{"change_dates":[],"dossier":{"amendments":[{"authors":"Katalin L\u00e9vai","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-1","location":[["Draft opinion","Recital Aa (new)"]],"meps":[28200],"meta":{"created":"2020-01-20T00:28:44"},"new":["Aa. whereas there is currently no","comprehensive European Union database","collecting all necessary data on organs","earmarked for donations and transplants","or on living and deceased donors from the","national databases/registries","and international organisations of","Member States;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"1","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Javier Moreno S\u00e1nchez, Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-2","location":[["Draft opinion","Recital C"]],"meps":[28347,4313],"meta":{"created":"2020-01-20T00:28:45"},"new":["C. whereas although current estimates put","organ trafficking at a relatively low level","among all forms of trafficking, the","commercialisation of transplants and","transplant tourism is a growing","phenomenon involving the exploitation of","the citizens of less-favoured countries by","those from more powerful countries","(including the EU Member States);"],"old":["C. whereas although current estimates put","organ trafficking at a relatively low level","among all forms of trafficking, trafficking","in organs and tissues is becoming an","increasing global problem which occurs","within and across national borders and is","demand driven (estimation of 150-250","cases/year in Europe);"],"orig_lang":"es","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"2","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Luciana Sbarbati","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-3","location":[["Draft opinion","Recital D"]],"meps":[4428],"meta":{"created":"2020-01-20T00:28:45"},"new":["D. whereas illegal trafficking in","organs and tissues is a form of","trafficking in human beings,","which entails serious violations","of fundamental human rights,","and in particular of human","dignity and physical integrity,","and can undermine citizens'","confidence in the legitimate","transplantation system, which","may lead to further shortage of","supply of voluntarily donated","organs and tissues;"],"old":["D. whereas trafficking in organs and","tissues is a form of trafficking in human","beings, which entails serious violations of","fundamental human rights, and in","particular of human dignity and physical","integrity, and can undermine citizens'","confidence in the legitimate transplantation","system, which may lead to further shortage","of supply of voluntarily donated organs","and tissues;"],"orig_lang":"it","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"3","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Katalin L\u00e9vai","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-4","location":[[" Draft opinion","Recital D a (new)"]],"meps":[28200],"meta":{"created":"2020-01-20T00:28:46"},"new":["Da. whereas there is currently no pan-","European certification system certifying","organ legitimacy and authorizing organ","donation or transplants on a European-","wide basis, and therefore preventing","trafficking in human organs,","commercialisation and transplant","tourism;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"4","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Luciana Sbarbati","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-5","location":[[" Draft opinion","Paragraph 1"]],"meps":[4428],"meta":{"created":"2020-01-20T00:28:46"},"new":["1. Welcomes the Commission's initiative to","prepare a legal framework on safety and","quality for donation and transplantation,","and calls for minimum standards of","requirements to be defined in a flexible","manner, bearing in mind that","transplantation could be a lifesaving","treatment for the patient;"],"old":["1. Welcomes the Commission's initiative to","prepare a legal framework on safety and","quality for donation and transplantation,","and calls for minimum standards of","requirements to be defined in a flexible","manner, bearing in mind that","transplantation could be a lifesaving","treatment for the patient, in which case","even a higher risk can be accepted;"],"orig_lang":"it","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"5","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Javier Moreno S\u00e1nchez, Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-6","location":[["Draft opinion","Paragraph 1"]],"meps":[28347,4313],"meta":{"created":"2020-01-20T00:28:46"},"new":["1. Welcomes the Commission's initiative to","prepare a legal framework on safety and","quality for donation and transplantation,","and calls for minimum standards of","requirements to be defined in a flexible","manner, bearing in mind that","transplantation could be a lifesaving","treatment for the patient, in which case","even a risk level higher than that for","tissues and cells can be accepted;"],"old":["1. Welcomes the Commission's initiative to","prepare a legal framework on safety and","quality for donation and transplantation,","and calls for minimum standards of","requirements to be defined in a flexible","manner, bearing in mind that","transplantation could be a lifesaving","treatment for the patient, in which case","even a higher risk can be accepted;"],"orig_lang":"es","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"6","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-7","location":[["Draft opinion","Paragraph 3"]],"meps":[4313],"meta":{"created":"2020-01-20T00:28:47"},"new":["3. Asks the Commission and the Council to","update the Action Plan on Trafficking in","human beings and include in it an action","plan for the fight against trafficking in","organs, in order to enable closer","cooperation by the authorities concerned;"],"old":["3. Asks the Commission and the Council to","update the Action Plan on Trafficking in","human beings and include trafficking in","organs;"],"orig_lang":"fr","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"7","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Luciana Sbarbati","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-8","location":[[" Draft opinion","Paragraph 3 a (new)"]],"meps":[4428],"meta":{"created":"2020-01-20T00:28:47"},"new":["3 a. Calls, in addition, for the action plan","to make reference to data which are","correct and verified concerning the","quantities, types and origins of illegally","trafficked organs;"],"orig_lang":"it","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"8","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Luciana Sbarbati","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-9","location":[[" Draft opinion","Paragraph 4"]],"meps":[4428],"meta":{"created":"2020-01-20T00:28:48"},"new":["4. Calls on the Member States to exchange","best practices and information regarding","organ donation and transplantation,","highlighting in particular the positive","experiences and results of organ","procurement and transplantation in Spain;"],"old":["4. Calls on the Member States to exchange","best practices in organ donation and","transplantation, highlighting in particular","the positive experiences and results of","organ procurement and transplantation in","Spain;"],"orig_lang":"it","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"9","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Kathalijne Maria Buitenweg","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-10","location":[["Draft opinion","Paragraph 5 a (new)"]],"meps":[4504],"meta":{"created":"2020-01-20T00:28:49"},"new":["5a. Urges the Member States to give","general practitioners a proactive role in","talking to their patients in order to enable","them to make an informed choice","concerning donor registration, and to","allay unjustified fears and thereby","increase the number of donors;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"10","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-11","location":[["Draft opinion","Paragraph 6"]],"meps":[4313],"meta":{"created":"2020-01-20T00:28:49"},"new":["6. Urges Member States to adopt or","maintain strict legal provisions in","connection with transplantation from","unrelated living donors, in order to make","the system transparent and exclude the","possibility of illicit organ selling or","coercion of donors; thus, donations by","unrelated living donors can only be made","under the conditions defined in national","law and following authorisation by a","suitable independent body;"],"old":["6. Urges Member States to adopt or","maintain strict legal provisions in","connection with transplantation from","unrelated living donors, in order to make","the system transparent and exclude the","possibility of illicit organ selling or","coercion of donors;"],"orig_lang":"fr","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"11","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Edit Bauer","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-12","location":[[" Draft opinion","Paragraph 7"]],"meps":[23866],"meta":{"created":"2020-01-20T00:28:50"},"new":["7. Asks the Commission, in relation to","third countries, to fight against the","practice of organ and tissue trafficking,","which should be universally banned,","including the transplantation of organs and","tissues from executed prisoners;"],"old":["7. Considers that the practice of organ and","tissue trafficking should be universally","banned, including the transplantation of","organs and tissues from executed prisoners;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"12","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-13","location":[[" Draft opinion","Paragraph 7"]],"meps":[4313],"meta":{"created":"2020-01-20T00:28:50"},"new":["7. Considers that the practice of organ and","tissue trafficking should be universally","banned, including the transplantation of","organs and tissues from executed prisoners;","calls on the Commission and the Member","States to raise the awareness of the","international community on this issue,","with a view to identifying networks in","third countries which practise the","clandestine removal of organs from","persons sentenced to death without their","consent;"],"old":["7. Considers that the practice of organ and","tissue trafficking should be universally","banned, including the transplantation of","organs and tissues from executed prisoners;"],"orig_lang":"fr","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"13","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Javier Moreno S\u00e1nchez, Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-14","location":[[" Draft opinion","Paragraph 7"]],"meps":[28347,4313],"meta":{"created":"2020-01-20T00:28:50"},"new":["7. Considers that the practice of organ and","tissue trafficking should be universally","banned, including the transplantation of","organs and tissues from executed prisoners,","minors or the mentally handicapped;"],"old":["7. Considers that the practice of organ and","tissue trafficking should be universally","banned, including the transplantation of","organs and tissues from executed prisoners;"],"orig_lang":"es","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"14","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Katalin L\u00e9vai","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-15","location":[["Draft opinion","Paragraph 7 a (new)"]],"meps":[28200],"meta":{"created":"2020-01-20T00:28:51"},"new":["7a. Considers that there is much","promising research into transplanting","animal organs, thereby avoiding using","human donors in the future; asks the","Commission to promote research into","xenotransplantation;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"15","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Javier Moreno S\u00e1nchez, Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-16","location":[["Draft opinion","Paragraph 9"]],"meps":[28347,4313],"meta":{"created":"2020-01-20T00:28:51"},"new":["9. Urges Member States, where necessary,","to amend their criminal codes to ensure","that those responsible for organ trafficking","are adequately prosecuted, including","sanctions for medical staff involved in","transplantation of organs obtained from","trafficking, while making every effort to","discourage potential recipients from","seeking trafficked organs and tissues; this","should include, in third countries, the","criminal responsibility of European","citizens who have purchased organs","inside or outside