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Sunday, January 18, 1998 Published at 18:27 GMT



Despatches
image: [ BBC Correspondent Stephen Cviic ] Stephen Cviic
Brazil

The Brazilian government has begun a public information campaign to try to persuade people of the benefits of a new law regulating the donation of organs for transplant. Under the law, which came into force on the first of January, all Brazilians are assumed to be donors unless they state otherwise on their identity cards or driving licences. The issue has aroused considerable controversy and the Health Ministry is hoping that its campaign will allay some of the fears which have been expressed. Here's our Brazil correspondent, Stephen Cviic:

Over the past few weeks, it's been virtually impossible to open a Brazilian newspaper without coming across columns, if not pages, devoted to the issue of organ donation. The new law was approved last year and attracted a certain amount of discussion at the time, but nothing like the amount of controversy which has surrounded it since it came into force. Brazil is now one of the small number of countries in which the onus is on those who do not want to donate their organs to say so. But many members of the public say they don't trust doctors to wait until they are really dead before removing their organs.

Others object to becoming donors on religious grounds -- and all of these people dislike the idea of having to queue up to register their opposition. However, the fiercest criticisms of the new law have come from the medical profession. The Brazilian Medical Council says it particularly dislikes the fact that doctors are no longer obliged to consult the dead person's family before going ahead with the operation; and they are also concerned that patients at private hospitals may be getting privileged access to available organs.

The government says it's drawing up a single national waiting list for transplants; and now it's started a campaign to persuade people that the new law is really necessary because of the lack of available organs. 'If you don't want to, you don't have to!' says one of the advertisements. But for the moment, the controversy appears likely to continue.





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