title: A consolidated biovigilance system for blood, tissue and organs: one size does not fit all.
abstract: Biovigilance systems to assess and analyze risks for disease transmission through the transfer of organs, tissue, cells and blood between people is part of administrative oversight and has impact upon clinical practice and policy. In 2009, a formal recommendation by the Public Health Service requested that Health and Human Services fund and support efforts to consolidate national biovigilance efforts. There are differences in the biovigilance issues involved in organ and tissue donation/transplantation. If disease avoidance is made the dominant principle guiding organ donor testing, an unintended consequence may be an increase in deaths on the waiting list. We propose that overall benefit for the organ transplant recipient, tempered by patient informed awareness of limited organ availability and assessment processes, should be the guiding principle of such a system.
authors.affiliation: University of Minnesota, Minneapolis, MN, USA. tlpruett@umn.edu
authors.forename: T L
authors.initials: TL
authors.lastname: Pruett
authors.forename: E A
authors.initials: EA
authors.lastname: Blumberg
authors.forename: D J
authors.initials: DJ
authors.lastname: Cohen
authors.forename: J S
authors.initials: JS
authors.lastname: Crippin
authors.forename: R B
authors.initials: RB
authors.lastname: Freeman
authors.forename: D W
authors.initials: DW
authors.lastname: Hanto
authors.forename: D C
authors.initials: DC
authors.lastname: Mulligan
authors.forename: M D
authors.initials: MD
authors.lastname: Green
mesh_terms: D001803:Blood Transfusion / Q000592:standards*; D006291:Health Policy; D006801:Humans; D016377:Organ Transplantation / Q000592:standards*; D016378:Tissue Transplantation / Q000592:standards*; D009927:Tissue and Organ Procurement / Q000592:standards*