MESOTnewsIt is my privilege and pleasure to welcome alltransplantologists and members of the affiliated fields to the12th Congress of Middle East Society of OrganTransplantation in 2010 in the charming city of Tunis.

The objective of MESOT Congress is to enhance transplantactivities in the region. There is a great need for cooperationin all spheres and we have to pursue all efforts towardsincreasing transplantation because the options and the cost

of treatment of end stage organ failure are limited and costly. For this,cooperation between centres is imperative. Sharing of data through registry aswell as clinical problems through regional publications are the need of the hour.Training of manpower is the other challenge that can only be met through jointefforts. There is no dearth of technical expertise in organ transplantation, be itkidneys, liver or bone marrow. The time has now come that regions with morefacilities should step ahead and helps to train the less developed ones. MESOTFellowship programme is such a step to achieve this goal.

A concerted effort by all especially the countries that have had successfuldeceased donor programmes can help those centres which are without thebenefit of multi-organ cadaver transplants. This is yet another avenue forcooperation which can yield great benefits for thousands of patients in theregion. To achieve this goal the organ transplant procurement network will haveto be developed in all affiliated countries.

The 12th MESOT Congress will bring together a large number of regionalspeakers and experts in the field of organ transplantation in Tunisia. Along withacquiring the latest knowledge, the warm friendliness of the people of Tunisia,will provide an opportunity for the delegates to see hospitable land of colors andcontrasts, spices and scents and to enjoy its natural beauty and lively festivals.

Dr. S. A. Anwar Naqvi

On behalf of the local organizing committee, it is mypleasure and a great honour to welcome you to attend the12th Congress of the Middle East Society for OrganTransplantation (MESOT).

For the second time this very special event will take placein Tunisia, from October 18th to 21st, 2010, with theparticipation of distinguished outstanding internationalexperts.

The scientific committee has planned an exciting scientificprogram with plenary sessions, focused refresher courses, free communicationsand poster presentations which will all cover the main topics in the field oftransplantation. We are certain that this event will give colleagues who areactive, or those who are interested, the opportunity to be updated in all thesectors of transplantation, and to share their clinical experiences.

The local organizing committee is very proud to host this scientific event here inTunis, the capital of Tunisia. The social committee is going all out to offer anenticing program, allowing you to discover the charm and the rich culturalheritage of Tunisia, land of hospitality and tolerance.

Dr. Taieb Ben Abdallah

MESOT President welcome message

Congress President welcome message

The 12th Congress of the Middle EastSociety for Organ Transplantation

Tunis, 18 -21 October 2010Karthago le Palace Hotel (Gammarth)

M I D D L E E A S T S O C I E T Y F O R O R G A N T R A N S P L A N T A T I O N

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The world Celebrated on March 12, 2009 the FourthWorld kidney day under the umbrella of theInternational Society Of Nephrology (ISN) and the

International Federation Of Kidney Foundations (IFKF),where the Kingdom participated in the representativestatus of the Saudi center for Organ Transplantation andthe Saudi Society of Nephrology (SSN) through a varietyof activities to raise the level of health awareness of kidneydiseases.

The Saudi Center for Organ Transplantation’s mediacampaign included preparation of brochures and posterswhich were distributed to all the hospitals in the Kingdom,

SCOT also held open day in many

health institutions and hospitals and delivering of manylectures to ensure awareness about kidney diseases ■

Prof. Haberal is the founding President of the Middle EastSociety for Organ Transplantation which has now evolvedas the leading Transplantation Society of the Middle Eastand Asian region. He has continuously nurtured andsupported the Society and has guided the affairs ofMESOT till this unfortunate event. For his outstandingcontribution he was elected to the Executive Council of theInternational Transplantation Society from Middle East andAfrican Regions.

In Turkey he has organized an excellent system ofproviding medical care to the sick and along with his team

of dedicated workers,has saved thousandsof lives.

