Organ transplantation in China

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 liver and kidney transplants a year in 2004.[2] China is also involved in innovative transplant surgery such as face transplantation including bone.[3]

Trend in kidney and liver transplants in the People's Republic of China (1997–2007)[1]

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 condemn the practice.[4] These concerns resurfaced in 2001, when a Chinese asylum-seeking doctor testified that he had taken part in organ extraction operations.[5]

In 2006, allegations emerged that many Falun Gong practitioners had been killed to supply China's organ transplant industry.[6][7] 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".[6]

In December 2005, China's Deputy Health Minister acknowledged that the practice of removing organs from executed prisoners for transplants was widespread.[8] In 2007, China issued regulations banning the commercial trading of organs,[9] 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.[10] 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.[11]

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,[12] 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.[13] In 2018 and 2019, media investigations and academic analysis into these allegations increased.[14][15][16]

Background

Globally, pioneering experimental studies in the surgical technique of human organ transplantation were made in the early 1900s by the French surgeon Alexis Carrel, and successful transplants starting spreading worldwide after the Second World War.[17] China itself began organ transplantation in the 1960s, which grew to an annual peak of over 13,000 transplants in 2004;[2] and, despite some deaths from infection and hepatitis, the transplant programme has been successful in saving many lives.[18] Though the number of transplants fell to under 11,000 annually by 2005, China still has one of the largest transplant programmes in the world.[2][4] China explores innovative surgery, such as the world's first flesh and bone face transplant, performed by Professor Guo Shuzhong.[3] Organ donation, however, has met resistance, and involuntary organ donation is illegal under Chinese law,[19] as it is against Chinese tradition and culture, which attach symbolic life affirming importance to the kidney and heart.[20][21] China is not alone in encountering donation difficulties; demand outstrips supply in most countries. The world-wide shortage has encouraged some countries—such as India—to trade in human organs.[18][22] Reports of organs being removed from executed prisoners in China for sale internationally had been circulating since the mid-1980s, when a 1984 regulation made it legal to harvest organs from convicted criminals with the consent of the family or if the body goes unclaimed.[8] Development of an immunosuppressant drug, cyclosporine A, made transplants a more viable option for patients.[23]

Milestones

The first living related renal transplant was performed in China in 1972;[24] the first allogeneic bone marrow transplantation was successfully executed in an acute leukaemia patient.[25] The first recorded clinical liver transplant from a living donor in China took place in 1995, seven years after the world's first was performed in São Paulo, Brazil.[26] Between January 2001 and October 2003, 45 patients received living donor liver transplantation (LDLT) at five different hospitals.[27] In 2002, doctors at Xijing Hospital of the Fourth Military Medical University described three cases of living related liver transplantation. In 2003 a landmark brain-death case involving switched off ventilation came to the attention of the public and made a big impact on medical ethics and legislation. The first successful brain-death organ donation soon followed.[24] From October 2003 to July 2006, 52 LDLT operations were conducted at the West China Hospital, West China Medical Center of Sichuan University.[28] In October 2004, Peking University People's Hospital Liver Transplantation Center executed two cases of living related liver transplantation involving complex blood vessel anatomy.[29] In 2002, the Chinese media reported surgeon Dr Zheng Wei successfully transplanted a whole ovary at the Zhejiang Medical Science University to a 34-year-old patient, Tang Fangfang, from her sister.[30] In April 2006, the Xijing military hospital in Xian carried out a face transplant operation covering the cheek, upper lip, and nose of Li Guoxing, who was mauled by an Asiatic black bear while protecting his sheep.[31][32]

The first successful penis transplant procedure was performed in September 2006, at a military hospital in Guangzhou. The patient, a 44-year-old male, had sustained the loss of most of his penis in an accident. The transplanted penis came from a brain-dead 22-year-old male. Although successful, the patient and his wife suffered psychological trauma as a result of the procedure, and had the surgery reversed fifteen days later.[33][34] Following this, Jean-Michel Dubernard, famous for performing the world's first face transplant, wrote that the case "raises many questions and has some critics". He alluded to a double standard writing, "I cannot imagine what would have been the reactions of the medical profession, ethics specialists, and the media if a European surgical team had performed the same operation."[35]

International concerns

Organs sourced from prisoners sentenced to death

Transplantation first began in the early 1970s China, when organs were sourced from executed prisoners. Although other sources, such as brain-dead donors, had been tried, the lack of legal framework hampered efforts. Dr Klaus Chen said in 2007 that this was still the dominant pool.[24] Concerns that some poorer countries were answering donor shortages by selling organs to richer countries led the World Medical Association (WMA) to condemn the purchase and sale of human organs for transplantation at Brussels in 1985,[17] in 1987 and at Stockholm in 1994.[18]

