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. 2011 Nov 25;27(6):2533–2546. doi: 10.1093/ndt/gfr619

Table 1.

Legislation by nationa

Nation Province/Territory/State/Region Name of legislation Consent Source Source type
Armenia Law on Organ and Tissue Transplantation, 2002 Presumedb National Assembly of the Republic of Armenia [23] (Hovhannisyan, L. Yerevan. June 2010) Website and personal communication
Australia Australian Capital Territory Transplantation and Anatomy Act 1978 Explicit The ACT Legislation Register [24] Website
New South Wales Human Tissue Act 1983 New South Wales Government [25] Website
Northern Territory Human Tissue Transplant Act 1979 Northern Territory Government—Department of the Chief Minister [26] Website
Queensland Transplantation and Anatomy Act 1979 Queensland Government—Office of the Queensland Parliamentary Counsel [27] Website
South Australia Transplantation and Anatomy Act 1983 Government of South Australia—Attorney-General’s Department [28] Website
Tasmania Human Tissue Act 1985 Tasmania’s Consolidated Legislation Online [29] Website
Victoria Human Tissue Act 1982 Victoria Government Health Information [30] Website
Western Australia Human Tissue and Transplantation Act 1982 Government of Western Australia—State Law Publisher [31] Website
Austria Hospitals Law of 18 December 1956, Paragraph 62a-e, 1982 Presumed Gesundheit Österreich GmbH [32] Website
Belarus Law of the Republic of Belarus ‘On Transplantation of Human Organs and Tissues’ Presumed The Belarusian Medical Academy of Postgraduate Education (Komisarov, K. Minsk. June 2010) Personal communication
Belgium Law of 13 June 1986 Presumedc Moniteur Belge [33] Website
Brazil Law No. 9.434 of 4 February 1997 Explicit Ministério da Saúde [3436] Website
Law No. 10.211 of 23 March 2001
Decree No. 2.268 of 30 June 1997
Canada Alberta Human Tissue and Organ Donation Act, 2006 Explicit CanLII Database [22, 3748] Website
British Columbia Human Tissue Gift Act 1996
Manitoba Human Tissue Gift Act, 1987
New Brunswick Human Tissue Gift Act, 2004
Newfoundland and Labrador Human Tissue Act, 1990
Northwest Territories Human Tissue Act, 1988
Nova Scotia Human Tissue Gift Act, 1989
Nunavut Human Tissue Act, 1988
Ontario Trillium Gift of Life Network Act, 1990
Prince Edward Island Human Tissue Donation Act, 1988
Quebec Civil Code of Quebec
Saskatchewan Human Tissue Gift Act, 1978
Yukon Human Tissue Gift Act, 2002
Chile Law No. 20.413 of January 6, 2010 Presumedd Biblioteca del Congreso Nacional de Chile [49] Website
Colombia Law No. 9, 1979 Presumed Punta Cana Group [50] Website
Law No. 73, 1988
Law No. 919, 2004
Decree 2493, 2004
Resolution 2640, 2005
Costa Rica Law No. 7409 of 27 October 1994 Presumed Punta Cana Group [50] Website
Croatia Law RH 50/88 Presumed Donor Network of Croatia [51] Website
Law RH 177/2004
Rule No. 152/2005
Cuba Law No. 41 of 13 July 1983 on public health Explicit Legislative Responses to Organ Transplantation [52] Book
Decree No. 139 of 4 February 1988 Trasplante [53] Website
Czech Republic Act 285/2002 Coll. Of 30 May 2002 on donation, removal, and transplantation of organs and tissues Presumed Transplants Coordinating Center (KST) (Fryda, P. Prague. March 2010) Personal communication
Denmark Sundhedsloven – LBK No. 95 of 7 February 2008 Explicit Retsinformation [54] Website
Ecuador Law No. 58 of 27 July 1994 Presumed Instituto Ecuatoriano de Dialisis y Trasplantes (Ortiz-Herbener, F. Guayaquil. July 2009) Personal communication
Estonia Rakkude, Kudede Ja Elundite Käitlemise Ja Siirdamise Seadus Explicit Electronic Riigi Teataja (ERT) [55] Website
Finland No. 101/2001 Act on the medical use of human organs and tissues Presumed Finlex [56, 57] Website
Law No. 547 of 11 May 2007 amending Law No. 101
France Public Health Code Presumed Legifrance [58] Website
The Transplantation Act, 5 November 1997 Explicit Deutsche Stiftung Organ transplantation (Norba, D. June 2009. Frankfurt) Bundesgesetzblatt online [59] Personal communication
Germany Amendments to the Transplantation Act, 2007 Website
Iceland Act No. 16 of 6 March 1991 Explicit Althingi [60] Website
India Act No. 42 of 1994, Transplantation of Human Organs Act Explicit CommonLII [61] MOHAN Foundation [62] Website
Transplantation of Human Organs (Amendment) Rules 2008 Website
Ireland n/a Explicit n/a n/a
Israel Organ Transplant Act, 2008 Explicit Israel Ministry of Health (Ashkenazi, T. Tel Aviv. May 2010) Personal communication
