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The Canadian Experience with WNV Testing
Bill Casley, PhD Centre for Biologics Research Biologics and Genetic Therapies Directorate Health Canada
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West Nile Virus Regulatory Consultative Workshop
February 18-19, 2004 Seasonal Testing ? Blood supply Stockpiling during “safe” season? Geographic restrictions on collection? Minipool vs Individual Testing? Cells Tissues and Organs Validation and approval of NAT tests
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Blood Issues Capacity to undertake single unit testing
10% of total collections Regional differences in collection/testing Rationale must be effectively communicated Different strategies for Hema Quebec and Canadian Blood Services Seasonal vs year-round testing Triggers for single unit testing/suspended collection
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CTO Issues Risks from different transplantable tissues unclear
Research required Approved tests for CTOs not available NAT testing for CTOs not uniform across provinces Role for BGTD in overseeing proficiency scheme
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WNV Issues to be Addressed 2004
Review of sensitivity and specificity data of the Roche Diagnostics commercial WNV test What are the risks to switching to seasonal testing over the winter period ? Should single unit testing be the standard test method in 2005? Do all living and cadaveric transplant donors need to be tested for WNV?
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