In Madrid in 1987, the World Health Organization (WHO) condemned the practice of extracting organs from executed prisoners due to the difficulty of knowing if they had given consent.[36] Growing concern led other professional societies and human rights organisations to condemn the practice in the 1990s,[4] and to question the way in which the organs were obtained.[8] The WHO starting drafting an international guideline (WHA44.25) on human organ transplants in 1987[37] which resulted in the WHO Guiding Principles on Human Organ Transplantation being endorsed in 1991.[38] However, the wording did not allow the international community to draw up any laws preventing China from continuing to trade in human organs.[39]

The United States Senate Committee on Foreign Relations convened a hearing in 1995 on the trade in human body parts in China;[40] receiving evidence from various sources including statements from Amnesty International, the BBC, and Chinese government documents produced by human rights activist Harry Wu.[41]

The World Medical Association, the Korean Medical Association, and the Chinese Medical Association reached an agreement in 1998 that these practices were undesirable and that they would jointly investigate them with a view to stopping them; however, in 2000, the Chinese withdrew their cooperation.[36] Amnesty International claimed to have strong evidence that the police, courts and hospitals were complicit in the organ trade, facilitated by the use of mobile execution chambers, or "death vans".[42] Amnesty speculated that this profitable trade might explain China's refusal to consider abolishing the death penalty, which is used on between 1,770 (official figure) and 8,000 (Amnesty estimates) prisoners annually. Corpses are typically cremated before relatives or independent witnesses can view them, fuelling suspicions about the fate of internal organs.[42]

In June 2001, Wang Guoqi(王國齊), a Chinese doctor applying for political asylum, made contact with Harry Wu and his Laogai Research Foundation, who assisted Wang in testifying to the US Congress in writing that he had removed skin and corneas from more than 100 executed prisoners for the transplant market at the Tianjin Paramilitary Police General Brigade Hospital, and that during at least one such operation the prisoner was still breathing.[19] Wang, a 'burns specialist', said that he had also seen other doctors remove vital organs from executed prisoners; and the hospital where he worked sold those organs to foreigners. Harry Wu said that he had gone to "great lengths" to verify Wang's identity and that both the foundation and congressional staff members found the doctor's statements "highly credible."[43]

In December 2005, China's Deputy Health Minister acknowledged that the practice of removing organs from executed prisoners for transplant was widespread – as many as 95% of all organ transplants in China derived from executions,[44] and he promised steps to prevent abuse.[8][45] In 2006, the WMA demanded that China cease using prisoners as organ donors.[46] According to Time, a transplant brokerage in Japan which organised 30–50 operations annually sourced its organs from executed prisoners in China.[47] Edward McMillan-Scott, vice president of the European Parliament, said he believed that nearly 400 hospitals in China had been involved in the transplant organ trade, with websites advertising kidney transplants for $60,000.[48]

On the eve of a state visit to the United States by President Hu Jintao, the 800-member British Transplantation Society also criticised China's use of death-row prisoners' organs in transplants, on the grounds that as it is impossible to verify that organs are indeed from prisoners who have given consent;[47] the WMA once again condemned the practice on similar grounds.[49] A BBC news report by Rupert Wingfield-Hayes in September 2006 showed negotiations with doctors in No 1 Central Hospital in Tianjin for a liver transplant.[50]

2017 announcement

In February 2017, CGTN quoted former vice health minister Huang Jiefu as saying "From January 1, 2015, organ donation from voluntary civilian organ donors has become the only legitimate source of organ transplantations", and Francis Delmonico interpreting this as a ban on "the use of organs from executed prisoners" in January 2015.[51]

Allegations of organ harvesting from Falun Gong practitioners
See also: Organ harvesting from Falun Gong practitioners in China and Persecution of Falun Gong § Organ harvesting

In 2006, allegations that Falun Gong practitioners had been killed to supply China's organ transplant industry prompted an investigation by former Canadian Secretary of State David Kilgour and human rights lawyer David Matas. In July 2006, the Kilgour-Matas report[6] questioned "the source of 41,500 transplants for the six year period 2000 to 2005" and thereby inferred that "the government of China and its agencies in numerous parts of the country, in particular hospitals but also detention centres and 'people's courts', since 1999 have put to death a large but unknown number of Falun Gong prisoners of conscience".[6]

