Blood is an essential component in this situation, so many patients suffering from lack of Blood & blood components in all over India. Blood & Blood components are every essential to anaemic patients, Accident cases, Surgery, Thalassemia, Hemophilia& pregnant woman, delivery, trauma and cancers1. The WHO recommends that, for any country to meet the minimum demand for Blood, the collection should be at least 1% of the population. Blood transfusion and plasma therophy are often cited as a major medical advancement of the First World War and Corona war. A blood transfusion service is an essential element of a healthcare system, and individuals who donate their blood provides a unique contribution to saving lives and improving patient health2. With the centre, declaring blood services as essential services, Karnataka State Blood Safety Department was started mobile blood collection unit with experienced Staff including all essential equipment in Vijayapur district civil hospital Blood Bank. They are conducting regular blood donation camps by sending mobile blood collection van to various localities across Vijayapur District. State blood safety department inspect all infection control and social distancing measures such as two couch instead of the van earlier practice of two to draw Blood. There will be a three-meter gap in between the two couches, and at one time, there will be no more than two donors allowed in the blood collection van. The van is being disinfected with disinfectants after receiving Blood from donor then after we are taking new donor.
<bold id="_bold-12">Aims & Objectives </bold>
To study the mobile blood collection van conducted camps, collected units & Blood & blood components supply in this outbreak Pandemic COVID-19
<bold id="_bold-13">Material method </bold>
The camp was conducted in three villages near Vijayapur district Karnataka state India. Camps were started from 06 March 2020 to 15 May 2020. The total period of 10 days. We followed the State AIDS Control Society and State Blood Transfusion Council guidelines and conducted the camps accordingly. During COVID -19 pandemic we restricted age limit to 18- 48 years. Well-equipped mobile blood van was used for the blood camps; the van was architected with registration counter, 2 donor couches, 2 no. donor bed, Blood bag sealing counter, Blood bag refrigerators. Equipment storage cabinet. Amenities: Engine driven air conditioner, Split unit air conditioner generator inverter for back power, O2 Cylinder with accessories Public address system, , Branding, Coach fans, LED roof lights, Vinyl floor, Curtains, Storage below the beds (Figure1). Donors were screened for physical checkups like blood pressure, thermal scanner for body temperature respiratory rate, and haemoglobin percentage. During blood donation camp in Covid-19 lockdown period, donors list had prepared & contacted them before the camp and thought them awareness about the COVID -19 pandemic. We followed the government rules for high risk and high touch areas of the spread of COVID -19 by social distancing, regular cleaning of the hands with sanitizer, gloves, masks, PPE etc.
The Doctor's responsibilities should be clearly defined in institutional regulations, rules or bylaws, and these should be made known to the entire Staff. Doctors may delegate certain responsibilities to designees, but remain responsible for all activities like direction and operation of the blood bank, compliance with all applicable regulations and requirements, establishment and implementation of written standard operating procedures3,
<bold id="_bold-19">Counsellor</bold>
Councellor plays responisible role in success of the blood donation camp during Covid -19 pandemic to convert the healthy mind sets in volunteer donor. This includes preparation and motivation of the donor predonation during and post donation of the camp. Pre donation requires confidential interview for health assessment. Motivate the donor at high risk to test for HIV. Create awareness among donors on HIV& TTI,sPost donation councelling include results of blood investigation to be notified to the donor in confidential manner. The counselling of blood donors is an essential means of promoting healthy lifestyles and makes an essential contribution to individual and community health.
<bold id="_bold-23">Lab Technologist</bold>
Blood bank technicians also called phlebotomy technicians, work in a lab under the guidance of a medical or clinical laboratory technologist or manager. Technicians collect, label and prepare Blood, plasma and other components for transfusions. In addition, blood bank technicians consistently interact with the public, conducting interviews, and testing samples to screen potential donors. Blood bank technicians properly store Blood draws and maintain documentation and records. Technicians work with patients, making them comfortable during the procedure and monitoring vital signs.
Nurses who work in blood bank centers play a crucial role in selection and encouraging of blood donor. Nurse provides advice relating to the more complicated and travel issues this advice convert healthy environment in donors. There is a need to identify and analyze donor motivations and effective nursing interventions. This will help the donor to pleasant experience after donation and gives positive impact on commitment in new donors.
Class D
Class D role is also cruial in COVID-19, they have to sanitize the flour and high risk area pre and post donation of every blood donor with disinfectant.
