1	Is it time for 16-year-old blood donation in TN? Liz Culler, MD TABB October 26, 2007
2	Blood donation for 16-year-old donors: Why now? Change in the AABB Standards 23^rd edition of the AABB Standards: Age: ³ 17 years or applicable state law 24^th edition of the AABB Standards: Age: Conform to applicable state law or ³ 16 years
3	States in which blood centers are collecting blood from 16-year-old donors Alaska California Florida Georgia Idaho Illinois Indiana Iowa Maryland Missouri New York Ohio Washington
4	High school student donors significantly impact the blood supply A recent survey of America’s Blood Centers members revealed that 16% of member blood collections were donated during student blood drives School blood drives accounted for close to 35% of total collections for one blood center Considering the loss of current donors as baby boomers age, high school student recruitment is increasingly important
5	AABB abstract by Eder, et al. In 2006, 2.5% of whole blood collections (44,306) were from 16-year-olds and 5.7% (101,374) were from 17-year-olds The overall rate of complications was higher among 16-year-olds (1144.1 per 10,000) compared to 17-year-olds (1042.5 per 10,000) (p<0.05) The rate of prefaint reactions was statistically higher in 16-year-olds compared to 17-year-olds among all donors and among first-time donors [1015 vs. 971 per 10,000]
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7	Safety of blood collections from 16-year-old blood donors 16-year-old donors have a 10-15% greater risk of reaction compared to 17-year-old donors (AABB News, Sept 2007) Methods of preventing vasovagal reactions: 1) 16 oz of water consumed prior to donation decreased the vasovagal donor reaction rate by 21 percent in 2 studies 2) Increasing the acceptable donor weight to 120 lbs 3) Draw blood in 450 mL bags instead of 500 mL bags
8	Tennessee state code 68-32-101. Age limits and other restrictions. — (a) (1) Any person seventeen (17) years of age or older, subject to the restrictions and provisions of this section, is acceptable as a blood donor; provided, that any person seventeen (17) years of age shall be accepted as a blood donor on a voluntary basis only. Any person seventeen (17) years of age may be accepted as a blood donor, if the person has had the disability of the person's minority removed, or if the person has the written consent of the person's parent or guardian; provided, that the person may be accepted as a blood donor in the absence of any removal or consent if the person is not compensated for the person's blood donation. (2) (A) Notwithstanding provisions of this section to the contrary, any person under seventeen (17) years of age may be accepted as a blood donor when a medical necessity exists within the person's immediate family. (B) In order to donate, any person under seventeen (17) years of age must have written consent of the person's parent or guardian and written consent of the person's personal physician dated within two (2) weeks of the date of donation.
9	ALABAMA STATE BOARD OF HEALTH ALABAMA DEPARTMENT OF PUBLIC HEALTH BUREAU OF ENVIRONMENTAL AND HEALTH SERVICE STANDARDS DIVISION OF LICENSURE AND CERTIFICATION ADMINISTRATIVE CODE CHAPTER 420‑5‑8 INDEPENDENT CLINICAL LABORATORIES (7) Plasmapheresis and Whole Blood Donor Centers. (b) Written policies and procedures shall conform to the current edition of the American Association of Blood Banks' Standards for Blood Banks and Transfusion Services
10	Issues for discussion: Should we support legislation allowing the collection of blood from 16-year-old donors in TN? If so, how should the legislation be worded?