Since September 1997 the Japanese Red Cross has conducted a nationwide complete screening of human parvovirus B19 (B19) for all donated blood units by the receptor-mediated hemagglutination (RHA) method. RHA-positive units were excluded from source plasma for fractionation. The amounts of B19 DNA in pooled plasma and in factor VIII concentrates (Cross Eight M, plasma derived and monoclonal purified) were measured using a PCR method. All 112 batches of pooled plasma tested in 1996, before implementation of RHA screening, were B19 DNA-positive, with 83% of these contaminated with more than 3.8×10
5IU/m
l of B19 DNA. In contrast, after implementing RHA screening, no detectable levels of B19 DNA were observed in 5% (1998), 16% (1999), 21% (2000) and 21% (2001) of batches, and batches contaminated with more than 3.8×10
5IU/m
l of B19 DNA decreased to 18% (2001). B19 DNA content in the final products of factor VIII concentrate were reduced significantly when RHA-screened source plasma were used. Since September 1998, B19 DNA has not been detected in any of 78 lots of final products. Furthermore, no B19 DNA could be detected in any of 63 lots even in 1:10 concentrated solution. RHA screening for B19 has markedly reduced the viral load in source plasma for fractionation in Japan.
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