• Bonds of lifeThe Japan News | 27 October 2017
    [read the article]


    By The Yomiuri Shimbun

    Bonds of life — the Organ Transplant Law 20 years on

    The Yomiuri Shimbun writes in a five part installment on the Organ Transplant Law in Japan and the 20 years after it came in practice.

    The article link focus on desperate recipients who has traveled to other countries for transplantation, but for a fuller understanding of the situation in Japan, read all five.

  • Should you be allowed to sell your kidneyGizmodo Media Group | 09 October 2017
    [read the article]


    By Whitney Kimball

    Should You Be Allowed to Sell Your Kidney?

    Giz Asks, talked to bioethicists, disagreeing doctors and the World Health Organization about their opinions...

  • Kidney trafficking broker faces courtKhmer Times | 20 October 2017
    [read the article]


    By Buth Reaksmey Kongkea

    Kidney trafficking broker faces court

    An alleged member of an organ trafficking ring was charged yesterday over a year-long kidney sale operation involving at least 10 victims.

    Construction worker Cheoun Thi, 38, of Phnom Penh was accused of unlawful removal of organs with purpose and “the act of selling, buying or exchanging a person”, which includes selling, buying or exchanging organs.

    The charges, laid in Phnom Penh Municipal Court, fall under the Law on Suppression of Human Trafficking and Sexual Exploitation. They carry a jail term of up to 15 years...

  • Nigerians warnedBuzzNigeria | 18 October 2017
    [read the article]


    By Iheoma Hendy

    Kidney Trafficking: Federal Goverment Alarmed Over High Rate Of Practice, Expose Hospitals

    The health ministry has written to the Nigerian Medical Association to warn all doctors in relevant specialties to create awareness for Nigerians intending to travel to Egypt for medical attention.

    The memo by the Director for Hospital services, Dr Wapada I. Balami for the Minister of Health entitled, "41 suspected illegal human kidney traffickers on the trail in Egypt" raises concern about patients possibly seeking treatment abroad and their doctors referring them to any complicit hospital...

  • Kidney for sale - Iran has a legal market for the organsLos Angeles Times | 15 October 2017
    [read the article]


    By Shashank Bengali and Ramin Mostaghim

    'Kidney for sale': Iran has a legal market for the organs, but the system doesn't always work

    The advertisements are scrawled in marker on brick walls and tree trunks, and affixed to telephone utility boxes, sidewalks and a road sign pointing the way to one of Iran’s leading hospitals.

    “Kidney for sale,” read the dozens of messages, accompanied by phone numbers and blood types, splashed along a tree-lined street opposite the Hasheminejad Kidney Center in Tehran.

    New ads appear almost daily. Behind each is a tale of individual woe — joblessness, debt, a family emergency — in a country beset by economic despair.

  • Eight arrested in Nowshera for illegal kidney transplantsThe Express Tribune | 26 September 2017
    [read the article]


    By Tribune Correspondent

    Eight arrested in Nowshera for illegal kidney transplants

    The FIA has arrested eight people, including a surgeon, for being involved in an illegal kidney transplant racket in Nowshera, officials said on Tuesday. “It [kidney transplantation] was being carried out illegally where poor people were offered some money for donating their kidneys,” said Federal Investigation Agency (FIA) official Mumtaz...

  • Why kidney rackets in India flourishHindustan Times | 04 October 2017
    [read the article]


    By Sanchita Sharma

    Why kidney rackets in India flourish with impunity

    The lynchpin of the most unprecedented racket was Amit Kumar (pic), who has no training in medicine or surgery. He has instead shown skill in evading the law, changing names and moving cities several times each time he secured bail after an arrest.

    Each year, more than two lakh (100,000) people need new kidneys but only 8,000 get them. The demand-supply mismatch creates a space for organ rackets where fake doctors carry out surgeries and forge documents to show donors and recipients as family...