As a physician who never stepped out of the bounds ofethical practice in organ transplantation, Dr. Haberal puthis full energy into the prevention of organ trade in not onlyTurkey but throughout the world.

On Friday April 17 it was announced that Dr. Haberal alongwith 7 other scientists and university presidents wereplaced under arrest. After 18 months Prof. Haberal stillremains incarcerated ■

Professor Jeremy Chapman commends the achievementsof the Saudi Center for Organ Transplantation (SCOT)

Professor Haberal still remainsincarcerated

The Saudi Center for Organ Transplantation in Mayhosted global physician Professor Jeremy Chapman,President of the Transplantation Society (TTS) to identify

the regulatory actions of the programs of organ donation andtransplantation, as well as the various activities of the Centre.

Dr. Jeremy spoke highly of the achievements of Kingdom inthe field of organ transplantation and advances achieved bythe program until the kingdom became one of the leadingcountries in this field ■

WORLD KIDNEY DAY

The kingdom of Saudi Arabia keens to be one of the firstcountries to cope with organizing the World Day for organdonation and transplantation, which falls on October 4, 2009,

according to its privileged place in the Arab World and Islamic Worldin general. The Centre organized an awareness exhibition in theactivities of the 5th world day for organ donation and transplantationin Riyadh mall to highlight the great efforts being made to serve thepatients with organ failure to stimulate all classes of society toparticipate in the program and understand the center's mission insupervising organ transplant programs in the Kingdom to achievebetter services for patients. ■

World Day for

Organ Donation andTransplantation

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Dr. Jeremy Chapman with Dr. Faissal Shaheen

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The first Joint Conference of MedicalSocieties and Hospitals in Pakistan,for the Establishment of a

Deceased Donor TransplantationProgramme was organized by theTransplantation Society of Pakistan(TSP) and Sindh Institute of Urology andTransplantation (SIUT). The objective ofthis unique conference was to achievenational self sufficiency in organtransplantation by pooling resources andincreasing availability of organs and topromote multi-organ transplantation tosave over 50,000 patients each year. Theconference was inaugurated by Dr. JafarNaqvi, Life Patron of Pakistan Society ofNephrology and attended by

representatives of the Medical Societiesrelated to transplantable organs, whoexpressed their views throughdeliberations. In Pakistan an estimated50,000 people die annually due to EndOrgan Failure. These include 16000kidney failure, 10000 liver failure and6000 heart failure patients.

To initiate the Deceased DonorProgramme, the first step is to raiseawareness among the medical personneland the general public.

Deliberations were made by seniorspecialists from all over the country inthe fields of cardiology, Liver and LungDiseases, Ophthalmology and KidneyDiseases, Care of the Brain dead patient

and the final diagnosis lies in the domainof Anesthesiology and Neurology Seniordoctors from these fields addressed thesubject to elaborate on this aspect ofmanaging the deceased donor.

The last session addressed the role ofthe society and promoting education ondeceased organ donation. Contributionof the print and electronic media on thisaspect was also highlighted andappreciated.

This conference will bring to reality asuccessful deceased donor programmein Pakistan with joint efforts of theprofessionals and the members of thesociety ■

Organ Transplantation Law in Pakistan

The bill on transplantation was

introduced in the parliament about 15

years ago in the early 90’s. It remained

dormant for the first decade in different

select specialist committees from

government to government mainly due

to non acceptance of transplantation by

the society as a mode of therapy due

to social, cultural and religious issues.

Shortage of donors due to absence of

a deceased donor programme and

rapidly developing expertise lead to

unrelated commercial transplants in the

private sector. By the year 2005,

Pakistan became the largest Center of

Transplant Tourism in the world where

1500 foreigners received renal

transplants in private sector hospitals.

SIUT initiated a campaign against

organ sale and transplant tourism. The

whole society was galvanized including

media, judiciary, clergy, medical

profession and beaurocracy and took

support of the international bodies

World Health Organization (WHO) and

The Transplantation Society (TTS).

