Lok Sabha Question No. 1021 (UNSTARRED), answered on 2015-12-04
Subject: Availability of Blood
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MAHEISH GIRRI, P.R. SUNDARAM, SHARAD TRIPATHI, SUNIL KUMAR SINGH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO.1021 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## AVAILABILITY OF BLOO D

## 1021. SHRI MAHEISH GIRRI:

SHRI P.R. SUNDARAM:

SHRI SHARAD TRIPATHI:

SHRI SUNIL KUMAR SINGH:

Will the Minist er of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether as per the World Health Organisation (WHO) report, India faces a blood shortage o approximately 3 million units, if so ,the details thereof indicating the estimated required and collected in the country during each of the last three years and the State/ UT - wise;
- (b) the steps taken/proposed to be taken by the Government to promote blood donatio number  of  blood  donation  camps  organized  during  the  said  period  along  with  th framework and regulations for organizing the same, State/ UT - wise;
- (c) w hether the Government proposes to launch e -Blood Bank to create an integrated blood ban automation system and also launch any application to allow people to connect to var donors, hospitals and other agencies in emergency and if so, the details thereof;
- (d)  whether  certain  instances  of  black  marketing  of  blood  and  operation  of  a unlicensed/illegal blood banks and blood storage centres have been reported in the co the details thereof during the above period, State/UTwise; and
- (e)  the  corrective  measures  being  taken  by  the  Government  for  proper  storage  and utilisation of stored blood in blood banks in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND  FAMILY WELFARE

## (SHRI SHRIPAD YESSO NAIK)

- (a) : No, there is no WHO report to this effect has been received  by the Government.
- (b) : The  Govt.  seeks  to  promote  voluntary  blood  donation  through  IEC  campaigns. addition, financial assistance is given to organisations for holding blood donation camps.  Mobile

blood donation buses and blood transportation vans have been provided to all States to effort.

The number of Blood donation camps during the said period are enclosed at Anne I and all blo od donation camps are organised as per the rules frame work and regulatio provision  of Drug and cosmetic Act 1945 and rules there under and guidelines from NA extract of the DCGI guidelines is at Annexure -II.

(c ): The govt. has initiated the process of development and roll out of centralized e - Rakt Kosh application for blood banks and blood storage units to automate work flow and proce centric services related to blood banks.

The Govt. has enrolled all the licensed blood banks o f the country on the National Health Portal  where  details  including  address,  contact  numbers  etc  are  placed  on  public mobile  application  to  locate  the  nearest  blood  banks  is  functional  on  android  pla enables people to connect to blood banks and hospitals during emergency.

(d) : Yes. Details as per information submitted by DCG(I) are at Annexure III.

(e) : Policy of transfer for Blood from one blood bank to another has been approved avoid wastage of surplus bloods in some bl ood banks, and mitigate scarcity of blood in ot blood banks. Another policy decision has also been taken to allow for exchange of surp available  with  indigenous  fractionators  for  fractionation  and  derivation  of  esse derived medicin e like human albumin and clotting factors.

Clinicians are also provided training on appropriate use of blood and blood c for optimal usages.

……………

| States                      | 2014-15   | 2013-14   | 2012-13   |
|-----------------------------|-----------|-----------|-----------|
| Andhra Pradesh              | 4378      | 3557      | 4488      |
| Telangana                   |           |           |           |
| Tamil Nadu                  | 3401      | 3887      | 4784      |
| Puducherry                  | 137       | 163       | 165       |
| Karnataka                   | 2668      | 2876      | 3493      |
| Kerala                      | 1829      | 1706      | 1515      |
| Maharashtra                 | 11826     | 20839     | 19965     |
| Mumbai                      | 1800      | 1079      |           |
| Goa                         | 317       | 286       | 246       |
| Gujarat                     | 4441      | 7116      | 6866      |
| Rajasthan                   | 2125      | 2458      | 1717      |
| Uttar Pradesh               | 1689      | 1514      | 1579      |
| Madhya Pradesh              | 1745      | 1585      | 1502      |
| Odisha                      | 2954      | 2141      | 2136      |
| Bihar                       | 570       | 423       | 580       |
| West Bengal                 | 9920      | 9161      | 14115     |
| Jharkhand                   | 1060      | 831       | 858       |
| Chattisgarh                 | 439       | 333       | 369       |
| Delhi                       | 2410      | 1356      | 2197      |
| Punjab                      | 2030      | 1847      | 1960      |
| Haryana                     | 1768      | 1910      | 1331      |
| Chandigarh                  | 755       | 756       | 658       |
| Uttaranchal                 | 902       | 854       | 747       |
| Himachal Pradesh            | 430       | 360       | 334       |
| J&K                         | 214       | 55        | 199       |
| Andaman and Nicobar Islands | 35        | 44        | 40        |
| D & N                       | 62        | 59        | 65        |
| Daman and Diu               | 23        | 5         | 6         |
| Assam                       | 415       | 396       | 400       |
| Manipur                     | 75        | 72        | 53        |
| Nagaland                    | 57        | 52        | 85        |
| Mizoram                     | 357       | 436       | 456       |
| Meghalaya                   | 88        | 85        | 90        |
| Arunachal Pradesh           | 36        | 27        | 30        |
| Sikkim                      | 24        | 35        | 63        |
| Tripura                     | 567       | 149       | 600       |
| ALL INDIA                   | 50009     | 68453     | 73692     |

