There have been four cases of variant-CJD infection associated with blood transfusion: three of the four recipients developed symptoms of vCJD. All four cases had received transfusions of non-leucodepleted red blood cells between 1996 and 1999.
The first case of vCJD disease associated with blood transfusion was identified in December 2003. This individual developed vCJD six and a half years after a transfusion of red cells. This was donated by an individual who developed symptoms of vCJD three and a half years after donation.
A case of vCJD 'infection' was identified a few months later in a recipient of red cells. The donor developed symptoms of vCJD 18 months after donation. This second case died from causes unrelated to vCJD five years after transfusion. Post-mortem investigations found abnormal prion protein in the spleen and a cervical lymph node, but not in the brain, and no pathological features of vCJD were found.
The third case developed symptoms of vCJD after 6 years and died 8 years and 8 months after receiving a transfusion of red blood cells. The donor developed vCJD about 20 months after this blood was donated.
The fourth case developed symptoms of vCJD 8.5 years after receiving a transfusion of red blood cells. The donor developed vCJD about 17 months after this blood was donated. The same donor donated the vCJD-implicated blood transfused to the 3rd and 4th cases.
On 16 March 2004 the Department of Health announced that people who had received a blood transfusion in the UK since 1980 would no longer be able to give blood. This change was implemented on 5 April 2004. Further information on measures to protect blood supply is available from the Department of Health and the National Blood Service.
Last reviewed: 21 January 2009