
Lack of voluntary blood donations help ‘red market' thrive
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Nagpur: As the world observes World Blood Donor Day 2025 under the theme "Give blood, give hope: Together we save lives," Maharashtra's health minister, Prakash Abitkar, directed officials to urgently implement a "No Shortage, No Wastage" policy.
The policy aims to ensure timely access to safe blood for patients while also curbing avoidable wastage due to poor coordination.
"Blood is a national resource, and its collection, storage, and use must be meticulously managed," said Abitkar during a state-level review of blood services. He noted that seasonal imbalances, such as massive blood collection during national events or birthdays of politicians, often contrast with shortfalls during festivals and summer, creating a mismatch in supply and demand.
He directed health authorities to design and submit a comprehensive policy immediately.
The state govt also plans to introduce new rules for granting NOCs to blood bank operators and explore NAT (Nucleic Acid Testing) in govt blood banks for higher safety.
Meanwhile, Dr Sunil Khaparde, former director of NACO and now a city-based national expert on blood safety, raised alarm over India's growing dependence on paid or professional donors, despite legal bans.
"With a demand of 1.2 crore units annually, we still fall short by over 30 lakh units. The deficit often drives patients to the underground 'Red Market,' where ethics and safety are routinely compromised," said Dr Khaparde.
He stressed that while portals like e-RaktKosh and govt campaigns have made strides, the absence of a centralized national blood collection agency is keenly felt. "Even today, much of our blood supply comes from professional donors or family replacements.
Genuine voluntary donation remains under 50%," he noted.
Dr Harish Warbhe, medical director of Lifeline Blood Centre in the city, emphasized the health benefits of voluntary donation even for the donors themselves. "Regular voluntary blood donation not only saves lives but also stimulates the donor's bone marrow to produce fresh, healthier blood cells. It reduces iron overload in the body and gives a sense of purpose and community connection.
It's a simple act with profound benefits — for recipients and donors alike," he said.
India's Blood Gap: Key Facts
India needs around 1.2 crore units of blood every year
Only about 90 lakh units are collected annually
This leads to a shortfall of approximately 30 lakh units each year
In the summer months, the shortfall often touches 50%, worsening the crisis
India still does not meet the WHO-recommended 1% blood reserve based on the total population
Less than 50% of blood donations are truly voluntary; the rest come from relatives if patients
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