This maintains circulation to vital organs long enough to facilitate organ donation.
Once declared brain dead, further artificial support is futile and is actually an emotional and financial trauma to the family. At this time, a decision for organ donation should be taken at the earliest.
It is said, that over 1.4 lakh road accidents take place each year. About 65% of them sustain brain injuries and can end up brain dead and these are potential organ donors. One person can save upto 7-8 lives if their family members consent for organ donation.
The Govt of India passed the THO Act in the year 1994. Basically what it highlighted was the following:
MOHAN Foundation was started by a group of like-minded and concerned medical and non-medical professionals committed to increasing the reach of the Transplantation of Human Organs Act.
Organ Donation:The Gift of Life Pallavi Kumar, MOHAN Foundation
Why donate organs?You give butlittle when yougive of yourpossessions.It is when yougive of yourselfthat you trulygive.~Kahlil Gibran
“An organ wasted is a life lost”• Over 1 million patients suffer with end-stage organ failure• But only around 3,500 organ transplants are performed annually• At least 10 patients die every day while on waiting list for organs• Every ten minutes, a new name is added to the waiting list
Who can donate• Anyone, at any age• Living Donor (Kidneys/Liver) – Immediate blood relative – Unrelated – Donor consent• Deceased Donor (most organs) – Brain dead – Consent from relatives – No monetary benefit
Brain Death• Severe, irreversible injury to the brain• All areas of brain damaged and all activities stop• Person can’t sustain life on own, even though vital body functions may be maintained artificially
Establishing brain death• Strict guidelines laid down by law• Certified by team of four doctors not connected with the transplant• Tests done at least twice• Only in institutions with appropriate license
Common causes of brain death• Road traffic accidents• Stroke• Brain hemorrhage• Brain tumor
India’s organ needs can be met• > 1.4 lakh people die in road accidents every year (65% brain injuries)• 95,000 potential organs• A donation rate of just 3-5 per million would meet all of India’s present organ needs! (current: 0.08)
3-5 per million is very achievable Donation Rates per million population India 0.08 Tamil Nadu 1.5 Argentina 12 Germany 16 Italy 20 Austria 23 USA 24 France 25 Spain 34
Transplantation of Human Organs Act 1994• Legalised the concept of brain death thereby facilitating organ procurement from heart beating, brain dead donors• Aimed at stopping commercial dealing of organs, especially kidneys• Defined donor types – live/related, live/unrelated and cadaver
Which organs can be donated?NATURAL DEATH Eyes (Cornea)Middle-ear Bones Bones & Tendons Heart ValvesCartilage Veins & ArteriesSkin & Bone MarrowFascia
Which organs can be donated?BRAIN DEATH Eyes (Cornea) Larynx Lungs Heart Liver IntestinesPancreas Kidneys Skin Bone Marrow
Eye Donation can even be done at home • Keep eyes moistOnly cornea & eye-lidsis removed closed • Switch off fans • Keep head slightly raised • Contact nearest Eye Bank
Role of MOHAN Foundation• Create public awareness on deceased organ donation• Create linkages with hospitals so we are notified in case of“brain death”• Train Transplant Coordinators to counsel donor’s family and encourage organ donation• Liaise with government in passing favourable legislations
The MOHAN Foundation impact• Chennai (Rajiv Gandhi Govt General Hospital): – Over 70% success rate (53/81) – 217 organs/tissues retrieved since Feb 2010• Hyderabad: – 723 organs since 2002
The MOHAN Foundation impact• 70% of deceased donations in India due to MOHAN Counseling of families• TN donation rate pushed to 1.5 per million population• In AP from 0 to 0.5 per million• 260 transplant coordinators trained in the last 3 years (requirement over 1500)
What you can do• Pledge your organs• Always carry your Donor Card• Convey your decision to your family members
MYTH: If the family agrees todonation, doctors will not try hard to save the patient FACT: • When you go to a hospital for treatment, doctors focus on saving your life – not somebody else’s. • The Option to donate organs is offered only after the person is medically declared dead. • The doctor in charge of your care has nothing to do with transplantation.
MYTH: Donors family will have to pay more money to the hospitalFACT:After declaration of death, the hospitalbears all expenses of artificiallysupporting the donor.
MYTH: What if I recover from brain death?FACT:• It is impossible to recover from brain death - it is not the same as coma• In fact, people who have agreed to organ donation have additional tests (at no cost to the family) to determine that they are truly brain dead
MYTH: If I donate organs, I willbe born without them in next birthFACT:• Organs are destroyed anyway when you are cremated• The physical body does not survive death, so the organs hold no relevance even if you believe in rebirth
MYTH: Religions forbid organ donation and transplantationFACT:• All major faiths support organ donation as a humanitarian act• Prominent religious leaders have also endorsed
MYTH: Organ donation mutilates the bodyFACT:• Donated organs are removed surgically, which doesnt disfigure the body• Also since the donor’s body is clothed for cremation, there are no visible signs of donation