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n South Africa differ significantly. Disparate pre-transfusion Hb between the sectors are likely due to differing disease profiles and severity, as well as differences in practice in prescribing transfusions. Implementation of a nationally co-ordinated Patient Blood Management programme may help to address these disparities and help ensure a sustainable blood transfusion system. We describe blood supply and usage from March to December 2020 in two research medical hospitals in the Apulia region of Italy Research Hospital "Casa Sollievo