Organ donation awareness

indian scenario

1. ORGAN DONATION
AWARENESS

2. What we do for ourselves will die with
us…….What we do for others remain
immortal!!!!!!

3. NOT AN UNCOMMON
SIGHT…..

4. OUTCOME
COMMON UNFORTUNATE
OUTCOME
OUTCOME CAN BE
CHANGED

5. WORLDWIDE SCENARIO

8. WHY INDIA NEEDS TO DONATE
ORGANS?
Thereisawidegapbetweenpatientswhoneedtransplantsandtheorgans
thatareavailableinIndia.
Anestimatedaround1.8lakhpersonssufferfromrenalfailureeveryyear,
howeverthenumberofrenaltransplantsdoneisaround6000only.
Anestimated2lacpatientsdieofliverfailureorlivercancerannuallyin
India,about10-15%ofwhichcanbesavedwithatimelylivertransplant.
Henceabout25-30thousandlivertransplantsareneededannuallyinIndia
butonlyabout1500arebeingperformed.
Similarlyabout50000personssufferfromHeartfailuresannuallybutonly
about10to15hearttransplantsareperformedeveryyearinIndia.
IncaseofCornea,about25000transplantsaredoneeveryyearagainsta
requirementof1lakh.

9. WHY INDIA NEEDS TO DONATE
ORGANS?
Annually1.6lakhpeopledieduetoRoadTrafficAccidents.
67%deathoccursusuallyduetoBrainstemdeath.
Itmeansthatthereare93000potentialorgandonorsevery
year.
Butinreality,only0.05peopledonatetheirorgansper1lakh
population.
TherateoforgandonationishighestinSpain(35per1lakh
population)
InIndia,Tamilnaduranksfirstamongallstates.

11. HISTORY

12. TRANSPLANT SCENARIO IN
INDIA
source: NOTTO

13. TRANSPLANT SCENARIO IN
INDIA
source: NOTTO

14. SOURCE: https://www.mohanfoundation.org/organ-donation-
transplant-resources/organ-donation-in-india.asp

15. STATE WISE SCENARIO
ODR-ORGAN DONATION RATE(PER MILLION POPULATION )

16. WHY SHOULD WE DONATE ?
Peopletrulyneedtheselife-savinggifts.
It'sFREEtoregisteranddonateyourorgansandtissues.
Youmightneverknowwhenyouoryourlovedone
mightenduponthewaitinglist.
Youcangivepeopletheabilitytobemobile.
Youcangivelife,evenindeath

17. REGISTRY
Indiantransplantregistrystartedintheyear2005bytheeffortsoftheIndian
SocietyofOrganTransplantationandprovidesafaircollationandreflectionofdata
ofparticipatingcenterontrend,state,andgenderrelatedinformationofkidney
andlivertransplant.
NPCBprovidesfundstostates/NGOsforcornealdiseasemanagement,training,
developmentofeye-banks/eyedonationcenter,andsalarycomponentofgrief(eye)
counselor,hencethereiscentralcollationofdatarelatedtocornealdonation.
Therewere400eyebanksinIndiaatonepointoftime;however,dueto
non-donationofcorneas/eyesafterdeath,significantproportionhave
becomenonfunctionalwithonly250atpresent.
Approximately200transplantcentersinthecountrymostlyledbyprivate
playersandNGOs.

18. LEGISLATION AND RULES
TransplantationofHumanOrganBillwasintroducedinthe
LokSabhaon20
th
August1992.TransplantationofHuman
OrganAct(THOA)waspassedin1994.
Thisistheprimarylegislationrelatedtoorgandonation
andtransplantationinIndia.
TheamendmenttotheActwaspassedbytheparliamentin
2011,andtheruleswerenotifiedin2014asthe
TransplantationofHumanOrgansandTissueRules–2014

19. THE MAIN PROVISIONS OF THE ACT
(INCLUDING THE AMENDMENTS
AND RULES OF 2014)
A.Braindeathidentifiedasaformofdeath.(Form10)
B.Allowstransplantationfromlivingdonorsandcadavers.
C.Regulatoryandadvisorybodiesformonitoringtransplantation
activityandtheirconstitutiondefined.
D.Livingdonors-nearrelativeoranon-relateddonor.
E.SwapTransplantation:
F.Authorizationfororgandonationafterbraindeath

20. G.OrganretrievalpermittedfromanyhospitalwithICUfacility
onceregisteredwiththeappropriateauthority
H.Costbornebytherecipient,institution,government,NGOor
society,andnotbythedonorfamily.
I.Procedureinmedico-legalcasesdefinedtoavoidjeopardizing
determinationofcauseofdeath&delayinretrievaloforgans
J.Manpower&facilitiesrequiredforregistrationastransplant
centreoutlined
K.infrastructure,equipmentrequirements&guidelines&std
operatingproceduresfortissuebanksoutlined

