Activities
Workplan for 2003-2004
1. TABLE OF CONTENTS
...
2. INTRODUCTION
The IAEA has gained more experience
and success than any other international organizations
in establishing tissue banks in developing countries
and applying ionizing radiation for sterilizing
tissue grafts, used in transplant surgery (in
orthopaedic reconstruction, treatment for cancer,
trauma and high velocity impact damage), the treatment
of burns, leprosy and intractable skin wounds
and pressure sore ulcers.
Thirty countries have been involved
in this initiative: These are the following: In
Asia/Pacific Region 14 countries: Australia, Bangladesh,
China, India, Indonesia, Japan, Republic of Korea,
Malaysia, Pakistan, Philippines, Singapore, Sri
Lanka, Thailand and Viet Nam. In Latin America
Region 7 countries: Argentina, Brazil, Chile,
Cuba, Mexico, Peru and Uruguay. In Africa and
Middle East 5 countries: Algeria, Jordan, Libya,
Zambia and Iraq, and in Europe region 4 countries:
Greece, Poland, Turkey and Slovakia.
Most of these countries are using radiation
sterilization as a method of choice. Experts from
Australia, Europe, Japan and USA have assisted
the IAEA Radiation and Tissue Banking Programme.
In the countries involved with
the IAEA Radiation and Tissue Banking Programme,
as experience has been gained, the growth had
been exponential. To the year 2001, more than
222,580 tissue allografts have been produced and
used clinically. Taking the mean value of the
cost level by Tissue Banks in USA, Europe as a
re-charge for the processing, the value of these
grafts can be placed at US $51 768 553. The total
expenditure associated with the IAEA Radiation
and Tissue Banking Programme over the same period
was US $6 313 335 which includes a training cost
of US $2 036 034.
One of the major advantages
of the IAEA Radiation and Tissue Banking Programme
is the exposure of surgeons in these countries
to the newer methods of using allografts and creating
a cultural change in their approach to surgical
treatment in their country.
In Western countries the use
of such grafts is now routine. The perceived need
in a developing country is not always apparent,
but as the technology is introduced, the health
benefits become clear. As this occurs, the graft
supply is far from being sufficient. The IAEA
Radiation and Tissue Banking Programme has inspired
this revolution in many countries and the growth
henceforth will be exponential. Consequently,
the future planning is designed to address this
situation.
During 2001-2002 a group of documents has been
prepared by many experts in different fields.
These are:
- The International Standards on Tissue Banks
- The Code of Practice for the Radiation Sterilization
of Tissue Allografts.
- Public Awareness Strategies for Tissue Banks
One of the major objectives of the IAEA Programme
during 2003-2004 is to promote the use of these
documents in the participant countries.
3. OBJECTIVES TO BE ACHIEVED
- To encourage the use of the following documents
prepared through the IAEA Radiation and Tissue
Banking Programme in the participating countries:
a. The International Standards on Tissue Banks.
b. The Code of Practice for Radiation Sterilization
of Tissue Allografts.
c. The Public Awareness Strategies for Tissue
Banks.
- To train Tissue Bank Operators Managers and
Doctors through the approved IAEA Training Programme:
• Implementation of Phase II of the Interregional
Training Course in Singapore and in Buenos Aires
using the IAEA/NUS Curriculum
• Training of Orthopaedic Surgeons and
Transplant Co-ordinators through the MTF/IAEA
Training Course and Transplant Co-ordinators
through the Transplant Procurement Management
(TPM) IAEA training programme.
• First IAEA/NUS Internet Training Course
for Tissue Banks Operators, Managers and Doctors
in Singapore, Buenos Aires and Korea.
- To upgrade the quality of work in selected
Tissue Banks in the participant countries with
the aim of achieving international level.
- To support the activities of the Steering
and the Technical Advisory Committees.
- To establish a Partnership Programme with
other international and national organizations.
