rita rows who receives disability payments is waiting for a subsidized apartment to open up thrilling over. i got a chance for housing. you know, of course i'd pay my bills, hoping for a basic need to be met and a measure of dignity in life's waning years. rob reynolds al jazeera los angeles. ah. the main stories now yemen. cc rebels of claim responsibility for an attack on oil facilities in the united arab emirates that killed 3 people. spokesman said there could be more strikes on what they called countries of aggression. police have identified the dead as to indian nationalism one pakistani, they say drones may have been used to start 3 fires in the capital, abu dhabi at least 7 protest as have been killed by security forces in the latest protest against the military in sudan,

a crowd of thousands of people marched towards the presidential palace in the capital har to malia, calling for civilian governance to be restored protests as have been taken to the streets since the takeover in october, caught by the military protest organizes say more than 60 people have been killed in the past few months, in that down stations as the un mission here in sudan prize to mediate between the various political parties, civil societies association, and various actors here in sudan to try to break a political deadlock that have been in place since the military took over bar and late october last year, protest douglas against it to the 3 sent to take over. there have been calling for the military to return to their barracks and leave to dance politics and best protests come before a visit is expected. by thea, you are the official german 4 minister sang. she'll do everything in her power to guarantee ukraine security on a lena bear book made the comments during

a meeting with you, creating officials in kiev, a trying to revive full way peace talks with russia and france, and the conflict in the east and don bass region russia has been massing troops border with ukraine, rising fizz off an invasion and know that jokers which has arrived home in serbia off to being deported from australia. a tennis mens well, number one last a court case to reinstate his visa to play in the australian open after the government revoked it. after an 11 day legal battle. judges up held the cancellation with ministers, citing public health concerns as he is not vaccinated against the corona virus. over the top stories this hour, they'll be more news a bit later on. i'll see you in 25 minutes time for that off to the stream, which starts now. ah

ah, i saw you. okay, and you're watching the stream. the organization in the united states that supplies 40 percent of their native blood is facing a severe shortage. this is putting down his in a difficult situation with having to make choices about patient care. this is emily osment told us elia the american red cross declared its 1st ever national blood crisis. we are at the lowest inventory that we have seen in over to 10 years. we have sustained shortages throughout the pandemic. and this

volume back and forth has caused a lot of issues with being able to get our inventory to hospitals and patients in need. the last 2 years have been very difficult on the american blood supply. during the shy to day to talk about the blood, she'll teach at the red cross, the impact and what can be done about a trio of don't to so much studying right here, right in front of you. hello. don't to so lovely to have you, david and kita. evan, welcome to the string, david, please introduce yourself. talk global audience. i, my name is david o, i am the chief medical officer at hawk's work center, which is a part of the university of cincinnati. so i am in charge of helping to collect enough blood for our patients to get to have your expertise on this discussion and kito. welcome, please introduce yourself to the stream viewers. hi, i'm dr. and get this saga. i'm a primary care physician and a patient with bait at dallas. c ma'am major,

requiring blood transfusions every month. right. so love to have you looking forward to hearing more about that and ever welcome to the stream. what does i international audience need to know about you, melanin. dr. as in tom group, i am a critical care physician as all. busy of emergency medicine, physician at indiana university, get to have you. all right, you've had the expertise if you want to know about donating blood and the u. s. shortage from the red cross. this is what you need to do if you're on youtube comment sections right here, asking questions, put comments in there. i'll try and put them into today's show. i'm evan festival, and guess let's try work out how serious is this shortage by the american red cross? what are we talking about? are they about to run out to morrow next week? what's the situation please tell me up for us? i think in total overall, we're facing a significant shortage of the thing. it's not going to run out today tomorrow,

but as we move into the future, it's going to be harder and harder to secure broad united states. plot allocation is done based on how much you use for your hospital system. and so where you're going to get a lot in the small community hospital, the small town hospitals across america that maybe only have one or 2 units of blood that are allocated to them. and if you have one trauma patient who came in there with the emergency department, it's not uncommon to go through 10 units of blood while killing for them. and so immediately your whole blood storage is depleted at your hospital and you have to start talking to other area to get that what? and i think that's what we're going to see a lot more of that coming future payments. obviously, everyone's thinking why, what's going on? my 1st thought was it's got to do something to do with co because people aren't going to be comfortable giving blogs. and we've been told that we should stay away social distance. how can you do that and give blood at the same time? is that, is that the key to the issue, david? so certainly

