14 blood centers closed in Uttar Pradesh due to violations: blood stored in faulty freezers or tested with rapid tests
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Aaj Tak
www.aajtak.in

14 blood centers closed in Uttar Pradesh due to violations: blood stored in faulty freezers or tested with rapid tests

The Food Safety and Drug Administration (FSDA) has taken serious measures against blood centers in Uttar Pradesh that endangered patients' lives. Following surprise inspections at 81 blood centers across 31 districts of the state, serious violations were uncovered, leading to the immediate suspension of all operations related to blood and its components in 14 facilities. Initially, measures were taken in seven centers, and seven more have now been closed.

Inspections revealed that instead of the mandatory ELISA analysis for blood screening, rapid tests were being used, and some blood components were stored in malfunctioning deep freezers. Furthermore, many centers lacked doctors and qualified technical staff despite continuing activities for blood collection, processing, and distribution. In light of these critical deficiencies, the department has taken appropriate action.

This special campaign is being conducted to ensure the quality of blood and patient safety in centers managed by charitable foundations and societies. The centers whose operations were halted have been instructed on the safe disposal of existing blood and components according to standards. As for the other inspected centers, notifications are being sent requiring them to provide explanations regarding the identified shortcomings.

Inter-district inspector teams for pharmaceuticals are conducting checks on blood centers, assessing blood quality, the presence of mandatory infection tests, and proper storage of blood components. They also check cold chain systems, temperature control, inventory and donor records, pricing, and the availability of trained technical personnel.

During the departmental inspection, it was found that basic blood safety standards were ignored in some centers. There were instances where records of necessary tests could not be found, and equipment was in poor condition. Expired medications and injections were discovered in emergency trays in some locations. Taking these deficiencies seriously, the FSDA initiated a comprehensive special inspection across the entire state.

According to officials, this campaign is being carried out due to the growing impact of seasonal and infectious diseases. With diseases such as Dengue fever and malaria, patients require an increased amount of blood, platelets, and other blood components. The department's goal is to ensure the uninterrupted availability of safe blood, make the system transparent, and provide patients with quality blood at a reasonable price.

During the surprise inspections, numerous instances of rule violations were identified. The main violations recorded during the inspection include:

  • Jai Hind Charitable Blood Centre (Agra): Lacked a thermograph for continuous recording of refrigerator and freezer temperatures. Blood components used for sterility testing were given to patients without proper documentation.
  • Pakwara Charitable Blood Centre (Moradabad): A medical worker and consultant were absent during the inspection. New staff were hired without prior notice. Sterility and CPDA tests were not performed. Expired injections were found in the emergency tray.
  • Jeevan-24 Charitable Blood Centre (Amroha): Rapid tests were used for TTI screening, while ELISA and sterility tests were not conducted. Mold was found in the component room. Expired medications were also found in the emergency kit.
  • Yashwanti Charitable Blood Centre (Bijnor): Numerous serious violations were found. There were no records of the bank refrigerator temperature schedule, percentage sterility testing, CPDA solution checks, or blood collection permits. The deep freezer temperature was 26.7 degrees Celsius instead of -80 degrees Celsius. This center lacked a generator, emergency medicines, and mandatory personnel. No nurse or technical supervisor was found. Deficiencies included blood collection by unauthorized persons and the absence of a posted price list. Only software, not a manual logbook, was used. No evidence was provided regarding donor protein assessment and volume transfusion.
  • Bharat Humanity Charitable Blood Centre (Badayun): This center operated without a valid contract and proper organization. Neither a doctor nor technical staff was present during the inspection. Necessary blood collection equipment and official registries were not found.
  • Dibai Charitable Blood Centre (Bulandshahr): A medical worker and technical staff member were absent. Serious irregularities were noted in inventory and test tube records. The refrigerator temperature log was not maintained. Expired medications were found in the emergency tray.
  • Badlapur Charitable Blood Centre (Jaunpur): Necessary personnel were absent during the inspection. No records were found regarding sterility, CPDA, or ELISA screening. Thermo...

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Video shows unsanitary conditions and improper organ storage at Base Hospital in Brasília
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Video shows unsanitary conditions and improper organ storage at Base Hospital in Brasília

Staff and former employees of Base Hospital in Brasília have raised allegations regarding the deplorable state of the pathology department, where bodies for autopsies, organs removed during surgeries, and samples for analysis are sent.

Video footage demonstrates the presence of dirt, lack of proper worker protection, and the use of improvised containers for organ storage. One frame shows that the locks on the drawers containing bodies do not close, and there is a large amount of dirt inside the premises.

Employees also reported being forced to use expired protective gear. Last month, one employee filed a complaint with the GDF reception, claiming to be a victim of persecution, humiliation, and hostile behavior.

Following a request, journalists visited the pathology department and found a situation different from the images shown in the accusations. Staff stated that a large-scale cleaning had been carried out the day before the visit.

Organ Storage

Former workers of Base Hospital in Brasília reported improper conditions. Other footage displays the location where biological materials that have undergone or are undergoing biopsy are stored. Plastic containers, including ice cream containers, are visible.

A former employee, who wished to remain anonymous, stated: 'We bring things from our own homes. The oil we finished using in the cafeteria is sent there so we can use and store these organs we receive from the operating room.'

Organs arriving at the department are passed on by families for use in medical practice. However, according to the former employee, the storage protocol is not being followed, and there is a risk of biological contamination due to the presence of mold.

What Base Hospital Says

The Federal District Institute of Health Strategic Management (Iges), which manages Base Hospital, told journalists that the presented images do not reflect the current state of the department because changes in the management of this sector have recently occurred.

Marlusi Mendes Soares, Chief Manager of Visual Diagnostics Service, denied any link between the cleaning and the journalists' visit. The director also emphasized that cleaning is done periodically and stated that there were no violations in the photos taken by the staff.

Marlusi Mendes Soares specified that according to regulations, the container must be closed, labeled, and the sample must be placed in a diluted formalin water solution. She added that all samples shown in the video complied with these conditions. Furthermore, she reported that refrigerators undergo regular maintenance and cleaning.

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