词条 | Men who have sex with men blood donor controversy | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
释义 |
The men who have sex with men blood donor controversy is the dispute over prohibitions on donations of blood or tissue for organ transplants from men who have sex with men (MSM), a classification of men who engage (or have engaged in the past) in sex with other men, regardless of whether they identify themselves as bisexual, gay, pansexual, or otherwise. Restrictions on donors are sometimes called "deferrals", since blood donors who are found ineligible may be found eligible at a later date. However, many deferrals are indefinite meaning that donation may not be accepted at any point in the future, thus constituting a de facto ban. Restrictions vary from country to country and in some countries practice of protected sex or periods of abstinence are not considered. The restrictions affect these men and, in some cases, any female sex partners. They do not otherwise affect other women, including women who have sex with women. The United States Food & Drug Administration (FDA) asserts that the one year deferral window is "supported by the best available scientific evidence".[1] Many LGBT organizations view the restrictions on donation as based on homophobia and not based on valid medical concern since donations are rigorously tested to rule out donors that are infected with known viruses such as HIV, HPV, Hepatitis B, and Hepatitis C. They state the deferrals are based on stereotypes.[2] Proponents of the lifetime restriction defend it because of the asserted risk of false negative test results[3] and because the MSM population in developed countries tends to have a higher prevalence of HIV/AIDS infection.[4] The UK government advisory committee, SABTO, stated in 2013 that "the risk of transfusion of HIV infected blood would increase if MSM were allowed to donate blood".[5] In July 2017 however, the UK government reduced the one year deferral window to three months, to take effect in the following months, resulting from SABTO's updated conclusions that "new testing systems were accurate and donors were good at complying with the rules". Furthermore, NHS Blood and Transplant are now investigating how possible it is for MSM, depending on degree of risk, to donate without even the three month deferral.[6] Advocates for change to MSM prohibitions point out that screening of donors should focus on sexual behavior as well as safe sex practices since many MSM may always have protected sex, be monogamous, or be in other low risk categories.[2][5] Some groups in favor of lifting the restrictions support a waiting period after the blood is donated when the donor is considered to have had behavior considered higher risk, and before it is used, to match the blood bank's window of testing methods.[2] While HIV is reliably detected in 10 to 14 days with RNA testing, older testing methods provide accuracy for only up to 98% of positive cases after three months.[7] There are massive amounts of residual fear about blood product contamination stemming from the contaminated blood scandals, which have caused thousands of deaths due to HIV and Hepatitis C in patients requiring a blood transfusion.{{citation needed|date=February 2019}} Contaminated blood put haemophiliacs at massive risk and severe mortality, increasing the risk of common surgical procedures. People who contracted HIV from a contaminated blood transfusion include Isaac Asimov, who received a blood transfusion following a cardiac surgery. HIV/AIDS{{Main article|Men who have sex with men#HIV/AIDS}}In many developed countries HIV is more prevalent among men who have sex with men (MSM) than among the general population.[4] In the United States in 2005, MSM, African Americans, and persons engaging in high-risk heterosexual behavior accounted for respectively 49%, 49%, and 32% of new HIV diagnoses.[8] In 2009 in the United States, African Americans accounted for 47.9% of new HIV diagnoses reported that year, but represented approximately only 12% of the population.[9] Current situation{{Update|policies and events|date=March 2012}}List of countries with their stand on MSM blood donorsThis list shows countries that had restrictions on blood donors.[10][11] Most national standards require direct questioning regarding a man's sexual history, but the length of deferral varies.