4. EXPECTED RESULTS
- Application of the International Standards,
the Code of Practice and the Public Awareness
Strategies in at least 70% of the participating
countries by the end of 2004.
- More than 30 Tissue Bank Operators, Managers
and Medical Doctors trained through the different
training courses within the IAEA Training Course
associated with the IAEA Radiation and Tissue
Banking Programme at the end of 2004.
- More than 5 Tissue Banks achieving international
level at the end of 2004.
- At least two meetings of the Technical Advisory
and Steering Committees and the implementation
of the recommendations approved by both Committees.
5. WORK PLAN FOR 2003-2004
| Activity No. 1 |
Training Workshop for the
Application of the International Standards
for Tissue Banks. |
Date
Venue |
To be decided (2003)
To be decided |
| Organizers |
To be decided |
| Counterparts |
To be decided |
| Participants |
One candidate from each of the participant
countries in the IAEA Radiation and
Tissue Banking Programme. |
| Conditions to Participate |
The country presenting the candidate
should express their willingness to
introduce in their regulations the International
Standards in all Tissue Banks participating
in the Program after the conclusion
of the Workshop. |
| Objective to be Achieved |
To train Tissue Bank staff in the
application of the International Standards
prepared by the IAEA. |
| Outcome of the Activity |
The Tissue Bank staff trained in the
application of the International Standards
in the participating Tissue Banks. |
| Contribution of the Host Country |
To provide secretariat support, room
for the Workshop, transportation from
the airport to the city and vice versa,
local transportation and the use of
PC, photocopying machines and other
equipment needed in the Workshop. |
| Contribution of the IAEA: |
The air tickets and DSA and local
expenses of the participants. If requested,
the IAEA could provide limited amount
of money to support the Workshop. |
| Budget |
50 000 USD |
|
| Activity No. 2 |
Training Workshop for the
Application of the Code of Practice
for the Radiation Sterilization of Tissue
Allografts |
Date
Venue |
To be decided (2004)
To be decided |
| Organizers |
To be decided |
| Counterparts |
To be decided |
| Participants |
One candidate from each of the participant
countries in the IAEA Radiation and
Tissue Banking Programme that uses radiation
as the method of sterilization. |
| Conditions to Participate |
The country presenting the candidate
should express their willingness to
promote the use of the Code of Practice
in the facilities used by the Tissue
Bank for the irradiation of tissues. |
| Objective to be Achieved |
To train Tissue Bank staff in the
application of the Code of Practice
by the irradiation facilities that irradiate
the tissues. |
| Outcome of the Activity |
The Tissue Bank and the Irradiation
Facility staffs trained in the use of
the Code of Practice prepared by the
IAEA. |
| Contribution of the Host Country |
To provide secretariat support, room
for the Workshop, transportation from
the airport to the city and vice versa,
local transportation and the use of
PC, photocopying machines and other
equipment needed in the Workshop. |
| Contribution of the IAEA: |
The air tickets and DSA and local
expenses of the participants. If requested,
the IAEA could provide limited amount
of money to support the Workshop. |
| Budget |
50 000 USD |
|
| Activity No. 3 |
Training Workshop for the
Application of the Public Awareness
Strategies for Tissue Banks |
Date
Venue |
Second semester (2003)
Bangkok, Thailand |
| Organizers |
Government of Thailand and the IAEA |
| Counterparts |
Tissue Bank in Thailand |
| Participants |
One candidate from each of the participant
countries in the IAEA Radiation and
Tissue Banking Programme. |
| Conditions to Participate |
The country should express its intention
to apply the Public Awareness Strategies
in the work of the Tissue Bank. |
| Objective to be Achieved |
To train Tissue Bank staff in the
application of the Public Awareness
Strategies prepared by the IAEA. |
| Outcome of the Activity |
The Tissue Bank operators trained
in the use of the Public Awareness Strategies
for Tissue Banks. |
