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Ethical Consent In Xenotransplantation

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Xenotransplantation is the transplantation of tissue from one species to another. This paper concerns whole organ xenotransplantation.

Xenotransplantation offers a viable solution to a growing problem, namely the dire shortage of available organs for transplantation, which is set to worsen as life expectancy increases. Thus, xenotransplantation has the potential to benefit those on waiting lists, reduce risks associated with living donors, ameliorate economic burdens on health care services and most importantly save lives. Figures from UK Transplant show the economic benefit of transplanting organs. A typical human-to-human kidney transplant costs on average £17,000 and £5,000 per year for immunosuppressant drugs. Dialysis, on the other hand, costs …show more content…

These can be divided into three main areas of discussion; a) practical issues (rejection, zoonosis and physiology), b) legal concerns (validity of consent) and c) ethical considerations (animal rights and revulsion). The focus of this paper is to discuss the concept of consent in xenotransplantation procedures. This will inevitably draw upon some of the ethical and practical matters. It will be argued that valid consent can be sought in light of scientific developments, legislation, and by balancing fundamental rights with the public interest.

Practical Considerations
The two main practical issues of xenotransplantation are rejection and zoonosis. However medical advances and developing research have taken significant steps to allay these concerns.

1. Risk of Rejection
There was, post-xenotransplantation, an extremely high likelihood that the animal organ would be rejected by the patient’s immune system, as seen in the case of Baby Fae, where a baboon heart was transplanted into a 14 day old neonate. She died within three weeks. There are three stages of rejection; hyperacute rejection, acute vascular rejection and cellular

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