Impact of conflict/war disasters on blood banks and transfusion services in low- and middle-income countries in the Eastern Mediterranean region.

Abstract

Background and objectives: Different countries in the Eastern Mediterranean region face significant challenges resulting from man-made disasters. This survey aimed to assess the experiences of blood bank and transfusion services in the Eastern Mediterranean region in managing their operations during conflict/war disasters.

Materials and methods: A survey was distributed to medical directors in 61 blood banks and transfusion services in low- and middle-income countries with conflict/war disasters. The survey assessed the organization of blood banks, blood, consumables and reagents supply and management of transfusion demand during conflict/war disasters. It also gathered lessons learned during these experiences.

Results: A total of 20 respondents participated from Palestine, Yemen, Pakistan, Egypt, Iraq and Lebanon. Thirteen respondents reported decentralization of blood services in their countries. Only three countries had existing regulations that allowed shipment of blood from other countries. Fourteen participants (70%) reported a decline in blood supply and/or donations during the disasters. Twelve (60%) reported an increase in transfusion demand. Most institutions (85%) had a disaster response plan for blood supply, but only seven plans included practice drills. The participants highlighted key lessons and recommendations including the need to enhance communication with various stakeholders, provide staff training and mental health support and ensure self-sufficiency in blood supply, consumables and reagents.

Conclusion: Conflict/war disasters have presented significant challenges to blood banks and transfusion services in the impacted countries in the region. It is crucial to address these vulnerabilities to maintain continuous, safe and efficient operation of blood services during such disasters.