Can I Donate Blood After Testing Negative for Hepatitis B Surface Antigen? - Gastroenterology and Hepatology

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Can a person with a negative hepatitis B surface antigen (HBsAg) donate blood?


Hello Director: I am a carrier of hepatitis B.
I started interferon treatment three years ago for a duration of one year, and I have been off medication for two years now.
In July of last year (2015), my surface antigen tested negative, my surface antibody tested positive, and the virus is no longer detectable.
After six months of follow-up, there have been no issues.
I would like to ask if I can donate blood under these circumstances?

Hao Xin Gan, 30~39 year old female. Ask Date: 2016/01/14

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir: According to medical principles, you are eligible to donate blood; however, if the blood donation center has a record of your Hepatitis B, they will likely refuse your donation.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/01/14

More Info


Yes, based on the information provided, you may be eligible to donate blood after testing negative for Hepatitis B surface antigen (HBsAg) and having a positive Hepatitis B surface antibody (anti-HBs). This indicates that you have cleared the virus and have developed immunity against it, which is a positive outcome after your treatment with interferon.

However, it's important to note that blood donation centers often have strict protocols regarding the eligibility of donors with a history of Hepatitis B. Even if your current test results are favorable, if the blood donation center has a record of your previous Hepatitis B status, they may still decline your donation. This is primarily to ensure the safety of the blood supply and to mitigate any potential risks associated with past infections.

In the context of Hepatitis B, the presence of anti-HBs indicates that you have either been vaccinated or have recovered from an infection. Since you have tested negative for HBsAg, it suggests that there is no active infection, and the absence of detectable virus further supports your eligibility. However, the presence of HBc IgG (which you mentioned in a previous query) indicates that you have had a past infection. While this does not pose a risk of transmission at this point, it may still be a factor in the blood donation screening process.

In the United States, the FDA guidelines recommend that individuals with a history of Hepatitis B who have cleared the infection (as indicated by negative HBsAg and positive anti-HBs) may be eligible to donate blood. However, each blood donation center may have its own policies, and they may conduct additional screenings to ensure the safety of the blood supply. Therefore, it is advisable to contact the blood donation center directly to discuss your specific situation and to understand their policies regarding donors with a history of Hepatitis B.

If you are considering blood donation, it is also a good idea to have regular follow-ups with your healthcare provider to monitor your liver health and ensure that you remain free of any viral load. Regular check-ups can help you stay informed about your health status and any potential implications for blood donation.

In summary, while your current test results suggest that you are in a good position to donate blood, the final decision will depend on the policies of the blood donation center and any records they may have regarding your past Hepatitis B status. Always consult with healthcare professionals and the donation center for the most accurate and personalized advice.

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