Lessons for blood services following the Brussels terrorist attacks in March 2016

Abstract

On 22 March 2016, Brussels was confronted with terrorist attacks using explosive devices. Two nail bombs exploded at the airport and one nail bomb exploded in the subway. Thirty‐five people were killed, and approximately 340 got injured. Stock levels were excellent for all blood products and all blood groups. The amount of blood distributed on March 22 was at the high end but in line with the amount of blood products distributed on regular Tuesdays. The total order of blood group O Rhesus D (RhD)‐negative red cell units was nonetheless approximately twice as high as normal. For three University hospitals, we investigated in detail how many blood products were transfused to each of the hospitalized victims. Overall, the number of blood products needed was not excessive. We consistently communicated to the national media that no additional blood donations were needed. Nevertheless, the number of visits to our website was fourfold higher and the number of donors presenting at the donor centres twofold higher than normal. The number of donors presenting at mobile collections was not increased, mainly because one drive was cancelled by the continuing threat. In summary, the experiences in Flanders and Wallonia, following the Brussels attacks, are in line with those in other countries indicating that the amount of surplus blood to alleviate immediate needs generally is limited and the willingness for blood donation is high. In the end, it is important to raise awareness that blood required for today's disaster was donated yesterday.