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‘Mathematical modelling’ and Zero Discrimination

Dec 05, 2013 Letters

 

DEAR EDITOR,
World AIDS Day this year was commemorated with a Ministry of Health commitment to get to Zero Discrimination amongst other things.
A few months ago, the issue of the National Blood Transfusion Service (NBTS)’s discrimination against LGBT people was discussed in the media. On 15 October, 2013 , a Stabroek News article quoted an anonymous official as saying that they are following the WHO guidelines  “Guidelines on assessing donor suitability for blood donation” which have recommended not taking blood from ‘Men who have sex with Men’.  The WHO Guidelines acknowledge that “mathematical modelling” is used to make this determination, even as some countries are accepting blood from gay and bisexual men who do not engage in risky behaviours.
The media attention arose because the questions asked by the NBTS were about sexual orientation, rather than behaviours within a period of time.
The PAHO Document “ELIGIBILITY FOR BLOOD DONATION: Recommendations for Education and Selection of Prospective Blood Donors”  (which the NBTS probably does not follow)  states that “ Sexual orientation – hetero–sexuality, bisexuality, homosexuality – should not be used as criterion for blood donor selection since it is not a risk by itself.”
Even if the NBTS would like to conflate sexual orientation with sexual behaviour, then which ‘mathematical modelling ‘ are they using to determine that lesbians pose a risk? The WHO Guidelines say nothing about the risks posed by lesbian women (or women who have sex with women) outside of the other factors explained for ‘heterosexual persons’.
Surely the Ministry of Health needs to review its policy of not accepting blood from women who identify as lesbian if they want to get to Zero Discrimination.
Vidyaratha Kissoon

 

 

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