[Comparison of organ transplantation between Japan and overseas countries--regarding new law of organ donation and transplantation].

In Japan, the new law of organ transplantation was introduced in 2010 as broad opt in system likely WHO standard. However option for organ donation from the patients with brain death is not regulated by the law and depends on the decision of charged doctors. Organ donation is prohibited from the child injured with child abuse and the patients with mental retardation. Directed donation is adopted in USA and Korea, although it is prohibited in all European countries. It is permitted only for pre-registered donors and their parents, children and spouse in Japan. Opt out system should not be established in Japan because it is still not enough that general people accept brain death. Recruit and education of more coordinators and ICU doctors and nurses are also necessary, in terms of donor action program. In addition we have to keep on enlightening organ donation for general people.