the Union;"],"old":["9. Urges Member States, where necessary,","to amend their criminal codes to ensure","that those responsible for organ trafficking","are adequately prosecuted, including","sanctions for medical staff involved in","transplantation of organs obtained from","trafficking, while making every effort to","discourage potential recipients from","seeking trafficked organs and tissues;","",""],"orig_lang":"es","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"16","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Edit Bauer","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-17","location":[[" Draft opinion","Paragraph 10"]],"meps":[23866],"meta":{"created":"2020-01-20T00:28:52"},"new":["10. Calls on Member States to take the","necessary steps to restrain healthcare","professionals from facilitating organ and","tissue trafficking (i.e. referring a patient to","a foreign transplant service, which might","be involved in trafficking) as well as health","insurance providers from facilitating -","financially or otherwise - activities that","directly or indirectly promote trafficking in","organ transplants;"],"old":["10. Calls on Member States to take the","necessary steps to ban healthcare","professionals from facilitating organ and","tissue trafficking (i.e. referring a patient to","a foreign transplant service known to be","involved in trafficking) as well as health","insurance providers from facilitating -","financially or otherwise - activities that","directly or indirectly promote trafficking in","organ transplants;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"17","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Urszula Gacek","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-18","location":[[" Draft opinion","Paragraph 10 a (new)"]],"meps":[39763],"meta":{"created":"2020-01-20T00:28:52"},"new":["10b. Calls on the Member States to ensure","that all tissue and organ donations by a","living person are subject to their express","full legal consent;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"18","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Javier Moreno S\u00e1nchez, Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-19","location":[["Draft opinion","Paragraph 13"]],"meps":[28347,4313],"meta":{"created":"2020-01-20T00:28:52"},"new":["13. Stresses importance of financing organ","procurement and transplantation under a","dedicated budget line, so as not to make","transplantation a disincentive for hospitals;"],"old":["13. Stresses importance of financing organ","procurement and transplantation under a","separate budget line, so as not to make","transplantation a disincentive for hospitals;"],"orig_lang":"es","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"19","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Mihaela Popa","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-20","location":[["Draft opinion","Paragraph 13 a (new)"]],"meps":[39715],"meta":{"created":"2020-01-20T00:28:53"},"new":["13a. Calls on the Commission and the","Member States to encourage and support","research in the field of organ and tissue","transplantation;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"20","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Urszula Gacek","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-21","location":[["Draft opinion","Paragraph 14"]],"meps":[39763],"meta":{"created":"2020-01-20T00:28:54"},"new":["14. Calls on the Commission and Member","States to raise public awareness of the","necessity of organ donation; welcomes the","initiative of the Commission to launch the","European Donor Card that can also serve","as one of the tools for raising public","awareness; calls on the Member States to","support this initiative and to further","increase the availability of donor","recognition marks/symbols on national","identification cards and driving licences;"],"old":["14. Calls on the Commission and Member","States to raise public awareness of the","necessity of organ donation; welcomes the","initiative of the Commission to launch the","European Donor Card that can also serve","as one of the tools for raising public","awareness;","",""],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"21","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Luciana Sbarbati","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-22","location":[[" Draft opinion","Paragraph 14"]],"meps":[4428],"meta":{"created":"2020-01-20T00:28:54"},"new":["14. Calls on the Commission and Member","States to raise public awareness of the","necessity of organ donation via a suitable","awareness-raising campaign at European","level; welcomes the initiative of the","Commission to launch the European Donor","Card that can also serve as one of the tools","for raising public awareness;"],"old":["14. Calls on the Commission and Member","States to raise public awareness of the","necessity of organ donation; welcomes the","initiative of the Commission to launch the","European Donor Card that can also serve","as one of the tools for raising public","awareness;"],"orig_lang":"it","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"22","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Urszula Gacek","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-23","location":[[" Draft opinion","Paragraph 14 a (new)"]],"meps":[39763],"meta":{"created":"2020-01-20T00:28:55"},"new":["14a. Calls on the Member States, at a","citizen's request, to include a printed","donor status on a driving licence in the","area allowed under Directive","2006/126/EC of the European Parliament","and of the Council of 20 December 2006","on driving licences1 and with respect to","data protection, to include further donor","information on the driving licence","microchip as permitted under that","OJ L 403, 30.12.2006, p. 18. See annex I, driving licence model point 14.","Directive;"],"old":["","1",""],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"23","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Javier Moreno S\u00e1nchez, Martine Roure","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-24","location":[["Draft opinion","Paragraph 15"]],"meps":[28347,4313],"meta":{"created":"2020-01-20T00:28:55"},"new":["15. Calls on