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Organ transplantation in Arabian Gulf countries: ethical and legal practice and beyond
Forensic Science, Medicine and Pathology ( IF 1.5 ) Pub Date : 2021-08-18 , DOI: 10.1007/s12024-021-00398-6
Najd S. AlSulaiman 1 , Maha A. Alassaf 1 , Dhuha N. Boumarah 1 , Aldana M. Almubireek 1 , Gaeda K. Alkaltham 1 , Ritesh G. Menezes 1
Affiliation  

Almost half a century ago, organ transplantation was introduced to Arabian Gulf countries. The criteria for diagnosing brain death among these countries is relatively similar, in which the main area of discrepancy is the number of physicians required to diagnose and their required specialties. Regarding the organs and tissues allowed for transplantation, they must possess an intrinsic regenerative ability if they are harvested from a living donor to avoid jeopardizing their health. To donate, Arabian Gulf countries follow an opt-in consent system, requiring the donor’s informed consent before organ procurement. Live donors can be related or unrelated to the recipient, although the latter is subjected to variable restrictions among Arabian Gulf countries and prohibition in one of them. This is due to its implication in commercial trade. Furthermore, the Gulf Health Council was established to coordinate different health initiatives and programs between Gulf states, including organ transplantation, in an attempt to improve the health sector of all of its member states. Although organ trafficking is illegal in all Arabian Gulf countries, their penalty systems vary from barring physicians, subjecting them to fines or even imprisonment. As for the attitudes of people towards organ transplantation, the willingness to donate varies among these countries. The rate of organ transplantation remains low. This article aims to cover the history of organ transplantation, brain death diagnosis protocols, organ donation enrollment policies and conditions, as well as the issue of organ trafficking in Arabian Gulf countries.



中文翻译:

阿拉伯海湾国家的器官移植:道德和法律实践及其他

大约半个世纪前,器官移植被引入阿拉伯海湾国家。这些国家脑死亡的诊断标准比较相似,主要差异在于诊断所需的医生数量和所需专业。至于允许移植的器官和组织,如果它们是从活体捐赠者那里获取的,它们必须具有内在的再生能力,以免危害其健康。在捐赠方面,阿拉伯海湾国家遵循选择性同意制度,要求捐赠者在获​​取器官之前获得知情同意。活体捐赠者可以与接受者有亲缘关系或无关,尽管后者在阿拉伯海湾国家之间受到不同的限制,并在其中一个国家受到禁止。这是由于它对商业贸易的影响。此外,海湾卫生委员会的成立是为了协调海湾国家之间的不同卫生倡议和计划,包括器官移植,以期改善其所有成员国的卫生部门。尽管器官贩卖在所有阿拉伯海湾国家都是非法的,但它们的处罚制度各不相同,从禁止医生、罚款甚至监禁不等。至于人们对器官移植的态度,各国捐献意愿不一。器官移植率仍然很低。本文旨在涵盖器官移植的历史、脑死亡诊断协议、器官捐赠登记政策和条件,以及阿拉伯海湾国家的器官贩运问题。

更新日期:2021-08-19
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