A comparison of confirmed HIV positive blood donations before and after the change did not see a statistically significant difference.[10] The Australian Red Cross Blood Service pushed to have the deferral period lowered from twelve to six months however it was rejected by the Therapeutic Goods Administration (TGA). The Red Cross will re-submit their application to reduce the deferral period to six months in 2018.[100] European UnionItaly, Latvia, Poland, Russia and Spain are the only European countries that don't have deferral policies for men who have sex with men. The donation is allowed if the donor hasn't had a risky sexual encounter, but not depending on the sexual orientation of the donor.[101][102] The UK since November 2017 has implemented a 3 month deferral policy on all gay/bi men who want to donate their blood. However this does not apply to Northern Ireland, which still has a 12 month deferral period in place.[103][104][105] The Advisory Committee on the Safety of Blood, Tissues and Organs recommended the policy change after a study concluded that a total ban may breach equality legislation and that the risk of HIV reaching the blood supply would only increase by approximately 2%.[106] In Ireland, men who have sex with men (MSM) may donate blood if they have not engaged in oral or anal sex with another man at least 12 months prior to a donation. This policy came into effect from 16 January 2017. On 27 July 2015, Tomás Heneghan, a 23-year-old University of Limerick student and journalist from Galway began a legal challenge in the High Court against the permanent deferral imposed on MSM donors.[107][108] He argued that the questionnaire and interview process used by the IBTS does not adequately assess the risk of disease transmission posed by his donation. He claims this is in breach of EU law. He said that both failed to consider the length of time between a donor's last sexual experience and the end of a "window period" in which infections are sometimes not detected. Heneghan's previous sexual activity posed no risk of infection, according to HSE-approved advice and he said the service had no evidence upon which it could legitimately impose a life-long ban on him donating blood. Following several adjournments of the case to allow the blood service and Department of Health to examine and develop the donation policies, in late June 2016 the Irish Blood Transfusion Service recommended that the lifetime ban on MSM be reduced to a 12 month ban. Later that week the Minister for Health Simon Harris agreed to the recommendations and announced the reduction would take place. However no timeline was reported for the implementation of the new policies.[109] On 26 July 2016, Tomás Heneghan dropped his High Court challenge against the service as an end to the lifetime deferral on MSM blood donors had been announced in the interim.[110] Heneghan then wrote about his experiences of challenging the ban in a number of national media outlets.[111][112] On 2 October 2016, it was reported that Minister Harris would implement the new policy from 16 January 2017, almost seven months after he announced the policy change.[45] On 16 January 2017, Heneghan (now 25) attended a blood donation clinic in D'Olier Street, Dublin and became the first man who has had sex with another man to donate blood openly in the Republic of Ireland since the lifetime deferral policy was first introduced in the 1980s. However he also criticised the new 12 month deferral policy on MSM and called on Ireland's Health Minister to initiate a review of the IBTS and replace the 12 month deferral period for MSM with no deferral or a 3 month deferral on all donors following sexual intercourse.[113][114][115][116] A similar policy exists in the rest of the European Union and is the prevailing interpretation of the European Union Directive 2004/33/EC article 2.1 on donor deferrals.[117] The policy, however, is not very specific and refers to "high risk sexual contact." The UK interprets the directive to include all forms of homosexual sex as falling within 2.2.2 of Annex III to the directive "Persons whose behaviour or activity places them at risk of acquiring infectious diseases that may be transmitted by blood", requiring a deferral based on the window period for the diseases involved, and sets this at 12 months, despite the Annex suggesting 6 months for risk of exposure to Hepatitis B. Hélder Trindade, President of the Portuguese Institute of Blood and Transplantation (IPST), stated in 2015 that sexually abstinent homosexuals may give blood, but that MSM is definitely seen as a risk factor.