• What are red marketsInternational Business Times | 09 December 2017
    [read the article]


    By Lara Rebello

    ‘What are red markets? World's major organ trafficking countries bank on poverty and desperation

    A recent investigative piece into the conditions of African migrants stuck in Libya raised the curtain on the underground slave trade rings in the country and triggered international calls for investigations into the matter. It also shed light on the organ market that has been burgeoning alongside — banking on the bodies of financially desperate migrants. The migrant crisis in Africa as well as other parts of the world has offered organ traffickers a steady flow of donors — willing or unwilling — to sever ties with their kidneys, livers and other body parts....

  • DICG Statement on GKEP

    Statement of the Declaration of Istanbul Custodian Group concerning ethical objections to the proposed Global Kidney Exchange Program


    To download a copy of the statement, please click here.

     


    In accordance with the principles of the Declaration of Istanbul and the Guiding Principles of the World Health Organization (WHO), the Declaration of Istanbul Custodian Group (DICG) is committed not only to discouraging practices and policies that directly or indirectly contribute to organ trafficking and transplant tourism but also to supporting the development and strengthening of equitable programs of donation and transplantation around the world....

  • How Indians were trafficked for organs in EgyptThe Indian Times | 23 November 2017
    [read the article]


    By Sumitra Debroy

    ‘Donate your kidney or face jail in Cairo’

    Yaseer Ahmed Basha (29) father to a six-year-old son and a three-year-old daughter, is unaware that he too is now an accused in the international kidney racket for selling his left kidney to Malad resident Pankaj Rao. He maintained that he was threatened and tricked into giving his kidney after he went to Cairo in July with the promise of driving an Uber cab. "It was 99% deception, but 1% my greed for money." He now makes a living driving an autorickshaw to support his parents there and his family in Taloja...

  • Some U.S. Hospitals Dont Put Americans First for Liver TransplantsProPublica and Fox 8 WVUE New Orleans| 20 November 2017
    [read the article]


    By Charles Ornstein and Lee Zurik

    Some U.S. Hospitals Don’t Put Americans First for Liver Transplants

    At a time when there aren’t enough livers for ailing Americans, wealthy foreigners fly here for transplants.

    Dr. Gabriel M. Danovitch, Honoury member of the Declaration of Istanbul Custodian Group, talks about national self sufficiency in organ donation.

    Also see Fox 8 News video on this co-published story...

  • Delhi govt suspends Apollo Hospitals kidney transplantation licenceHindustan Times | 17 November 2017
    [read the article]


    By HT Correspondent

    Delhi govt suspends Apollo Hospital’s kidney transplantation licence

    The Delhi government has ordered the suspension of Indraprastha Apollo Hospitals’ licence for kidney transplants till January 5 after police busted a kidney racket involving secretarial staff of doctors working at the hospital last year.

    During the suspension period, the hospital cannot register new kidney transplant patients, but close to 40 patients who have been cleared by the committee for transplantation will continue with their treatment...

  • 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...

  • What are red marketsInternational Business Times | 09 December 2017
    [read the article]


    By Lara Rebello

    ‘What are red markets? World's major organ trafficking countries bank on poverty and desperation

    A recent investigative piece into the conditions of African migrants stuck in Libya raised the curtain on the underground slave trade rings in the country and triggered international calls for investigations into the matter. It also shed light on the organ market that has been burgeoning alongside — banking on the bodies of financially desperate migrants. The migrant crisis in Africa as well as other parts of the world has offered organ traffickers a steady flow of donors — willing or unwilling — to sever ties with their kidneys, livers and other body parts....

  • DICG Statement on GKEP

    Statement of the Declaration of Istanbul Custodian Group concerning ethical objections to the proposed Global Kidney Exchange Program


    To download a copy of the statement, please click here.

     


    In accordance with the principles of the Declaration of Istanbul and the Guiding Principles of the World Health Organization (WHO), the Declaration of Istanbul Custodian Group (DICG) is committed not only to discouraging practices and policies that directly or indirectly contribute to organ trafficking and transplant tourism but also to supporting the development and strengthening of equitable programs of donation and transplantation around the world....

  • How Indians were trafficked for organs in EgyptThe Indian Times | 23 November 2017
    [read the article]


    By Sumitra Debroy

    ‘Donate your kidney or face jail in Cairo’

    Yaseer Ahmed Basha (29) father to a six-year-old son and a three-year-old daughter, is unaware that he too is now an accused in the international kidney racket for selling his left kidney to Malad resident Pankaj Rao. He maintained that he was threatened and tricked into giving his kidney after he went to Cairo in July with the promise of driving an Uber cab. "It was 99% deception, but 1% my greed for money." He now makes a living driving an autorickshaw to support his parents there and his family in Taloja...

  • Some U.S. Hospitals Dont Put Americans First for Liver TransplantsProPublica and Fox 8 WVUE New Orleans| 20 November 2017
    [read the article]


    By Charles Ornstein and Lee Zurik

    Some U.S. Hospitals Don’t Put Americans First for Liver Transplants

    At a time when there aren’t enough livers for ailing Americans, wealthy foreigners fly here for transplants.