  • Bonds of lifeThe Japan News | 27 October 2017
    [read the article]


    By The Yomiuri Shimbun

    Bonds of life — the Organ Transplant Law 20 years on

    The Yomiuri Shimbun writes in a five part installment on the Organ Transplant Law in Japan and the 20 years after it came in practice.

    The article link focus on desperate recipients who has traveled to other countries for transplantation, but for a fuller understanding of the situation in Japan, read all five.

  • Should you be allowed to sell your kidneyGizmodo Media Group | 09 October 2017
    [read the article]


    By Whitney Kimball

    Should You Be Allowed to Sell Your Kidney?

    Giz Asks, talked to bioethicists, disagreeing doctors and the World Health Organization about their opinions...

  • Kidney trafficking broker faces courtKhmer Times | 20 October 2017
    [read the article]


    By Buth Reaksmey Kongkea

    Kidney trafficking broker faces court

    An alleged member of an organ trafficking ring was charged yesterday over a year-long kidney sale operation involving at least 10 victims.

    Construction worker Cheoun Thi, 38, of Phnom Penh was accused of unlawful removal of organs with purpose and “the act of selling, buying or exchanging a person”, which includes selling, buying or exchanging organs.

    The charges, laid in Phnom Penh Municipal Court, fall under the Law on Suppression of Human Trafficking and Sexual Exploitation. They carry a jail term of up to 15 years...

  • Nigerians warnedBuzzNigeria | 18 October 2017
    [read the article]


    By Iheoma Hendy

    Kidney Trafficking: Federal Goverment Alarmed Over High Rate Of Practice, Expose Hospitals

    The health ministry has written to the Nigerian Medical Association to warn all doctors in relevant specialties to create awareness for Nigerians intending to travel to Egypt for medical attention.

    The memo by the Director for Hospital services, Dr Wapada I. Balami for the Minister of Health entitled, "41 suspected illegal human kidney traffickers on the trail in Egypt" raises concern about patients possibly seeking treatment abroad and their doctors referring them to any complicit hospital...

  • Kidney for sale - Iran has a legal market for the organsLos Angeles Times | 15 October 2017
    [read the article]


    By Shashank Bengali and Ramin Mostaghim

    'Kidney for sale': Iran has a legal market for the organs, but the system doesn't always work

    The advertisements are scrawled in marker on brick walls and tree trunks, and affixed to telephone utility boxes, sidewalks and a road sign pointing the way to one of Iran’s leading hospitals.

    “Kidney for sale,” read the dozens of messages, accompanied by phone numbers and blood types, splashed along a tree-lined street opposite the Hasheminejad Kidney Center in Tehran.

    New ads appear almost daily. Behind each is a tale of individual woe — joblessness, debt, a family emergency — in a country beset by economic despair.

  • Eight arrested in Nowshera for illegal kidney transplantsThe Express Tribune | 26 September 2017
    [read the article]


    By Tribune Correspondent

    Eight arrested in Nowshera for illegal kidney transplants

    The FIA has arrested eight people, including a surgeon, for being involved in an illegal kidney transplant racket in Nowshera, officials said on Tuesday. “It [kidney transplantation] was being carried out illegally where poor people were offered some money for donating their kidneys,” said Federal Investigation Agency (FIA) official Mumtaz...

  • Why kidney rackets in India flourishHindustan Times | 04 October 2017
    [read the article]


    By Sanchita Sharma

    Why kidney rackets in India flourish with impunity

    The lynchpin of the most unprecedented racket was Amit Kumar (pic), who has no training in medicine or surgery. He has instead shown skill in evading the law, changing names and moving cities several times each time he secured bail after an arrest.

    Each year, more than two lakh (100,000) people need new kidneys but only 8,000 get them. The demand-supply mismatch creates a space for organ rackets where fake doctors carry out surgeries and forge documents to show donors and recipients as family...