the Commission to take into","consideration the further development and","expansion of the existing European web","page on organ donation","www.eurodonor.org (and/or","www.eurocet.org), as well as that of the","WHO (www.transplant-observatory.org),","on all EU Member States in all official EU","languages, with the aim to provide all","relevant information and data on organ","donation and transplantation."],"old":["15. Calls on the Commission to take into","consideration the further development and","expansion of the existing European web-","page on organ donation","www.eurodonor.org (and/or","www.eurocet.org) on all EU Member","States in all official EU languages, with the","aim to provide all relevant information and","data on organ donation and transplantation."],"orig_lang":"es","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"24","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":"Katalin L\u00e9vai","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-25","location":[["Draft opinion","Paragraph 15 a (new)"]],"meps":[28200],"meta":{"created":"2020-01-20T00:28:56"},"new":["15a. Calls on the Commission and the","Member States to launch a pan-","European database and communication","network or to support an existing one in","order to interconnect the national","databases and provide them with a","platform for the fast exchanges of","comprehensive data on organ donations","and transplantations and on living and","deceased donors. suggest that the","Commission creates a European","certification system, possibly based on the","communication network, to certify organ","and donor legitimacy, counteracting the","trafficking in human organs,","commercialisation and transplant","tourism;"],"old":[""],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"25","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"},{"authors":" Edit Bauer","changes":{},"committee":["LIBE"],"date":"2008-02-15T00:00:00","id":"PE402.555-26","location":[[" Draft opinion","Paragraph 16 a (new)"]],"meps":[23866],"meta":{"created":"2020-01-20T00:28:56"},"new":["16a. Considers that the Member States","should ensure the training of their law","enforcement agencies as well as medical","staff on trafficking in organs in order to","report each known case to the police;"],"orig_lang":"en","peid":"PE402.555v01-00","reference":"2007/2210(INI)","seq":"26","src":"http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+COMPARL+PE-402.555+01+DOC+PDF+V0//EN&language=EN"}],"changes":{"2014-11-10T01:23:31":[{"data":[{"body":"EC","commission":[{"Commissioner":"KYPRIANOU Markos","DG":{"title":"Health and Consumers","url":"http://ec.europa.eu/dgs/health_consumer/index_en.htm"}}],"date":"2007-05-30T00:00:00","docs":[{"celexid":"CELEX:52007DC0275:EN","text":["
PURPOSE :\n to propose a set of EU policy actions on organ donation and transplantation.
CONTENT :\n organ donation and transplantation is a complex and sensitive issue, with an\n important ethical dimension. Policies on organ donation vary across the\n Member States depending on cultural, legal, administrative and organisational\n issues.
The excellent\n results of transplants, in terms of life years gained and in terms of\n improved quality of life have multiplied the indications of these therapies.\n There are, however, risks associated with organ donation particularly the\n risk of disease transmission. On the other hand, the shortage of donors\n affects transplantation programmes. Nearly 40 000 patients are now on waiting\n lists in Europe. Mortality rates while waiting for a heart, liver or lung\n transplant range from 15-30%. There are large differences in the deceased and\n living organ donor rate within the EU. These differences cannot be easily\n explained. Even among EU countries with well-developed services, there are\n considerable differences in organ donation and transplantation activity and\n it would appear that some organisational models are performing better than\n others. A further concern associated with organ donation is the trafficking\n of human organs by criminal gangs, who track down and remove organs in\n developing countries and hand them on to recipients within the European\n Union.
In short,\n therefore, the challenges facing organ donation are:
In recent\n years, the Commission has put considerable effort into supporting organ\n transplantation under various Community programmes. A large number of projects\n have been funded, the result of which have generated a considerable amount of\n information. In June 2006 the Commission launched an open consultation on\n organ donation and transplantation. Based on the outcome of this\n consultation, the Commission now proposes that new initiatives be taken, at a\n Community level, that seek to alleviate the challenges identified. In\n summary, the new initiatives are as follows:
Improving\n safety and quality: The Commission will define\n the precise, balanced scope of the EU legal framework on quality and safety\n for human organs taking account of Member State consultations. The framework\n must be backed- up by inter-Member State co-operation.
Increasing\n organ availability: The Commission will seek to\n boost Member State co-operation to allow for the exchange of experience and\n best practices with a view to establishing the most efficient systems.
Making\n transplantation systems more efficient and accessible: Initiatives in this area will focus on identifying the most\n efficient systems, sharing experience and promoting best practices in\n accordance with local needs. Member States, whose transplant systems have yet\n to reach their full potential, could be supported and guided in their efforts\n to improve patient care.
Action plan\n on strengthened co-operation between the Member States: Analysis of organ transplantation in the EU reveals large\n differences in the organ donor rate within the EU. Differences in\n transplantation activity have also been identified. These differences can not\n be easily explained and it is clear that some models are performing better\n than others. The Commission, will therefore, identify which models work the\n best and support its application throughout the EU, while respecting cultural\n and organisation diversity.
