Jehovah's Witnesses are now allowed to undergo a blood transfusion. The international leadership of the strict religious community has announced that the ban on this is largely lifted. Accepting a blood transfusion is now a personal matter of conscience for believers. They may therefore decide for themselves whether to consent.
The ban remains only in place for so-called whole blood transfusions, where the complete blood is administered. However, this type of transfusion rarely occurs. In almost all blood transfusions in the Netherlands and worldwide, only certain parts of the blood are administered, such as red blood cells, plasma, or platelets. This happens, for example, during heart surgery, a cesarean section, or after a serious accident.
In the past, Jehovah's Witnesses have died after refusing a blood transfusion. Also, minor patients who were not allowed by their parents to undergo a blood transfusion died after refusal.
Many Jehovah's Witnesses who need to undergo heart surgery are treated at the Amphia Hospital in Breda. There is the Top Clinical Expertise Center for the care of Jehovah's Witnesses, the only one in the Netherlands.
Bas Gerritse is a cardio-anesthesiologist at the hospital and coordinates the expertise center. "This is a huge turnaround of something that has been ongoing for years," he says. "For many years Jehovah's Witnesses have refused blood transfusions and suddenly the news comes that this understanding of the faith has been revised."
Gerritse welcomes the news. "Heart surgeries are complicated and often involve a lot of blood loss. Therefore, blood transfusion is sometimes necessary." For Jehovah's Witnesses who did not want that, there are special techniques at Amphia Hospital so that surgery without blood transfusion can also proceed safely. Now that the ban is lifted, they can therefore more often go to other hospitals. That makes care simpler and safer, says the doctor.
Acts 15:20
The fact that the headquarters of Jehovah's Witnesses is adjusting the ban on blood transfusion has to do with a conversation that has been ongoing in the community for some time. Earlier, for example, it became possible to receive your own blood via a transfusion. That blood was then taken before an operation and could be returned during the operation.
As part of that discussion, the headquarters based in the United States also re-examined the Bible passages on which the ban was based. This concerns Acts 15:20, which states that believers should not eat or drink blood. According to Jehovah's Witnesses, a whole blood transfusion also falls under that.
"For decades we believed that this also applied to the four main elements of blood (red and white blood cells, platelets, and plasma). But because the Bible does not specifically mention those components, every Jehovah's Witness must decide whether to accept blood from another person," says an international spokesperson from the headquarters in a video on Instagram.
The spokesperson also emphasizes that there are alternatives to blood transfusions. Such alternative treatments are, for example, given at Amphia Hospital. "In making the decision, the desire of Jehovah's Witnesses to keep a clear conscience before their God is especially important," says the spokesperson.
The Dutch branch of the community says in a press release that it will continue to "respect and support the personal choices of fellow believers."
When the news came out yesterday, Bas Gerritse was called shortly afterward by the coordinator of the Dutch headquarters of Jehovah's Witnesses. "He said he had something very important to say and was enthusiastic to tell it. They realize very well that this can contribute to safer care for many people."