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For example, having unprotected sex with multiple partners or being paid for sex are high-risk activities, regardless of one’s sex or sexual orientation. The ADVANCE study (Assessing Donor Variability And New Concepts in Eligibility) is examining the impact of changing the screening questionnaire to ask gay and bisexual men about specific behaviors that raise infection risk, rather than requiring sexual abstinence for the previous three months. Research underway now may help with policy decisions. That’s one big reason behind increasing calls for changes in the blood donation policies that apply to MSM. The spectacularly accurate testing available now is far more effective than an honor system that asks potential donors about risk factors for having an infectious disease. Not surprisingly, blood testing is much more reliable than self-reporting.
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Why three months? The concern is that even with highly accurate testing, a recently acquired infection could be missed. Currently, men who have sex with men can choose to donate blood as long as they attest to not having had sex with men for three months. When blood donations plummeted during the pandemic, restrictions were revised again.
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Yet not until 2015 was the lifetime ban on blood donation revised by the FDA to allow donation by MSM who reported being abstinent for a full year.
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Donations dropped off so dramatically during the COVID-19 pandemic that the American Red Cross has declared a national blood crisis. The blood supply in the US is critically low.