Hospital awareness rather than public awareness is key to promote organ donation

[...]DDTs have gathered momentum only during the past 10 years, slowly nearing 0.8 donors per million population in a year. The public perception of conflict of interest in this area-specifically on brain death certification-is a maj or factor that led to a series of knee-j erk reactions in Kerala, a highly literate state where a steep drop was recorded in deceased donors from 76 in 2015 to 8 in 2018.6 One can understand the reluctance of hospital managements everywhere to get involved, compounded by needless bureaucratic regulations all over the country, further worsened by an agency of the Central Government being involved in this state subject (states in India have the right to take decisions in the area of health, which comes under the State Subject list in the Seventh Schedule of the Constitution of India).7 Another issue that needs to be kept in mind is that the demand for organ transplantation is limited because it is expensive. [...]state agencies should promote DAP in hospitals besides organizing publicity events featuring very important persons (VIPs). C.E. KARUNAKARAN National Network for Organ Sharing (NNOS) Foundation Chennai India cekarun@gmail.com J. AMALORPAVANATHAN Formerly Institute of Vascular Surgery Madras Medical College Chennai India and Formerly Member Secretary Transplant Authority of Tamil Nadu Chennai India amalorj@gmail.com REFERENCES 1 Thomas PG, Aswathy C, Joshy G, Mathew J. Elements of a successful hospital based deceased donation program in India: Zero to eighty-five in two years.