Organ Donation & Transplant Matters Resources
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Organ Donation & Transplant Matters Resources
Combining reports, research findings and topic reviews
Curated by Deborah Verran
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The truth about organ transport and transplantation in India

The truth about organ transport and transplantation in India | Organ Donation & Transplant Matters Resources | Scoop.it

There continues to be unmet challenges with respect to increasing the numbers of both organ donors as well as organ transplants in India. With there having been only 350 heart transplants conducted in the last 24 years in the country, there is room for improvement.


The current barriers to increasing the number of organ transplants includes the lack of established transplant units, lack of access due to financial restrictions for many patients and a lack of established transport systems ensuring the rapid delivery of organs between hospitals.


This article will be of interest to healthcare professionals who have an interest in organ donation as well as transplantation.

Deborah Verran's insight:
Increasing the numbers of organ donors as well as the numbers of organ transplants in India will require that concentrated efforts are made to deal with the current barriers.
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Heart transplant infrastructure in India very poor: Health experts

Heart transplant infrastructure in India very poor: Health experts | Organ Donation & Transplant Matters Resources | Scoop.it
Cardiovascular diseases (CVDs) are the number one cause of death globally, leading to more deaths annually than from any other cause.

In India the rates of heart transplantation currently lag behind other developed countries. The reasons for this fall into three main categories:, lack of infrastructure, logistical constraints (due to lack of established systems and processes), and myths surrounding organ donation.
Deborah Verran's insight:
This article provides some insights into the barriers to heart transplantation in India
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Dead could be brought 'back to life' in groundbreaking project - via the use of stem cells

Dead could be brought 'back to life' in groundbreaking project - via the use of stem cells | Organ Donation & Transplant Matters Resources | Scoop.it
Stem cells have been used to try and treat a number of neurological disorders including Parkinsons disease as well as damage to the spinal cord leading to paralysis.

However in what may be currently considered a giant leap of faith a United States biotech company (Bioquark), has gone through the initial stages of seeking regulatory approval for a trial utilizing stem cells to treat patients following the declaration of brain death. The aim is to restore neurological function via a combination of supportive medical treatments along with the injection of stem cells into the spinal cord.

The initial proof of concept study titled the 'Reanima project' will be carried out in India. The study protocol can be viewed via the following link-


More on the story can be viewed by clicking on the following link- 


In addition an ethicist asks the question as to whether this planned trial can truly deliver acceptable results-



Deborah Verran's insight:
It seems highly unlikely that any patient in whom a sound diagnosis of brain death has been made, will have their brain function restored to any significant degree via this approach in the near future.
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Draft guidelines issued to tackle illegal kidney trade - The Times of India

Draft guidelines issued to tackle illegal kidney trade - The Times of India | Organ Donation & Transplant Matters Resources | Scoop.it

In a move to bring in greater transparency and tackle the illegal kidney trade while prioritising those in urgent need of renal transplant across India, the National Organ and Transplant Centre has come out with draft guidelines that aim to determine the criteria for receiving a kidney from a deceased donor.

 

This is the first stage in a process that has commenced within India of moving to a national centrally co-ordinated system for the allocation of all organs from deceased donors.

Deborah Verran's insight:

This will be of interest to healthcare professional with an interest in policy guidelines pertaining to organ donation as well as organ transplantation,

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Inside the hospitals performing thousands black market organ transplant procedures

Inside the hospitals performing thousands black market organ transplant procedures | Organ Donation & Transplant Matters Resources | Scoop.it

In India, where these pictures were taken, around 2,000 people are thought to illegally sell their kidneys each year on the black market. This article exposes this practice and provides some estimates on how many of these type of procedures may be being performed per year internationally.

 

The language used to describe the conditions in some of the hospitals where these particular surgeries are being undertaken is not mild. For further information click on the banner headline.

Deborah Verran's insight:

More evidence of what happens when desperate patients link up with desperate individuals who are prepared to sell their own organs with brokers acting as the so called 'middle men'.

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India has addressed blood donation, it must now do the same with organ donation

India has addressed blood donation, it must now do the same with  organ donation | Organ Donation & Transplant Matters Resources | Scoop.it

This detailed article outlines the multiple factors which contribute to an unmet need for organ donation within India.

 

Although living kidney and living liver transplantation are both performed, these are costly procedures and hence only available to those who can afford to pay.