## Annexure-I

## Abstract of DCGI Guidelines for holding blood donation Camps

## II. BLOOD DONATION CAMPS.

A blood donation camp may be organized by -

- (a) a licensed designated Regional Blood Transfusion Centre; or
- (b) a licensed Government blood bank; or
- (c) the Indian Red Cross Society ; or
- (d) a  licenced  blood  bank  run  by  registered  voluntary  or  char organizations recognized  by  State  or  Union  Territory  Blood  Transfusi Council.

NOTE:

- (i )  "Designated  Regional  Blood  Transfusion  Centre"  shall  be  a  centre  ap and  designated  by  a  Blood  Transfusion  Council  constituted  by  a Government  to  collect,  process  and  distribute  blood  and  its  compone cater to the needs of the region and that  centre  has  also  been  licensed  an approved  by  the  Licensing  Authority  and  Central  Licence  Approv Authority for the purpose.
- (ii) The designated Regional Blood Transfusion Centre. Government blood and Indian Red Cross Society shall intimate wit hin a period of seven days, the venue  where  blood  camp  was  held  and  details  of  group  wise  blood  u collected  in  the  said  camp  to  the  licensing  Authority  and  Central Approving Authority.

For holding a blood donation camp, the following requirem ents shall fulfilled/complied with, namely: -

## (A) PREMISES, PERSONNEL ETC.

- (a) Premises under the blood donation camp shall have sufficient area and th shall be hygienic so as to allow proper operation, maintenance and cleanin .
- (b)  All  information  regarding  the  personnel  working,  equipment  used  and  f available  at  such  a  Camp  shall  be  well  documented  and  made  availabl inspection, if required, and ensuring -
- (i) continuous and uninterrupted electrical supply for equi pment used in the Camp;
- (ii) adequate lighting for all the required activities;
- (iii) hand - washing facilities for staff;
- (iv) reliable communication system to the central office of the Controller/Organiser of the Camp;
- (v) furniture and equipment arranged within the available place;
- (vj) refreshment facilities for donors and staff;
- (vii) facilities for medical examination of the donors;
- (viii) proper disposal of waste.

be

## (B) PERSONNEL FOR OUT - DOOR BLOOD DONATI ON CAMP :

To collect blood from 50 to 70 donors in about 3 hours or from 100 to 120 don hours, the following requirements shall be fulfilled/complied with : -

- (i)  One  Medical  Officer  and  two  nurses  or  phlebotomists  for  managing  6 - 8  donor tables;
- (ii) two medico social workers;
- (iii) three blood bank technicians;
- (iv) two attendants;
- (v)  vehicle  having  a  capacity  to  seat  8 - 10  persons,  with  provision  for  carriage donation goods including facilities to conduct a blood donation camp.

## (C) EQUI PMENTS :

1. BP apparatus.
2. 2.Stethoscope.
3. 3.Blood bags (single, double, triple, quadruple)
4. Donor questionnaire.
5. 5.Weighing device for donors.
6. 6.Weighing device for blood bags,
7. 7.Artery forceps, scissors.
8. 8.Stripper for blood tubing.
9. 9.Bed sheets, blankets/matress.
10. Lancets, swab stick/tooth picks.
11. Glass slides.
12. Portable Hb meter/copper sulphate.
13. 13.Test tube (big) and 12x100 mm (small)
14. 14.Test tube stand.
15. 15.Anti - A, Anti - B and Anti.AB, Antisera and Anti - D
16. 16.Test tube sealer film.
17. Medicated adhesive tape.
18. 18.Plastic waste basket
19. Donor cards and refreshment for donors.
20. 20.Emergency medical kit
21. 21.Insulated blood bag containers with provisions for storing between 2 degree centigrade to 10 degree centigrade.
22. 22.Dielectric sealer or portable sealer
23. 23.Needle destroyer (wherever necessary)

