{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:31:34Z","timestamp":1790425894981,"version":"4.1.0"},"reference-count":61,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000008","name":"Health Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000008","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Until recently, gay, bisexual and other men who have sex with men (MSM) were deferred from donating blood for 3\u201312\u2009months since the last male\u2010to\u2010male sexual contact. This MSM deferral has been discontinued by several high\u2010income countries (HIC) that now perform gender\u2010neutral donor selection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>An international symposium (held on 20\u201004\u20102023) gathered experts from seven HICs to (1) discuss how this paradigm shift might affect the mitigation strategies for transfusion\u2010transmitted infections and (2) address the challenges related to gender\u2010neutral donor selection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most countries employed a similar approach for implementing a gender\u2010neutral donor selection policy: key stakeholders were consulted; the transition was bridged by time\u2010limited deferrals; donor compliance was monitored; and questions or remarks on anal sex and the number and\/or type of sexual partners were often added. Many countries have now adopted a gender\u2010neutral approach in which questions on pre\u2010 and post\u2010exposure prophylaxis for human immunodeficiency virus (HIV) have been added (or retained, when already in place). Other countries used mitigation strategies, such as plasma quarantine or pathogen reduction technologies for plasma and\/or platelets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The experience with gender\u2010neutral donor selection has been largely positive among the countries covered herein and seems to be acceptable to stakeholders, donors and staff. The post\u2010implementation surveillance data collected so far appear reassuring with regards to safety, although longer observation periods are necessary. The putative risks associated with HIV antiretrovirals should be further investigated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.13587","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T13:36:54Z","timestamp":1706189814000},"page":"388-401","source":"Crossref","is-referenced-by-count":17,"title":["End of selection criteria based on sexual orientation: An international symposium on alternatives to donation deferral"],"prefix":"10.1111","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1748-4198","authenticated-orcid":false,"given":"Antoine","family":"Lewin","sequence":"first","affiliation":[{"name":"Medical Affairs and Innovation H\u00e9ma\u2010Qu\u00e9bec  Montr\u00e9al and Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9904-9952","authenticated-orcid":false,"given":"Mindy","family":"Goldman","sequence":"additional","affiliation":[{"name":"Donation Policy and Studies Canadian Blood Services  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Busch","sequence":"additional","affiliation":[{"name":"Vitalant Research Institute  San Francisco California USA"},{"name":"Department of Laboratory Medicine University of California in San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6337-892X","authenticated-orcid":false,"given":"Katy","family":"Davison","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant\/UK Health Security Agency (UKHSA) Epidemiology Unit UKHSA  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thijs","family":"van de Laar","sequence":"additional","affiliation":[{"name":"Department of Donor Medicine Research Sanquin Research  Amsterdam The Netherlands"},{"name":"Laboratory of Medical Microbiology Onze Lieve Vrouwe Gasthuis  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9310-8322","authenticated-orcid":false,"given":"Pierre","family":"Tiberghien","sequence":"additional","affiliation":[{"name":"\u00c9tablissement Fran\u00e7ais du Sang  La Plaine Saint Denis France"},{"name":"UMR 1098, Inserm, \u00c9tablissement Fran\u00e7ais du Sang Universit\u00e9 de Franche\u2010Comt\u00e9  Besan\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eilat","family":"Shinar","sequence":"additional","affiliation":[{"name":"National Blood Services Magen David Adom  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5332-2789","authenticated-orcid":false,"given":"Sheila F.","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Epidemiology and Surveillance Canadian Blood Services  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Lambert","sequence":"additional","affiliation":[{"name":"Direction r\u00e9gionale de sant\u00e9 publique \u2013 Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Field","sequence":"additional","affiliation":[{"name":"Irish Blood Transfusion Service  Dublin County Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tor","family":"Hervig","sequence":"additional","affiliation":[{"name":"Irish Blood Transfusion Service  Dublin County Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darrell H. 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