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MOTO Promoting Organ Donation Dr. Kamaxi Bhate, KEM Hospital Mumbai MCGM’S ORGAN TRANSPLANT ORGANISATION MOTO

Organ Donation (ENGLISH )

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Patient Education Centre, In Community Medicine dept at KEM Hospital established since 2003. Aims to create awareness among the patient, their families & the community about various health problems,Their causation & ways to prevent and treat the diseases. This information enables them become more responsible towards their own health and adopt healthy lifestyles.

Text of Organ Donation (ENGLISH )

  • MOTO Promoting Organ Donation Dr. Kamaxi Bhate, KEM Hospital Mumbai

    MCGMS ORGAN TRANSPLANT

    ORGANISATION

    MOTO

  • THIS IS YOUNG BANK EMPLOYEE

    BOTH KIDNEYS FAILED !

    He can not survive

    without dialysis every

    week .

    He comes for dialysis

    just before going for

    work.

    This man needs

    Kidney!

  • Patient with liver failure

    No medicines will

    work for him.

    After liver Transplant

  • Skin

    transplant

    IN CASE OF BURNS THERE ARE BIG WOUNDS

    SKIN IS REQUIRED FOR SURVIVAL

    Big wound Healed wound

    Healed

    wound

  • DO YOU KNOW THIS ?

    More than ten

    million Indians

    are blind, out of

    that 1/4 th are

    Corneal Blind.

    Of these Corneal

    Blind. 60% are

    children below

    twelve years of

    age!!

  • After natural Death

    Living Person for once own

    relatives or for others

    After Brain Stem Death

    HOW DOES ORGAN DONATION

    TAKE PLACE ?

  • Eyes Skin

    Fascia Bones Ligaments Cartilages Blood Vestals ( Veins and Arteries ) Middle ear Bones

    Organ donation is possible

    Even in case of death at Home

    Which Organs can be donated

    after death

    Mainly Donated In Our Country

  • Blood

    Kidney

    Piece of Liver

    Piece of Pancreas

    Bone Marrow

    -

    THE ORGANS THAT CAN BE

    DONATED BY A LIVING PERSON

    Bone

    Marrow

  • 2Eyes

    2 Kidneys

    1 Liver

    1 Pancreas

    2 Lungs

    1 Small Intestine

    1 Vocal Cord

    2 Hands

    2 Middle ear bones

    Entire Skin

    All Fascia

    All Bones

    Cartilages

    Tendons

    Blood Vessels (Veins

    and arteries )

    Heart Volvos

    Nerves

    20 Toes and Fingers

    WHICH ORGANS CAN BE DONATED

    AFTER BRAIN STEM DEATH.

    Brain Stem Death is diagnosed in ICU patients only

    Maximum Organ Donation is Possible after Brain Stem Death

  • a. Blood - Living for relatives and for others

    b. Kidney - Living person for relatives or

    others

    c. Eyes - Only After Death

    d. Skin - Only After Death

    TYPES OF ORGAN DONATION IN INDIA

  • What Is Eye Donation?

    Who can do Eye donation?

    Who needs eye donation ?

    Responsibilities of the Health workers

    and/or relatives after the death of persons

    who want to go for Eye donation

    DO YOU KNOW THESE ASPECTS

    OF EYE DONATION

    Eye donation can be done only after death

  • ANATOMY OF THE EYE BALL , BLINDNESS

    AND WHO IS BENEFITED BY EYE DONATION

    Transparent covering

    of the eye ball

    (Cornea)

    Lance in the eye ball.

    Transparent covering of the eye ball (Cornea)

    Transparent covering of the

    eye ball (Cornea) has

    become opaque = Blindness

    35 Million people go corneal blind in developing countries .

    Corneal donation helps.

    Cornea

    Conjunctiva

  • In India 3 million people go

    Corneal blind

    60% of blind people are

    children below 12 years.

    These children can get eye sight with corneal

    transplant, retrieved from eye donation

    Do you know, only 1.5 lakh corneas are donated per year in India !!!

    NEED FOR EYE DONATION IN INDIA

  • OPAQUE CORNIA

    REMOVED

    TRANSPERANT DEAD

    DONER CORNIA

    IMPLANTED

  • Inform the near by Eye Bank telephonically .

    Off the Fan and Keep AC on

    Raise the head end of the dead body

    Close the eye lids of the dead body and keep wet saline swabs on the eyes

    To prevent any infection keep on putting antibiotic eye drops every now and then

    It takes 20-25 mts to complete the processes of enucleating of the eye ball

    Within 96 hours the process of corneal transplant should be complete

    After the death of person wanting to donate eyes the process of eye donation should complete in six hours time

    -

  • AFTER YOU HAVE USED THEM WILL

    YOU KINDLY GIVE THEM TO US

    At what ever age even if having spectacles, or after

    cataract operation, person can do eye donation

  • Let Us Give them After We have used them to

    Fullest!