Seminars and conferences were held

to highlight exploitation and neglect of

the kidney vendors. This lead to judicial

activation with suo motto notice from

the Supreme Court of Pakistan. Which

finally pressurized the government to

promulgate “The Transplantation of

Human Tissues and Organs Ordinance

2007” in November 2007.

In March 2010 the President ofPakistan signed the bill for organtransplantation and it became the partof the constitution of Pakistan. The billmade history as it was passedunanimously by the two houses oflegislature, the National Assembly andthe Senate ■

President of Pakistan signing the transplant bill at Aiwan-e-Sadar, Islamabad

First Joint Conference of Medical Societies and Hospitals in Pakistan for the establishment of a Deceased Donor Transplantation Program

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Transplantation was started in Iranaround two decades ago in 1967.The first kidney transplant was

performed in Namazee hospital, Shiraz.unfortunately, this valuablecommencement was not so successfuland after very few cases, was stopped.Renal transplantation was restarted inTehran in 1985 and Shiraz kidneyprogram resumed in 1988. Within a fewyears, Shiraz witnessed some hugesteps toward transplantation for otherorgans, since the first liver and heartwere transplanted in 1993 in thiscenter. The religious permission(Fatwa) of Shiite clergies on braindeath issue had substantial effect tothis progress, while the parliamentdelayed to pass this significant law formore than a decade. Liver transplantprogram was started in 1993 in order to

organize the process of organdonation. This process includes ICU,emergencies and neurosurgical wardsnurses, neurologists, neurosurgeonsand anesthetists throughout Fars andother seven provinces in the southernIran.

In 1999, the south of Iran network fororgan donation was established andthe percentage of consent from thedeceases donor increased dramatically.Iranian network for Transplant OrganProcurement (TOP)) was founded in2002 in Tehran. In 1997, the first livingdonor liver transplantation wasaccomplished on a 4-year old child whosuffered from cirrhosis due to neonatalhepatitis. The first right lobe livertransplantation was carried out in 2002.In this operation, right lobe from a

father was transplanted to his 13 yearsold son who had cirrhosis due toWilson disease. Shiraz initiated intraabdominal organ transplantationfellowship program in 2005. Livertransplantation with technique of Exsitu splitting was started in 2004 andthe first In situ liver transplantation wasperformed in 2006. In the same year,the first pancreas was transplanted.Since then, 73 patients have beenreceived pancreas. In 2010, the firstmultivisceral organ transplantation(stomach, pancreas and small bowel)was done

There are over 20 and over 25000kidney transplantations have beenperformed in the last 30 years. Donortrends show that 20% are nowdeceased donors ■

The National Organization for Organ and Tissue Donation andTransplantation (NOOTDT) organized an Intermediate Training Coursein Transplant Coordination in Shtoura, Lebanon. The course wasmanaged by the Spanish Transplant Procurement Management (TPM)with over 30 participants from several Lebanese hospitals, includingnurses, intensivists, emergency physicians and coordinators. Therewere also two coordinators participating from Kuwait.

The course addressed important issues related to living and deceaseddonors including donor detection, identification and management;brain death, organ viability and selection, family approach and multi-organ retrieval. The course also included group workshops on braindeath, donor management and family interview with participantssimulating various scenarios when approaching families for consent ■

Organ Transplantation in Iran

Lebanon TPM Training Course in Transplant Coordination

National Organization of Organ Donation and Transplantation (NOODT)

Recently in Lebanon the nationalorganization of organ and tissuedonation and transplantation

(NOOTDT) was formed by a decreefrom Minster of health. It is headed bythe minister of health and the vicechairman is Dr Antoine Stephan andthe organization responsibilities arethe waiting list, supervise all organdonation and transplantation,education program and transplantregistry.

