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In Reply: Dr Symvoulakis and colleagues relate the significance of our findings to the situation in other areas of the world. We agree that targeted counseling may help counterbalance adverse reactions, and we share their concern about the potential detriment to attitudes about blood donation that adverse reactions may have on the message conveyed by the young donors to their family members and friends. We also recognize the importance of an ongoing effort that is focused on improving the donation experience, especially for young donors.

Dr Badami raises an important consideration about iron status that was not addressed in our study of more acute adverse reactions to blood donation. We agree that iron balance, especially in young donors, deserves attention for all of the reasons he describes. However, we do not agree that data from a restricted population should be used to formulate a general policy that blood donations by . . . [Full Text of this Article]

Anne F. Eder, MD, PhD
edera@usa.redcross.org
American Red Cross National Headquarters
Washington, DC

Christopher D. Hillyer, MD
Emory University School of Medicine
Atlanta, Georgia

Richard J. Benjamin, MD, PhD
American Red Cross National Headquarters

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