Jehovah’s Witnesses have loosened a decades-old religious rule on blood. Members may now decide for themselves whether to accept red blood cells, white blood cells, plasma and platelets from donated blood, the group's Governing Body announced on Sept. 18. The ban on whole blood transfusions remains.
The change came 23 days after Isaac Valdez, a 26-year-old Jehovah’s Witness from Texas, died after he and his family declined a transfusion-dependent operation. A BBC News investigation published Nov. 7 renewed attention on the case, according to the sources.
Under the revision, the four main components of blood are now a matter of personal conscience, the London Evening Standard reported. Modern hospitals rarely use whole blood and rely mostly on these separated components. The Standard said the change therefore gives members religious room to accept almost all modern transfusions without fear of being shunned or expelled.
Paul Gillies, the faith's international spokesperson, told the BBC the update was “the application of Bible principles to modern medicine and its methods.” According to the Standard, the leadership argues that the Bible commands believers to abstain from blood but does not name its individual components, and that the Governing Body wanted to avoid scriptural overreach.
The Standard reported that Valdez had a seizure in a library in Waxahachie, Texas, and struck his head, causing a severe brain hemorrhage. He carried a “No Blood” card. He briefly regained consciousness and told his family he stood by his religious objection to blood, then slipped into a coma.
A neurosurgeon told the family that emergency surgery was the only way to save him, but it would require a transfusion. The family honored his wishes, declined the operation, and his life support was turned off, the Standard said.
Diplomacy and Law noted that the available evidence does not establish that his death caused the policy change.
Valdez's twin brother, Jacob, who has left the faith, wants the leadership to answer for lives lost under the old rule. He told the BBC he wants a direct apology rather than a deflected answer, the Standard reported. LADbible reported that he has asked why the change did not come sooner, and that he messaged members of his brother's congregation about their role in encouraging people to give up their lives.
Asked about the timing, Gillies said changes take time and that the new guidance does not necessarily mean a “magic change” has occurred, according to LADbible.
John Viney, a former Jehovah’s Witness and former member of the group's Hospital Liaison Committee, called the move more than a clarification, describing it as a life-saving step for future members. He said it cannot bring back those who died before the update, LADbible reported.
For members, the main change is that religious affiliation no longer settles which blood products a person will accept. Diplomacy and Law said this makes it more important to establish each patient's actual wishes. Members may still refuse any blood product as a matter of conscience, and the denomination generally supports conventional medical care, including surgery and medication.
For doctors and relatives, the legal weight of documents such as “No Blood” cards is not uniform. Diplomacy and Law said their effect depends on the patient's circumstances and the law of medical consent where the patient is treated. The Standard described Valdez's card as legally forbidding transfusions.
Diplomacy and Law also said a competent adult can generally refuse treatment even if death may follow, while different considerations apply to children, patients who lack capacity, and emergencies where wishes cannot be reliably established.
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Around Prague, based on reporting by Diplomacy and Law, LADbible, London Evening Standard