The waiting list has been activatedand a joint program with the Spanish

organ donation program started onSeptember 29th 2009 to help theorganization in its activities. Trainingfor transplant coordinators is veryactive and two Lebanese are beingtrained by the Spanish group tobecome trainers (this program Trainthe Trainer is supported by TheMediterranean Transplant Network:MTN). Spain is a member of the MTN.the Trainers would then train the localcoordinators. Transplant activity inLebanon shows 40 corneal donorsand one multi organ donor (2 kidneysand 1 liver).

The National transplant registry is nowcollecting all the data and a nationalethic committee (order of Physicians)is being formed to supervise all organdonations. All organ donors should getapproval from the ethic committee(mainly non related) while currently allnon related donations have to beapproved by the ministry of health ■

Dr. Manyalich with course participants

Abu Dhabi Health Services Co. "SEHA" organized a workshop on"Deceased Organ Donation and Transplantation" with participantsfrom UAE and other Gulf countries. The one day workshop whichwas held in Rotana Hotel, Abu Dhabi discussed various aspects ofdeceased donation including legal, ethical and religious aspects,evaluation and selection of donors, family approach and theexperiences of KSA, Kuwait and Qatar. Dr Ali Al Obaidly, ChiefClinical Officer at "SEHA", who organized the workshop alsopresented the steps taken to establish a deceased donor program inthe UAE and a draft of the new law on transplantation whichspecifically promotes deceased donation and fights organ traffickingand commercialism. Dr Abrar Khan, Director of Transplantation andHepatobiliary Surgery at Sheikh Khalifa Medical Center alsopresented the UAE experience in performing 32 kidneytransplantation over the last two years and the preparatory workdone to start a liver transplant program. ■

Workshop on Deceased Donation in the UAE

Laparoscopic donor nephrectomy Fellowship at Shahid Labbafinejad Medical Center

Shahid Labbafinejad MedicalCenter is the largest urologytraining center in Iran offering

fellowships in subspecialties ofurology, including endourology andurolaparoscopy, pediatric urology, andrenal transplantation. This centre hasexcellent training facilities andendourology workload so important forproviding training. The centre has aanimal lab and excellent library facility.

Laparoscopic donor nephrectomy(LDN) is done routinely at the centreand over 1200 LDN has beenperformed so far. Over 50 doctorshave been graduated from this centreand many of them doing LDN indifferent cities of Iran. In 2009 Dr.Shabir Ahmad Sayed OmranAlmousawi from Kuwait has completedhis two year fellowship in Endourologyand Urolaparoscopy under the

supervision of Prof. NasserSimforoosh, Head of the Department.Dr. Almousawi is the first graduatefrom Middle East area and now canperform LDN and other advancedprocedures. Shahid LabbafinejadMedical Center is also moving towardsdeceased donor programme and hasperformed 8 such transplants inSeptember 2010 ■

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The 13th Congress of the Middle East Society forOrgan Transplantation

Abu Dhabi, November 2012

The 13th Congress of the Middle East Society forOrgan Transplantation

Abu Dhabi, November 2012

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Kuwait starts its Liver Transplant Program with an International Conference

Kuwait Reorganizes Organ Procurement to Boost Transplantation from Deceased Donors

The Doha Accord calls for theequitable allocation of organs,cells and tissues for

transplantation, without regard togender, ethnicity, religion, or social orfinancial status of the recipient.

Her Highness Sheikha Mozah Nasseral-Misnad giving her consent to theDoha Donation Accord which outlinesthe government's strategies topromote organ donation. The primaryobjective of transplant policies andprogrammes should be optimalmedical care to promote the health ofboth the donors and recipients.

Financial considerations or materialgain of any party must not overrideprimary consideration for the healthand well-being of donors andrecipients. Financial considerations ormaterial gain of any party must notinfluence the application of relevantallocation rules. It provides for thefelicitation of the act of heroism by alive donor every year by a topgovernment official by granting a

medal of honour inappreciation for theirgift of life.

