WHO and Transplantation
Transcripción
WHO and Transplantation
Global Activity in Organ Transplantation 2008 Estimates 2008 GKT/ GODT Kidney Liver Heart Lung Pancreas 69300 20300 5330 3330 2380 ≈ 100,900 organs transplanted each year ≤ 10% of global needs 104 countries reported to the Global Observatory on Organ Donation and Transplantation South Africa, India and China - are 2008 estimates Health Systems and Services Essential Health Technologies 1 Kidney Transplantations per Region Kidneys from Deceased Donors (%); Absolute number; Kidney Tx (pmp) Kidney from LD Kidney from DD 79% 60.25% 19800 (22.3) 12.1% 5200 (9.4) 26520 (29.5) 40% 400 (0.48) 3.6% 6820 (3.85) 43.6% 10500 (5.9) 2008 GKT/ GODT Health Systems and Services Essential Health Technologies 2 Liver Transplantations per Region Livers from Live Donors (%); Absolute number; Liver Tx (pmp) 8.3 % 4.2 % Liver from LD Liver from DD 7435 (8.4) 47% 71.6 % 45.7 % 390 (0.7) 8605 (9.6) 3520 (1.97) 300 (0.17) 13 % 23 (0.03) Health Systems and Services 2008 GKT/ GODT Essential Health Technologies 3 ng a Sl por ov e a J o kia rda Ir e n la F in n d l C r and oa S tia Ro y r ia m D e an nm ia a Ve Is r rk n e ae S zu l So r i L a e l a u t nk hA a fr ic C a G r hi le H u ee c n e T h ga r y ail Sw Nor wand i tz a y er R u S In d o l a n d s s au d n e ia si a i Cz n F e A rab e c de i a h R r at ep ion Sw u bl ed i c Au en Pa s tr ia k Po is ta r tu n N e Be l g a l the giu r m C o l and Ph l o m s i li p bia p Po in es la Eg nd Au y p s Ar t r a l t ge i a n ti n Re p o J ap a f K an C a or ea na da Ir T u an Un r i te Me key d K x ic i ng o do Ita m Sp l y F r a in G e a nc rm e a Br ny az Ind il Ch i a i na US Si Transplanted Organs 50 Most Active Countries in 2008 25000 20000 Health Systems and Services 2008 GKT/ GODT 30000 Kidney Liver Heart Lung Pancreas 15000 10000 5000 0 Essential Health Technologies 4 100 90 80 70 J a pa n Sr i L anka C ub a Eg y p t Ic ela nd C hi Li thu le an i a Sa u d i A ra bi C ol o a m bia M ex ic o Latv ia Le ba no n Ku w a it Br a z il G ree ce Po l a nd Ir a n H u ng ar y T ur k ey J orda n Ar g e n ti n a R ep o f Ko r ea Sl ova kia Is rae l Sl ove nia N ew Z eala nd Si n g a po r e F inl a nd U r ug u ay Es t o ni a Ir elan d D U ni te enm a rk d Ki n gd C ze c h R e om pu bli c Ita l y Au s t r ali a G erm a ny C r oa tia N eth er l an ds Sw i t z er l an d C a na da Sw e d en F ra n ce Po r tu ga l C yp r us Be l g iu m Au s t r ia Spa in N or w ay US Transplanted Organs per Million Population 50 Most Active Countries Globally 2008 GKT/ GODT Kidney pmp Liver pmp Heart pmp Lung pmp Pancreas pmp 60 50 40 30 20 10 0 Health Systems and Services Essential Health Technologies 5 Vi e t N G haanm Ban gN ig eriaa la Kedneysh a My aNnepal m M ong ar G eor oli a S gia Indonud an Ar meesi a Al n i a Pakgiser ia El Sa t a n lv Oamdao r Li byan Sr i LSy r ia an E ka Ic eglay pt J ordand In n P D omhi li ppindei a R s M ep ubli c G uaat l ays ia e Bu m a l a Par al gar ia gu J ay T haailpan a C h nd T unisi na S A fr ia Pan ai ca R us sma Bo l i a Mexivicia o R o m Ir a n a R ep T ur kne ia Lux eof Kor eay V m bo Sauedn ezuuerl g a iA Lebarabi a n on Si nKguw a it ap or Br aze Is raeil C ubal N ew hi le Z eaC C ol ola nd m Li thu bia G ani a Ar geree ce Aus nt ti na r ali N eth Pol anad e r l an C ana ds e ada Sw iD tzenr lm andrk UK L H unagtv ia a Sl ove r y F l ania G erin m annd y C ze c Sl ovaItal y h R e kia p Sw eudbli c Ir elaen C r oan d tia C U r uygp rus u ay Au U S N orswtr ia Be l g a y Es toiu m F ni a Porratunce g Spa ainl Kidney Transplantations per Country Per million population (pmp) 80 70 Health Systems