Required Request in Every Death: “Puchna mat Bhulo” Dr KK Aggarwal National President IMA IMA is committed to promoting eye and organ donation. To this end, IMA will launch a campaign at branch and state levels called “Puchna Mat Bhulo” to promote “mandatory required request’. All IMA members should, in case of routine death, request the relatives or legal heirs for donation of eyes (in case of death) and organs (in case of brain death). As per Transplantation of Human Organs and Tissues Rules, 2014 any doctor in ICU in a situation of brain stem death, in consultation with transplant coordinator (if available) shall ascertain from the next of kin or the legal heir of the body whether the dead person, while he was alive, had authorised for donation of his or her organs either by filling form 5 or in driving license. If yes, then the RMD is duty bound to request the next of the kin or the legal heir to submit the aforesaid authorisation and sign the declaration/authorisation. Also the doctor SHALL ascertain, after certification of brain stem death of the person in ICU from his or her adult near relative or, if near relative is not available, then, any other person related by blood or marriage, and in case of unclaimed body, from the person in lawful possession of the body the following (a) whether the person had, in the presence of two or more witnesses (at least one of who is a near relative of such person), unequivocally authorised before his or her death as specified in Form 7 or in documents like driving license, etc. wherein the provision for donation may be incorporated after notification of these rules, the removal of his or her organ(s) or tissue(s) including eye, after his or her death, for therapeutic purposes and there is no reason to believe that the person had subsequently revoked the aforesaid authorisation; (b) where the said authorisation was not made by the person to donate his or her organ(s) or tissue(s) after his or her death, then the registered medical practitioner in consultation with the transplant coordinator, if available, SHALL make the near relative or person in lawful possession of the body, aware of the option to authorise or decline the donation of such human organs or tissues or both (which can be used for therapeutic purposes) including eye or cornea of the deceased person and a declaration or authorisation to this effect shall be ascertained from the near relative or person in lawful possession of the body as per Form 8 to record the status of consent, and in case of an unclaimed body, authorisation shall be made in Form 9 by the authorised official as per sub-section (1) of section 5 of the Act; (c) after the near relative or person in lawful possession of the body authorises removal and gives consent for donation of human organ(s) or tissue(s) of the deceased person, the registered medical practitioner through the transplant coordinator shall inform the authorised registered Human Organ Retrieval Centre through authorised coordinating organisation by available documentable mode of communication, for removal, storage or transportation of organ(s) or tissue(s). • "Mandatory" or required request for donation of the organs of patients dying in hospitals is likely to increase the rate of organ harvest and will alleviate the critical shortage of transplantable organs. • “Required request” or “required referral” is defined as “that it shall be illegal, irresponsible and immoral to disconnect a ventilator from an individual who is declared dead following brain stem testing without first making proper enquiry as to the possibility of that individual's tissues and organs being used for the purposes of transplantation”. • IMA policy is that in every death, the doctor should explore about corneal donation. India needs 2 lakh donor eyes per year to take care of corneal blindness. One is able to collect only 25,000 donor eyes per year. For every 1000 population, 7.89 persons die every year. If request is made for eye donation at the time of death and even if 1% people of total deaths donate eyes, one will be able to cover the shortage. IMA Slogans #Puchna mat bhulo: IMA policy is that in every death, the doctor shall explore about corneal donation. #Puchna mat bhulo: India needs 2 lakh donor eyes per year and only collects 25,000 donor eyes. #Puchna mat bhulo: For every 1000 population 7.89 persons die every year. #Puchna mat bhulo: Required request, it is illegal, irresponsible & immoral to disconnect a ventilator from a patient declared brain dead without enquiring possibility of that patients tissues and organs donation #Puchna mat bhulo: IMA member SHALL make the near relative or person in lawful possession of the body, aware of the option to authorise or decline the donation of human organs or tissues or both #Puchna mat bhulo: All IMA members should, in case of routine death, request the near relations for corneal and whole body donation and in situations with brain stem death for organs donations. #Puchna mat bhulo: As per Transplantation of Human Organs and Tissues Rules, 2014: Required request is mandatory.