The authors of the Kilgour-Matas report reached their conclusion via circumstantial evidence and inference from this evidence.[6][52][53][54] It included observations of the extremely short wait times for organs in China compared with other countries, indicating that organs were being procured on demand; the rise in the number of annual organ transplants in China corresponded with the onset of the persecution of Falun Gong.[6] An updated version of their report was published as a book in 2009.[55][56]

In 2014, investigative journalist Ethan Gutmann published the results of his own investigation.[57] Gutmann conducted extensive interviews around with former detainees in Chinese labor camps and prisons, as well as former security officers and medical professionals with knowledge of China's transplant practices.[58][59] He reported that organ harvesting from political prisoners likely began in Xinjiang province in the 1990s, and then spread nationwide. Gutmann estimates that some 64,000 Falun Gong prisoners may have been killed for their organs between 2000 and 2008.[57][60]

In December 2006, after not getting assurances from the Chinese government about allegations relating to Chinese prisoners, the two major organ transplant hospitals in Queensland, Australia, stopped transplant training for Chinese surgeons and banned joint research programs into organ transplantation with China.[61]

In July 2006 and April 2007, Chinese officials denied organ harvesting allegations, insisting that China abides by World Health Organization principles that prohibit the sale of human organs without written consent from donors.[62][63]

In May 2008 two United Nations Special Rapporteurs reiterated their previous request for the Chinese authorities to adequately respond to the allegations,[64] and to explain the source of organs which would account for the sudden increase in organ transplants in China since 2000.

On 12 September 2012, the United States House Committee on Foreign Affairs held a hearing on the topic of organ harvesting from prisoners of conscience in China.[65] During the hearing, Gutmann described his interviews with former Chinese prisoners, surgeons and nurses with knowledge of organ harvesting practices.

In 2012, State Organs: Transplant Abuse in China, edited by David Matas and Dr. Torsten Trey, was published with essays by Dr. Gabriel Danovitch, Professor of Medicine,[66] Arthur Caplan, Professor of Bioethics,[67] Dr. Jacob Lavee, cardiothoracic surgeon,[68] Dr. Ghazali Ahmad,[69] Professor Maria Fiatarone Singh,[70] Dr. Torsten Trey,[71] Gutmann and Matas.[72][73][74][75]

Harry Wu, a human rights activist, has questioned the Falun Gong's claims that Falun Gong members are specifically targeted for large-scale organ harvesting.[76][77]

International human rights lawyer David Matas argued Harry Wu's July 2006 article showed his views in his 21 March letter were formed before completing his investigation, so Wu's views were not based on his full investigation. Further, Harry Wu characterized the volume of organ harvesting Annie described as "technically impossible", but it is technically possible, according to medical expert.[78]

A Chinese government panel denied the allegations in August 2016. Huang Jiefu, chairman of the National Organ Donation and Transplantation Committee, noted that there were 10,057 organ transplantation surgeries performed in China in 2015, accounting for 8.5 percent of global total, and 8 percent of drugs used globally, which matches China's national statistics.[79] Michael Millis, professor of Surgery and chief of the Section of Transplantation of the University of Chicago Hospitals, corroborated that China is phasing out the organ transplantation of executed prisoners, and is moving towards a voluntary, donation-based system. José Nuñez, medical officer in charge of global organ transplantation at the World Health Organization, noted that China is reaching global standards in organ transplantation, and believed that in a few years, China will be leading the field.[79]

Allegations of organ harvesting in Xinjiang
See also: Xinjiang re-education camps

Ethan Gutmann, a journalist and China expert,[80] concluded that organ harvesting from prisoners of conscience became prevalent in the northwestern province of Xinjiang during the 1990s, when members of the Uyghur ethnic group were targeted in security crackdowns and “strike hard campaigns.”[81][82]

By 1999, Gutmann says that organ harvesting in Xinjiang began to decline precipitously, just as overall rates of organ transplantation nationwide were rising. The same year, the Chinese government launched a nationwide suppression of the Falun Gong spiritual group. Gutmann suggests that the new Falun Gong prisoner population overtook Uyghurs as a major source of organs.[60]

Worries about organ harvesting were renewed when China redoubled its attempts to stamp out extremism and separatism by interning a large portion of the population in the Xinjiang re-education camps.[83][84]

There is a significant market for the organs of Muslims. Muslim customers from the Middle East reportedly request Halal organs which must come from another Muslim person.[85]

Ethan Gutmann claims 25,000 are killed in Xinjiang for their organs each year.[86]

Developments since 2006

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.[2] 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.[3][87] The donor had been declared brain-dead before the operation.[88]

