ABSTRACT
Organ shortage is a prevalent problem within the global transplantation community. World Health Organization (WHO) calls on all countries to achieve self-sufficiency in organ transplantation by reducing the burden of diseases and expanding the effective source of organs in line with ethical principles. Donation after brain death (DBD) remains the major source of transplant organs. In recent years, some Asian countries, including China, have actively promoted the development of donation from deceased organs, which are gradually reshaping the situation of living organ donation as the main source of transplant organs in Asia. The outbreak of COVID-19 in 2020 slowed down the growth trend of global organ donation and transplantation in the past decade. On the premise that the burden of disease and the need for transplantation have not been significantly reduced, the work of organ donation and transplantation in China has been steadily carried out under the guidance of the general policy of epidemic prevention and control and relevant policies of “Put people and their lives first, and adhere to the dynamic zero-Covid policy”. This proves to a certain extent that under the continuous drive of the people’s medical demands and transplant demands, China has formed an organ donation and transplant work system with resilience, pressure resistance, operational inertia and the survival of the industry. Look at Asia from China, and look at the world from Asia. In this article, by compiling relevant data of organ donation and transplantation in Asia and around the world, the changes of the overall pattern of organ donation and transplantation in Asia during the new developmental trend of global organ transplantation were illustrated, the influencing factors of DBD were identified by analyzing the developmental characteristics and practical experience, and corresponding effective strategies were proposed, aiming to provide professional reference for sustainable and healthy development of organ donation and transplantation in China and throughout Asia. (English) [ FROM AUTHOR]
ABSTRACT
Objective At present, the novel coronavirus pneumonia (COVID-19) pandemic is still raging in certain regions around the globe, and the prevention and control of the pandemic should be strengthened. Under the challenges of respective social environment and allocation of medical resources, and support from the inertia and inherent productivity of the system on which the industry depends, extensive attempts are being delivered to push forward the work of organ donation and transplantation in each country. Under the guidance of national experts and committee members, Shanxi Provincial Human Organ Procurement and Allocation Service Center was established on August 28, 2018 approved by the former Shanxi Provincial Health and Family Planning Commission. It is the only independent non-profit medical institution in Shanxi Province. In this article, the system construction of citizen's organ donation and transplantation fitting national and provincial conditions was further explored according to the data analysis of organ donation and transplantation in the United States and Spain during the COVID-19 pandemic combined with the implementation of organ donation work in Shanxi Provincial Human Organ Procurement and Allocation Service Center. (English) [ABSTRACT FROM AUTHOR] 当前，新型冠状病毒肺炎（新冠肺炎）疫情全球各地形势不一，疫情防控仍然不能松懈。在面对 各自的社会环境和医疗资源配置的考验下，以及在行业赖以生存的体系运作惯性及固有生产力的支撑下，各国 器官捐献和移植工作仍在努力前行。山西省人体器官获取与分配服务中心是在国家专家委员指导下，由原山西 省卫生和计划生育委员会于 2018 年 8 月 28 日批准成立的全省唯一、独立运行的非营利性医疗机构。本文通过 剖析疫情期间美国和西班牙的器官捐献与移植数据，结合山西省人体器官获取与分配服务中心器官捐献工作的 开展情况，进一步探索符合我国国情、省情的公民器官捐献与移植工作体系的建设。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Organ Transplantation / Qi Guan Yi Zhi is the property of Organ Transplantation Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)