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Table Of Contents

Preface
List of Tables
Executive Summary
Recommendations
1. Background
Review process
The New Zealand Blood Service
Regulation of blood services in New Zealand
International behavioural donor deferral criteria
Table 1 Current deferral periods for men who have sex with men
2. Current situation in New Zealand
Current behavioural donor criteria
Epidemiology of HIV/AIDS
Mode of transmission
Epidemiology of HIV/AIDS in New Zealand
Current epidemiology of hepatitis B and C
Hepatitis B
Hepatitis C
Table 7 International deferral periods for intravenous drug users
Blood donation testing
The window period
Figure 4 Diagnostic markers during early phase of infection
Table 8 Estimated average window periods for selected viruses
Incident and prevalent infections
Residual risk
Table 9 Residual risk of transmission for HIV and HCV
Reasons for behavioural donor criteria
Issues to consider in interpreting study data on donor deferral for MSM
Timing of infection
Deferral
Studies relevant to behavioural donor criteria
(1) Studies of HIV positive blood donors
(2) Studies of the risk profile of blood donors
(3) Modelling studies estimating the effects of changes in deferral criteria
Conclusions from the published reports
Additional information from unpublished reports
4. Legal and ethical considerations
Legal considerations
New Zealand Bill of Rights Act 1990
Ethical issues
5. Review of the current exclusion of donors in New Zealand
Safety and supply issues
Social, legal, and ethical issues
Conclusion
Future review
Appendix Three
Review Group Members
Review Group Advisors
Appendix Five
Organisations Consulted
Appendix Six
Respondents to discussion document
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Behavioural Donor Deferral Criteria Review Final Report

Behavioural Donor Deferral Criteria Review Final Report

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Published by Ezzah Chan

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Published by: Ezzah Chan on May 27, 2011
Copyright:Attribution Non-commercial

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06/27/2012

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