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ITNS Releases Position Statement on Financial Incentives for Organ Donation

ITNSITNS | March 20, 2015

Chicago, IL - The International Transplant Nurses Society (ITNS) has released a position statement on financial incentives for organ donation.

ITNS endorses the recommendation of the World Health Assembly and the Declaration of Istanbul that financial incentives for living organ donation be prohibited, as they pose unacceptable risks to potential donors and vulnerable communities across the world, undermine efforts to promote equity in donation and transplantation, and may endanger the progress achieved through best practice in altruistic donation programs.

ITNS endorses the World Health Assembly recommendation that financial incentives for authorization of organ procurement from deceased persons should be prohibited, recognizing that the next of kin may be vulnerable to harm including exploitation and coercion, and concerned that payment of incentives would undermine public trust in the process of deceased donation.

ITNS further strongly supports the recommendation of the World Health Assembly, the Declaration of Istanbul and other professional organizations that greater efforts be made to remove financial disincentives to living donation, so as to improve supply of organs for transplantation and reduce inequities in access to living donation.

ITNS rejects recent proposals for the trial of incentives for living donors, due to the fact that a number of evidence-based strategies of proven efficacy in increasing organ donation have yet to be implemented and should be prioritized, and that although trial risks may be reduced in a highly regulated environment, the legalization of trials in developed countries may exert a negative influence on policy and practice in countries with less capacity for effective regulation.

“This statement communicates the Society's position on financial incentives for organ donation to our members, other healthcare organizations, patients, and the general public and provides guidance for ITNS members in their professional practice and advocacy work on behalf of patients” commented Sandra Cupples, PhD, RN, FAAN, ITNS Research Director.

For a copy of the position statement, please visit http://www.itns.org/About/About/postitionstatements.html


In court, kidney trader denies running transplant enterprise

Cambodia DailyThe Cambodia Daily | March 10, 2015

[Read the article here]

By Ouch Sony

A woman accused of organ trafficking was tried at the Phnom Penh Municipal Court on Monday for allegedly persuading her two cousins and a neighbor to sell their kidneys in Thailand last year.

Anti-human trafficking police arrested Nhem Sinuon, 29, in Phnom Penh’s Chroy Changva district in July after a 10-day investigation following complaints from two of the alleged victims.

Police said at the time of the arrest that Ms. Sinuon, who also goes by the name Azisah, had been operating a transplant-brokering ring for nearly a year, although they did not provide details on how many kidney sales she had brokered. She was charged with human trafficking and producing fake documents for the two victims so they could pretend to be related to the recipients of their kidneys—a requirement under Thai law...



Open Letter to US Secretary of Health calls for greater efforts to promote organ donation

Transplantation DirectRead the Open Letter courtesy of Transplantation Direct here.

March 12, 2015

American and international leaders in the field of organ donation and transplantation, as well as jurists, ethicists, anthropologists and public health experts have urged the US Secretary of Human Health and Services to support renewed efforts to promote organ donation.

The signatories to this Open Letter call for the removal of obstacles to organ donation, in particular financial barriers to living donation. They advocate the appointment of a new Task Force on Organ Donation and Transplantation to help coordinate and oversee such efforts.

The letter highlights the value and significance of the thirty year old National Organ Transplant Act in the United States, which prohibited trade in organs and provided a framework for the ethical procurement and distribution of human organs. It further emphasises the importance of sustained commitment by the international community to the World Health Organization's Guiding Principles.

Read the Open Letter here.

Inspired by the Declaration of Istanbul, Eye Banking Association endorses new Bioethical Framework


Thursday 5th March, 2015

EBAANZ Ratifies ANZs - first Bioethical Framework for Policy and Practice

PERTH: Yesterday, Members of EBAANZ ratified Australia and New Zealand’s first regional Bioethics Framework concerning Human Tissue for Ocular Application, during their annual meeting held in conjunction with the Corneal Society, at the Perth Convention Centre.

Inspired by the Declaration of Istanbul – which was developed to support ethical practice and policy in human organ transplantation internationally - and encouraged by the World Health Organization, EBAANZ members collaborated with corneal surgeons, policy advisers of the Royal Australian and New Zealand College of Ophthalmologists, and obstetric representatives, to develop a framework relevant to the ANZ eye bank community and the wider eye care and donor communities. Dr Dominique Martin, bioethicist at the University of Melbourne’s Centre for Health Equity also collaborated on the project.

“The Framework” says EBAANZ Acting-Chair, Dr Graeme Pollock, “focuses on 9 key strategies which are designed to guide care and professional conduct while completing donor consent, tissue preparation and tissue distribution aspects of our cornea, sclera and amnion tissue custodian service.

“The Framework will support our professionals to work together to address tissue needs within our population and provide guidelines to surgeons and eye banks who are approached by colleagues from other countries for humanitarian support.

"Our natural instinct is to always help others but we needed some guidelines for decisions about how and where we should help. It also meant that we were ensuring that the generous gifts of ANZ donors were being respected and that our priority remains the ANZ recipients....


Read the complete media release at the Global Alliance of Eye Banking Associations website here.

You can also download a copy of the framework here.


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