1. UNCLASSIFIED 27 Jun 02 Armed Services Blood Program TSEAC Update – vCJD Deferrals RONNY G. ALFORD, Major, USAF, BSC Deputy Director, Armed Services Blood Program (703) 681-8010

2. UNCLASSIFIED 27 Jun 02 DoD POLICY l Variant CJD Donor Deferrals - Effective 29 Oct 01 Defers DoD Personnel stationed in Europe for over 6 months from 1980 – 1996 Reduces UK travel time from 6 months to 3 months If you spent 5 years in Europe from 1980 through the present and were not a DoD employee you would be deferred After 1996 the 5 year deferral criteria applies regardless of why you were in Europe If you received a transfusion in the UK from 1980 to the present you are deferred Defers additional 18 percent of DoD Donor population Prior to this DoD deferral rate was about 25% l Time aboard ship is not included

3. UNCLASSIFIED 27 Jun 02 TOTAL 18 USA 7 ASBBC - 2 USN 4 USAF 5 ASBBC, NCA, Bethesda, MD NMC Portsmouth, Portsmouth, VA Wright-Patterson AFB Dayton, OH Scott AFB Belleville, IL NH, Great Lakes Waukegan, IL CMBC, Ft. Knox, Louisville, KY NH, Charleston, SC WAMC, Ft. Bragg, Fayetteville, NC WHMC, Lackland AFB San Antonio, TX WBAMC, El Paso, TX BBC, Ft. Hood, Killeen, TX BAMC, Ft. Sam Houston, San Antonio, TX KMC, Keesler AFB, Biloxi, MS MACH, Ft. Jackson, Columbia, SC EAMC, Ft. Gordon, Augusta, GA NMC, San Diego, CA ASBBC, Ft, Lewis, Tacoma, WA DGMC, Travis AFB, Fairfield, CA, CONUS BLOOD DONOR CENTERS

4. UNCLASSIFIED 27 Jun 02 BLOOD DONOR CENTERS 18 Donor Centers in CONUS 6 Donor Centers OCONUS Germany United Kingdom Alaska Hawaii Japan Guam 24 Donor Centers Worldwide

5. UNCLASSIFIED 27 Jun 02 DONOR POPULATION Active Duty = 1.38M Family Members = 1.95M 92% of donations are from Active Duty military members 6% of donations are from federal civilian employees 2% of donations are from active duty family members (non- federal civilian employees) Recruit 130,000 donors per year from 32 of 318 major active duty installations (9% penetration AD population) 18% current AD Population affected by vCJD deferral – Distribution is not even

6. UNCLASSIFIED 27 Jun 02 IMPACT l Difficult to accurately determine impact of vCJD deferrals l Self-Deferral Added recruiters to our donor centers – Aggressive education, use of base media as a part of recruitment effort Self Deferral during command briefings as high as 50% DoD news spots, messages, and articles l Operation Enduring Freedom (OEF) Eased recruitment burden 15,000+ units packed cells to SW Asia to date Lost CONUS donor center staff to deployments Reserve augmentation l Expanded collections at basic training commands

7. UNCLASSIFIED 27 Jun 02 RESULTS l Oct 00 – Mar 01 vs. Oct 01 – Mar 02 l WB collections have increased 9% l vCJD deferrals currently averaging 12% despite donor education efforts during unit recruitment Greatest impact – Operational units with significant European rotations (up to 50% deferrals) Least impact – Basic Training units (less than 1% deferrals) l Total Deferrals (Donor Interview) Oct 00 – Sep 01 = 25% Jan 02 - May 02 = 16%

8. UNCLASSIFIED 27 Jun 02 WHOLE BLOOD DONATIONS

9. UNCLASSIFIED 27 Jun 02 SUMMARY l Implemented deferrals in Oct 01 l Added Recruiters and shifted collections to focus on 18-25 y/o trainees l Went to war l Increased eligible donors by 9% l vCJD deferrals average 12% Range 1% - 50% l Decreased total deferrals by 40% Oct 00 – Sep 01 = 25% Jan 02 - May 02 = 16% l vCJD Deferrals