APPENDIX C

A-Z GUIDE TO MEDICAL ASSESSMENT OF BLOOD DONORS

Conditions Timing Donation

Abortion/Miscarriage
> up to 12 weeks age of gestation 3 months from incident
> 12 to 24 weeks age of gestation 6 months from incident
> more than 24 weeks age of gestation 9 months from incident
Acne vulgaris
> lesions not active or infected but on topical Anytime
medication
> taking cyproterone acetate (an anti-testosterone) Anytime
> taking tetracycline or erythromycin 2 weeks from completion of treatment
> taking isotretinoin, tretinoin, adapalene 4 weeks from last dose
> lesions active/inflamed 2 weeks from healing
> taking acitretin, etretinate (Neotigason) 3 years from last dose
Anytime, provided there is no inflammation at the site
Acupuncture (needle sterilized, practitioner certified)

Age
> 16 to 65 years old Anytime
> more than 65 years old At the discretion of physician
Alcoholism, chronic Permanent deferral
Alcohol intake anytime, provided not intoxicated
Allergy (donor fit and well)
> hay fever with minor symptoms with or without Anytime
medications, and donor fit and well

> hay fever with more than minor symptoms with or without 1 month from last incident
medications, and donor fit and well

> moderate allergic reaction (including drug allergy) 1 year from last incident
> history of severe allergic reaction or anaphylactic shock Permanent deferral

Anemia, iron deficiency After treatment, with Hemoglobin of

125 g/L
Anemia, any other cause Permanent deferral
Angiogram
Angioplasty Permanent deferral
Angina pectoris - diagnosis confirmed
Antacids - taken occasionally for indigestion or heart Anytime
burn
Antibiotic depends on the condition for which antibiotic is taken

Anti-inflammatory medicines (underlying condition acceptable)

> NSAIDs - if blood donation not for platelets Anytime
> NSAIDs - blood donation for platelets Defer for 24 hours from last dose
> Aspirin - blood donation not for platelets Anytime
> Aspirin - blood donation for platelets Defer for 72 hours from last dose
Apheresis
> platelet 72 hours
> double red cell 16 weeks from last apheresis provided
height, weight and Hgb (>145g/L) criteria
criteria are met
> single red cell 12 weeks

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 APPENDIX C

Conditions Timing Donation

> single red cell + platelets 12 weeks
> plasma 4 weeks
Appendectomy 12 months after surgery
Arthritis, not on meds Anytime
> on meds, see "anti-inflammatory"
Asthma, mild (donor fit and well) Anytime - if not on meds, only on inhaler
maintenance

Asthma, severe Permanent deferral

Autoimmune diseases like SLE Permanent deferral

BCG vaccine (see vaccine) 4 weeks from last vaccination

Biopsy, benign and healed 12 months from the procedure
Blood donation, whole blood 12 weeks from last donation; shorter inter-
val may be allowed provided frequency
does not exceed 6x in the entire year
Blood transfusion
> WB. PRBC, PC, FFP 12 months from last transfusion
> Clotting factors (Factor VIII, IX) Permanent deferral
> BT given in France, Ireland, & UK Permanent deferral
Body piercing (ear/tongue/nose/navel holing) 12 months from procedure
Boils 1 month from completion of antibiotics
Brain surgery Permanent deferral
Bronchiectasis Permanent deferral
Bronchitis, acute 1 month after complete recovery
Bronchitis, chronic Anytime, if symptom free for 2 years
Brucellosis Permanent deferral

Cancer, all types Permanent deferral

Candidiasis (thrush, monilial infection) 1 week from completion of treatment
Cataract Anytime
Chagas disease Permanent deferral
1 week after recovery and completion of antibiotic
Cellulitis
treatment
Chicken pox (varicella )
> infection in donor 1 month after recovery
> contact with infected person:
contact 1: with no history of previous infection 1 month after last contact
contact 2: with history of previous infection Accept - anytime
9 months after delivery or 3 months after weaning,
Childbirth which
weaning
Cholecystitis 1 month after recovery
Cholecystectomy 12 months after recovery
Cholera vaccine (See Vaccine)
Permanent deferral - if diagnosis is irritable bowel
Colitis syndrome