[118] In Finland, the parliamentary ombudsman launched an investigation on the possible unconstitutionality of the lifetime ban in January 2006. In June 2008, it was concluded that the ban was not unlawful in Finland as it is based on "appropriately reasoned epidemiological information" and because it is related to sexual behaviour rather than sexual orientation. The ombudsman added that people over the age of 65 and people who lived in Britain during the bovine spongiform encephalopathy (mad cow disease) outbreak are also screened out during blood donor interviews. In December 2013, the Finnish Red Cross blood service announced it was lifting the ban and introducing a one-year deferral instead. Since 10 July 2016, France implemented a 1-year deferral period policy on all gay and bisexual men donating blood.[119] New ZealandSince 2009, the New Zealand Blood Service (NZBS) had deferred males who have had oral or anal intercourse, with or without protection, with another male for five years. From the formation of the NZBS in 1998 to 2009, the deferral period had been ten years, but reduced to five years following an independent review of blood donation criteria in 2007-8 which found no significant difference in risk to the blood supply for deferral periods of five years compared to ten years.[120] In 2014, the NZBS dropped the ban period from 5 years to one year following the recommendation of Medsafe.[121] Their decision was mainly caused by recently gained facts about HIV transmission in Australia[122] which already had a one-year deferral. The new 1 year deferral has been in effect since 15 December 2014. The one year deferral period for MSM is on par with the one year deferral period for persons engaging in prostitution outside of New Zealand and people who have resided in a country which has a high (1% or more) HIV prevalence. Females who engage in sexual intercourse with a male who has had sex with another male are also deferred for twelve months.[123] United StatesIn the US, the current guidance from the U.S. Food and Drug Administration (FDA) is to defer any male donor who has had sex with another man (MSM) in the past year. This has been so since December 2015.[124] Female sexual partners of MSM are deferred for one year since the last exposure. This is the same policy used for any sexual partner of someone in a high risk group.[125] The argument used to follow these policies is that blood should be collected from a population that is at low risk for disease, since the tests are not perfect and human error may lead to infected units not being properly discarded, and these population groups would be considered a high risk. The policy was first put in place in 1983 by the FDA, which regulates blood donations to profit and non-profit organizations.[126] Donors of what the FDA calls "HCT/P's", a category that includes transplants (other than organs) and some reproductive tissue, notably anonymous semen donations, are ineligible for five years after the most recent contact.[127] UNOS policies for Organ donation require the hospital receiving the organ to be notified if the donor was an MSM within the past 5 years.[128] The organs are generally used unless there is a clear positive test for a disease. The one year deferral was approved by the FDA on 21 December 2015, replacing a lifetime ban on donations from MSM.[129] History of calls to change the policy
Reasoning for the restrictionsBlood services first and foremost must ensure that all blood received for donation is safe for transfusion purposes. This is achieved by screening potential donors for high risk behaviors through questionnaires and interviews before blood is taken, and subsequent laboratory testing on samples of donated blood. Blood services commonly justify their bans against MSM using the statistically higher prevalence of HIV and hepatitis of MSM in population studies. In the earliest years of the AIDS epidemic, there were no reliable tests for the virus, which justified blanket bans on blood donations from groups at high risk of acquiring or having HIV, including MSM. These restrictions are similar to present-day restrictions in most countries on people residing in the United Kingdom during the BSE ("mad cow disease") epidemic of the 1980s and early-to-mid 1990s, due to the absence of a test for its human form, variant Creutzfeldt–Jakob disease (vCJD). In 1985, early tests using the ELISA method looked for antibodies, which are the immune system's response to the virus. However, there is a window period when using this method in which a person who has been infected with HIV is able to spread the disease but may test negative for the virus. This window period can be as long as three to six months,[144] with an average of 22 days.