The Human Organ Transplant Act (HOTA)

The Human Organ Transplant Act (HOTA) 2018-01-30T16:37:05+08:00
  • HOTA makes provision for the removal of organs for transplantation, for the prohibition of trading in organs and blood, and for purposes connected therewith
  • HOTA allows the removal of four organs in the event of death for transplantation
    • Cornea
    • Heart
    • Liver
    • Kidneys
  • HOTA covers all Singaporeans and PRs who are at least 21 years of age and who are not mentally disordered
  • Any individual may opt out of HOTA
    • Individuals who opt out of HOTA have a lower priority on organ transplant waiting lists
  • The designated officer of a hospital may authorize, in writing, the removal of an organ from the body of a patient who has died in that hospital, for the purposes of transplantation into a living person
  • The order may not be given if:
    • The deceased has registered an objection to HOTA during his lifetime
    • The deceased is neither a citizen nor a PR of Singapore
    • The deceased is, or is suspected to be, mentally disordered during his lifetime
    • The deceased is below 21 years of age, unless his parent or guardian has consented on his behalf
    • The death is made a Coroner’s inquest, unless the Coroner has given permission to do so
  • No one other than an authorized medical practitioner shall remove an organ for the deceased
    • Doing so is a criminal offence
  • Definition of death:
    • Cardiac death: heart stops beating spontaneously; all vital bodily functions stop
    • Brain death
      • Legally and medically the same as death in Singapore and other countries
      • Different from a coma, where there is still evidence of brain function
      • For organ donors, requires certification of brain death by two doctors who are:
        • Not involved in the care of the patient
        • Not on the organ transplant team
        • Are not involved in the selection of the proposed recipient
        • Are not involved in the care of the proposed recipient
        • Accredited in the certification of brain death
      • Must not have any confounding factors (e.g. hypoglycaemia, hypothermia, drug intoxication)
      • Neurologic examination
        • Coma
        • Complete absence of central motor response (e.g. to pain)
        • Fixed, dilated pupils
        • Absent corneal reflex
        • Absent vestibulo-ocular reflex
        • Absent jaw jerk
        • Absent gag, sucking or rooting reflex
        • Absent cough reflex with tracheal suctioning
        • Apnoea (no response to increase in ETCO2 when ventilator stopped)
  • Donor’s body to be treated with utmost respect
  • All incisions repaired
  • Living organ donation also covered under HOTA
    • Donor must fully understand the nature and consequences of organ donation
    • Must give full, informed consent
    • There must be no coercion or financial incentive for the donor
      • Except reimbursement of costs, expenses or loss of earnings as a result of organ donation
    • Organ trading is a criminal offence

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This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Its perfect for grabbing the attention of your viewers. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile.