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Canada To Collect Blood
Despite West Nile Fears
By Amran Abocar
2-22-3

TORONTO (Reuters) - Canada is racing to screen donated blood for the deadly West Nile virus, but will not stop collecting blood if it cannot find a test before the summer mosquito season, a senior health official said on Thursday.
 
Shrugging off fears of a second blood scandal in two decades, the official said the risk of halting collection was greater than that of using infected blood.
 
In the 1980s, tainted blood infected thousands with hepatitis and the HIV virus that causes AIDS.
 
"If half the country goes without a blood transfusion, thousands of Canadians will die," Dr. Graham Sher, chief executive officer of Canadian Blood Services, told Reuters.
"One has to balance that risk against potentially a small number of people becoming infected with West Nile and potentially a small number of those people even dying from that."
 
Sher said Canadian Blood Services, which manages the blood supply, must continue collecting blood in Ontario because the province accounts for half of Canada's blood supply.
 
Ontario, Canada's most populous province, also accounts for the majority of Canadian West Nile cases and 10 deaths linked to the mosquito-borne virus.
 
The virus often causes only headaches or a flu-like illness. But the elderly, the chronically ill and those with weak immune systems can develop encephalitis, which can be fatal.
 
Neither Canada nor the United States currently test for West Nile virus, which was blamed for more than 200 deaths in the United States last year.
 
The first human cases in Canada were spotted in Ontario last summer and 12 deaths have been associated with the disease across the country.
 
To date, 388 likely cases of West Nile virus have been reported in Canada, including 150 confirmed cases. There is no specific treatment for the disease, which is common in Africa and Asia and first appeared in the United States in 1999.
 
Canadian alarm bells rang after an Ontario woman contracted the virus and died following a blood transfusion late last year, prompting the blood collection agency to withdraw thousands of blood products.
 
That death brought back unwelcome memories of Canada's tainted blood scandal when thousands of blood transfusion recipients contracted the AIDS and hepatitis C viruses from contaminated blood and blood products. Many of them died.
 
Sher said Canadian and U.S. health officials are optimistic that a West Nile test will be available by the summer.
 
"Canadians should take assurance that everything is being done to protect the blood supply," he said.
 
Both countries are awaiting tests being developed by the same manufacturers. Health Canada expects a submission for regulatory approval by March 1 followed by a rapid approval process, a government spokeswoman said.
 
Canadian Blood Services, which replaced the Canadian Red Cross after the tainted blood scandal, said it is stockpiling blood taken in the winter in case a test is not ready in time.
 
In addition, the agency is developing its own in-house test for limited screening and will consider taking blood from low risk areas and giving it to high-risk patients.
 
Tim McClemont, executive director of the Hepatitis C Society of Canada, said the agency should view the safety of the blood supply as paramount and avoid past mistakes.
 
"We can't just minimize any threat to the blood system...and say well it doesn't matter because it's only a small number that may get affected," he said. "Any number is too much."
 
Last November, police laid criminal charges against four doctors, the Canadian Red Cross Society and a U.S. pharmaceutical company after an investigation into the tainted blood tragedy.
 
Copyright © 2003 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

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