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Regulatory and Ethical Issues

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Abstract

Almost all medical care involves interaction between patients and health care professionals: as a result, medical ethics are normally concerned with the rights of the patient and the consequent obligations placed on those providing medical care. However, the transfusion, implantation or grafting of human material involves another group – the donors of the cells, tissue or organ – whose role is humanitarian but non-professional. The discussion in this chapter will be very largely concerned with the rights of this third group and the way in which those rights create obligations for the rest of society, including health care professionals and even the patients who benefit from such treatment.

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References

  1. The Universal Declaration of Human Rights, United Nations, 10 Dec, 1948. Available at http://www.un.org/Overview/rights.html

  2. The International Covenant on Civil and Political Rights, 23 Mar 1976. Available at http://www.unhchr.ch/html/menu3/b/a_ccpr.htm

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  9. Human Tissue Act (2004) The Stationery Office

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  11. Reports of the Organ Donation Taskforce, Available at this link http://www.dh.gov.uk/en/Healthcare/Secondarycare/Transplantation/Organdonation/index.htm

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Acknowledgement

The author is a consultant to the Blood Service and the current Chair of the Standing Advisory Committee on Tissues. He chaired the discussions that took place between members of SACTSC Sub-group on Consent to Tissue Donation in 2003. The participants included Prof Brenda Almond (Social Values Research Centre, University of Hull), Ms Jane Griffiths (Donor Transplant Co-ordinator, North Thames), Elizabeth Melville (Tissue Coordinator, SNBTS, Edinburgh), Ms Jan Purkis (Tissue Co-ordinator, NBS Brentwood), Dr Fiona Regan (Consultant Physician, NBS Colindale and BBMR), Dr Francis Rushambuza (Consultant Physician, NBS Liverpool & Wrexham Tissue Banks), Dr Chris Womack (Consultant Pathologist, Tissue Bank, Peterborough Hospital).

I am grateful to all members of this group. This chapter draws heavily on the report of that group to the Blood Service. Its content is, however, entirely my responsibility. I also wish to thank Dr Asad Khan for his advice concerning the Islamic position on organ donation and transplantation.

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Correspondence to David Pegg .

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Pegg, D. (2010). Regulatory and Ethical Issues. In: Galea, G. (eds) Essentials of Tissue Banking. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9142-0_14

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