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Update to the Declaration of Istanbul on Organ Trafficking and Transplant Tourism

The first new edition of the Declaration of Istanbul on Organ Trafficking and Transplant Tourism, a seminal document that has helped to guide ethical practice in organ donation and transplantation around the world, was presented at an international workshop in Madrid, Spain.

More than 100 people gathered to celebrate the 10th Anniversary of the Declaration of Istanbul at the workshop, which formed part of the pre-congress program of The Transplantation Society (TTS) world congress.

The Declaration was originally published in 2008, following a summit convened by TTS and ISN in response to growing concerns about international trafficking in human organs.

It established definitions of practices such as transplant tourism and organ trafficking, and principles to guide policy makers and health professionals working in organ donation and transplantation. Since 2008, more than 135 professional societies have formally endorsed the Declaration.

The Declaration of Istanbul Custodian Group (DICG) is an international group of transplant professionals and scholars that works closely in collaboration with its parent organizations, TTS and the ISN, to encourage and support implementation of the Declaration’s principles around the world. In 2017 the DICG formed an international working group to draft a new edition of the Declaration, updating the definitions and principles in the light of clinical, legal, and social developments in the field throughout the last decade.

In April this year, the DICG launched a public consultation inviting feedback on the draft updated to the Declaration. All DICG members, members of organizations that have endorsed the Declaration, and other interested stakeholders were invited to participate.

More than 250 people from around the world participated in the working group and public consultation; approximately 65 submissions officially represented national or regional organizations. The response from the public consultation was overwhelming positive: participants welcomed the renewed commitment to combatting organ trafficking and transplant tourism, the updated and expanded definitions of key terms, and a clearer set of principles to guide policy and practice.

The new edition of the Declaration incorporating feedback from the public consultation was presented today in Madrid, at a DICG workshop celebrating the 10th Anniversary of the Declaration, as part of the 27th International Congress of TTS. The new edition will be published on the Declaration of Istanbul website, with translations into several languages coming soon. In the coming weeks, a comprehensive Commentary Paper on the 2018 Edition will also be published. The Commentary Paper will explain the principles in more detail and provide suggestions for their practical application in response to questions and suggestions from participants in the public consultation.

Governance update

Incidentally, new members representing the ISN, Dr Mohammed Benghanem Gharbi (Morocco) and Dr Thomas Müller (Switzerland), were welcomed to the DICG Board of Councilors. ISN’s Dr Eric Rondeau (France) together with Dr Alejandro Nino Murcia (Colombia) will be the new Co-chairs of the Executive Board.

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