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Global Observatory on Donation and Transplantation (GODT)

Organ Donation and Transplantation Activities

2009

Health Systems and Services

Essential Health Technologies

1


GODT 2009

Global Activity in Organ Transplantation 2009 Estimates

Kidney

Liver

Heart

Lung

Pancreas

72100

21175

5405

3650

2320

≈ 104,650 solid organs transplanted each year ≈ 4% increase on 2008 ≤ 10% of global needs 92 Member States reported having any activity on transplantation to the GODT Information of organ transplantation activities is included in the Global Observatory on Donation and Transplantation (GODT): 3 countries from 2007; 10 from 2008 and 89 from 2009 G

Health Systems and Services

Essential Health Technologies

2


Kidney Transplantations per Region GODT 2009

Kidneys from Deceased Donors (%); Absolute number; Kidney Tx (pmp)

Kidney from LD Kidney from DD

74.2%

60.2%

21713 (24.2) 9.8% 5582 (9.4) 27728 (29.96) 30.2% 463 (0.56) Health Systems and Services

47.5% 5.2% 5801 (3.25) 10131 (5.64) Essential Health Technologies

3


GODT 2009

Kidney Transplantation per Million Population – 2009*

Health Systems and Services

Essential Health Technologies

4


60.0

50.0 50.0

40.0 40.0

30.0 30.0

20.0 20.0

10.0 10.0

0.0 0.0

Viet Nam My anmar Ghana Bangladesh Nige ria Honduras Nepal Kenya Geor gia Indon esia Armenia Sudan Algeria El Salvador Pakistan Oman Libyan Egypt Syria Sri Lanka Mauri tius Lebanon Iceland Jorda n India Mongolia Philippines Guatemala Malaysia Qatar J apan Domi nican Rep Bulgaria Thailand Ecuador Kuwa it China Tunisia SouthAfrica Paraguay Bolivia Russia Romania Luxembourg Saudi Arabia Mexico Iran Turkey Venezuela Panama Singapore Rep of Korea Costa Rica Gree ce Cuba Chile Israe l N Zeala nd Brazil Malta Cyprus Colombia Poland Austr alia Argentina Slovenia Lithuania Canada Netherlands Swed en Switzerland Hungary Denmark UK Germ any Italy Latvia Slova kia Finland Czech R US Irelan d Croatia Uruguay Estonia Norway Belgium France Austr ia Spain Portugal

GODT 2009

Kidney Transplantations from deceased and living donors Per million population (pmp)

Kidney tx from DD pmp

Health Systems and Services

Living Kidney tx pmp

60.0

Essential Health Technologies 5


60.0

0.0 Jordan Iceland Lebanon Mauritius Sri Lanka Syria Egypt Libya Oman Pakistan El Salvador Algeria Sudan Armenia Indonesia Georgia Kenya Nepal Honduras Nigeria Bangladesh Ghana Myanmar Viet Nam India Mongolia Philippines Guatemala Malaysia Qatar Japan Dominican Bulgaria Thailand Ecuador Kuwait China Tunisia SouthAfrica Paraguay Bolivia Russia Romania Luxembourg Saudi Arabia Mexico Iran Turkey Venezuela Panama Singapore Rep of Costa Rica Greece Cuba Chile Israel N Zealand Brazil Malta Cyprus Colombia Poland Australia Argentina Slovenia Lithuania Canada Netherlands Sweden Switzerland Hungary Denmark UK Germany Italy Latvia Slovakia Finland Czech Rep US Ireland Croatia Uruguay Estonia Norway Belgium France Austria Spain Portugal

GODT 2009

Kidney Transplantations per Country Per million population (pmp)

70.0

Kidney from LD pmp Kidney from DD pmp

50.0

40.0

30.0

20.0

10.0

Health Systems and Services Essential Health Technologies 6


Liver Transplantations per Region Livers from Live Donors (%); Absolute number; Liver Tx (pmp)

GODT 2009

7.7 % Liver from LD Liver from DD

3.8 %

47%

7577 (8.45)

46.2 % 415 (0.7) 8741 (9.4)

79.3 % 508 (0.28)

12 %

3744 (2.08)

42 (0.05) Health Systems and Services

Essential Health Technologies

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GODT 2009

Liver Transplantation per million population – 2009*

Health Systems and Services

Essential Health Technologies

8


R ep

Mex

Peru

c an

J apa n

a

rabi a

Health Systems and Services ala n d

l

UK

Essential Health Technologies

Spa

in

Belg iu m

I tal y

lan d Germ any Sw e d en Nor w ay

Swi t zer

Finla nd

Aus t r ali a

N Ze

Liver tx from DD pmp

Is rae

Tur k ey Cos ta R ic a Hun g ary Slov a kia Col o mbia Ar ge nti na

nia Ur ug uay

Li thu a

Sau di A

30.0

Bul g ari

ic o T ha ila nd

Dom ini

ezue la

J ord an

Ven

am

esia

Viet N

In do n

GODT 2009

Liver Transplantations from deceased and living donors Per million population (pmp)

