Chapter 483 – Human Blood and Transplants Act
What is this act about?
This law regulates the collection and testing of human blood and blood components, and sets quality and safety standards for human tissues and cells used in transplants. It aims to ensure the safety and quality of these materials for human application.
Who it applies to: Any structure or body responsible for collecting, testing, processing, storing, or distributing human blood or blood components for transfusion; Tissue banks, hospital units, or other bodies involved in processing, preserving, storing, or distributing human tissues and cells.
At a glance
- Country
- Malta
- Area of law
- Procedural law
- Articles
- 18
- Source
- legislation.mt
- Text retrieved
- Explanation updated
What does this act regulate?
- The collection and testing of human blood and blood components.
- The processing, storage, and distribution of blood and blood components for transfusion.
- Standards of quality and safety for human tissues and cells intended for human transplants.
- The licensing and inspection of establishments involved in these activities.
Who does this act apply to?
- Any structure or body responsible for collecting, testing, processing, storing, or distributing human blood or blood components for transfusion.
- Tissue banks, hospital units, or other bodies involved in processing, preserving, storing, or distributing human tissues and cells.
What are the key points?
- The Superintendent of Public Health acts as the Licensing Authority for this Act.
- The Licensing Authority inspects establishments at least once every two years.
- A licence is required to collect, test, prepare, store, and distribute human blood components for transfusion, unless performed by a licensed blood establishment.
- Hospital blood banks do not require a licence for storing, distributing, and performing compatibility tests on blood and blood components exclusively for use within hospital facilities.
Procedural law
Legal text
Legal text
HUMAN BLOOD AND TRANSPLANTS
CHAPTER 483
HUMAN BLOOD AND TRANSPLANTS ACT To regulate the collection and testing of human blood and blood components and to establish standards of quality and safety for human tissues and cells intended for human transplants.
15th September, 2006 ACT IV of 2006, as amended by Legal Notice 427 of 2007.
Art. 1
The short title of this Act is the Human Blood and Transplants Act.
Short title.
PART I
PRELIMINARY
Art. 2
In this Act, unless the context otherwise requires - "allogenic use" means cells or tissues removed from one person and applied to another; "autologous transfusion" means transfusion in which the donor and the recipient are the same person and in which pre-deposited blood and blood components are used; "autologous use" means cells or tissues removed from and applied in the same person; "blood" means whole blood collected from a donor and processed either for transfusion or for further manufacturing; "blood component" means a therapeutic constituent of blood (red cells, white cells, platelets, plasma) that can be prepared by various methods; "blood component release" means a process which enables a blood component to be released from a quarantine status by the use of systems and procedures to ensure that the finished product meets its release specification; "blood establishment" means any structure or body that is responsible for any aspect of the collection and testing of human blood or blood components, whatever their intended purpose, and their processing, storage and distribution when intended for transfusion, but does not include a hospital blood bank; "blood product" means any therapeutic product derived from human blood or plasma; "cells" means individual human cells or a collection of human cells when not bound by any form of connective tissue; "the Commission" means the European Commission; "deferral" means suspension of the eligibility of an individual to donate blood or blood components, such suspension being either permanent or temporary; "Directive 2004/23/EC" means the Commission Directive 2004/ 23/EC of the European Parliament and of the Council of 31 March, Interpretation.
HUMAN BLOOD AND TRANSPLANTS 2004 on setting standards of quality and safety for the donation, procurement, testing, processing, preservation, storage and distribution of human tissues and cells; "Directive 2004/33/EC" means the Commission Directive 2004/ 33/EC of 22 March, 2004 implementing Directive 2002/98/EC of the European Parliament and of the Council as regards certain technical requirements for blood and blood components; "distribution" means in the case of blood and blood components, the act of delivery of blood and blood components to other blood establishments, hospital blood banks and manufacturers of blood and plasma derived products. It does not include the issuing of blood or blood components for transfusions. In the case of human tissues and cells "distribution" means transportation and delivery of tissues or cells intended for human application; "donor" means every human source, whether living or deceased, of human cells or tissues; "donation" means donating human tissues or cells intended for human applications; "establishment" includes a blood establishment and a tissues and cells establishment; " h a e m o v i g i l a n c e " m e a n s a s e t o f o rg a n i s e d s u r v e i l l a n c e procedures relating to serious adverse or unexpected events or reactions in donors or recipients, and the epidemiological followup of donors; "hospital blood bank" means a hospital unit which stores and distributes and may perform compatibility tests on blood and blood components exclusively for use within hospital facilities, including hospital based transfusion activities; "human application" means the use of tissues or cells on or in a human recipient and extracorporal applications; "inspection" means formal and objective control to identify problems in accordance with standards adopted to assess compliance with these regulations; "the Licensing Authority" means the Superintendent of Public Health as established in article 3(1); "the Medicines Authority" means the Licensing Authority established under the Medicines Act; "organ" means a differentiated and vital part of the human body, f o r m e d b y d i ff e r e n t t i s s u e s , t h a t m a i n t a i n s i t s s t r u c t u r e , vascularisation and capacity to develop physiological functions with an important level of autonomy; "processing" means all operations involved in the preparation, manipulation, preservation and packaging of tissues or cells intended for human applications; "procurement" means a process by which tissues or cells are made available;
