Implementation of high-throughput screening for Fabry disease in Toronto dialysis patients

This bill is based on promotion of living-related donations, according to the ministry of health. A closely matched non-related person may only provide an organ out of compassion when a genetically-related donor is unavailable. Cadaveric donation is not among the designated priorities. The edict imposes strict penalties for brokers and those indulging in unsupervised removal, storage and grafting of organs. A federal monitoring authority and evaluation committees in designated institutions have been convened. A donor from their country of origin will have to accompany non-residents if they want to avail of our services [5]. Transplant registry, a nationwide pool of potential donors, a donor card system, as well as allocation of resources for disadvantaged end-stage renal disease (ESRD) patients, donor care and follow-up are planned. Transplant institutions will only be allowed to function if they (and personnel thereof) meet prescribed licensure criteria. Limited experience (28 cadaveric grafts to date), non-existence of a brain-death law and doubts about public approval of cadaveric mode of organ harvesting preclude the optimistic notion of the Transplant Society of Pakistan that a deceased organ donation programme will help save 50 000 lives every year. Pakistani law has global implications because of rampant transplant tourism [6]. It is consistent with contemporary trends [7]. Organ donation by relatives should be portrayed as an act of dignity. I suggest that a sustained strategy of directed donations be adopted, with more effective early identification of a genetically-related donor for each ESRD patient. A strong family setup, and motivation by specialist counsellors, may both play a critical role.