Challenges in the Western Pacific Region :

• Demand is far greater than supply
• Risk of exploitation of economically weaker sections specially in poorly regulated national systems
• Transplantation tourism and trade in organs
• Legal frameworks available in a few countries, not all

Recognising the importance of these issues, and responding to WHA (Resolutions WHA 40.13, WHA 42.5, WHA 44.25), WHO developed the Guiding Principles on Human Organ Transplantation in 1991.   In the past 17 years these Guding Principles have greatly influences professional codes and practices and legislation around the world.

WHA57.18 requested an update on the Guiding Principles.   WHO updated them in 2008 through an extensive global consultation.  The revised Guiding Principles on Organ Transplantation assists Member Countries to develop legislation, regulations and services to improve safety, quality, efficacy, ethics and transparency in organ transplantation with the following objectives:

• To promote alturistic organ donation to enhance their availability
• To prevent trade in organs and exploitation of humans
• To improve quality, efficacy and safety of donations and transplantation
• To ensure transparency in clinical practice

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