[145] Tests using the ELISA methods are often still used in developed countries because they are highly sensitive. In developing countries, these tests are often the only method used to screen donated blood for HIV. To cover the window period resultant from the use of these tests, donors are also screened for high risk behaviors, one of which is a history of same-sex sexual activity among male potential donors. Other groups with similar restrictions include commercial sex workers, injecting drug users, and people resident in countries with a high HIV prevalence (such as sub-Saharan Africa). Newer tests look for the virus itself, such as the p24 antigen test, which looks for a part on the surface of the virus, and Nucleic acid tests (NAT), which look for the genetic material of the virus. With these tests, the window period is shorter, with an average duration of 12 days.[145] Fourth generation combination HIV tests are conclusive at 3 months, and Hepatitis B tests are conclusive at 6 months. Risks are also associated with a non-MSM donors testing positive for HIV, which can have major implications as the donor's last donation could have been given within the window period for testing and could have entered the blood supply, potentially infecting blood product recipients. An incident in 2003 in New Zealand saw a non-MSM donor testing positive for HIV and subsequently all blood products made with the donor's last blood donation had to be recalled. This included NZ$4 million worth of Factor VIII, a blood clotting factor used to treat hemophiliacs which is manufactured from large pools of donated plasma, and subsequently led to a nationwide shortage of Factor VIII and the deferral of non-emergency surgery on hemophiliac patients, costing the health sector millions of dollars more.[120] Screening out those at high risk of bloodborne diseases, including MSM, reduces the potential frequency and impact of such incidents. Criticism of the restrictionsObjections to the restrictions, including those from the American Medical Association[146] and the American Red Cross, are generally based on the idea that improvements in testing and other safeguards have reduced the risk from transfusion transmitted HIV to an acceptable level. Blood shortages are common, and advocates for change to the policies point out that excluding healthy donors only makes the problem worse. "Ideal" inventories are at least a three-day supply, but many blood centers struggle to meet this demand.{{citation needed|date=December 2015}} Further advocating for change stems from the fact that the ban is a blanket ban encompassing all men who have had sex with another man, even with protection and even if the HIV status of these men's partners is shown beyond doubt to be negative. Advocates for change point out that a promiscuous straight male is a higher-risk donor than a gay or bisexual man in a monogamous relationship, but the former will usually be allowed to donate blood. Furthermore, other high-risk activities such as having sexual contact with anyone who has used needles to take drugs not prescribed by their doctor have a set deferral period before the donor is allowed to donate blood, whereas in some countries MSM donors are deferred indefinitely. Female donors who have sexual contact with MSM are sometimes deferred temporarily.{{fact|date=September 2017}} Following a mass shooting targeting a gay nightclub in June 2016, there were reported expressions of frustration and disapproval by a number of gay and bisexual men who were forbidden to donate blood to victims, with LGBT activists across the country and a group of Democratic lawmakers[147] urging the ban to be lifted. The FDA later said it had no plans of changing the regulation and will reevaluate its policies "as new scientific information becomes available".[148][149][150] Activism in favor of reform of MSM donor policiesStudent and faculty activism on campusesIn Canada
ElsewhereIn 2015, Welsh writer and poet RJ Arkhipov exhibited a poetry series written with his own blood as ink in protest of the MSM blood donor restrictions. His poem Inkwell discusses the shame and stigma surrounding "gay blood". An abecedarian poem, each line of Inkwell’s five quatrains begins with letters from each of the blood groups, alternating between A, B, AB and O.[166][167][168] Court casesIn 2018 the European Court of Human Rights took up a case of a French citizen who was prevented from donating blood.[169] See also{{Portal|LGBT}}
