to the world health organization.