Organ transplantation in Japan

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Organ transplantation in Japan is regulated by the 1997 Organ Transplant Law which legalized organ procurement from "

transplant by surgeon Juro Wada in 1968 failed, and a subsequent ban on cadaveric organ donation lasted 30 years. The first transplant after the Organ Transplant Law had defined "brain death" took place in February 1999.[2]

Due to cultural reasons and a relative distrust of

modern medicine, the rate of organ donation in Japan is significantly lower than in Western countries.[3]

History

The first organ transplant in Japan took place at

liver transplant was performed at Chiba University by Professor Komei Nakayama.[6] The first heart transplant in Japan was conducted at Sapporo Medical University in 1968 by Juro Wada.[7] This operation attracted concerns that Wada's evaluation of brain death was inappropriate, and even though an investigation of possible criminal liability was dismissed, a distrust of organ transplanting developed, particularly of transplants from brain dead donors. This brought subsequent developments in transplanting to a halt.[6][8]

Cultural attitudes

The Japanese people's views regarding life, death, ethics and religion have influenced their negative attitude toward organ transplanting. The Wada heart transplant in 1968 increased a sense of apprehension, especially regarding the evaluation of brain death.[1] The Shinto religion regards death as impure, and has tainted connotations which have carried through into Japanese culture.

References

  1. ^ a b "Japan Organ Transplant Network Organ Transplanting in Japan". jotnw.or.jp. Japan Organ Transplant Network. Retrieved 2010-07-05.
  2. ^ Hindell, Juliet (1999-02-28). "Transplant first in Japan". news.bbc.co.uk. Tokyo: BBC News. Retrieved 2018-03-17.
  3. ^ Newsome Wicks, Mona (2000-04-25). "Brain Death and Transplantation: The Japanese". Medscape. Retrieved 2010-02-17.
  4. S2CID 189939925
    .
  5. ISBN 9781873410356
    . Retrieved 2018-03-17 – via Google Books.
  6. ^
    PMID 18055852
    .
  7. ^ Kimura, Rihito (1998). "Organ Transplantation and Brain-Death in Japan". Annals of Transplantation. 3 (3): 55–58. Retrieved 2018-03-05 – via bioethics.jp.
  8. ^ "The History of Transplanting". jotnw.or.jp. Japan Organ Transplant Network. Retrieved 2010-07-05.
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