Colitis, ulcerative Permanent deferral

Common cold 1 week after recovery
Concussion, mild 3 months after recovery

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 APPENDIX C

Conditions Timing Donation

Conjunctivitis
> allergic accept - anytime, if over-all reactions
are mild
> infectious 1 week after complete recovery
Convulsions/Seizures/Epilepsy Permanent deferral
Corneal transplant 12 months after procedure
Coronary heart disease Permanent deferral
Cosmetic procedures (facial "cleaning", botox 12 months after procedure
injection, dermabrasion, etc.)
Creutzfeld Jakob Disease at-risk individuals Permanent deferral
> 1st degree blood relatives of person with CJD UK = England, Wales, Scotland, Northern
> recipients of human neurological derived pro- Ireland, Isle of Man, & the Channel
ducts like human growth hormone, human pituitary Islands
gonadotrophin, dura matter (Lyodura)
> recipient of corneal transplant
> recipient of BT while in UK, Rep. of Ireland, France BT = blood transfusion

Dengue Fever 1 month after recovery if without BT

Dental surgery 12 months after procedure
Dental extraction, uncomplicated 72 hours after procedure
Dental extraction with abscess 1 month after recovery & off antibiotics
Dermatitis After complete healing
Diabetes mellitus
> controlled by diet & oral meds Anytime
> uncontrolled and on insulin Permanent deferral
Diarrhea, infectious 1 month after complete recovery
Diptheria 1 month after complete recovery
Diverticulosis Anytime
DPT and DT vaccine (see vaccine)
Drugs, prohibited Permanent deferral
Duodenal ulcer
> currently on treatment 3 months after recovery
> with partial gastrectomy 12 months after procedure
> with complete gastrectomy Permanent deferral
Dysentery, amoebic/bacillary 1 month after complete recovery

Ear holing (see "body piercing") 12 months from the procedure

Embolism Permanent deferral
Emphysema Permanent deferral
Encephalitis Permanent deferral
Epilepsy/Convulsion/Seizure Anytime, if free of attacks for 3 years
Anytime if hemoglobin is 125 g/l and up, and not due to
Epistaxis hematologic disorder

Fainting spells Refer to a physician

> history of faint during blood donation two consecutive times Permanent deferral

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 APPENDIX C

Conditions Timing Donation

consecutive times
Fertility drugs (see "CJD At-Risk Individuals) 1 year from completion of investigation for
fertility
Fever of unknown origin (unexplained) 4 months after resolution of fever, if not consistent
with malaria

Filariasis
> infection Permanent deferral
> took meds during Filariasis Elimination Prog - MDA 2 weeks after intake of anti-filarial medi-
ram cines
Fracture, with surgical intervention 12 months

Gallstone, asymptomatic Anytime

Gastrectomy, gastroenterostomy 12 months after surgery
> complete Permanent deferral
Gastroenteritis 1 month after recovery
Genital/Perianal wart Permanent deferral
Genital herpes Permanent deferral
Glandular fever 6 months after recovery
Glaucoma - treated by eyedrops other than beta Accept anytime
blocker
Gonorrhea Permanent deferral
Gout If quiescent, accept
Gout active 3 months after recovery

Hematuria After recovery

Hemorrhoidectomy 12 months after surgery
Hay fever see "allergy"
Head injuries, minor/severe See "concussion"
Hepatitis, exposure to close household contact Indefinite deferral
Hepatitis - type of infective agent unknown Indefinite deferral
6 months after liver function tests have
Hepatitis A normalized, provided that diagnosis is
supported by laboratory tests
Hepatitis B (HBsAg seropositive) Permanent deferral
Hepatitis B (HBsAg seroreactive; unconfirmed) Indefinite deferral until confirmed seronegative
Hepatitis B - current sexual partner of Permanent deferral
Hepatitis B - past sexual partner of Indefinite deferral until confirmed seronegative
Hepatitis B vaccine (Refer to Vaccines)
Hepatitis B vaccine, plasma-derived
Hepatitis immunoglobulin

Herpes simplex Indefinite deferral

Herpes zoster 1 month after complete recovery
Hydatid disease 6 months after recovery
Hysterectomy 12 months after recovery
Hypertension >160/100 Indefinite deferral
Hyperthyroidism Anytime if not on drugs
Hypotension, <90/60 Indefinite deferral

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 APPENDIX C

Conditions Timing Donation

Incarceration (jail/prison) 12 months from release

Influenza 1 month after complete recovery
Influenza, contact 3 days from last contact
Influenza, vaccine (see vaccine)
Intraarticular injection of cortisone 1 month after injection
Insulin see Diabetis mellitus

Jaundice, obstructive 12 months after recovery

Jaundice, cause undetermined Indefinite deferral

Laryngitis 1 month from recovery and off antibiotic

Leptospirosis 3 months after recovery
Lung, abscess (not malignant) 3 months after recovery and off antibiotic

Malaria, infection 3 years after treatment, if asymptomatic

> Travel to area endemic for malaria with or without 6 months from departure from area
prophylaxis (stay for < 6 months)

