Ethics-Governance: Article: MJA: Kerridge et al., The clinical and ethical implications of hepatitis C for organ transplantation in Australia

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MJA: Kerridge et al., The clinical and ethical implications of hepatitis C for organ transplantation in Australia The clinical and ethical implications of hepatitis C for organ transplantation in Australia Ian H Kerridge, Peter Saul and Robert G Batey Current Australian policy prohibiting transplantation of organs from hepatitis C-infected donors raises questions about patient autonomy and medical paternalism. MJA 1996; 165: 282-285 Case 1 A 42-year-old man presented to a liver clinic for assessment as he had recently been found to be hepatitis C virus antibody (anti-HCV) positive. Liver function test results had been normal in the two years preceding this appointment, and the patient felt perfectly well. There were no signs of chronic liver disease, and a liver biopsy (undertaken at the patient's request) 12 months earlier had shown minimal inflammatory damage and no fibrosis. One of the main points for discussion at the outpatient clinic was that this patient had been rejected as an organ donor by the transplantation service. He was indignant that his offer of organs was rejected, particularly as he felt that it would be appropriate in the event of his death for his liver to be made available to another HCV-positive patient. Full Article: http://www.mja.com.au/public/issues/sep2/kerridge/kerridge.html


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