During COVID -19 lockdown period total ninety blood bags were collected (Table-1) and whole Blood was screened for blood grouping, markers for TTI, including HIV, hepatitis B (HBV), hepatitis C (HCV) and syphilis. Total 49 bags were issued out of which A positive -09 B-positive -17 O positive -12, AB positive -10 and AB negative- 01 bags issued.
Showing the village name and no of blood units collected during COVID-19
Date
Village Name
No of Units collected
06 May 2020
Benal RC
30 Units
07 May 2020
Vadavadagi
30 Units
08 May 2020
Benal NH
30 Units
Showing Issued blood bags during Covid-19
Date
Issued Blood
A +ve
A –ve
B +ve
B-ve
O +ve
O-ve
AB +ve
AB-ve
6th May 2020
0
0
0
0
0
0
01
0
7th May 2020
01
0
0
0
0
0
01
0
8th May 2020
0
0
0
0
04
0
01
0
9th May 2020
01
0
02
0
0
0
0
0
10th May 2020
01
0
03
0
01
0
01
0
11th May 2020
0
0
01
0
02
0
0
0
12th May 2020
02
0
0
0
01
0
0
0
13 May 2020
01
0
07
0
01
0
04
0
14th May 2020
0
0
03
0
01
0
02
01
15th May 2020
03
0
01
0
02
0
0
0
Showing Issued blood bags to patients during Covid-19
SlNo
Blood Bags Issued to
Total Issued
01
Pregnant Woman's
34
02
Surgery
08
03
Thalassemia
03
04
Haemophilia
02
05
Anemic
2
Figure 1
Showing mobile donation camps organized around Vijayapur district during COVID- 19 outbreak
<bold id="_bold-35">Discussion</bold>
Blood is an essential component in emergencies and considered as drug to save the lives. But a collection of this emergent medicine is difficult to conduct the camps in Covid-19 pandemic situation. TheDistrict Surgeon, District AIDS control program officer, Blood bank Medical Office staff made untired effort to convert the donor's mindset into a voluntary donation. Blood components are very essential to anaemic patients, Accident cases, Surgery, Thalassemia, Hemophilia & pregnant woman, delivery, trauma and cancers. Novel nature of SARS-CoV-2 restricted the regular activities of the blood bank voluntary donors hesitate to donate Blood during an emergency. Since the out break of Corona disease (COVID-19), country has to monitor this pandemic in public health, to prepare blood centers potential for further spread of the disease . Blood bank should encourage healthy eligible donours to donate to maintain any adequate blood supply for the patient4,5. If the Corona outbreak continues to spread additional challages may arise and this potentially decreases the number of eligible donor. The healthy Individuals are not at risk of contracting COVID-19 through the blood transfusion or via a, blood donation process since respiratory viruses are generally not known to be transmitted by donation or transfusion of blood6. Till date there are no cases of transfusion- transmitted COVID-19. During routine blood donar screening measures we councelled additional travel history which was included with these point 1. if any donor presents history of migration from one palce to other place. 2. if patient had a new cough, shortness of breath, fever, chills, muscle pain, a new loss of sense of taste or smell, headache, sore throat, extreme fatigue, or other unexplained symptoms in the past 14 days. 3. If donor in close contact with someone diagnosed with or suspected of having COVID-19 in the past 14 days. 4. If any donor diagnosed with or suspected of having COVID-19, and they have had any symptoms in the past 28 days.5. If any donor healthcare worker directly caring for hospitalized COVID-19 patients in the past 28 days.
Timely availability of this emergent medicine in emergent health sectors is important for the survival of the patient. Every year about 300000 infants born with thalassemia and sickle cell anemia which rquires regular blood transfusion7. In some countries, plasma therapy from people who have previously been infected with SARS-CoV-2 Coronavirus and who have recovered from Covid-19 disease is currently used as a therapeutic therapy for Covid-19 patients8. Virus-specific neutralizing antibody, which are present in the plasma could accelerate virus clearance and prevent entry into target cells, serves as the main mechanism for the inactivation and clearance of the viruses by the host. Human coronaviruses can maintain their viability outside the host for as long as 9 days, which greatly increases transmission risk through fomites9. So, in this pandemic outbreak blood camps are essential to play a major role in the survival of patient death in emergency.
The pandemic outbreak of severe acute respiratory syndrome coronavirus 2 interrupting blood donation exercises. Blood and blood components are at high demand in public emergencies as a life-saving measure voluntary blood donation from healthy individuals is needed to save the life of humankind.