Health
Is cord blood banking a worthwhile investment in your child’s future?
The umbilical cord — the lifeline between mother and baby — was historically discarded as medical waste after birth.
Today, an increasing number of parents are choosing to preserve the cord blood for its potential to safeguard their child’s future health.
The birth of a baby comes with an overwhelming number of decisions, one of which is whether to bank the newborn’s cord blood cells.
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Whether cord blood banking is worth it for a family hinges on various factors, including the present health of their child, the existence of twins in the family and many other individual considerations.
What is cord blood banking?
Cord blood banking involves the collection and storage of stem cells derived from the blood of a newborn’s umbilical cord immediately after birth.
The reason is its potential life-saving abilities, as the hematopoietic stem cells found in cord blood have the unique ability to differentiate into various types of blood cells.
There are two main types of banks for cord blood: public and private. (BSIP/UIG)
Preserving the cord blood cells provides an option for future therapeutic use in treating a range of diseases for the child or siblings.
These stem cells are less likely to face rejection during transplant due to their immature nature. This widens the blood cells’ applicability in medical procedures for the donor or family members.
Cord blood banking process
Cord blood banking can be done from either a vaginal or surgical birth, and regardless of whether the labor was induced or occurred naturally.
Once the parents decide to store the blood, the doctor will clamp the umbilical cord in two places and cut the cord, separating the mother from the child.
Once the blood has been collected and sealed, it will be sent to a cord blood bank for storage.
The doctor will inject a needle into the cord and collect, in general, between 60 and 300 milliliters (mL) of cord blood. The collected volume can vary, however, and not all collections will be sufficient for future therapeutic use for the child or siblings.
Once the blood has been collected and sealed, it will be sent to a cord blood bank for storage.
In the United States, the Food and Drug Administration (FDA) regulates cord blood banking and donation. (Education Images/Universal Images Group )
Collecting fluid in this process is relatively easy and does not cause pain to the mother or baby, according to webmd.com.
The collection process generally takes around five minutes to complete.
The blood can be stored at several different sites, based on the family’s decisions and circumstances.
- Public cord banks. These are free to use, but donations made are available to anyone.
- Private cord banks. These blood banks will store the blood for use only by the donor and family members of the donor. This can be an expensive option as there is a processing fee and an annual storage fee.
- Direct-donation banks. These are a mixture of public and private banks. They store cord blood for public use but also accept donations to reserve the stem cells for the child.
Cord blood is collected immediately after birth in a painless process that does not harm the mother or the baby. (BSIP/Universal Images Group)
When discussing the options, cord blood banking often refers to private banking, while cord blood donation generally refers to public banking.
Private cord banking may not be worth the financial expense for the family, according to the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics. The reason is that the price is steep for the chance that the child will need to use the blood at some point in time.
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These organizations suggest that routine storage of cord blood for stem cells as a sort of insurance is unproven, and therefore they caution parents when considering it.
Donating to a public storage bank could benefit the community, however, according to these organizations.
There is usually no cost to donate cord blood to a public bank, but private banking can be pricey, involving initial collection fees and annual storage fees. (BSIP/UIG)
What are the uses of cord blood banking?
Cord blood banking can be beneficial because the stem cells are hematopoietic stem cells, meaning they are immature but can become mature cells of different types within the body.
Not only do they require less matching, they also cause fewer infections.
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The stem cells within the umbilical cord can provide life-saving assistance for several conditions later in life.
Stem cells from the umbilical cord can treat a variety of conditions, including:
- Cancer
- Anemia
- Immune system disorders
Once the cord blood is collected and stored, it can remain viable for a long time. Research suggests that cord blood can be stored for at least 10 years but often much longer. (QAI Publishing/Universal Images Group )
A benefit of using cord blood stem cells is that they rarely result in infectious diseases.
They are also highly effective as they are half as likely to be rejected compared to other stem cells because they are immunogenic due to their immature nature.
What are the cons of cord blood banking?
There is only about an 8% usage rate of blood that has been stored through this process, according to a study cited by the National Library of Medicine.
Part of the reason for the low rate is that the blood is not always useful for a disease that develops later on in life.
