A call for government accountability to achieve national self-sufficiency in organ donation and transplantation
Prof , MD, MD, MDMD
Prof , MD, MD, MDMD
Kidney International (2011) 79, 1026–1031; doi:10.1038/ki.2010.540; published online 12 January 2011
Jagbir Gill, Olivier Diec, David N Landsberg, Caren Rose, Olwyn Johnston, Paul A Keown and John S Gill
Division of Nephrology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
Transplant tourism is a global issue, and physicians in the developed world may be in a position to actively deter this practice. To examine such opportunities, we identified 93 residents of British Columbia, Canada who had a kidney graft through tourism and determined their previous interactions with our transplant programs.
G.M. Danovitch, M. E. Shapiro, J. Lavee
Internationally accepted ethical standards are unequivocal in their prohibition of the use of organs recovered from executed prisoners: yet this practice continues in China despite indications that Ministry of Health officials intend to end this abhorrent practice. Recently published articles on this topic emphasize the medical complications that result from liver transplantation from executed ‘donors’ but scant attention is given to the source of the organs, raising concern that the transplant community may be coming inured to unacceptable practice. Strategies to influence positive change in organ donation practice in China by the international transplant community are discussed. They include an absolutist policy whereby no clinical data from China is deemed acceptable until unacceptable donation practices end, and an incremental policy whereby clinical data is carefully evaluated for acceptability. The relative advantages and drawbacks of these strategies are discussed together with some practical suggestions for response available to individuals and the transplant community.