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Gilad's avatar
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An interesting aspect on population surveillance: Philip Noris, Vice President of R&D at Vitalant (formerly Blood Centers of the Pacific, BCP) published a very interesting paper demonstrating how post-donation information could detect an infectious disease outbreak weeks before it became apparent, which could be crucial for early detection and response during a global pandemic.

Manuscript (2022): https://www.jci.org/articles/view/159876

Blood banks have a policy to collect post-donation information (PDI). If someone gets sick within a week or two of donation, the donor can call the blood bank to let them know so that they can quarantine the unit. You can see in Figure 1 that the spikes in PDI calls preceded the spikes in death from COVID during the pandemic. They were able to detect viremia in their pre-symptomatic blood donation sample in about 10% of donors during the spikes in COVID activity (Fig. 2A).

PDI could therefore be another valuable evidence source for early pandemic surveillance. It could also help estimate the interval between detectable viremia and the onset of symptoms, an important parameter for understanding pathogen transmission dynamics. A prolonged asymptomatic infectious period, for example with HIV-1 and HBV, could increase the risk of undetected transmission.

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