    There are 125 Million people in India There are more than 6 thousand deaths per day If 100 % people donate eyes after death ...........

    In only 11 days all coronial blinds in India will get

    eye sight!

    Even if only 5% people donate eyes in India corneal

    Blindness can be overcome in 220 days!!

    Let Us All Take Oath of Eye Donation after Death!

  • EYES ARE PRICELESS DONT BURN THEM AFTER DEATH

    LET US PLEDGE OUR EYES TODAY !

  • Skin of the dead person is the preferred option for a patient with the most severe

    burns for patient to recover in shorter

    duration.

    As 80 % of burn victims are women and children. India 100% mortality is observed in

    patients having more than 60% burns ...

    Skin from the dead body is life saving

    WHY SKIN DONATION?

  • Cadaver skin still is the No. 1 substitute, after death of a

    person cadaver skin is

    removed in 2 24 hours.

    Commonest sights from where the skin is taken

    Additional sights from where the cadaver skin is

    taken

    HOW IS CADAVER

    SKIN DONATION DONE

    Skin donation should be over in two hours,

    but till 12-24 hours skin can be taking

  • Retrieved skin is rolled through a Meshing Machine, it creates a pattern of small holes, like the

    fishnet stockings.

    WHAT IS DONE TO THE SKIN

    RETRIEVED FROM THE CADAVER

    This skin is taken to the skin bank, trimmed

    into bandage-like strips,

    cryogenically preserved.

    Cadaver skin can be

    stored in a freezer at 4-8

    C for up to five years in

    85% Glyserol

  • CADAVER SKIN IS LIFE SAVING

    The donated skin can be used as a temporary dressing

    for severe burns.

    Helps prevent infection, reduce pain and maintain

    body temperature, prevent loss

    of proteins.

  • CADAVER SKIN GRAFTS HELP

    HEALING BIGGER WOUNDS FASTER

  • Around 1,50,000 new

    Cases of Kidney Failure

    in India every year

    Around 5000 receive

    Kidney transplant.

  • Around 5 million affected

    with liver disease / year

    Around 1000 receive

    Liver transplant.

    These organs can be

    retrieved only from

    Brain Dead Donor

    LIVER DISEASE BURDEN

    AND TRANSPLANTATION

    LIVER TRANSPLANT

    Transplanted peace of Liver

  • MIRACLE OF ORGAN DONATION

    FROM BRIAN STEM DEAD

  • Brain Stem death is a new concept while the heart is working , breathing has stopped for ever !!

    In 1968 the concept of brain stem death was

    accepted , Harvard University accepted and US

    law of human organ donation was passed.

    In India brain stem death was accepted by 1994

    it was Human Organ Transplant Act (HOTA) This

    law was amended in 2011

    There is no age limit for Organ donation There is no money exchange !

    Is there any law about human organ donation, and brain dead ?

  • WHAT IS BRAINSTEM DEATH

    Cerebrum

    Cerebellum

    Respiratory Centres are Situated in Brain Stem . Movement of eyes and pain centres are situated in Brain stem.

    Breathing, eye movement and pain sensation

    stops forever after Brain Stem Death but the Heart is beating

  • CAUSES OF BRAIN STEM DEATH

    Tumour in

    the brain

    Trauma Bleeding in the brain

    Brain Haemorrhage

    Blood supply is

    blocked

    Once there is brain stem death patient called Cadaver

  • As this situation is such where brain has stopped working completely but the Heart is Beating , all organs are getting blood supply . To continue supply of Oxygen to the organs, so that they survive longer the cadaver is put on Respirator .

    Cadaver is

    put on

    Respirator AFTER BRAIN STEM DEATH

  • Every day 6000 people die in India for not getting organs, that means death every fifteen minutes one death.

    Every eleven minutes one more organ failure is added to list.

    Five lakh people die every year for not getting organs

    This is Because cadaver transplants are not done !

    Cadaver organs are wasted!!

    HOW IS CADAVER TRANSPLANT

    SITUATION IN INDIA

  • Brain Stem Death is not

    COMA

  • BRAIN STEM DEATH

    Brain Has stopped working completely

    Respiration has completely stopped, only heart is working

    and the body organs are getting

    blood supply.

    Movements have stopped, there is no movement even on

    stimulation, this is a permanent

    state

    Body is maintained only on machines.

    COMA BRAIN HAS NOT STOPPED

    WORKING

    RESPIRATION CONTINUES

    THERE IS BODY MOVEMENT EYE MOVEMENT , THERE IS

    RESPONSE TO STIMULATION.

    IT IS A TEMPORARY STATE

    PATIENT CAN GET-WELL AND GO HOME .

