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ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
January 2014
EDITOR-IN-CHIEF:
Dr. (Prof.) R.N.Makroo Director & Sr. Consultant, Transfusion Medicine, Molecular
Biology & Transplant Immunology, Indraprastha Apollo Hospitals New Delhi India
EDITORIAL BOARD:
Dr. Namal Bandara (Sri Lanka)
Dr. Krishna Sharma (Bhutan) Dr. Mumtaz (Bangladesh) Dr. Rupinder Kaur (India) Dr. Geeta (Nepal)
ASSOCIATE EDITORS:
Dr. Mohit Chowdhry Associate Consultant, Transfusion Medicine, Molecular
Biology & Transplant Immunology, Indraprastha Apollo Hospitals New Delhi, India
Dr. Aakanksha Bhatia Sr. Registrar, Transfusion Medicine Indraprastha Apollo Hospitals New Delhi, India
CONTENTS:
EDITORIAL 2
AATM CONFERENCE
3
MINUTES OF THE MEETING
5
PRECONFERENCE CMEs
8
CONFERENCE HIGHLIGHTS
12
STEM CELL
TRANSPLANTATION: THE
INDIAN SCENARIO: Dr. R.N.
Makroo
17
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
2
EDITORIAL:
Wish you all a Merry Christmas & Happy New year-2014!!
The editorial desk is glad to present this issue of AATM. I am pleased to inform you that
the 9th Annual conference of South Asian Association of Transfusion Medicine
(SAATM) was held from 4-5th October 2013 in Delhi (NCR), India. This conference was
all the more special as the nomenclature of South Asian Association of Transfusion
Medicine (SAATM) was officially changed to Asian Association of Transfusion
Medicine (AATM). The conference saw participation from over 20 countries. Speakers
and chairpersons were carefully selected to represent all participating nations well. I
would like to thank the Organizers, Chairpersons, Speakers and the delegates for making
this conference a grand success. My special thanks to the sponsors without whose
participation this conference would not have been this successful.
This issue of the AATM Newsletter covers the highlights of the Conference and the two
parallel Preconference CMEs. The article which has been chosen for this issue essentially
covers the important aspects of Stem cell Transplantation, wherein I have laid emphasis
on the stem cell transplantation scenario in India. I sincerely hope this issue of AATM
Newsletter would be greeted with an open heart by our beloved readers.
EDITOR-IN-CHIEF:
Dr. (Prof.) R.N. Makroo
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
3
IXTH ANNUAL SAATM CONFERENCE, GURGAON, DELHI (NCR), INDIA,
OCTOBER 3 – 5, 2013
Dear Friends,
I am pleased to inform you that the 9th annual conference of the South Asian Association
of Transfusion Medicine (SAATM) has been completed successfully on 4-5th October
2013 in Delhi (NCR), India. This conference was well attended and delegates from 22
countries participated in the scientific discussions. There were about 87 speakers and
Chairpersons (32 from abroad) who shared their knowledge with delegates. More than
500 delegates registered in the main conference. There were two pre conference
activities; one workshop was fully supported by International Society of Blood
Transfusion (ISBT), Amsterdam and another CME was organized in association with
Autonomous University of Barcelona, Spain. I am enclosing few photographs of the
conference. Members of Organizing Committee worked very hard to make this
conference a success. On behalf of the Governing Council of AATM, I profusely thank
all members of Organizing Committee for their sincere hard works. I also take this
opportunity to express our gratitude to ISBT for their support for pre-conference
workshop.
The Annual General Body meeting (AGM) of AATM was held on 4th October 2013 at 5
PM onward. This was the last AGM of SAATM and first AGM of AATM. I am sending
the minutes of the meeting for your reference. Now onward, all communications from the
Secretariat will be sent from this new e-mail ID. Past email ID ([email protected])
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
4
will be kept activated for another one year. The Joint Secretary of AATM, Dr. Amit
Agarwal has already activated the new website for AATM i.e. www.aatmweb.org. Please
refer to all activities and information to the new website.
With warm regards,
Dr. N. CHOUDHURY
SECRETARY GENERAL,
ASIAN ASSOCIATION OF TRANSFUSION MEDICINE
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
5
MINUTES OF THE MEETING OF 9th AATM ANNUAL GENERAL BODY
MEETING (AGM) HELD AT DELHI (NCR) ON 4TH OCTOBER 2013.