| Contribution of the Host Country |
To provide secretariat support, room
for the Workshop, transportation from
the airport to the city and vice versa,
local transportation and the use of
PC, photocopying machines and other
equipment needed in the Workshop. |
| Contribution of the IAEA: |
The air tickets and local expenses
of the participants. If requested, the
IAEA could provide limited amount of
money to support the Workshop. |
| Budget |
50 000 USD |
|
| Activity No. 4 |
Implementation of Phase II
of the IAEA/NUS Interregional Training
Course for Tissue Bank Operators, Managers
and Medical Doctors. |
Date
Venue |
28 April –5 May 2003
Singapore |
| Organizers |
National University of Singapore and
the IAEA |
| Counterparts |
Mr. Abdul Aziz Nather
Director of the International Training
Center. |
| Participants |
Students already selected for the
Phase I of the mentioned course, which
have approved all the assignments given
by the Director of the course during
2002. |
| Conditions to Participate |
The participants are the students
already selected to Phase I of the course
that have approved all the assignments
by the Director of the course during
2002. |
| Objective to be Achieved |
To conclude Phase II of the course
and to examine all students. |
| Outcome of the Activity |
Students examined and approved. |
| Contribution of the Host Country |
To provide secretariat support, room
for the course, transportation from
the airport to the city and vice versa,
local transportation and the use of
PC, photocopying machines and other
equipment needed in the course. |
| Contribution of the IAEA: |
The air tickets and local expenses
of the participants. If requested, the
IAEA could provide limited amount of
money to support the course. |
| Budget |
20 000 USD |
|
| REMARKS: |
Selection of the examiners. Two examiners
will be provided by the IAEA. |
| |
With this activity the training course
initiated in April 2002 (Phase I) will
be closed. The students that approved
the course will receive the University
Diploma. |
|
| Activity No. 5 |
Implementation of Phase II
of the IAEA/NUS Interregional Training
Course for Tissue Bank Operators, Managers
and Medical Doctors. |
Date
Venue |
September-October 2003
Buenos Aires, Argentina |
| Organizers |
National University of Buenos Aires
and the IAEA |
| Counterparts |
Dra. Eulogia Kairiyama
Director of the Regional Training Center. |
| Participants |
Students already selected for the
Phase I of the mentioned course, which
have approved all the assignments given
by the Director of the course during
2002. |
| Conditions to Participate |
The participants are the students
already selected to Phase I of the course
that have approved all the assignments
by the Director of the course during
2002. |
| Objective to be Achieved |
To conclude Phase II of the course
and to examine all students. |
| Outcome of the Activity |
Students examined and approved. |
| Contribution of the Host Country |
To provide secretariat support, room
for the course, transportation from
the airport to the city and vice versa,
local transportation and the use of
PC, photocopying machines and other
equipment needed in the course. |
| Contribution of the IAEA: |
The air tickets and local expenses
of the participants. If requested, the
IAEA could provide limited amount of
money to support the course. |
| Budget |
20 000 USD |
|
| REMARKS: |
Selection of the examiners. Two examiners
will be provided by the IAEA. |
| |
With this activity the training course
initiated in October-November 2002 (Phase
I) will be closed. The students that
approved the course will receive the
University Diploma. |
|
| Activity No. 6 |
First IAEA/NUS Internet Training
Course for Tissue Bank Operators, Managers
and Medical Doctors |
Date
Venue |
To be decided
To be decided (2003 and 2004)
Singapore and Buenos Aires |
| Organizers |
National University of Singapore and
the IAEA
The University of Buenos Aires and the
IAEA |
| Counterparts |
Mr. Abdul Aziz Nather
Director of the Interregional Training
Center.
Ms. Eulogia Kairiyama
Director of the Regional Training Centre |
| Participants |
Students from Africa, Asia, Europe
and Latin America that fulfill the conditions
established by the course in Singapore.
