FDA to make easier for gay and bisexual men to donate blood : Shots - Health News : NPR

Contents:

• GAY MEN STILL FACE HURDL TO DONATE BLOOD AMID NATNAL SHORTAGE
• BIN ADMISTRATN SPEAKS OUT ON FERAL BLOOD DONATN POLICY IMPACTG GAY MEN AMID NATNAL BLOOD SHORTAGE
• MORE GAY AND BISEXUAL MEN WILL NOW BE ABLE TO DONATE BLOOD UNR FALIZED FDA L
• AMERIN RED CROSS FIGHTS BAN ON GAYS' BLOOD
• COLUMN: TWO GAY MEN WALK TO A RED CROSS BLOOD DONATN CENTER ...
• WHY DO FDA BAN ‘GAY’ BLOOD?
• FDA EAS BLOOD DONATN BAN ON GAY AND BISEXUAL MEN AFTER YEARS OF PROTT
• CRICS LL TO END THREE-MONTH CELIBACY REQUIREMENT FOR GAY, BISEXUAL MEN AMID BLOOD SHORTAGE
• THE “GAY BLOOD BAN” ISN’T OVER
• THE RED CROSS IS CHANGG S POLICY ON BLOOD DONATNS FOR GAY AND BISEXUAL MEN
• IT’S LONG PAST TIME TO END THE FDA’S GAY BLOOD BAN
• ADVANCE STUDY ON DONATN ELIGIBILY REQUIREMENTS FOR GAY AND BISEXUAL MEN
• LETTG GAY MEN DONATE BLOOD COULD HELP SOLVE A MAJOR HEALTH CRISIS

GAY MEN STILL FACE HURDL TO DONATE BLOOD AMID NATNAL SHORTAGE

S., the Red Cross, along wh One Blood, Valant and partner LGBTQ+ muny health centers, are participatg a pilot study fund by the FDA select ci that uld potentially lead to chang for blood donor eligibily creria for gay and bisexual men. Dpe this urgent need for donatns, people who have sex wh gay or bisexual men are still facg rtrictns on their abily to give Food and Dg Admistratn bars people who have had sex wh gay or bisexual men om donatg blood for three months followg the most recent sexual ntact bee of fears of HIV the blood agency changed the ferral perd om 12 months to three months November 2020 as blood donatns fell and hospals faced cril shortag durg the first year of the COVID-19 advot, cludg the Human Rights Campaign, say the FDA is movg too slowly on removg the rtrictn, sayg that 's an outright ban on the abily of people, particularly gay and bisexual men, to donate blood. Rtrictns on blood donatns om gay and bisexual men, who are nsired to be at high risk for HIV or AIDS transmissn, date back to the and bisexual men unrgo dividual risk asssments stead of time-based bans untri around the world, recently cludg Greece and France, acrdg to ternatnal reports.

BIN ADMISTRATN SPEAKS OUT ON FERAL BLOOD DONATN POLICY IMPACTG GAY MEN AMID NATNAL BLOOD SHORTAGE

The event was held to prott feral l that effectively ban gay men om donatg Bispg/Star Tribune via Getty Imag, FILEValant told ABC News a new statement that rearchers are halfway toward s goal of enrollg 2, 000 participants across eight ci: Washgton D. They enurage gay and bisexual men who are 18 to 39 years old to participate the FDA, a statement to ABC News, said that this study uld generate data that will help the agency terme if a donor's dividual risk asssment and qutnnaire would be jt as effective rcg the risk of HIV the blood supply as the time-based ferrals the FDA already has FDA also said do not have a specific timele for when the studi will be pleted but that is "mted to gatherg the scientific data that n support alternative donor ferral polici that mata a high level of blood safety. For the first time, the Bin admistratn is mentg on the Food and Dg Admistratn's long-time blood donatn guil, which are impactg the LGBTQ+ muny by preventg gay and bisexual men om beg eligible blood statement, ma by a Whe Hoe official exclively to ABC News, acknowledg the paful origs of the policy and on the heels of the Amerin Red Cross clarg their first-ever natnal blood crisis last week, as suppli at hospals and blood banks bee dangeroly low.

