2008 DATA

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