Transplantation and Bioethics Kyushu University, Fukuoka, JAPAN, - - PDF document

The 5th Asia Telemedicine Symposium

Transplantation and Bioethics

Kyushu University, Fukuoka, JAPAN, 2011.12.16 (Fri)

Department of Organ Transplantation and Regenerative Medicine, Fujita Health University Atsushi Sugitani, M.D., Ph.D.

Organ transplantation in Asian countries

• Japan-

1,218 7,500 673 3,750 100 1,236 4,897 4,528 12,609 1,055 89 5,000 10,000 15,000 20,000

Thailand Taiwan Singapore Saudi Arabia Philippines P.R. China Pakistan Malaysia Korea Japan Indonesia India Hong Kong Bangladesh

NA NA NA

Kidney Transplant Candidates on the Waiting List

Organ and Tissues (ETCO Journal). Vol.7 No.2. June 2011

2 1 . 1 2 . 4 1 9 . 1 1 8 . 5 1 8 . 4 1 8 . 3 1 7 . 3 1 6 . 3 1 6 . 1 1 6 . 1 1 3 . 8 1 3 . 5 1 3 . 7 1 3 . 1 . 9 9 . 9 9 . 8 . 1 6 . 7 5 . 9 3 . 6 1 . 9 1 . 3 1 .

. 6

. 4 . 1 2 2 . 2 3 . 8 3 3 . 8

10 20 30 40

Spain Belgium Austria Ireland U.S.A. Norway Italy Czech France Cuba Finland Hungary Uruguay Germany Canada Netherlands Denmark UK New Zealand Australia Argentina Brazil Costa Rica

Hong Kong

Venezuela Iran Malaysia

J a p a n

Jordan Philippine

(pmp)

The Number of cadaveric donors per one-million population in the world (2009)

The Number of Kidney Transplantation in Japan

Transplantation Law established Transplantation Law revised

6

Video Presentation

Kidney procurement from the non-heart beating donor (Cadaver)

Organ transplantation in Asian countries

• Korea-

May 14, 2005

Korea Medical Association Congress

2 15 20 45 78 66 97 125 162 64 52 36 68 86 91 141

20 40 60 80 100 120 140 160 180 1991 1994 1997 2000 2003 2006

뇌사장기기증자수(명

The Revisions of the Korean “Organ Transplantation Act” Young-Mo KOO

With the latest revision, brain-dead donation will probably grow.

Non governmental movement :social

Social m ovem ent

governmental movement :National Assembly

Non governmental movement :religion

Trials to increase the organ donation

Song Cheol Kim: Current status of organ transplantation in Korea

Organ transplantation in Asian countries

• China-

The 1st Conference of “Life and Death Concept” in China and Japan (Beijing)

Living donor organ transplantation should be promote in the future?

China Philippine

Over Over-

• sea transplantation (Organ tourism)

sea transplantation (Organ tourism)

Organ Trafficking and Transplant Tourism

International Summit on Transplant Tourism and Organ Trafficking

Istanbul, 30th April – 3rd May 2008

152 professionals from 78 countries 152 professionals from 78 countries

17

• 1. Huge population
• 2. Difference of medical standards due to diversity of cultures, races, and religions
• 3. Specific diseases in Asia, such as thalassemia, chicken flu, SARS, etc
• 4. Little time difference and short distance among countries

Asia

18

Let’s discuss What’s common and What’s different!!

1.

• 1. The current situation of kidney/pancreas

The current situation of kidney/pancreas transplantation in Asia transplantation in Asia 2.

• 2. The history, culture and religion in Asia

The history, culture and religion in Asia 3.

• 3. Bioethics in Asia

Bioethics in Asia 4.

• 4. Medical insurance and medical finance in Asia

Medical insurance and medical finance in Asia 5.

• 5. Legislative problems in Asia

Legislative problems in Asia

Propose a new idea about “Life and Death” which is different from the Western philantorpism or altruism.