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Questions and Answers|url=http://www.fda.gov/BiologicsBloodVaccines/BloodBloodProducts/QuestionsaboutBlood/ucm108186.htm|website=U.S. Food and Drug Administration|publisher=U.S. Food and Drug Administration|accessdate=16 June 2016}} 99. ^{{cite web|language=es|title=Analizan cambiar norma que impide donar sangre a gays|url=http://www.elobservador.com.uy/analizan-cambiar-norma-que-impide-donar-sangre-gays-n939170|date=10 July 2016|website=El Observador}} 100. ^{{Cite web|url=https://www.vice.com/en_au/article/vd8zd3/why-cant-gay-men-donate-blood-in-australia|title=Why Can't Gay Men Donate Blood in Australia?|website=VICE|access-date=28 August 2017|date=17 June 2016}} 101. ^{{cite web|url=http://www.donarsangre.org/donantes-de-sangre/|title=Donantes de sangre - Centro de Donación de Sangre de Cruz Roja|publisher=Cruz Roja Española|language=Spanish|accessdate=5 August 2017}} 102. ^{{cite web|url=http://www.elmundo.es/salud/2015/04/29/5540e08bca47415e108b4579.html|title=España no discrimina a los donantes por su orientación sexual|date=29 April 2015|work=El Mundo|language=Spanish|accessdate=6 August 2017}} 103. ^{{cite web|url=https://www.blood.co.uk/news-and-campaigns/news-and-statements/blood-donation-rules-have-changed/|title=Blood donation rules have changed}} 104. ^{{cite web |url=http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_129796 |title=Donor selection criteria review |accessdate=8 September 2011 |publisher=Department of Health and SaBTO, Blood Donor Selection Steering Group}} 105. ^{{cite web |last=Waygood |first=James |url=http://sosogay.org/2011/government-announces-end-of-lifetime-ban-on-gay-blood-donation/ |title=UK Government lifts lifetime ban on gay blood donation |work=So So Gay |date=8 September 2011 |accessdate=20 July 2012 |archive-url=https://web.archive.org/web/20120512193654/http://sosogay.org/2011/government-announces-end-of-lifetime-ban-on-gay-blood-donation/ |archive-date=12 May 2012 |dead-url=yes |df=dmy-all }} 106. ^{{cite news |url=https://www.telegraph.co.uk/health/healthnews/8441054/Homosexual-men-allowed-to-give-blood-but-sex-banned-for-decade.html |title=Homosexual men allowed to give blood but sex banned for decade |work=The Daily Telegraph|date= |accessdate=20 July 2012}} 107. ^{{cite web|url=http://www.thejournal.ie/gay-blood-ban-tomas-heneghan-2240158-Jul2015/|title=This 23-year-old student is challenging Ireland's gay blood donation ban|first=Catherine|last=Healy}} 108. ^{{cite news|url=http://www.irishtimes.com/news/crime-and-law/courts/high-court/gay-man-brings-legal-challenge-over-blood-donation-ban-1.2298825|title=Gay man brings legal challenge over blood donation ban|work=The Irish Times}} 109. ^{{Cite web|url=http://www.rte.ie/news/2016/0623/797739-blood-donation/|title=IBTS votes to end ban on gay men donating blood|website=RTE.ie|access-date=21 August 2016}} 110. ^{{Cite news|url=http://www.independent.ie/irish-news/courts/gay-man-drops-challenge-to-blood-donation-ban-after-change-in-policy-announced-by-health-minister-34913345.html|title=Gay man drops challenge to blood donation ban after change in policy announced by Health Minister - 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Why was my sex life being opened up to public scrutiny? - Independent.ie|access-date=21 August 2016}} 112. ^{{Cite web|url=http://www.thejournal.ie/readme/blood-ban-case-gay-men-2920649-Aug2016/|title='They openly debated what sort of sex I had': What it was like being at the centre of the blood-ban case|last=Heneghan|first=Tomás|access-date=21 August 2016}} 113. ^http://theoutmost.com/news/irish-lifetime-ban-blood-donation-lifted-gay-men/?platform=hootsuite 114. ^{{cite news|url=https://www.irishexaminer.com/ireland/blood-transfusion-service-finally-lifts-ban-on-gay-men-donating-blood-439426.html|title=Blood Transfusion Service finally lifts ban on gay men donating blood|date=17 January 2017|work=Irish Examiner}} 115. ^{{cite news|url=http://www.irishtimes.com/news/ireland/irish-news/gay-donor-tooth-and-nail-battle-to-give-blood-at-an-end-1.2939185|title=Gay donor: 'Tooth and nail' battle to give blood at an end|work=The Irish Times}} 116. ^{{cite web|url=http://www.limerickleader.ie/news/home/231273/i-abstained-from-sex-for-23-months-gay-ul-student-wins-fight-over-blood-donations.html|title='I abstained from sex for 23 months': Gay UL student wins fight over blood donations}} 117. ^{{cite web|url=http://iospress.metapress.com/content/c1r9rx5fc499m1rm/fulltext.pdf |title=Commission Directive 2004/33/EC of 22 March 2004 |publisher=Iospress.metapress.com |accessdate=28 October 2013}} 118. ^{{cite web |url=http://www.tvi24.iol.pt/sociedade/doar/homossexuais-so-podem-dar-sangue-em-abstinencia-sexual |title=Homosexuals may give blood if they abstain from sex (Homossexuais só podem dar sangue em abstinência sexual)|publisher=tvi24|language=Portuguese|date=29 April 2015|accessdate=5 November 2015|quote=The President of the Institute of Blood explains that "sexual contact by men with other men is definitely (seen) as a risk factor" (Presidente do Instituto do Sangue explica que "contacto sexual de homens com outros homens é definido como fator de risco")}} 119. ^{{cite news|url=https://www.nytimes.com/2015/11/05/world/europe/france-gay-blood-donation.html|title=France to Lift Ban on Gay Men Donating Blood |work=The New York Times |date=4 November 2015 |accessdate=4 November 2015}} 120. ^1 {{cite web |url= http://www.nzblood.co.nz/content/download/218/1386/file/NZBS%20Behavioural%20Donor%20Deferral%20Criteria%20Review%20%20Final%20Report%20April%202008.pdf |title= Behavioural Donor Deferral Criteria Review - Final Report to the New Zealand Blood Service |date= April 2008 |accessdate= 20 July 2012 |archive-url= https://web.archive.org/web/20121029210122/http://www.nzblood.co.nz/content/download/218/1386/file/NZBS%20Behavioural%20Donor%20Deferral%20Criteria%20Review%20%20Final%20Report%20April%202008.pdf |archive-date= 29 October 2012 |dead-url= yes |df= dmy-all }} 121. ^{{cite web |url= http://www.gaynz.com/articles/publish/2/article_16184.php |title= New one year blood ban now in place |date= 15 December 2014 |accessdate= 1 February 2015}} 122. ^{{cite web |url= http://www.sdgln.com/health/2014/12/15/new-zealand-new-1-year-blood-ban-now-place#sthash.7HLfyPIC.dpbs |date= 15 December 2014 |accessdate= 1 February 2015|title=New Zealand: New one-year blood ban now in place|publisher=San Diego Gay and Lesbian News}} 123. ^{{cite web |url= http://www.nzblood.co.nz/Give-blood/Donating/Detailed-eligibility-criteria |title= Detailed Eligibility Criteria |publisher= New Zealand Blood Service |accessdate= 21 April 2015}} 124. ^{{cite web|url=http://abcnews.go.com/Health/wireStory/fda-eases-restrictions-blood-donations-gay-men-35888660|title=Health Index|publisher=ABC News}} 125. ^1992 Recommendations for the prevention of Human Immunodeficiency Virus Transmission by Blood and Blood Products {{webarchive |url=https://web.archive.org/web/20070629190236/http://www.fda.gov/oashi/aids/1992policy.html |date=29 June 2007 }} 126. ^1 {{cite web | title=Blood Donations from Men Who Have Sex with Other Men Questions and Answers (published: August 19th, 2013) |publisher=FDA.gov |url=http://www.fda.gov/biologicsbloodvaccines/bloodbloodproducts/questionsaboutblood/ucm108186.htm | accessdate=26 August 2014}} 127. ^FDA/CBER - Guidance for Industry: Eligibility Determination for Donors of Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps) {{webarchive |url=https://web.archive.org/web/20080319073505/http://www.fda.gov/Cber/gdlns/tissdonor.htm#iv |date=19 March 2008 }} 128. ^{{cite web |url=http://www.unos.org/PoliciesandBylaws2/policies/pdfs/policy_16.pdf |title=OPTN/UNOS POLICY 4 |date= |accessdate=20 July 2012 |archive-url=https://web.archive.org/web/20100619200410/http://unos.org/PoliciesandBylaws2/policies/pdfs/policy_16.pdf |archive-date=19 June 2010 |dead-url=yes |df=dmy-all }} 129. ^{{cite web|url=https://www.washingtonpost.com/news/to-your-health/wp/2015/12/21/fda-officially-alters-decades-old-ban-on-blood-donations-from-gay-and-bisexual-men/|title=FDA: Gay men can once again donate blood in U.S., if they haven't had sex for a year}} 130. ^{{cite web |url=http://www.fda.gov/ohrms/dockets/ac/06/transcripts/2006-4206t1.pdf |format=133MB |title=Meeting of Blood Products Advisory Committee |date=9 March 2006 |publisher=Food and Drug Administration |page=66 |accessdate=25 May 2008}} 131. ^{{cite web|url=http://www.californiaprogressreport.com/site/?q=node/252 |title=Ending the Federal Ban on Gay Blood Donations |publisher=California Progress Report |date=19 August 2009 |accessdate=20 July 2012}} 132. ^{{cite web |url=http://www.council.nyc.gov/d7/html/members/pdf/community_report_04.30.2010.pdf |title=Legislative and Community Report |date=30 April 2010 |publisher=New York City Council |location=New York |page=2 |archiveurl=https://www.webcitation.org/5y5nQs7v6?url=http://www.council.nyc.gov/d7/html/members/pdf/community_report_04.30.2010.pdf |archivedate=20 April 2011 |accessdate=18 September 2010}} 133. ^{{cite web |url=http://www.dcregs.dc.gov/Notice/DownLoad.aspx?NoticeID=400045 |title=A Resolution 18-486 : In the Council of the District of Columbia |date=1 June 2010 |publisher=Dcregs.dc.gov |accessdate=28 October 2013 |archive-url=https://web.archive.org/web/20131029202852/http://www.dcregs.dc.gov/Notice/DownLoad.aspx?NoticeID=400045 |archive-date=29 October 2013 |dead-url=yes |df=dmy-all }} 134. ^{{cite web |url=http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-18-new-ama-policies-annual-meeting.page |title=AMA Adopts New Policies on Second Day of Voting at Annual Meeting |author=no author listed |work=ama-assn.org |publisher=American Medical Association |date=18 June 2013|accessdate=16 January 2014}} 135. ^1 {{cite web|url=http://abcnews.go.com/Health/american-medical-association-opposes-fda-ban-gay-men/story?id=19436366 |title=FDA Ban on Gay Men as Blood Donors Opposed by American Medical Association |publisher=ABC News |last=Mohney|first=Gillian|date=20 June 2013 |accessdate=1 August 2013}} 136. ^{{cite web |url=http://www.osteopathic.org/inside-aoa/news-and-publications/media-center/2013-news-releases/Pages/HOD-2013-increase-number-of-eligible-blood-donors.aspx |title=American Osteopathic Association Calls for Removing FDA's Blood Donor Ban |publisher=Osteopathic.org |date=20 July 2013 |accessdate=1 August 2013 |archive-url=https://web.archive.org/web/20130821193753/http://www.osteopathic.org/inside-aoa/news-and-publications/media-center/2013-news-releases/Pages/HOD-2013-increase-number-of-eligible-blood-donors.aspx |archive-date=21 August 2013 |dead-url=yes |df=dmy-all }} 137. ^{{Cite news|url=http://www.wkbw.com/news/gay-man-fighting-for-right-to-give-blood|title=Gay man fighting for right to give blood|last=Pasceri|first=Joanna|date=December 2015|publisher=WKBW|access-date=}} 138. ^{{cite web|title=Community Rally Against FDA|url=https://higgins.house.gov/media-center/press-releases/blood-is-blood-community-rally-against-the-fda-policy-banning-gay-blood|website=Congressmen Brian Higgins}} {{PD-notice}} 139. ^{{cite web|author=U.S. Food and Drug Administration |url=http://www.fda.gov/downloads/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/Blood/UCM446580.pdf |title=Revised Recommendations for Reducing the Risk of Human Immunodeficiency Virus Transmission by Blood and Blood Products |date=May 2015 |accessdate=2 July 2015}} 140. ^{{cite news|url=https://www.nytimes.com/2014/12/24/health/fda-lifting-ban-on-gay-blood-donors.html|title=F.D.A. Easing Ban on Gays, to Let Some Give Blood|author=Sabrina Tavernise|publisher=New York Times|date=23 December 2014|accessdate=26 December 2014}} 141. ^{{cite web|url=http://www.aabb.org/tm/questionnaires/Pages/dhqaabb.aspx|title=Blood Donor History Questionnaires}} 142. ^{{cite web|url=http://www.redcrossblood.org/donating-blood/eligibility-requirements/eligibility-criteria-topic|title=Eligibility Criteria by Topic}} 143. ^{{cite web|url=http://www.redcrossblood.org/donating-blood/lgbtq-donors|title=LGBTQ+ Donors|publisher=American Red Cross|accessdate=5 July 2017}} 144. ^{{cite web|url=http://www.sfaf.org/aids101/hiv_testing.html#window |title=San Francisco AIDS Foundation: HIV Testing |publisher=Sfaf.org |date= |accessdate=20 July 2012}} 145. ^1 FDA Approves First Nucleic Acid Test (Nat) System To Screen Whole Blood Donors For Infections With Human Immunodeficiency Virus (Hiv) And Hepatitis C Virus (Hcv) {{webarchive |url=https://web.archive.org/web/20080221174758/http://www.fda.gov/bbs/topics/ANSWERS/2002/ANS01140.html |date=21 February 2008 }} 146. ^{{cite web|url=http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/glbt-advisory-committee/ama-policy-regarding-sexual-orientation.page|title=Policies on Lesbian, Gay, Bisexual, Transgender & Queer (LGBTQ) Issues - AMA|website=www.ama-assn.org}} 147. ^{{cite news |last=Barron-Lopez |first=Laura |date=13 June 2016 |title=Democrats Call On FDA To End Ban On Blood Donations From Gay Men |url=http://www.huffingtonpost.com/entry/democrats-blood-donations-gay_us_575ed49ce4b0ced23ca8b4b3 |work=The Huffington Post |access-date=31 July 2016}} 148. ^{{cite news |last=Levin |first=Sam |date=14 June 2016 |title=Activists urge US to end ban on gay men donating blood after Orlando massacre |url=https://www.theguardian.com/us-news/2016/jun/14/orlando-pulse-shooting-gay-blood-ban-lgbt-rights |newspaper=The Guardian |access-date=15 June 2016 |quote='The FDA has examined the possibility of eliminating all deferrals for HIV and simply relying on testing of donated blood or reducing the deferral window; however, scientifically robust data are not available to show that this would not lead to decreased safety of the blood supply,' the agency said in a statement to the Guardian.