a portion of this is related to cove it. and one of the big issues really, for us, is not really donors coming out because blunt owners and the united states haven't really responded when asked to face of truck tragedies. and i would include called the 1900 as well that these events we really facing shortages in, in our staffing and the people who can actually collect the blood. so many, many budgets of the canceled not only because of issues with donors and organizations based with cupboard, but because we actually don't have the staff to be a part of what i would like to make a statement kind of based on the 40 percent of blood collected markets to red cross . many people are not aware that that is 40 percent of blood, but the rest is collected by other organizations. so my organization has report center as part of the proceeds and sadie, we're an independent regional center, and supply actually is very healthy right now. we are asked by 30 hospitals in 1900 county area and those hospitals actually have very good supplies. we do share one

hospital with the national blood provider where they provide most of the blood because of g graphic issues were like to have 3 hours away from them. and they had told me that they now are just receiving one unit of a day. and they usually like to keep us quite about 25 to 30 in their inventory. so they are now being forced to allocate tree osh, the patients that they have with a very limited blood supply and knowing that no additional units are coming that way. so they've asked us to supplement their supply and we're working on trying to do that for them. i'm. i'm just, i'm just wondering how anxious you are when you're hearing about this national blood shortage from the american red cross supply. so much of it as somebody who uses a bad day, notions of blood banks all the time. how are you right now, how you can use how you following this? this must be and this must be like novak absolutely. i think there is

definitely a sense of anxiety associated with every transfusion appointment that we make because folks like me and outside of dallas, senior there's a lot of other illnesses that require blood transfusions. you know, we really depend on that donors to come forward and allow us to be able to function in life and you know, simple things like being able to go to the grocery store and run our errands. we do require their kindness and being able to come forward. i'm just looking at what the impacts might be if there's a shortage for various different reasons. somebody with cove, it's somebody with staff moving on and vacancies, being there, some to do with not enough people, a lot, drives, etc. what that impact may well be there. earlier we spoke to carson cunningham and he told us the impact, the who's seen it. his region, having some have

a look blood donations are down. we are seeing blood drives cancelled due to lack of turn out. and a big reason for that is the ongoing pandemic. any omicron variant? that's a big reason why people are not showing up to donate blood right now. either they're sick cases are high right now, or they're afraid of getting sick right now. and so the cases are spiking here in the state of oklahoma. and we're always concerned about the blood supply because it takes $1200.00 a day to meet our state and area needs for a local hospital. so we're always concerned about it. but especially right now with the ongoing pandemic, it really is cutting into our numbers here locally and certainly nationally as well as i can see you nothing pick up off the back of the constant coming in there. yeah, and i think you get a couple of those key points, you know, without continued bud transfusions all the time without continued donation all the time. we run into that issue very quickly. patients who i see here to make that tough decision about when there came a robin, you know,

the number we look at to determine whether or not patient needs the transfusion start to drop. that's on the borderline of cut off the retrans, choose them or do we wait and see how they do when it wasn't necessarily an issue. we certainly transfuse them. and so we're starting to have to make those decisions and seeing it, especially with some of our bare types of blood. oh, being one of those where types of blood. and basically, david was saying that hospitals are getting one unit when they will be getting $25.00 units. and you could see how i could quickly cause a big shortage in a hospital. yeah. and keep it, go ahead. what are you thinking? i agree with evan, and the way that i want to think about this is that as a primary care doctor, a lot of times i am working in collaboration with other doctors that maintain a chronic transfusion plan for patients. and sometimes i will have to make that call to say, hey, let's, let's hold off another week because maybe we can stretch this out for one more week

. but on the flip side of the patient is feeling sick. they're going to go to an e, r and the local e. r is already up to its brim, trying to deal with cove it and everything else that's going on in the hospital. so our, our effort to keep people out of the yard that's not needed me get impacted because people really do require that's transfusion and there's no supply anywhere else. i've got some questions on, on youtube. david, i want to put start off with you because that's a mission that we need to boston some. some people may not be understanding exactly how you get that blood and who's who can get blood. so it's a, this is at narrow pita and is the shortage due to the vax not being able to donate blood. so there are a couple of things that you can perhaps clear out for us that we can look at educational as well as information on that. thank you so much. so there's

a lot of misunderstanding about who can donate blood and who can donate blood. and if we're actually taking and testing for vaccination, so we are routinely not performing any tests that would look for people who have either had cobra 19 or vaccinated. one of the things that we're really fortunate about with with kogan, i think going on, is that it does not appear to be transmitted through. so we want people to be healthy and well, or who's either had till they did sometime in the past or has been activated. so please don't not. do you not say you can't johnny, because you did tax it or had told the dash to stop? cuz i another question. this is from liz rainy and at least this is, this is a good question. i'm going to put this one to you and kita, and liz wants to know. why haven't i heard more about this on the news? this seems to be like an under reported story. go ahead. so it's

