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that are collected before we publish the report and before<br />

our recommendations have a chance to get <strong>in</strong> to effect.<br />

Samples collected <strong>in</strong> the future would be samples collected<br />

under recommendations that would modify the procedures<br />

currently used. We thought that there were important<br />

reasons to dist<strong>in</strong>guish those two. In part, one does not<br />

want to throw away what we have -- the 200 plus million<br />

samples.<br />

At one po<strong>in</strong>t <strong>in</strong> our deliberations we had<br />

divided samples collected for the purpose of cl<strong>in</strong>ical care,<br />

that is you go <strong>in</strong> for a biopsy for your care, from samples<br />

collected as part of a research study, part of N-HANES, the<br />

Physicians Health Study, the Nurses Health Study, whatever.<br />

In our deliberations we began to see, I th<strong>in</strong>k,<br />

that those were not tenable, those dist<strong>in</strong>ctions, and that<br />

we should, <strong>in</strong> fact, collapse them and treat them the same,<br />

that whether the consent procedures were different, and <strong>in</strong><br />

many cases they are different, the requirements that we<br />

would want to put <strong>in</strong>to place, <strong>in</strong> fact, are the same or<br />

similar.<br />

Then we made this dist<strong>in</strong>ction between those<br />

samples that are go<strong>in</strong>g to be used <strong>in</strong> an <strong>in</strong>dividually<br />

anonymous manner from those to be used so <strong>in</strong>dividual<br />

identification is possible. Initially we had the follow<strong>in</strong>g

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