TEMPORARY DEFERRALS

DEFERRAL TIME REASON FOR DEFERRAL

2 weeks Measles (rubeola) vaccine
Mumps vaccine
Polio (oral) vaccine
Typhoid (oral) vaccine
Yellow fever vaccine
4 weeks German measles (rubella) vaccine MMR - 4 weeks BOARDS
Varicella-zoster (chickenpox) vaccine
28 days Hepatitis B vaccine
6 weeks 1 month & ½ Conclusion of pregnancy
12 months Tattoos or permanent makeup (unless applied by a state-regulated facility with sterile
needles and ink that is not reused)
Mucous membrane or skin penetration exposure to blood
Sexual contact with an individual at high risk for HIV
Incarceration in a correctional institution for >72 hours
Completion of therapy for syphilis
Transfusion of blood, components, human tissue, plasma-derived clotting factor
concentrates
Human diploid cell-rabies vaccine after animal bite

PERMANENT / INDEFINITE DEFERRALS

• History of viral hepatitis after eleventh birthday

• Confirmed positive test for hepatitis B surface antigen (HBsAg)
• Reactive test to antibodies to hepatitis B core on more than one occasion
• Present or past clinical or laboratory evidence of infection with hepatitis C virus, human
T-cell lymphotropic virus, or HIV
• History of babesiosis or Chagas disease - indefinite
• Family history of CJD - indefinite
• Recipient of dura mater or human pituitary growth hormone - indefinite
• Risk of vCJD - indefinite
• Use of a needle to administer nonprescription drugs

DEFERRALS DUE TO INFECTIOUS DISEASE

INFECTIOUS DISEASE HEALTH HISTORY DEFERRAL

Malaria (Plasmodium spp.) History of malaria: 3 years
Lived in endemic country for 5 consecutive years:
• 3 years from departure
Travel to endemic area: defer for 1 year from departure
Babesiosis (Babesia microti) History of babesiosis: indefinite deferral
Chagas disease (Trypanosoma cruzi) History of Chagas disease: indefinite deferral
Leishmaniasis Travel to Iraq: defer for 1 year from departure
vCJD Indefinite deferral by geographic regions:
Lived ≥ 3 months in United Kingdom from 1980-1996
Lived ≥ 5 years in Europe from 1980 to present
CJD Family history of CJD, dura mater transplant, human pituitary derived
growth hormone: indefinite deferral
DEFERRALS DUE TO MEDICATION

MEDICATION PRIMARY USE DEFERRAL

Finasteride (Proscar) Benign prostatic hyperplasia 1 month
Finasteride (Propecia) Male baldness 1 month
Dutasteride (Avodart, Jalyn) Benign prostatic hyperplasia 6 months
Isotretinoin (Accutane, Severe acne 1 month
Amnesteem, Claravis, Sotret)
Acitretin (Soriatane) Severe psoriasis 3 years
Etretinate (Tegison) Severe psoriasis Permanent
Warfarin (Coumadin) Prevention of blood clots ↓ plts 1 week
Bovine insulin Diabetes Indefinite deferral
Aspirin and piroxicam (Feldene) Nonsteroidal anti-inflammatory 2 days for platelet donors
Clopidogrel (Plavix), ticlopidine Prevention of blood clots 14 days for platelet donors
(Ticlid)
Hepatitis B immune globulin Exposure to hepatitis B 1 year

DRUGS COMMONLY USED by FILIPINOS PRIOR TO BLOOD DONATION

1. ASPIRIN - Aspirin is a pain reliever and anti-inflammatory drug that is commonly used to treat headaches,
fever, and inflammation. However, it can affect platelet function, which can affect blood clotting. Therefore, it
is recommended to avoid taking aspirin for at least 48 hours before donating blood.
2. PARACETAMOL - Paracetamol is a pain reliever and fever reducer that is commonly used to treat mild to
moderate pain and fever. It does not affect platelet function, so it is generally safe to take before donating
blood.
3. IRON SUPPLEMENTS - commonly taken by individuals with iron-deficiency anemia to increase their iron levels.
Adequate iron levels are important for blood donation because they help ensure that the donated blood is
healthy and safe for transfusion. However, iron supplements should not be taken immediately before donating
blood as they can cause gastrointestinal side effects.

DONOR BLOOD COLLECTION

1. Scrub site at least 4cm in all directions for 30 seconds

2. Apply tourniquet or blood pressure cuffs 40-60 mmHg (pascal units)
3. Use gauge 16 bore size needle (common)
4. Position the blood-drawing unit at 20 degrees
5. Mix the blood periodically 1-2 times per minute.
6. Correct blood volume 450ml +10%
7. Collection should be done in 7-10 minutes
8. If collection period is accomplished in 8 minutes, unit is NOT suitable for platelet, FFP & CRYO
9. Component must be prepared in 6-8 hours after collection

AN ACT REGULATING THE COLLECTION, PROCESSING

AND SALE OF HUMAN BLOOD, AND THE ESTABLISHMENT
AND OPERATION OF BLOOD BANKS AND BLOOD
PROCESSING LABORATORIES

Section 1 In order to promote public health, it is declared a national policy to prevent trafficking
in human blood and its products and derivatives.
Section 4 Blood banks and processing laboratories shall be operated on a non-profit basis. Blood
collecting or processing by other blood collectors or processors or by individual
physicians shall also be on a non-profit basis. Blood shall be sold by such banks and
laboratories, other blood collectors or processors, and individual physicians at cost.