MOTO

THIS IS YOUNG BANK EMPLOYEE BOTH KIDNEYS FAILED ! He can not survive without dialysis every week. He comes for dialysis just before going for work. This man needs Kidney!

Patient with liver Failure. No medicines will work for him. After liver Transplant

Skin transplant IN CASE OF BURNS THERE ARE BIG WOUNDS SKIN IS REQUIRED FOR SURVIVAL Big wound Healed wound

DO YOU KNOW THIS ? More than ten million Indians are blind, out of that 1/4 th are Corneal Blind. Of these Corneal Blind. 60% are children below twelve years of age!!

Every day 6000 people die in India for not getting organs, that means one death every fifteen minutes. Every eleven minutes one more organ failure is added to list. Five lakh people die every year for not getting organs This is Because cadaver transplants are not done ! Cadaver organs are wasted!! WHAT HAPPENS IF THEY DO NOT GET ORGANS

After natural Death Living Person for once own relatives or for others After Brain Stem Death (Cadaver) HOW DOES ORGAN DONATION TAKE PLACE ?

Vital Organs like heart, liver, kidneys, intestines, lungs, and pancreas can be donated only in case of 'brain death’ Cadaver However other tissues like corneas, heart valves, skin, bones etc can be donated only in case of natural death. WHICH ORGANS DONATED FROM WHOM ?

Eyes Skin Fascia Bones Ligaments Cartilages Blood Vestals ( Veins and Arteries ) Middle ear Bones Organ donation is possible Even in case of death at Home Which Organs can be donated after death Mainly Donated In Our Country

Blood Kidney Piece of Liver Piece of Pancreas Bone Marrow इदं शरीरं परोपकारार्थम - शंकराचार्य THE ORGANS THAT CAN BE DONATED BY A LIVING PERSON Bone Marrow

2Eyes 2 Kidneys 1 Liver 1 Pancreas 2 Lungs 1 Small Intestine 1 Vocal Cord 2 Hands 2 Middle ear bones Entire Skin All Fascia All Bones Cartilages Tendons Blood Vessels (Veins and arteries ) Heart Volvos Nerves 20 Toes and Fingers WHICH ORGANS CAN BE DONATED AFTER BRAIN STEM DEATH. CADAVER Brain Stem Death is diagnosed in ICU patients only Maximum Organ Donation is Possible after Brain Stem Death

a.Blood - Living for relatives and for others b.Kidney - Living person for relatives or others c.Eyes - Only After Death d.Skin - Only After Death TYPES OF ORGAN DONATION IN INDIA

What Is Eye Donation? Who can do Eye donation? Who needs eye donation ? Responsibilities of the Health workers and/or relatives after the death of persons who want to go for Eye donation DO YOU KNOW THESE ASPECTS OF EYE DONATION Eye donation can be done only after death

ANATOMY OF THE EYE BALL, BLINDNESS AND WHO IS BENEFITED BY EYE DONATION Transparent covering of the eye ball (Cornea) Lance in the eye ball. Transparent covering of the eye ball (Cornea) 35 Million people go corneal blind in developing countries. Corneal donation helps. Conjunctiva

Transparent Covering Cornea

Transparent covering of the eye ball (Cornea) has become opaque = Blindness

 In India 3 million people go Corneal blind  60% of blind people are children below 12 years. These children can get eye sight with corneal transplant, retrieved from eye donation Do you know, only 1.5 lakh corneas are donated per year in India !!! NEED FOR EYE DONATION IN INDIA

OPAQUE CORNIA REMOVED TRANSPERANT DEAD DONER CORNIA IMPLANTED

Inform the near by Eye Bank telephonically. Off the Fan and Keep AC on Raise the head end of the dead body Close the eye lids of the dead body and keep wet saline swabs on the eyes To prevent any infection keep on putting antibiotic eye drops every now and then

It takes mts to complete the processes of enucleating of the eye ball Within 96 hours the process of corneal transplant should be complete After the death of person wanting to donate eyes the process of eye donation should complete in six hours time TIME PLAN IN EYE DONATION

AFTER YOU HAVE USED THEM WILL YOU KINDLY GIVE THEM TO US At what ever age even if having spectacles, or after cataract operation, person can do eye donation

Let Us Give them After We have used them to Fullest! There are 125 Million people in India There are 125 Million people in India There are more than 60 thousand deaths per day There are more than 60 thousand deaths per day If 100 % people donate eyes after death If 100 % people donate eyes after death In only 11 days all coronial blinds in India will get eye sight! Even if only 5% people donate eyes in India corneal Blindness can be overcome in 220 days!! CALL 1919 if you wish to donate EYES Let Us All Take Oath of Eye Donation after Death!