a great question. thank you for asking the question. one of the things i think happens is a lot of times in these patients like myself out or primary care physicians, we just find another way to go about it without really amplifying the need. but we'll, we've now realize is we do need a consistent supply of blood to make sure we don't find ourselves back into this shortage in the near future or going forward ever. so we do need a little bit more amplification and the voices to be empowered to come out and request for folks to come forward. so it seems to me that this is a reading timing time to have the conversation before way in a desperate situation. evan, have you ever seen a situation where you literally have no blood is not possible? could that happen? it could happen. certainly, like i said, i work out

a lot of our community hospitals, small hospitals in the surrounding area. and the critical access hospitals are only allocated to short, very limited number of units of blood in the problem with the emergency department 2 is i don't know your blood type in your walk in the door and that will be very limited with what i can give you leaving me just usually with oh, but until i have to wait an hour and a half, 2 hours to get a lab back before i can give you a specific type of blood. and so when i'm working at my small community center, i will go over, you know, we can talk about the death situation in the hospital. what we're looking like in terms of what we're looking like in terms of blood situations where the trauma patient. but i've given all of our blood to, i was going to write usually after that we, we basically talk to our sort of other hospitals and try to get some blood back in and, and move some things around. but it can be really hard, especially if you use all you're already we were hearing your thoughts and keep that go ahead, articulate them so sorry, i think evan brings up

a really important point that i tried to tell my patients a lot of us do not know our blood type. so one of the myths that i want to really make sure people understand is that while you know you will be subject to some sort of testing and your insurance is not going to be charged for that testing. when you go for blood donation, one of the most important tests that is available to blood donors is your blood type. and it's really important for everybody to know their blood type and have their family members be aware of what their blood type is. so there's a controversial part of donating blood, which people don't always think about. but if you work in the feel, if you know what that control vesee is, the festival they would help us out. there's a list of people who cannot donate blood would you? i could do that less for us. oh so. ready for travel is one reason you travel to a malarial area. i think what you're getting to it,

maybe how do the phone is and then you can do the content of that one, right? and then we can get into that like a controversial things. because this may well help us with getting more blood into the system. if a few people you cannot deny that because you fall into this category, i think the, the categories. so we do want folks to be generally well and healthy, and just you certainly have people and help you know, if you have a long term chronic health issue, which would make donating blood that say for you, then we would ask you about, you know, what would that in, for instance, like a congestive heart failure or momentary issues, those types of things there, you really need to keep that for yourself. there are certain medications and there's a medication list that's available through a dot org or contact your local blood center that can tell you what medications you should not be on. and many of these are for donor safety purposes,

as well as for served in patient that should not receive any any of this medication for themselves. but there is malarial travel, or travel to foreign countries where you may have infectious diseases that you've recently contracted where it would not want to transmit that to another person through transfusion. and then i think as one where menu had sex with other men within the past 3 months now would not be allowed to do. all right, so that's the one we're going to land on because that's the one that says that there's a lot of conversation in discussion about. so if you're a gay man or bisexual man, there's, there are rules about when you can donate blood. and if you're active, for instance, i'm going to bring in lala here who points out that this is very old fashioned. and then ever i'm going to hand you into put you into the whole and respond immediately

as to your thoughts about this current regulation. his law festival as a concerned citizen and as someone who works in madison, i want to donate blood. but unfortunately, as a gay person, i can't. and neither can my husband who is also a health care worker. sure. in new york city. and unfortunately, this is a very common experience among many people in the gay, bisexual and transgender community because of a very r k, antiquated and flat out homophobic policies that the f d a has towards blood donation. evan has the conversation down in the united states about this issue. well, i think he had some of the key things. you know, it's, it's old policies that were clearly working through, you know, it used to be that if you ever had sex with a man, you know, you could not donate blood. and now we're down to the month. and i think as our

detection viral detection and blood screening has gotten better with time, we've taken a look at some of these policies and continue to have conversations about them in order to reverse that and look forward at just collecting blood from everyone at davidson way in on, on this i'm but yeah, thank you that i had because he knew it was yes eventually than my mouth of hell they go. so you know, the initial ban on and that is, was in the age of h. i b when we didn't have a test and we're trying anything to prevent transmission of of h i, b 3. so that's the early eighty's and totally appropriate that time and, and really help save a lot of lives. i think as we develop better tests, the 1st page of the test team on t 85, we now do, you click add to testing. so the risk of getting trans receiving e j b through transfusion is about one and 2000000000 as an estimate. i actually think that's low, so to credibly rare occurrence now,