> Former resident of malaria endemic area, or stayed in malaria 12 months from date of departure from area
endemic area for 6 months or more

Malignant disease Permanent deferral

Mass drug administration - filariasis 2 weeks from treatment
Mass drug administration - schistosomiasis 2 weeks from treatment
Measles (Rubeola) 6 weeks after recovery
Measles vaccine Refer to Vaccines
Medications Refer to Medication List
Meningitis 6 months after recovery and if no history of
seizure
Menstruation Accept if asymptomatic
Migraine Accept if asymptomatic
Mumps, infection 4 weeks from recovery
> contact 1: with previous infection Accept, anytime
> contact 2: no previous infection 4 weeks from last contact

Nephritis, acute (pylonephritis) 5 years after recovery & off antibiotic

Nephritis, chronic Permanent deferral

Oral polio vaccine Refer to vaccine listing

Osteomyelitis 6 months after recovery

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 APPENDIX C

Conditions Timing Donation

Paget's disease Permanent deferral

Pancreatitis 1 month after complete recovery
Peptic ulcer 3 months if symptom free
Peritonitis 6 months after recovery
Phlebitis 3 months after recovery
Pneumothorax 6 months after recovery
Poliomyelitis 12 months after recovery
Polycythemia, secondary For therapeutic bleeding only, discard blood
Female (maximum 175mmol/L)
Male (maximum 185mmol/L)

Pregnancy See "childbirth"

Prolonged bleeding Permanent deferral
Psychiatric disorder Permanent deferral
Anytime if 60-100 beats/min (regular rhythm)
Pulse rate
rhythm
Pyelitis See "cystitis"
Psoriasis Never

Q fever Permanent deferral

Renal colic Anytime if symptom free

Rabies vaccine Refer to Vaccines
Raynaud's disease Permanent deferral
Rheumatic fever Permanent deferral
Rheumatism Anytime, if not on drugs
Rubella (German measles)
> infection 4 weeks from recovery
> contact 1: no previous infection Accept, anytime
> contact 2: with previous infection 4 weeks from last exposure
> vaccination 8 weeks from vaccination

Sarcoidosis Permanent deferral

Salmonella food poisoning 12 weeks from recovery
Scarlet fever 4 weeks after recovery
Schistosomiasis Permanent deferral
Schistosomiasis, mass drug administration 2 weeks from treatment
Septicemia 6 months after recovery
Sexually Transmitted Infection (STI) Permanent deferral
Shingles (herpes zoster)
> infection 4 weeks from recovery
> contact 1:with previous infection Accept, anytime
> contact 2:with no previous infection 4 weeks from last exposure
SLE Permanent deferral
Small pox vaccine (see vaccine) Refer to vaccine listing

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 APPENDIX C

Conditions Timing Donation

Syphilis Permanent deferral
Warts, genital Permanent deferral
Stye 4 weeks after recovery
Sore eyes 4 weeks from recovery

Tattooing (permanent not henna) 12 months from procedure

Temperature Anytime if <37ºC
Tetanus, infection 6 months after recovery
> passive immunization, post injury 4 weeks from injection
Thrombophlebitis 3 months after recovery
Thyroidectomy (benign tumor) 12 months
Thyroid malignancy Permanent deferral
Tonsillitis 4 weeks after recovery
Tonsillectomy 12 months after recovery
Toxoplasmosis 6 months after recovery
Travel
- to UK and Republic of Ireland Permanent deferral
> lived or visited for a total period of 6 months or
or more from 1980 to present
- to malaria endemic area
> Travel to area endemic for malaria with or without 6 months from departure from the area
prophylaxis (stay for < 6 months)
without prophylaxis (stay for < 6 months)
> Former resident of malaria endemic area, or for 6 months or 12 months from date of departure from
more
stayed in malaria endemic area for 6 months the area
or more
2 years after complete recovery/cure
Tuberculosis cure = completion of chemotherapy + 2 negative
follow-up sputum exam
Tuberculin Injection/TB Skin Test/PPD 1 week from injection
Typhoid/Salmonella
> infection 3 months from recovery & stool negative
> household contacts 4 weeks from last exposure
Typhus For plasma only
Typhus vaccine Anytime, if symptom free, afebrile

Unexplained weight loss of more than 5 kg. within 6 months Permanent deferral
months
URTI 1 week after recovery

Vaccines (see separate table)

Vitamins Anytime
Vitiligo Accept it part of multisystem disease; if primary cause
unknown - permanent
primary cause unknown - permanent
deferral

