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m CANADIAN BLDOD SOCiETE CANADIENNE CBS to Begin using SERVICES DU SANG Circular of Information HCV RNA and HIV-1 RNA Customer Letter Licensed Test Kits #2004-03 2004-05-17 Dear Customer: This notice is to advise you that the Canadian Blood Services (CBS) Circular of Information currently lists all Nucleic Acid Testing (NAT) as unlicensed, however CBS will begin using the FDA and Health Canada licensed HCV and HIV-1 RNA test kits in the mid-May 2004 timeframe. The Circular of Information (version 11/02) section A.2. and A.5 respectively state: "Donor samples are also tested for the presence ofHepatitis C Virus (HCV) RNA and Human Immunodeficiency Virus (HIV-l) and West Nile Virus (WNV) RNA. Currently, Nucleic Acid Testing (NA T) is an unlicensed test and performed, with permission from Health Canada, for investigational purposes. All donor testing is performed using methods and reagents authorized by Health Canada." "Note: Currently, Nucleic Acid Testing (NAT) is an unlicensed test and is perfonned, with pennission from Health Canada, for investigational purposes. All donor testing is perfonned using methods and reagents authorized by Health Canada." The Circular of Information will be revised as follows: A.2 Testing of Donor Blood Section A.2, page 5, paragraph I and 2 shall read as follows: Prior to making blood components available for transfusion, a sample of each donor's blood is tested. Regardless of donation type -Allogenic (homologous), Directed, or Autologous -samples are tested for the following: .Antibodies to Human Immunodeficiency Virus (HIV-I and HIV-2), Hepatitis C Virus (HCV), and Human T-cell Lymphotropic Virus, Type I and II (HTLV-I/II), .the presence ofHepatitis B Surface antigen (HBsAg) .Syphilis, .ABO and Rh typing, and .Unexpected antibodies against red cell antigens other than ABO. Donor samples are also testedfor~e TestIng (NA T) IS an uriQcens~gte~tandIs performed;wIthpermISSI0np'o~H~alth Canada,fQr investi&ationalpurposes. Alldbnbttestingis performed using methods andreggent§authorizedby Cana" d a . Health (j HeadOffice/ Siegesocial,1800AltaVista,Ottawa,ON K1G4J5 Tel.!Tel.: (613)739-2300 Fax!Telec. : (613)731-1411 www.bloodservices.ca .www.servicessanguins.ca Charitable Number: 870157641 RROO01/N° d'organisation debienfaisance : 870157641 RROO01 Canadian Blood Services -2- 2004-05-17 A.5 Side Effects and Hazards of Blood and Blood Components Section A.5, page 9, paragraph 1 shall read as follows: I. Infectious diseases may be transmitted in spite of careful selection of donors and testing of blood. Donor selection criteria are designed to screen out individuals who are at an increased risk for HIV , HTL V, and hepatitis infection. Each donor sample is tested for: .antibodies to HIV (HIV-I/HIV-2), HTLV (HTLV-I/II), HCV, . . Syphilis. The next revision and printing of the Circular is anticipated for the late fall of 2004. The Circular of Information will continue to list West Nile Virus (WNV) NA T as unlicensed, and performed with permission from Health Canada for research purposes. Please note that the use of approved licensed test kits for NAT for Hepatitis HIV-1 does not impact the transfusable blood component labels. If you have questions about this CBS Customer Letter, please Corporate Quality Standards Department at (613) 739-2591. contact C and the CBS Sincerely, &'8 ~~ Ms. Kitty Dunlop, Director, Corporate Quality Standards, Regulatory Affairs and Quality Assurance R:\Customer Letters\2004\C of I customer letter NAT HCV HIV-1-RA approved.doc\515.500.1 IiI