• Update V1 White

    Participate in the DICG public consultation concerning the Declaration of Istanbul (2018 Edition)


    To view the draft DoI (2018 Edition) and provide your feedback via our survey, please click here.


    To celebrate the 10th Anniversary of the Declaration of Istanbul (DoI), a working group of the Declaration of Istanbul Custodian Group (DICG) has prepared a draft update to the Declaration. The revisions made in this 2018 Edition are intended to ensure that the DoI remains a valuable source of ethical guidance for health professionals and policy makers during the next decade in the face of persisting and emerging challenges in organ trafficking and transplant tourism around the world. To achieve this goal, we need your help.

    Please share your time and expertise with us, and provide feedback on our draft documents here.

  • Israeli organ-smuggling mastermind arrested in Cyprus [read the article]


    By AFP

    Israeli organ-smuggling ‘mastermind’ arrested in Cyprus

    PRISTINA, Kosovo — The Israeli ringleader of a global gang of organ traffickers has been arrested in Cyprus, Kosovan police said on Saturday.

    Moshe Harel is suspected of organizing dozens of illegal kidney transplants at the Medicus clinic in the capital Pristina in 2008, and is the man being held, according to local media...

  • Indias laws on organ transplants do little to protect rights of organ donors [read the article]

    [read the Vidhi Report]


    By Menaka Rao

    The legal framework needs to ensure that the donor gives informed consent as well as legal and medical aid for donors.

    In August 2016, Surat resident Brijkishore Jaiswal needed a kidney transplant and was all set to receive one from Shobha Thakur, a 42-year-old domestic worker from rural Gujarat. But in order to get the kidney, Jaiswal tried to pass Thakur off as his wife and said that she was donating the organ altruistically. Jaiswal was paying Thakur for her kidney and thus breaking the law, which bans commercial organ donation...

  • 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...

  • Update V1 White

    Participate in the DICG public consultation concerning the Declaration of Istanbul (2018 Edition)


    To view the draft DoI (2018 Edition) and provide your feedback via our survey, please click here.


    To celebrate the 10th Anniversary of the Declaration of Istanbul (DoI), a working group of the Declaration of Istanbul Custodian Group (DICG) has prepared a draft update to the Declaration. The revisions made in this 2018 Edition are intended to ensure that the DoI remains a valuable source of ethical guidance for health professionals and policy makers during the next decade in the face of persisting and emerging challenges in organ trafficking and transplant tourism around the world. To achieve this goal, we need your help.

    Please share your time and expertise with us, and provide feedback on our draft documents here.

  • Israeli organ-smuggling mastermind arrested in Cyprus [read the article]


    By AFP

    Israeli organ-smuggling ‘mastermind’ arrested in Cyprus

    PRISTINA, Kosovo — The Israeli ringleader of a global gang of organ traffickers has been arrested in Cyprus, Kosovan police said on Saturday.

    Moshe Harel is suspected of organizing dozens of illegal kidney transplants at the Medicus clinic in the capital Pristina in 2008, and is the man being held, according to local media...

  • Indias laws on organ transplants do little to protect rights of organ donors [read the article]

    [read the Vidhi Report]


    By Menaka Rao

    The legal framework needs to ensure that the donor gives informed consent as well as legal and medical aid for donors.

    In August 2016, Surat resident Brijkishore Jaiswal needed a kidney transplant and was all set to receive one from Shobha Thakur, a 42-year-old domestic worker from rural Gujarat. But in order to get the kidney, Jaiswal tried to pass Thakur off as his wife and said that she was donating the organ altruistically. Jaiswal was paying Thakur for her kidney and thus breaking the law, which bans commercial organ donation...

  • 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...

Human trafficking: Trade of human organs will thrive unless culprits are punished: Dr Rizvi

Pakistan tribuneThe Express Tribune | Dec 10, 2014
[read the article]


By Ishrat Ansari

KARACHI: The recent case of human trafficking for illegal organ transplant worries Dr Adeeb Rizvi, who fears this trade will thrive unless the culprits are punished.

“The government needs to charge those two men arrested from Jinnah International Airport,” said the SIUT founding director at a press briefing organised by the Transplantation Society of Pakistan (TSP) in collaboration with Sindh Human Organ and Tissue Transplantation Authority (Hota) at the Sindh Institute of Urology and Transplantation (SIUT) on Wednesday.

A couple of decades ago, Pakistan was the largest market for the trafficking of human organs in the world, Dr Rizvi pointed out. The selling and buying of human organs is against Islam and is also illegal, he added.

For their part, the monitoring committee of the transplantation society has requested the health secretary, Iqbal Hussain Durrani, to file a complaint against the two men, Rizwan Ahmed and Sarfaraz Bhatti, who were caught on their way to Mauritius via Dubai. They were planning to go to India through this route for an illegal kidney transplant...

Should we perform kidney transplants on foreign nationals?


Marie-Chantal Fortin, Bryn Williams-Jones

Journal of Medical Ethics, 2014, 40(12):821-6

In Canada, there are currently no guidelines at either the federal or provincial level regarding the provision of kidney transplantation services to foreign nationals (FN). Renal transplant centres have, in the past, agreed to put refugee claimants and other FNs on the renal transplant waiting list, in part, because these patients (refugee claimants) had health insurance through the Interim Federal Health Programme to cover the costs of medication and hospital care. However, severe cuts recently made to this programme have forced clinicians to question whether they should continue with transplants for FNs, for financial and ethical reasons.
This paper first examines different national policies (eg, in Canada, USA, France and the UK) to map the diversity of approaches regarding transplantation for FNs, and then works through different considerations commonly used to support or oppose the provision of organs to these patients: (1) the organ shortage; (2) the free-rider problem; (3) the risk of becoming a transplant destination; (4) the impact on organ donation rates; (5) physicians’ duties; (6) economic concerns; (7) vulnerability. Using a Canadian case as a focus, and generalising through a review of various national policies, we analyse the arguments for and against transplantation for FNs with a view to bringing clarity to what is a sensitive political and clinical management issue. Our aim is to help transplant centres, clinicians and ethicists reflect on the merits of possible options, and the rationales behind them.

Read the full article at the Journal of Medical Ethics here (subscription required).

The Doha Model of Organ Donation and Transplantation: Thinking Beyond Citizenship

Dominique Martin and Riadh A.S. Fadhil

Griffith Journal of Law and Human Dignity 2(2):293-329


 This paper reviews the policy and practice of organ donation and transplantation in Qatar that has developed since January 2011. The important features of the Doha Model (the ‘Model’) are explored, including: (i) all legal residents of Qatar have an equal right to access deceased donor organs and transplantation regardless of their citizenship status; (ii) no prioritisation in organ allocation is given to Qatari citizens; (iii) a multilingual and multicultural education and promotional program about donation has been implemented to engage the diverse national communities resident within Qatar; (iv) financial incentives or fungible rewards for living or deceased donation are prohibited. The ethical framework of this policy will be examined in the light of the national self-sufficiency paradigm, which advocates reciprocity and solidarity among resident populations seeking to meet all needs for transplantation equitably. We review some preliminary evidence of the impact of the Model with respect to engagement of a highly diverse multinational population in a donation and transplantation program, and argue that the Model may inform policy and practice in other countries, particularly those with non-citizen resident populations.

Read the complete article courtesy of the Griffith Journal of Law and Human Dignity here.

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