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The unintended consequences of centralized blood banking and what to do about it

Within the late 1990s, the World Well being Group (WHO) issued a coverage requiring the institution of centralized blood banking services in Sub-Saharan African nations. Anthony Charles, MD, MPH, affiliate professor of surgical procedure on the UNC College of Medication, says that this coverage is now having unintended adverse penalties. In a commentary printed in  The Lancet , Charles argues that it is time for the WHO to amend its coverage and help the institution of a hybrid system that maintains centralized providers but additionally permits for transfusion services at native and regional hospitals. The purpose of the WHO coverage has been to make sure centralized screenings and testing to assist eradicate the unfold of infectious illnesses like HIV. However for Charles, who leads UNC's Malawian Surgical Initiative, the coverage is now a roadblock to the supply of acute care surgical procedure and obstetrics. Charles' work in Malawi is predicated on the Kamuzu C...