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Authority set up to regulate human organs transplantation

PESHAWAR: The Khyber Pakhtunkhwa Health Department has established Medical Transplantation Regulatory Authority to regulate removal, storage and transplantation of human organs, tissues and cells for therapeutic purposes in the province.

The authority, being headed by health minister Shahram Tarakai, includes secretary health Abid Majeed, Dr Attaur Rehman, Dr Syed Munib, Dr Sher Rehman, Dr Adil Naseer Khan, Prof Ziaul Islam, Dr Azizur Rahman and Dr Mohammad Tariq Abbasi as its members and Prof Asif Malik as secretary-cum-member. It will enforce the KP Medical Transplantation Regulatory Authority Act, 2014 to regulate transplantation of human organs.

According to the law, a living donor not less than 18 years of age, during his life-time can voluntarily donate any organ of his body to any other living close blood relative and legally related persons like parent, son, daughter, sister, brother and spouse for treatment purpose.
It will establish pool of voluntary donors, monitor transplant cases

The authority notified by the department is required to ensure that transplantation is voluntary, genuinely motivated and without any duress or coercion.

In case of unavailability of a donor, a Transplant Evaluation Committee (TEC) to be constituted under the law may allow donation by a “non-close blood relative”, after ensuring that such donation is voluntary.

The law also provides for donation of human organs after death and any person who is not less than 18 years of age, may before his death, in writing duly signed and verified by the respective TEC, donate any of the organs or tissues for transplantation and may authorise any medical institution or hospital duly recognised by the authority.

The cases of unclaimed brain-dead hospitalised patients shall be presented to the TEC for transplantation, after an intense search for their relatives within a reasonable time.

Human organ may be harvested for transplantation from a brain-dead hospitalised patient with no prior consent or will for donation after evaluation by TEC and informed consent by a close blood relative.

On the death of a donor, any close relative shall inform the TEC about the deceased for removal of human organ or tissue in accordance with the authorisation.

A donation may be executed in such form and manner as may be prescribed and may be revoked at any time during the lifetime of the donor in the presence of two witnesses.

The authority shall establish pool of voluntary donors and registry of potential recipients and name recognised medical institutions and hospitals for practice of operative surgery in transplantation of human organs.

No hospital or medical institution shall carry out transplantation of human organs without recognition by the authority which will meet every three months.

The committee shall ensure that no organ or tissue is retrieved from non-related living donors without its prior approval.

It will determine brain death of a person, propriety of removal of a human organ from any living person after formal informed consent, fitness or otherwise for transplantation of a human organ into any other body and fitness of recipient.

The law also provides for establishment of a Transplant Monitoring Committee consisting of additional secretary health department, a surgical transplant specialist, medical transplant specialist, gastroenterologist, ophthalmologist and director health.

A Transplant Inquiry Committee, to be notified by the authority, will investigate and hold inquiry into the allegations of breach of any provision of the law while a Transplant Ethical Regulatory Committee will be required to address religious, cultural and ethical issues.

It prohibits removal or transplantation of human organs for any purpose other than therapeutic.

It also outlines punishment for removal of human organ without authorisation and says that whoever renders his services to or at any medical institution or hospital and who for the purposes of transplantation, conducts, associates with or helps in any manner in the removal of any human organ without authority, shall be punished with imprisonment for a term which may extend to 10 years and with fine which may extend to Rs1million and names of convicted registered medical practitioner shall also be reported to the Pakistan Medical and Dental Council for appropriate action.

Those found in illegal transplantation for commercial purpose may face 10-year imprisonment and a fine of Rs1million.

Courtesy : Dawn News



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