Washington (AP) — Federal health officials are recommending an end to the nation’s lifetime ban on blood donations from gay and bisexual men, a 31-year-old policy that many medical groups and gay activists say is no longer justified.
The Food and Drug Administration said Dec. 23 it favors replacing the blanket ban with a new policy barring donations from men who have had gay sex in the previous year. FDA officials said that policy is supported by research and would put the U.S. in-line with other countries including Australia, Japan and the U.K.
The lifetime ban dates from the early years of the AIDS crisis and was intended to protect the blood supply from what was a then little-understood disease. But many medical groups, including the American Medical Association, say the policy is no longer supported by science, given advances in HIV testing. Gay activists say the lifetime ban is discriminatory and perpetuates negative stereotypes of homosexual men.
The agency will recommend the switch in draft guidelines early next year and move to finalize them after taking comments from the public, FDA officials. FDA Deputy Director Dr. Peter Parks declined to give a timeframe for completing the process but said, “we commit to working as quickly as possible on this issue.”
All blood donations are screened for HIV, however, the test only detects the virus after it’s been in the bloodstream about 10 days. That allows a brief window when the virus that causes AIDS can go undetected.
According to government figures, men who have had sex with other men represent about 2 percent of the U.S. population, yet account for at least 62 percent of all new HIV infections in the U.S.
Tuesday’s announcement is the culmination of years of government discussions re-examining the ban. Last month a panel of blood safety experts convened by Department of Health and Human Services voted 16-2 in favor of doing away with the lifetime ban. The panel recommended moving to a one-year ban, which bars donors who have had male-on-male sex during the previous 12 months.
Some gay activists said Tuesday that policy remains unrealistic and will still stigmatize gay and bisexual men.
“Some may believe this is a step forward, but in reality, requiring celibacy for a year is a de facto lifetime ban,” the organization Gay Men’s Health Crisis, a New York-based nonprofit that supports AIDS prevention and care, said after the announcement.
The FDA implemented the ban in 1983, when health officials were first recognizing the risk of contracting AIDS via blood transfusions. Under the policy, blood donations are barred from any man who has had sex with another man at any time since 1977 – the start of the AIDS epidemic in the U.S.
The push for a new policy gained momentum in 2006, when the Red Cross, the American Association of Blood Banks, and America’s Blood Centers called the ban “medically and scientifically unwarranted.” Last year the American Medical Association voted to oppose the policy.
Patient groups that rely on a safe blood supply, including the National Hemophilia Foundation, have also voiced support for dropping the ban.
However, the ACLU said the year waiting period essentially means the ban is still in place.
“The FDA’s proposal must be seen as part of an ongoing process and not an end point,” said Ian Thompson, ACLU Legislative Representative, in a media release. “The reality for most gay and bisexual men – including those in committed, monogamous relationships – is that this proposal will continue to function as a de facto lifetime ban. Criteria for determining blood donor eligibility should be based on science, not outdated, discriminatory stereotypes and assumptions.”
