When precaution outlasts evidence: reconsidering blood collection in French Guiana

France has suspended blood collection in French Guiana, a French overseas territory in South America since 2005 because of concerns regarding transfusion-transmitted infections, particularly Trypanosoma cruzi, HIV, malaria, and other tropical pathogens. At that time, the precautionary principle was understandable. Diagnostic tools were less sensitive, the epidemiology of several infections remained poorly characterized, and the decision followed the HIV-contaminated blood crisis that profoundly shaped French transfusion policy.

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Publication Details

Journal
The Lancet Regional Health - Americas
Published
2026-08-21
DOI
https://doi.org/10.1016/j.lana.2026.101604
Primary Topic
Blood donation and transfusion practices
Type
article
Field-Weighted Citation Impact
0.00
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article

When precaution outlasts evidence: reconsidering blood collection in French Guiana

Loïc Epelboin, Mathieu Nacher, Félix Djossou, Olivier Hermine
The Lancet Regional Health - Americas
Blood donation and transfusion practices
article

When precaution outlasts evidence: reconsidering blood collection in French Guiana

Loïc Epelboin, Mathieu Nacher, Félix Djossou, Olivier Hermine
article en

Abstract

France has suspended blood collection in French Guiana, a French overseas territory in South America since 2005 because of concerns regarding transfusion-transmitted infections, particularly Trypanosoma cruzi, HIV, malaria, and other tropical pathogens. At that time, the precautionary principle was understandable. Diagnostic tools were less sensitive, the epidemiology of several infections remained poorly characterized, and the decision followed the HIV-contaminated blood crisis that profoundly shaped French transfusion policy.

The Lancet Regional Health - AmericasVol. 62
Inserm (FR), University of French Guiana (GF), Centre Hospitalier Andrée Rosemon (GF), Institut des Maladies Génétiques Imagine (FR)
Good health and well-being
Openalex Percentile: Top 5%
Blood donation and transfusion practices
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