CELLS, TISSUES AND ORGANS FOR DONATION AND

TRANSPLANTATION IN CANADA Rebecca Dunham

Karen SalamatDanielle Wilson

http://www.youtube.com/watch?v=ksdARtOG8Vw

History of Organ Transplantation◦ Milestones◦ Deceased Donor◦ Living Donor

Canadian Statistics: 2007◦ 471 deceased organ donors◦ 4000 Canadians waiting ◦ 2188 transplants preformed◦ 193 Canadians died while waiting for a transplant

Description of the Industry

Program Transplanted Waiting

Kidney - Deceased Donor 48 231 Kidney - Living Donor 65 N/A Pancreas - Kidney 1 10 Pancreas 4 7 Pancreas Islet 5 8 Liver - Deceased Donor 23 31 Liver - Living Donor 2 N/A Liver - Kidney 0 0 Heart 9 15 Heart - Kidney 0 0 Single Lung 7 14 Double Lung 2 7 Total 166 323

As of October 14th, 2009

Every person involved in the procurement, processing, packaging, labeling, storage, preservation, importation or distribution of cells, tissues and organs intended for transplantation

Federal, Provincial and Territorial governments Non-government Organizations Organ procurement Organizations Transplant programs Non-profit groups Professional and international organizations Research facilities and agencies Canadian public, donors and recipients.

Stakeholders

Canadian Council for Donation and Transplantation (CCTD)◦ 2001-2007

Canadian Blood Services: Organ and Tissue Donation and Transplantation: ◦ 2007-PRESENT

Major Players

Timeline

Timeline

Timeline

Health Products & Food Branch

Biologics and Genetic Therapies Directorate

Health Canada

Health Products & Food Branch

Biologics and Genetic Therapies Directorate

Health Canada

Health Products & Food Branch

Biologics and Genetic Therapies Directorate

Health Canada

3 years later…

Health Products & Food Branch

Biologics and Genetic Therapies Directorate

Health Canada

Health Products & Food Branch

Biologics and Genetic Therapies Directorate

Health Canada

Recommendations from the House of Commons Standing Committee on Health

Source, Distributing, and Importing Establishments

Tax payers

Losers

General public Health Care system Individuals in the processing, handling,

distributing, and importing of CTO Regulators Canadian Blood Services Government

Winners

CTO regulations address the fiscal imbalance of the cross-boarder transfer of organs

Extend the LDPE living registry and create a similar national deceased organ donor registry.

Consider legislation that would establish a “presumed consent” organ donation system

Suggestions for the future

A recent add on Craigslist and in the Metro Vancouver newspaper

http://www.liverdonor.org/