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Many factors go into whether cord blood can be used, such as from a set of twins when one twin is healthy and the other is born with a genetic disorder.
The blood drawn from the ill child can not be used later on for the healthy child, but the reverse could be true if the blood is a good match.
Patients are more likely to find a genetic match among donors of their own ethnic background. (BSIP/Universal Images Group)
There are many circumstances that the American Academy of Pediatrics lays out as not ideal conditions for cord blood banking.
Identical twins are not often the best match for each other because a slight genetic difference in the blood cells is recommended.
Additionally, public blood banks can only accept donations from umbilical cords from a mother carrying a single child. This is due to the possibility that the blood units could get mixed up during the collection with twins.
Another downside of using cord blood cells is that it takes longer for them to create the therapeutic effect desired because they are hematopoietic stem cells.
How much does cord blood banking cost?
Typically, there are two separate fees involved when preserving a child’s cord blood cells, according to the American Pregnancy Association. The initial fee covers the enrollment and collection.
Then, there is an annual storage fee.
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Those who go this route can expect to pay in the range of $1,350 and $2,350 for the initial collection, testing and registering, according to the American Academy of Pediatrics. Annual storage fees often range from $100 to $175, but the costs of individual storage banks will vary.
Currently, research into cord blood stem cells is ongoing. Scientists are investigating the potential for treating conditions such as cerebral palsy and Type 1 diabetes. (iStock)
If the parents donate the blood cells from the umbilical cord, there is no cost.
The future of cord blood banking
The future trajectory of cord blood banking remains uncertain. Nonetheless, preserving cord blood cells today may have significant health benefits, offering new avenues for disease treatment as the field advances.
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Considering the first successful umbilical cord blood stem cell transplant was performed as recently as 1988, as documented by the National Library of Medicine, the science around this practice is relatively young.
With ongoing research, the scope and efficacy of cord blood use are bound to expand.
Health
Youth Suicides Declined After Creation of National Hotline
Over the two and a half years following the 2022 rollout of the 988 national suicide prevention hotline, the rate of suicides among young people in the United States dropped 11 percent below projections, decreasing most sharply in states with a higher volume of answered 988 calls, a new study has found.
The findings, published today as a research letter in JAMA, compared suicide deaths from July 2022 to December 2024 with sophisticated mathematical projections that were based on historical trends. This yielded good news, with 4,372 fewer suicides of adolescents and young adults, ages 15 to 34, than had been projected.
To ensure that the decline was related to the use of the hotline, researchers at Harvard Medical School teased out the trends in states with high and low usage of the hotline. The findings were striking: The 10 states with the largest increases in 988 calls experienced an 18.2 percent reduction in observed suicides compared with expected suicides; in the 10 states with the lowest uptake, the reduction was smaller, 10.6 percent.
The results suggest that the government’s investment in the 988 rollout has translated into “a measurable reduction of deaths,” said Dr. Vishal Patel, a resident physician at Brigham and Women’s Hospital and one of the authors of the study.
“What our study has added,” he said, “is evidence for the deeper benefit of the program, and that is, that at the population level, among young people at least, suicide mortality is lower than it would have been without the program.”
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He added, “The implication of that is that sustained funding for this program matters.”
The United States rolled out the three-digit hotline with bipartisan support in July 2022, replacing a 10-digit hotline number, and augmented it with a $1.5 billion investment in crisis center capacity. Since its inception, the service has fielded more than 25 million contacts, according to the Department of Health and Human Services. The agency has asked Congress for $534.6 million to fund the program for 2027.
Last summer, the Trump administration terminated one element of the hotline, the Press 3 option for L.G.B.T.Q.+ callers. The Substance Abuse and Mental Health Services Administration said that the Press 3 option was being discontinued because it had exhausted its funding from Congress and that the hotline would “focus on serving all help seekers.”
But advocacy groups and policymakers protested the decision, and in testimony before the Senate on Tuesday, the health secretary, Robert F. Kennedy Jr., said his agency was planning to restore the Press 3 option.
