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deferral_rule: 2

Data license: Public Domain (CDC) · Data source: CDC Travelers' Health (Yellow Fever & Malaria, by country)

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rule_id source_id code exposure_type geo_scope threshold deferral_window description citation valid_from valid_to pathogen_reduction
2 2 residence_over_5yr residence whole_country continuous residence > 5 years 3 years A former resident (>5 continuous years) of a country that has ANY malaria-endemic area is screened treating the entire country as endemic, and is deferred 3 years (FDA 12/2022 §IV.B.2). Residence is assessed by country, not by sub-national area. The Director of CBER did NOT authorize pathogen reduction as an alternative to this deferral, citing the higher residual risk and the fact that every reported U.S. TTM case implicated former residents of endemic countries or donors with a prior malaria diagnosis. FDA 12/2022, transfusion-transmitted malaria guidance, §IV.B.2 2022-12-08   not_authorized
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