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,[89] and this has been favourably received by the World Health Organization and The Transplantation Society.[2][4] 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.[90] 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.[2]

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.[2] 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.[10][91] 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.[2]

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.[11] Despite these initiatives the China Daily newspaper reported in August 2009 that approximately 65% of transplanted organs still came from death row prisoners,[12] which has been described as "not a proper source for organ transplants" by Vice-Health Minister Huang Jiefu.[9] China's first posthumous organ donation system was jointly launched in March 2010 by the Red Cross and the Ministry of Health.[2] 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.[9] 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.[12] In 2012 China officials stated they plan to phase out organ harvesting of death-row inmates.[92]

In September 2012, the report Organ Harvesting of Religious and Political Dissidents by the Chinese Communist Party[65] 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".[93]

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.[94]

Allegations of data falsification

Beginning in 2010, Chinese authorities announced that the country would transition away from the use of prisoners as an organ source, and would rely entirely on voluntary donations coordinated through a centralized registry. By 2015, officials asserted that voluntary donors were the sole source for organ transplants in China. However, critics have pointed to evidence of systematic falsification of data related to voluntary organ donations, casting doubt on reform claims.[95]

In a paper published in the journal BMC Medical Ethics, for instance, researchers analyzed data on voluntary organ transplants from 2010 - 2018. Datasets were drawn from two national sources, several sub-national jurisdictions, and from individual Chinese hospitals. The researchers found compelling evidence of "human-directed data manufacture and manipulation" in the national datasets, as well as "contradictory, implausible, or anomalous data artefacts" in the provincial datasets, which suggests that the data "may have been manipulated to enforce conformity with central quotas." Among the findings was that the purported rate of growth in voluntary donations was derived from a simple quadratic equation, with nearly perfect model parsimony. These findings appear to undermine official claims about the extent of voluntary organ donations in China.[16] The authors of the BMC Medical Ethics article also note that China's model parsimony is one to two orders of magnitude smoother than any other nation's, even those that have experienced rapid growth in their organ transplantation sector.[96]

Wait times

China has by far the shortest wait times for organ transplants in the world,[97] and there is evidence that the execution of prisoners for their organs is "timed for the convenience of the waiting recipient."[98] As of 2014 Organ tourists to China report receiving kidney transplants within days of arriving in China. A report produced by David Matas and David Kilgour cites the China International Transplantation Assistant Centre website as saying "it may take only one week to find out the suitable (kidney) donor, the maximum time being one month..."[6] It is possible for international buyers to schedule their surgeries in advance which is not possible in systems which rely on voluntary organ donation.[99]

By way of comparison, the median waiting time for an organ transplantation in Australia is 6 months to 4 years,[100] in Canada, it is 6 years as of 2011.[101] In UK it is 3 years.[102]

