EU donor card to help curb organ trafficking

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With 40,000 patients in Europe currently on a waiting list for an organ transplant, the European Parliament has backed the Commission’s idea of an EU organ donor card to complement existing national systems and remedy organ shortage.

On 22 April, the Parliament adopted an own-initiative report on the Commission’s proposals for EU action on organ donation. It welcomed the intitiative, which aims to improve cooperation between member states on the issue and make recommendations on the way forward.

MEPs particularly stressed that organ donation must stay strictly non-commercial and asked the Commission and Europol to better combat organ trafficking as well as transplant tourism. According to the non-binding report, “any commercial exploitation of organs is unethical and inconsistent with the most basic human values” and organ donation out of financial motivation “degrades the gift of an organ to a mere commodity which constitutes a violation of human dignity”.

MEPs voted in favour of the Commisison proposal to introduce a European donor card to complement existing national systems. Indeed, a recent Eurobarometer survey on Europeans’ views on organ donation showed that eight out of ten Europeans favour organ donor cards. 

They also underlined the importance of increasing public awareness of organ donation and transplantation in order to facilitate the identification of organ donors and increase organ availability. To do so, the House “calls on the Commission, member states and civil society to enhance structurally the promotion of organ donation, inter alia among youngsters in schools” and “suggests using well known personalities (for example sportsmen and sportswomen) and educational packs” to do this.

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"Thousands of lives are saved every year in Europe by organ transplants. Yet many more lives could be saved if we could reduce the current shortage of organs in many European countries. A European organ donor card, and common EU standards on the quality and safety of organ donations and transplants, could add value to national efforts to secure a sufficient and safe supply or organs," said former Health Commisioner Markos Kyprianou, launching the communication in spring 2007. 

The author of the Parliament's response to the Commission, Cypriot MEP Adamos Adamou (GUE/NGL) made a plea for all EU citizens "to embrace altruism and to become donors themselves" and called for "the establishment of an effective system for the identification of individuals who could become organ donors after their death". 

The Parliment's Alliance of Liberals and Democrats for Europe (ALDE Group) welcomed the adoption of the report, but highlighted that international cooperation in the field of organ donation and transplantation "must remain voluntary" while "more needs to be done to promote awareness of the shortage in organs available for transplant".

"A voluntary European donor card could contribute to the efficient identification of donors and available organs. Furthermore, by expanding the donor pool many lives can be saved, especially amongst children and patients with special needs. A baby of three months old, who needs a new heart for example can only obtain a replacement from another three month old baby. To fulfil such special needs in time it is particularly essential for small countries to increase their donor pool through international cooperation," said MEP Jules Maaten (ALDE, NL).

Organ transplantation has steadily increased in recent years across the EU, but the number of people requiring a transplant is still higher than the number of organs available. 

In May 2007, the Commission proposed a set of EU policy actions on organ donation and transplantation to tackle the challenges it has identified in the field:

  • Transplant risks: the risk of diseases being transmitted to the recipients such as HIV, hepatitis B and C, bacteria, fungi, parasites and different types of cancers.  
  • Organ shortages: Every day nearly ten patients die while waiting for an organ. 
  • Organ trafficking: While current estimations indicate that organ trafficking remains relatively modest in Europe, the issue is nevertheless of serious political and ethical concern.

The communication aims to increase organ availability and better organise national transplant system and proposes an EU directive on the quality and safety of organ donation.

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