Organ donation is a critical healthcare need in South Africa, yet it remains an under-discussed and often misunderstood topic. With thousands of patients on waiting lists for life-saving transplants, the importance of organ donation cannot be overstated. Both deceased and living donations play vital roles in saving lives and improving the quality of life for many.
For many South Africans, organ donation is the difference between life and death. Diseases like end stage kidney failure, diabetes, acute hepatic fulminant failure of the liver, liver cirrhosis, heart, and lung conditions leave patients with few options beyond transplantation. Unfortunately, the number of patients requiring transplants far exceeds the number of available organs. According to the Organ Donor Foundation of South Africa, there are approximately 4 700 adults and children on transplant waiting lists.
Deceased organ donation is a carefully regulated and ethical process. When a person passes away and is identified as a potential donor, medical professionals conduct thorough assessments to ensure the suitability of organs for transplantation. The process respects the donor’s and their family’s wishes and follows stringent legal and medical guidelines. Solid organs such as the heart, lungs, liver, kidneys and pancreas can only be donated if your loved one has been diagnosed with brain death and is on a ventilator in a hospital. In this case, upon receiving your call, the Organ Donor Foundation will pass on the information to the nearest transplant center and soon thereafter, a transplant coordinator will contact you.
Tissue such as bone, skin, corneas and heart valves may be used if your loved one is either on a ventilator or has already passed away and their body is at the mortuary or undertakers. In this case, a representative from the Tissue Banks or Eye Bank will be in touch with you. Donors can give various organs, including the heart, lungs, liver, kidneys, and tissues like corneas and skin, potentially saving multiple lives.
Living organ donation offers another crucial avenue to save lives. In South Africa, individuals can donate a kidney or a part of their liver while still alive. This type of donation provides an immediate solution for those in desperate need of a transplant, significantly reducing waiting times. Living donors are thoroughly evaluated to ensure their health and safety before, during, and after the donation process. The decision to become a living donor is a profound act of generosity and compassion, providing a second chance at life for recipients.
Becoming an organ donor is a simple yet profound way to make a difference. South Africans can register as organ donors through the Organ Donor Foundation’s website (https://odf.org.za/) or call their toll free line: 0800 226 611. Informing family members about your decision to donate is equally important, as they will be consulted in the event of your passing. For those considering living donation, reaching out to transplant centers for more information and evaluation is the first step.
One deceased organ donor can save up to eight lives (eye, kidney, lung, intestines, liver, tissue, heart and pancreas) and improve the quality of life for many more through tissue donation. The ripple effect of organ donation extends beyond the recipients, bringing hope and renewed life to families and communities. By increasing the number of organ donors, South Africa can reduce the waiting list and ensure more patients receive the life-saving transplants they need.
Organ donation is a gift that transcends life and death, offering hope and a second chance to those in dire need.
Prof. Andre Loubser
General Surgeon – Special Interest — Trauma
Busamed Bram Fischer International Airport Hospital
September 27, 2024
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