the change the deferral period from ever having an end once since $977.00 to in the most recent 12 months several years ago. and then in december of last year, so a little over a year ago, in the wake of coven 19 decrease that period from 12 months to 3. there are many other countries now that are performing studies and are adapting different questions so that people are not excluded simply because of their sexual sexuality . and it's more based on actual risk factors, canada, as well as countries in europe. there are many countries have done that, and that is undergoing current discussion today here in the united states as well as, and i will share with you the an international headline. this is france, just lifted, homophobic, blah, bad on man who has sex with man. that's what an s and means. and then earlier in

our program production, we spoke to the interim president of the human rights campaign where they, they sent us the statement. and that, that, that perspective is the current policy is outdated. it does not reflect the state of the science and can, to unfairly stigmatize one segment of society. say if you were very sexually active and say that you did, you were having a sex across a, with a different gender and not with another man. nobody asks you where for you can give blood or not, there are no rules there. you may well be more active and more at risk that somebody who has a long term partner who is married and they're in the same sex relationship. so that is why there is the controversy just stating the obvious there. so that is a debate. let's look at some of the ways that perhaps we may be are to increase more blood donation and kita. i love in a tweet recently. you said this, let me just share it here. ah,

here we go. since i have received more than 500 units of blood in my lifetime, i consider myself an expert blood recipient. so expert blood recipient, how do we, how do we get more people to day night? sure, i think i'm, i'm a big believer in positive reinforcement. and so this tweet, actually, the context affair was and my sister and my family, encouraging me to express gratitude openly towards blood donors are because one of the connections that's missing is the fact that you have all these blood donors that come out and they volunteer their time they want your precious resource to us and they don't hear from eyes. they have no idea who we are. and so really sharing these stories as they listen. i can now go on walks with my dog and spend time with my family only because you exist and my life is indebted to you. see, i would just give you but right away and can say if i was the right blood type,

because look at, look at your face, how could i deny that? i would i? yes. have some take my arm, you. all right, so i'm, let's do a little explain as to what it means when you donate blood. so, we've got a little bit of an animation so that if you're thinking about it, this is what will happen to you. very likely, let's have a look how life saving blood donation starts with a generous donor, travels through expert testing and processing, and is distributed through a dedicated team of professionals to provide it to a person in need to start your own blood donation journey and help save a life by making an appointment today at red cross blood dot org. see, that's really simple at david. i've got a couple of ideas back here from social media. so options trader told us on twitter . he oh, they recommended a push from local towns through work and scores, maybe doing a push at sporting events or blood drives inside stadiums. you should have

a blood dr. boss, white outside major retail stores or, or moores, or shopping centers and do a really big push on social media. any of these that meet your seal of approval david, we do all of those things. yeah. we're constantly trying to get blood out. one of the things is that, you know, we only have limited funds as well, you know, and that, and the blood centers that collect are really dependent on revenue from the hospitals. and, you know, perhaps discussion is on the amount of revenue that what centers received. so they can build a strong infrastructure to be able to handle these types of challenges more easily future. but yeah, we're constantly working with the public and that's one of the reasons i really like the intendent regional blood center model. because we work with our community and we know how to reach our donors and to be able to make sure that they can come out and donate out urge people to go to a, b, b dot o r g and find out who their local blood supplier is and to go and make an appointment to go ahead and donate blood that reapply. see whether you are in the u

. s. or wherever you are in the world. however, however you can help your fellow, your fellow citizen. that's well worth doing. all right, so on youtube, evan, i'm going to give 50 a no such thing. 8 says just also some money for blood donation. problem solved. pay people for their blood. why is that not the case? what's the issue? yeah, i think in the united states it goes back to we don't often think about blood as a trans plantation, but organ transplantation is actually what we think about it more along the lines of medicine. we don't just look at your simple blood type. we look at a lot of other factors to determine if you're the right match for blood. and so in the united states there's lots of laws about whether or not you can give oregon and those kinds of things in terms of paying for organ. and so it falls. busy into those issues, can you pay for this and how do you embarrass people for it? i'm just going to give you i think that there are,

i think there are social equity questions. so i'm sorry today that i think there are social equity questions that go along with paying donors as well. you know, we have most of our blood donors here are, are giving of themselves and really trying to be a positive courses and society if we're paying for donors to come and donate. it comes incredibly transactional. i think that many of our current donors would stop donating it and we'd be then ringing on the most vulnerable portion of our society to give transfusions, to wire. that makes a lot of sense. david's and kita. evan, thank you so much for helping us understand why. days of blood shortage from the american red, quasi supply. 40 percent of the blood donated in the united states and howling may well began to get past that hump and make sure that everybody who needs the needs of blood can get it. thanks for watching everybody. i really appreciate your questions and your curiosity. i will see you next time take ah

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