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Invest in ME
LETTER to the
UK SECRETARY of STATE for
HEALTH
Myalgic Encephalomyelitis and Blood Donations
Recently Mrs Ann
Keen, secretary of state for Health, commented that people with Myalgic
Encephalomyelitis were not able to donate blood. Invest in ME have written the
following letter to the Secretary of State for Health, Mr Andy Burnham.
Rt
Hon Andy Burnham MP
Secretary of State for Health
Department of Health
Richmond House
79 Whitehall
London SW1A 2NS
cc: Mrs Ann Keen MP
14th March 2010
Dear Mr.
Burnham,
Recently Mrs Ann Keen (in her capacity as Under-Secretary of
State for Health) made the following comments in relation to Myalgic
Encephalomyelitis and blood donations –
"People with myalgic encephalomyelitis (ME), also known as
chronic fatigue syndrome (CFS), are not able to donate blood until they have
fully recovered.
The reasons for this are: first, blood donors need to be in good
health, and people with ME/CFS often experience a range of symptoms which could
be made worse by donating blood; and second, as the causes of ME/CFS are not
currently fully understood, people with the condition are deferred from donating
blood as a precautionary measure to protect the safety of the blood supply for
patients.”
Mrs Keen's comments are, we assume, representative of the
government and your department.
Firstly it is good that your government recognises that people
with ME are in poor health. This implies that all people with ME are therefore
in need of proper healthcare provision which treats the disease properly.
Secondly it is good that you and your government recognise, by
the implication from your statement, that blood supplies may be compromised by
accepting people with ME as donors due to the organic nature of this disease.
Thirdly it follows that an embargo on people with ME donating
blood would mean that there is an infectious agent at work which could be passed
on via blood.
There follows several questions which lead on from this.
It seems to be crucial to use the most stringent diagnostic
criteria available for diagnosing ME (which even NICE acknowledge as being the
Canadian Consensus Criteria). Yet your department, NICE and the MRC do not
standardise on this internationally accepted standard for diagnosis of ME.
When you state that people with ME are not able to donate blood
are you employing the NICE guidelines for defining patients as having ME? If so
then why does NICE proscribe serological testing unless there is an indicative
history of infection? If no initial indication of infection is present then no
further blood tests are performed and a patient may receive a diagnosis of ME
based on ongoing fatigue and one other symptom such as sleep disturbance. Why
then would those patients be excluded from donating blood?
As your government officially accepts ME as a neurological
illness, as described by the World Health Organisation ICD-10 G93.3 code, and as
the issue of blood contamination from an infectious agent demands the utmost
care and attention, is it not of absolute necessity for your government to
demand that a consistent set of up-to-date diagnostic criteria are used as
standard by all organisations?
Your department often states that the Medical Research Council is
an independent body. Yet as it is apparent that the MRC only funds psychiatric
studies which presume that ME is a behavioural illness why does your department
refuse to comment on the MRC’s usage of the Oxford criteria for research into ME
which expressly excludes people with a neurological illness?
Why does your department not criticise the MRC for funding purely
psychiatric research into ME if you fully recognise that ME is a disease of
organic and infectious nature? Since when did a psychiatric illness prevent
blood donations? Does this not clearly show the MRC policy of research into ME
for the last generation to be completely flawed and a waste of precious funding
and patients' lives?
When you state that people with ME are not able to donate until fully recovered
please can you define what “fully recovered” means?
Could
you also provide a description of how a person with ME is defined as no longer
having ME?
What biomedical tests are available to determine that a person with ME is “fully
recovered”?
Could you inform of how and when clinicians perform such tests in order to
ensure that a person is "fully recovered" from ME?
Bearing in mind the seriousness of a possible contamination of blood supplies
from people with ME please could you indicate what measures are in place to
ensure that doctors do enforce testing to ensure that people with ME are "fully
recovered" and will not therefore donate blood?
If such a test exists then presumably people with ME who are not
recovered are entitled to appropriate benefits due to incapacity and/or
disability?
As relapses are common with people with ME please could you
explain if there is any minimum period which a person with ME needs to be
“recovered” to be able to donate blood?
Could you also provide information which your government has on
the number of people with ME in this country, the proportion of patients who
have had ME for longer than five years and how many people with ME have “fully
recovered”?
With regard to your statement that “the causes of ME/CFS are not
currently fully understood” is it not inherent on the Chief Medical officer of
the UK to attend the 5th Invest in ME International ME/CFS
Conference 2010 on 24th May in Westminster, as guest of Invest in
ME?
As the foremost experts on ME in the world are presenting at the
conference, along with the Whittemore-Peterson Institute – who have recently
been involved in the discovery of the XMRV retro-virus which has possibly huge
considerations for the blood supply of this country – would it not be sensible
for anyone who is involved in healthcare and particularly in the treatment of
people with ME to attend this event?
Should not the government of this country also be sending a
representative to the conference given that contamination of the blood supply by
people with ME may be occurring and that education about the disease needs to be
a pre-requisite for anyone involved in healthcare provision for people with ME?
We would request that you provide a full and complete answer
to every single one of the questions which we have asked in this letter and we
look forward to your reply,
Yours Sincerely,
The Chairman and Trustees of Invest in ME
Invest in ME
Registered UK Charity Nr. 1114035
PO BOX 561, Eastleigh SO50 0GQ
Support ME
Awareness - Invest in ME
www.investinme.org
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