Cops to verify documents before every kidney transplant

It is official. The state government has decided to rope in police for verifying documents related to kidney transplants. The decision, was taken by the state appointed committee, which was asked to look into the irregularities in the kidney transplant procedures. The report will now be forwarded to the state health minister for review.

kidney-hiranandani

The state government had set up the committee in July after Powai police along with a social activist had busted an alleged kidney transplant racket Dr LH Hiranandani hospital on July 14. The police then had received a tip off that the donor was impersonated as wife of the recipient and documents were forged for the same.

Sources close to the committee said that henceforth, once the ethics committee approves the authenticity of all documents submitted by the recipient and donor in live-related kidney transplants, the directorate of health services will do their enquiry.

“The DHS enquiry has been made mandatory to remove discrepancies and ensure incidents like that of Dr LH Hiranandani hospital is not repeated in future,” said the state health officer.

The committee, which has been closely following the police investigation and conducting an independent inquiry, has also decide to have Aadhaar card linkage as one of the standard operative procedure for verification of live transplants. “In the SOP, we have decided to retain video interview of both the donor and recipient with the transplant team. A software will help us with Aadhaar card linkage that will authenticate the details submitted by the recipient and donor,” said the officer.

The Changes

  • Police for verifying documents related to kidney transplants.
  • Directorate of health sciences to do an independent enquiry in each case.
  • Aadhaar card linkage has been adopted as a standard operative procedure for verification of live transplants.
  • A software will help with Aadhaar card linkage that will authenticate the details submitted by the recipient and donor.
  • A video interview of both the donor and recipient with the transplant team will be retained.

How live kidney transplant works in India?

  • In India, kidney transplant is performed under the Human Organ Transplant Act (HOTA)-1994, which was amended in 2014.
  • According to the law, if the donors and recipients are close relatives then they take the permission from the hospital level committee.
  • If the donor is an extended relative, from outside the state or country, or if it is a case of swap transplant, such cases go to the state authorisation committee for permission.
  • Before undergoing the transplant, donor and recipient if they are close relative (husband and wife, brother sister, mother/father and son, grand father and grandmother) they have to face an interview of hospital committee
  • This committee comprises of hospital CEO/Medical Director, Social worker/retired government officer, member from health department along with legal expert.
  • They conduct the interview of close relative and everything will be recorded on camera.
  • This committee will ask multiple questions related to the family to both the people, if they have children they ask some question to him and verified the all document like ration card, aadhar card, pan card and taken the affidavit. Once the committee is convinced then only transplant takes place.
  • If the recipient and donor distant relative (uncle and aunty, brother in law, sister in law) they have to take the permission from the state authorisation committee were they government official take the interview on camera shoot and verify the documents.

Rising numbers

  • Up to four lakh patients suffer from chronic kidney end stage disease in India.
  • Only one percent of patients get access to a kidney transplant.
  • Patients with diabetes and high blood pressure tend to spoil their kidneys.
  • Close to 600 patients are registered with the ZTCC to receive a kidney. The number of patients waiting is up to 10 times more than those who end up receiving one.
  • India has close to 1,200 nephrologists practising across the country.
  • There are 2,500 dialysis centers with a total of approximately 20,000 dialysis machines, predominantly in the private sector (90%) and mainly concentrated in cities, especially metros.
  • There are around 65,000 patients undergoing hemodialysis at these centers.