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Saturday, November 22, 2008

Safety for the recipients must ensure

Human organ trafficking in the Philippines is due to a lack of information, very few people know the Good and bad effects of removing one kidney and transfer to another human being, due to a lack of health information and attention most likely in the urban places where some families didn't have jobs, money to buy foods to eat, desperately had no choices. Selling the parts of their body like kidneys is an easy money for them to get through even without physicians authorization, not knowing the effects.

Good Samaritan" or "altruistic" donation is giving a donation to someone not well-known to the donor. Some people choose to do this out of a need to donate. Some donate to the next person on the list; others use some method of choosing a recipient based on criteria important to them.

Web sites are being developed that facilitate such donation. It has been featured in recent television journalism that over half of the members of the Jesus Christians, an Australian religious group, have donated kidneys in such a fashion.


Safety....
In November 2007, the CDC reported the first-ever case of HIV and Hepatitis C being simultaneously transferred through an organ transplant.
The donor was a 38-year-old male, considered "high-risk" by donation organizations, and his organs transmitted HIV and Hepatitis C to four organ recipients, none of whom had been told he was "high-risk."
Experts say that the reason the diseases didn't show up on screening tests is probably because they were contracted within three weeks before the donor's death, so antibodies wouldn't have existed in high enough numbers to detect.
The crisis has caused many to call for more sensitive screening tests, which could pick up antibodies sooner. Currently, the screens cannot pick up on the small number of antibodies produced in HIV infections within the last 90 days or Hepatitis C infections within the last 18-21 days before a donation is made.
NAT (nucleic acid testing) is now being done by many organ procurement organizations and is able to detect antibodies for HIV and Hepatitis C within seven to ten days of exposure to the virus.

Organ Transplant Laws

Both developing and developed countries have forged various policies to try to increase the safety and availability of organ transplants to their citizens.

Brazil, Italy, Poland and Spain have ruled all adults potential donors with the “opting out” policy, unless they attain cards specifying not to be.

Iran is the only country in the world where it is lawful for one citizen to sell an organ to another for transplantation.
However, whilst potential recipients in developing countries may mirror their more developed counterparts in desperation, potential donors in developing countries do not.

The Indian government has had difficulty tracking the flourishing organ black market in their country and have yet to officially condemn it.
Other countries victimized by illegal organ trade have implemented legislative reactions.

Moldova has made international adoption illegal in fear of organ traffickers.

China has made selling of organs illegal as of July 2006 and claims that all prisoner organ donors have filed consent.

However, doctors in other countries, such as the United Kingdom, have accused China of abusing its high capital punishment rate.

Despite these efforts, illegal organ trafficking continues to thrive and can be attributed to corruption in healthcare systems, which has been traced as high up as the doctors themselves in China, Ukraine, and India, and the blind eye economically strained governments and health care programs must sometimes turn to organ trafficking.

Some organs are also shipped to Uganda and the Netherlands. This was a main product in the triangular trade in 1934.

Starting on May 1, 2007, doctors involved in commercial trade of organs will face fines and suspensions in China. Only a few certified hospitals will be allowed to perform organ transplants in order to curb illegal transplants. Harvesting organs without donor's consent was also deemed a crime.

On June 27, 2008, Indonesian, Sulaiman Damanik, 26, pleaded guilty in Singapore court for sale of his kidney to CK Tang's executive chair, Mr Tang Wee Sung, 55, for 150 million rupiah (S$ 22,200).
The Transplant Ethics Committee must approve living donor kidney transplants. Organ trading is banned in Singapore and in many other countries to prevent the exploitation of
  • "poor and socially disadvantaged donors who are unable to make informed choices and suffer potential medical risks."

Toni, 27, the other accused, donated a kidney to an Indonesian patient in March, alleging he was the patient's adopted son, and was paid 186 million rupiah (20,200 US). Upon sentence, both would suffer each, 12 months in jail or 10,000 Singapore dollars (7,300 US) fine.


In an article appearing in the Econ Journal Watch, April 2004.
  • Economist Alex Tabarrok examined the impact of direct consent laws on transplant organ availability. Tabarrok found that social pressures resisting the use of transplant organs decreased over time as the opportunity of individual decisions increased. Tabarrok concluded his study suggesting that gradual elimination of organ donation restrictions and move to a free market in organ sales will increase supply of organs and encourage broader social acceptance of organ donation as a practice.