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The problem of organ donation
Importance of organ donation
The problem of organ donation
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Introduction
The worldwide demand for cells, tissues and organs for transplantation far exceeds supply. People are dying while on waiting lists for transplants. Several ways to provide more donor tissue and save lives are being investigated including changing donation systems and legislation, sourcing tissue from animals and stem cell therapies (The University of Waikato, 2011).
Each country has its own organ donation system, rules and regulations. Some systems may result in more donors than others, but ultimately, donation rates are strongly influenced by peoples’ cultural, spiritual and religious views (The University of Waikato, 2011).
Transplanting living cells, tissues or organs from animals to humans could solve the donation shortfall
For example, human skin cells grown outside the body on a layer of nonhuman cells and then used in humans for skin reconstruction can also be considered a xenotransplantation product (medscape, 2014). This latter category of procedures was included in the definition because scientists believe that the potential for transmission of an infectious disease with such a procedure may be similar to that of implanting live nonhuman animal cells, tissues, or organs directly into a human recipient (medscape,
The human body doesn’t like things that are unfamiliar to it. That’s why blood transfusions must match blood types and direct organ donor matches have to be made. Because animal cells are distinctly different from human cells, the risks of having a transplant rejected are quite high if an entire animal organ is used.
There are also ethical issues when dealing with xenotransplantation. (Xenotransplantation Pros and Cons, 2014) If you we are using animals to supplement human life, then we are essentially exploiting them for our own needs. Some may see the use of animal organs as just another process of the food production industry. After all, many humans eat animals every day. Growing animals just to harvest their organs and not harvest their meat, however, would be a debate that society would need to hold (Xenotransplantation Pros and Cons, 2014).
There are longevity issues to consider. Although some animals outlive humans, the average animal has a much shorter lifespan. Because of this, their tissues and organs also have a natural lifespan that will be shorter than what humans may need of it. This would require patients to undergo several procedures in order to maintain a high standard of health. (Xenotransplantation Pros and Cons,
Many ailments can be cured or at least ameliorated by the replacement of an organ and the progression of medical science has increasingly allowed more types of organs to be successfully transplanted. Doctors’ ability to transplant is thwarted, however, by the disproportionate number of patients in need of such life-saving treatment relative to the number of donor organs available. Due to a variety of circumstances there just aren’t enough spare organs to go around. In light of this situation and the ever increasing number of people who die every year while waiting for an organ donor, xenotransplantation has become a very attractive alternative to human transplants, for obvious reasons. While there may be a shortage of human organ donors, we can easily envision animals being bred for their organs and providing an almost unlimited supply.
The medical procedure of Xenotransplantation, (transplanting animal organs into humans) has been happening for many years, this medical practice was proceeding mixed results and mixed views regarding the procedure. In the year 1984, a baby girl whom was named Baby Fae by medical staff, became known world wide for the medical procedure she endured. Baby Fae had a potentially fatal heart problem, she was suffering from Hypoplastic left heart syndrome which is a fatal disease if not treated by surgery, (Time Magazine, 1984). The only way to save her was to replace her failing heart with a healthy seven month old baboon heart. The medical professionals that were working on Baby Fae were excited to be able to perform this Xenotransplantation on the infant. After the procedure Baby Fae was acting like any normal healthy infant would. But unfortunately, the replacement heart surgery wasn’t a true success story as the medical staff had hoped. Baby Fae died 20 days after her surgery because her tiny body rejected the baboons heart, which then went on to cause other fatal damage such as kidney...
In “Death’s Waiting List”, Sally Satel presents a strong and compelling argument for the implementation of changes to the organ donation system. The author addresses a shortage of organ donations due to the current donation system in the United States, which puts stipulations on the conditions surrounding the donation. She provides ideas to positively affect the system and increase organ donations.