MORE GAY AND BISEXUAL MEN WILL NOW BE ABLE TO DONATE BLOOD UNR FALIZED FDA L

Policy holds that sexually active gay or bisexual men mt absta om sex for at least three months before they're allowed to donate blood. It also clus gay and bisexual COVID-19 survivors who wish to donate nvalcent plasma, rich wh antibodi, for rtrictn on blood donatns me out of the HIV/AIDS crisis of the 1980s, when limed ttg technology and pacy existed to screen blood for HIV. In 1983, the FDA implemented a lifetime ban on blood donatns om all men who had sex wh men after FDA removed the lifetime ban and enacted a 12-month ferral perd 2015, meang gay or bisexual men had to absta om havg sex wh other men for at least 12 months before donatg blood.

The Food and Dg Admistratn (FDA) said Thursday had officially elimated rtrictns that had prevly prohibed many blood donatns by gay and bisexual men — a longstandg policy that crics say is discrimatory. Wh the updated guil, most gay and bisexual men who are a monogamo relatnship wh a man will no longer have to rea om sex orr to donate blood. Print and CEO of GLAAD Sarah Kate Ellis echoed that approval a statement, sayg "The FDA's cisn to follow science and issue new remendatns for all Amerins, regardls of sexual orientatn, who selflsly donate blood to help save liv, signals the begng of the end of a dark and discrimatory past rooted fear and homophobia, " However, Ellis said while the new guidance is a step the right directn, there is still a barrier for LGBTQ+ people who are on PrEP, an FDA-approved dg proven to prevent the transmissn of HIV, who may want to donate blood.

AMERIN RED CROSS FIGHTS BAN ON GAYS' BLOOD

" In craftg the new guidance, the FDA has been lookg to the rults of a study of about 1, 600 gay and bisexual men to velop screeng qutns that n intify potential donors who are most likely to be fected wh HIV. So to give you an example, take a gay male uple that's been together for 20 years, and they have a monogamo relatnship and they have tted negative for HIV.

I'm ncerned that they haven't perhaps ma as much effort as they should have to make sure that the policy is science based, bee the subject here is gay men. Bee somehow movg down that path terms of human st would be unacceptable, and I wonr why we don't have the same standards for gay men.

Our posn is simply that the same creria should be ed for gay men as are ed for other groups, and our sense is that that's not the se now.

COLUMN: TWO GAY MEN WALK TO A RED CROSS BLOOD DONATN CENTER ...

MARTIN: Given a number of other sort of social and health ncerns that gay men already face, why is this an issue for you to take on, for your anizatn to take on? GINSBERG: When gay men's bodi are stigmatized as dirty, regardls of the behavr that they make, you're sendg the msage that HIV risks and other risks of sexually transmted diseas is not about your behavr. It's the general stigmatizatn of gay men that lower qualy of re to be livered to gay men and gay men to avoid seekg re the first place.

MARTIN: I thk that the qutn that many people would have is - and I unrstand that you're not a doctor - but do you believe that gay men who are engaged safe sex practic nsistently n safely donate blood?

There's absolutely no risk for a gay man who is HIV-negative and only have safe sex wh other people who are HIV-negative or who has any kd of sex wh men who are HIV negative - 's scientifilly impossible for that person to ntract HIV or to spread . Given all the ways that people n opt out whout stigma, is still the se that gay men are sgled out by their - by the cisn to not allow them to donate as a group? Afterward, they snacked on mi-Oreos and sipped om ty juice all seemed very this was a totally new experience for Jeremy Walker, 55, and his hband, Judd Stark, 59, gay men who me of age at the ighteng dawn of the AIDS era.

WHY DO FDA BAN ‘GAY’ BLOOD?

Five years later, amid the COVID- 19 panmic 2020, the FDA shortened the abstence perd to three jt last month, the agency falized new guil for termg the eligibily of each prospective blood donor — not jt gay men or, say, sex workers — dividually, wh a seri of qutns about their recent sexual history. “I haven’t ed the word ‘anal’ this much sce the ’80’s, ” Stark joked wele change public policy at a time when gay and trans rights are creasgly unr attack, empowered by an ultranservative Supreme Court.

Blood supply is dangeroly low bee of a sharp drop donatns durg the COVID-19 so, gay and bisexual men, clilly referred to as “men who have sex wh men” or MSM, are still beg told that their blood is too “dangero” to donate. MSM mt be celibate for three months to give blood bee of a Food and Dg Admistratn (FDA) policy datg back 40 years to the onset of the AIDS ban do harm by perpetuatg the stigma that HIV/AIDS is a “gay disease, ” said Jason Cianctto, GMHC’s vice print of munitns and policy.