Among other benefits for the donors,the Doha Accord has provisions for acomprehensive health insurance forlife, life-long free medical care,disability insurance, air tickets,accommodation and a host of otherincentives.

The provisions of Doha DonationAccord are accessible only by"related live donors and recipientsresiding permanently in Qatar"(Qataris and expatriates), and not forvisitors or unrelated donors.

Unrelated living donors in Qatar,whether visitors or residents, Qatarior non-Qatari, are not eligible for theAccord provisions.

The Accord calls for theestablishment of an Organ DonationCommittee which should includeexperts who can assess thepsychological, medical and socialevaluation for each live donor.

As all individuals register forhealthcare at the Hamad MedicalCorporation, there will be anopportunity to register as a deceasedorgan and tissue donor.

"As a result of that donation consent,all nationals and expatriates willreceive equitable access to deceasedorgan and tissue for transplantation."

Counseling and travel support forfamilies will be provided at the time ofthe "deceased organ and tissuedonation".

An Organ Donation Fund will be setup that will cover all the expensesresulting from the implementation ofthese proposals.

The fund will be provided by annualpayments from Hamad MedicalCorporation, Ministry of Health, non-governmental organisations, humanrights organisations and charitydonors ■

As a step towards starting a liver transplant program,Kuwait organized its first Hepato-Pancreato-BiliarySurgery and Transplantation conference in March

2010. Seven well-known figures in the field from USA,Canada, France, Japan, and South Korea were invited togive talks over 3-days. More than 400 participants attendedthe conference and a good number of the participants werefrom the Middle East region. The organizers plan to hostthis conference biannually.

The Amiri Hospital was selected as a location for the futureprogram and as a start a Hepatobiliary unit was establishedand is active since June of this year until all necessaryequipment is available and the teams are ready. As anadjunct the Ministry of Health in Kuwait is reviewing

proposals for collaboration from major Liver Transplantcenters in the world to give a jump-start, train the teams,and help maintain the program until it is able to functionindependently ■

Transplantation from deceased donors is scarce inmost countries in the MESOT area compared to thatin Europe and North America. There are many social,

religious and organizational factors to account for this, butseveral countries in the region have proven that it ispossible to substantially increase organ retrieval fromdeceased donors by building up an efficient system toobtain organs from a large number of potential deceaseddonors.

Kuwait is an example of these countries as it managed toincrease kidney transplantation from deceased donors bytenfold by developing an efficient program in 1996. Thisstarted by training ICU doctors and nurses on identifying

and referring of possible deceased donors and on methodsof approaching families for consent. A transplantcoordinator was also appointed for the first time in Kuwait.

THE DOHA ACCORD

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In 2008, the MESOT launched itsfellowship program which was an initiativeaimed at supporting organ transplantationin the Middle East Region. This programgives the great opportunity to the youngphysicians and surgeons from the MiddleEast region willing to acquire someparticular skills related to various aspectsof organ transplantation. The objective ofthis program is to spread the science oftransplant medicine and to promote andadvance organ transplantation in under-served areas of this region of the worldby helping them to establish localtransplantation programs or to improvean existing program

Today, 2 years after the establishment ofthis program, the members of fellowshipcommittee on behalf of MESOT council ispleased of what it has been achievedduring this period of time. So far 10fellows have been selected for transplanttraining programs and assigned todifferent centers of excellence across the

Middle East and one ofthem has alreadyfinished his training atBaskent University inAnkara and received hiscertificate which is thefirst in our program

In 2010, there are 19eligible applicants forMESOT FellowshipProgram from 7 MiddleEastern countries out ofthem 4 female doctors.7 candidates applied for medical kidneytransplant fellowship, 6 candidatesapplied for surgical kidney transplantfellowship, 5 candidates applied forsurgical liver transplant fellowship, andone candidate applied for medical livertransplant fellowship

Lastly, ISMETT which is a well knowntransplant center in Palermo - Italy, hasapplied to MESOT to become one of theapproved training centers of MESOT