I believe it is important to first explain what this procedure is about and how safe it is, keeping in mind the fact that four thousand people die each year waiting for human organs. So, what is Xenotransplantation? Xeno means strange or foreign. The term is used to describe a transplant between any two species of animals, including humans. Xenotransplantation usually refers to a procedure in which an organ, such as kidney or liver or live cells (such as brain cells) from a healthy animal are grafted or transplanted into a human patient. The transplanted materials are called xenotransplants or xenografts. Plus, there are certain kinds of xenotransplants which are not true transplants at all, because the animal organ or cells stay outside the patient’s body. These are called extra-corporeal (or outside the bod...
Carlstrom, Charles T., and Christy D. Rollow. "Organ Transplant Shortages: A Matter Of Life And Death." USA Today Magazine 128.2654 (1999): 50. Academic Search Premier. Web. 29 Oct. 2016.
In the world we’re living in today, many kinds of diseases, infections, and viruses are continuously arising. At the same time, scientists are untiringly researching about how we can prevent or cure them. Unfortunately, millions of people have been affected and sick that some of their organs fail that results to the need of organ replacement. Many people have died because no organs have been available to provide the need of organ replacements. The shortage of organ replacement has been a bioethical issue since then and it seems like no solution has been available. However, due to the studies scientists have been conducting, they found the most possible answer to this issue – Xenotransplantation. It hasn’t become very popular all over the
In America, there are currently 122,198 candidates on the Organ Procurement and Transplantation Network (OPTN) waiting list (“OPTN”). Due to a lack of available organ donors, around 18 waiting list candidates will die every day (“OPTN”). This has prompted the development and investigation of xenotransplantation—the transplantation of animal tissue and organs to potential human candidates. Currently in its early phases of development and study, xenotransplantation is controversial for its high failure rate, with only a few cases successful. This is attributed to the human immune system rejecting those animal donated organs, thereby potentially causing immediate death to the human candidate. On the one hand, pre-clinical trials have broadened the understanding of the human immune system, as well as furthered xenotransplantation research. However, because xenotransplantation has achieved little success, opponents of the procedure argue that it is unethical to continue its practice. It is also important to note that trials often use baboons in place of humans, which presents several variables to be examined before further human trials can begin. Moreover, the potential acquisition of zoonotic infection is a serious risk that cannot be fully determined without the use of human subjects. Thus, not only will xenotransplantation require more extensive study, it will also require hundreds of animal lives, all in an effort to create nothing more than a last resort.
In 1954, the first organ transplant was conducted successfully in the United States. (Clemmons, 2009) Nowadays, the technology of organ transplant has greatly advanced and operations are carried out every day around the world. According to current system, organ sales are strictly prohibited in the United States. (Clemmons, 2009) However, the donor waiting list in the United States has doubled in the last decade and the average waiting time for a kidney is also increasing. (Clemmons, 2009) In the year 2007, over 70,000 patients were on the waiting list for a kidney and nearly 4500 of them died during the waiting period. In contrast to the increasing demand for kidney, organ donation has been in a decrease. (Wolfe, Merion, Roys, & Port, 2009) Even the government puts in great effot to increase donation incentives, the gap between supply and demand of organs still widens. In addition, the technology of therapeutic cloning is still not mature and many obstacles are met by scientists. (Clemmons, 2009) Hence, it is clear that a government regulated kidney market with clear legislation and quality control is the best solution to solve the kidney shortage problem since it improves the lives of both vendors and patients.
The issues surrounding the Baby Fae case raised some important questions concerning medical ethics. Questions were raised regarding human experimentation (especially experimentation in children), risk/benefit ratio, the quality of informed consent, and surrogate decision-making. Primarily, this case showed that new guidelines were needed to regulate radical procedures that offer little hope and high notoriety and recognition of the physician performing them. Dr. Bailey had been doing extensive research for years on xenografts, or cross-species transplantations, yet none of his animal recipients had survived over 6 months.16 His research was neither governmentally funded nor available for peer-review, and Dr. Bailey was even warned by colleagues that his procedure was not ready for human patients. Previous primate xenografts had been tried with humans, but all had been rapidly rejected.
