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Related Experiment Videos

Hepatitis C lookback in Canada.

M Goldman1, A Long

  • 1mgoldman@hema-quebec.qc.ca

Vox Sanguinis
|August 12, 2000
PubMed
Summary
This summary is machine-generated.

Hepatitis C virus (HCV) lookback studies in Canada identified a 19% link between blood components and anti-HCV positive recipients. General notification found approximately twice the general population

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health

Background:

  • Canadian blood donations screened for Hepatitis C Virus (HCV) antibodies since 1990 using EIA and RIBA.
  • Targeted HCV lookback studies initiated in 1995 for confirmed positive donations.
  • General lookback implemented in provinces following public inquiry recommendations.

Purpose of the Study:

  • Evaluate the effectiveness of targeted and general HCV lookback strategies in Canada.
  • Determine the rate of anti-HCV positive recipients among those transfused prior to widespread HCV testing.
  • Assess the resources and challenges associated with blood donor and patient notification.

Main Methods:

  • Targeted lookback on donors confirmed positive by RIBA testing.
  • Re-testing of indeterminate samples and subsequent lookback.

Related Experiment Videos

  • Hospital surveys in Quebec to assess lookback methods and resources.
  • Centralized transfusion data banks and linkage with provincial data for general notification.
  • Main Results:

    • Targeted lookback on 1,628 anti-HCV positive donors linked 19% of components to positive recipients.
    • Of 1,422 recipients tested, 67% were anti-HCV positive; half were already aware.
    • General notification in BC and PEI tested 38,960 and 1,953 recipients, finding 5.0% and 2.2% anti-HCV positive, respectively.
    • Lookback efforts hampered by resource limitations and manual record-keeping.

    Conclusions:

    • Targeted lookback investigations reveal a significant link between blood components and anti-HCV positive recipients.
    • General letter notification identifies anti-HCV positivity at approximately twice the rate of the general population.
    • Results align with international findings from Denmark and the UK, highlighting the importance of lookback programs.