and Services 2008 GKT/ GODT 90 Kidney from LD pmp Kidney from DD pmp 60 50 40 30 20 10 0 Essential Health Technologies 6 In d o n Vi et esi a N am Al g e r ia Li bya Eg y J ord apt M y an n m ar I Ve n e n d i a zuel a D om J apan R ep u M al a bli c ys ia Ku w a T unis it S A fr ia i T hail ca and Bu l g ar ia M ex ic U r ug o uay C hi n Es t o a R om ni a a Li thu n ia ani a Ir a Sl ova n S A ra kia bia C R ep uba K ore a T ur k H ung ey Si n g a r y a N Z e por e ala C ol o nd m bia C hi le G ree ce Br a z Po il Ar g e l a n d n ti n a N eth Is rae l er l an D enm ds a F inl a rk nd C ze c Aus tr ali a h Re Sw i tz pu bli c er l a Sl ove nd nia G erm U K any Ir elan Au s t d r ia C ana d C r oa a Sw ed tia e F ra n n N or w ce ay Ita l y U Be l g S iu m Sp Por tua in ga l Liver Transplantations per Country Per million population (pmp) 25 Health Systems and Services 2008 GKT/ GODT 30 Liver from LD pmp Liver from DD pmp 20 15 10 5 0 Essential Health Technologies 7 Kidney transplants/pmp vs HDI 2008 GKT/ GODT Low High Medium 90 Cyprus 80 70 60 US Spain 50 40 Uruguay Jordan 30 Iran Lebanon Poland Brazil Egypt Sri Lanka Colombia 20 Canada Singapore Kuwait Rep of Korea Japan 10 India SouthAfrica Pakistan Myanmar ChinaThailand Libya 0 0.4 0.5 0.6 0.7 0.8 0.9 1 Human Development Index UNDP Health Systems and Services Essential Health Technologies 8 Liver transplants/pmp vs HDI 2008 GKT/ GODT Low 30 High Medium Portugal Spain 25 US 20 Italy Rep of Korea Canada 15 Singapore 10 Switzerland Finland Turkey Israel Australia Brazil 5 India Egypt New Zealand Saudi Arabia Chile Colombia Cuba Jordan Iran China Thailand Cyprus Uruguay Kuwait Japan 0 0.4 0.5 0.6 0.7 0.8 0.9 1 Human Development Index UNDP Health Systems and Services Essential Health Technologies 9 Deceased Donors / pmp vs HDI 2008 GKT/ GODT High Medium 40 Spain 35 30 Portugal Estonia 25 Uruguay 20 US Belgium France Italy Austria Cyprus Norway Slovenia Ireland Cuba 15 Finland UK Argentina Poland Denmark Israel Dom Republic Colom bia 10 SouthAfrica Pakis tan India Bolivia Iran Paraguay Syria Venezuela Australia Chile New Zealand Iceland Brazil 5 Canada Singapore Saudi Arabia Kuwait Mexico Rep of Korea Japan Thailand Malaysia Panam a 0 0.5 0.6 0.7 0.8 UNDP Human Development Index Health Systems and Services 0.9 1 Essential 10 Health Technologies 7000 3000 L at v ia Ke n ya N ep al Mal a ys ia L it h uan ia Ge o rgi a Fi n l and SA f rica C ro a ti a U ru gua y Ire l a nd H un g ary C ze ch R e pu b l ic A l ge ri a Fr a n ce Pa n ama Pa r ag u ay B o li via Gre e ce Pa k is t a n A rg en ti na R om a n ia Ge r man y UK Ja p an Sa u di A ra bi a Tu n is i a P h il i pp i n es D en mar k C an a da S ri L an ka Eg y pt Mex ic o Ice l an d Tu r ke y L eb a no n N or way N et he rl an d s C yp ru s N am N ig e ria V i et Living Kidney transplants: Absolute number vs pmp Living Kidney tx Absolute number 4000 2000 Health Systems and Services 2008 GKT/ GODT Living Kidney Tx pmp 60 US 6000 India 50 5000 40 Jordan 1000 0 30 China Brasil 20 10 0 Essential 11 Health Technologies Health Systems and Services y 100 2 0 0 Singap or e Rep of Korea Japan Tur key Jordan Saudi A rabia Sw itzer land New Ze aland Canada Egypt Belgium US Argenti na G erman Spain Sw ede n Living liver tx Absolute number Poland Bulga ri a Unite d Kingdo m Iran Austr ia Roma n ia Portuga l Italy China Liby a Isra el Venez u e la 700 India Croatia Algeria Nethe rl ands Austr a lia France Mexico Tha ilan d Vie t Na m Indone sia Mala ys ia Living Liver transplants: Absolute number vs pmp 2008 GKT/ GODT living liver tx pmp 16 600 14 500 12 10 400 8 300 6 200 4 Essential 12 Health Technologies