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An anticipated change in FDA coverage would make it simpler for males who’ve intercourse with males to donate blood.
Toby Talbot/AP
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Toby Talbot/AP
An anticipated change in FDA coverage would make it simpler for males who’ve intercourse with males to donate blood.
Toby Talbot/AP
Up to date 12:55 p.m. ET
The U.S. Meals and Drug Administration issued proposed steerage Friday to ease restrictions on blood donations by males who’ve intercourse with males.
The change is anticipated to take impact after a public remark interval.
The restrictions on donating blood date again to the early days of the AIDS epidemic and had been designed to guard the blood provide from HIV. Initially, homosexual and bisexual males had been fully prohibited from donating blood. Over time, the FDA relaxed the lifetime ban, however nonetheless saved in place some limits.
Underneath the present coverage — final up to date in 2020 — males who’ve intercourse with males can donate blood in the event that they have not had sexual contact with different males for 3 months.
The brand new proposed coverage would remove the time-based restrictions on males who’ve intercourse with males (and their feminine companions) and as an alternative display screen potential donors’ eligibility based mostly on a collection of questions that assess their HIV threat, no matter gender. Anybody taking drugs to deal with or forestall HIV, together with PrEP, wouldn’t be eligible.
The danger evaluation would come with questions on anal intercourse. Potential donors who’ve had anal intercourse within the final three months with a brand new sexual accomplice or a couple of sexual accomplice wouldn’t be eligible to provide blood.
The modifications are geared toward addressing criticism that the present coverage is discriminatory and outdated, in addition to yet one more barrier to bolstering the nation’s blood provide. Blood banks already routinely display screen donated blood for HIV.
“We’re transferring now to an inclusive coverage for blood donation,” mentioned Dr. Peter Marks, who leads the Heart for Biologics Analysis and Analysis on the FDA throughout a briefing Friday.
“We’ll proceed to work to guarantee that now we have insurance policies that permit everybody who needs to donate blood to have the ability to donate blood inside what the science permits to guarantee that the blood provide stays secure.”
In crafting the brand new steerage, the FDA has been seeking to the outcomes of a examine of about 1,600 homosexual and bisexual males to develop screening questions that may establish potential donors who’re probably to be contaminated with HIV.
Response to the information from advocates, medical teams and blood banks has been optimistic.
“The blood group may be very excited in regards to the proposed modifications,” says Kate Fry, CEO of America’s Blood Facilities. “We’ve advocated for a decade now for a transfer to a person threat evaluation mannequin. So that is very welcome by blood facilities throughout the nation.”
She careworn that each one donated blood is rigorously screened for HIV and that testing has improved dramatically to make sure the security of the blood provide.
For a few years, the American Medical Affiliation, the American Purple Cross and LGBTQ+ advocacy teams have pushed for a change to the federal guidelines on blood donations.
“These modifications are 40-plus years within the making and so they’re an amazing leap ahead in elevating science over stigma,” says Tony Morrison, a spokesperson for the advocacy group GLAAD.
However GLAAD and different teams say the modifications nonetheless do not go far sufficient. They argue that a few of the remaining restrictions are nonetheless pointless and stigmatizing, such because the prohibition in opposition to donations by folks taking remedy PrEP to stop HIV.
“Once we restrict and defer people who find themselves being proactive of their sexual well being that stigmatizes them. The misunderstanding is that individuals on PrEP are promiscuous or have a better threat of HIV an infection — that is categorically false,” says Morrison.
So his group will proceed to foyer the FDA to additional ease restrictions.
The proposed modifications within the blood donation guidelines will probably be open for public remark for 60 days. The FDA will then evaluation these feedback and challenge a last rule, in all probability later this yr. So monogamous homosexual males might begin donating blood once more someday in 2023.
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