A consolidated biovigilance system for blood, tissue and organs: One size does not fit all

T. L. Pruett, E. A. Blumberg, D. J. Cohen, J. S. Crippin, R. B. Freeman, D. W. Hanto, D. C. Mulligan, M. D. Green

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


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. The overriding principle of organ transplantation biovigilance efforts should be an increase in the benefit for potential transplant recipients, rather than an aversion for disease transmissions through the donated organ.

Original languageEnglish
Pages (from-to)1099-1101
Number of pages3
JournalAmerican Journal of Transplantation
Issue number5
StatePublished - May 2012


  • Biovigilance
  • disease transmission
  • donor evaluation
  • organ donation


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