EU legal\n instruments on quality and safety of organ donation and transplantation: The Community has already adopted a Directive on the quality and\n safety standards for blood, tissues and cells. A possible European Directive\n setting quality standards for organs could also be envisioned that addresses\n similar topics – but which takes account of issues uniquely linked to organ\n donation. Such a legislative act would be based on a separate impact\n assessment. A future legislative act could include the following elements:
The Committee\n on the Environment, Public Health and Food Safety adopted the own-initiative\n report by Adamos ADAMOU (GUE/NGL, CY), welcoming the Commission’s\n communication “Organ Donation and Transplantation: Policy Actions at EU\n level”, which proposes an integrated approach, based on three pillars.
Concerned with\n guaranteeing the quality and safety of organ donation and transplantation,\n MEPs await a proposal for a Directive from the Commission establishing\n the quality and safety requirements for the donation, procurement,\n verification, preservation, transport and distribution of organs in the\n European Union and anticipating the resources to fulfil these requirements.\n However, they emphasise that the future legal framework must not: place\n additional administrative responsibility on Member States or on service\n providers; challenge the use of existing good practice, or include\n requirements which would lead to a lower number of potential and actual\n donors.
Expressing\n their concern regarding the scarcity of human organs available for\n transplantation compared to the needs of patients, MEPs await an action\n plan from the Commission aiming to strengthen cooperation between Member\n States in order to: (i) increase the availability of organs; (ii) strengthen\n the efficiency and accessibility of transplantation systems; (iii) increase\n public awareness; and (iv) guarantee quality and security.
The report\n underlines that the establishment of well-structured operational systems\n and the promotion of tested models, in the Member States or between them, or\n failing that, at international level, are extremely important. In order to\n increase the availability of organs, MEPs call on Member States to fully\n invest in the improvement of their organisational system:
In addition,\n the parliamentary committee insists that organ donations remain strictly without\n commercial gain. It endorses measures which aim to protect donors and to\n ensure that organ donation is chosen selflessly and on a voluntary basis,\n preventing any payment between donor and recipient, other than a compensation\n payment, which is strictly limited to reimbursing any expenses or\n inconvenience due to the operation.
Member States\n are called to adopt strict legislative provisions concerning transplantations\n to ensure the transparency of the system and that all possibility of selling\n organs illegally or coercive action towards donors is avoided. Moreover, the\n Commission is called upon to promote research in the field of\n biotechnology, which could provide researchers with a means of reconstituting\n organs from tissues or cells of the patients themselves.
In order to\n improve the efficiency and accessibility of transplantation systems, the\n report strongly argues for the creation of national registers to monitor\n living donors, patients with a transplant and transplant procedures. In this\n context, the Commission is called to:
MEPs call for\n the creation of a European organ donor card to be added to current\n national systems. They also note that to ensure the rapid identification of\n organs, it is vital to encourage those who are not suitable donors to be in\n possession of a card signalling this. Furthermore, MEPs call on Member States\n to anticipate, in their legislation, the possibility of appointing a legal\n representative authorised to make a decision in terms of donation after\n death.
The report\n also emphasises the importance of increasing public awareness\n regarding organ donation and transplantation, and calls on the Commission,\n Member States and organisations in civil society, churches and religious or\n humanist communities, to participate in this endeavour. They also are in\n favour of the creation of a special transplant telephone line, with a single\n hotline number, which would be managed by the national transplant\n organisation, when such an organisation exists, and entrusted to a well\n trained and experienced team of professionals who could provide accurate and\n specific information (medical and legal) to all those concerned 24 hours a\n day.
Lastly, MEPs\n highlight that organ trafficking undermines the credibility of the system for\n eventual voluntary unpaid donors. The Commission and Member States are called\n to take measures to prevent ‘transplant tourism’, notably by enacting\n guidelines which aim to protect the poorest and most vulnerable donors from\n becoming victims of organ trafficking, and by adopting measures to increase\n the availability of organs that have been lawfully obtained. Moreover, Member\n States are called to take all necessary measures to ensure that those\n responsible for organ trafficking are subject to legal prosecution, and to\n prevent healthcare services from encouraging those activities that benefit\n directly or indirectly from organ trafficking, for example by reimbursing\n costs to obtain an illegal organ transplant.
\nThe European Parliament\n adopted, by 653 votes to 14 with 16 abstentions, a resolution on organ\n donation and transplantation: Policy actions at EU level, in response to the\n Commission Communication on the subject. The own-initiative report had been\n tabled for consideration in plenary by Adamos ADAMOU (GUE/NGL, CY), on\n behalf of the Committee on the Environment, Public Health and Food Safety. \n Parliament welcomed the Communication which proposes an integrated approach,\n based on three pillars.
Concerned with guaranteeing the\n quality and safety of organ donation and transplantation, MEPs await a\n proposal for a Directive from the Commission establishing the quality\n and safety requirements for the donation, procurement, verification,\n preservation, transport and distribution of organs in the European Union and\n anticipating the resources to fulfil these requirements. However, they\n emphasise that the future legal framework must not: place additional\n administrative responsibility on Member States or on service providers;\n challenge the use of existing good practice, or include requirements which\n would lead to a lower number of potential and actual donors.
