ICMR prepares India's first national rare blood donor registry
New Delhi, Jun 21 (PTI): The National Institute of Immunohaematology in Mumbai under the India Council of Medical Research has for the first time created a national 'rare blood donor registry' for patients with rare and uncommon blood types who need frequent transfusion especially in conditions such as thalassemia and sickle cell disease.
The ICMR-NIIH is now in talks with the Director General of Health Services (DGHS) so that the rare donor registry portal can be integrated with e-Raktakosh, a platform which currently provides information about blood availability, Dr Manisha Madkaikar, Director of ICMR-Centre for Research Management and Control of Haemoglobinopathies (CRHCM) in Nagpur said.
The integration will help people with rare blood groups easily trace blood banks and procure blood. It will also assist the blood banks manage their stock and donors through a centralised system.
India, with a population of more than 142 crore, has over 4,000 licensed blood banks, according to the Central Drug Standard Control Organisation (CDSCO).
India relies heavily on transfusions due to a higher prevalence of blood diseases and complications during pregnancy, Dr Madkaikar said.
"Thalassemia itself contributes to 1 to 1.5 lakh patients who require recurrent transfusions," she said.
Additionally, with more than 1,200 road accidents occurring every day in India, and with every year 60 million surgeries, 240 million major operations, 331 million cancer-related procedures, and 10 million pregnancy complications, a serious call for blood transfusion is recognised, she said.
In majority of blood banks in India, only ABO and RhD are antigens matched prior to cross-matching for issuing of red blood cell components. However, the International Society of Blood Transfusion (ISBT) has recognised more than 360 antigens in 47 blood group systems. Blood banks do not perform testing of these minor blood group antigens routinely, explained Dr Madkaikar.
"As a result, a mismatch of minor antigens between donor and patient blood group (BG) profiles can lead to red cell alloimmunization (1-3 per cent in the general population, 8-18 per cent in thalassaemic patients). About 25 per cent of all immunized patients have been reported to receive unsatisfactory transfusion support due to presence of multiple antibodies or antibodies to high frequency antigens (HFA)," she said.
Rare blood groups are those which lack HFA (1:1000 or less), or are negative for a combination of common antigens, or have a null phenotype.
"Meeting a demand for rare blood supply is challenging and time consuming for such patients. The need of a patient for rare blood can be the start of a series of events that may extend beyond the local blood centre and become a national or even an international search," Dr Madkaikar said.
To overcome this challenge, an inventory of extensively typed blood donors and rare blood type donors is required, she said.
For this, internationally 27 countries have operational national rare donor registry programmes. India, however, is not a contributor country, she said.
In 2019, however, ICMR-NIIH was granted Centre of Excellence project under the aegis of ICMR, where an initiative was taken to screen 4,000 'O' group regular blood donors for all clinically important antigens using high throughput molecular assays, from four different regions of India in collaboration with the big blood banks from KEM Hospital Mumbai, PGIMER Chandigarh, MCH Kolkatta and JIPMER Puducherry.
"More than 600 donors negative for combination of antigens were identified along with 250 very rare blood group donors. The registry also includes 170 Bombay blood group donors, which is the commonly required rare blood type in India (approx 120-150 units/year). To access this inventory (ICMR-Rare Donor Registry of India (RDRI)), a web-based portal has been developed for systematic requisition and provision of blood to patients on time," Dr Madkaikar said.
"There is a plan to integrate this rare donor registry with e-Raktakosh of DGHS so that all the blood banks can contribute their rare donors and help in expansion of the registry. Last month we held a meeting with the DGHS," she said.
Let the Truth be known. If you read VB and like VB, please be a VB Supporter and Help us deliver the Truth to one and all.
UDF leaders see local body poll trends as pointer to 2026 Assembly elections in Kerala
Thiruvananthapuram (PTI): Buoyed by the strong performance of the Congress-led UDF in the local body polls, KPCC president Sunny Joseph said on Saturday that the front's results indicated the people had rejected the LDF government.
According to early trends, the UDF was leading in more grama panchayats, block panchayats, municipalities and corporations than the LDF.
The local body polls were held in two phases in the state earlier this week.
ALSO READ: Cong candidate who moved Kerala HC for name reinstatement in voter list, wins
Speaking to reporters here, Joseph said the people of Kerala had extended their support to the UDF.
"We could expose the LDF government’s anti-people stance and the people understood it. The LDF’s fake propaganda was rejected by the people. The UDF is moving towards a historic victory," he said.
He said a united effort, proper preparations, good candidate selection and hard work had resulted in the Congress and the UDF’s victory in the elections.
Asked about the prospects in the Thiruvananthapuram Corporation, Joseph said the party was studying the matter and would comment later.
LDF convenor T P Ramakrishnan said the results would be closely examined.
According to him, the government had done everything possible for the people.
"Why such a verdict happened will be examined at the micro level. People’s opinion will be considered and further steps will be taken," he said.
He added that decisions would be taken after analysing the results. "If any corrective measures are required, we will initiate them and move forward," he said.
AICC leader K C Venugopal said the results showed that people had begun ousting those who, he alleged, were responsible for the loss of gold at Lord Ayyappa’s temple.
"This trend will continue in the Assembly elections as well. It is an indication that the people are ready to bring down the LDF government," he said.
Venugopal said the UDF had registered victories even in CPI(M) and LDF strongholds.
"I congratulate all UDF workers for their hard work. Congress workers and leaders worked unitedly," he said.
Referring to remarks made by Chief Minister Pinarayi Vijayan against the Congress on polling day, Venugopal said the voters had responded through the verdict.
"I do not know whether the chief minister understands that the people are against him. Otherwise, he does not know the sentiment of the people. The state government cannot move an inch further," he said.
He said the results indicated a strong comeback for the UDF in Kerala.
Asked whether the Sabarimala gold loss issue had affected the LDF in the local polls, Venugopal said the CM and the CPI(M) state secretary did not take the issue seriously.
"We took a strong stand on the matter. The BJP played a foul game in it," he alleged.
On the BJP's role in the local body elections, Venugopal alleged that the party operated with the CPI(M) 's tacit support.
"The CPI(M) supported the central government on issues such as PM-SHRI, labour codes and corruption in national highway construction. The CPI(M) is facing ideological decline, and the state government’s policies are against the party’s own decisions," he said.
Meanwhile, LDF ally Kerala Congress (M) leader Jose K Mani said the party could not win all the wards it had expected in the elections.
He congratulated winners from all parties and said the party would closely examine the losses and identify shortcomings. "Later, we will take corrective measures," he added.
Senior Congress leader and MP Rajmohan Unnithan said the trends in the local body elections indicated that the UDF would return to power in the 2026 Assembly elections.
"We will win 111 seats as in 1977 and return to power in 2026. The anti-government sentiment of the people is reflected in the elections," he said.
Unnithan said the people were disturbed and unhappy with the present government.
"The trend indicates the end of the LDF government," he added.
CPI(M) MLA M M Mani said the people had shown ingratitude towards the LDF despite benefiting from welfare schemes.
"After receiving all welfare schemes and living comfortably, people voted against us due to some temporary sentiments. Is that not ingratitude," he asked.
Mani said no such welfare initiatives had taken place in Kerala earlier.
"People are receiving pensions and have enough to eat. Even after getting all this, they voted against us. This is what can be called ingratitude," he said.
Muslim League state president Panakkad Sayyid Sadiq Ali Shihab Thangal said the results were beyond expectations.
"The outcome points towards the Secretariat in Thiruvananthapuram, indicating that a change of government is imminent. We are going to win the Assembly election," he said.