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 APPENDIX C

Conditions Timing Donation

Timing of Blood Donation When Donor Received Vaccine

I. Live attenuated vaccine

BCG (tuberculosis) 1 month after vaccination
Chicken pox (varicella zoster) 1 month after vaccination
Measles 1 month after vaccination
Mumps 1 month after vaccination
Polio (oral, Sabin) 1 month after last dose
Rabies (no exposure, for prophylaxis) 1 month after last dose
Rabies (post animal bite) 12 months after last dose
Typhoid (oral) 1 month after last dose
Yellow fever 1 month after vaccination
Vaccinia (small pox) 1 month vaccination

II. Other Vaccines

Japanese encephalitis 3 weeks after vaccination
MMR (measles, mumps and umbrella) 8 weeks after vaccination
Plague 4 weeks after vaccination
Rabies (non-exposure) 4 weeks after vaccination
Rubella 8 weeks after vaccination
Vaccinia (smallpox) 8 weeks after vaccination

II. Killed Vaccines/Toxoids

Anthrax Accept, anytime if asymptomatic
Botulism Accept, anytime if asymptomatic
Cholera Accept, anytime if asymptomatic
Diphtheria Accept, anytime if asymptomatic
Hemophilus influenzae type B (HIB) Accept, anytime if asymptomatic
Hepatitis A (non exposure) Accept, anytime if asymptomatic
Hepatitis B (non exposure) 1 week from vaccination
Influenza Accept, anytime if asymptomatic
Meninggococcal Accept, anytime if asymptomatic
Pertussis (whooping cough) Accept, anytime if asymptomatic
Pneumococcal Accept, anytime if asymptomatic
Polio (injection, Salk) Accept, anytime if asymptomatic
Tetanus Accept, anytime if asymptomatic
Typhoid (injection only) Accept, anytime if asymptomatic
Typhus Accept, anytime if asymptomatic

III. Gamma Globulin

> for contact with hepatitis A 6 weeks from last injection
> for contact with hepatitis B 12 months from exposure
> tetanus immnunoglobulin 12 months from last dose
> rabies, post exposure 12 months from last dose

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 APPENDIX C

Timing of Blood Donation When Medications Are Being Taken by Donors

Medications Timing of Donation

A
Allergy causing drugs: Penicillin, Aspirin 3 weeks after completion
Single dose 3 days after
Chronic intake 3 weeks after last dose

Analgesics, except Aspirin Anytime, if symptom is free

Anorectics Anytime
Anti-acne like Retinoids, Retinoic Acid, Accutance One Month deferral from last dose
Antibiotic other than Anti-TB drugs and One month after completion of treartment
Allergic drugs and reasons for taking antibiotics must be
assessed

Anticonvulsant Defer indenitely

Antifungal (oral) One month after completion of treatment
Antifungal (topical) - for cutaneous infection Anytime; in case where fungal infections
involved the phelebotomy site or larger
extent of the body, the donor should be
deferred.

Antihistamine Anytime
Antihypertensive drugs Anytime (Note: ask for aspirin intake)
Anti-inflammatory (non-steroidal) Anytime but not for platelet preparation
Antipsychotic drugs Defer permanently
Until TB case is completely cured, see
Anti-TB drugs
"tuberculosis"
Aspirin, Piroxicam Chronic intake - one week after last dose
Single dose- Anytime, but not for platelet
preparation

B
Bronchodilators Anytime, if not symptomatic
Betablockers
> If donor is on Beta Blockers for hypertension &
has remained stable for 3 months, has no episodes of Anytime
postural hypotension, PR at least 60/min, DBP >70mmHg
& SBP 100-160mmHg

C
Colchicine Anytime, if over the acute episode of gout
Contraceptive pills, and injection Anytime
After completion of treatment; inquire the
Corticosteroid (oral) condition for which the donor is taking the
medicine

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 APPENDIX C

D
Decongestant Anytime, if symptom free
include list of prep with phenylpropanolamine
Digitalis Defer permanently
DEC + Alben (MDA - filariasis) 2 weeks from treatment
Drugs with no therapeutic effects (food supplements) Anytime

G
Growth hormone Defer permanently

H
Hypoglycemic agent, oral see diabetes

I
Insulin Defer permanently
Isoretinoin (Roaccutane) 1 month after last dose

P
Paracetamol See "analgesic"
Prazi (MDA - schisto) 2 weeks from treatment
Propecia (hair grower) 1 month from last dose
Proscar 1 month from last dose

S
Steroids preparation, topical Anytime, as long as not at the venipuncture
site

T
Tegison Defer permanently
Tetracycline for acne If for infected acne, wait for 1 month &
inquire about other medications

V
Vitamins Anytime

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