The Food and Drug Administration (FDA) announced Monday it is ending its 30-year ban on gay and bisexual men donating blood.

Under the revised rule, men who have sex with men (MSM) will be allowed to donate blood if they have not had sex with another man in the past year. The old policy barred any man who had sex with another man even once since 1977. The ban was enacted in the mid-1980s, at the beginning of the AIDS epidemic, when HIV spread through donated blood infected thousands. Gay men have far higher rates of HIV infection than other demographics, accounting for about 57 percent of HIV cases despite only being 2 percent of the population.05-05-2015Albinism_NotGhost18-e1450723783643

The new policy matches those of several other countries, including the United Kingdom, Finland, and Japan. On the other hand, many countries maintain a policy of indefinitely barring MSM from donating blood, including Germany, Norway, and Israel.

Gay rights activists have argued the restriction is unjustified and grounded in homophobic prejudice, especially because all donated blood is now tested for HIV. Thanks to testing and other policies, the risk of acquiring HIV from a blood transfusion dropped from one in 2,500 to about one in 1.47 million. Activists were supported by groups like the American Red Cross, which since 2006 has argued the lifetime ban is not medically warranted.

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