移植システムの推進を阻害する情報操作 : 最近の「脳死」からの臓器移植二症例から

抄録

Compared with the first Kochi case in March 1999, information about two other cases, the second case in Tokyo in May and the third case in Miyagi in July, decreased drastically. This restriction may be due to the infringement on privacy in the first case. It is important to discuss at the time of the transplants, whether their brain death was unavoidable, or was there some way to save the patient. It is indispensable not only to promote organ transplantation from brain dead persons, but also to advance emergency treatment procedures for the people who first administer treatment. In these 3 cases, as for the persons in charge of emergency treatment of the donors, ant the persons who diagnosed the preceding clinical and legal brain deaths of the donors, we have no information except for the first case. As for the details of the donorcard, it was reported only in the second case. The background diseases were explained immediately only in the third case which was a traffic accident. The family's comments about the organ-donation and each transplant result, weren't reported except in the second case, one year later. Perhaps the coordinators of the Japan Organ Transplant Network (JOTNW) could not establish good relations with the families. The mass media, JOTNW, and the MHW (Ministry of Health and Welfare) must put these problems in order, disclose them, and entrust the result to the good sense of the national public. Without accurate information, the donor families cannot freely talk about their thoughts to the public. Now the MHW has enforced a new committee in a perfectly locked room to verify organ transplantation, as if the leakage of the information were the problem. As a result, the right of the people to know, to discuss, and to decide is deprived, and donor's families cannot express their thinking about the process of organ transplantation.