See also

References
  1. Government policy and organ transplantation in China Archived 17 July 2011 at the Wayback Machine The Lancet Retrieved 24 September 2010
  2. "Health-System-Reform-in-China" Archived 17 July 2011 at the Wayback Machine The Lancet, 20 October 2008. Retrieved 24 September 2010
  3. "Military hospital in China conducts world-first face transplants". The Daily Telegraph. London. 28 November 2008. Archived from the original on 24 May 2010. Retrieved 24 September 2010.
  4. Annika Tibell (8 May 2007). "The Transplantation Society's Policy on Interactions With China". Doctors Against Forced Organ Harvesting. Archived from the original on 12 July 2018. Retrieved 4 January 2015.
  5. "Doctor Says He Took Transplant Organs From Executed Chinese Prisoners" Archived 29 November 2017 at the Wayback Machine New York Times 29 June 2001
  6. David Kilgour, David Matas (6 July 2006, revised 31 January 2007) An Independent Investigation into Allegations of Organ Harvesting of Falun Gong Practitioners in China Archived 8 December 2017 at the Wayback Machine (free in 22 languages) organharvestinvestigation.net
  7. Gutmann, Ethan. "China’s Gruesome Organ Harvest" Archived 17 October 2015 at the Wayback Machine, The Weekly Standard, 24 November 2008
  8. Jane Macartney, "China to 'tidy up' trade in executed prisoners' organs" Archived 5 March 2016 at the Wayback Machine, The Times, 3 December 2005
  9. "New system to boost number of organ donors". China Daily. Archived from the original on 20 April 2010. Retrieved 21 May 2010.
  10. Press release, "Chinese Medical Association Reaches Agreement With World Medical Association Against Transplantation Of Prisioners's [sic] Organs" Archived 2 June 2009 at the Wayback Machine, Medical News Today, 7 October 2007. Retrieved 24 September 2010
  11. "shanghai". shanghai.gov.cn. Archived from the original on 18 July 2011. Retrieved 25 September 2010.
  12. "China admits death row organ use". BBC News. 26 August 2009. Archived from the original on 6 September 2009. Retrieved 24 September 2010.
  13. "China media: Military spending". BBC. 5 March 2014. Archived from the original on 5 March 2014. Retrieved 14 March 2014.
  14. "BBC World Service - Discovery, China's Organ Transplants, Tourism and Transparency". BBC. Archived from the original on 14 November 2018. Retrieved 3 January 2019.
  15. How The West Enabled China Organ Harvesting Expansion, by Frances Martel, 22 June 2019, Breitbart News
  16. Robertson, M.P.; Hinde, R.L.; Lavee, J. (14 November 2019). "Analysis of official deceased organ donation data casts doubt on the credibility of China's organ transplant reform". BMC Med Ethics. 20 (79): 79. doi:10.1186/s12910-019-0406-6. PMC 6854896. PMID 31722695.
  17. HUMAN ORGAN TRANSPLANTATION – A Report on Developments Under the Auspices of WHO (1987–1991) Archived 21 October 2014 at the Wayback Machine, page 7, World Health Organization, Geneva, 1991
  18. "The Bellagio Task Force Report on Transplantation, Bodily Integrity, and the International Traffic in Organs". icrc.org. Archived from the original on 26 December 2014. Retrieved 26 December 2014.
  19. "China fury at organ snatching 'lies'" Archived 5 March 2016 at the Wayback Machine, BBC News, 28 June 2001. Retrieved 24 September 2010
  20. Treasure, Tom (March 2007). "The Falun Gong, organ transplantation, the holocaust and ourselves". Journal of the Royal Society of Medicine. Doctors Against Forced Organ Harvesting. 100 (3): 119–121. doi:10.1258/jrsm.100.3.119. PMC 1809171. PMID 17339305. Archived from the original on 2 January 2015. Retrieved 2 January 2015.
  21. David N. Weisstub, Guillermo Díaz Pintos, Autonomy and Human Rights in Health Care: An International Perspective. Springer. 2007. p. 238. ISBN 978-1-4020-5840-0. Archived from the original on 19 September 2011. Retrieved 21 May 2010.
  22. Reddy KC: In Land W, Dossetor JB (eds): Organ Replacement Therapy: Ethics, Justice, Commerce. New York: Springer-Verlag; 1990, p 173, ISBN 3-540-53687-6
  23. Coonan, Clifford; McNeill, David (21 March 2006). "Japan's rich buy organs from executed Chinese prisoners". The Independent. London. Archived from the original on 25 September 2015. Retrieved 21 May 2010.
  24. Zhonghua Klaus Chen (6 December 2007). "Current Situation of Organ Donation and Transplantation in China" Archived 23 January 2013 at the Wayback Machine of the Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College and Huazhong University of Science and Technology, PRC, pub: City University of Hong Kong
