Jennifer Cheung 1, Gregor Wolbring 2 Historical Analysis of Canadian Newspaper Coverage of Organ Transplant and Organ Donation 1 Bachelor of Health Sciences,

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Jennifer Cheung 1, Gregor Wolbring 2 Historical Analysis of Canadian Newspaper Coverage of Organ Transplant and Organ Donation 1 Bachelor of Health Sciences, Faculty of Medicine, University of Calgary, Calgary, AB, Canada; ²Associate Professor, Faculty of Medicine, Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada; Introduction  Organ transplants are often the only option for patients facing organ failure  Organ donation is constantly promoted to alleviate the shortage of organs and to decrease the wait list  In Canada, in 2012, 1,900 transplants were performed, 3,404 patients were awaiting transplants, and 481 patients either withdrew or died while waiting on the transplant list.[4] Objective Media Coverage Timeline Conclusion The nature of the coverage in general changed very little over the years. Canadian newspapers cover the topic in a rather limited fashion with little utility for the general public to understand emerging trends, existing social issues, and possible solutions. Media are seen to enable social participation [5], help set the discussion agenda for society, and create the boundaries where debates take place [6-7]. Organ transplantation and organ donation face many issues. We performed an analysis of issue-specific news frames that are communicated to Canadian readers to ascertain the utility of the coverage for the reader and the advancement of organ transplantation and organ donation. Methods  Source of historical and contemporary data: the Calgary Herald and the Canadian Newsstand Complete database (n=300 Canadian newspapers) from  Stage 1 (data not provided)  Downloaded all articles with the term “organ” in the title from the Calgary Herald (n=353) accessed through the Canadian Newsstand Complete database provided by the University of Calgary into Atlas-ti, a qualitative data analysis software  Performed a historical qualitative content analysis of the Calgary Herald focusing on organs, technologies, social groups, and social issues mentioned  Stage 2: Identified all newspaper articles in the Canadian Newsstand Complete database for articles containing the terms “organ transplant” or “organ donation” from (n=12,118) and searched these articles for keywords identified in stage 1 of the project to produce the quantitative data presented here. Discussion Technology: Technologies were under investigated. Xeno-transplantation was mentioned from but not anymore between , organ printing (3D printer) is not a covered issue, words like bionic and tissue engineering have low visibility  Social Groups: The social groups mentioned stayed the same including the ones rarely if at all mentioned (i.e. Indigenous people, immigrants, people with disabilities) (data not shown). The coverage is a problem for socially disadvantaged groups.  Organs: Throughout the years, the top three organs mentioned were heart, lung and kidney  Social issues: The coverage of social issues seems not to have led to a change and is problematic. The top six mentioned social issues were the same since 1980 with other issues such as equity, equality, and discrimination consistently less than 0.5%; coverage of ethics decreased from 9.05% in the 1980s to 1.91% in 2010 onward N =3 articles N = 2125 articles=100% N = 6983 articles=100% N = 2404 articles=100% References: Canadian Institute for Health Information (CIHI) e-Statistics on Organ Transplants, Waiting Lists and Donors. Available online: portal/pdf/internet/REPORT_STATS2012_PDF_EN (30th January, 2013), 5. Nord, D. P., A Republican Literature: A Study of Magazine Reading and Readers in Late Eighteenth-Century New York. American Quarterly 1988, 40 (1), Wallack, L., Mass media and health promotion: Promise, problem, and challenge. In Mass communication and public health: Complexities and conflicts, Atkins, C.; Wallack, L., Eds. Sage: Newbury Park, CA, Wallack, L. M., Mass media and health promotion: The promise, the problem, the challenge. School of Public Health, University of California: Organs (%) Heart50.75 Kidney39.45 Lung26.53 Pancreas14.43 Liver8.00 Stomach7.79 Skin6.63 Technologies (%) Artificial7.13 Artificial heart1.82 Mechanical heart D print0 Artificial ear0 Bionic0 Clon0 Prosthetic0 Tissue engineering0 Stem cell0 Social groups (%) Patient53.06 Family33.40 Parent23.55 Child20.23 Business19.90 Doctor19.07 Government16.25 Physician13.43 Infant13.10 Nurse10.94 Women9.45 Babies7.79 Professional6.97 Social Issues (%) Cost12.27 Ethics9.05 Waiting list6.78 Healthcare6.30 Access2.98 Afford2.81 Quality of life1.65 Organs (%) Lung37.26 Heart30.14 Kidney20.90 Liver8.78 Pancreas6.54 Skin5.53 Bone5.28 Technologies (%) Clon2.79 Artificial1.46 Stem cell0.96 Mechanical heart0.46 Artificial heart D print0 Artificial ear0 Bionic0 Prosthetic0 Tissue engineering0 Xeno0 Social groups (%) Family52.10 Patient35.72 Business16.69 Government15.20 Parent13.99 Doctor13.11 Child11.53 Nurse8.79 Women8.70 Professional8.58 Physician8.12 Senior6.53 Youth6.08 Social Issue (%) Waiting list14.82 Healthcare10.37 Cost9.20 Access5.74 Quality of life5.24 Ethics1.91 Afford1.12 Organs (%) Lung34.94 Heart32.35 Kidney28.44 Pancreas7.83 Skin6.63 Bone5.22 Technologies (%) Artificial1.60 Stem cell1.10 Mechanical heart0.32 Artificial heart0.28 Xeno0.14 Bionic0.06 Tissue engineering0.02 Clon D print0 Artificial ear0 Prosthetic0 Social groups (%) Family47.01 Patient39.78 Government18.43 Business18.31 Parent15.25 Doctor12.32 Child11.96 Women9.08 Nurse9.06 Physician7.10 Professional7.06 Senior6.85 Social Issues (%) Waiting list15.39 healthcare10.75 cost9.87 access4.51 Quality of life3.20 Ethics3.13 afford1.80 Organs (n=) Lung2 Heart1 Liver1 Technologies n=0 Social groups n=0 women2 child1 family1 nurse1 parent1 patient1 Social Issues n=0 N = 603 articles=100% Organs (%) Heart39.74 Lung36.21 Kidney29.97 Pancreas10.19 Bone6.58 Skin6.01 Technologies (%) Artificial2.82 Artificial heart0.47 Xeno0.23 Mechanical heart0.10 Stem cell0.05 Tissue engineering D print0 artificial ear0 Bionic0 Clon0 Prosthetic0 Social groups (%) Family44.95 Patient44.01 Business25.69 Parent18.93 Government18.79 Child17.47 Doctor14.70 Nurse10.94 Women9.91 Professional8.97 Physician8.83 Social Issues (%) Waitinglist15.36 Cost12.30 Healthcare12.16 Ethics5.12 Access4.84 Quality of life3.47 Afford2.68 ArbioCor Artificial heart, 2001 [8] Organs from Stem cells [9] 3D printed heart [10] First implanted Artificial heart, 1969 [3] Artificial kidney from the founder of artificial organs Willem Kolff 1949 [1] and [2]. First kidney transplant, 1954 [2]