1. The approach taken by a Central/Eastern European Blood Transfusion Organisation: POLAND Magdalena Łętowska National Centre for Transfusion Medicine Warsaw, Poland

2. Population: 38.5 mln Blood Transfusion Centres: 21 Donations: 1mln/year

3. Legal basis for Blood Transfusion Service Public Blood Transfusion Service Law of 22 nd August 1997 Structure: n National Centre for Transfusion Medicine n Regional Blood Centres n Blood Banks -integral part of Regional Centres n blood and plasma collected in Regional Centres exclusively n no private collections centers permitted

4. Organization of Blood Transfusion Service in Poland Ministry of Health National Centre for Transfusion Medicine Institute of Haematology and Blood Transfusion Regional Blood Centres 21 Blood Banks 229

5. BTS - scientific and medical supervision National Centre for Transfusion Medicine Institute of Haematology and Blood Transfusion Guidelines Quality assurance GMP Audits Training Lectures

6. Central Programme – Polish Ministry of Health n Fractionation of FFP n Blood bags n Viral markers tests n Anti-RhD intramuscular immunoglobulin production n Coagulation factors

7. Regional Blood Centres Szczecin Gdańsk Olsztyn Białystok Lublin Rzeszów Kraków Kielce Warszawa Radom Łódź Bydgoszcz Katowice Opole Wrocław Poznań Zielona Góra. Słupsk... Racibórz Kalisz Wałbrzych

8. Regional Blood Centers l Uniform organization structure l Uniform quality assurance system l Two financing sources: –central budget –hospital (reinbursment for blood and blood components)

9. Reorganization of Blood Collection Year1999200020012002 Number of Blood Banks 329271248229 Number of mobile collections 2029290735464419

10. Blood donors in Poland Year19981999200020012002 Total 437 113442 178388 292413 084436 686 Non- remunerated (%) 98,999,3 99,499,5

11. Donations in Poland (whole blood and plasma) Year1999200020012002 Number of donations 893 144890 526924 470946 362

12. Whole Blood and Apheresis Plasma 1996-2002 Year Whole blood x 1000 l Apheresis plasma x 1000 l 1996350121 1997352132 1998369144 1999358114 200035663 200137468 200239048

13. RBCs, FFP and PCs 1996-2002 YearRBCs x 1000 lFFP x 1000 l 1996329260 1997338263 1998354236 1999351241 2000352216 2001369226 2002387220

14. Screening tests for each donation: l Syphilis test l AlAT l HBsAg l Anti-HCV l Anti-HIV l HCV-RNA (since January 2, 2002)

15. Plasma for fractionation HCV-RNA testing in minipools since July 1, 2000

16. Incidence of viral markers (%) Year199719981999200020012002 HBV0,140,180,160,170,130,11 HCV0,190,200,190,220,170,16 HIV0,0020 0,00300,00400,00270,0022