EYES ARE PRICELESS EYES ARE PRICELESS DON’T BURN THEM AFTER DEATH DON’T BURN THEM AFTER DEATH LET US PLEDGE OUR EYES TODAY ! LET US PLEDGE OUR EYES TODAY !

Let Us Not Burn or Burry Them, They are too Valuable!!

Skin of the dead person is the preferred option for a patient with the most severe burns for them to recover in shorter duration. As 80 % of burn victims are women and children. India 100% mortality is observed in patients having more than 60% burns... Skin from the dead body is life saving WHY SKIN DONATION?

Cadaver skin still is the No. 1 substitute, after death of a person skin is removed in 2 – 24 hours. Commonest sights from where the skin is taken Additional sights from where the cadaver skin is taken HOW IS CADAVER SKIN DONATION DONE Skin donation should be over in two hours, but till hours skin can be taken

Retrieved skin is rolled through a Meshing Machine, it creates a pattern of small holes, like the fishnet stockings. WHAT IS DONE TO THE SKIN RETRIEVED FROM THE CADAVER This skin is taken to the skin bank, trimmed into bandage-like strips, cryogenically preserved. Cadaver skin can be stored in a freezer at 4-8 C for up to five years in 85% Glycerol GRAFT IS TAKEN FROM CADEVAR OR

CADAVER SKIN IS LIFE SAVING The donated skin can be used as a temporary dressing for severe burns. Helps prevent infection, reduce pain and maintain body temperature, prevent loss of proteins.

CADAVER SKIN GRAFTS HELP HEALING BIGGER WOUNDS FASTER

Let Us Not Burn or Burry skin, it is life saving !!

Around 1,50,000 new Cases of Kidney Failure in India every year Around 5000 receive Kidney transplant.

Around 5 million affected with liver disease / year Around 1000 receive Liver transplant. These organs can be retrieved only from Brain Dead Donor LIVER DISEASE BURDEN AND TRANSPLANTATION LIVER TRANSPLANT Transplanted peace of Liver

MIRACLE OF ORGAN DONATION FROM BRIAN STEM DEAD

Brain Stem death is a new concept while the heart is working, breathing has stopped for ever !!  In 1968 the concept of brain stem death was accepted by Harvard University, US law of human organ donation was passed.  In India brain stem death was accepted in 1994 it was Human Organ Transplant Act (HOTA) This law was amended in 2011 There is no age limit for Organ donation There is no money exchange ! Is there any law about human organ donation, and brain dead ?

WHAT IS BRAINSTEM DEATH Cerebrum Cerebellum Respiratory Centres are Situated in Brain Stem. Movement of eyes and pain centres are situated in Brain stem. Breathing, eye movement and pain sensation stops forever after Brain Stem Death but the Heart is beating BRAIN STEM

PARTS OF BRAINSTEM

CAUSES OF BRAIN STEM DEATH Tumour in the brain Trauma Bleeding in the brain Brain Haemorrhage Blood supply is blocked Diagnosis of Brain Stem Death is done only in ICU Once there is brain stem death patient called “Cadaver”

As this situation is such where brain has stopped working completely but the Heart is Beating, all organs are getting blood supply. To continue supply of Oxygen to the organs, so that they survive longer the cadaver is put on Respirator. Cadaver is put on Respirator AFTER BRAIN STEM DEATH

Brain Stem Death is not COMA REMEMBER

BRAIN STEM DEATH  Brain Has stopped working completely  Respiration has completely stopped, only heart is working and the body organs are getting blood supply.  Movements have stopped, there is no movement even on stimulation, this is a permanent state  Body is maintained only on machines. COMA  BRAIN HAS NOT STOPPED WORKING  RESPIRATION CONTINUES  THERE IS BODY MOVEMENT EYE MOVEMENT, THERE IS RESPONSE TO STIMULATION.  IT IS A TEMPORARY STATE  PATIENT CAN GET-WELL AND GO HOME. DIFFERENCE BETWEEN BRAIN STEM DEATH AND COMA State of Cadaver organ donation is pathetic in our country

