This article has a correction
Please see: Public-private partnership in cord blood banking
- Nicholas M Fisk, professor of obstetrics and fetal medicine 1,
- Rifat Atun, professor of international health management2
- 1Institute of Reproductive and Developmental Biology, Imperial College London, London W12 0NN
- 2Tanaka Business School, Imperial College London, London SW7 2AZ
- Correspondence to: N M Fisk nfisk{at}uq.edu.au
- Accepted 3 January 2008
Cord blood is usually discarded at birth but is rich in haemopoietic stem cells, which are increasingly used as an alternative to bone marrow for transplantation. Umbilical blood may also contain mesenchymal stem cells, which in future might be used to repair damaged tissues in a range of diseases such as strokes, heart attacks, renal failure, and diabetes.
Many countries established altruistic public banks of cord blood in response to the increasing need for haemopoietic stem cells for patients with leukaemia and genetic conditions.1 2 3 The limited coverage of these banks, together with the future potential for stem cell cures, led to the introduction of private autologous banking of both haemopoietic and mesenchymal stem cells from cord blood. However, many health professionals oppose private banking because of its speculative and commercial nature. Consumers face an array of providers with conflicting information on the usefulness of banked cord blood. We analyse the growing cord blood banking industry in the UK and the potential impact of Virgin Health Bank’s novel model that provides blood for both personal use and public banks.
Public banks and unmet need
Under the public system parents altruistically donate umbilical cord blood at birth for storage in case a tissue matched patient, usually a child, requires a haemopoietic stem cell transplant. Globally, over 300 000 cord blood samples have been stored and are available for use in a way similar to bone marrow through international registries (www.bmdw.org). Cord blood does not require as close HLA matching as bone marrow, important for the 15-40% of people who have no suitable match in the marrow registries.
The value of public banks is now well …
Sign in
Personal subscribers, sign in here:
Article access
Article access for 1 day
Purchase this article for £20 $30 €32*
The PDF version can be downloaded as your personal record
CiteULike
Connotea
Del.icio.us
Digg
Facebook
Reddit
Technorati
Twitter
Stumbleupon
Rapid responses
Latest Responses
The decline in the breast cancer incidence is 1.2% and it is not significant.
Published 10 February 2012
'twas ever thus
Published 10 February 2012
The value of historic human remains
Published 10 February 2012
In Praise of British Literature
Published 10 February 2012
Is real shared decision making possible?
Published 10 February 2012
Most responses
Does anyone understand the government’s plan for the NHS? (17 responses)
Published 17 Jan 2012
Bad medicine: medical nutrition (15 responses)
Published 18 Jan 2012
Shared decision making: really putting patients at the centre of healthcare (7 responses)
Published 27 Jan 2012
Why legislation is necessary for my health reforms (7 responses)
Published 1 Feb 2012
Search for evidence goes on (5 responses)
Published 17 Jan 2012