Fellowship Program. Although Italy is notpart of the Middle East from thegeographical point of view, but given thedivert transplant services provided in thiscenter (kidney, liver, heart, lung,pancreas, islet cells, hepatic hepatocytes)and given the fact that it is a neighboringcountry to the Middle East, the lastMESOT council meeting held inVancouver in August has approved thiscenter to train fellows from the MESOTFellowship Program ■

Events

Name Nationality Specialty Fellowship Center

Sherif Salah Azab Egypt Urology Surgical Kidney Mansoura

Ahmed Mahmoud El-Mahmoudy Egypt Nephrology Medical Kidney Mansoura

Mohamed Mourad Gargouri Tunisia Urology Surgical Kidney Baskent

Salah Alahmad Syria Urology Surgical Kidney Shiraz

Manar Bushra Abdalla Sudan General Surgery Surgical Kidney Mansoura

Mohamed Hamed Al Neel Sudan General Surgery Surgical Kidney SIUT

Syed Haider Mehdi Pakistan General Surgery Surgical liver Shiraz

Zafar Iqbal Pakistan General Surgery Surgical Kidney SIUT

Ahmad Alwazna KSA Nephrology Medical Kidney Mansoura

Kiran Nasir Pakistan Nephrology Medical Kidney Riyadh

Dr. Ahmad Khalid (MESOT Fellow) from Afghanistan in Shiraz

The experience since 1996 showedclearly that the number of donorsdepended on the efficiency and qualityof the transplant coordinator. Over thelast two years Kuwait experienced adecline in the number of consented andutilized donors due to lack of activecoordinators.

The Ministry of Health recentlyreorganized Organ Procurement Unit atHamed Al-Essa Organ TransplantCenter, which is the only transplantcenter serving the small population ofKuwait.

The new unit headed by Dr Mustafa Al-Mousawi started its work by adopting theSpanish Model in appointing localtransplant coordinators in each majorhospital in Kuwait. These coordinatorsare doctors and nurses already working

in hospital ICUs and will be paid extra forworking as coordinators in addition totheir job. Each coordinator is instructedto report any case of possible braindeath as early as possible especiallywhen patient is admitted with severebrain injury or intracranial hemorrhage.

Once a case is reported, usually by aphone call or SMS message, a cascadeof events are arranged by KOP (KuwaitOrgan Procurement unit) which includescontacting neurologists to test for braindeath, donor maintenance, contactingthe family to explain brain death whenconfirmed and to ask for consent. Whenconsent is obtained arrangements aremade with donor hospital for organ andtissue harvesting. In addition to kidneys,the ophthalmologists are involved inretrieving the corneas and the plastic

surgeons in taking skin from the donor.The Saudi Center for OrganTransplantation (SCOT) is also contactedfor participating and retrieving organswhich are not used in Kuwait, such asthe liver, heart and lungs.

This new system has been in effectsince July 2010 and so far it seems to beworking well. The referral rate has beengreatly improved as every potential caseis referred in addition to receiving reportson all deaths in every major ICU to makesure that no case is missed.

The next step is to train the coordinatorsin donor maintenance and methods ofapproaching families for consent. This isbeing organized with help from theMiddle East Transplant CoordinatorsOrganization (METCO) before the end ofthe year ■

Latest developments of MESOT Fellowship Program

Selected Fellows for 2011 MESOT Fellowship Program

Kuwait Reorganizes Organ Procurement to ................ Continued from page 6

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Iran performs 1st islet cell transplant

