Abstract
The Philippine government officially responded to the Declaration of Istanbul on Organ Trafficking and the related WHO Guidelines on organ transplantation by prohibiting all transplants to foreigners using Filipino organs. However, local tourists have escaped the regulatory radar, leaving a very wide gap in efforts against human trafficking and transplant tourism. Authorities need to deal with the situation seriously, at a minimum, by issuing clear procedures for verifying declarations of kinship or emotional bonds between donors and recipients. Foreigners who come to the country for transplants with same-nationality donors constitute a problem that is replicated in many transplant centers around the world. Also, emotionally related living donors continue to pose challenges for ethics committees, especially because of the realities associated with the existence of extended families. Those who find themselves facing these issues need to be armed with clear protocols for going through the process of verifying documents and individual declarations assiduously. There is also a need for international referral mechanisms at least to ensure that governments are aware when their citizens travel for transplant so they can take steps they consider suitable to address the vulnerabilities of exploited persons.
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References
Anon. 2008a. In Filipino organ trade, poor sell kidneys for quick buck Jun 21, 2008 Available: http://news.monstersandcritics.com/health/features/article_1412525.php/In_Filipino_organ_trade_poor_sell_kidneys_for_quick_buck. Accessed 29 September 2012.
Anon. 2008b. Kidney Board hit over exemption of 8 foreigners from transplant ban 20 May 2008 Available: http://www.gmanetwork.com/news/story/96267/news/nation/kidney-board-hit-over-exemption-of-8-foreigners-from-transplant-ban. Accessed 29 September 2012.
Anon. 2010a. Israeli organ traffickers bring business to Philippines 10 October 2010 Available: http://news.asiaone.com/print/News/Latest%2BNews/Asia/Story/A1Story20101004-240522.html. Accessed 28 September 2012.
Anon. 2010b. Bishops alarmed over organ donation review 26 August 2010 Available: http://www.heraldmalaysia.com/news/Bishops-alarmed-over-organ-donation-review-6334-1-1.html. Accessed 26 September 2012.
Awaya,Tsuyoshi, Siruno, Lalaine, Toledano, Sarah Jane, Aguilar, Francis Yosuke Shimazono and Leonardo D. de Castro. 2009. Failure of informed consent in compensated non-related kidney donation in the Philippines Asian Bioethics Review 1:2.
Bagayaua, Gemma. 2009. Organ trade continues despite ban on transplantation to foreigners 8 March 2009 Available: http://www.abs-cbnnews.com/special-report/03/08/09/organ-trade-continues-despite-ban-transplantation-foreigners Accessed 25 September 2012.
Budiani, D. 2006. Consequences of living kidney donors in Egypt. 10th Congress of the Middle East Society for Organ Transplantation Nov 26–29; Kuwait.
Chan, Danny. 2008. Foreigners barred from receiving organ transplants in Philippines Sikh Spectrum Issue 32—July 2008 Available: http://sikhspectrum.com/2008/07/foreigners-barred-from-receiving-organ-transplants-in-philippines/ Accessed 27 September 2012.
Goyal, M., R.L. Mehta, L.J. Schneiderman, and A.R. Sehgal. 2002. Economic and health consequences of selling a kidney in India. Journal of the American Medical Association 288: 1589–1593.
Mendoza, Roger Lee. 2010. Kidney black markets and legal transplants: Are they opposite sides of the same coin? Health Policy 94: 255–265.
Padilla, Benita.S. 2009. Regulated compensation for kidney donors in the Philippines. Current Opinion in Organ Transplantation 14: 120–123.
Philippine Renal Disease Registry, (PRDR). 2009. Annual data report. Quezon City/Philippines: Renal Disease Control Program, Department of Health.
Philippine Renal Disease Registry, (PRDR). 2010. Annual data report. Quezon City/Philippines: Renal Disease Control Program, Department of Health.
Philippine Renal Disease Registry, (PRDR). 2011. Annual data report. Quezon City/Philippines: Renal Disease Control Program, Department of Health.
Quiros, Judy G. 2011. Organ transplant, sale to foreigners drastically reduced Interaksyon 6 October 2011. Available: http://www.interaksyon.com/article/14558/organ-transplant-sale-to-foreigners-drastically-reduced Accessed 24 September 2012.
Santos, Tina G. 2012. PhilHealth hikes subsidy for kidney transplants Philippine Daily Inquirer (29 September 2012) Available: http://newsinfo.inquirer.net/279546/philhealth-hikes-subsidy-for-kidney-transplants Accessed 29 September 2012.
Turner, Leigh. 2009. Commercial organ transplantation in the Philippines. Cambridge Quarterly of Healthcare Ethics 18: 192–196.
Zargooshi, J. 2001a. Iranian kidney donors: motivations and relations with recipients. The Journal of Urology 165: 386–392.
Zargooshi, J. 2001b. Quality of life of Iranian kidney “donors”. The Journal of Urology 166: 1790–1799.
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de Castro, L.D. The declaration of Istanbul in the Philippines: success with foreigners but a continuing challenge for local transplant tourism. Med Health Care and Philos 16, 929–932 (2013). https://doi.org/10.1007/s11019-013-9474-4
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DOI: https://doi.org/10.1007/s11019-013-9474-4