“It suggts there is somethg herently wrong and ‘dirty’ about gay and bisexual men that mak them diseased and dangero to others.

FDA EAS BLOOD DONATN BAN ON GAY AND BISEXUAL MEN AFTER YEARS OF PROTT

People livg wh HIV also n’t FDA’s blanket ferral clus many HIV-negative people wh a low-to-zero risk of HIV fectn, and accurately suggts all gay and bisexual men are livg wh stance, although Cianctto and his hband are not an open relatnship, the three-month celibacy perd still appli. Dpe enormo advanc scientific knowledge about HIV transmissn and the advent of highly accurate blood screeng tts, the FDA has not changed s policy targetg gay and bisexual HIV and AIDS was rrectly labeled a “gay disease” the early 1980s, the FDA imposed a lifetime blood donatn ban on any man who’d had sex wh another man sce 1977, along wh sex workers, traveno dg ers and people livg wh HIV. This wdow is signifintly ls than the three months of celibacy required by the ’s roleFor s, GMHC has been fightg the discrimatory ban bee falsely stigmatiz gay and bisexual men as rriers of a “gay disease.

CRICS LL TO END THREE-MONTH CELIBACY REQUIREMENT FOR GAY, BISEXUAL MEN AMID BLOOD SHORTAGE

Prompted by the COVID-19 epimic, the FDA December 2020 signed off on a pilot study for three major blood centers, the Amerin Red Cross, Valant and OneBlood, to do jt ADVANCE Study is recg 2, 000 gay and bisexual men eight ci to supply a blood sample and answer behavral qutns about HIV risk factors.

They have not yet been able to rec the requise 2000 gay and bisexual men, perhaps bee the study self, by focg solely on this populatn, perpetuat the stigma of “gay blood. ”“At a time when I was still figurg out my inty, the ernment was affirmg harmful thgs I had been raised to believe about myself: If you are gay, you will die alone om AIDS, ” he hasn’t been advotg all the years to endg the discrimatory ferral perd jt so gay and bisexual men n give blood, Cianctto said. ”Thirty years after Cianctto’s troublg experience, a gay male teen tryg to do their civic duty and give blood will still be asked if they’ve had sex wh a man—and turned away if the answer is y.

THE “GAY BLOOD BAN” ISN’T OVER

”Photo: Blood Mirror is a sculpture and llaborative project by Jordan Eagl, created wh 59 blood donatns om gay, bisexual, and transgenr men.

THE RED CROSS IS CHANGG S POLICY ON BLOOD DONATNS FOR GAY AND BISEXUAL MEN

Gay and bisexual men monogamo relatnships will no longer be forced to absta om sex to donate blood unr feral guil announced Friday, endg a vtige of the earlit days of the AIDS proposed relaxatn of rtrictns by the Food and Dg Admistratn follows years of prsure by blood banks, the Amerin Medil Associatn and LGBT rights anizatns to abandon l some experts say are outdated, homophobic and effective at keepg the natn’s blood supply new approach elimat l that target men who have sex wh men and stead foc on sexual behavrs by people, regardls of genr, that pose a higher risk of ntractg and transmtg HIV. ”Other untri cludg Canada and the Uned Kgdom have ma siar chang recent s, gay men said they were ma to feel like pariahs as they were barred om performg a wily ld act of muny service, siled om jog iends and fay givg blood after natnal disasters. ”Technologil advancements blood screeng and a new FDA-fund study backg the proposed approach renred sweepg prohibns on sexually active gay and bisexual men moot, some experts said.