POSITION OF ORGAN TRANSPLANT IN THE WEST

SITUATION OF ORGAN DONATION IN INDIA In India only fifty Cadaver Transplant Take place

NUMBER OF CADAVERIC DONORS PER MILLION POPULATION Rate of cadaveric donations in India is <0.16 per million population

How many Brain Stem deaths are there in our country ?  In any big Hospital of a city there are around accident cases per day, and five percent cases are of Brain stem deaths  There are few experts who could diagnose Brain stem deaths  There is no awareness about organ donation in the society. It is important to create social awareness About Organ donation !! CAN WE IMPROVE THE SITUATION OF CADAVER TRANSPLANT IN OUR COUNTRY

Accident Cases coming to the Hospital Out of them 10% Die 5% are Brain Death Donor In India Accident rate and Brain Stem Deaths are in large number and still organ donation is very low. WHY ? There is no awareness It is necessary to create awareness, and Experts

Who Will Create Awareness ? All of Us!! वारकरी आहे विठ्ठलाच्या नावाने अवयव दानाचे महत्व पटवून देईन I will see to it that people are explained about eye donation and skin donation, in case of death. હું સ્કૂલ માં ભણાવું છું, મને અવડશે અવયવ દાન ની માહિતી આપવા मी माहिती करून घेऊन, ती मित्र मैत्रिणीना देईन इदं शरीरं परोपकारार्थम

Accident cases coming to Hospital Cases in ICU COMA ICU BRAIN DEAD WARDS Special Care Ward Giving Information of BD of OD to Family COUNSELLING for importance - OD Giving Necessary Help to the family ICU BRAIN DEAD Team Of doctors Give Final Report BD & Certificate

ICU BRAIN DEAD IEC Team & Counseling Team with Family BRAIN STEM DEATH IDENTIFICATION TEAM BD Certifying Team Maintenance of the cadaver in ICU Retrieval Group & transplant Group Treatment Team of Recipient

S DR. KAMAXI PRATAPSINH BHATE MR. SUDHEENDRA M. KULKARNI 56 YEARS 215 D2 KARMAKHETRA SION KOLIWADA, MUMBAI 37 – INDIA 1 ST MAY 2012

GOVERNMENT CONTROL ZTCC Maintains list of hospitals registered for organs retrieval and transplantation. Maintains waiting list of patients who are desirous for organs. carries fair distribution of organs based on waiting list. waiting list is prepared on the basis of- -Age -Severity of disease -Prognosis/expected survival after transplant Organ Retrieving Hospitals Organs Transplanting hospitals Multi-organs transplant centres Government control (As per HOTA act-1994) ZTCC No hospital can transplant organ without prior information or permission of ZTCC. Working from 2000, in Mumbai

1.In Mumbai 29 hospitals are registered under ZTCC 2.Today's date there are waiting for OD. 3.At every 16 minutes, new one is added to the list die daily from the list without the organ. 5.Tamilnadu is the leading state in India in OD. 6.New concept of SWAP donation is also emerging out 7 HLA matching is mandatory for all OD except Cornea, skin, bones. SOME FACTS ABOUT ZTCC AND ORGAN DONATION- In Maharashtra, First tissue bank was started in Tata memorial hospital Mumbai Rates of OD- India- 0.16/million population USA – 22/million population Spain- 36/million population

Even If a person has not pledged, relatives can take the decision to donate eyes/ skin After Brain Stem death Close -Relatives can take the decision to donate Organs Spouse Son - Daughter Brother – Sister Any other YOU MUST KNOW THIS

Diabetic Hypertension Person suffering from any other chronic diseases can do organ donation CAN ILL PERSON DO ORGAN DONATION

Person who dies of Rabies HIV / AIDS Septicaemia Drowning Cancer Can not do organ donation WHO WILL NOT BE ABLE TO DO ORGAN DONATION

VERY POWERFUL AND INTELLIGENT KING Had lot of palaces, Jewels , Wanted all that to be managed well after his death.

DECIDED TO MAKE A WILL King’s Will

KING’S WILL Give me Agnee after Keeping my body in my the Biggest Palace with all my jewels.. King’s Will

Give me Agnee in my Biggest Palace with all my jewels I wear. But.. The most precious things, Like my Eyes, Skin, Liver Must be Donated Before burning my body! King’s Will

What Lord Shiva could not have done himself, the organ donor could do !!