    Dr. Gabriel M. Danovitch, Honoury member of the Declaration of Istanbul Custodian Group, talks about national self sufficiency in organ donation.

    Also see Fox 8 News video on this co-published story...

  • Delhi govt suspends Apollo Hospitals kidney transplantation licenceHindustan Times | 17 November 2017
    [read the article]


    By HT Correspondent

    Delhi govt suspends Apollo Hospital’s kidney transplantation licence

    The Delhi government has ordered the suspension of Indraprastha Apollo Hospitals’ licence for kidney transplants till January 5 after police busted a kidney racket involving secretarial staff of doctors working at the hospital last year.

    During the suspension period, the hospital cannot register new kidney transplant patients, but close to 40 patients who have been cleared by the committee for transplantation will continue with their treatment...

  • 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.

Statement of the Declaration of Istanbul Custodian Group Regarding Payments to Families of Deceased Organ Donors.

 

Transplantation Journal

AM Capron, FL Delmonico, B Domínguez-Gil, D Martin, GM Danovitch, and JR Chapman

2016; Epub June 28

Abstract:

Governmental and private programs that pay next of kin who give permission for the removal of their deceased relative's organs for transplantation exist in a number of countries. Such payments, which may be given to the relatives or paid directly for funeral expenses or hospital bills unrelated to being a donor, aim to increase the rate of donation. The Declaration of Istanbul Custodian Group-in alignment with the World Health Organization Guiding Principles and the Council of Europe Convention Against Trafficking in Human Organs-has adopted a new policy statement opposing such practices.

Payment programs are unwise because they produce a lower rate of donations than in countries with voluntary, unpaid programs; associate deceased donation with being poor and marginal in society; undermine public trust in the determination of death; and raise doubts about fair allocation of organs. Most important, allowing families to receive money for donation from a deceased person, who is at no risk of harm, will make it impossible to sustain prohibitions on paying living donors, who are at risk.

Payment programs are also unethical. Tying coverage for funeral expenses or healthcare costs to a family allowing organs to be procured is exploitative, not "charitable." Using payment to overcome reluctance to donate based on cultural or religious beliefs especially offends principles of liberty and dignity. Finally, while it is appropriate to make donation "financially neutral"-by reimbursing the added medical costs of evaluating and maintaining a patient as a potential donor-such reimbursement may never be conditioned on a family agreeing to donate.

To read and download this open access article, please click here.

 

Trade in kidneys is ethically intolerable

D.E. Martin


Indian Journal Medical Ethics

2016; Epub May 9

Abstract: In India, as in most countries where trade in human organs is legally prohibited, policies governing transplantation from living donors are designed to identify and exclude prospective donors who have a commercial interest in donation. The effective implementation of such policies requires resources, training and motivation on the part of health professionals responsible for organ procurement and transplantation. If professionals are unconvinced by or unfamiliar with the ethical justi cation of the relevant laws and policies, they may fail to perform a robust evaluation of prospective donors and transplant candidates, and to act on suspicions or evidence of illicit activities. I comment here on a recent paper by Aggarwal and Adhikary (2016), in which the authors imply that tolerance of illicit commercialism in living kidney donation programmes is not unreasonable, given the insuf ciency of kidneys available for transplantation. I argue that such tolerance is unethical not only because of the harmful consequences of kidney traf cking, but because professional tolerance of commercialism undermines public trust in organ procurement programmes and impairs the development of sustainable donation and transplant systems.

Read the complete paper here, courtesy of the Indian Journal of Medical Ethics.

Read the paper by Aggarwal and Adhikary here, courtesy of the Indian Journal of Medical Ethics.

Paid Living Donation and Growth of Deceased Donor Programs

Ghahramani, N


Transplantation Journal

2016;100: 1165-1169

Limited organ availability in all countries has stimulated discussion about incentives to increase donation. Since 1988, Iran has operated the only government-sponsored paid living donor (LD) kidney transplant program. This article reviews aspects of the Living Unrelated Donor program and development of deceased donation in Iran. Available evidence indicates that in the partially regulated Iranian Model, the direct negotiation between donors and recipients fosters direct monetary relationship with no safeguards against mutual exploitation. Brokers, the black market and transplant tourism exist, and the waiting list has not been eliminated. Through comparison between the large deceased donor program in Shiraz and other centers in Iran, this article explores the association between paid donation and the development of a deceased donor program. Shiraz progressively eliminated paid donor transplants such that by 2011, 85% of kidney transplants in Shiraz compared with 27% across the rest of Iran's other centers were from deceased donors. Among 26 centers, Shiraz undertakes the largest number of deceased donor kidney transplants, most liver transplants, and all pancreas transplants. In conclusion, although many patients with end stage renal disease have received transplants through the paid living donation, the Iranian Model now has serious flaws and is potentially inhibiting substantial growth in deceased donor organ transplants in Iran.

Read the complete article in Transplantation here (subscription required).

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