  25. Dr LU Daopei, "Blood and marrow transplantation in mainland China (Supplement 3)" Archived 11 February 2014 at the Wayback Machine. Hong Kong Medical Journal (3 June 2009) 15 (Suppl 3):9–12
  26. Wang XH, Zhang F, Li XC, Qian JM, Kong LB, Huang J, et al. Clinical report on 12 cases of Living donor partial liver transplantation. Natl Med J Chin (Chin) 2002; 82: 435–439.
  27. "Early experiences on living donor liver transplantation in China: multicenter report". cmj.org. Archived from the original on 18 July 2011. Retrieved 26 November 2010.
  28. Donor safety in adult living donor liver transplantation using the right lobe: Single center experience in China Archived 15 March 2012 at the Wayback Machine, Fu-Gui Li, Lu-Nan Yan, Yong Zeng, Jia-Yin Yang, Qi-Yuan Lin, Xiao-Zhong Jiang, Bin Liu. wjgnet.com
  29. Wu, WH; Wan, YL; Lee, L; Yang, YM; Huang, YT; Chen, CL; Fan, ST (2004). "First two cases of living related liver transplantation with complicated anatomy of blood vessels in Beijing". World Journal of Gastroenterology. 10 (19): 2854–2858. doi:10.3748/wjg.v10.i19.2854. PMC 4572117. PMID 15334685.
  30. Woodford, Peter (15 March 2007) "Whole ovary transplant reverses early menopause" Archived 14 July 2011 at the Wayback Machine, National Review of Medicine vol 4 no. 5
  31. "China's first human face transplant successful". Xinhua News Agency. 15 April 2006. Archived from the original on 14 October 2007. Retrieved 25 November 2007.
  32. "'First face transplant' for China". BBC News. 14 April 2006. Archived from the original on 14 October 2007. Retrieved 25 November 2007.
  33. Sample, Ian (18 September 2006). "Man rejects first penis transplant". The Guardian. London. Archived from the original on 30 August 2013. Retrieved 22 May 2010.
  34. Hu, Weilie; Lu, Jun; Zhang, Lichao; Wu, Wen; Nie, Haibo; Zhu, Yunsong; Deng, Zhixiong; Zhao, Yongbing; Sheng, Wen; Chao, Qiyou; Qiu, Xiaofu; Yang, Jinghua; Bai, Ying (2006). "A preliminary report of penile transplantation". European Urology. 50 (4): 851–853. doi:10.1016/j.eururo.2006.07.026. PMID 16930814{{inconsistent citations}}
  35. Dubernard, Jean-Michel; Lu, J; Zhang, L; Wu, W; Nie, H; Zhu, Y; Deng, Z; Zhao, Y; Sheng, W (2006). "Penile transplantation?". European Urology. 50 (4): 664–665. doi:10.1016/j.eururo.2006.07.055. PMID 16930811{{inconsistent citations}}
  36. Harold Hillman in a letter published in the November 2001 issue of British Medical Journal Hillman H (November 2001). "Harvesting organs from recently executed prisoners". BMJ. 323 (7323): 1254. doi:10.1136/bmj.323.7323.1254. PMC 1121712. PMID 11758525.
  37. "Human organ and tissue transplantation". WHO. Archived from the original on 24 July 2010. Retrieved 23 September 2010.
  38. "Draft guiding principles on human organ transplantation". World Health Organization. Archived from the original on 30 July 2010. Retrieved 9 June 2010.
  39. "Illegal Human Organ Trade from Executed Prisoners in China". www1.american.edu. Archived from the original on 10 June 2010. Retrieved 9 June 2010.
  40. China, illegal trade in human body parts : hearing before the Committee on Foreign Relations, United States Senate, One Hundred Fourth Congress, first session, May 4, 1995. worldcat.org. 1995. OCLC 33310708.
  41. "Senate Committee Hears How Executed Prisoners’ Organs are Sold for Profit" Archived 29 April 2009 at the Wayback Machine Laogai Report, November 1995. The Laogai Research Foundation. Retrieved 24 September 2010
  42. Calum MacLeod, China makes ultimate punishment mobile Archived 19 February 2011 at the Wayback Machine, USA Today, 15 May 2006. Retrieved 24 September 2010
  43. Mufson, Steven (27 June 2001). "Chinese Doctor Tells of Organ Removals After Executions". The Washington Post. Archived from the original on 21 September 2008. Retrieved 21 September 2008.
  44. Congressional Executive Commission on China Annual Report 2006, p. 59; note 224, p.201
  45. Lum, Thomas (11 August 2006). Congressional Research Report #RL33437 Archived 16 May 2011 at the Wayback Machine, Congressional Research Service
  46. "World Medical Association Council Resolution on Organ Donation in China" Archived 4 December 2010 at the Wayback Machine World Medical Association May 2006
  47. Gerlin, Andrea (23 April 2006) "China's Grim Harvest" Archived 23 August 2013 at the Wayback Machine, Time. Retrieved 24 September 2010
  48. McMillan-Scott, Edward (13 June 2006) "Secret atrocities of Chinese regime" Archived 18 May 2015 at the Wayback Machine Yorkshire Post
  49. Press release, "World Medical Association demands China stops using prisoners for organ transplants", World Medical Association, 22 May 2006. Retrieved 24 September 2010
