must be identified. Each recipient must be traced and tested. For recipients, the donor
numbers must be identified and the donors traced and tested.
(4) In the event that a current blood donor test HIV EIA RR, Western Blot
indeterminate or positive or confirmed HIV-1 Ag positive, the MTF will ensure that blood
bank records are searched to determine if that donor had given to that blood bank in the
past. Information on the disposition of any donations found through such a search will
be provided to appropriate medical authorities for a follow up.
c. Extent of the Look-Back Process.
(1) A donor look-back must be performed on an HIV EIA repeatedly reactive,
Western Blot indeterminate or positive individual, who has donated blood or plasma
(a) The look-back will continue until all investigatable blood components
have a known disposition or until efforts have been exhausted.
(b) The donor's HIV testing history, if any, may be located in the members
health record or the Reportable Disease Database. Donations made twelve months
prior to the most current negative HIV test do not require further investigation. As a
precaution, in-date products from all donations should be destroyed.
(c) If a component was transfused, the recipient must be located and
tested. Recipients transfused 12 months prior to the donor's most recent recorded
negative HIV test do not require testing.
(d) Recipients should be tracked by using, at a minimum, DEERS, the
military locator system, the services' reserve personnel system, and the St. Louis record
repository. Local preventive medicine units/activities may use state agencies, if
(e) The recipient's HIV testing history, if any, may be located in his or her
health record or the Reportable Disease Database. If the recipient tested HIV negative
12 months after receiving the donor's component, the recipient does not require testing.
(f) Recipients who are now non-beneficiaries but who were beneficiaries at
the time the transfusion occurred (in a military facility) must be offered testing and initial
counseling in a military facility. No other services may be offered until the recipient
regains beneficiary status.
(2) Recipient look-back process starts when a recipient states that he/she
received a transfusion of blood after 1977.
(a) The look-back will continue until all donors have been identified,
located, and tested.