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There were about 200 children in several countries conceived with sperm from the same donor It has been revealed who unknowingly carries a rare genetic mutation linked to early-onset cancer. The results have been disastrous. Many children have already died And many families across Europe now face risks they never expected.
This case has raised important questions. How did one donor become so widely used? Why did standard security measures fail to identify a mutation that could have such serious consequences? And how did a system designed to create families allow tragedy of this scale?
when someone donates sperm or eggs They are screened for common hereditary conditions before being accepted by the clinic. The exact process varies by country and has limitations. Screening depends largely on accurate family history, yet many people have incomplete information about their relatives.
Some conditions emerge later in adulthood, meaning a young donor may appear healthy. Clinics also focus primarily on established, high-frequency conditions rather than the rare variants that still exist.
Typically, donors complete a detailed questionnaire covering their medical background and their family’s health history. If the information suggests a possible hereditary risk, the donor may be offered further testing or, more commonly, they may be declined.
Recently, clinics have begun to use expanded genetic testing. These tests can examine hundreds of genes associated with childhood or early adulthood conditions.
However, the technology is still developing and cannot detect every possible disease-causing variant. Many rare mutations are not part of regular panels, either because they have been identified more recently or because the evidence base is still small.
In this case that context matters. The donor had no family history of the condition and showed no symptoms. A person can carry a harmful mutation without being affected himself, so nothing in his medical history raised concerns. Newer, broader screening was not used, but even if it was, the variant is so rare that it was not captured or detected.

The donor provided sperm to the European Sperm Bank in Denmark for about 17 years. His donation was used to produce approximately 200 children in many European countriesHowever experts say the actual number may be higher.
This scale is possible because there is no international law restricting donor sperm from being widely distributed. Many countries have regulations on how many families can be created from one donor.
For example, the United Kingdom does not allow more than ten families. However, these limits only apply within national borders. A single donor can be used in multiple countries without any system to indicate that the total number exceeds any one country’s allowance.
A recent unrelated case showed how extreme this can be. had a different donor Father of nearly 1,000 children found in several countriesThere were no known health problems in that situation, but it showed how donor use can increase rapidly without monitoring,
The challenges in the present case run deep. Families are struggling with grief and uncertainty. Some have lost children. Others face a much higher chance that their child will get cancer before the age of 60, often in infancy or childhood.
There has been little public discussion about the sperm donor himself, although the emotional impact of learning these results is likely to be significant.
About the author
Nicky Hudson is Professor of Medical Sociology at De Montfort University. This article is republished from Conversation Under Creative Commons license. read the original article,
Because the mutation was so rare, additional routine testing could not have possibly prevented what happened. The truth is that every person has some genetic variations that remain unknown and harmless in everyday life.
There have been previous instances of donors unknowingly passing on hereditary conditions such as cystic fibrosis or Fragile X syndrome, but those cases typically involved very few families. What highlights this issue is the sheer number of children affected.
For this reason, simply demanding more screening is unlikely to be the complete answer. The more pressing issue is the lack of limitations and monitoring of how many families can be created from a single donor across borders.
In this case, families were created in many countries and in some places even national boundaries were violated. For example, Belgium allows only six families per donor, yet reports suggest that approximately 38 families were created.
A robust system is needed to track and trace the use of donors within and between countries. Without coordinated surveillance, national borders are easily bypassed. Establishing international upper limits will be difficult and politically complex, but negotiations must begin if further tragedies are to be prevented.
As more people use commercial DNA testing to find donor relatives, large networks of linked siblings across countries are increasingly visible. The implications for those families are significant. A coordinated global approach is overdue and will help prevent another case like this, where families face consequences they could never have imagined.