  50. "Organ sales 'thriving' in China". BBC News. 27 September 2006. Archived from the original on 20 May 2014. Retrieved 10 November 2010."Organ selling in China. BBC investigates undercover". YouTube. Archived from the original on 23 July 2013. Retrieved 18 June 2010.
  51. "禁止器官买卖,中国是认真的 China steps up crackdown on organ trafficking". CCTVNEWS. 7 February 2017. Retrieved 11 February 2017.
  52. Reuters, AP (8 July 2006) "Falun Gong organ claim supported" Archived 31 May 2014 at the Wayback Machine, The Age, (Australia). Retrieved 7 July 2006.
  53. Endemann, Kirstin (6 July 2006) CanWest News Service, Ottawa Citizen, "Ottawa urged to stop Canadians travelling to China for transplants" Archived 17 October 2015 at the Wayback Machine, Retrieved 6 July 2006.
  54. Calgary Herald (5 July 2006) "Rights concerns bedevil China—Doing trade with regime must be balanced with values" Archived 13 March 2007 at the Wayback Machine. Retrieved 8 July 2006.
  55. David Kilgour; David Matas (2009). "Bloody Harvest, The killing of Falun Gong for their organs". seraphimeditions.com. p. 232. Archived from the original on 3 April 2010. Retrieved 30 December 2014.
  56. "Chinese accused of vast trade in organs" Archived 26 December 2015 at the Wayback Machine, The Washington Times 27 April 2010
  57. Getlen, Larry (9 August 2014). "China's long history of harvesting organs from living political foes". New York Post. Archived from the original on 11 August 2014. Retrieved 15 August 2014.
  58. Jay Nordlinger (25 August 2014) "Face The Slaughter: The Slaughter: Mass Killings, Organ Harvesting, and China’s Secret Solution to Its Dissident Problem, by Ethan Gutmann" Archived 23 February 2016 at the Wayback Machine, National Review
  59. Barbara Turnbull (21 October 2014) "Q&A: Author and analyst Ethan Gutmann discusses China’s illegal organ trade" Archived 7 July 2017 at the Wayback Machine, The Toronto Star
  60. Gutmann, Ethan (August 2014). The Slaughter: Mass Killings, Organ Harvesting, and China's Secret Solution to Its Dissident Problem. Prometheus Books. p. 368. ISBN 978-1616149406.
  61. "Hospitals ban Chinese surgeon training" Archived 25 October 2016 at the Wayback Machine, The Sydney Morning Herald, 5 December 2006
  62. Chinese Embassy in Canada (6 July 2006) Response to the so called "China's organ harvesting report" Archived 15 March 2015 at the Wayback Machine, ca.china-embassy.org
  63. Chinese Embassy in Canada (15 April 2007) Response to the so-called "Revised Report on China's Organ Harvesting" Archived 13 August 2014 at the Wayback Machine, ca.china-embassy.org
  64. United Nations Human Rights Special Rapporteurs Reiterate Findings on China's Organ Harvesting from Falun Gong Practitioners Archived 12 May 2015 at the Wayback Machine, 9 May 2008. Retrieved 24 September 2010
  65. Damon Noto, M.D., Gabriel Danovitch, M.D., Charles Lee, M.D., Ethan Gutmann. Organ Harvesting of Religious and Political Dissidents by the Chinese Communist Party Archived 5 December 2014 at the Wayback Machine, House Committee on Foreign Affairs, 12 September 2012
  66. G Danovitch articles Archived 9 September 2017 at the Wayback Machine, US National Library of Medicine
  67. AL Caplan articles Archived 9 September 2017 at the Wayback Machine, US National Library of Medicine
  68. J Lavee articles Archived 8 September 2017 at the Wayback Machine, US National Library of Medicine
  69. G Ahmad articles Archived 8 September 2017 at the Wayback Machine, US National Library of Medicine
  70. M Fiatarone Singh articles Archived 16 August 2017 at the Wayback Machine, US National Library of Medicine
  71. T Trey articles Archived 8 September 2017 at the Wayback Machine, US National Library of Medicine
  72. "State Organs: Introduction" Archived 27 May 2013 at the Wayback Machine seraphimeditions.com
  73. Rebeca Kuropatwa (19 September 2012) "New Matas book reveals transplant abuse" Archived 2 April 2015 at the Wayback Machine, Jewish Tribune
  74. Mark Colvin (27 November 2012) "Parliament to hear evidence of transplant abuse in China" Archived 13 June 2016 at the Wayback Machine, Australian Broadcasting Corporation
  75. David Matas, Dr. Torsten Trey (2012) State Organs, Transplant Abuse in China Archived 24 February 2015 at the Wayback Machine seraphimeditions.com p. 144
  76. "Harry Wu questions Falun Gong's claims about organ transplants". AsiaNews.it. 8 September 2006. Archived from the original on 17 November 2015.
  77. "Harry Wu mette in dubbio le accuse del Falun Gong sui trapianti di organi". AsiaNews.it. 9 August 2006. Archived from the original on 17 November 2015.