    DIFFERENCE BETWEEN BRAIN

    STEM DEATH AND COMA

    State of Cadaver organ donation is pathetic in our country

  • POSITION OF ORGAN TRANSPLANT IN

    THE WEST

    1985 1986 1987 1988 1990 1991 19920

    5000

    10000

    15000

    20000

    25000

    Kidneys - Cadaver

    kidneys - Living

    Liver

    Heart

  • SITUATION OF ORGAN DONATION IN

    INDIA

    In India only fifty Cadaver Transplant Take place

  • NUMBER OF CADAVERIC DONORS PER MILLION POPULATION

    24.25

    21.7

    21.65

    21.5

    20

    18.1

    13.15

    12.96

    12.18

    10.62

    6.1

    4.3

    2.7

    0.75

    0.12

    0.05

    33.68

    0 5 10 15 20 25 30 35

    Spain

    Austria

    Portugal

    Beligium

    USA

    France

    Italy

    Canada

    United Kingdom

    Germany

    Australia

    HK

    Singapore

    Taiwan

    Korea

    Philippines

    Japan

    Rate of cadaveric donations in India

    is

  • How many Brain Stem deaths are there in our country ?

    In any big Hospital of a city there are around 20-22 accident cases per day, and five percent cases are

    of Brain stem deaths

    There are few experts who could diagnose Brain stem deaths

    There is no awareness about organ donation in the society.

    It is important to create social awareness

    About Organ donation !!

    CAN WE IMPROVE THE SITUATION OF CADAVER TRANSPLANT IN OUR COUNTRY

  • Accident Cases

    coming to the

    Hospital

    Out of them 10% Die

    5% are Brain

    Death

    Donor

    In India Accident

    rate and Brain

    Stem Deaths are

    in large number

    and still organ

    donation is very

    low.

    WHY ?

    There is no

    awareness

    It is necessary to

    create

    awareness

  • Accident cases

    coming to Hospital

    Cases in ICU

    COMA

    ICU

    BRAIN DEAD

    WARDS Special

    Care

    Ward

    Giving Information of BD of OD to Family

    COUNSELLING for importance - OD

    Giving Necessary Help to the family

    ICU BRAIN DEAD

    Team Of doctors Give Final Report

    BD & Certificate

  • ICU

    BRAIN DEAD

    IEC Team &

    Counseling Team

    with Family

    BRAIN STEM DEATH

    IDENTIFICATION TEAM

    BD Certifying

    Team

    Maintenance of

    the cadaver in

    ICU

    Retrieval Group

    & transplant Group

    Treatment

    Team of

    Recipient

  • S

    DR. KAMAXI PRATAPSINH BHATE

    MR. SUDHEENDRA M. KULKARNI 56 YEARS

    215 D2 KARMAKHETRA SION KOLIWADA ,

    MUMBAI 37 INDIA

    1ST MAY 2012

  • GOVERNMENT CONTROL

    ZTCC

    Maintains list of hospitals registered for organs retrieval and transplantation.

    Maintains waiting list of patients who are desirous for organs.

    carries fair distribution of organs based on waiting list.

    waiting list is prepared on the basis of- -Age

    -Severity of disease

    -Prognosis/expected survival after transplant

    Organ

    Retrieving

    Hospitals

    Organs

    Transplanting

    hospitals

    Multi-organs

    transplant

    centres

    Government control (As per HOTA act-1994)

    ZTCC

    No hospital can transplant organ without prior information or permission of ZTCC.

    Working from

    2000, in Mumbai

  • 1. In Mumbai 29 hospitals are registered under ZTCC

    2. Today's date there are 55000 waiting for OD.

    3. At every 16 minutes, new one is added to the list.

    4. 10 die daily from the list without the organ.

    5. Tamilnadu is the leading state in India in OD.

    6. New concept of SWAP donation is also

    emerging out

    7 HLA matching is mandatory for all OD except

    Cornea, skin, bones.

    SOME FACTS ABOUT ZTCC AND

    ORGAN DONATION-

    In Maharashtra, First tissue bank was started in Tata memorial hospital Mumbai

    Rates of OD-

    India- 0.16/million

    population

    USA 22/million

    population

    Spain- 36/million

    population

  • Even If a person has not pledged, relatives can take the decision to donate eyes/ skin

    After Brain Stem death Close -Relatives can take the decision to donate Organs

    Spouse

    Son - Daughter

    Brother Sister

    Any other

    YOU MUST KNOW THIS

  • Diabetic

    Hypertension

    Person suffering from any other chronic diseases can do organ donation

    CAN ILL PERSON DO ORGAN

    DONATION

  • Person who dies of

    Rabies

    HIV / AIDS

    Septicaemia

    Downing

    Cancer

    Can not do organ donation

    WHO WILL NOT BE ABLE TO DO ORGAN DONATION

  • VERY POWERFUL AND INTELLIGENT KING

    Had lot of palaces, Jewels ....... , Wanted all that to be managed well after his death.

  • DECIDED TO MAKE A WILL

    Kings Will

  • KINGS WILL

    Kings Will

  • KINGS WILL

    Kings Will

  • What Lord Shiva could not have done

    himself , the organ donor could do !!