"preservation" means the use of chemical agents, alterations in HUMAN BLOOD AND TRANSPLANTS environmental conditions or other means during processing to prevent or retard biological or physical deterioration of cells or tissues; "quarantine" means the status of retrieved tissues or cells, or tissue isolated physically or by other effective means, whilst awaiting a decision on their acceptance or rejection; "serious adverse event" means in the case of blood and blood c o m p o n e n t s , a n y u n t o w a r d o c c u r r e n c e a s s o c i a t e d wi t h t h e collection, testing, processing, storage, and distribution, of blood and blood components that might lead to death or life-threatening, disabling or incapacitating conditions for patients or which results in, or prolongs, hospitalisation or morbidity; and in the case of tissues and cells means any untoward occurrence associated with the procurement, testing, processing, storage and distribution of tissues and cells that might lead to the transmission of a communicable disease, to death or life-threatening, disabling or incapacitating conditions for patients or which might result in, or prolong, hospitalisation or morbidity; "serious adverse reaction" in the case of blood and blood components means an unintended response in donor or in patient associated with the collection or transfusion of blood and blood components that is fatal, life-threatening, disabling, incapacitating, or which results in, or prolongs, hospitalisation or morbidity; in the case of tissues and cells it means an unintended response, including a communicable disease, in the donor or in the recipient associated with the procurement or human application of tissues and cells that is fatal, life-threatening, disabling, incapacitating or which results in, or prolongs, hospitalisation or morbidity; "storage" means maintaining the product under appropriate controlled conditions until distribution; "tissue" means all constituent parts of the human body formed by cells; "tissues and cells establishment" means a tissue bank or a unit of a hospital or another body where activities of processing, preservation, storage or distribution of human tissues and cells are undertaken. It may also be responsible for procurement or testing of tissues and cells; "qualified health professional" includes a doctor, nurse and any health professional regulated by the Health Care Professions Act.
PART II
THE LICENSING AUTHORITY
Art. 3
Functions of the Licensing Authority.
HUMAN BLOOD AND TRANSPLANTS (b) to indicate to the establishment which activities it may undertake; (c) to establish conditions applicable to establishments; (d) to issue, renew, amend, vary, suspend or revoke any licence that may be required by or under this Act; (e) to carry out inspections of establishments and organize control measures in such establishments regularly and in any case not less than once every two years; (f) to conduct such additional inspections of establishments as it considers necessary for the purpose of ensuring compliance with the requirements of this Act and any regulations made thereunder; (g) to inspect hospital blood banks to ensure that such banks and persons responsible for the management of such banks comply with the requirements of this Act and any regulations made thereunder; (h) to organize, in the event of any serious adverse event or reaction or suspicion thereof, inspections and other control measures; (i) to establish guidelines concerning the conditions of the inspections and control measures, and on the training and qualification of the officials involved in order to reach a consistent level of competence and performance; (j) to establish and maintain a publicly accessible register of tissue establishments specifying the activities for which they have been licensed; (k) to do all such things as may be necessary for the purpose of ensuring compliance with any of the provisions of this Act or regulations made thereunder.
PART III
BLOOD ESTABLISHMENTS AND HOSPITAL BLOOD BANKS Inspections and control measures.
Art. 4
The inspections and control measures of blood establishments and hospital blood banks shall be carried out by any person duly authorized in writing by the Licensing Authority and shall, on production of this authorization, have a right to: (a) inspect at any reasonable hour: (i) any premises owned or managed by a blood establishment or person responsible for management of a hospital blood bank, or at which the blood establishment or person responsible for management of a hospital blood HUMAN BLOOD AND TRANSPLANTS (b) (c) (d) (e) (f) (g) (h) bank carries out any of the activities referred to in this Part of this Act; (ii) any premises of any person who carries out any of the activities referred to in this Part of this Act on behalf of, and pursuant to a contractual arrangement with, a blood establishment or a person responsible for management of a hospital blood bank; and (iii) where any facilities for donor evaluation and testing are in the premises of any person other than a blood establishment or hospital blood bank, those facilities in that person’s premises; to require the production of, and inspect any article or substance at the premises; to require the production of, inspect and take copies of, or extracts from, any book, document, data or record, in whatever form held at the premises, or any computer data or records which are accessible thereat; to take possession of any samples for examination and analysis and any other article, substance, book, document, data, record in whatever form held at the premises, or any computer data or records which are accessible thereat; to question any person whom he finds at the premises and whom he has reasonable cause to believe is able to give him relevant information; to require any person to afford him such assistance as he considers necessary with respect to any matter within that person’s control, or in relation to which that person has responsibilities; to require, as he considers necessary, any person to afford him such facilities as he may reasonably require that person to afford him; carry out any activity he may deem appropriate for the proper execution of his duties and responsibilities as provided by this Act and any regulations made thereunder.