High-speed Internet System

20

1000 km 500 km

Tokyo Seoul Beijing Shjanghai Taipei

KJCN

Fukuoka

1500 km

Osaka

Kanazawa Sendai Sapporo Nagano Kochi Nagoya Fukuoka Okinawa Okayama Tsukuba Core network bases Osaka Otemachi NICT Koganei Headquart ers

China: CERNET

Korea: KOREN

Japan: JGNII or SuperSinet

Regional Internet in Korea, China and Japan

2004.7 Cairnes Cairnes Seoul Seoul Sapporo Sapporo 2004.1 Beijing Beijing 2004.12 Taipei Taipei Hawaii Hawaii 2005.1 Tokyo Tokyo Bangkok Bangkok Shanghai Shanghai Singapore Singapore Kuala Lumper Kuala Lumper Hong Hong Kong Kong Adelaide Adelaide Mumbai Mumbai Done Planned Cancer Center Cancer Center N N U U S S Flinder Flinder’ ’s Hosp s Hosp 2004.7 2004.1 2003.2 Christ Christ-

• church

church Manila Manila Philippine Philippine GH GH Jakarta Jakarta U of Indonesia U of Indonesia 2005.11 2005.11 2005.6 Iwate Iwate 2005.7 Yokohama Yokohama 2005.11 Ho Chi Min Ho Chi Min Cho Rai Cho Rai Hosp Hosp Taichung Taichung 2005.11 Hyderabad Hyderabad New Dehli New Dehli SirGanga Ram SirGanga Ram Hospital Hospital Christ Christ Hospital Hospital Chernobyl Chernobyl 2004.10 Fukuoka Fukuoka

22

Taipei Veterans General Hospital Tsinghua University Kyushu University Hospital (Venue) Seoul National University

Pancreas Transplantation Teleconference on 18th March 2005

The 22nd Annual Meeting of Japan Association for Bioethics November 20-21, 2010, Fujita Health University

“Transplantation and Bioethics” Video Presentation

The teleconference between Nagoya, JAPAN and Hanoi, Vietnam

DVTS PC (Reception) DVTS PC (Transmit) Microphone Video Camcorder Display (Receiving image) Analog RGB (D-Sub15) Display (Sending image) Analog-digital video converter 1. 2. 7. 3. 4. HUB / VPN Router IEEE1394 Composite/S-video Audio line (Mono) Analog RGB (D-Sub15) Audio line (Stereo) Speaker 6. 5.

Configuration diagram of DVTS （Fujita Health University) Items list of DVTS configuration （Fujita Health University)

No Company Product 1 Analog-digital video converter Sony Anycast Station AWS-G500 1 2 Microphone Panasonic WA-531 1 3 Video camera Sony BRC-300 (NTSC) 1 4 Cable XLR×1 -> XLR×1 5m 1 5 Cable RCA×1->RCA×1 5m 1 6 Cable IEEE1394 4PIN-6PIN 1 7 Cable RCA×2->RCA×2 5m 1

2011-2-23 Hong-Kong APAN

Hong-Kong Korea Philippine Japan

2011-2-23 Hong-Kong APAN

Hong-Kong Main venue

2011-8-25 India APAN

India Vietnam Japan

• 1. Let’s investigate the factors to affect the ideas

about life and death in Eastern Asia.

• 2. Let’s find out the difference compared to the

Western countries.

• 3. Let’s educate the people for better life and for

mutual understanding.

• 4. Let’s develop a solidality culture as do in the West.
• 5. Let’s propose a “New Bioethics for Organ

Donation” from Eastern Asia to save many patients. Conclusion and Proposal

Education for Medical Students What is “Brain death”? What should we do at “Terminal stage”? What is “Organ donation”? What is “Transplantation”? What shall we do?

2011-5-24 Tele-lecture for Medical students

Fujita Health U

Organ transplantation Brain death Vegetable state

2011-5-24 Tele-lecture for Medical students

Kyushu U

2011-5-24 Tele-lecture for Medical students

Kyushu U

2011-12-3 Case conference by Medical students

Fujita Health U

2011-12-3 Case conference by Medical students

Kyushu U