State in whirlpool of TTIs; Young Orissa stresses on implementation of Minister words to Assembly for safe blood from Blood Banks

YO Press meet

Orissa is in serious debacle due to spread of transmission transferable infections with deadly viruses like HIV/HBV/HCV escaping notice as outdated methods in vogue are not capable of perfect screening of blood in the blood banks, alleged Young Orissa in a Press conference on July 12 at Bhubaneswar.

Secretary of the organization, Debi Prasad Nayak presented various documents in support of his apprehension that the State of Orissa, due to nonchalance of administration, has fallen in a whirlpool of transfusion transmitted infections (TTIs). Three out of 1528 units of blood carry life killing viruses like HIV, HBV, HCV etc as the existing system of blood screening escape detection in blood banks, he said.

“According to ICMR, these viruses escape in 3 average cases of screening in1528 donated units of blood. Orissa is having 3,41,000 units of blood donations per annum in the average. This indicates that at least 669 unsuspecting patients are accepting infected blood transfusion in Orissa per year”, alleged Nayak.

Citing official statistics, he said, “there are 12,000 thalassemia patients in Orissa who thrive on blood transfusion taken at least once or twice every month. They use about 25% of the total blood received through donations. So, at least 167 thalassemia patients are suspected to be receiving blood infected with HIV/HBV/HCV viruses without them knowing of the danger. This is more serious a syndrome when there is possibility of three fold more infections as an unit of blood is now being separated into three component like platelet, plasma and pack-cell under NACO guidelines for better, larger and specific use of the life-saver. This is stark treachery against the unsuspecting patients’ he said.

Narrating how an unsuspecting patient of only 3 years, who for surgery had accepted transfusion of blood obtained from BMC hospital Blood Bank, was found infected with HIV”, he informed that the “Orissa High Court considering his complaint, had directed the State Government to pay him Rs 3 lakhs as compensation with a further directive to adopt NAT method for dependable screening of blood as the Government is basically responsible to supply safe blood to patients”.

This judicial direction was given in W.P.( C ) No.13441 of 2009 disposed of on 28.07.2011. But the State Government, as is its wont, did not pay any heed to the High Court directive.

Worried over the administrative negligence to such a serious hazard, the Opposition Chief Whip Sri Prasad Harichandan moved an adjournment motion on the issue on September 01, 2012. Nayak said, “Honʼble Minister of Health Dr. Damodar Raut, in his reply announced that the Govt. will use NAT method in all Blood Banks in phased manner and will start Nat Screening with immediate effect in the four most major Blood Banks in the three Medical College Hospitals and Capital Hospital. But, we regret to note, the Ministerʼs announcement has gone barren and resultantly AIDS is rising along with other TTIs in Orissa” cried the Young Orissa Secretary while informing that a “recent case of HIV infection located in the capital city is caused by unsafe blood transfusion”.

“We demand immediate implementation of the Ministerʼs announcement in the Assembly on September 01, 2012 by replacing the ELISA screening with NAT PCR Screening in the Blood Banks attached to Capital Hospital and the Hospitals of the three Government Medical Colleges at Berhampur, Cuttack and Burla and adoption of the said method in all the Blood Banks of Orissa without monetary pressure on the patients” , said Sri Nayak.

Young Orissa office bearers, Priya Pritam Mohanty, Pranab Kumar Bal, and Arobinda Mishra were present in the conference along with Nayak.

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Attempts to foil Health Minister’s assurance; only the rich to get safe blood!

Subhas Chandra Pattanayak

In reply to an adjournment motion moved by Opposition Chief Whip Prasad Harichandan on 1st September 2012, Health Minister Dr. Damodar Raut had assured that Orissa would adopt NAT PCR system to ensure appropriate screening of blood to avoid AIDS from transfusion.

