- Amazon S3 · Brain Death. Donation after Circulatory Death. Donation from . a Live Donor. What is...
Transcript of - Amazon S3 · Brain Death. Donation after Circulatory Death. Donation from . a Live Donor. What is...
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www.chinatribunal.com
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MJE
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Organ Transplantation
the apotheosis of
human generosity
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Anti-rejectiontherapy
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Consent• Of the donor• Of the donor’s family• Of the recipient
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Opt In
The donor has voluntarily signed up
to a donor register whilst able to do so
Opt Out
Everyone is assumed to have given consent, unless they opt out by stating so in advance
The family can still override that consent (after death) by declining to donate the organs after death
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Donation after Brain Death
Donation after Circulatory Death
Donation from a Live Donor
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What is meant by brain death?
ComaApnoea
Lack of brain-stem reflexesNo sedative drugs
the irreversible loss of all functions of the brain, including the brainstem
A patient determined to be brain dead is legally and clinically dead
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trade in organs
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self non-self
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Human Leucocyte Antigen (HLA)
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Blood Tests Organ Assessment
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infrastructure
• Database (donor:recipient)• Prioritisation• Logistics• Expertise• Teamwork• Separation of donor from recipient
teams
www.odt.nhs.uk/transplantation/tools-policies-and- guidance/policies-and-guidance
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Organ Extraction
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WarmIschaemic
Time
ColdIschaemic
Time
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Removing organs under
ordersfrom live
(‘executed’) prisoners
Enver Tohti
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audit trail
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• 1978 - 1st Transplant (donor = executed prisoner)
• 1984 - Legislation to allow organ donation from
executed prisoners
• Transplant and execution statistics ‘state secret’
• 2010 - pilot voluntary organ donation system
• 2014 – becomes National policy
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0300060009000
1200015000
2002 2004 2006 2008 2010 2012
https://duihua.org.wp/?page_id=9270Number of people executed in China per year (Dui Hua Foundation data)
120,000 transplants 1997 – 2009*
* Alison et al BMC Ethics 2015;16:85
130 voluntary
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2000
Massive expansion of transplant infrastructureHospitalsStaff
2006
Interim regulationsBanning saleSetting standards
2011
Declared illegalOrgan trafficking
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hospitals/transplant units
surgeons publications2016
60-90,000transplants per year
4080registered
donors
7224 kidney Tx3257 liver Tx
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2016 (official) 10,000 transplants2016 (derived) >60,000 transplants
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Waiting Times
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GN
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I think very few countries have any leverage at all when it comes to what happens
inside China and the Chinese Government is absolutely clear that this is not a
matter for outside countries’.
‘When we look at what happens to the Uighurs this is
obviously completely against our values we raise
these issues with the Chinese government when we
see them and we also understand that if we talk too
loudly and publicly about our Human Rights concerns
we will lose access to senior people in the Chinese
government and then we won’t be able to do any
good at all. …………………………
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www.chinatribunal.comThe summary judgment of the China Tribunal and all evidence, written and oral, can be
watched and read on this website.We encourage you to do so.
Those who provided evidence often did so at their own risk
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first transplant (executed prisoner, CCP official recipient)
evidence of use of organs from political prisoners
1st experiments
legislation to use corpses of executed prisoners
1960
1978
1984
1995
TRANSPLANTATION IN CHINA
1999oppression/incarceration of Falun Gong (millions)
2000transplantation expansion part of national strategy
2017>80 million people on security database