Currently 70,000 Americans are on the organ waiting list and fewer than 20,000 of these people can hope to have their lives saved by human organ transplantation.1 As a result of this shortage, there has been a tremendous demand for research in alternative methods of organ transplantation. Private companies are racing to develop these technologies with an estimated market of six billion dollars.2 Xenotransplantation, or cross-species organ transplantation, appears to be the most likely solution in the near future, and cloned pigs are the main candidates. Pigs and humans have remarkable similarities in physiology, which along with cloning makes pigs strong possibilities for organ donors. A controversial alternative method involves the use of genetically altered headless human beings as organ donors. Although this method may not be developed for some years, scientists are already discussing the necessary technologies. Whether the solution is the cloning of a pig or a human, organ farms may provide us with a solution to our ever-increasing need for donors.
Ethical issues also play a role in the selection of the solutions. Most patients perceive xenotransplantation as an acceptable alternative to transplantation of human organs in life-threatening situations provided the potential benefits outweigh any likely adverse effects on the animals. Xenotransplantation of organs from chimpanzees and baboons has been avoided, because of ethical concerns as chimpanzees are listed as endangered species and the fear of transmission of deadly viruses. Pigs are plentiful, quick to mature, breed well in captivity, have large litters, and have vital organs roughly comparable in size to those of humans. Further there are physiologic similarities between their antibodies to human antibodies, and also since they are already being used in the consumer market, organs have been mainly harvested from pigs. Humans have had prolonged and close contact with pigs, their use for the purpose of xenotransplantation is believed to be less likely to introduce any new infectious agents. Porcine islet cells of Langerhans have been injected into patients with type 1 diabetes mellitus. Porcine skin has been grafted onto burn patients, and pig neuronal cells have been transplanted into patients with Parkinson’s disease and Huntington’s disease.
...ations, other answers: In search of a solution to the organ shortage. Retrieved April 26, 2011, from American Medical News: http://www.ama-assn.org/amednews/2008/10/13/prsa1013.htm
“Transplanting animal organs into humans is feasible.” USA Today. November 1999: 54-55. Gehlsen, Gale M., Ganion, Larry R. and Robert Helfst.
One of the most important and prevalent issues in healthcare discussed nowadays is the concern of the organ donation shortage. As the topic of organ donation shortages continues to be a growing problem, the government and many hospitals are also increasingly trying to find ways to improve the number of organ donations. In the United States alone, at least 6000 patients die each year while on waiting lists for new organs (Petersen & Lippert-Rasmussen, 2011). Although thousands of transplant candidates die from end-stage diseases of vital organs while waiting for a suitable organ, only a fraction of eligible organ donors actually donate. Hence, the stark discrepancy in transplantable organ supply and demand is one of the reasons that exacerbate this organ donation shortage (Parker, Winslade, & Paine, 2002). In the past, many people sought the supply of transplantable organs from cadaver donors. However, when many ethical issues arose about how to determine whether someone is truly dead by either cardiopulmonary or neurological conditions (Tong, 2007), many healthcare professionals and transplant candidates switched their focus on obtaining transplantable organs from living donors instead. As a result, in 2001, the number of living donors surpassed the number of cadaver donors for the first time (Tong, 2007).
Many patients in hospitals are waiting for transplants and many of them are dying because they are not receiving the needed organs. To solve this problem, scientists have been using embryonic stem cells to produce organs or tissues to repair or replace damaged ones (Human Cloning). Skin for burn victims, brain cells for the brain damaged, hearts, lungs, livers, and kidneys can all be produced. By combining the technology of stem cell research and human cloning, it will be possible to produce the needed tissues and organs for patients in desperate need of a transplant (Human Cloning). The waiting list for transplants will become a lot shorter and a lot less people will have to suffer and die just because they are in great need of a transplant....