A boy of only 17 months was found infected with AIDS by accepting transfusion of blood obtained from Muncipal Hospital Blood Bank, Bhubaneswar. The news was broke by orissamatters.com in 8 July 2012 and Sri Harichndan had very ably brought the matter to the attention of the Assembly.

Dr. Raut in his reply noted that people of Orissa have made monumental mark in blood donation and from 126076 units in 2000; blood collection has reached 307022 units in 2011. People’s eagerness to donate blood to save the lives of fellow citizens needs be equally honored by the government’s readiness to supply safe blood to needing patients through proper screening. Therefore, Dr. Raut said, in a meeting on 22 August 2012 the Government had consulted all the Blood Bank Directors and Officers in a conference and had taken a decision to jettison the rapid test method of screening and adopt ELISA method to screen out AIDS virus in the Blood Banks.

As Harichandan pointed out that ELISA is not the latest technology to screen AIDS virus, but NAT PCR is, the Minister had appreciated the position and had assured to adopt the latest method; for nothing is more valuable than human life and moreover, as patients’ confidence in blood banks would diminish if AIDS virus escapes the deficient screening. He however had declared that the method being costly, the State would start with four major blood banks: one each attached to the three Government Medical Colleges and the Capital Hospital Blood Bank. The facility would be extended to all the Blood Banks of Orissa in course of time, he had assured the Assembly.

The Budget of Health department placed in and awaiting approval of the Assembly has made a token provision for replacement of ELISA with NAT PCR in the aforesaid four Blood Banks.

But, the Finance department has planted a rider that the cost of NAT PCR screening should be collected from the patients. If the rider is not dropped, only the rich will benefit; because the poor patients cannot afford the screening cost.

The present Finance Minister was the Minister of Health when deficient screening through old method of ELISA had infested the seventeen months old child with AIDS and the Orissa High Court had punished the state Government with cash penalty of Rs.3 lakhs for supply of HIV infested blood to the boy without perfect screening. When he is the Finance minister, his department is asking the Health department to impose such a heavy cost on poor patients on accounts of NAT PCR that it will never be possible for them to get pure blood through perfect screening!

Should the poor people have no right to safe blood? Should the latest and the safest NAT PCR screening for which the government in the Health department has put budgetary provisions on the anvil of the Assembly be available only to the rich?

Should the Finance department be allowed to foil the most welcome welfare proposal of the Health department?

Should the Assembly allow its own anxiety for safe blood to patients be steered into benefit of the moneyed men alone?

OSEM MEMBERS DONATED OVER 50 BOTTLES OF BLOOD

Members of Orissa Society of Electronic Media (OSEM) donated over 50 bottles of blood on October 07:in a camp at Soochana Bhavan, Bhubaneswar.

Information minister Mr. Arun Sahu and Khurda M.L.A. Mr Rajendra Sahu were present at the camp along with OSEM patrons, Prasanta Patnaik, Sampad Mohapatra and D.N. Singh. President of the organisation Amiya Pani along with Sabyasachi Panigrahi and other members conducted the camp under Bhubaneswar Blood Bank’s active cooperation and guidance.

A number of ladies also donated blood.

This was the second blood donation camp organized by OSEM. Last year it has organized a camp on 1st October 2011, the World Blood Donation Day during which over 100 bottles of blood were collected. The OESM has kept a target to collect more blood in the coming years. Besides organizing mass blood donation camps, members of OSEM also donate blood to needy and poor patients liberally as and when required.

AIDS: A Coterie of Officers use Tricks of Subterfuge against the High Court Order

Subhas Chandra Pattanayak

The National Blood Policy makes it a must for the State “ to provide safe and adequate quantity of blood, blood components and blood products” (Objective 1) and “to make latest technology available” (Objective 3) to the blood banks for correct screening so that patients needing urgent transfusion would get safe blood.

