Transplantation and Bioethics Kyushu University, Fukuoka, JAPAN, - PDF document

The 5 th Asia Telemedicine Symposium Transplantation and Bioethics Kyushu University, Fukuoka, JAPAN, 2011.12.16 (Fri) Department of Organ Transplantation and Regenerative Medicine, Fujita Health University Atsushi Sugitani, M.D., Ph.D. Organ transplantation in Asian countries -Japan-

Kidney Transplant Candidates on the Waiting List 89 Bangladesh 1,055 Hong Kong India NA Indonesia NA 12,609 Japan 4,528 Korea 4,897 Malaysia 1,236 Pakistan NA P.R. China 100 Philippines 3,750 Saudi Arabia 673 Singapore 7,500 Taiwan 1,218 Thailand 0 5,000 10,000 15,000 20,000 The Number of cadaveric donors per one-million population in the world (2009) (pmp) 40 8 . 3 3 30 8 . 3 2 1 0 . . 4 1 2 . 2 0 2 1 2 . 5 4 9 3 . . 8 . 1 8 3 8 1 1 . 20 1 7 3 1 1 1 . . . 6 6 6 1 1 1 8 7 5 . . 0 3 . 3 3 1 . 1 3 1 1 9 . 0 1 9 . 0 9 . 9 1 . 10 8 7 . 9 6 . 5 6 . 3 9 . 3 6 1 0 . 1 . 4 . 1 1 0 . . 0 0 0 Cuba Spain Belgium Austria Ireland U.S.A. Norway Czech France Finland Venezuela Italy Hungary Uruguay Germany Denmark Australia Argentina Costa Rica Malaysia New Zealand UK Brazil Hong Kong Canada Netherlands Iran n Philippine Jordan a p a J Organ and Tissues (ETCO Journal). Vol.7 No.2. June 2011

The Number of Kidney Transplantation in Japan Transplantation Law revised Transplantation Law established Video Presentation Kidney procurement from the non-heart beating donor (Cadaver) 6

Organ transplantation in Asian countries -Korea- Korea Medical Association Congress May 14, 2005

The Revisions of the Korean “Organ Transplantation Act” Young-Mo KOO With the latest revision, brain-dead donation will probably grow. 180 162 160 141 뇌사장기기증자수(명 140 125 120 97 91 100 86 78 80 68 66 64 52 60 45 36 40 20 15 20 2 0 1991 1994 1997 2000 2003 2006 Song Cheol Kim: Current status of organ transplantation in Korea Trials to increase the organ donation Social m ovem ent governmental movement :National Assembly Non governmental movement :social Non governmental movement :religion

Organ transplantation in Asian countries -China- The 1st Conference of “Life and Death Concept” in China and Japan (Beijing)

Living donor organ transplantation should be promote in the future? Over- -sea transplantation (Organ tourism) sea transplantation (Organ tourism) Over China Philippine

Organ Trafficking and Transplant Tourism International Summit on Transplant Tourism and Organ Trafficking Istanbul, 30 th April – 3 rd May 2008 152 professionals from 78 countries 152 professionals from 78 countries

Asia 1. Huge population 2. Difference of medical standards due to diversity of cultures, races, and religions 3. Specific diseases in Asia, such as thalassemia, chicken flu, SARS, etc 4. Little time difference and short distance among countries 17 Let’s discuss What’s common and What’s different!! 1. 1. The current situation of kidney/pancreas The current situation of kidney/pancreas transplantation in Asia transplantation in Asia 2. The history, culture and religion in Asia 2. The history, culture and religion in Asia 3. 3. Bioethics in Asia Bioethics in Asia 4. 4. Medical insurance and medical finance in Asia Medical insurance and medical finance in Asia 5. 5. Legislative problems in Asia Legislative problems in Asia Propose a new idea about “Life and Death” which is different from the Western philantorpism or altruism. 18

High-speed Internet System Beijing Seoul Tokyo KJCN Osaka Shjanghai Fukuoka 500 km 1000 km Taipei 1500 km 20

