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Editorials represent the opinions EDITORIALS of the authors and JAMA and not those of the American Medical Association. eral human rights oriented constitution, which outlaws dis- Linda-Gail Bekker, MBChB, FCP(SA), PhD crimination on the basis of race, ethnic or social origin, sex, Robin Wood, BSc, BM, MMEd, FCP(SA) age, or sexual orientation. Prior to 1999, the South African National Blood Service relied on a pool of voluntary nonre- LOOD IS AN INTRINSIC PART OF HUMAN LIFE.ITISSOME- munerated, predominantly repeat donors, along with uni- thing others need and it is each person’s to give. versal serological testing for HIV-1 and 2, hepatitis C, and Blood can be sold or given voluntarily out of a feel- syphilis combined with HIV p24 and hepatitis B surface an- Bing of social obligation. The characteristics that make tigen testing. In 1999 public sector antenatal HIV seroprev- donated blood an expression of human altruism also make alence was higher than 20% and the HIV prevalence reached it a threat to human health. Blood products can be life sav- 0.26% in the blood donor pool, with an estimated 26 HIV- ing but can also transmit life-threatening viral, bacterial, and infected units entering the blood supply in
JAMA – American Medical Association
Published: Feb 1, 2006
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