Italy Law No. 91 of 1 April, 1999 Ministerial Decree of 8 April 2000 Presumed Portale Della Normativa Sanitaria [63, 64] Website
Japan Law No. 104 of 16 July 1997e Explicit WHO International Digest of Health Legislation [65] Website
Kuwait Decree-Law No. 55 of 20 December 1987 Explicit Legislative Responses to Organ Transplantation [52] Book
Lithuania Law on Donation and Transplantation of Human Tissues, Cells and Organs Explicit Lithuanian National Transplantation Bureau (NTB) [66] Website
Luxembourg Law of 25 November 1982 Presumed Luxembourg-Transplant [67] Website
Malaysia Human Tissues Act 1974 Explicit The Attorney General of Malaysia [68] Website
Malta n/a Explicit Transplant Support Group (Debattista, A. Hamrun. June 2010) Personal communication
Mexico Ley General de Salud Explicit Centro Nacional de Trasplantes [69] Website
Reglamento de la Ley General de Salud
Lineamientos para la asignación y distribución de órganos y tejidos
Netherlands The Organ Donation Act, 1996 Explicit Overheid [70] Website
New Zealand Human Tissue Act 2008 Explicit The Parliamentary Counsel Office (PCO) [71] Website
Norway Law No. 6 of 9 February 1973 Presumed Lovdata [72] Website
Paraguay Law No. 1246/98 Presumed Punta Cana Group [50] Website
Philippines Republic Act No. 7170 Explicit Chan Robles Virtual Law Library [73] Website
Poland The Cell, Tissue and Organ Recovery, Storage and Transplantation Act, 2005 Presumed Poltransplant [21] Website
Romania Law No. 95/2006 Explicit Agenţtia Nationalã de Transplant [74] Website
Russia Law of 22 December 1992 Presumed Central Clinical Hospital of Russian Academy of Sciences (Pishchita, A. Moscow. June 2010) Personal communication
Saudi Arabia Procedure of Deceased Organ Donation Explicit Saudi Center for Organ Transplantation [75] Website
Singapore Human Organ Transplant Act Presumed Singapore Statutes Online [76, 77] Website
The Medical (Therapy, Education and Research) Act
Slovak Republic Law 576/2004, of 21 October 2004 Presumed Slovenské Centrum Orgánových Transplantácií [78] Website
Slovenia The Removal and Transplantation of Human Body Parts for the Purposes of Medical Treatment Act Presumed Uradni list RS [79] Website
South Africa National Health Act, 2003 Explicit Department of Health [80] Website
South Korea Law 8852 Explicit Ulsan University Medical College (Kim, J. H. Seoul, June 2010) Personal communication
Spain Law No. 30 of 27 October 1979 RD 2070/1999 on the removal and transplantation of organs Presumed Global Observatory on Donation and Transplantation [81] Website
Sweden Law No. 831 of 1 June 1995 Presumed Riksdag [82] Website
Switzerland Federal Act of 8 October 2004 on the Transplantation of Organs, Tissues and Cells (Transplantation Act)f Explicit The Federal Authorities of the Swiss Confederation [83] Website
Thailand Rules of the Medical Council on the Observance on Medical Ethics Explicit Chulalongkorn University (Nivatvongs, S. Bangkok. June 2010) Personal communication
Medical Council's Announcement on Criteria for Brain Death Diagnosis
Tunisia Law No. 91-22 of 25 March 1991 Presumed CHU la Rabta (Hamouda, C. Tunis. June 2010) Personal communication
Law No. 49 of 12 June 1995
Law No. 18 of 1 March 1999
Decree No. 97 of 13 June 1997
Ordinance of 28 July 2004
Turkey Law #2238 of 29 May 1979 Presumed Turkish Transplantation Society [84] Website
Law #2594 of 21 January 1982
UK Human Tissue Act 2004g Explicit Office of Public Sector Information [85, 86] Website
Human Tissue (Scotland) Act 2006
USA Uniform Anatomical Gift Acth Explicit National Conference of Commissioners on Uniform State Laws [87] Website
Venezuela Law of 3 December 1992 Explicit Punta Cana Group [50] Website
a

n/a = not applicable.

b

Switched to ‘soft’ presumed consent March 2009.

c

Removed a clause that allowed next-of-kin to object to donation in the absence of a registered wish to donate February 2007. In practice next-of-kin’s objection still respected in absence of a registered decision.

d

Changed from explicit consent to presumed consent January 2010.

e

In July 2009 revisions were adopted that will be in effect in 1 year [R. Ida (personal communication)].

f

A federal law was in enacted July 2007 abolishing the previous mixture of presumed and explicit consent canons (states).

g

Applies to England, Wales and Northern Ireland.

h

The most recent version of the UAGA has been implemented in the various states. A list can be found at http://www.anatomicalgiftact.org.