Regional Internet in Korea, China and Japan Chernobyl Chernobyl 2004.10 2003.2 Sapporo Sapporo 2004.7 Beijing Beijing Seoul Seoul Iwate Iwate Done 2005.7 Planned Tokyo Tokyo Korea: KOREN 2004.1 Shanghai Shanghai Yokohama Yokohama Fukuoka Fukuoka 2005.11 2005.6 New Dehli New Dehli SirGanga Ram SirGanga Ram Hong Hong Hawaii Hawaii Taipei Taipei Hospital Hospital Kong Kong 2004.1 2004.12 Taichung Taichung Mumbai Mumbai Bangkok Bangkok 2005.11 Cancer Center Cancer Center 2005.1 Manila Manila Hyderabad Hyderabad Philippine Philippine Ho Chi Min Ho Chi Min GH GH Cho Rai Cho Rai Kuala Lumper Kuala Lumper Hosp Cairnes Cairnes Hosp 2004.7 Singapore Singapore 2005.11 Adelaide Adelaide Christ- Christ - N N Flinder’ ’s Hosp s Hosp Flinder church church U U Jakarta Jakarta S 2005.11 S U of Indonesia U of Indonesia Christ Christ Hospital Hospital China: CERNET Japan: JGNII or SuperSinet Core network bases Sapporo Sendai Fukuoka Kanazawa Nagano Osaka NICT Koganei Okayama Headquart ers Tsukuba Nagoya Kochi Otemachi Okinawa Pancreas Transplantation Teleconference on 18 th March 2005 Kyushu University Hospital (Venue) Seoul National University Tsinghua University Taipei Veterans General Hospital 22

The 22nd Annual Meeting of Japan Association for Bioethics November 20-21, 2010, Fujita Health University “Transplantation and Bioethics” Video Presentation The teleconference between Nagoya, JAPAN and Hanoi, Vietnam

Configuration diagram of DVTS （Fujita Health University) Speaker 3. 2. Display (Receiving image) Video Camcorder Microphone Analog RGB Audio line 4. (Stereo) (D-Sub15) 5. 7. Audio line (Mono) Composite/S-video 1. Analog-digital DVTS PC video converter (Reception) IEEE1394 6. Analog RGB (D-Sub15) HUB / VPN Router DVTS PC Display (Transmit) (Sending image) Items list of DVTS configuration （Fujita Health University) No Company Product Analog-digital Anycast Station 1 video converter Sony AWS-G500 1 2 Microphone Panasonic WA-531 1 3 Video camera Sony BRC-300 (NTSC) 1 XLR×1 -> XLR×1 4 Cable 5m 1 5 Cable RCA×1->RCA×1 5m 1 6 Cable IEEE1394 4PIN-6PIN 1 7 Cable RCA×2->RCA×2 5m 1

2011-2-23 Hong-Kong APAN Hong-Kong Korea Philippine Japan 2011-2-23 Hong-Kong APAN Hong-Kong Main venue

2011-8-25 India APAN India Vietnam Japan Conclusion and Proposal 1. Let’s investigate the factors to affect the ideas about life and death in Eastern Asia. 2. Let’s find out the difference compared to the Western countries. 3. Let’s educate the people for better life and for mutual understanding. 4. Let’s develop a solidality culture as do in the West. 5. Let’s propose a “New Bioethics for Organ Donation” from Eastern Asia to save many patients.

Education for Medical Students What is “Brain death”? What should we do at “Terminal stage”? What is “Organ donation”? What is “Transplantation”? What shall we do? 2011-5-24 Tele-lecture for Medical students Fujita Health U Organ transplantation Brain death Vegetable state

2011-5-24 Tele-lecture for Medical students Kyushu U 2011-5-24 Tele-lecture for Medical students Kyushu U

2011-12-3 Case conference by Medical students Fujita Health U 2011-12-3 Case conference by Medical students Kyushu U