Department of Biological Standardisation OMCL Network & Healthcare (DBO)

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Department of Biological Standardisation OMCL Network & Healthcare (DBO) Implementation of Pathogen Reduction Technologies for Blood Components for Transfusion: Updated Table 2009-2010 COUNCIL OF EUROPE European Committee (Partial Agreement) on blood (CD-P-TS) Study coordinators: Miguel LOZANO 1, Jean-Pierre CAZENAVE 2, Bernhard BRÄUNIG 3, Marie-Emmanuelle BEHR-GROSS 3 1. Hospital Clinic Provincial, Villarroel 170, 08036 Barcelona, Spain 2. Etablissement Français du Sang (EFS-Alsace), 10 rue Spielmann, BP 36, 67065 Strasbourg, France 3. European Directorate for the Quality of Medicines & HealthCare, Council of Europe, 67081 Strasbourg, France (Corresponding author: e-mail: marie-emmanuelle.behr-gross@edqm.eu)

s Australia Pathogen reduction technology was not implemented in Australia in 2008. Universal leukocyte depletion was implemented in 2008 Austria 21,6% o p u 70,9% 7,2% 0 0 69206 38711 76 3 Belgium 0% small perc. 96,57% 3,43 0 69328 55,97 0 44,3 0 Bosnia & Herzegovina Pathogen reduction technologies remain under review Bulgaria 65% 0% 0 0 0 78219 5700 1,8% 0 0 0 Canada Croatia 0% 0 0 0 0 50000 approx. 14000 approx. 6% 0% 0 0 Cyprus Pathogen inactivated blood and blood components are not being manufactured or distributed by the Canadian blood establishments that supply all Canadian hospitals with blood and blood components intended for The Cyprus Blood Establishment does not perform plasma fractionation or manufacture medicinal products derived from human blood or plasma Czech. Rep 100% 201200 31600 1% experimentally 2

s Denmark 0% 0% 0% 0% 0% 69753 42371 100% 0% 0% Estonia 0% 0% 0% 0% 0% 27317 6034 100% 0% 0% 0% Finland 100% 0% 0% 0% 53163 41659 10% 0% 0% 0% France 0% 21,79% 64,72% 13,46 0 380707 275779 7,94% 0% Georgia 7,520 (2,820 of FFP for 3 months, 4,700 for 2 months) Plasma quarantine just in two blood facilities. In 2008, from approx. 32,000 of FFP prepared countrywide, 7520 have been Germany 94% 6% none none none 1124327 437014 0,07% none Greece 51807 (difficulties in logistics and stock management) 33,522 (satisfactory results - Coagulation factors losses within the accepted range - adverse reactions rate 1:2,177) A trial with pathogen reduction of 500 of apharesis platelets using the technology was planned to start at the end of 2009 Hungary Iceland 3

s Ireland 98,5% 100% Italy 3,9% 17% 485250 214599 9,5% 0% Latvia 100% 36758 6131 85% Bact ALERT Lituania 93% 27805 14646 3% 2,7% Macedonia 25346 14119 1% Malta 30% 2689 1256 15% Moldova 46740 9083-3% Montenegro 726 8562 Netherlands 100% 0 82000 56000 100% New Zealand Norway 100% 0% 0% 0% 22982 78% 0% 17% 0% Poland 324694 961 443 20875 369474 90533 9 6971 Portugal Romania 50% 259843 26630 100% for apharesis 10% for recovered 4

s 1176904 litres* 17 484171 454107 1 *Russian official BTS-statistic Russia 1345238 litres* 31 486236 452196 1 *Russian official BTS-statistic Serbia 2,26% 10220 10220 5,2% 3,9% Slowak Rep. 70% 27717 1% Slovenia 29902 9277 2,57 68,45% Spain 35% 0 59% 5% 0% 194917 156514 20 5 21% Evaluation Sweden 2% 92741 42553 37% 12% Switzerland 91,8% 8,2% 71571 29938 United Kingdom 0 19% 3% 0 0 318761 240106 small number 0 0 0 USA 2400000 2000000 74,7% 2008 = not, opu = of plasma data from 2009 (2008 where specified) Data from 2010 5