Bridging the critical gap between infectious disease blood donation screening and connection to healthcare services: the American Chagas disease example.

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Public Health Policy Pub Date : 2024-12-18 DOI:10.1057/s41271-024-00539-5
M K Lynn, Mary Parker, Susan L Stramer, Rebecca L Townsend, Melissa S Nolan
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Abstract

Chagas disease (Trypanosoma cruzi infection) affects ~ 290,000 USA residents and is included in routine blood donation screening panels. Donors are notified of positive T. cruzi-screening results, deferred from donation, and given limited information for next steps. Individuals living with undiagnosed, uncommon infections often face substantial barriers in accessing physicians with infectious disease competency, confirmatory testing, and continuum of care after the point of blood donor deferral. We assessed 46 T. cruzi-deferred donors' experience following deferral, highlight donor challenges, and provide public health institution opportunities to support cases of rare transfusion-transmitted infections in the USA.

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弥合传染病献血筛查与保健服务联系之间的严重差距:美国恰加斯病的例子。
恰加斯病(克氏锥虫感染)影响约29万美国居民,并被纳入常规献血筛查小组。捐赠者被告知克鲁兹T.筛查结果呈阳性,推迟捐赠,并给予下一步的有限信息。患有未确诊的罕见感染的个体在获得具有传染病能力的医生、进行确诊性检测和延迟献血后的持续护理方面往往面临重大障碍。我们评估了46例T. cruzi延迟献血者在延迟后的经历,强调了献血者面临的挑战,并为美国公共卫生机构提供了支持罕见输血传播感染病例的机会。
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来源期刊
Journal of Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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