The ninth Annual General Body meeting (AGM) of the South Asian Association of
Transfusion Medicine (SAATM) was held on the 4th of October 2013 in the conference
venue of the 9th AATM conference held in hotel Crowne Plaza, Delhi (NCR), India from
5 PM onward. AATM members from seven countries attended this AGM. The meeting
was presided over by the President of AATM, Dr. Ananda Gunasekara. This AGM was
the last AGM of South Asian Association of Transfusion Medicine (SAATM) and the
first AGM of Asian Association of Transfusion Medicine (AATM). The AGM started
with a warm welcome note from the President and it was conducted as per agenda. The
following points were discussed, debated and agreed upon by members present in the
AGM meet as per the agenda that circulated about four weeks before the AGM:
1. Approval of the minutes of the meeting of 8th AGM: The minutes of the meeting of
8th AGM of SAATM held on 7th December, 2012 in the venue of 8th annual conference
of SAATM in Colombo, Sri Lanka, was approved.
2. Member’s directory: Some members suggested to develop AATM member’s
directory and to be distributed among all the members. It was decided that each country
chapter will update their member’s contact information including e mail IDs. All the
members name, institute & e mail ID will be included in the directory but not the phone
numbers. Once this exercise is completed, it will be put on AATM website.
3. List of members: All the new memberships were approved.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
6
4. New nomenclature: The decision to change nomenclature of South Asian Association
of Transfusion Medicine (SAATM) to Asian Association of Transfusion Medicine
(AATM) was approved in the last AGM held in Colombo on 7th December 2012. The
Secretary General informed members that official formalities of formation of AATM
have been completed, new PAN number (for tax) received and a new bank a/c had been
opened. Some members suggested that the organization logo could be changed. It was
decided that the changing of the logo is a major issue and sudden change might confuse
AATM members and peers. Therefore, one competition would have to be conducted
among members to decide the best of a logo and a conscious decision will have to be
taken about logo change by the Governing Council.
5. Signature of coordinators in conference/ CME certificate: One member suggested
inclusion of local coordinator’s signature in the certificate of attendance of the
conference/ CME/ workshop. It was accepted and decided to be implemented from next
conference.
6. Future Conferences: The President suggested that minimum standards should be put
in place for future AATM Annual conferences. It was advised that the conference activity
should be centralized like ISBT. Tenth AATM conference will be held in Kathmandu,
Nepal and Dr. Manita Rajkarnikar (Chairperson, AATM Nepal chapter) will be the nodal
person. It will be tentatively held in November 2014. The 11th AATM conference will be
held in Karachi, Pakistan in 2015 and Dr. Farrukh Hasan (Chairperson, Pakistan Chapter)
will be the nodal person.
7. Life membership fees: It was observed that some members failed to renew annual
membership due to multiple reasons which led a barrier to become a life member. It was
discussed about option of penalty fees for the members who have already paid two
consecutive years but failed to pay on third year. In that situation, members will pay a
penalty fee of Rs. 800 and wait for the third year. At the end of that stipulated period, the
member can pay life membership fees and get enroll as life member.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
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8. Ongoing AATM programs: AATM country chapters were requested to coordinate
with AATM International for all ongoing program implementation like wet-workshops,
EQAS program and Fellowship program. All country chapters are autonomous under the
AATM constitution and they are free to manage their own program. They are requested
to adhere to schedule program like number of wet workshops and enrolling for available
EQAS program. All are requested to send
Information to headquarter so that information can be posted to AATM website.
9. The distant learning program: The Autonomous University of Barcelona (AUB) is
going to start a distant learning course on cell and tissue therapy. Dr. Latha Jagannathan
who was coordinating this task explained about the need of the course in Asian
Countries. This will be a certificate course offered by this university with Rajiv Gandhi
University at Bangalore, India. Dr. Latha and Dr. Anupam Verma will finalize the topics
covered, fees & other important matters. They are requested to put a deadline for that.
10. AATM Website: The new website www.aatmweb.org will be activated soon & will
be linked to the old one also. Dr. Amit Agarwal explained about the website.
11. AATM News Letter: Dr. R.N Makroo, Editor of the AATM News Letter will be
sending the e-newsletters as before and will make it regular. The possibility of starting a
journal will also be explored.
12. Audited a/c of SAATM: SAATM financial audited account was presented by Dr. N
Choudhury & was approved.