Dr. Patel said his group had become curious about measuring the program’s effectiveness after Press 3 was eliminated. While call volume and satisfaction surveys suggested that 988 was succeeding, he said, the harder question was, “Did the creation of this 988 program, the transition from the old hotline to this hotline, actually move the needle on suicide mortality?”
Experts said it was difficult to tease out the beneficial effect of 988 from other things that changed in 2022, the year that the new hotline was created. Around that time, suicide prevention programs were being introduced in schools, in faith communities and on social media, but more important, the pandemic was ending.
“We were finally out of this crazy time, and there was a sense of optimism and hope,” said Jonathan B. Singer, a professor of social work at Loyola University Chicago and a co-author of “Suicide in Schools.” He called the downward trend in youth suicides “encouraging, but it is tempered by the fact that we don’t have a good explanation as to why.”
The authors acknowledged that their findings could not account for the influence of social and economic changes, changes in mental health services or public awareness about services.
But they did make comparisons to exclude other possible explanations. The authors looked for similar effects among American adults over 65, who are less likely to use the hotline. In that group, there was a reduction in suicides that exceeded expectations, but it was smaller, at just 4.5 percent.
To ensure the decline in suicides did not reflect a general improvement in young-adult mortality, the researchers tracked cancer deaths, and found there was no change. They also looked at the rates of suicide among young people in England, where no change had been made to the national crisis line in that time period; they found no reduction in youth suicides there.
Hannah Wesolowski, chief advocacy officer for the National Alliance on Mental Illness, said she was persuaded that the hotline had contributed to the improvement in suicide rates, in part because it did not appear among English youths or in older Americans.
“To me, that really helps hone in that this might really be the differentiator,” she said. “We are seeing potentially a pretty significant decline in suicides among young people. For public policy, this is strong evidence to double down on that we are doing.”
Emily Hilliard, a senior press secretary at the Department of Health and Human Services, said H.H.S. and SAMHSA are “committed to ensuring that all Americans have access” the 988 line, which she said “clearly provides lifesaving support, helping millions of people every year.”
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources.
Health
Highly contagious stomach bug spreads fast, hitting certain patients hardest
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A highly contagious digestive virus is surging across the U.S., experts warn.
Rotavirus, a double-stranded RNA virus, causes acute gastroenteritis — inflammation of the stomach and intestines — which can lead to severe diarrhea, vomiting, fever and stomach pain.
The virus primarily affects infants and young children, but there have also been outbreaks in elderly populations, such as nursing homes.
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Data from the Centers for Disease Control and Prevention shows that in the week ending April 4, out of 2,329 rotavirus tests, 7.3% were positive for the infection. Last year’s highest infection rate was 6.77% as of the week ending April 19.
Rotavirus, a double-stranded RNA virus, causes acute gastroenteritis — inflammation of the stomach and intestines — which can lead to severe diarrhea, vomiting, fever and stomach pain. (iStock)
“We’re seeing a lot of rotavirus in the wastewater right now,” Dr. Marc Siegel, Fox News senior medical analyst, confirmed to Fox News Digital. “Testing for rotavirus is way down, but the percentage of positive tests is up.”
While the virus typically peaks in the spring, it is not currently slowing down, he noted.
Why cases may be rising
Patricia Pinto-Garcia, M.D., a medical editor at GoodRx who is based in California, said there are several possible reasons for the rotavirus spike.
“Vaccine rates are down overall among young children, as they decreased during COVID,” she told Fox News Digital. “This means there’s a growing number of infants and young children who are vulnerable to infection.”
The rotavirus vaccine series must be completed by the time a child is 8 months old, she noted.
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As a result of the declining vaccinations, herd immunity isn’t protecting vulnerable children, according to Pinto-Garcia. “Children who haven’t finished the vaccine series yet, are too young to get vaccinated, or can’t get the vaccine due to medical illness are more likely to get exposed to the illness because other children aren’t vaccinated,” she said.
Siegel noted that before the vaccine became available, rotavirus resulted in 55,000 to 70,000 in the U.S. per year.
“Vaccine rates are down overall among young children, as they decreased during COVID,” a doctor told Fox News Digital. “This means there’s a growing number of infants and young children who are vulnerable to infection.” (iStock)
“I am concerned that the vaccination rate has been declining over the past seven years and is continuing to decline in the current climate of vaccine skepticism,” he said.
