Abstract
The increasing gap between organ supply and demand has opened the door for illegal organ sale, trafficking of human organs, tissues and cells, as well as transplant tourism. Currently, underprivileged and vulnerable populations in resource-poor countries are a major source of organs for rich patient-tourists who can afford to purchase organs at home or abroad. This paper presents a summary of international initiatives, such as World Health Organization’s Principle Guidelines, The Declaration of Istanbul, Asian Task Force Recommendations, as well as UNESCO’s and the United Nation’s initiatives against trafficking of human organs, tissues, cells, and transplant tourism. Beyond the summary, it calls for more practical measures to be taken to implement the existing guidelines and recommendations, in order to prevent exploitation of the poor as organ providers. The paper suggests that an international legally binding agreement in criminalizing organ trafficking would be a step forward to bring a change in the global picture of organ trafficking and transplant tourism.
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References
Ambagtsheer, F., and W. Weimar. 2012. A criminological perspective: Why prohibition of organ trade is not effective and how the Declaration of Istanbul can move forward. American Journal of Transplantation 12: 571–575.
Bagheri, A. 2010. Global health regulations should distinguish between medical tourism and transplant tourism. Global Social Policy 10: 295–297.
Bagheri, A. 2007. Asia in the spotlight of international organ trade: Time to take action. Asian Journal of WTO and International Health Law and Policy 2(1): 11–24.
Bagheri, A. 2006. Compensated kidney donation: An ethical review of the Iranian model. Kennedy Institute of Ethics Journal 16(3): 269–282.
Budiani-Saberi, D.A., and F.L. Delmonico. 2008. Organ trafficking and transplant tourism: A commentary on the global realities. American Journal of Transplantation 8(5): 925.
Convention on Human Rights and Biomedicine. 2002. http://www.coe.int/bioethics [last visited 30 Oct 2012].
Council of Europe. 2012. Available at: http://www.coe.int/t/DGHL/STANDARDSETTING/CDPC/PC_TO_en.asp [last visited 30 Oct 2012].
Danovitch, G., and M. Al-Mousawi. 2012. The Declaration of Istanbul: Early impact and future potential. Nature Reviews Nephrology 8: 358–361.
de Castro, Leonardo D. 2013. The declaration of Istanbul in the Philippines: Success with foreigners but a continuing challenge for local transplant tourism. Journal of Medicine, Health Care and Philosophy.. doi:10.1007/s11019-013-9474-4.
Delmonico, F.L. 2009. The hazards of transplant tourism. Clinical Journal of the American Society of Nephrology. 4: 249–250.
Delmonico, Francis L., Beatriz Domínguez-Gil, Rafael Matesanz, and Luc Noel. 2011. A call for government accountability to achieve national self-sufficiency in organ donation and transplantation. The Lancet 378(9800): 1414–1418.
Glazier, A.K., and F.L. Delmonico. 2012. The Declaration of Istanbul is moving forward by combating transplant commercialism and trafficking and by promoting organ donation. American Journal of Transplantation 12: 515–516.
Global Observatory on Donation and Transplantation. 2006. Report available at: http://www.transplant-observatory.org/Pages/home.aspx [last visited 5 Nov 2012].
Istanbul Declaration on Organ Trafficking and Transplant Tourism. 2008. Available at: http://www.declarationofistanbul.org/ [last visited 5 Nov 2012].
Padilla, Benita, Gabriel M. Danovitch, and Jacob Lavee. 2013. Impact of legal measures prevent transplant tourism: The interrelated experience of The Philippines and Israel. Medicine, Health Care and Philosophy. doi:10.1007/s11019-013-9473-5.
Rothman, D.J. et al. 1997. The Bellagio Task Force Report on Transplantation, bodily integrity and the international traffic in organs. Transplant Proceedings. http://issuu.com/ont/docs/2010adgodt?mode=window&pageNumber=1&layout=http://publicaciones.ont.es/issuu/godt/layout.xml/. Accessible also at: http://www.transplant-observatory.org/default.aspx.
The Council of Europe. 2005. Action against trafficking in human being. Available at: http://www.coe.int/t/dghl/monitoring/trafficking/default_en.asp. Also see: The US Government Action Against Human Trafficking, available at: https://www.dhs.gov/human-trafficking-victim-assistance-program [last visited 3 March].
The Asian Task Force Recommendation on Organ Trafficking. 2008. Available at: http://www.law.ntu.edu.tw/center/wto/04research.asp?tb_index=403 [last visited 25 Feb].
United Nations. 1948. Universal declaration of human rights. http://www.un.org/en/documents/udhr/index.shtml [last visited 1 June 2013].
UN Office on Drugs and Crime. 2000. Protocol to prevent, suppress, and punish trafficking in persons especially women and children supplementing the United Nations convention on transnational organized crime. http://www.uncjin.org/Documents/Conventions/dcatoc/final_documents_2/convention_%20traff_eng.pdf [last visited 1 June 2013].
UNESCO Universal Declaration on Bioethics and Human rights. 2005. Available at: http://www.unesco.org/new/en/social-and-human-sciences/themes/bioethics/bioethics-and-human-rights/ [last visited 5 Nov 2012].
UNESCO working program. 2012. Available at: http://www.unesco.org/new/en/social-and-human-sciences/themes/bioethics/international-bioethics-committee/work-programme-for-2012-2013/ [last visited 25 Nov 2012].
United Nations Report. 2009. Available at: http://www.un.org/News/briefings/docs/2009/091013_Organ_Trafficking.doc.htm [last visited 16 Oct 2012]. Also see: http://www.coe.int/t/dghl/monitoring/trafficking/Docs/News/OrganTrafficking_study.pdf [last visited 16 Oct 2012].
Wang, Haibo. 2012. New era for organ donation and transplant in China. Bulletin of World Health Organ 90: 802–803.
WHO’s Guiding Principles on Human Cell, Tissue and Organ Transplantation. 2010. Available at: http://www.who.int/transplantation/Guiding_PrinciplesTransplantation_WHA63.22en.pdf [last visited 5 Nov 2012].
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Bagheri, A., Delmonico, F.L. Global initiatives to tackle organ trafficking and transplant tourism. Med Health Care and Philos 16, 887–895 (2013). https://doi.org/10.1007/s11019-013-9493-1
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DOI: https://doi.org/10.1007/s11019-013-9493-1