The meeting ended with a vote of thanks to the Chair.
Dr. N. Choudhury
Secretary General, Asian Association of Transfusion Medicine
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
8
PRE CONFERENCE CMEs OF 9TH ANNUAL CONFERENCE OF AATM
Pre Conference CME of 9th
Annual Conference of SAATM on
“Cell and Tissue Therapy”
Date: 3rd October 2013 (9.00 AM to 4.00 PM)
Venue: Meditorium; Fortis Memorial Research Institute,
Gurgaon, Delhi (NCR)
&
Pre Conference CME of 9th
Annual Conference of SAATM on
“Transfusion & Transplantation”
Date: 3rd October 2013 (8.00 AM to 4.15 PM)
Venue: Orchid Hall, Hotel Crowne Plaza, Gurgaon
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
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PRE CONFERENCE CME ON “CELL AND TISSUE THERAPY”
As a part of the 9th Annual SAATM conference, two preconference CMEs were organised
on the 3rd of October 2013. The first CME on: “Cell and Tissue Therapy” took place at
Meditorium, Fortis Memorial Research Institute, Gurgaon.
The CME covered most important aspects of modern transfusion science involving
cellular therapies. With a fine blend of national and international faculty and a host of
very interesting and informative lectures, the CME was well received by all delegates.
Besides emphasising the current concepts and future trends of this emerging branch the
CME also focussed at promoting educational ties globally. With presentations from
representatives of the “Universitat Autònoma de Barcelona (UAB)” who created the
Chair of Transfusion Medicine and Cellular and Tissue Therapies (CMT3), emphasis
was laid on the initiation of a distant learning course in transfusion medicine. The
concept was positively received and thoroughly discussed in regards to its practicality
and feasibility in the Indian scenario. The various challenges anticipated and the ways of
overcoming the same were debated with all experts giving their opinion and views in an
interesting panel discussion towards the end of the sessions.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
10
HIGHLIGHTS OF THE PRECONFERENCE CME ON: “CELL AND TISSUE THERAPY”
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
11
PRE CONFERENCE CME ON “TRANSFUSION & TRANSPLANTATION”
The second Pre-Conference CME on “Transfusion & Transplantation” was held at Hotel
Crowne Plaza, Gurgaon.
The CME was in collaboration and sponsored by the International Society of Blood Transfusion
(ISBT).
The highlight of this CME was the „Hands on‟ workshop which included basic and conceptual
methodology of Histocompatibility testing involving solid organ transplant and Bone Marrow
transplant. Various workstations were setup with technical staff demonstrating the various steps
in testing.
The Chairpersons of the sessions at the CME included Dr.Vivek Ranjan, Dr. Neelam Marwaha,
Dr. Sitalakshmi, and Dr. Sangeeta Misra.
The eminent speakers of the CME were Dr Kuruppu, Dr. Daniel, Dr V. Raina & Dr. Divye.
The CME was received with equal enthusiasm, both by medical and paramedical delegates.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
12
HIGHLIGHTS OF THE PRE CONFERENCE CME ON: TRANSFUSION & TRANSPLANTATION
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
13
9th
ANNUAL CONFERENCE OF
THE ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE
The 9th Annual conference of South Asian
Association of Transfusion Medicine (SAATM)
was successfully organized from 4-5th October
2013 in Delhi (NCR), India. This conference was well attended and appreciated by all
present. Representative of transfusion fraternities from various AATM countries
participated in the congress sharing their knowledge and experiences with us. Speakers
from abroad and from India enriched us with their lectures and discussions. Eminent
members of the Indian transfusion fraternity were among the dignitaries and chairpersons
as well. The scientific programme was well planned and covered a large number of
important and relevant topics pertaining to contemporary and conventional transfusion
practice as well emphasising on future trends.
This conference marks the birth of Asian Association of Transfusion Medicine
(AATM) a changed nomenclature of the South Asian Association of Transfusion
Medicine (SAATM).
The two pre conference CMEs organised on the 3rd of October, one at the Crowne Plaza
and the other at Fortis Memorial Research Institute, Gurgaon were equally well received.
These provided a good warm up for the upcoming conference.
