Recommendations for the collection, delivery and transporting of donor human milk (updated to include Covid-19 contactless operations)

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Current relevant recommendations:

 

1)NICE Clinical Guideline 93 Donor Breast Milk Banks; Service Operation pub 2010  https://www.nice.org.uk/guidance/cg93/evidence/full-guideline-243964189

Transporting milk to the milk bank

  1. a) Define critical conditions for transport, including temperature and time limit, to ensure that donor milk remains frozen during transport. (1.2.44)
  2. b) Transport donor milk in secure, tamper-evident containers and packaging .(1.2.45)
  3. c) If donor milk is transported to the milk bank by a contracted third party, ensure that a documented agreement is in place to maintain the conditions needed. (1.2.46)
  4. d) Define in writing the milk bank’s procedures for transporting and storing donor milk. Ensure that these procedures maintain the quality of the donor milk and allow accurate identification of samples. Keep records of inventory and distribution (see also recommendations 1.2.68 to 1.2.75 on tracking and tracing). (1.2.47)
  5. e) Collect expressed milk from the donors, preferably using an agreed transport provider (ideally a medical courier) or a member of staff from the milk bank. In some instances, donors may be required or may wish to deliver their own milk to the milk bank or depot, in which case they should also follow the milk bank’s requirements for transport as outlined. In all cases, use consistent monitoring processes, including recording the journey time. (1.2.48)
  6. f) Collect expressed milk from either the donor’s home (see recommendations

1.2.38 to 1.2.43) or from donor milk depots that have practices for monitoring freezers and maintaining standards for quality control, storage and security. Ensure that similar processes are in place in any location where the donor milk is stored. (1.2.49)

  1. g) Check that donated milk arriving at the milk bank:
  1. h) Transfer all donated milk immediately to the freezer. (1.2.51)

 

 

2) European Directorate for the Quality of Medicines (EDQM) www.edqm.eu

Guide to the quality and safety of tissues and cells for human application. 4th edition

Chapter 33 Human Milk

Distribution and transport conditions

During transport, milk should remain frozen and dry ice may be used for this purpose.

The use of validated, easily cleaned, insulated transport containers is recommended.

The transport procedure should be validated, and the temperature of the transport container monitored during transportation.

 

 

Additional recommendations in response to Covid-19

The pandemic resulting from the spread of the SARS-CoV-2 virus that causes Covid-19 has led to government imposed measures that impact on the collection and delivery of DHM. A non-contact collection and delivery process is required. In addition, donor recruitment, selection and screening has been updated to exclude donors at risk ie who are currently exhibiting or who have exhibited any of the Covid-19 symptoms (new, persistent cough, fever) or who have tested positive for the virus. The exclusion also applies if the donor is a known contact of someone with these symptoms or diagnosis. Self-isolation and social distancing, as imposed by the government on March 23.03.2020 must be observed by donors and social distancing observed by staff, volunteers and couriers engaged on behalf of the milk bank..

 

Recommended additional measures to be put in place:

Collections from donors’ homes

 

Deliveries