Surveillance methods are also much better than they used to be, Pinto-Garcia noted, which means public health experts are able to pick up and track cases better than ever before.
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“But we see that rotavirus-related healthcare visits are also up, so improved detection is not the only reason we are seeing this spike,” she said.
The COVID pandemic also disrupted the pattern of infections, according to Pinto-Garcia, so it’s “tricky” to compare the current levels against older cycles.
“It’s possible that what we are seeing is still some post-pandemic rebound, but it’s unlikely that this year’s pattern is fully explained by just this factor,” she added.
Transmission and risk
Dr. Zachary Hoy, a pediatric infectious disease specialist at Pediatrix Medical Group based in Nashville, Tennessee, often sees young patients with rotavirus.
“Rotavirus is spread via the fecal-oral route, meaning that a person comes into contact with virus droplets from contact with other children or adults, or from contact with objects such as toys that have been contaminated with the virus from someone who is sick,” he told Fox News Digital. “This can lead to outbreaks, especially at schools where many young children share the same toys.”
“It’s possible that what we are seeing is still some post-pandemic rebound, but it’s unlikely that this year’s pattern is fully explained by just this factor.”
Rotavirus is associated with many dehydration cases in the hospital due to the degree of diarrhea, according to Hoy.
In some severe cases, the virus can lead to seizures due to electrolyte imbalances from dehydration and loss of electrolytes in the stool.
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“Younger children do not have the reserves that older children and adults have, so they can become more dehydrated quicker and develop more severe electrolyte imbalances, leading to more severe infections,” Hoy said.
“Patients with problems with their immune systems or on medications that can decrease their immune systems can have more severe and prolonged infections, too.”
Treatment and care
Because rotavirus is a viral infection, antibiotics are not effective against it. There is no specific antiviral treatment for the condition, with doctors typically recommending supportive care.
“The mainstay of treatment is hospitalization for rehydration via intravenous (IV) fluids,” Hoy told Fox News Digital. “Sometimes it can take up to two to three days of IV fluids to help get patients rehydrated.”
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Blood draws are often necessary to evaluate patients’ electrolyte levels, such as sodium, potassium, calcium and magnesium, according to the doctor.
“If these electrolyte levels are significantly low, sometimes patients need special IV solutions or individual electrolyte medications,” he added.
“The mainstay of treatment is hospitalization for rehydration via intravenous (IV) fluids,” a doctor told Fox News Digital. (iStock)
Dr. Daniel Park, medical director of the Pediatric Emergency Department at UNC Health in Chapel Hill, North Carolina, noted that most children recover with supportive care, but parents should seek medical attention if a child shows signs of dehydration. Those include decreased urination, lethargy or inability to keep fluids down.
“While rare, rotavirus can be life-threatening in vulnerable populations, especially very young infants or children with underlying medical conditions,” Park told Fox News Digital.
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Prevention strategies
Given the lack of antiviral medications for rotavirus, doctors emphasize the importance of prevention, primarily the vaccine.
There are two rotavirus vaccines – Rotateq (a three-dose series) and Rotarix (a two-dose series). They are given starting at age 2 months as oral drops, not injections, according to Hoy.
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“It’s important to get the rotavirus vaccines on schedule, because these younger infants are at greatest risk if they get rotavirus,” he advised.
Other recommended prevention methods include handwashing with soap and water.
Health
How Well Will You Age? Take Our Quiz to Find Out.
Every day we’re faced with a zillion small choices: Go to sleep early, or watch one more episode of that Netflix drama. Call an old friend to catch up, or cruise social media. Of course, no single action will guarantee a long, healthy life or doom you to an early grave. But those little daily decisions do add up, and over the long term they can make a difference when it comes to both your longevity and your health span, the amount of life spent in relatively good health.
Scroll through this theoretical “day in the life” and select the option that best fits your typical day. Not every situation will apply perfectly, but think about which choice you’d be most likely to make. This isn’t a formal scientific assessment. The goal here isn’t to assign you a “good” or “bad” score, but to help you understand the central factors that shape the way we age and how long we live.
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