[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
March 27, 1996

Umbilical Cord Blood for Transplantation-Reply

Author Affiliations

Duke University Medical Center Durham, NC

JAMA. 1996;275(12):910. doi:10.1001/jama.1996.03530360020026

In Reply.  —Dr Howe mistakenly suggests that we have argued for evaluating the safety and efficacy of UCB in populations that would not have access to this technology for "financial or other reasons." Our argument for establishing publicly funded UCB banks that recruit donations from people of "all races, income levels, and ethnic groups" assumes that provisions are made for making UCB available to all who need it. Although Howe misinterprets our arguments, we agree that there should be a mechanism to provide donor families with coverage toward a transplant in the event such therapy is needed.Howe's claim regarding the likelihood that banked UCB will be limited to an affluent minority is really an incompletely tested empirical claim that embraces important cautions for those developing procedures for UCB banking. Nevertheless, it is encouraging that in contrast to the trends in transplant management cited by Howe, early experience suggests that