21. L.Qualificationoftransplantsurgeons,cornea&tissueretrieval
techniciansdefined
M.Appointmentoftransplantcoordinators–mandatory
N.NGO,registeredsocieties,trusts–requireregistration
O.NOTTO,ROTTO &SOTTOestablished,functionsclearly
stated
P.registryofdonorsandrecipientsmaintained
Q.Penaltiesforremovaloforganwithoutauthority,payment
forsupplyingorcontraveningprovisionsofactstringent

23. PROBLEMS IN PROMOTING
ORGAN DONATION
Religiousmyths
ProfessionalIgnorance
Apathytothecause
Shy/afraidofdiscussingdonation
Don’tknow–whattodo????
Scaredofbadreputation
Fearoflitigation
Poorcommunication

24. WHAT CAN BE HARVESTED?
ORGAN
LIVER
KIDNEY
HEART
INTESTINE
LUNG
PANCREAS
TISSUE
CORNEA
BONE
SKIN
HEART VALVE
BLOOD VESSELS
NERVES
TENDON

25. TYPES OF ORGAN DONATION
LIVING DONOR ORAGN
DONATION
Apersonduringhislifecandonateone
kidney(theotherkidneyiscapableof
maintainingthebodyfunctionsadequately
forthedonor),aportionofpancreas(half
ofthepancreasisadequateforsustaining
pancreaticfunctions)andapartoftheliver
(thesegmentsofliverwillregenerateafter
aperiodoftimeinbothrecipientand
donor).
DECEASED DONOR ORGAN
DONATION
Apersoncandonatemultipleorgan
andtissuesafter(brain-stem/cardiac)
death.His/herorgancontinuestolive
inanotherperson’sbody

27. ANY AGE LIMIT FOR ORGAN
DONATION?
Age limit for Organ Donation varies, depending upon whether it is
living donation or cadaver donation; for example in living donation,
person should be above 18 year of age, and for most of the organs
deciding factor is the person’s physical condition and not the age.
Specialist healthcare professionals decide which organs are suitable
case to case.
Organs and tissue from people in their 70s and 80s have been
transplanted successfully all over the world.
In the case of tissues and eyes, age usually does not matter.

28. ANY AGE LIMIT FOR ORGAN
DONATION?
A deceased donor can generally donate the Organs & Tissues with the
age limit of:
Kidneys, liver: up-to 70 years
Heart, lungs: up-to 50 years
Pancreas, Intestine: up-to 60-65 years
Corneas, skin: up-to 100 years
Heart valves: up-to 50 years
Bone:up-to 70 years

29. HOW CAN YOU BE A DONOR?
Youcanbeadonorbyexpressingyourwishintheauthorized
organandtissuedonationform(Form-7AsperTHOA).
Youmaypledgetodonateyourorgansbysigningupwithour
websitewww.notto.nic.inandregisteryourselfasdonororfor
offlineregistrationyoumaydownloadForm7fromourwebsite.
Youarerequestedtofilltheform7andsendsignedcopyto
NOTTOatbelowmentionedaddress:
NATIONALORGANANDTISSUETRANSPLANTORGANISATION
4thFloor,NIOPBuilding,SafdarjungHospitalCampus,NewDelhi-110029

31. ONGOING EFFORTS
FOR CIRCUMVENTING
THE PROBLEMS
MOHAN (Multi-OrganHarvestingandNetworking)
foundationisaphilanthropicnon-governmentalorganisationbasedin
southIndia,whichworkstoimproveorgandonationand
transplantationrate.
Itisthefirstorganisationtopromotedeceasedorgandonationandhas
beeninexistencesince1997.
ItisalsothefirstorganisationinIndiatodevelopthesystemoforgan
sharingsysteminIndiain2000byestablishingtheIndianNetworkfor
OrganSharing(INOS)

32. CAN I BE A DONOR WITH
EXISTING MEDICAL CONDITION?
Yes,inmostcircumstancesyoucanbeadonor.Havingamedical
conditiondoesnotnecessarilypreventapersonfrombecoming
anorganortissuedonor.Thedecisionaboutwhethersomeor
allorgansortissuearesuitablefortransplantismadebya
healthcareprofessional,takingintoaccountyourmedicalhistory.
Inveryrarecases,theorgansofdonorswithHIVorhepatitis-C
havebeenusedtohelpotherswiththesameconditions.Thisis
onlyevercarriedoutwhenbothpartieshavethecondition.All
donorshaverigorouscheckstoguardagainstinfection

34. GREEN CORRIDORS CONCEPT
Greencorridorreferstoaspecial
roadroutethatfacilitatesthe
transportationofharvestedorgans
meantfortransplantationtothe
desiredhospitals.
Thestreetsignalsaremanually
operatedtoavoidstoppageatred
lightsandtodivertthetrafficto
ensurearapidtransportationofthe
desiredorgan.

40. FOR ANY FURTHER
INFORAMTION ON ORGAN
DONATION …….
www. notto.gov.in
www.mohanfoundation.org

42. SOME GREATER SAYING….