Declaration of Istanbul Custodian Group Update

02 01

During the recent process of updating the Declaration of Istanbul, the DICG gave the world the opportunity to contribute and comment on the core ideas and principles of the Declaration, ensuring that the 2018 Edition DoI is not just addressing current global ethical issues but still holds a set of universal ethical principles. The benefits of striving towards self-sufficiency, setting up equitable and transparent governing structures and preventing the vulnerable to fall prey to organ trafficking are true no matter where in the world transplantation are practiced.

The DICG however recognizes that in order for universal principles to be effective everywhere, it needs to be interpreted locally, taking in consideration the local health systems, cultural and societal norms of the specific region, country or centre. A diversity in policies and practices is not necessarily inconsistent with the global ethical standards reflected in the DoI and other international ethical frameworks, such as the World Health Organization's Guiding Principles on Human Cell, Tissue and Organ Transplantation.

Therefore, we have recently published an article that is meant to be used as a tool to facilitate deeper understanding of the 11 DoI principles, as well as a guide to implementation in clinical practice. Please keep the article close when reading the 2018 Edition DoI: Strengthening Global Efforts to Combat Organ Trafficking and Transplant Tourism: Implications of the 2018 Edition of the Declaration of Istanbul by Dominique E. Martin, Kristof Van Assche, et al. 2019 published in Transplantation.

And because any written word, policies and declarations will always be stagnant, the DICG are planning to keep the conversation alive, local and setting specific. On 1 October, at the DICG sponsored session at the 2019 Congress of the Asian Society of Transplantation, in New Delhi, India, the spotlight will be on organ trafficking specific to Asian. And on 22 October 2019, at a pre-Congress workshop of the XXXV STALYC Congress we will bring governmental representatives from 20 Latin America countries to discuss the moving nature of organ trafficking within the Latin American region. Please join us in the discussion and help us strive towards global ethical organ donation and transplant practices.