Pointing to reports of alleged commercial dealings in organ transplants involving foreign citizens, the Union Health ministry has directed state authorities to investigate such cases and take appropriate action for violations, if any.
The Centre has directed the states to ensure that a NOTTO (National Organ and Tissue Transplantation Organisation) ID is generated for the donor and recipient for living-donor as well as deceased-donor transplants. “Besides NOTTO-ID being mandatory for considering allocation of organ in case of deceased-donor transplant, this ID in case of a living-donor transplant shall also be generated at the earliest, maximum within 48 hours after the transplant surgery is done,” the Director General of Health Services (DGHS) wrote to the states.
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Organs of the deceased donor are anonymously allocated to people waiting for a transplant, while an organ can be donated by a living person only if they (donor and recipient) are close relatives or share a close bond and want to donate altruistically. Commercial trading of organs is not allowed under Indian laws.
Sources said that letter comes after two successive organ transplant cases involving foreign nationals came to the fore in which regulations were violated. In Rajasthan, fake NoCs were allegedly issued to Bangladeshi nationals, and in Delhi, poor Myanmar nationals were allegedly paid to donate kidneys.
The DGHS has asked the state governments to devise a system for regular inspection of all transplant and retrieval centres. “…so as to have an onsite monitoring of their activities, quality of transplantation, post-operative follow up of donors and recipients, and outcomes of transplantation,” DGHS Prof Atul Goel wrote to the states.
The letter states that the NOTTO registry data shows that there has been an increase in the number of transplants in foreign nationals. “While it is encouraging to see an increasing number of foreign nationals choosing India as their destination for getting a transplant — India offers worldclass transplantation at a fraction of the cost as compared to several Western countries. However, we have to ensure that when they do come to India to get a transplant, they follow the laws of the land. There cannot be any commercial trading of organs if they are getting the transplant in India because the Indian law does not permit that,” said an official in know of the matter.
Earlier, after the case involving Myanmar nationals came to light, the Union health secretary had urged the foreign secretary to sensitise the embassies as they are required to issue a certificate to their respective citizens, stating that the donor and recipient are related to each other for undergoing transplant in India.
Anonna Dutt is a Principal Correspondent who writes primarily on health at the Indian Express. She reports on myriad topics ranging from the growing burden of non-communicable diseases such as diabetes and hypertension to the problems with pervasive infectious conditions. She reported on the government’s management of the Covid-19 pandemic and closely followed the vaccination programme.
Her stories have resulted in the city government investing in high-end tests for the poor and acknowledging errors in their official reports.
Dutt also takes a keen interest in the country’s space programme and has written on key missions like Chandrayaan 2 and 3, Aditya L1, and Gaganyaan.
She was among the first batch of eleven media fellows with RBM Partnership to End Malaria. She was also selected to participate in the short-term programme on early childhood reporting at Columbia University’s Dart Centre. Dutt has a Bachelor’s Degree from the Symbiosis Institute of Media and Communication, Pune and a PG Diploma from the Asian College of Journalism, Chennai. She started her reporting career with the Hindustan Times.
When not at work, she tries to appease the Duolingo owl with her French skills and sometimes takes to the dance floor. ... Read More