Expressing their concern\n regarding the scarcity of human organs available for transplantation,\n MEPs await an action plan from the Commission aiming to strengthen\n cooperation between Member States in order to: (i) increase organ\n availability; (ii) strengthen the efficiency and accessibility of\n transplantation systems; (iii) increase public awareness; and (iv) guarantee\n quality and safety.
Parliament underlines that the\n establishment of well-structured operational systems in the Member States or\n between them is extremely important.
With regard to increasing\n the availability of organs, Parliament invites Member States to adopt\n legislation enabling the appointment of a legal representative who can decide\n on donation after a person's death. It calls on Member States to achieve the\n full potential of post-mortem donations through a series of measures which\n Parliament recommends. These include financially supporting hospitals in the\n appointment of in-house transplant coordinators (doctors working inside the\n intensive care units who are supported by a medical team), whose task would\n be actively to identify potential donors and approach their families.
Parliament asks Member States\n to remove, before January 2010, legislation that reserves donor organs for\n use solely within that Member State. It stresses the importance of financing\n organ procurement and transplantation under a dedicated budget line, so as\n not to make transplantation a disincentive for hospitals. Members go on to\n underline the need to ensure that organ donations stay strictly\n non-commercial. Any payments between donors and recipients must be\n confined solely to compensation strictly limited to making good the expense\n associated with the donation. Member States must adopt strict legal\n provisions, in order to exclude the possibility of illicit organ selling or\n coercion of donors. Parliament also urges Member States to ensure that living\n donors are not discriminated against, in particular by insurance systems.
With regard to improving the efficiency\n and accessibility of transplantation systems, Parliament notes that,\n although several Member States have introduced compulsory registration of\n transplant activities, there is no comprehensive system for the collection of\n data on the different types of transplantation and their outcomes. It\n strongly recommends the creation of national follow-up registers of living\n donors, transplanted patients and transplant procedures, and stresses the\n importance of ensuring the comparability of the data between Member States.\n Parliament makes a series of recommendations for Commission action, including\n the creation of a European mechanism to promote coordination activities\n between Member States regarding organ donation and transplantation. It calls\n for an EU donor card, complementary to existing national systems.
It underlines the importance of\n increasing public awareness of organ donation and transplantation and\n calls on the Commission, Member States and civil society to enhance\n structurally the promotion of organ donation, inter alia among youngsters in\n schools. Parliament favours the establishment of a transplant hotline with a\n single telephone number which is managed by a national transplantation\n organisation, where such an organisation exists, and staffed 24 hours per day\n by appropriately trained professionals.
Lastly, MEPs highlight that organ\n trafficking undermines the credibility of the system for potential\n voluntary and unpaid donors. In order to combat the practice of organ selling\n for money (especially in countries of the developing world), mechanisms of\n traceability should be put in place so as to prevent those organs from\n entering the EU. The Commission and Member States are called to take measures\n to prevent ‘transplant tourism’, notably by enacting guidelines which aim to\n protect the poorest and most vulnerable donors from becoming victims of organ\n trafficking, and by adopting measures to increase the availability of legally\n procured organs. Those responsible for organ trafficking must be subject to\n prosecution, including sanctions for medical staff involved in\n transplantation of organs obtained from trafficking.
\nPURPOSE :\n to propose a set of EU policy actions on organ donation and transplantation.
CONTENT :\n organ donation and transplantation is a complex and sensitive issue, with an\n important ethical dimension. Policies on organ donation vary across the\n Member States depending on cultural, legal, administrative and organisational\n issues.
The excellent\n results of transplants, in terms of life years gained and in terms of\n improved quality of life have multiplied the indications of these therapies.\n There are, however, risks associated with organ donation particularly the\n risk of disease transmission. On the other hand, the shortage of donors\n affects transplantation programmes. Nearly 40 000 patients are now on waiting\n lists in Europe. Mortality rates while waiting for a heart, liver or lung\n transplant range from 15-30%. There are large differences in the deceased and\n living organ donor rate within the EU. These differences cannot be easily\n explained. Even among EU countries with well-developed services, there are\n considerable differences in organ donation and transplantation activity and\n it would appear that some organisational models are performing better than\n others. A further concern associated with organ donation is the trafficking\n of human organs by criminal gangs, who track down and remove organs in\n developing countries and hand them on to recipients within the European\n Union.
