Question

A wealthy individual is admitted to your hospital. He was diagnosed 48 hours ago with kidney failure and needs a transplant. He is placed on the transplant list, but is advised it will probably take months or years to obtain a kidney. Suddenly, today an individual arrives with a foreign appearing man, who doesn't speak English and appears unkempt. He states he is the patient's "cousin" and wishes to "gift" a kidney to your patient. What rules apply to organ donation? Who oversees them? Is this illegal activity or OK? What is the hospital's obligation in "policing" the source of donated organs? 500 word response and use own words - not copy and paste from Google.

Answer 1

The legislation called the Transplantation of Human Organ Act (THO) was passed in India in 1994 to streamline organ donation and transplantation activities.

The main provisions of Transplantation of Human organs Act is aimed at regulation of removal, storage and transplantation of human organs for therapeutic purposes and for the prevention of commercial dealings in human organs. strengthening legal and regulatory frameworks of organ and tissue donation and transplantation.

- It allows organ transplantion of human organs and tissues from living doners and cadavers.

- Cost of doner management, retrieval ,transportation and preservation to be born by the racipiants ,institution and government ,NGO and society and not by doner family.

- procedure for organ donation in medicolegal cases defined to avoid determination of the cause of death and delay in retrieval of organs.

Non governmental organization ,registered society and trust working in the field of organ or tissue removal or storage of transplantation require registration.

# Overseeing organ donation :-

-Appropriate Authority :(AA)

Inspect and grands registration to hospital, enforces required standards for hospitals,conduct regular inspections to examine the quality of transplantation.

Advisory committee : Consisting of experts in the domain who should advise the appropriate authority.

Authorization committee:

Regulator's living donar transplantation by reviewing each case to ensure that the living donar is not exploited for monetary contributions and to prevent commercial dealing.

Medical board panel of doctors responsible for brain ,death certification.

If above rules and regulations are followed then it is legal.

# Policy regarding the source of donated organs :

Decrease donors are people who have suffered brain death after a head trauma or medical problem in the brain such as bleeding.

- Promote Medical Alternatives to Transplantation :

1. Preventive Medicine
2. Xenotransplantation
3. Regenerative Medicine

- Potential policy reform :-

1. The Expansion of Education Programs
2. Remove Disincentives for Living Donation
3. The Use of Expanded Criteria Donors
4. The Promotion of Organ Exchanges
   1. List Donation
   2. Paired Exchanges