Students from Latin America who fulfill
conditions established by the course
in Buenos Aires. |
| Conditions to Participate |
The conditions established by the
IAEA for the course. |
| Objective to be Achieved |
To train Tissue Bank Operators, Managers
and Medical Doctors. |
| Outcome of the Activity |
Tissue Bank Operators, Managers and
Medical Doctors trained. |
| Contribution of the Host Country |
The support that the Internet Training
Course needs to be carried out in different
countries. The assignments andexamination
of the students. The University Diploma
for the graduated. |
| Contribution of the IAEA: |
To facilitate the implementation of
the course, including the selection
of students and the payment of the fee
to a limited number of them. |
| Budget |
In 2003 - 20 000 USD
In 2004 - 10 000 USD |
|
| REMARKS: |
Selection of students will be made
by the IAEA in consultation with the
Director of the International (Regional)
Training Center.
Financial support in the implementation
of the course will be given by the IAEA
to a limited number of students. |
| |
Through this activity the Internet
TC in Singapore, acting now as the International
Training Center for the IAEA Radiation
and Tissue Banking Programme, in Buenos
Aires, acting as the Regional Training
Center for Latin America, and in Republic
of Korea, acting as a National Training
Center, will be launched. |
|
| Activity No. 7 |
Training Course in MTF for
Orthopaedic Surgeons and Transplant
Co-ordinators and in TPM for Transplant
Co-ordinators |
Date
Venue |
To be decided (2003 and 2004)
MTF, New Jersey, USA and in TPM, Barcelona,
Spain |
| Organizers |
Ms. Martha Anderson - Vice-president
of Donor Services MTF
Mr. Martin Manyalich - TPM Co-ordinator |
| Counterparts |
Ms. Martha Anderson - Vice-president
of Donor Services MTF
Mr. Martin Manyalich - TPM Co-ordinator |
| Participants |
Orthopaedic Surgeons and Transplant
Co-ordinators selected by the IAEA from
the Tissue Banks participating in the
IAEA Programme. |
| Conditions to Participate |
To be an Orthopaedic Surgeons or a
Transplant Co-ordinator working or associated
with a Tissue Bank, graduated from the
Singapore or Buenos Aires Training Course.
In the case of TPM there is no need
to be graduated from previous courses. |
| Objective to be Achieved |
To train Orthopedic Surgeons and Transplant
Co-ordinators working or associated
with Tissue Banks following a specific
training programme prepared jointly
by MTF and the IAEA. In the case of
TPM to train Transplant Coordinators
using their own training program. |
| Outcome of the Activity |
Orthopedic Surgeons and Transplant
Co-ordinators trained. |
| Contribution of the Host Country |
Facilities to implement the training
programme and the payment of all local
cost in the case of MTF. In the case
of TPM their contributions need to be
defined. |
| Contribution of the IAEA: |
MTF course: air tickets for the participants.
TPM: to be defined. |
| Budget |
In 2003 - 25 000 USD
In 2004 - 25 000 USD |
|
| REMARKS: |
Selection of Candidates
Financial Support |
| |
This activity is related with the
implementation of the MOU between MTF
and the IAEA as well as the Summary
of the Agreements reached between these
two organizations. The number of candidates
to be selected will depend on the financial
support to be provided by MTF and the
resources available in the IAEA. |
| |
A similar situation will exist with
respect to the training of Transplant
Co-ordinators in the TPM in Spain. |
|
| Activity No. 8 |
Support of the Technical Advisory
(TAC) and Steering Committees Meetings |
Date
Venue |
TAC: April 2003
TAC: October 2003 in Bruges, Brussels.
TAC: 2004 To be decided in October 2003
Steering Committee :In Vienna, Austria |
| Organizers |
The IAEA and the Tissue Bank in Germany
in the case of the meeting in April
2003. The IAEA and EATB in the case
of the meeting of the Technical Advisory
Committee in Bruges, Brussels.