In short,\n therefore, the challenges facing organ donation are:
In recent\n years, the Commission has put considerable effort into supporting organ\n transplantation under various Community programmes. A large number of projects\n have been funded, the result of which have generated a considerable amount of\n information. In June 2006 the Commission launched an open consultation on\n organ donation and transplantation. Based on the outcome of this\n consultation, the Commission now proposes that new initiatives be taken, at a\n Community level, that seek to alleviate the challenges identified. In\n summary, the new initiatives are as follows:
Improving\n safety and quality: The Commission will define\n the precise, balanced scope of the EU legal framework on quality and safety\n for human organs taking account of Member State consultations. The framework\n must be backed- up by inter-Member State co-operation.
Increasing\n organ availability: The Commission will seek to\n boost Member State co-operation to allow for the exchange of experience and\n best practices with a view to establishing the most efficient systems.
Making\n transplantation systems more efficient and accessible: Initiatives in this area will focus on identifying the most\n efficient systems, sharing experience and promoting best practices in\n accordance with local needs. Member States, whose transplant systems have yet\n to reach their full potential, could be supported and guided in their efforts\n to improve patient care.
Action plan\n on strengthened co-operation between the Member States: Analysis of organ transplantation in the EU reveals large\n differences in the organ donor rate within the EU. Differences in\n transplantation activity have also been identified. These differences can not\n be easily explained and it is clear that some models are performing better\n than others. The Commission, will therefore, identify which models work the\n best and support its application throughout the EU, while respecting cultural\n and organisation diversity.
EU legal\n instruments on quality and safety of organ donation and transplantation: The Community has already adopted a Directive on the quality and\n safety standards for blood, tissues and cells. A possible European Directive\n setting quality standards for organs could also be envisioned that addresses\n similar topics – but which takes account of issues uniquely linked to organ\n donation. Such a legislative act would be based on a separate impact\n assessment. A future legislative act could include the following elements:
The Committee\n on the Environment, Public Health and Food Safety adopted the own-initiative\n report by Adamos ADAMOU (GUE/NGL, CY), welcoming the Commission’s\n communication “Organ Donation and Transplantation: Policy Actions at EU\n level”, which proposes an integrated approach, based on three pillars.
Concerned with\n guaranteeing the quality and safety of organ donation and transplantation,\n MEPs await a proposal for a Directive from the Commission establishing\n the quality and safety requirements for the donation, procurement,\n verification, preservation, transport and distribution of organs in the\n European Union and anticipating the resources to fulfil these requirements.\n However, they emphasise that the future legal framework must not: place\n additional administrative responsibility on Member States or on service\n providers; challenge the use of existing good practice, or include\n requirements which would lead to a lower number of potential and actual\n donors.
Expressing\n their concern regarding the scarcity of human organs available for\n transplantation compared to the needs of patients, MEPs await an action\n plan from the Commission aiming to strengthen cooperation between Member\n States in order to: (i) increase the availability of organs; (ii) strengthen\n the efficiency and accessibility of transplantation systems; (iii) increase\n public awareness; and (iv) guarantee quality and security.
The report\n underlines that the establishment of well-structured operational systems\n and the promotion of tested models, in the Member States or between them, or\n failing that, at international level, are extremely important. In order to\n increase the availability of organs, MEPs call on Member States to fully\n invest in the improvement of their organisational system:
In addition,\n the parliamentary committee insists that organ donations remain strictly without\n commercial gain. It endorses measures which aim to protect donors and to\n ensure that organ donation is chosen selflessly and on a voluntary basis,\n preventing any payment between donor and recipient, other than a compensation\n payment, which is strictly limited to reimbursing any expenses or\n inconvenience due to the operation.
Member States\n are called to adopt strict legislative provisions concerning transplantations\n to ensure the transparency of the system and that all possibility of selling\n organs illegally or coercive action towards donors is avoided. Moreover, the\n Commission is called upon to promote research in the field of\n biotechnology, which could provide researchers with a means of reconstituting\n organs from tissues or cells of the patients themselves.
In order to\n improve the efficiency and accessibility of transplantation systems, the\n report strongly argues for the creation of national registers to monitor\n living donors, patients with a transplant and transplant procedures. In this\n context, the Commission is called to:
MEPs call for\n the creation of a European organ donor card to be added to current\n national systems. They also note that to ensure the rapid identification of\n organs, it is vital to encourage those who are not suitable donors to be in\n possession of a card signalling this. Furthermore, MEPs call on Member States\n to anticipate, in their legislation, the possibility of appointing a legal\n representative authorised to make a decision in terms of donation after\n death.
The report\n also emphasises the importance of increasing public awareness\n regarding organ donation and transplantation, and calls on the Commission,\n Member States and organisations in civil society, churches and religious or\n humanist communities, to participate in this endeavour. They also are in\n favour of the creation of a special transplant telephone line, with a single\n hotline number, which would be managed by the national transplant\n organisation, when such an organisation exists, and entrusted to a well\n trained and experienced team of professionals who could provide accurate and\n specific information (medical and legal) to all those concerned 24 hours a\n day.