## Annexure III

## State/ UT wise reply for Part (d) of Parliament Question No. 1021 dated 04.12.2015

| S.       | Name of the State/                    | Submitted Reply                                                                                                                                                                                                                                                                                              |
|----------|---------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| No. 1. * | UT Andhra Pradesh                     | Nil                                                                                                                                                                                                                                                                                                          |
| 2. *     | Arunachal Pradesh                     | Nil                                                                                                                                                                                                                                                                                                          |
| 3. *     | Assam                                 | Nil                                                                                                                                                                                                                                                                                                          |
| 4.       | Bihar                                 | Nil                                                                                                                                                                                                                                                                                                          |
| 5.       | Chhattisgarh                          | Nil                                                                                                                                                                                                                                                                                                          |
| 6.       | NCT of Delhi                          | Nil                                                                                                                                                                                                                                                                                                          |
| 7.       | Goa                                   | Nil                                                                                                                                                                                                                                                                                                          |
| 8.       | Gujarat                               | 1. M/s Smt. RD Gardi Blood Bank, Jamnagar and 2. M/s Gujarat Blood Bank & Pathology, Vijapur, Mahsana Prosecution launched for unlicensed activities                                                                                                                                                         |
| 9.       | Haryana                               | Nil                                                                                                                                                                                                                                                                                                          |
| 10.      | Himachal Pradesh                      | Nil                                                                                                                                                                                                                                                                                                          |
| 11       | Jammu & Kashmir                       | No instance of black marketing of blood has been reported, however, two blood banks, one in Sub District Hospital Sopore & another in Nursing Home, Sopore, Dist. Baramulla were found to be unlicensed. Show cause notice were issued & collection of blood was stopped with direction to apply for licence |
| 12.      | Jharkhand                             | Nil                                                                                                                                                                                                                                                                                                          |
| 13.      | Karnataka                             | Nil                                                                                                                                                                                                                                                                                                          |
| 14.      | Kerala                                | Nil                                                                                                                                                                                                                                                                                                          |
| 15       | Lakshadweep                           | Nil                                                                                                                                                                                                                                                                                                          |
| 16. *    | Madhya Pradesh                        | Only one case of operation of unlicensed blood bank has been reported in the State for which prosecution has been launched before the Chief Judicial Magistrate, Satna (MP) in Case No. 1235 dated 16.04.2013 against M/s MP Birla Hospital, PO- Birla Vikas, Satna (MP)                                     |
| 17 *     | Maharashtra                           | Nil                                                                                                                                                                                                                                                                                                          |
| 18       | Manipur                               | Nil                                                                                                                                                                                                                                                                                                          |
| 19       | Meghalaya                             | Nil                                                                                                                                                                                                                                                                                                          |
| 20       | Mizoram                               | Nil                                                                                                                                                                                                                                                                                                          |
| 21 *     | Nagaland                              | Nil                                                                                                                                                                                                                                                                                                          |
| 22       | Orissa                                | Nil                                                                                                                                                                                                                                                                                                          |
| 23       | Punjab                                | Nil                                                                                                                                                                                                                                                                                                          |
| 24 *     | Rajasthan                             | Nil                                                                                                                                                                                                                                                                                                          |
| 25       | Sikkim                                | Nil                                                                                                                                                                                                                                                                                                          |
| 26       | Tamil Nadu                            | Nil                                                                                                                                                                                                                                                                                                          |
| 27       | Telangana Tripura                     | Total 4 cases of unlicensed blood banks reported in the year 2013, complaint filed in court. 1. M/s Rakshita Blood Bank, Hyderabad 2. M/s Vivekanand Environmental International Society Social Service Blood Bank, Secunderabad 3. M/s Rudhira Voluntary Blood Bank, Khammam, TS Nil                        |
| 28       |                                       | 4. Indian Red Cross Society, Nalgonda                                                                                                                                                                                                                                                                        |
| 29 *     | Uttar Pradesh                         | One unlicensed blood bank was found operating at Dist. Jaunpur in year                                                                                                                                                                                                                                       |
| 30       | Uttarakhand                           | 2011 -12. FIR lodged for illegal activities. Nil                                                                                                                                                                                                                                                             |
| 31       | West Bengal                           | Nil                                                                                                                                                                                                                                                                                                          |
| 32 * 34  | UT of And. & Nicobar UT of Chandigarh | Nil                                                                                                                                                                                                                                                                                                          |
| 33 *     | UT of Dadra & N Haveli                | Nil Nil                                                                                                                                                                                                                                                                                                      |
| 35       | UT of Daman & Diu                     | Nil Nil                                                                                                                                                                                                                                                                                                      |
| 36       | Pondicherry                           |                                                                                                                                                                                                                                                                                                              |