• 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...

The Use of Executed Prisoners as a Source of Organ Transplants in China Must Stop


The Use of Executed Prisoners as a Source of Organ Transplants in China Must Stop

G.M. Danovitch, M. E. Shapiro, J. Lavee

Abstract

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.

Click here to read the full article.

Remuneration of hematopoietic stem cell donors: principles and perspective of the World Marrow Donor Association

Remuneration of hematopoietic stem cell donors: principles and perspective of the World Marrow Donor Association

Michael Boo1, Suzanna M. van Walraven2, Jeremy Chapman3, Brian Lindberg1, Alexander H. Schmidt4, Bronwen E. Shaw5,6, Galen E. Switzer7, Edward Yang8, Torstein Egeland9, and on behalf of the World Marrow Donor Association

1 National Marrow Donor Program, Minneapolis, MN; 2 Europdonor Foundation, Leiden, The Netherlands; 3 The Transplantation Society, Centre for Transplant and Renal Research, Westmead Hospital, University of Sydney, Sydney, Australia; 4 DKMS German Bone Marrow Donor Center, Tuebingen, Germany; 5 Department of Haematology, Anthony Nolan Trust, UCL Cancer Centre, London, United Kingdom; 6 Royal Marsden Hospital, Sutton, United Kingdom; 7 Department of Medicine, Psychiatry, and Clinical Translational Science, University of Pittsburgh, Veterans Health Administration Pittsburgh Healthcare System, Pittsburgh, PA; 8 Buddhist Tzu Chi Marrow Donor Registry, Hualien, Taiwan; and 9 Norwegian Bone Marrow Donor Registry, Institute of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway

Hematopoietic stem cell transplantation is a curative procedure for life-threatening hematologic diseases. Donation of hematopoietic stem cells (HSCs) from an unrelated donor, frequently residing in another country, may be the only option for 70% of those in need of unrelated hematopoietic stem cell transplantation. To maximize the opportunity to find the best available donor, individual donor registries collaborate internationally. To provide homogeneity of practice among registries, the World Marrow Donor Association (WMDA) sets standards against which registries are accredited and provides guidance and regulations about unrelated donor safety and care. A basic tenet of the donor registries is that unrelated HSC donation is an altruistic act; nonpayment of donors is entrenched in the WMDA standards and in international practice. In the United States, the prohibition against remuneration of donors has recently been challenged. Here, we describe the reasons that the WMDA continues to believe that HSC donors should not be paid because of ethical concerns raised by remuneration, potential to damage the public will to act altruistically, the potential for coercion and exploitation of donors, increased risk to patients, harm to local transplantation programs and international stem cell exchange, and the possibility of benefiting some patients while disadvantaging others.

Reference: Blood. 2011;117(1):21-25

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