Lastly, MEPs\n highlight that organ trafficking undermines the credibility of the system for\n eventual voluntary unpaid donors. The Commission and Member States are called\n to take measures to prevent ‘transplant tourism’, notably by enacting\n guidelines which aim to protect the poorest and most vulnerable donors from\n becoming victims of organ trafficking, and by adopting measures to increase\n the availability of organs that have been lawfully obtained. Moreover, Member\n States are called to take all necessary measures to ensure that those\n responsible for organ trafficking are subject to legal prosecution, and to\n prevent healthcare services from encouraging those activities that benefit\n directly or indirectly from organ trafficking, for example by reimbursing\n costs to obtain an illegal organ transplant.
\nThe European Parliament\n adopted, by 653 votes to 14 with 16 abstentions, a resolution on organ\n donation and transplantation: Policy actions at EU level, in response to the\n Commission Communication on the subject. The own-initiative report had been\n tabled for consideration in plenary by Adamos ADAMOU (GUE/NGL, CY), on\n behalf of the Committee on the Environment, Public Health and Food Safety. \n Parliament welcomed the Communication which proposes an integrated approach,\n based on three pillars.
Concerned with guaranteeing the\n quality and safety of organ donation and transplantation, MEPs await a\n proposal for a Directive from the Commission establishing the quality\n and safety requirements for the donation, procurement, verification,\n preservation, transport and distribution of organs in the European Union and\n anticipating the resources to fulfil these requirements. However, they\n emphasise that the future legal framework must not: place additional\n administrative responsibility on Member States or on service providers;\n challenge the use of existing good practice, or include requirements which\n would lead to a lower number of potential and actual donors.
Expressing their concern\n regarding the scarcity of human organs available for transplantation,\n MEPs await an action plan from the Commission aiming to strengthen\n cooperation between Member States in order to: (i) increase organ\n availability; (ii) strengthen the efficiency and accessibility of\n transplantation systems; (iii) increase public awareness; and (iv) guarantee\n quality and safety.
Parliament underlines that the\n establishment of well-structured operational systems in the Member States or\n between them is extremely important.
With regard to increasing\n the availability of organs, Parliament invites Member States to adopt\n legislation enabling the appointment of a legal representative who can decide\n on donation after a person's death. It calls on Member States to achieve the\n full potential of post-mortem donations through a series of measures which\n Parliament recommends. These include financially supporting hospitals in the\n appointment of in-house transplant coordinators (doctors working inside the\n intensive care units who are supported by a medical team), whose task would\n be actively to identify potential donors and approach their families.
Parliament asks Member States\n to remove, before January 2010, legislation that reserves donor organs for\n use solely within that Member State. It stresses the importance of financing\n organ procurement and transplantation under a dedicated budget line, so as\n not to make transplantation a disincentive for hospitals. Members go on to\n underline the need to ensure that organ donations stay strictly\n non-commercial. Any payments between donors and recipients must be\n confined solely to compensation strictly limited to making good the expense\n associated with the donation. Member States must adopt strict legal\n provisions, in order to exclude the possibility of illicit organ selling or\n coercion of donors. Parliament also urges Member States to ensure that living\n donors are not discriminated against, in particular by insurance systems.
With regard to improving the efficiency\n and accessibility of transplantation systems, Parliament notes that,\n although several Member States have introduced compulsory registration of\n transplant activities, there is no comprehensive system for the collection of\n data on the different types of transplantation and their outcomes. It\n strongly recommends the creation of national follow-up registers of living\n donors, transplanted patients and transplant procedures, and stresses the\n importance of ensuring the comparability of the data between Member States.\n Parliament makes a series of recommendations for Commission action, including\n the creation of a European mechanism to promote coordination activities\n between Member States regarding organ donation and transplantation. It calls\n for an EU donor card, complementary to existing national systems.
It underlines the importance of\n increasing public awareness of organ donation and transplantation and\n calls on the Commission, Member States and civil society to enhance\n structurally the promotion of organ donation, inter alia among youngsters in\n schools. Parliament favours the establishment of a transplant hotline with a\n single telephone number which is managed by a national transplantation\n organisation, where such an organisation exists, and staffed 24 hours per day\n by appropriately trained professionals.
Lastly, MEPs highlight that organ\n trafficking undermines the credibility of the system for potential\n voluntary and unpaid donors. In order to combat the practice of organ selling\n for money (especially in countries of the developing world), mechanisms of\n traceability should be put in place so as to prevent those organs from\n entering the EU. The Commission and Member States are called to take measures\n to prevent ‘transplant tourism’, notably by enacting guidelines which aim to\n protect the poorest and most vulnerable donors from becoming victims of organ\n trafficking, and by adopting measures to increase the availability of legally\n procured organs. Those responsible for organ trafficking must be subject to\n prosecution, including sanctions for medical staff involved in\n transplantation of organs obtained from trafficking.
\n