  • From Yemen to EgyptMiddle East Eye | 30 September 2017
    [read the article]


    By MEE contributor

    Misery of Yemen's organ donors: 'It is better to starve to death'

    Ali was desperate for work. War had engulfed Yemen, he had eight children to support and he couldn't get enough jobs as a labourer to make ends meet. In early 2016 he yet again found himself walking up and down the streets near the Qat market in al-Sonaina, a quiet and poor neighbourhood of the Yemeni capital Sanaa...

  • Rewarding families WebsiteScroll.in | 28 September 2017
    [read the article]


    By Sanjay Nagral, Vivek Jha & Dominique Martin

    Rewarding families of deceased organ donors is an ethical minefield, especially in India

    India, with its history of organ trade rackets, should be cautious before proposing incentives that may be on the slippery slope towards organ commerce.

    In September, the Central government announced plans to set up a fund for families of people who have donated organs after brain stem death. The fund will support the education of children of deceased donors as well as medical expenses of other family members...

Organ Transplant Law: Assessing compatibility with the right to health

India law report

The Vidhi Centre for Legal Policy has published a report on their assessment of the Organ Transplant Law’s compatibility with the Right to Health in India. Though the Transplantation of Human Organs and Tissues Act, 1994 regulates organ transplants and bans the commercial trade in organs and tissues, instances of kidney rackets and illegal trade is still being reported. The comprehensive report assesses the functioning of the Act and set recommendations to legislative and policy change. Recommendations includes the harmonisation of the definition of 'brain death' across different laws and amending the Act to ensure that victims of human trafficking are not treated as offenders. The report can be downloaded here.

Towards Improving the Transfer of Care of Kidney Transplant Recipients


J. S. Gill, A. J. Wright, F. L. Delmonico and K. A. Newell

Article first published online: 25 July 2016, doi: 10.1111/ajt.13997

cover

Abstract

Kidney transplant recipients require specialized medical care and may be at risk for adverse health outcomes when their care is transferred. This document provides opinion-based recommendations to facilitate safe and efficient transfers of care for kidney transplant recipients including minimizing the risk of rejection, avoidance of medication errors, ensuring patient access to immunosuppressant medications, avoidance of lapses in health insurance coverage, and communication of risks of donor disease transmission. The document summarizes information to be included in a medical transfer document and includes suggestions to help the patient establish an optimal therapeutic relationship with their new transplant care team. The document is intended as a starting point towards standardization of transfers of care involving kidney transplant recipients.

 

Full text available here from the American Journal of Transplantation

Financial Incompatibility and Paired Kidney Exchange:Walking a Tightrope or Blazing a Trail?

A. C. Wiseman1, and J. S. Gill


AJT logo

Epub; 7 December 2016

Editorial:

In this issue, Rees et al advance a novel strategy to increase living donor kidney transplantation through kidney paired exchange (KPE). Global kidney exchange (GKE) proposes the use of biologically compatible but “financially incompatible” living donors and recipients from an underserved country to increase KPE in the United States. The health care savings generated by removing US patients from dialysis would be used to cover the cost of transplantation and posttransplant care including immunosuppressant drugs for the recipient in their home country for a period of 5 years in exchange for the compatible pair’s participation in KPE. The report describes the first application of GKE in which an indigent biologically compatible married couple in the Philippines who could not afford to proceed with living donor kidney transplantation was brought to the United States where the wife’s donation of a kidney ultimately facilitated KPE transplants for 10 American patients as well as for her husband.

While we applaud Rees et al’s efforts to advance a novel approach to increase living donor kidney transplantation, there are numerous considerations that require equipoise, including the legality of this new definition of “financial incompatibility.” The Charlie Norwood Act amended the National Organ Transplant Act (NOTA) to allow human organ paired donation between biologically incompatible living donors and recipients. The use of compatible donors and recipients on the basis of financial incompatibility may not be encompassed in current interpretation of NOTA. While the authors offer a thoughtful rebuttal to this consideration, expansion of GKE would probably require amendment of NOTA.The risk of exploitation (real or potential) in GKE is a significant concern...

Read the full editorial here

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