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The New Zealand Blood Service (in te reo Māori: ) is the provider of blood services for
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...
. The service is a Crown entity responsible to New Zealand’s Parliament and is governed by a Board appointed by the Minister of Health.


History

The New Zealand Blood Service (NZBS) was formed on 1 July 1998, when the Health Amendment Act 1998 was passed by Parliament. NZBS was created to provide the people of New Zealand with safe, appropriate and timely access to blood and tissue products and related services to meet their health needs. NZBS is responsible for the development of an integrated national
blood transfusion Blood transfusion is the process of transferring blood products into a person's circulation intravenously. Transfusions are used for various medical conditions to replace lost components of the blood. Early transfusions used whole blood, but mo ...
process from the collection of blood from volunteer donors to the transfusion of
blood product A blood product is any therapeutic substance prepared from human blood. This includes whole blood; blood components; and plasma derivatives. Whole blood is not commonly used in transfusion medicine. Blood components include: red blood cell concen ...
s within the hospital environment – a 'vein to vein' transfusion service. Approximately 29,000 New Zealanders need blood or blood products every year and less than 4% of New Zealanders donate. In November 2020, Organ Donation New Zealand became part of the NZBS. On 14 December 2020, the NZBS amended its donation policies to reduce the blood deferral period for gay and bisexual men as well as male sex workers from 12 to 3 months.


Duties

New Zealand Blood Service has four key roles: * Blood collection, based on voluntary, unpaid donations; * Processing of blood donations, by separating blood donations into
blood component Whole blood (WB) is human blood from a standard blood donation. It is used in the treatment of massive bleeding, in exchange transfusion, and when people donate blood to themselves. One unit of whole blood (~517 mls) brings up hemoglobin leve ...
s; * Accreditation testing of blood donations, to minimise risk to the recipients of blood and blood products; *
Blood bank A blood bank is a center where blood gathered as a result of blood donation is stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a department of a hospital usually within a Clinical Pathology laborat ...
ing at hospital-based laboratories, where blood products are tested pre-transfusion and matched to each individual patient.


Blood collection

New Zealand Blood Service plans and forecasts demand from hospitals and uses this to calculate the number of appointments and donations required for the week, based on blood type. Blood type is key, as donations are matched to the blood types of the patients being treated in hospitals. Each year NZBS collects approximately 106,000 whole blood donations, 110,000 plasma donations and 18,000 units of platelets. NZBS has nine Donor Centres around New Zealand and runs over 300 mobile blood drives each year. The Donor Centres are in
Auckland Auckland (pronounced ) ( mi, Tāmaki Makaurau) is a large metropolitan city in the North Island of New Zealand. The List of New Zealand urban areas by population, most populous urban area in the country and the List of cities in Oceania by po ...
(Epsom, Manukau and North Shore),
Hamilton Hamilton may refer to: People * Hamilton (name), a common British surname and occasional given name, usually of Scottish origin, including a list of persons with the surname ** The Duke of Hamilton, the premier peer of Scotland ** Lord Hamilt ...
,
Tauranga Tauranga () is a coastal city in the Bay of Plenty region and the fifth most populous city of New Zealand, with an urban population of , or roughly 3% of the national population. It was settled by Māori late in the 13th century, colonised by ...
,
Palmerston North Palmerston North (; mi, Te Papa-i-Oea, known colloquially as Palmy) is a city in the North Island of New Zealand and the seat of the Manawatū-Whanganui region. Located in the eastern Manawatu Plains, the city is near the north bank of the ...
,
Wellington Wellington ( mi, Te Whanganui-a-Tara or ) is the capital city of New Zealand. It is located at the south-western tip of the North Island, between Cook Strait and the Remutaka Range. Wellington is the second-largest city in New Zealand by me ...
,
Christchurch Christchurch ( ; mi, Ōtautahi) is the largest city in the South Island of New Zealand and the seat of the Canterbury Region. Christchurch lies on the South Island's east coast, just north of Banks Peninsula on Pegasus Bay. The Avon River / ...
and
Dunedin Dunedin ( ; mi, Ōtepoti) is the second-largest city in the South Island of New Zealand (after Christchurch), and the principal city of the Otago region. Its name comes from , the Scottish Gaelic name for Edinburgh, the capital of Scotland. Th ...
. Mobile blood drives take place in community halls, education centres and workplaces.
Whole blood Whole blood (WB) is human blood from a standard blood donation. It is used in the treatment of massive bleeding, in exchange transfusion, and when people donate blood to themselves. One unit of whole blood (~517 mls) brings up hemoglobin lev ...
donors can donate at a mobile blood drive or any of the nine Donor Centres.
Plasma Plasma or plasm may refer to: Science * Plasma (physics), one of the four fundamental states of matter * Plasma (mineral), a green translucent silica mineral * Quark–gluon plasma, a state of matter in quantum chromodynamics Biology * Blood pla ...
and
platelet Platelets, also called thrombocytes (from Greek θρόμβος, "clot" and κύτος, "cell"), are a component of blood whose function (along with the coagulation factors) is to react to bleeding from blood vessel injury by clumping, thereby ini ...
donations require an
apheresis Apheresis ( ἀφαίρεσις (''aphairesis'', "a taking away")) is a medical technology in which the blood of a person is passed through an apparatus that separates out one particular constituent and returns the remainder to the circulation ...
machine and so can only be made at nine Donor Centres with these facilities. In order to minimise risk for recipients of blood and blood products, NZBS has detailed eligibility criteria in place for potential donors. These include a donor’s age, weight, health and travel history.


Processing of blood donations

Blood donations are processed at four sites: Auckland, Hamilton, Wellington and Christchurch. These sites collectively process around 106,000 donations each year. Processing involves the separation of blood donations into blood components: red cells, platelets and plasma.


Accreditation testing of blood donations

Accreditation testing is centralised in Auckland and Christchurch. Accreditation testing of all blood donations involves two distinct processes: blood grouping and screening for infectious markers.


Blood banks

Blood banks are the pre-transfusion testing laboratories where blood products are matched to suit each individual patient. This includes determining the patient's
blood type A blood type (also known as a blood group) is a classification of blood, based on the presence and absence of antibodies and inherited antigenic substances on the surface of red blood cells (RBCs). These antigens may be proteins, carbohydrate ...
and matching this with appropriate products. Blood banks are always located at hospitals and are often staffed after hours to meet any urgent need for blood. NZBS operates six blood banks within hospitals across New Zealand. Within the 20 District Health Board (DHB) Blood Bank laboratories also perform pre-transfusion testing in line with defined quality standards.


References


External links

* {{NZ crown entities/Crown agents New Zealand Crown agents Medical and health organisations based in New Zealand Blood donation