Living Liver tx pmp 30.0

25.0 25.0

20.0 20.0

15.0 15.0

10.0 10.0

5.0 5.0

0.0 0.0

9


90

80

70

60

Mauritius Egypt Chile Greece Lebanon Singapore Saudi Arabia Mexico Iceland Kuwait Colombia Brazil Poland Latvia Lithuania Iran Costa Rica Jordan Hungary Argentina Israel Cyprus Slovakia Turkey Slovenia Estonia N Zealand Uruguay Rep of Korea Finland Australia Malta Italy Germany Czech Rep Ireland Denmark Croatia UK Switzerland Canada Netherlands Sweden France Belgium Spain Portugal US Norway Austria

GODT 2009

Transplanted Organs per Million Population 50 Most Active Countries Globally

100

Kidney pmp Liver pmp Heart pmp Lung pmp Pancreas pmp Small bowel pmp

50

40

30

20

10

0

Health Systems and Services Essential Health Technologies 10


Mya G u a t enmm a r la M a l a y saia D o m R eJ a p a n p M o n guoblili c Ec uadoa Q a t a rr T h a il a n T u n is iad B u l g a r ia Kuw R o m aan it ia Sau di A S o u t h Ara b i a f r ic M e x icao I P a r a g ur a n V e n e zu a y e T u r k el ay S in g C o s t aa pRo r e ic a R ep of Korea G re e c e C h i le B r a z il I s ra e C y p ru s l N Z e a la Pol nd A u s t r aalin d C o l o m ba ia C uba Arg S w i t z eern t in a N e th e r lal a n d S w e dnedns H ung D e n maar y C a n rk L it h u aand a ia La G e rm tavnia y UK S l o v a ia S l o ve nk ia C roat F in l a niad C ze ch R U r u g u ea p I r e la n y I c e la n dd N orw ay I ta l y M a l ta F ra n c E s t o n iea A u s t r ia US B e lg iu m P o r tu g a S p a inl

GODT 2009

Donation from deceased persons (pmp)

40.0

35.0

30.0

25.0

20.0

15.0

10.0

5.0

0.0

Health Systems and Services Essential Health Technologies 11


GODT 2009

Kidney Transplantation, from deceased and living donors: % of variation 2008 -2009

WHO RĂŠgions

AFR

AMR EMR

EUR

SEAR

WPR

DD Kidney 2009

140

16692

550

16116

305

4818

% Variation 09/08

-12.5

4.5

-12.6

3.1

22.5

5.3

LD Kidney 2009

323

11036

5032

5597

5496

5313

% Variation 09/08

34.6

4.7

10.3

34.2

-16.3

-10.0

Total Kidney 2009

463

27728

5582

21713

5801

10131

% Variation 09/08

15.8

4.6

7.5

9.6

-14.9

-3.3

Health Systems and Services

Essential Health Technologies

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GODT 2009

Liver Transplantation, from deceased and living donors: variation 2008 -2009

WHO RĂŠgions

AFR

AMR

EMR

DD Liver 2009

37

8405

223

6994

105

1984

% Variation 09/08

85.0

2.0

5.7

2.5

22.1

6.2

LD Liver 2009

5

336

192

583

403

1760

% Variation 09/08

66.6

-7.9

7.8

-5.3

85.7

6.3

TOTAL Liver 2009

42

8741

415

7577

508

3744

% Variation 09/08

82.60

1.57

6.68

1.90

67.60

6.27

Health Systems and Services

EUR SEAR

WPR

Essential Health Technologies

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Deceased donors per million population vs Human Development Index GODT 2009

40.0

AFR

AMR

EMR

EUR

SEAR

WPR Spain

35.0 Portugal

30.0 Belgium

Estonia

US

Austria

25.0

France

Malta Italy Uruguay

20.0

Finland

15.0 Colombia

Argentina Cuba

10.0

Australia

Poland Israel

Brazil

Costa Rica

5.0

Paraguay

S.Africa Mongolia

0.0 0.5

0.6

Medium

Iran Mexico Saudi Arabia Thailand Malaysia

0.7

Health Systems and Services

Rep of Korea

Turkey

0.8

High

Kuwait

0.9

Singapore Japan

Very high

Essential Health Technologies

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2009 DATA