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C. W. Bill Young / DoD Marrow Donor Program

Donor Center for the Department of Defense Marrow Donor Program

1-800-MARROW-3

www.dodmarrow.com

Marrow Program



The Issue

• Marrow types are hereditary, therefore the best chance for a

matched donor for these patients is a sibling

•

70% of these 30,000 are unable to find a matched donor withintheir family and must find an unrelated donor

MARROW PROGRAM

• Each year, 30,000 people in the United States are diagnosed with

leukemia or one of over 70 other life-threatening blood diseases

• Some are successfully treated with conventional therapy, others

will become candidates for a bone marrow transplant

• The highest likelihood of finding a match is within the same

ethnic group



MARROW PROGRAM

The Mission

• Recruit/Enroll DoD Members Into the National Marrow Donor

Registry

• Provide Exceptional services to those selected as Potential/Actual

Marrow Donors

Ensure Donor safety/comfort throughout the donation process

Ensure Donor confidentiality

•Promote Equal/Prompt access to Patients searching for anUnrelated Donor

• Conduct Research concerning the effectiveness of Unrelated Marrow

Transplantation



The Challenge

• Increase the number of volunteers within the National Registry

• Increase the ethnic diversity of the National Registry

• Reduce the time needed to match donors with patients

MARROW PROGRAM



Why Have a Military Marrow Donor Program?

• Military Personnel meet our Age/Health requirements

• Ethnic and Racial diversity of the military

• Ability to locate military personnel through military locators

and own secure system

• Over 500 DoD members search for an unrelated donor each year

• Contingency support to DoD casualties of marrow toxic agents

(platelets/marrow transplants)

MARROW PROGRAM

• Centralized Command Approval & Support for CommunityDonor Drives



THE

PROGRAM

TODAY

MARROW PROGRAM



TRANSPLANTS SAVE LIVES

LEUKEMIA

MARROW FAILURE

INHERITED

DISEASES

Marrow transplantation is the best hope for a cure for more than 70 diseases.

MARROW PROGRAM



MARROW PROGRAM

Annual DoD Registered Volunteers

14,747

17,719

24,64723,822

26,146

35,501

27,516

38,618 38,290

29,933

26,629 26,812 26,840

*21,116

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

ANNUAL DoD REGISTERED VOLUNTEERS(*As of 31 May 2005)

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005



C. W. Bill Young / DoD Marrow Donor Program(As of 30 April 2005)

Race Registered Volunteers Transplants

Caucasian 247,269 1,490

African American 44,227 77

Hispanic American

14,040Asian/Pacific Islander

28,126

18

American Indian 23,946 10

0

TOTALS 357,608 1,772

MARROW PROGRAM

87



MARROW PROGRAM

Ethnic Diversity of DoD Registry

DoD Marrow Donor Program Ethnic Diversity(As of 30 April 2005)

DoD Registry Total: 357,608

Caucasian

247,269

69%

American Indian

23,946

7%

Hispanic

28,126

8%Asian

14,040

4%

African

American

44,227

12%



What Do I Need to Sponsor a Donor Drive?

Commander’s Written Approval

Phlebotomy from your supporting Medical unit/activity

Date mutually acceptable between the Recruitment Specialistand base POC

Drive location with tables/chairs & convenient to base personnel

Public Affairs support for Community awareness & donor

drive announcements

Volunteers to help advertise & conduct drive administration

- Community Activities Center - Theaters

- Chapels - Classrooms, etc.

MARROW PROGRAM



CONTINGENCY

MISSION

MARROW PROGRAM



EVENT

DECON

TRIAGE

DIAGNOSIS

NO

DISCERNABLE

INJURY

WALKING

WOUNDED

TREAT

INJURIES

SERIOUS

INJURY OR

EXPOSURE

STABILIZEAND....

EVACUATE TO

FIELD OR AREA

HOSPITALOR TOCONUS

FOLLOW-UPWITH

BLOOD STUDIES

FOR

3 - 5 DAYS

RECORD ID FOR

FOLLOW-UP

RETURN TO DUTY

FIT FOR DUTY

MEDEVAC

TERTIARY

CARE

FACILITY

(DEFINITIVECARE)

DUTY w/ UNIT

NMRC BMRD

SERVICE-WIDE HLA

REGISTRY NOTIFIED

SEARCH FOR BLOOD,

PLATELET, AND MARROW

DONORS INITIATED

Information

Support

Simplified View of

Casualty Triage and Regulating Process

MARROW PROGRAM



MARROW

TRANSPLANTATION

Marrow Program

Naval Medical Research Center




DoD Total Transplants(Including Transferred Donors)

0

200

400600

800

1000

1200

1400

1600

1800

1992 1994 1996 1998 2000 2002 2004

Cumulative *As of September 2004

*



Marrow Program



Chronic Myelogenous Leukemia 4,631 23%

Acute Myelogenous Leukemia 4,634 23%

Acute Lymphoblastic Leukemia 3,698 19%

Myelodysplastic & Related Syndromes 2,025 10%

Non-Hodgkin Lymphoma 1,284 7%

Other Leukemia 657 3%Plasma Cell Disorders 350 2%

Hodgkin’s Disease 315 2%

Other Malignancy 93 less than 1%

Marrow Transplants by Diagnosis

(Malignant Diseases)



Marrow Program



Severe Aplastic Anemia 714 4%

Inherited Metabolic Disorders 414 2%

Inherited Immune System Disorders 371 2%

Inherited Erythrocytic Disorders 323 2%

Histiocytic Disorders 163 less than 1%Other Non-Malignant Diseases 58 less than 1%

Inherited Platelet Disorders 24 less than 1%

Marrow Transplants by Diagnosis

(Non-Malignant Diseases)



Marrow Program





Marrow Program

William Beaumont Sites, Hours, and POCSpecimens for the Bone Marrow Registry may be taken at:

The William Beaumont Donor Center (BLDG 7167)

Mondays 09:00 – 15:00 or by appointment

The Soldier Family Clinic (BLDG 2496)

Hours 08:00 -17:00

The Department of Pathology, main Laboratory

Hour 06:00 -17:00

Point of Contact for questions and appointments:

Ms. Anne Eckert at 915-569-4056

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