title: [Blood components: Are they drugs or special medicines?].
abstract: Blood transfusion and plasma derived-drugs significantly differ from other medicines in that their availability strictly depends on blood and plasma collected from healthy donors. Blood collection must comply with a double objective: to maintain donor heath safety, and to avoid any transmitted infections in recipients. This raises several ethical concerns that appear to be different from usual ethical and deontological issues linked to other pharmaceutical and industrial processes. The main concern is the non-commercialization of the human body. Words and concept are of major importance in this context. This short review aims at presenting the main issues relevant to those questions with respect to the various stakeholders.
authors.affiliation: EA3064, faculté de médecine de Saint-Étienne, université de Lyon, 42023 Saint-Étienne, France; Institut national de la transfusion sanguine, 6, rue Alexandre-Cabanel, 75739 Paris cedex 15, France. Electronic address: ogarraud@ints.fr.
authors.forename: O
authors.initials: O
authors.lastname: Garraud
authors.affiliation: Transfusion interrégionale CRS, site d'Épalinges, 1066 Epalinges, Suisse; Faculté de biologie et de médecine, UNIL, 1011 Lausanne, Suisse.
authors.forename: J-D
authors.initials: JD
authors.lastname: Tissot
mesh_terms: D001685:Biological Factors / Q000302:isolation & purification / Q000627:therapeutic use; D001688:Biological Products / Q000145:classification* / Q000302:isolation & purification; D001773:Blood Cells; D016913:Blood Component Transfusion / Q000009:adverse effects / Q000941:ethics; D001782:Blood Donors / Q000941:ethics / Q000331:legislation & jurisprudence; D001793:Blood Preservation; D001798:Blood Proteins / Q000302:isolation & purification / Q000627:therapeutic use; D058731:Blood Safety / Q000941:ethics; D002469:Cell Separation; D032821:Commodification; D004345:Drug Industry / Q000941:ethics* / Q000331:legislation & jurisprudence; D004355:Drug Stability; D005602:France; D006806:Human Rights; D006801:Humans; D004364:Pharmaceutical Preparations / Q000145:classification*; D010949:Plasma
chemical_list: D001685:Biological Factors; D001688:Biological Products; D001798:Blood Proteins; D004364:Pharmaceutical Preparations
keywords: Altruism; Altruisme; Blood donation; Blood transfusion; Don de sang; Ethics; Médicaments dérivés du plasma; Non-profit; Not-for-profit; Plasma derived-drugs; Transfusion sanguine; Éthique