Organ donation scenario
Overview of Asia and Word population
Kidney Transfer Waiting List
in Asia (2002)
- Japan: 12,974
- Taiwan: 7000
- Saudi Arabia: 4248
- Korea: 4000
- Pakistan: 1650
- Hong Kong: 1018
- Singapore: 666
- Bangladesh: 125
Waiting Time
- Taiwan 1.9 yrs
- Korea 2.2 yrs
- Hong Kong 4.3 yrs
- Singapore 5.8 yrs
- No Waiting list in Iran for Kidney transplantation
- No figures available for China, India, Philippines, Indonesia
Transplant Expertise in Asia
- Japan 352 transplant centres
- Thailand 27 kidney, 6 liver, & 6 Cardiac transplantation centers
- Iran 22 centres, mainly kidneys
- India 110 centres for Kidney, 5 centres Liver, 6 centres Cardiac Over 35 centers have undertaken cadaver transplants regularly However, only 6 centers do cadaver Transplants.
Indian Scenario
- Kidney Transplant Scene in India In past ten years approx. 1000 Cadaver organ transplants over 900 kidneys and 100 Livers and heart have been performed Almost 40% of the cadaver transplants in India done in Tamil Nadu
- Tamil Nadu Organ Sharing Network could become the role model for rest of the country
- Approximately 110 centers in India do kidney Transplant. However only 25 to 30 centers do over 25 per year.
Historical Aspects – Cadaver Transplantation
India
- 1967 - First successful cadaver Kidney Transplant in India at KEM Hospital, Bombay
- 1994 - First successful heart transplant done at AIIMS, New Delhi
- 1995 - First successful multi-organ transplant done at Apollo Hospital, Chennai
- 1998 – First Successful Lung transplant, Madras Medical Mission Hospital, Chennai
- 1999 – First Pancreas Transplant, Ahmedabad
World Status of Transplants
Annual Number of kidney transplantations per million population (pmp) per year:
- USA - 52 Predominantly Cadaver Donors
- Europe - 27 Predominantly Cadaver Donors
- Asia - 3 Predominantly Living Donors.
In last 10 to 15 years the rate of both kidney an liver transplants have increased but heart has remained static. In 2000 approx. 15,000 kidneys were transplanted in each region.
Cadaver Donor Rates
The Cadaver donors per million population per year:
- USA - 20.7
- Europe - 15.9
- Asia - 1.1
- South America - 2.6
Public Attitude and Organ donation in India
SURVEY ON “PUBLIC ATTITUDE TOWARDS ORGAN DONATION & TRANSPLANATATION”
Shroff S, Shankar R et al, Indian Medical Tribune, 1996
Results of the Survey
Less than 50% overall positive response in favor of donating solid organs 72% were willing for “Eye” donation and carry a “Donor Card” All major religions were willing to consider organ donation.