  78. Matas/Kilgour. "Appendix 16. Sujiatun". organharvestinvestigation.net. Archived from the original on 11 February 2015. Retrieved 13 November 2015.
  79. Wang Shen. "Spotlight: Experts slam rumors of organ harvesting in China". New China. Archived from the original on 21 August 2016. Retrieved 24 August 2016.
  80. "Congressional Testimony:Organ Harvesting of Religious and Political Dissidents by the Chinese Communist Party" (PDF). Ethan Gutmann. House Committee on Foreign Affairs, Subcommittee on Oversight and Investigations. 12 September 2012. Archived from the original (PDF) on 15 September 2012. Retrieved 14 September 2012.
  81. Ethan Gutmann, “The Xinjiang Procedure” Archived 16 December 2018 at the Wayback Machine, The Weekly Standard, 5 December 2011.
  82. David Brooks, “The Sidney Awards Part II” Archived 25 January 2020 at the Wayback Machine, New York Times, 22 December 2011.
  83. Martin, Will. "China is harvesting thousands of human organs from its Uighur Muslim minority, UN human-rights body hears". www.businessinsider.com. Business Insider. Archived from the original on 11 January 2020. Retrieved 22 January 2020.
  84. Batha, Emma (24 September 2019). "U.N. urged to investigate organ harvesting". www.reuters.com. Reuters. Archived from the original on 29 December 2019. Retrieved 22 January 2020.
  85. Everington, Keoni. "Saudis allegedly buy 'Halal organs' from 'slaughtered' Xinjiang Muslims". www.taiwannews.com.tw. Taiwan News. Archived from the original on 25 January 2020. Retrieved 22 January 2020.
  86. Stravrou, David (3 December 2020). "China's 'XXX Files': '25 Thousand People Disappear Each Year, Their Organs Are Harvested'". Haaretz.
  87. "World's second face transplant performed in China – health – 18 April 2006". New Scientist. Archived from the original on 25 September 2010. Retrieved 24 September 2010.
  88. "Chinese Man Gets World's Second Face Transplant". health.dailynewscentral.com. Archived from the original on 27 September 2011. Retrieved 25 September 2010.
  89. "人体器官移植条例". gov.cn. Archived from the original on 4 March 2010. Retrieved 21 May 2010.Google translation Archived 5 September 2014 at the Wayback Machine. Retrieved 24 September 2010
  90. "China issues new rules on organs". BBC News. 7 April 2007. Archived from the original on 15 April 2007. Retrieved 7 April 2007.
  91. Pact to block harvesting of inmate organs, Pg 1, South China Morning Post, 7 October 2007
  92. China to Stop Harvesting Inmate Organs Archived 17 August 2017 at the Wayback Machine 23 March 2012
  93. Damon Noto, M.D., Organ Harvesting of Religious and Political Dissidents by the Chinese Communist Party Archived 6 December 2014 at the Wayback Machine, House Committee on Foreign Affairs, 12 September 2012
  94. "The Hangzhou Resolution and Report of Meeting with Minister Bin Li of the National Health and Family Planning Commission of the People's Republic of China". Declaration of Istanbul. Archived from the original on 10 November 2013. Retrieved 10 November 2013.
  95. Lawson, Kirsten (15 November 2019). "ANU study says China deliberately falsifying data on organ transplants". The Canberra Times. Retrieved 19 May 2020.
  96. Robertson, Matthew P. (15 May 2020). "Examining China's Organ Transplantation System: The Nexus of Security, Medicine, and Predation / Part 2: Evidence for the Harvesting of Organs from Prisoners of Conscience". Jamestown Foundation, China Brief. 20 (9). Archived from the original on 21 May 2020. Retrieved 19 May 2020.
  97. Matas, David (2011). Steven J. Jensen (ed.). The Ethics of Organ Transplantation. Catholic University of America Press. p. 234. ISBN 978-0-8132-1874-8.
  98. Caplan, Arthur (1 October 2011). "Time for a boycott of Chinese science and medicine pertaining to organ transplantation". The Lancet. Archived from the original on 4 September 2014. Retrieved 14 March 2014.
  99. Elliott, Tim (8 November 2019). "'Crimes against humanity': is China killing political prisoners for their organs?". www.smh.com.au. Sydney Morning Herald. Archived from the original on 7 February 2020. Retrieved 22 January 2020.
  100. "Australian Organ & Tissue Donation and Transplantation Authority – Facts & Statistics". DonateLife. Archived from the original on 3 July 2013. Retrieved 28 August 2013.
  101. Canada. "Transplant waiting lists and dialysis costs grow as kidney supply lags behind". The Globe and Mail. Archived from the original on 6 November 2013. Retrieved 28 August 2013.
  102. "Archived copy" (PDF). Archived from the original (PDF) on 3 September 2011. Retrieved 20 November 2012.CS1 maint: archived copy as title (link)
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.