But the State government run by Naveen Patnaik has failed to adopt “latest technology” as a result of which AIDS is spreading through blood transfusion in Orissa. Dependents on frequent transfusion such as thalassemia patients are more vulnerable to Virus 1 (HIV-!), Hepatitis C Virus (HCV) and Hepatitis B Virus (HBV).

After we exposed this phenomenon in these pages, various news media organizations have been harping on about the urgency of adoption of latest technology in screening of blood.

In a case of a 17 month old child who is infected with AIDS after taking blood transfusion, the Orissa High Court, a year ago, had not only awarded a cash compensation worth Rs. 3 lakhs to the infected boy, but also had made it a “must” for the Government to adopt advance technology, i.e. NAT PCR method in “all the Blood Banks” for blood screening, in order to ensure supply of “safe blood” to patients. Its mandate is in these words: “Therefore, the Government must ensure that in all blood Banks the Polymer Chain Reaction (PCR) method is available to identify the virus of HIV during window period”.

Steps to Implement the Court Order

This judgment had forced the State government to review its blood screening scenario in a high level committee constituted for the purpose under the chairmanship of Dr. Pramod Meherda, IAS, M.D., NRHM & Project Director, Orissa State AIDS Control Society.

The Professors & Heads of Departments of Microbiology in VSS Medical College, Burla Dr. Sudhir Kumar Ghosh, the Professors & Heads of Departments of Microbiology in MKCG Medical College, Berhampur Dr. Binojini Parida, the Associate Professors in Microbiology department of MKCG Medical College, Berhampur, the Associate Professors in Microbiology department of SCB Medical College, Cuttack Dr. Bimoch Prajna Pati, the Drug Controller of Orissa, Ex-Director of SBTC Dr. L.N.Hati, Dr. Mangala Pr. Mohanty, Hon. Secretary, IRCS-OSB, Director of Central Red Cross Blood Bank at Cuttack Dr. Benudhar Satpathy and seven other top functionaries were members in this committee.

Unanimous Recommendation for NAT

The Committee met on 25 Feb.2012 at the Conference hall of OSCAS. Its minutes disclose, “After thorough discussion on NAT PCR technology, the Committee unanimously recommended that the NAT PCR technology which is the latest testing facility need to be introduced for screening of the blood units to reduce the gray zone period of Transfusion Transmissible Infections like HIV-I, HIV-II, Hepatitis-B and HCV, as it is the latest and foremost technology available in India”.

The Sleeping State

Despite this “unanimous” recommendation submitted “after thorough discussion” by all the above noted illustrious microbiologists, serologists and other specialists in the Committee, the State Government did not wake up to the occasion.TTI continued to affect lives in Orissa.

We had to expose this monstrous negligence of the state to the most urgent need of the moment in these pages on 8 July 2012.

Shocking Mischief

Thereafter, on 24 July 2012, the Secretary of Health P.K.Mohapatra took a “meeting on implementation of NAT PCR in Blood Banks”.

To our surprise and shock, we found that all the super-specialists, serologists and microbiology Professors who, “after thorough discussion” in the previous meeting of 25 February 2012 had “unanimously” recommended that “the NAT PCR technology which is the latest testing facility need to be introduced for screening of the blood units to reduce the gray zone period of Transfusion Transmissible Infections” were kept out of this meeting and a Director of Medical Education and Training (DMET) having no role under the rules of business in the concerned matter, who was to retire from service the same month, was encouraged to lobby for the old ELISA method and to raise a bogus allegation that the High Court had delivered its verdict directing for adoption of NAT PCR for blood screening without being “apprised properly on the issue under reference”. And, it seems, such aspersions against the High Court was approved in the meeting, as is evidenced in its 1st resolution that reads, “ Special Secretary (Technical) H&FW Department, Govt. of Orissa will move file for filing a review petition against the judgement”.

