• Woman on trial for stealing human kidney Daily Monitor | 17 April 2018
    [read the article]


    By Juliet Kigongo

    Woman on trial for stealing human kidney

    A woman has been committed to the High Court for trial on charges of aggravated human trafficking and luring her shop attendant into donating his kidney to her husband. Miria Rwigambwa, a businesswoman in Mbarara District is accused by Brian Arinaitwe of duping and facilitating him to India for removal of his body part. The accused appeared before Nakawa Grade One Magistrate, Noah Sajjabi who committed her to the High Court for trial...

  • CoE Statement on GKE

    STATEMENT ON THE GLOBAL KIDNEY EXCHANGE CONCEPT


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


    The concept of Global Kidney Exchange (GKE) has been recently proposed as a means to increase the number of donor-recipient pairs that can benefit from kidney exchange programmes in highincome countries (HIC). The Council of Europe Committee on Organ Transplantation (CD-P-TO) with the support of the Council of Europe Committee on Bioethics (DHBIO) has carefully studied the GKE proposal. Read their conclusions here.

  • Update extended April

    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.

    Deadline 20 April 2018


    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.

  • Council of Europe convention against organtrafficking enters into force Council of Europe Convention | 1 March 2018
    [read the article]


    By Council of Europe Convention against Trafficking in Human Organs

    Trafficking in human organs: Council of Europe convention enters into force

    The Council of Europe Convention against Trafficking in Human Organs entered into force today in the five first states that have so far ratified it: Albania, Czech Republic, Malta, the Republic of Moldova and Norway.

    The convention, the first international treaty aimed at preventing and combating trafficking in human organs, has been signed by another seventeen states...

  • 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....

  • Woman on trial for stealing human kidney Daily Monitor | 17 April 2018
    [read the article]


    By Juliet Kigongo

    Woman on trial for stealing human kidney

    A woman has been committed to the High Court for trial on charges of aggravated human trafficking and luring her shop attendant into donating his kidney to her husband. Miria Rwigambwa, a businesswoman in Mbarara District is accused by Brian Arinaitwe of duping and facilitating him to India for removal of his body part. The accused appeared before Nakawa Grade One Magistrate, Noah Sajjabi who committed her to the High Court for trial...

  • CoE Statement on GKE

    STATEMENT ON THE GLOBAL KIDNEY EXCHANGE CONCEPT


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


    The concept of Global Kidney Exchange (GKE) has been recently proposed as a means to increase the number of donor-recipient pairs that can benefit from kidney exchange programmes in highincome countries (HIC). The Council of Europe Committee on Organ Transplantation (CD-P-TO) with the support of the Council of Europe Committee on Bioethics (DHBIO) has carefully studied the GKE proposal. Read their conclusions here.

  • Update extended April

    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.

    Deadline 20 April 2018


    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.

  • Council of Europe convention against organtrafficking enters into force Council of Europe Convention | 1 March 2018
    [read the article]


    By Council of Europe Convention against Trafficking in Human Organs

    Trafficking in human organs: Council of Europe convention enters into force

    The Council of Europe Convention against Trafficking in Human Organs entered into force today in the five first states that have so far ratified it: Albania, Czech Republic, Malta, the Republic of Moldova and Norway.

    The convention, the first international treaty aimed at preventing and combating trafficking in human organs, has been signed by another seventeen states...

  • 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....

  • 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...

Providing coverage for the unique life‐long health care needs of living kidney donors within the framework of financial neutrality

J.S. Gill, F. L. Delmonico, S. Klarenbach, A. M. Capron


AJT logo

2016; Epub November 26

Abstract

Organ donation should neither enrich nor impose financial burdens on donors. We describe the scope of health care required for all living kidney donors that reflects contemporary understanding of long-term donor health outcomes, propose an approach to identify donor health conditions which should be covered within the framework of financial neutrality, and propose strategies to pay for this care. Despite the Affordable Care Act in the United States, donors continue to have inadequate coverage for important health conditions that are either donation related or may compromise post-donation kidney function. Amendment of Medicare regulations is needed to clarify that surveillance and treatment of conditions that may compromise post-donation kidney function following donor nephrectomy will be covered without expense to the donor. In other countries lacking health insurance for all residents, sufficient data exist to allow creation of a compensation fund or donor insurance policies to ensure appropriate care. Providing coverage for donation-related sequelae as well as care to preserve post-donation kidney function ensures protection against the financial burdens of health care encountered by donors throughout their lifetime. Providing coverage for this care should thus be cost-effective even without considering the health care cost savings that occur in living donor transplant recipients.

Click here to read the article (subscription required).

New paper highlights difficulties of measuring transplant tourism

AJT logo

In a new paper in the American Journal of Transplantation, Ambagtsheer et al. (2016) "conclude that the scientific literature does not reflect a large number of patients buying organs." After performing a literature review, they document 6002 transplant tourists internationally, between 1971 and 2013, of whom 1238 reportedly obtained commercial transplants. However, in a letter commenting on the study, Ahn et al. (2016) note that Saudi Arabia alone has reported a total of 6079 patients obtaining kidney transplants abroad between 1998 and 2013. The authors of both papers highlight the difficulties of estimating global activity in commercial transplants and travel for transplantation, and the limits of literature reviews. They also emphasise the valuable roles of national and international registries and of transplant professionals in collecting and reporting data on these phenomena, as the comprehensive data published by the Saudi Center for Organ Transplantation illustrates. 

The DICG is currently working with members and collaborating organizations to develop tools and guidelines that will facilitate collection and analysis of data concerning travel for transplantation and organ trafficking, in order to inform strategies to prevent harm and improve equitable access to transplantation worldwide.

Ambagtsheer, F., de Jong, J., Brame, W.M., Weimar, W. 2016. On patients who purchase organ transplants abroad. American Journal of Transplantation, 16: 2800-2815.

Abstract:

The international transplant community portrays organ trade as a growing and serious crime involving large numbers of traveling patients who purchase organs. We present a systematic review about the published number of patients who purchased organs. With this information, we discuss whether the scientific literature reflects a substantial practice of organ purchase. Between 2000 and 2015, 86 studies were published. Seventy-six of these presented patients who traveled and 42 stated that the trans- plants were commercial. Only 11 studies reported that patients paid, and eight described to what or whom patients paid. In total, during a period of 42 years, 6002 patients have been reported to travel for transplantation. Of these, only 1238 were reported to have paid for their transplants. An additional unknown number of patients paid for their transplants in their native countries. We conclude that the scientific literature does not reflect a large number of patients buying organs. Organ purchases were more often assumed than determined. A reporting code for transplant professionals to report organ trafficking networks is a potential strategy to collect and quantify cases. 

Click here to read the complete article.

Guatemala - a pediatric transplant program

Development of pediatric transplantation in Guatemala

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