The opening plenary session on the first day of the conference saw representative from
SAATM member countries provide an insight into the status of their respective national
transfusion services. This was followed by a number of interesting lectures, seminars and
panel discussions running in parallel in 2 halls.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
14
The second day of the conference was marked by a host of enlightening seminars on
NAT, TTI, and Immunohematology etc. Several interesting free papers were also
presented by young researchers. The conference was all in all an academic delight.
Tireless efforts put in by the Organizing Committee were evident by the flawless
execution of the programme.
Fun and frolic prevailed at the inaugural ceremony on the 3rd and the gala dinner on the
5th of October. The cultural programme incorporated the vivacity of India and was
thoroughly enjoyed by all delegates.
HIGHLIGHTS OF THE 9th ANNUAL CONFERENCE OFAATM
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
15
HIGHLIGHTS OF THE CONFERENCE..
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
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HIGHLIGHTS OF THE CONFERENCE..
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
17
HIGHLIGHTS OF THE CONFERENCE..
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
18
STEM CELL TRANSPLANTATION: THE INDIAN SCENARIO
Dr. (Prof.) R.N. Makroo
Director & Sr. Consultant
Department Of Transfusion Medicine
Transplant Immunology & Molecular Biology
Indraprastha Apollo Hospital
New Delhi, India
India's first successful allogeneic bone marrow transplantation (BMT) was done on 20th March
1983 at Tata Memorial Hospital on a nine-year-old girl with Acute Myeloid Leukaemia. Our
country has come a long way since then. With several centers now performing this therapy, we
are now treating patients not only from India but also from neighboring countries like Pakistan,
Afghanistan and Middle East.
India has a population of over one billion people, where a mere 5% of the individuals can afford
treatment abroad. The rest 95% can either afford a transplant at reasonable prices in India or if
provided by the state. The stem cell transplant programme in India is faced with several
challenges. These include the limited laboratory facilities for HLA typing, which are available in
tertiary centre & private labs only. Some labs are still using serology. Donor registries are almost
defunct and private cord blood banks are limited and present only in larger cities.
A hospital performing BMT needs good infrastructure with dedicated HEPA filtered transplant
units are must considering the poor environment, competent & dedicated medical and nursing
staff. State of the art laboratory and transfusion services and adequate paramedical support are
also required. Existing centres need to focus on the development of regimen/strategies tailored to
our needs. Patient related problems like non compliance, high levels of antimicrobial resistance,
poor quality of environment where they reside, financial constraints and lack of awareness and
understanding of the disease and treatment modalities are also a major challenge.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
19
Limited formally trained personnel including medical, paramedical and nursing staff are a cause
of concern and Stem cell research and Gene therapy are almost nonexistent in India.
Keeping these limitations in mind we have made a humble beginning and with a huge pool of
patients in need for a transplant our transplant programme in the country is on a uphill track.
THE MEASURE OF A LIFE, AFTER ALL, IS NOT ITS DURATION, BUT IT’S DONATION. DONATE BLOOD SAVE LIVES.
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
20
ACKNOWLEDGEMENTS TO OUR SPONSORS FOR THE
CONFERENCE
Terumo Penpol limited
Roche Diagnostic India Pvt. Ltd
Novartis Diagnostics
Fresenius Kabi India Private Ltd.
Cerus International
Abbott
Orhto-Clinic Diagnostics
J Mitra & Company Pvt. Ltd
Diagast
Immucor Gamma
HLL Lifecare Ltd.
Remi Sales & Engg. Ltd
Insignia International
ISBT
SR Biohealth
Plasmogen
Bio-Rad
Hemonetics Corp
Labtop/Skylab
Tulip Diagnostics
Easy software
Hemocue
Hemogenomics
ThermoFisher
Span Healthcare
ASIAN ASSOCIATION OF
TRANSFUSION MEDICINE (AATM)
21
ANNOUNCEMENTS
Xth ANNUAL AATM CONFERENCE,
PLACE: KATHMANDU, NEPAL
DATE: 18-19th
September 2014
NODAL PERSON: DR. MANITA RAJKARNIKAR
(CHAIRPERSON, AATM
NEPAL CHAPTER)
PHONE NO: 9779851084506
EMAIL ID:[email protected]
33rd INTERNATIONAL CONGRESS OF ISBT
PLACE: SEOUL, SOUTH KOREA
DATE: 31st MAY 2014 to 5
th JUNE 2014
AABB ANNUAL MEETING
PLACE: PHILADELPHIA, PA
DATE: OCTOBER 25-28, 2014