Art. 5
Licensing of blood establishments.
Art. 6
Provided that a suspension or revocation shall take effect immediately when the Licensing Authority considers that it is necessary in the interests of safety.
HUMAN BLOOD AND TRANSPLANTS not sufficiently serious to warrant suspension or revocation of the licence of the blood establishment in the first instance, the Licensing Authority may serve a notice on the responsible person of the blood establishment: (i) identifying the requirements of which the blood establishment is in breach or, in the case of false and incomplete information, the further information which is required; (ii) identifying the action which the blood establishment is required to take; and (iii) giving the timescale within which the blood establishment shall take the action identified in the preceding subparagraph.
Notice served on hospital blood banks.
Art. 7
Provided that where the Licensing Authority considers that it is necessary in the interests of safety, it may specify in the notice that the prohibition takes immediate effect.
HUMAN BLOOD AND TRANSPLANTS
Art. 8
Validity of licence.
Art. 9
No person shall import into Malta any blood or blood components, including blood or blood components intended for use as a starting material or raw material in the manufacture of medicinal products, from a country or territory outside the European Community which does not meet standards of quality and safety equivalent to those laid down in Annex V of Directive 2004/ 33/EC and any amendments thereto.
Importation.
Art. 10
Specific epidemiological situations. (a) the blood establishments that those criteria must be adopted; and (b) the Commission of the epidemiological situation and the additional deferral criteria which blood establishments are required to adopt in relation to it pursuant to paragraph (a).
PART IV
TISSUES AND CELLS ESTABLISHMENTS
Art. 11
HUMAN BLOOD AND TRANSPLANTS cells establishment carries out any of its activities in relation to the procurement of human tissues and cells; (ii) any premises of any person who carries out any of the activities referred to above on behalf of, and pursuant to a contractual arrangement with, a tissues and cells establishment; and (iii) where any facilities for donor evaluation and testing are in the premises of any person other than a tissues and cells establishment, those facilities in that person’s premises; (b) to require the production of and inspect any article or substance at the premises; (c) to require the production of, inspect and take copies of, or extracts from, any book, document, data or record, in whatever form it is held at the premises, or any computer data or records accessible thereat; (d) to take possession of any samples for examination and analysis and any other article, substance, book, document, data, record, in whatever form they are held at the premises, or any computer data or records accessible thereat; (e) to question any person whom he finds at the premises and whom he has reasonable cause to believe is able to give him relevant information; (f) to require any person to afford him such assistance as he considers necessary with respect to any matter within that person’s control, or in relation to which that person has responsibilities; (g) to require, as he considers necessary, any person to afford him such facilities as he may reasonably require that person to afford him; (h) to evaluate and verify the procedures and the activities carried out in tissues and cells establishments and the facilities of third parties that are relevant to the requirements of this Act and regulations made thereunder; (i) carry out any activity he may deem appropriate for the proper execution of his duties and responsibilities as provided by this Act and regulations made thereunder.
Supervision and licensing.
Art. 12
Revocation or suspension of licence.
Art. 13
13.(1)(a) The Licensing Authority may suspend or revoke the licence of a tissues and cells establishment on one or more of the following grounds: (i) that the establishment has failed, in any material respect, to comply with the requirements of this Act or regulations made thereunder; (ii) that the information given by the blood establishment was false or incomplete in any material respect. (b) In addition the Licensing Authority shall suspend or revoke the licence of a tissues and cells establishment or of a tissues or cells preparation process if inspections or control measures demonstrate that such an establishment or process does not comply with the requirements of this Act and regulations made thereunder.
Provided that such suspension or revocation shall take effect immediately when the Licensing Authority considers that it is necessary in the interests of safety.
Art. 14
Validity of licence.
Art. 15
Import or export of human tissues and cells.
HUMAN BLOOD AND TRANSPLANTS (b) such exports to third countries complies with the requirements of Directive 2004/23/EC.
PART V
MISCELLANEOUS Power of the Minister to make regulations.
Art. 16
Offences and penalties.
Amended by:
L.N. 427 of 2007.
Art. 17
Special procedure.
Amended by:
L.N. 427 of 2007.
Art. 18
Provided that such penalty shall not exceed the amount of eleven thousand and six hundred and forty-six euro and eightyseven cents (11,646.87).