The IAEA in the case of the Steering
Committee meetings |
| Counterparts |
Tissue Bank in Germany in the case
of the April meeting
EATB – Meeting of the TAC –
Bruges, Brusels
IAEA- Steering Committee Meeting - Vienna. |
| Participants |
Members of the Technical Advisory
and Steering Committees |
| Conditions to Participate |
To be a member of the Technical Advisory
and Steering Committees |
| Objective to be Achieved |
To discuss specific elements associated
with the IAEA Radiation and Tissue Banking
Programme bearing in mind the scope
of competence of both Committees. |
| Outcome of the Activity |
A set of recommendations and proposals
to be considered by the IAEA. |
| Contribution of the Host Country |
To facilitate the preparation and
realization of the meetings. |
| Contribution of the IAEA: |
To provide financial support for the
participation of the Committee members
who need it. |
| Budget |
In 2003 - 20 000 USD
In 2004 - 20 000 USD |
|
| REMARKS: |
Elaboration of the agenda
Follow up of the recommendations adopted
by the Technical Advisory Committee
and approved by the IAEA Steering Committee. |
| |
It is expected that the Technical
Advisory Committee will meet at least
once a year. The Steering Committee
will meet as required. |
|
| Activity No. 9 |
Expert Missions to Selected
Tissue Banks to Improve the Quality
of Its Work to Reach International Level |
Date
Venue |
To be decided (2003-2004)
Tissue Banks to be selected |
| Organizers |
MTF, TPM and the IAEA |
| Counterparts |
Directors of the selected Tissue Banks |
| Participants |
Experts from MTF, TPM or from any
other experienced tissue banks working
with the IAEA Programme. |
| Conditions to Participate |
Experts from MTF, TPM or from any
other experienced tissue banks working
with the IAEA Programme. |
| Objective to be Achieved |
To improve the quality of the work
of the selected Tissue Banks to reach
international level. |
| Outcome of the Activity |
A report to be used by the Tissue
Bank visited and the IAEA to provide
support for increasing the quality of
its work to reach international level. |
| Contribution of the Host Country |
To facilitate the work of the expert
during his/her mission. |
| Contribution of the IAEA: |
The recruitment of the experts to
implement this activity. |
| Budget |
In 2003 - 24 000 USD
In 2004 - 24 000 USD |
|
| REMARKS: |
Selection of the experts to carry
out these missions and the Tissue Banks
to be visited
Evaluation of the report prepared by
the experts.
Until now two countries have requested
these missions. |
| |
The number of expert missions will
depend on the financial support to be
provided by MTF and the available resources
in the IAEA Programme. |
|
| Activity No. 10 |
Market Survey on the Needs
of Tissue Banks Participating in the
IAEA Programme |
Date
Venue |
Whole 2003
All regions |
| Organizers |
Tissue Banks Professional Associations
and the IAEA |
| Counterparts |
Presidents of Tissue Banks Professional
Associations |
| Participants |
Tissue Banks participating in the
IAEA Programme. |
| Conditions to Participate |
The Tissue Banks should participate
in the IAEA Programme. |
| Objective to be Achieved |
To obtain information on the different
needs of the Tissue Banks participating
in the IAEA Programme. |
| Outcome of the Activity |
A questionnaire to be fulfilled with
the different needs of the Tissue Banks
participating in the IAEA Programme.
The outcome of the survey with the needs
of the participating Tissue Banks will
be used to prepare the future IAEA Programme. |
| Contribution of the Host Country |
To circulate the questionnaire to
all Tissue Banks participating in the
IAEA Programme. |
| Contribution of the IAEA: |
To prepare the questionnaire. |
| Budget |
10 000 USD |
|
| Activity No. 11 |
Supply of Equipment and Materials |
| Budget |
2003: 51 000 USD
2004: 31 000 USD |
|
| Activity No. 12 |
Subcontract |
| Objective |
To support the implementation of the
Internet Training Course in Singapore,
Buenos Aires and Korea. To support the
Establishment of the Homepage for the
whole Programme. |
| Budget |
2003: 30 000 USD |
|
|
