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Infant Blood Samples Raise Questions of Privacy



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Jun 30, 2009 05:25 PM

Infant Blood Samples Raise Questions of Privacy


Matthew Brzica and his wife hardly noticed when the hospital took a few drops of blood from each of their four newborn children for routine genetic testing. But then they discovered that the state had kept the dried blood samples ever since -- and was making them available to scientists for medical research.

"They're just taking DNA from young kids right out of the womb and putting it into a warehouse," said Brzica, of Victoria, Minn. "DNA is what makes us who we are. It's just not right."

The couple is among a group of parents challenging Minnesota's practice of storing babies' blood samples and allowing researchers to study them without their permission. The confrontation, and a similar one in Texas, has focused attention on the practice at a time when there is increasing interest in using millions of these collected "blood spots" to study diseases.

Michigan, for example, is moving millions of samples from a state warehouse in Lansing to freezers in a new "neonatal biobank" in Detroit in the hopes of helping make the economically downtrodden city a center for biomedical research. The National Institutes of Health, meanwhile, is funding a $13.5 million, five-year project aimed at creating a "virtual repository" of blood samples from around the country.

The storage and use of the blood is raising many questions, including whether states should be required to get parents' consent before keeping the samples long-term or making them available to scientists, and whether parents should be consulted about the types of studies for which they are used. The concern has prompted a federal advisory panel to begin reviewing such issues.

"There has not been a good national discussion about the use of these samples," said Jeffrey Botkin, a pediatrician and bioethicist at the University of Utah who is studying policies and attitudes about the newborn blood samples as part of a federally funded project. "Genetics is an area that touches a nerve. The public is concerned about massive databases."




Continue Reading at http://www.washingtonpost.com/wp-dyn...903118_pf.html


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19 Comments
No. 1
from Jolie
Old Jul 01, 2009, 09:10 AM

Default Re: Infant Blood Samples Raise Questions of Privacy
Thanks for an interesting article. I've worked my entire career in maternal-child health, and had no idea that some states keep the filter papers for further "research."

I'm guessing this is a state-to-state decision. I know that we have occasionally requested re-testing on select infants and were told that new samples had to be provided, as the originals were destroyed after testing.

I agree that informed consent must be provided on this issue. Parents are leery enough of "routine" testing, vaccines, etc. We certainly don't need to give them any more reason to decline valuable health screenings, especially over an issue as sensitive as posession of genetic information.
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No. 2
from perthisa
Old Jul 01, 2009, 10:45 AM

Default Re: Infant Blood Samples Raise Questions of Privacy
Interesting my children were all born in Minnesota. I feel kind of deceived. If I had been asked, I probably would have said I don't care. The state doing this sort of thing without informed consent makes me wonder what else they do without asking us.
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No. 3
Old Jul 01, 2009, 11:01 AM

Default Re: Infant Blood Samples Raise Questions of Privacy
Informed consent is a fundamental patient right. Case closed.
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No. 4
from Elvish
Old Jul 01, 2009, 01:52 PM

Default Re: Infant Blood Samples Raise Questions of Privacy
I'm with perthisa - if someone asked me, I'd probably say 'knock yourself out.' But just doing it without asking is wrong and goes against informed consent, no matter how noble the intent.
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No. 5
Old Jul 02, 2009, 12:00 AM

Default Re: Infant Blood Samples Raise Questions of Privacy
A number of years ago in New Zealand it came out that a hospital had taken hearts and other tissues from children who had died in utero, were still born and had died of other ills early in life, and even from aborted children without consent. When the poop hit the fan, as is the way these things go, they had to ring up the parents and tell them children who'd died years almost 50 years ago and up till 2000 and even women who'd aborted and tell them they had body parts from their dead kids!

It was a great big debacle and caused a lot of hurt for these parents.

I'm not a big fan of anyone for any reason taking anything from a pt or body without expressed consent, or at least a record of verbal consent.

I agree that parents and even the general public have sometimes a slanted view of the medical profession that boarders on the paranoid, we don't need to give them any more reason to get worked up.
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No. 6
from mochabean
Old Jul 02, 2009, 09:26 AM

Default Re: Infant Blood Samples Raise Questions of Privacy
That's scary. I read some where about the government getting a patent on everyone's DNA and storing it in some sort of national database.
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No. 7
Old Jul 02, 2009, 06:39 PM

Default Re: Infant Blood Samples Raise Questions of Privacy
I really don't see any problems with this and I wish people would stop being so uptight. This is the reason why it is so hard to move ahead in this country in scinetific research. I mean what are they going to do with the patch of blood that is going to harm their kid????
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No. 8
from Elvish
Old Jul 02, 2009, 07:01 PM

Default Re: Infant Blood Samples Raise Questions of Privacy
It's not what they're doing with it that's the issue. It's that they are doing stuff without permission. If there were just a little blurb on a piece of paper that the parents get when the PKU is drawn that states what will be done with the samples, that would be fine with me. I just want to know what you're doing with my kid's blood and/or tissue samples.
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No. 9
Old Jul 02, 2009, 07:46 PM

Default Re: Infant Blood Samples Raise Questions of Privacy
Originally Posted by crazyNursingStudent1 View Post
I really don't see any problems with this and I wish people would stop being so uptight. This is the reason why it is so hard to move ahead in this country in scinetific research. I mean what are they going to do with the patch of blood that is going to harm their kid????
What if they have YOUR blood and they find out that you have some RARE genetic disease and then they use this information to BAR you from having health insurance because its gonna be too costly to take care of you?


INFORMED CONSENT! Patients right to PRIVACY. It doesn't get any simpler, we are not uptight, we want our rights.
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