 

A similar perspective from Dr Avnish Seth, the Director of Fortis Organ Retrieval & Transplant can be viewed via the following link-

http://blog.organdonationday.in/?p=30

 

 

Deborah Verran's insight:

There remain challenges within India with respect to establishing a robust system for deceased donor organ donation across the country

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ORGAN India and NOTTO Host First Collaborative Conclave for Organ Donation.

ORGAN India and NOTTO Host First Collaborative Conclave for Organ Donation. | Organ Donation & Transplant Matters Resources | Scoop.it

ORGAN India, an initiative of the Parashar Foundation organized a Collaborative Conclave for Organ Donation on 1st December, 2016 at India International Centre, New Delhi, along with NOTTO (National Organ & Tissue Transplant Organisation). Pictured is the team from Organ India.


For the full story click on the following link-

http://www.pocketnewsalert.com/2016/12/ORGAN-India-and-NOTTO-Host-First-Collaborative-Conclave-for-Organ-Donation.html



Via newsattitude
Deborah Verran's insight:
Important development in India, the first ever collaborative for organ donation
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Hiranandani Hospital's CEO, 4 other doctors arrested in kidney racket case

Hiranandani Hospital's CEO, 4 other doctors arrested in kidney racket case | Organ Donation & Transplant Matters Resources | Scoop.it
Read more about the Hiranandani Hospital's CEO, and 4 other doctors who were all arrested this last week in Mumbai India as the result of an ongoing investigation into organ trafficking.

It is also becoming evident that some of the live kidney donors involved in this may be poor villagers from rural India-

One of the drivers for organ trafficking is the low deceased donor rate in India, the reasons for which are summarisedIm in this online article-

Under Indian law organ trafficking is now illegal. Should it be proven that any of these individuals broke the law, the penalties will be severe. Meanwhile there continue to be ongoing campaigns (including via social media) to try and raise public awareness about the importance of organ donation.
Deborah Verran's insight:
The authorities in India continue to have to grapple with the consequences of organ trafficking whilst ongoing efforts to promote organ donation via legitimate avenues continue.
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Sri Lanka Suspends Kidney Transplants for Foreigners After India Arrests

Sri Lanka Suspends Kidney Transplants for Foreigners After India Arrests | Organ Donation & Transplant Matters Resources | Scoop.it

The Sri Lankan government last week suspended all kidney transplants for foreigners, after Indian police said they were investigating alleged organ sales.

 

This has come about following reports of organ trading involving individuals who then traveled from India to Sri Lanka in order to undergo the transplant surgery.

Deborah Verran's insight:

Results of the investigation are now awaited. Of note this pertains to live donor kidney transplantation.

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Need a kidney? Inside the world’s biggest organ market

Need a kidney? Inside the world’s biggest organ market | Organ Donation & Transplant Matters Resources | Scoop.it

This report explores the illicit kidney trade in South Asia which has now exploded as brokers use social media to find donors.

 

In this detailed article it becomes evident to the reader that the information has been obtained by interviewing anonymous individuals who are currently involved in the trading of kidneys. It is very clear how the organ trading is now being facilitated and where it may currently be occurring.

 

Brokers are using social media platforms to assist in sourcing the potential live donors for recipients who are prepared to pay in order to receive a kidney.

 

This activity appears to involve individuals (and professionals) who are currently based both in India and Sri Lanka.

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India's #1 Impediment To Organ Donation: Doctors - Huffington Post India

India's #1 Impediment To Organ Donation: Doctors - Huffington Post India | Organ Donation & Transplant Matters Resources | Scoop.it

This opinion piece comes via Dr Christopher Barry a Transplant Surgeon who has been spending time in India. Dr Barry shares his perspectives on where he feels the current barriers currently exist to improving the rates of deceased donor organ transplantation across India.

 

The article focuses on barriers within the healthcare system including in particular where medical specialists may be contributing to a lack of forward progress. All doctors and medical professionals across India also need to understand that organ donation is all about saving lives, despite a single loss of life.

Deborah Verran's insight:

A unique perspective on barriers that exist within the healthcare system across India to organ donation.

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Nepal's Organ Trail: How traffickers steal kidneys

Nepal's Organ Trail: How traffickers steal kidneys | Organ Donation & Transplant Matters Resources | Scoop.it

Reported online via the CNN Freedom Project. In Nepal, organ traffickers are duping villagers into having operations and taking their kidneys.

 

Click on the banner headline to read more about this story

Deborah Verran's insight:

Yet another example of 'needy' individuals being paid (not a lot of money) to donate one of their kidneys with brokers involved in the transactions. Of most concern is how some of the donors are being coerced into actually going ahead.

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