IT’S LONG PAST TIME TO END THE FDA’S GAY BLOOD BAN

Newly eligible donors probably would not be able to give blood until the end of the year or early next year while the FDA faliz chang and blood banks implement activists say gay men would still be treated unfairly unr the proposed guil, which would allow them to give blood if they had not had a new anal sexual partner the prr three is no exceptn for people takg daily pills that drastilly rce the risk of ntractg HIV, a landmark advancement that revolutnized preventn whout relyg on ndoms or abstence alone, bee the meditn n terfere wh the abily of screeng tts to tect HIV. “Beg monogamo wh someone who is not livg wh HIV is not the only way to prevent transmissn, ” said Jason Cianctto, vice print for munitns and public policy at Gay Men’s Health Crisis, a group that has advoted to end the blood donatn the AIDS epimic emerged the 1980s, thoands of people who received blood transfns beme fected before scientists realized that the HIV vis that ed the disease uld be transmted by FDA placed rtrictns on blood donatns by gay men, who had higher rat of HIV fectn bee the vis spreads more easily smaller sexual works and more efficiently durg anal sex than vagal sex. ”The FDA fund a study nducted between December 2020 and September 2022 by three of the natn’s largt nonprof blood centers — Valant, OneBlood and the Amerin Red Cross — to exame whether there are qutns provirs uld ask sexually active gay and bisexual men to terme a person’s risk donatg Cter, director of the Valant Rearch Instute and the study’s prcipal vtigator, cled to share the rults whout FDA approval but characterized them as promisg.

“We are a very challengg time for the blood supply, ” Fry ’s unclear how much the new l would expand the blood supply, which would require a ncerted outreach mpaign to rm gay and bisexual men acctomed to be beg banned that they might now be eligible to crics say a three-month wag perd, mirrorg other Wtern untri, is still overly strgent bee of advancements ttg that allow for HIV to be tected Hoylman-Sigal, an openly gay Democratic senator the New York legislature, said any ferral “ntu to foster stigma around men who have sex wh men. ”“They need to pletely get rid of any semblance of rtrictns on gay men donatg blood, ” Hoylman-Sigal reason for the three-month ferral perd, acrdg to Khanlwal Canada, is that ttg for blood-borne vis, which clu hepatis B and C as well as HIV, “is not perfect. Amid a natnal blood shortage, LGBTQ advot and more than two dozen members of Congrs are llg on the Food and Dg Admistratn to further ease donor rtrictns on sexually active gay and bisexual be eligible to donate blood the Uned Stat, men who have sex wh men mt absta om same-sex sexual activy for 90 days.

ADVANCE STUDY ON DONATN ELIGIBILY REQUIREMENTS FOR GAY AND BISEXUAL MEN

”“This is a crisis of the FDA’s own makg, ” said Jay Franzone, an LGBTQ advote who remaed abstent for a year to donate blood January 2017, abidg by former and more strgent FDA rtrictns for gay and bisexual men. Given advanc blood screeng and safety technology, a time-based policy for gay and bisexual men is not scientifilly sound, ntu to effectively exclu an entire group of people, and do not meet the urgent mands of the moment, ” the group Democratic members of the Hoe Oversight Commtee, addn to two openly LGBTQ members of the Hoe — Rep.

If the FDA were to lift donor bans for men who have sex wh men, the annual blood supply would crease by 2 to 4 percent or 345, 400 to 615, 300 pts of blood annually, acrdg to the Williams Instute, a thk tank at UCLA School of FDA self said a statement that while is “nsirg the possibily of pursug alternative strategi that mata blood safety, ” more rmatn is need to revise the three month ferral perd of 2019, an timated 70 percent of new HIV fectns — 24, 500 of 34, 800 — the Uned Stat were among gay and bisexual men, acrdg the Centers for Disease Control and Richard Benjam, the former chief medil officer at the Amerin Red Cross who is now the chief medil officer at the bmedil products pany Ces Corp., argued that based on what the scientific muny knows about HIV ttg, the wag perd is still moot. Several other untri — cludg the Uned Kgdom, Canada and Greece — have lifted or moved to end such rtrictns on gay and bisexual men donatg blood throughout the panmic, wh France announcg on Tuday that will lift s limatns advocy groups lled on the U.

Now, only HIV-negative gay, bisexual, and other men who have sex wh men who do not e PrEP and who are abstent om anal sex for at least three months, or are a sexually monogamo relatnship (or believe themselv to be), are able to donate blood. The FDA’s new l not only muddle the msage of this val effort, but they mean the policy is not an end to the “gay blood ban” at all, bee so many such men are still exclud—men who, aga, are takg a proactive step to protect their health. It’s unclear exactly how many people take PrEP, but Centers for Disease Control and Preventn data suggts at least 35 percent of gay and bisexual men nsired at “high risk” of HIV do—a cisn health thori endorse.

LETTG GAY MEN DONATE BLOOD COULD HELP SOLVE A MAJOR HEALTH CRISIS

The agency now ns the risk of stg a shadow on PrEP e and ntug to stigmatize gay and bisexual men—a damagg mistake that this long-awaed change policy was meant to rrect.