Organ transplantation in China

context: en: In March 2006, the Ministry of Health issued the Interim Provisions on Clinical Application and Management of Human Organ Transplantation, which stipulated that medical centres must meet new requirements for transplant services; the provinces were made responsible for plans for clinical applications. Establishments performing transplantation were thereby obliged to incorporate considerations for ethics, medical and surgical expertise, and intensive care. In April 2006, the Committee of Clinical Application of Human Organ Transplantation Technologies was created to standardise clinical practice; a national summit on clinical management took place in November 2006 which issued a declaration outlining regulatory steps. Professor Guo Shuzhong conducted a series of face transplant experiments in Xijing hospital, leading in April 2006 to the world's first face transplant that included bone. The donor had been declared brain-dead before the operation.In May 2007 the Regulation on Human Organ Transplantation came into force, banning organ trading and the removal of a person's organs without their prior written consent, and this has been favourably received by the World Health Organization and The Transplantation Society. To curb illegal transplants, doctors involved in commercial trade of organs will face fines and suspensions; only a few hospitals will be certified to perform organ transplants. As a result of a systematic overhaul, the number of institutions approved for transplants has been reduced from more than 600 in 2007 to 87 as at October 2008; another 77 have received provisional approval from the Ministry of Health.To further combat transplant tourism, the Health Ministry issued a notice in July 2007 in line with the Istanbul Declaration, giving Chinese citizens priority as organ recipients. In October 2007, after several years of discussions with the WHO, the Chinese Medical Association agreed to cease commercial organ collection from condemned prisoners, who would only be able to donate to their immediate relatives. Other safeguards implemented under the legislation include documentation of consent for organ removal from the donor, and review of all death sentences by the Supreme People's Court. Transplant professionals are not involved until death is declared. A symposium among legal and medical professionals was held in April 2008 to discuss the diagnostic criteria for brain death for donors of transplant organs.A liver-transplant registry system was established in Shanghai, in 2008, which allows the monitoring of the after-care of liver recipients; at the same time a nationwide proposal was announced that would allow people to note on their driving licence that they wish to donate their organs. Despite these initiatives the China Daily newspaper reported in August 2009 that approximately 65% of transplanted organs still came from death row prisoners, which has been described as "not a proper source for organ transplants" by Vice-Health Minister Huang Jiefu. China's first posthumous organ donation system was jointly launched in March 2010 by the Red Cross and the Ministry of Health. Huang Jiefu announced that the scheme, which will allow people to express their wishes on their driver's licences, would be trialled in 10 pilot regions including the cities of Tianjin, Wuhan and Shenzhen. Funds will be made available for the families of people who voluntarily donate their organs. Chinese authorities say they hope the pilot program's success will reduce the need to take organs from death row prisoners and stem the tide of black market organs. In 2012 China officials stated they plan to phase out organ harvesting of death-row inmates.In September 2012, the report Organ Harvesting of Religious and Political Dissidents by the Chinese Communist Party presented to the members of a US Congress Subcommittee by Damon Noto, the spokesperson for the organization Doctors Against Forced Organ Harvesting, opined: "Medical doctors outside China have confirmed that their patients have gone to China and received organs from Falun Gong practitioners".The Hangzhou resolution was promulgated in front of the 2013 China National Transplantation Congress on 31 October 2013 and was presented on 2 November 2013. The resolution vows for the cessation of the harvesting of organs from executed prisoners. While not all transplantation facilities have adopted the resolution, a campaign to eradicate inmate organ harvesting is underway.
qas: question: zh_tw: 2006 年 3 月，衛生部頒佈了什麼新規定？\n
answers: en: text: Interim Provisions on Clinical Application and Management of Human Organ Transplantation

context: en: Organ transplantation in China has taken place since the 1960s, and is one of the largest organ transplant programmes in the world, peaking at over 13,000 transplants a year in 2004. China is also involved in innovative transplant surgery such as face transplantation including bone.Involuntary organ harvesting is illegal under Chinese law; though, under a 1984 regulation, it became legal to remove organs from executed criminals with the prior consent of the criminal or permission of relatives. Growing concerns about possible ethical abuses arising from coerced consent and corruption led medical groups and human rights organizations, by the 1990s, to start condemning the practice. These concerns resurfaced in 2001, when a Chinese asylum-seeking doctor testified that he had taken part in organ extraction operations.In 2006, allegations emerged that a large number of Falun Gong practitioners had been killed to supply China's organ transplant industry. An initial investigation stated "the source of 41,500 transplants for the six year period 2000 to 2005 is unexplained" and concluded that "there has been and continues today to be large scale organ seizures from unwilling Falun Gong practitioners".In December 2005, China's Deputy Health Minister acknowledged that the practice of removing organs from executed prisoners for transplants was widespread. In 2007, China issued regulations banning the commercial trading of organs, and the Chinese Medical Association agreed that the organs of prisoners should not be used for transplantation, except for members of the immediate family of the deceased. In 2008, a liver-transplant registry system was established in Shanghai, along with a nationwide proposal to incorporate information on individual driving permits for those wishing to donate their organs.Despite these initiatives, China Daily reported in August 2009 that approximately 65% of transplanted organs still came from death row prisoners.  The condemned prisoners have been described as "not a proper source for organ transplants" by Vice-Health Minister Huang Jiefu, and in March 2010 he announced the trial of China's first organ donation program starting after death, jointly run by the Red Cross Society and the Ministry of Health, in 10 pilot regions. In 2013, Huang Jiefu altered his position on utilizing prisoners' organs, stating that death row prisoners should be allowed to donate organs and should be integrated into the new computer-based organ allocation system.
qas: question: zh_tw: 器官移植始於何時？\n
answers: en: text: 1960s