28 May 2007

Still? Really?

U.S. upholds ban on gay men donating blood

The FDA does not allow men who have ever had a sexual encounter with another man to donate blood, saying they are at increased risk of infection by HIV that can be transmitted to others by blood transfusion.

Gay men remain banned for life from donating blood, the U.S. government said Wednesday, leaving in place — for now — a 1983 prohibition meant to prevent the spread of HIV through transfusions.

The Food and Drug Administration reiterated its long-standing policy on its Web site Wednesday, more than a year after the Red Cross and two other blood groups criticized the policy as "medically and scientifically unwarranted."

"I am disappointed, I must confess," said Dr. Celso Bianco, executive vice president of America's Blood Centers, whose members provide nearly half the nation's blood supply.

Before giving blood, all men are asked if they have had sex, even once, with another man since 1977. Those who say they have are permanently banned from donating. The FDA said those men are at increased risk of infection by HIV that can be transmitted to others by blood transfusion.

In March 2006, the Red Cross, the international blood association AABB and America's Blood Centers proposed replacing the lifetime ban with a one-year deferral following male-to-male sexual contact. New and improved tests, which can detect HIV-positive donors within just 10 to 21 days of infection, make the lifetime ban unnecessary, the blood groups told the FDA.

In a document posted Wednesday, the FDA said it would change its policy if given data that show doing so wouldn't pose a "significant and preventable" risk to blood recipients.

"It is a way of saying, 'Whatever was presented to us was not sufficient to make us change our minds,'" Bianco said.

The FDA said HIV tests currently in use are highly accurate, but still cannot detect the virus 100 percent of the time. The estimated HIV risk from a unit of blood is currently about one per 2 million in the United States, according to the agency.

Critics of the exclusionary policy said it bars potential healthy donors, despite the increasing need for donated blood, and discriminates against gays. The FDA recognized the policy defers many healthy donors but rejected the suggestion it's discriminatory.

Anyone who's used intravenous drugs or been paid for sex also is permanently barred from donating blood.

© The Associated Press

Sure, gay men are a statistical risk, but so are promiscuous heterosexual men and women, but you don't see the Red Cross asking people how many partners they've had in the past x number of years, do you? All that matters is if you've had gay sex once since 1977. Don't you think that would make more sense to determine risk by quantity rather than making a general assumption of all gay men, especially since gay men can now marry and theoretically should be as 'chaste' as married heterosexual people? Why should someone who's been monogamous for ten years, gay or straight be singled out simply because of their sexuality? This policy still rings of discrimination to me. Ah, whatever. Despite the fact that all blood is screened now (therefore they really shouldn't be making a demographic generalization as they do with, say, auto insurance premiums based on age), it doesn't seem to matter. There is still a minute risk of false negatives in the testing process, and filtering gay blood out just decreases the chance of that, theoretically. But don't worry, those guys that bed hundreds of girls aren't any risk to anyone.

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