First time in the Middle East,Iranian researchers havesucceeded in transplanting

pancreatic islet cells to diabetics,making them free from insulin injection."During the past 50 years, a greatrevolution has been noted in thetreatment of diabetes. New types ofdrugs and insulin have reportedpromising results in controlling thecrippling disease, neither of them,however, have succeeded in completelycuring the sufferers," said Dr. BaqerLarijani, the head of the researcherteam and the dean of Tehran Universityof Medical Sciences. He went on to saythat Iranian scientists have recently

performed many innovations, includingtransplanting stem cells, to treatdiabetic patients. Transplanting thepancreatic cells responsible forproducing insulin is their latest advance.In the novel technique, pancreatic cellswere extracted from a brain deadindividual and thereafter weretransplanted to a diabetic after theywere purified through a complextechnique. "After doing years ofresearch on animal samples, we haveperformed the operation for the firsttime in our country," said Larijani,stressing that Iran is the first country inthe region that has done so ■

Egypt's Parliament votedoverwhelmingly to pass regulationson organ transplants in the country.

It ends months-long controversy over abill aimed at curbing illegal trafficking andtourism that has arisen from organdealing.

According to the law passed, Egypt hasbanned commercial trade in organs andbarred Egyptians and foreigners fromtransplants with each other, except incases of spouses.

The government will now finance allorgan transplants in government-runhospitals.

The passing of the bill comes only weeksafter the United Nations Office for theCoordination of Humanitarian Affairs saidearlier this month that hundreds andpossibly thousands of poor Egyptians areselling their organs, mainly kidneys andliver, each year to pay off their debts andbuy food, making Egypt the center for theillicit organ trade, confirming what wassaid by the World Health Organization(WHO) said in this regard.

The Regional Director of the WHO in theMiddle East and North Africa, HosseinJazayeri, who considered the ratificationof the law a great step and creates hopefor thousands of patients who have been

waiting a long time for anorgan transplant operation inorder to save their life. Healso said it is an importantstep to face the trafficking oforgans, which usually leadsto surgeries that take placein unsafe conditions and thatcould harm both the donorand the patient ■

MESOT News has been published by Sindh Institute ofUrology and Transplantation (SIUT) on behalf of MiddleEast Society for Organ Transplantation (MESOT). Kindlysend the entries to SIUT Secretariat - Sakina Yousuf

Sindh Institute of Urology and Transplantation (SIUT),Karachi-74200, Pakistan.Tel: (92-21) 9921-5752 and 9921-5718Fax: (92-21) 9921-5469 and 9921-5362E-Mail: info@siut.org, Website:http://www.siut.org

MESOT Officers

PresidentS. A. Anwar Naqvi (Pakistan)

President-ElectMarwan M Masri (Lebanon)

Vice PresidentAntoine Barbari (Lebanon)

SecretaryBassam Saeed (Syria)

TreasurerHamdi Karakayali (Turkey)

CouncilorsNurhan Ozdemir (Turkey)Nasser Simforoosh (Iran)Adnan Alfey (Saudi Arabia)M. Adel Baker (Egypt)Abderrahim Ezzedine (Tunisia) Abdel Hadi Al- Breizat (Jordan)Rania Dirani (Syria)Altaf Hashmi (Pakistan)Ibrahim El Nono (Yemen)

Past PresidentsMehmet A Haberal (1988 - 1990) TurkeyGeorge M Abouna (1990 - 1992) KuwaitIradj Fazel (1992 - 1994) IranAziz El-Matri (1994 - 1996) TunisiaNevzat Bilgin (1996 - 1998) TurkeyAhad Ghods (1998 - 2000) IranS. Adibul Hasan Rizvi (2000 - 2002) PakistanAntoine Stephan (2002 - 2004) LebanonFaissal Shaheen (2004 - 2006) Saudi Arabia Mustafa Al Mousawi(2006 - 2008) Kuwait

Egypt passes new organ transplant law

Karachi Istanbul Damascus Istanbul Tunis

Two different bookings and routing.Two seats next to each other - beyondthe laws of probablity !

The MESOT new website is designed to be fullyinteractive, to have online membership application,Fellowship Program application, dues payment, andaccess to the membership directory.

Dr. Anwar Naqvi and Dr. Bassam Saeed en route Damascus