}} 149. ^{{cite news |last=Margolin |first=Emma |date=15 June 2016 |title=Blood Donations Skyrocket, but Gay Men Left Out |url=http://www.nbcnews.com/news/us-news/blood-donations-skyrocket-gay-men-left-out-n592656 |publisher=NBC News |access-date=15 June 2016}} 150. ^{{cite news |last=McKenzie |first=Sheena |date=14 June 2016 |title=Gay men outraged over continued ban on blood donation |url=http://www.cnn.com/2016/06/13/health/orlando-shooting-gay-men-donate-blood/ |work=CNN |access-date=11 July 2016}} 151. ^{{cite news|url=http://www.cbc.ca/news/canada/ottawa/story/2012/07/10/ottawa-carleton-university-students-ban-blood-clinics-gay-man-policy.html |title=Blood clinic ban on campus upheld due to policy on gay men|publisher=CBC News|date=10 July 2012}} 152. ^{{cite web|author=Ken Picard|url=http://www.sevendaysvt.com/vermont/queer-community-seeing-red-over-blood-donation-policy/Content?oid=2128682|title=Queer Community Seeing Red Over Blood-Donation Policy|newspaper=Seven Days|date=18 April 2008}} 153. ^UVM student government rejects ban on Red Cross blood drives, Associated Press (18 October 2007). 154. ^{{cite web|author=Kevin Newman|url=http://iowastatedaily.com/opinion/article_ea75d8f6-dc39-53fb-9c16-aadf27c5c2d9.html |title=LETTER: Political correctness may cripple blood drive turnout|newspaper=Iowa State Daily|date=26 February 2007}} 155. ^{{cite web|first=Carolyn | last=Potts|url=http://badgerherald.com/news/2008/02/06/college_protests_blo.php|title=College protests blood drives|newspaper=Badger Herald|date=6 February 2008}} 156. ^{{cite web | url=http://www.sjsu.edu/president/communications/archives/kassing/blooddrives/letter.html | title=President's Message: Campus Blood Drives | publisher=Office of the President, San Jose State University | date=29 January 2008}} 157. ^{{cite web|last=Norton |first=Laura |url=http://www.pressdemocrat.com/csp/mediapool/sites/PressDemocrat/News/story.csp?cid=2178437&sid=555&fid=181|title=Battle over blood |newspaper=Press Democrat|date=8 March 2008}} 158. ^Sonoma State faculty senate OKs resolution opposing blood drives, Bay City News Service (25 April 2008). 159. ^SSU faculty backs blood drive ban, says federal policy biased, Press Democrat (25 April 2008). 160. ^{{cite web|url=http://www.nashuatelegraph.com/news/634980-196/students-protest-discriminatory-blood-donor-rule.html|title=Students protest discriminatory blood donor rule|newspaper=Keene Sentinel|date=17 February 2016|access-date=15 June 2016|archive-url=https://web.archive.org/web/20160808153035/http://www.nashuatelegraph.com/news/634980-196/students-protest-discriminatory-blood-donor-rule.html|archive-date=8 August 2016|dead-url=yes|df=dmy-all}} 161. ^{{cite press release|url=http://www.free-press-release.com/news-queens-college-city-university-of-new-york-bans-blood-drives-1302975220.html|title=Queens College Academic Senate Bans Discriminatory Blood Drives|date=14 April 2011}} 162. ^{{cite web|url=http://www.qc.cuny.edu/Academics/AcademicSenate/Documents/Minutes/110414.pdf |title=Minutes of the Academic Senate Of Queens College|date=14 April 2011}} 163. ^{{cite web|url=http://bloodbattle.org/|title=Blood Battle at the University of Michigan}} 164. ^{{cite web|first1=Betsy | last1=Gast | first2=Chelsea | last2=Fournier|url=http://michigandaily.com/opinion/10viewpoint-blood-battle21|title=Viewpoint: Ending a discriminatory blood policy|work=The Michigan Daily|date=21 October 2013}} 165. ^{{cite web|url=http://michigandaily.com/opinion/10daily-blood-battle-equality23|title=Editorial: The battle for donor equality|newspaper=The Michigan Daily|date=22 October 2013}} 166. ^{{cite news|url=http://www.out.com/art-books/2015/9/25/welsh-poet-rj-arkhipov-works-his-own-blood-protest-ban-gay-donors|title=RJ Arkhipov Works With His Own Blood to Protest Ban on Gay Donors|magazine=Out|date=25 September 2015}} 167. ^{{cite news|url=http://attitude.co.uk/gay-welsh-poet-tackles-the-stigma-of-gay-blood-on-world-blood-donor-day/|title=GAY WELSH POET TACKLES THE STIGMA OF ‘GAY BLOOD’ ON WORLD BLOOD DONOR DAY|magazine=Attitude|date=14 June 2017}} 168. ^{{cite news|url=http://www.pinknews.co.uk/2017/06/23/this-gay-poet-is-writing-in-his-own-blood-to-protest-the-gay-blood-ban/|title=This gay poet is writing in his own blood to protest gay blood donations rules|magazine=PinkNews|date=23 June 2017}} 169. ^{{cite web|url=https://www.pinknews.co.uk/2018/06/22/blood-ban-france-court-case-gay-bisexual-men/|title=Gay man banned from giving blood takes case to European court}} External links
13 : Blood donation|Discrimination|Food and Drug Administration|Gay history|Homophobia|History of HIV/AIDS|Male homosexuality|Medical controversies|LGBT rights|Patient safety|Sexual orientation and science|Sexual orientation and society|Transfusion medicine |
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