A kidney transplant is carried out at the Karolinska Hospital in Huddinge. When the EU's cooperation on organ donation increases, hopefully more people get a new body more quickly.
EU opens the way for organ donation
SvD Brussels
Published: 7 June 2010, 21:23. Last Modified: 7 June 2010, 22:49
Lifeguard. Now demolished boundaries of organ donation in Europe. - We do not want a person dies in Portugal and so there was always a kidney that suited him in France, "said Andres Perello, conservative MEP from Spain.
When the young Irishman, James Sullivan, following an unusually wet, no night out with friends in Brussels on last night's anhaltsbar, would go to the toilet, he had extraordinary bad luck. He fell down the stairs, beating back of the head against a sharp step edge and the roosters.
At the hospital, doctors declared brain-dead James. The heart was running, however, in the expectation that parents in Ireland, a sister in Shanghai and his girlfriend in Sweden would come to Belgium and to say goodbye.
Doctors also hoped to take advantage of some of James bodies. Well, maybe not the liver, joked his friends in the hospital's relentlessly silent corridors, to stop crying for a little while.
James's parents gave their consent to organ donation, and soon learn that a German man who was involved in an accident with an almost equally dramatic exit could get a couple of bodies, they matched.
Later, at the funeral home in Ireland, redemptive priest joked about how a German man would certainly develop an unexpected taste for Guinness.
The story of James is not only a sad story about a young man's untimely death, and on another man's fabulous turn in the misfortune to get hold of vital organs. There is also a picture of an era where we not only study, fall in love and getting married abroad, but also become sick and die abroad.
Decisions about organ donation must sometimes be made quickly, and relatives abroad can be difficult to find. Doctors may not know if the deceased had agreed to organ donation.
"The most important of the new directive is to increase awareness on that they may be, and how to become donors. If you knew how many people actually have that conversation, you know "when I die I want to give away my body ...", but that does not take hold of the active, says Mairéad McGuinness, Irish MEP.
James Sullivan was Mairéads assistant and friend for many years. Since the EU Parliament recently voted on a new law that EU countries should cooperate and exchange information on donors and patients, and the national donor card is valid throughout the European Union, said she undoubtedly yes.
Although as many as 80 percent of EU citizens as well soundings have a donor card in your wallet, only 12 percent who have it. The number of organ donors is only 18 per million population.
This varies from country to country. Spain tops the whole with 34 donors per million population, while Romania has only one donor per million population. Sweden put a little honorable my placement with 15 per million.
The reason for Spain's efficiency is by far: in intensive care units in Spain, there are special units that are ready to discover the sensor in the middle of tragedy, contacting families and looking for receivers. Hospitals, government agencies and forskningsväsende is välsynkade, waiting lists and shared body can be moved quickly.
Another factor is that in Spain, as in Finland and Austria, are classified as organ donor unless you expressly opposed it. In other countries, like Sweden, you have to register themselves.
But European Parliament chose to avoid sections of active or passive consent to the donation. Complex ethical issues, such as when the State takes a person's body unless she renounces it or, for certain religious groups, the body must be preserved intact for the afterlife, then threatened to delay the law.
Instead, you want to try a variant in which all who acquire a new passport or driving license when issued may also be asked if they want to register as organ donor.
MEP Cecilia Wikström (PF) was medskribent to one of the texts underlying the system.She is also a priest in the Swedish Church.
She is sensitive to the ethical and theological arguments for and receive donations, and would itself be unable to 'state' is to take a human body. Wikstrom believe that the final text is about humanity.
"I can not imagine a more beautiful illustration of our common European cooperation than to a person who-suffer in one member country will be able to give the ultimate gift, a body - and by extension, life - to a fellow human being in another member state, says Cecilia Wikstrom.
The EU Parliament also wrote into law that all organ donation must be voluntary and without compensation, to minimize the risk of illegal organ trade takes hold in the continent. The statistics are key at this trade, but it is known that the kidneys are sold primarily in the growing scale of European buyers who can afford it.
According to WHO, a kidney costs $ 700 in South Africa, $ 2,100 in India, $ 2,700 in Moldova, and between 5000 and $ 30,000 in Turkey.
What d'ya?
The directive on organ donation has taken two years to negotiate, and will be implemented in EU countries over the next two years. Each EU country shall select or establish an authority responsible for maintaining quality and safety for the body. A network of concerned authorities and the automatic exchange of information will facilitate cooperation between countries. It will be possible to detect a body from the receiver all the way back to the donor, across borders, without compromising patient confidentiality. A certification shall demonstrate that human organs and tissues were obtained legally. Organ transplants is increasing in Europe, but the number in need is greater than the number of available organs. Every year 40 000 transplants performed in European countries, but still waiting about 60 000 Europeans in the body, and each day 12 people die on the waiting list. Information campaigns to increase voluntary donation has had limited success. In some EU countries have adopted its citizens not to be organ donor / organ donor unless they actively register. Others, including Spain, have an opposite system: citizens are automatically registered as organ donors unless they specifically say no. The shortage of organs has been set for illegal organ trafficking in Europe, driven by criminal gangs. Horror stories of rusty knives and infectious death for poor people who sold their bodies have been narrated in the media. Current estimates suggest that the organ trade is modest in Europe. The issue of commercialization of organ trade is politically and ethically heavy.
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