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Blood
and Travel
Many
travelers are by now familiar with the need for immunizations to
protect against infectious diseases but one of the most important
causes of death abroad is motor vehicle accidents. While this cannot
always be avoided often the driver or pedestrian have been drinking
or intoxicated from other causes.
On
many vacations mopeds and small motorbikes are frequently causes
of accidents.
One
suggestion for those travelling to new locations is to avoid driving
in crowded and unknown areas until after you know the area a little
better. Even a little familiarity with the road can help road performance
and help anticipate and prevent accidents.
Because
road accidents are often very traumatic blood products may be needed.
The safety of blood products abroad varies depending on the type
of screening of donors, which may vary, country to country.
Unscreened
blood products can transmit diseases such as HIV, hepatitis B and
C, Chaga's disease, and possibly even malaria.
Blood
because it is such a rare commodity worldwide is usually given only
when clearly needed and when no other treatment is appropriate.
Travelers doing extreme activities in remote areas also need to
know that if they require a transfusion they may be using blood
that would have otherwise gone to local inhabitants. Their behaviours
also have impacts on others as well as their own safety.
Often
travelers present to their family doctor before travelling asking
to know their ABO Blood type prior to their departure. This seems
like a reasonable request particularly in the case they may need
a transfusion abroad from some terrible and unexpected accident.
Many travel organizations; missionaries and other overseas groups
also recommend getting blood typed and even go so far as to make
it a prerequisite on their application forms.
However,
the value of blood typing for this purpose is questionable and is
not the normal way modern hospitals even in developing countries
process blood transfusions. Since blood contains many antigens-
the ABO blood group and Rh proteins as well as many others, clinicians
request a blood compatibility test commonly “group and match” where
the donor and recipient blood samples are checked in detail for
incompatibilities. This is necessary to avoid transfusion created
problems. Thus just knowing a persons blood type is not very useful.
Doing
unnecessary tests also leads to yet more costs with health care
and puts added strains on the Canadian Blood Services who always
need blood as well.
Still
some travelers do need their preparticipatory screening forms completed
and their ABO typing.
One
solution for travelers requiring this information is to simply go
to the Canadian Blood services and become blood donors. All donors
are told their blood type and in addition also help those in need
of blood products.
If
you are donating blood after a vacation the Blood banks will carefully
screen donors by reviewing recent travel to tropical countries and
immunizations received. Some live vaccines prevent blood from being
accepted for periods so it is useful to bring your immunization
record to the blood bank.
The
Canadian Blood Services does regular blood drives across the province
and can be reached through their main location at 777 William ave.
They may be contacted for information on how to become a donor at
(204) 789-1000.
Even
in this present age of high tech medicine simple resources like
blood is sorely needed and donations are appreciated and needed.
Long-term
travelers may also inquire about the possibility of donating blood
while abroad as this is another way they can help the country they
are visiting.
By
giving blood travelers can give something back, or know that if
they ever need blood someone will likewise provide for them as well.
The best place to keep blood
is in people.
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