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We fully agree with Kalish and coworkers that it is "imperative to use all possible methods to remove high-risk donors from the population prior to testing." We did not, in any way, intend to denigrate the importance of voluntary self-exclusion in assuring a safe blood supply, and our conclusion, as stated at the end of our letter to the editor, was that "requests for voluntary self-exclusion, alone, were not sufficient to ensure a safe blood supply." The important word in that conclusion is, of course, "alone." We fully agree with Kalish and colleagues that self-exclusion is an integral part of ensuring a safe blood supply and must be continued.Kalish et al also point out that our study did not "address the issue of voluntary self-deferral by asymptomatic high-risk donors." Our study, by its nature, required that we review the blood donation records only of individuals who were
Wykoff RF, Halsey NA. Voluntary Self-Exclusion to Reduce Transmission of AIDS by Blood Transfusion-Reply. JAMA. 1987;257(1):29. doi:10.1001/jama.1987.03390010032019
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