1997: January 29. Founded Georgian Association of Transplantologists (GAT) in Tbilisi City Hospital #1, General Surgery Clinic; 1997: GAT became a full member of European Transplant Coordinators Organization (ETCO). 1997-99: One of the main directions of GATs activity is legislation. Georgia never had a law about organ transplantation, thats why since 1997 GAT was cooperating actively with legislative group of the Ministry of Health, as well as with Health Subcommittee of Georgian Parliament. Law about Organ transplantation was adopted by our Parliament in February 2000. Georgian law is based on declared consent. GAT participated very actively in the process of law adoption, prepared several recommendations based on international experience. 1997: September 24. Two principal structural units were created in GAT: 1. National Transplant Registry (NTR) and 2. Ethical Commission. National Transplant Registry is computerized database including information about all organ transplanted patients living in Georgia, operated in transplant clinics of Tbilisi, as well as out of the country. Data in registry is permanently updated depending on information received directly from patients as well as from their local doctors. Original software, created by Georgian computer specialists by our request, is allowing us to perform statistical, scientific and clinical analysis of the data existing in the registry. That was the reason of delegating several functions by the Ministry of Health to GAT. One of them is distribution of immunosuppressive medicine purchased from governmental budget. Depending on registry data we are distributing not only exactly necessary and continuously changing amount of Sandimmune to our patients, but we are also making requests to the Ministry of Health on the necessary annual amount of medicine to be purchased. Second direction GAT is working in close cooperation with the Ministry of Health is Ethical Commission. This is very important structural unit of GAT with one of the goal of identification of genetic relations between donor and recipient in order to minimize possibility of commercialization of organ transplantation. Commission is sharing the responsibility of medical professionals involved in organ transplantation. No organ transplantation can be performed in Georgia without the Ethical Commissions special permission. 1997-98: GAT distributed $15 000 worth of Sandimmune to transplant patients donated by NOVARTIS FINLAND; 1998: GAT distributed $7 000 worth of Sandimmune to transplant patients donated by NOVARTIS Russia-Moscow; 1998: The Ministry of Health approved the list and type of documentation created by GAT which is necessary for donor-recipient identification. GAT also prepared the documentation necessary for transplants import. 1998-1999: Distribution of Cyclosporin and Consupren purchased by Georgian Government; 1999: May 6-9. GAT organized 1st Caucasian conference of Transplantologists. Sponsors: NOVARTIS, ROCHE, Georgian Taxpayers Union. 58 abstracts were published in the conference materials from Israel, Greece, Armenia, Azerbaijan, Russia and Czech Republic. Invited speaker from UK - Prof. Nadey Hakim. 1999: May 9. According to the resolutions of 1st Caucasian conference of Transplantologists, was founded Caucasian Transplant Coordinators Group (CTCG). 1999: The assessment of health care professionals predisposition towards organ donation was performed. Results were discussed on European Transplant Coordinators Congress in Oslo, Norway, June, 1999; 1999: September-November. General Project of "Transplantation development in Georgia: 2000-2004 years" was created (Annual requested budget for 2000 is USD 591 690). 1999: December. Organization of state tender to purchase Cyclosporine; 2000: With active participation of GAT was adopted the Law about organ transplantation by Georgian Parliament. Georgian law is based on declared consent. 2000: Criterias about brain death and gidelines about organ export and import were adopted. 2001: According to GAT's recomendations, Georgian Parliament accepted changes in the law about paired donation; 2002: Based on SOROS grant GAT created state standards in organ transplantation' 2002: First transplant bank created in Kutaisi, Georgia; 2002: GAT distributed $18 249 worth of Sandimmune to transplant patients donated by NOVARTIS Ukraine; 2003: GAT distributed $5 600 worth of Sandimmune to transplant patients donated by NOVARTIS Ukraine; 2004: GAT received state license to retrieve, preserve and transplant tissue and organs of human origin; 2005: GAT organised Council of Europe's regional seminare in Tbilisi about cooperation in the fiels of organ transplantation. 2005: GAT distributed $8 600 worth of Sandimmune to transplant patients donated by NOVARTIS Ukraine; 2005: First time we begin free for patients laboratory monitoring 2008 unikodis garda ??????? axali chanaweria
GEORGIAN ASSOCIATION
OF TRANSPLANTOLOGISTS
IS 10 YEARS OLD
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