New Tricks of subterfuge

It is seen from the meeting taken by the Health Secretary, that ,the Special Secretary of the Department who hails from the pool of Doctors, collaborated with the said DMET in confusing the issue with a downloaded document of Canadian Blood Banking Association “where it is mentioned that the HIV positive scenario is 1 in 2.7 million than ELISA”. The quoted observation is a conundrum and the Health secretary, before signing the minutes, has failed to notice this confusing expression. However, one is at a loss to understand when the Special Secretary with a downloaded version of Canadian Blood Banking Association was allowed to mislead the meeting, why had the Health secretary not wanted to know how the scenario is seen by Indian authorities on blood screening by NAT, specifically as India has a high prevalence of the killing viruses when Canada is almost free of these killers.

The Chilling Scenario in India

A research reported in Indian Journal of Medical Research (127, February 2008, pp 140-147) is captioned “Multicenter evaluation of individual donor nucleic acid testing (NAT) for simultaneous detection of human immunodeficiency virus-I & hepatitis B & C viruses in Indian blood donors”.

The research was based on the ground that “India has a high prevalence of HIV-I, hapatitis C & B viruses (HCV and HVB) in the blood donors but has yet to implement nucleic acid testing (NAT) in blood screening”. It had tested 12,224 samples along with their serological results obtained from representative eight blood banks in India and had submitted its findings to the Journal on 26 September 2006.

Luminaries in the field namely R.N.Makroo, N. Choudhury, L. Jagannathan, M. Parihar-Malhotra, V. Raina, R. K. Chaudhary, N. Marwaha, N. K. Bhatia, and A. K. Ganguli had conducted the research that the Department of Transfusion Medicine, Indraprastha Apollo Hospital, New Delhi, had patronized.

They reported, “Data from our study suggested that the NAT yield for all three viruses (HIV, HCV and HVB) in India could be 29 times higher than that observed in Japan, and higher for HIV-I alone. Our observed HIV-I yield was over 515 times that observed in the US and Canada, 89 times that observed in Italy”.

So, citing a report of Canada where the prevalence of HIV-I is 515 times less than India, to frustrate the “unanimous recommendation” of the earlier committee, is not only low on merit but also is a mischievous attempt to mislead the Government.

The study cited above has concluded that its “observed NAT yield for all three viruses was 1 in 1528. This study was conducted in 2006. Now the 1 has become 3 inasmuch as every blood unit is becoming 3 units of blood products viz. platelet, plasma and pack cell. This means, if the virus was escaping EISA test in one out of 1528 samples, it would be read as three escapes in 1528 samples. This estimation relates to 2006 when HIV-I was not as wide spread as it is today. So, in every 1528 cases, it can be safely said that multiples of three cases of HIV-I infection are not being detected through screening in ELISA method.

In Orissa, blood collection has reached 3 lakh units per year. Divided into the three categories, i.e. platelet, plasma and pack cell, the total collection becomes 9 lakh units. If the 2006 study is applied to this volume of 9 lakh units, at least 1767 transfusion takers are possibly getting AIDS infected with the virus escaping detection, as ELISA is not efficient to detect the virus during the “window period”.

Orissa has 81 blood banks out of which 56 are running under joint banner of the state government and Red Cross whereas only one blood bank functions directly under the Government. rest are privately managed. Out of all these 81 blood banks the ELISA facility is also not available in 23 blood banks. After we exposed the malady, the government has ascertained through review that these blood banks having no ELISA facility are using rapid test kits to detect AIDS virus! The meeting held on 24 July under chairmanship of the Health Secretary (where he was in fact not even present) has noted this in its resolution No.2 and suggested that “No blood bank should procure any rapid test kit for hepatitis B & hepatitis C and HIV at their level”. The rapid test is a method through which the viruses escape detection. Taken into consideration, this makes it clear that non-detection of AIDS virus is alarmingly rampant in Orissa.

Yet, the mandarines in the health department have kept the High Court oder for adoption of NAT PCR method inoperative and are conniving to go in litigation against the said order.

Just imagine, how unsafe is Orissa .