The American Red Cross issued its second-ever declaration of a national blood supply crisis this week, warning that donations have dropped to a four-year summer low and that supplies of type O positive blood—the most commonly transfused type—have fallen below a one-day reserve.

The crisis, announced Monday, forces healthcare providers to make difficult triage decisions. Joanne Krekian, a Red Cross official, said doctors will have to decide where to allocate limited blood supplies. “When it’s your loved one who needs a blood transfusion, it’s not something you want to be waiting for,” she said.

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Connecticut’s Blood Center declared a blood emergency in early July, and hospitals across the country are feeling the pinch. Dr. Eugene Lewis of St. Vincent’s Medical Center in Bridgeport noted that as of July 13, the shortage had reached levels unseen since before the COVID-19 pandemic. “We didn’t even see it in COVID,” he said.

Lewis added that his facility typically aims for a five-day supply but is now down to just two days. The shortage mirrors broader concerns about the resilience of the nation’s blood supply chain, which has been strained by seasonal dips and ongoing burnout among healthcare workers.

Vitalant, another major blood donation nonprofit operating over 100 centers nationwide, also reported a critical shortage of type O blood in early July, urging donors to schedule appointments immediately.

The Red Cross is calling on all blood types to donate, emphasizing that a relatively modest increase in turnout could reverse the crisis. “If three more people show up for every blood drive for the rest of the summer, we will eliminate this shortage,” Krekian said.

Donors who give blood before August 31 are eligible for thank-you gifts, including movie passes or Amazon gift cards. Appointments can be made online at RedCrossBlood.org. The organization notes that the entire donation process takes less than an hour.

The crisis comes as the nation grapples with broader public health challenges, including a salmonella outbreak linked to Texas eggs that has sickened 65 people across 17 states. While unrelated, the dual pressures on healthcare resources underscore the fragility of medical supply chains.

Political observers note that the blood shortage could add to scrutiny of federal preparedness, especially as the Biden administration faces criticism over its handling of international crises such as the Houthi strikes on Saudi tankers, which have driven oil prices above $100. The Red Cross, a humanitarian organization, operates independently of government but relies on public cooperation and donor turnout.