• 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...

  • Trafficking in SpainEFE Agency | 26 September 2017
    [read the article]


    By Rafael Matesanz

    The threat of transplant tourism

    The Spanish model promoted by the National Transplant Organization since 1989 has allowed us to maintain global leadership for 25 years, with the greatest chances of receiving a transplant in a service that is public, universal and without discrimination. This position of privilege contrasts brutally with a widespread international situation of scarcity. The numbers are outrageous. The annual demand for transplants is estimated to be between 2-2.5 million patients while the transplant process does not exceed 127,000 operations: only 5-6 percent of those who need a transplant get one. On the other hand, in Spain more than 90 percent of these patients get one in time. These differences shine a spotlight on us for people around the world who aspire to get transplants in our country...

  • Conversations Deakin WebsiteControversial Conversations
    [more details here]


    Saturday, 28 October 2017

    Deakin University Melbourne Burwood Campus

     

    This Public Forum brings together a range of international and Australian experts in the ethics of donation and transplantation, health policy makers and professionals and community leaders, to share their knowledge and experience regarding some of the most important and controversial issues of interest to the Australian public. An unprecedented opportunity for members of the public, health professionals, students, academics, journalists and policy makers to learn about a range of issues, and to be part of a lively conversation with a variety of stakeholders exchanging perspectives and ideas...

  • 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...

  • Trafficking in SpainEFE Agency | 26 September 2017
    [read the article]


    By Rafael Matesanz

    The threat of transplant tourism

    The Spanish model promoted by the National Transplant Organization since 1989 has allowed us to maintain global leadership for 25 years, with the greatest chances of receiving a transplant in a service that is public, universal and without discrimination. This position of privilege contrasts brutally with a widespread international situation of scarcity. The numbers are outrageous. The annual demand for transplants is estimated to be between 2-2.5 million patients while the transplant process does not exceed 127,000 operations: only 5-6 percent of those who need a transplant get one. On the other hand, in Spain more than 90 percent of these patients get one in time. These differences shine a spotlight on us for people around the world who aspire to get transplants in our country...

  • Conversations Deakin WebsiteControversial Conversations
    [more details here]


    Saturday, 28 October 2017

    Deakin University Melbourne Burwood Campus

     

    This Public Forum brings together a range of international and Australian experts in the ethics of donation and transplantation, health policy makers and professionals and community leaders, to share their knowledge and experience regarding some of the most important and controversial issues of interest to the Australian public. An unprecedented opportunity for members of the public, health professionals, students, academics, journalists and policy makers to learn about a range of issues, and to be part of a lively conversation with a variety of stakeholders exchanging perspectives and ideas...

  • WP China WebsiteThe Washington Post | 15 September 2017
    [read the article]


    By Simon Denyer

    China used to harvest organs from prisoners. Under pressure, that practice is finally ending.

    China’s organ-transplant system was once a cause of international scorn and outrage, as doctors harvested organs from prisoners condemned to death by criminal courts and transplanted them into patients who often paid dearly for the privilege. After years of denials, China now acknowledges that history and has declared that the practice no longer occurs — largely thanks to the perseverance of a health official who, with the quiet backing of an American transplant surgeon, turned the system around over the span of a decade...

  • HOU India WebsiteThe Times of Israel | 25 September 2017
    [read the article]


    By Raoul Wootlift

    Head of transplant organization arrested over ‘organs for donations’ scheme

    Charity suspected of bumping potential recipients to top of waiting list in exchange for funding, paying illegal compensation to donors.

    Police on Monday arrested the head of a charity that facilitates voluntary organ donations in Israel, and three of its employees, on suspicion that it illegally traded organs for donations. The arrests took place alongside raids on the suspects’ homes and the organization’s head offices in Jerusalem, according to a police statement...

Excavating the Organ Trade: An Empirical Study of Organ Trading Networks in Cairo, Egypt

S. Columb


Screen Shot 2016-09-05 at 8.39.09 PM

2016; Epub August 27

Legislative action in response to the organ trade has centred on the prohibition of organ sales and the enforcement of criminal sanctions targeting ‘trafficking’ offences. This paper argues that the existing law enforcement response is not only inadequate but harmful. The analysis is based on empirical data gathered in Cairo, Egypt, among members of the Sudanese population who have either sold or arranged for the sale of kidneys. The data suggest that prohibition has pushed the organ trade further underground increasing the role of organ brokers and reducing the bargaining position of organ sellers, leaving them exposed to greater levels of exploitation.

Read the complete article freely here.

Better buy than die?

Scroll IndiaScroll.in | August 3, 2016

[read the article]


By Sanjay Nagral

Back in 2004, in an editorial for the Indian Journal of Medical Ethics on a kidney transplant racket, I began by saying, "In our scandal-prone Indian public life, one scandal distinguishes itself by the amazing regularity with which it hits the headlines every few years. The only variation is its shift from one city to another as if in planned rotation. Thanks to the desperation, ingenuity and collusion of the players involved, the Indian kidney bazaar, as it was crudely described at some stage in its history, refuses to die down."

I ended the piece by offering a rather polemical solution: "The battle against this practice must be fought at two levels. The first is in the realm of the law and monitoring agencies. The second is an ideological battle against what is essentially a violation of human rights and a form of social exploitation of the worst kind. Otherwise, we will suffer the same cycle of rackets being exposed periodically."

That statement, though not meant to be a prediction, has unfortunately turned out to be true. The latest act in this sordid saga is the one currently playing out in a Mumbai hospital. While the Human Organ Transplant Act of 1994 partly succeeded in curbing the then blatant kidney bazaar that thrived in the 70s and 80s, periodic exposés since then show that it continues in a more discreet fashion...

Obtaining consensus regarding international transplantation continues to be difficult for pediatric centers in the United States

Screen Shot 2016-08-09 at 1.41.23 PM


2016; Epub 31st July

Lorts A, Ryan TD, Matheny Antommaria, AH, Lake M, & Bucuvalas J. 

Abstract:

Organ transplant is life-saving and any given organ may be valuable to a multitude of potential recipients. An allocation system must be used to reconcile the difference between supply and demand, and this system must take into account the impact that accepting international patients may have on the local system. The principles for allocation must be clear, equitable, provide utility and must be monitored so as to maintain public trust. The impact of the system on metrics deemed to be critical must be measured. Finally, strategies must take into account the local culture, size of the region to be supported, the number and experience of transplant centers, and the resources of the healthcare delivery system. Our focus is on the United States, recognizing that strategies and challenges may vary across countries.

Click here to read the complete article courtesy of Pediatric Transplantation.

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