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Blood donation
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==Prohibition== Blood donation by ME/CFS patients is banned or advised against in some countries: ===United Kingdom=== Since October 7, 2010, ME/CFS sufferers have been permanently prohibited from giving blood. The NHS Blood and Transplant ‘Give Blood’ website in the UK carries a comprehensive list of different conditions that might prevent you from giving blood.<ref name="GiveBloodUK" /> Under "CFS : Post-viral Syndrome" it states:<br> :"I am sorry but unfortunately, we cannot accept a donation if you have this condition or if you have previously had the condition even if you are now recovered."<ref name="GiveBloodUK" /> Similarly, the UK's blood transfusion service website confirms that:<br> :"people who currently have OR have had ME/CFS at any point in the past may not donate blood in the UK."<ref name="transfusions2021" /><ref name="BTNov2010">{{Cite web | url = https://www.mhlw.go.jp/stf/shingi/2r9852000000yi7y-att/2r9852000000yj00.pdf | title=Media Statement {{!}} ME/CFS sufferers permanently deferred from giving blood | last = NHS Blood and Transplant | first = | author-link = | date = Nov 2020 | website = |archive-url=|archive-date=|url-status= | access-date = 2022-05-25}}</ref> In addition, the UK [[National Health Service]] Blood and Transplant (NHSBT) advises that blood donors are assessed on the following criteria # Whether the donor is safe to give blood because of a medical condition which may be worsened by the act of giving blood. M.E. patients may not be able to compensate for the rapid removal of 15% of their blood volume, including iron, from their circulatory system. Healthy individuals are not normally affected by giving blood. # Whether the blood donated is safe for transfusion for the recipient. # Whether components such as haemoglobin and clotting factors in the donor's blood are of a suitable quality for the blood product.<ref>{{Cite web | url = https://aprescriptionforme.wordpress.com/2015/06/18/can-people-with-m-e-give-blood-and-organs/ | title = Can people with M.E. donate blood, bone marrow and organs? | last = Beardall | first = Emily | date = 2015-06-18 | website = A Prescription for M.E.|language=en-GB | access-date = 2019-02-13}}</ref> A phone call to the information NHSTB information line had stated "The reason people with M.E. can't give blood is for the first reason, that it may affect our M.E. in that it could cause a worsening of our health if we are currently unwell, or a relapse if our health has improved. This is also given as the reason in Dr Barnes’ article in Blood and Transplant Matters (Barnes S. Myalgic Encephalomyelitis and Donor Exclusion. Blood and Transplant Matters").<ref>{{Cite web | url = https://aprescriptionforme.wordpress.com/2015/06/18/can-people-with-m-e-give-blood-and-organs/ | title = Can people with M.E. donate blood, bone marrow and organs? | last = Beardall | first = Emily | date = 2015-06-18 | website = A Prescription for M.E.|language=en-GB | access-date = 2019-02-13}}</ref> The NHSBT page can no longer be found<ref name="GiveBloodUK">{{Cite web | url = https://my.blood.co.uk/KnowledgeBase/Index/C | title = CFS : Post Viral Fatigue Syndrome - My Donor Record - Health, Eligibility & Travel | last = | first = | author-link = | date = | website = Give Blood | access-date = 2022-05-25| archive-url = | archive-date = |url-status = | quote=CFS : Post Viral Fatigue Syndrome<br>I am sorry but unfortunately, we cannot accept a donation if you have this condition or if you have previously had the condition even if you are now recovered.}}</ref> and a search on the site does not provide results. {{See also|United Kingdom}} ===United States=== When [[Xenotropic murine leukemia virus-related virus|XMRV]] was believed to be the infectious agent causing CFS, the US Red Cross announced a halt of blood donations from patients.<ref name="Post2010" /> After it was found that XMRV was not involved in CFS,<ref name="Redaction" /><ref name="transfusionnews" /> the Red Cross removed its announcement and recommendation pages prohibiting blood donations from CFS patients.<ref name="Post2010" /> {{See also|United States}} ===Canada === Canadian Blood Services does not allow ME/CFS patients or [[Fibromyalgia]] patients to donate blood,<ref name="CBS2022">{{Cite web |url= https://www.blood.ca/en/blood/am-i-eligible-donate-blood/abcs-eligibility | title = Am I eligible to donate plasma {{!}} ABCs of eligibility to donating blood, platelets and plasma | website = Canadian Blood Services |quote=Chronic Fatigue Syndrome (CFS)<br>You are not eligible to donate. | access-date = 2022-05-25}}</ref> but Hema Quebec has no restrictions on CFS patients.<ref name="HemaQuebec">{{Cite web | url = https://www.hema-quebec.qc.ca/sang/donneur-sang/puis-je-donner/index.fr.html|language=fr-ca | title = Donneurs de sang {{!}} Puis-je donner? | website = Héma-Québec | access-date = 2022-05-25}}</ref><ref name="Wilson2014">{{Cite journal | title = The Use of Preliminary Scientific Evidence in Public Health: A Case Study of XMRV | date = 2014-04-08 | url = https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001623 | journal = PLOS Medicine | volume = 11 | issue = 4| pages = e1001623 | last = Wilson | first = Kumanan | last2 = Atkinson | first2 = Katherine | last3 = Keelan | first3 = Jennifer|language=en|doi=10.1371/journal.pmed.1001623|pmc=PMC3979645|pmid=24714396|issn=1549-1676}}</ref> {{See also|Canada}} ===Australia=== The Australian Red Cross has posted: "Because we don't know the cause of this serious, debilitating disease, we can’t rule out that it is caused by a transmissible infection that medical science hasn’t discovered yet. We also don’t know the potential health effects of long-term blood donation on people who have suffered chronic fatigue syndrome."<ref name="AusBlood">{{Cite web | url = https://www.donateblood.com.au/faq/chronic-fatigue-syndrome | title = Chronic fatigue syndrome – I have/had chronic fatigue syndrome. Can I donate? | website = Australian Red Cross Blood Service|language=en | access-date = 2019-02-22}}</ref> {{See also|Australia}} ===New Zealand === [[New Zealand]] bans blood donation from anyone with chronic fatigue syndrome.<ref name="NZBlood" />NZ Blood states:<br> :"People with a diagnosis of Chronic Fatigue Syndrome are permanently ineligible from donating blood in New Zealand."<ref name="NZBlood">{{Cite web |url = https://www.nzblood.co.nz/become-a-donor/am-i-eligible/detailed-eligibility-criteria/ | title = Detailed Eligibility Criteria | access-date = 2022-05-25 | date = | website = NZ Blood|quote=People with a diagnosis of Chronic Fatigue Syndrome are permanently ineligible from donating blood in New Zealand}}</ref> {{See also|New Zealand}}
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