According to report on
International Online, Professor Shi Bingyi, vice chairman of Organ
Transplantation Branch of Chinese Medication Association (CMA), indicated that
as a Chinese doctor he did not believe the so-called saying of organ harvesting
from Falun Gong practitioners. He said that he never handled and heard of the
case of organ harvesting from Falun Gong practitioners as vice chairman of the
National Organ Transplantation Branch.
Professor Shi Bingyi, vice chairman of Organ Transplantation Branch
of Chinese Medication Association (CMA)
Organ shortage is a severe
problem that many countries are facing with, especially in China, the problem
is even more prominent. Huang Jiefu, chairman of committee of China Human Organ
Donation Committee, stated when interviewed by domestic and foreign media that
voluntary organ donation from death sentence prisoners is the main source for
organs in mainland China. All the donations shall be approved by the person
himself and his family member. However, this kind of situation could not
continue. China now is building its own human organ donation system to
encourage citizens donate organs voluntarily after death in order to get rid of
the current situation.
In mainland China, there are
around 300,000 people waiting liver and kidney transplantation every year, but
only 10,000 are lucky to receive one. The supply and demand ratio is 1:30, as
the ratio in the US is 1:4. The wide gap of the ratios means that most of the
patients who have organ failure will die after endless waiting.
There are three main sources
of organs in China, live organs of relatives, organs voluntarily donated by
dead citizens and organs donated by death prisoners. Huang
Jiefu, chairman of committee of China Human Organ Donation Committee
honestly said that for a very long time, organs from death prisoners are the
main source.
Huang Jiefu said that,
‘China has strict law in terms of organ donation. If death prisoners want to
donate organs, they need to sign the paper as well as their family members. I
can safely say that every organ case has donor’s signature, we cannot do things
against others’ wills. All the donations are made under the same circumstance.’
Huang Jiefu, chairman of committee of China Human Organ Donation
Committee
It is introduced that before
2004, organs from death prisoners are the only source of organ donations in
China. The number of live organs donated by relatives increased significantly.
Since China initiated the organ donation pilot plan for deceased citizens in
2010, number of organs donated by citizens voluntarily has increased
significantly. The number newly unveiled showed that in 2012, out of the 2026
liver transplantations cases conducted in mainland China, 1587 cases used
organs from death prisoners, 131 cases used live organs donated by relatives
and 308 cases used organs donated by deceased citizens which accounted for 15%
of the total number and created a highest record in history.
As the Chinese government
planned, China will get over the situation of depending on death prisoners for
organ donations in two years. ‘This is not only because using organs from death
prisoners is quite controversial internationally, but the number of death prisoners
has decreased by 10% every year due to the cautious usage of death sentence. At
the same time, the live organ donation from relatives creates high operation
risk for the donor and it can only be used if there is no other ways.
Therefore, it is our only choice to encourage voluntary donation from deceased
citizens.’
Professor Shi Bingyi, vice
chairman of Organ Transplantation Branch of Chinese Medication Association
(CMA) said that, in terms of kidney transplantation, compared with year 2011,
the number of organs donated by deceased citizens increased four-fold to 12% in
2012. For the situation in the first half year of 2013, the number even
exceeded 20%. Professor Shi said that, ‘in the first half year of 2013, the
number of organ donation from living body plus DCD (Donation after Cardiac
Death, generally refered as organ donation from deceased citizens) is basically
flat with the number of organ donation from death prisoners. Therefore, we can
say that we already achieved the target in advance set by the government that
cancelling the donation from death prisoner as the main source in two or three
years.’
Previously, Falun Gong
website stated that organs from Falun Gong practitioners were removed and sent
to other patients. Professor Shi Bingyi said he would never believe this kind
of rumors. ‘As a doctor, I do not believe this kind of things will happen. Why
do we need to remove organs from living bodies? No one can do such a cruel
thing to remove eye ball from a living body. We admit that we use organs donated
by death prisoners but as the vice chairman of National Organ Transplantation
Branch, we have never removed organs from Falun Gong practitioners and never
heard about it.’
In addition, Falun Gong
website stated, the matching ratio for organ transplantations in China is only
20% to 30%. Therefore, it needs 20,000 death prisoners to satisfy the organ
transplantation demand in China every year. Director Wang Haibo from China
Organ Transplant Response System Research Centre in University of Hong Kong explained
in an interview that the low matching ratio stated by Falun Gong website was
extremely ridiculous.
‘If that is the fact, it
means that in all the donations that people made, organs from only 20 people
out of 100 can be used. Any country in the world cannot have that kind of low
ratio. US for instance, they received a lot of DCD so some of the organs were
in bad quality. The abandon ratio is around 10% to 15%. For China, we care
about the abandon ratio very much. Because if people donate an organ and it is
wasted, how can we explain to the public? However, abandon of organ is
inevitable. In China, the average abandon ratio is around 7%, which means that
almost 93% of the donated organs can be used.’
In future, China will push
forward the system of human organ donation. Ensuring the transparency of organ
allocation is among the most important tasks. Among all the organ
transplantations, only around 30% are allocated through the China Organ
Transplant Response System. The national health and family planning commission
disclosed that in June 2013, China Human Organ Acquisition and Distribution
Management Method will be published. At that time, all the organs will be
collected to a unified platform and automatically distributed according to
patients’ condition, area and other criteria. Outside system distribution is
highly forbidden. This Method is deemed to help the public build trust on organ
donation.
So far, there are 164
hospitals in China have the qualification in organ transplantation, among which
around 60 have carried out the work of organ donation from deceased citizens.
Huang Jiefu said, the Health Departments are planning to implement measures to
ask the qualified hospitals to carry out the work of citizens organ donations,
otherwise, their organ transplantation license will be revoked. At the same
time, hospitals which apply organ transplantation license recently are not
allowed to use organs from death prisoners in organ transplantation operation.
Huang Jiefu stated, ‘we only
have 164 hospitals and the quantity is far away from sufficiency. We need 300
qualified hospitals if the organ donation system is well-built because the US
has more than 300 hospitals. The Health Departments made the policy that the
hospital can apply for organ transplantation qualification if they have more
than 10 successful cases of DCD. In addition, after the qualification is
gained, the hospital can only use organs from DCD instead of from death
prisoners. That is the measures implemented by Health Departments.’
According to Huang’s
assumption, if the citizen organ donation could be carried out in big public
hospitals in cities, at least one third of the demand would be satisfied.
Since implementing
the Regulations o Human Organ Transplantation in 2007, the Chinese
government has made 6 years of efforts in building citizen organ donation
system. Many countries used over decades to build the same system. Huang Jiefu
said that, China organ donation is like an infant, it needs more time to
develop. SF:http://english.kaiwind.com/Reports/China/201403/11/t20140311_1459048.htm
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