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However, considerable pressure is applied by richer countries and international transfusion bodies to establish voluntary, non\u2010remunerated blood donors (VNRD) as the only source of blood, excluding the traditional family\/replacement donors on the grounds of a higher level of safety. Such a policy increases the cost of a unit of blood by two to fivefold and exacerbates the pre\u2010existing blood shortage. This review provides compelling evidence that first\u2010time VNRD are no safer than family\/replacement donors and that only repeat donation provides improved blood safety. In order to limit blood shortage and maintain affordability of the blood supply in SSA, both types of donors should be accepted and both should be encouraged to donate regularly.<\/jats:p>","DOI":"10.1111\/j.1365-2141.2011.08708.x","type":"journal-article","created":{"date-parts":[[2011,5,3]],"date-time":"2011-05-03T12:03:00Z","timestamp":1304424180000},"page":"763-769","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":78,"title":["Moving on from voluntary non\u2010remunerated donors: who is the best blood 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