Praise be to Allaah.
In the answer to question
no. 49711 we stated that the
(scholarly) view that it is permissible to donate organs is most likely to
be the correct view, so long as the donation will not lead to the death of
the donor.
Here we will quote
resolutions of the Islamic Fiqh Council of the Organization of the Islamic
Conference, which support the fatwa mentioned above. These resolutions were
issued after lengthy discussions among a number of fuqaha’, doctors and
specialists. We will quote them here in full because of the medical and
shar’i information they contain.
In statement no. 26
concerning one person benefiting from the body parts of another, living or
dead, it says:
The Islamic Fiqh Council
which convened in the fourth conference in Jeddah in the Kingdom of Saudi
Arabia from 18-23 Safar 1408 AH/6-11 February 1988 CE, after studying fiqhi
and medical research submitted to the Council concerning the issue of one
person benefiting from the body parts of another, living or dead, has
determined the following:
In the light of the
discussions that highlighted the fact that this issue is something that come
about as the result of by scientific and medical advances, with clear
positive results that in many cases are accompanied by psychological and
social harm if it is practised without shar’i guidelines and controls that
protect human dignity and also seek to achieve the aims of sharee’ah which
tries to achieve all that is good and in the best interests of individuals
and societies and promotes cooperation, compassion and selflessness,
And after highlighting the
main points of this topic whereby it may be discussed and categorized, the
following was determined:
With regard to definition:
Firstly: What is meant here
by ‘organ’ is any part of a person, be it tissues, cells, blood and so on,
such as the cornea, whether it is still attached or has been separated.
Secondly: The use or
benefit that is under discussion is a benefit that is dictated by necessity
in order to keep the beneficiary alive or to keep some essential or basic
function of his body working, such as his sight and so on, provided that the
beneficiary is one whose life is protected by sharee’ah.
Thirdly: These kinds of
benefit or use are divided into three categories:
(i)
Transplant of organ from a
living person
(ii)
Transplant of organ from a dead
person
(iii)
Transplant from a foetus
(i) The first category,
which is transplant of an organ from a living person, includes the
following:
-
Transplant of an organ from one
place in the body to another place in the same body, such as transplanting
skin, cartilage, bone, veins, blood and so on.
-
Transplant of an organ from the
body of a living person to the body of another person.
Organs in this case may be divided into those on which life depends and
those on which life does not depend. With regard to those on which life
depends, they may singular organs, of which there is only one in the body,
or there may be more than one. The former includes organs such as the heart
and liver, and the latter includes organs such as the kidneys and lungs.
As for those on which life does not depend, there are some that control
basic functions in the body and some that do not. There are some that are
renewed automatically, such as blood, and some that are not; there are some
that have an effect on offspring and on the genetic makeup and personality
of the individual, such as testicles, ovaries and cells of the nervous
system, and some that do not have any such effect.
(ii) Transplant of an
organ from a dead person
It may be noted that death
falls into two categories:
1-
Brain death in which all bodily
functions cease completely and cannot be brought back medically.
2-
Where the heart and breathing
cease completely and cannot be brought back medically.
Both of these categories
were discussed in the resolution passed by the Council in its third
session.
(iii) Transplant from a
foetus. Use or benefits in this case fall into three categories:
1-
Where the foetus is aborted
spontaneously (miscarriage)
2-
Where the foetus is aborted
deliberately by medical or criminal means
3-
Where fertilization is done
outside the uterus.
With regard to shar’i
rulings:
-1-
It is permissible to
transplant an organ from one place in a person’s body to another place in
the same body, but attention must be paid to ensuring that the expected
benefits outweigh any possible harm; that is subject to the condition that
this is done to replace a lost organ or body part, or to restore its regular
shape or function, or to correct a fault or remove a deformity that is
causing the person psychological or physical harm.
-2-
It is permissible to
transplant an organ from the body of one person to another if it is an organ
that renews itself automatically, such as blood and skin. But attention must
be paid to the condition that the donor be fully qualified and fulfil the
shar’i conditions.
-3-
It is permissible to make
use of organs that have been taken from the body of another person due to
sickness, such as taking the cornea from the eye of a person whose eye has
been removed due to sickness.
-4-
It is haraam to transplant
an organ on which life depends, such as transplanting the heart from a
living person to another person.
-5-
It is haraam to transplant
an organ from a living person when its removal may cause an essential
function to cease, even though his life does not depend on it, such as
taking the corneas of both eyes. But if he will still have partial function
after removing it, then the matter is subject to further discussion as we
shall see below in section 8.
-6-
It is permissible to
transplant an organ from a dead person to a living person whose life or
basic essential functions depend on that organ, subject to the condition
that permission be given by the deceased before his death, or by his heirs
after his death, or by the authorities in charge of the Muslims if the
identity of the deceased is unknown or he has no heirs.
-7-
It should be noted that the
agreement on the permissibility of organ transplants explained above is
subject to the condition that this is not done by selling the organs,
because it is not permissible to subject human organs to sale under any
circumstances.
As for the beneficiary
spending money in order to obtain the required organ where necessary or
offering compensation or honouring the donor, this is subject to ijtihaad
and further discussion.
-8-
All cases having to do with
this topic are subject to further research and discussion, and they should
be studied and discussed in a future session in the light of medical data
and shar’i rulings. And Allaah knows best.
Quoted from Resolutions of
the Islamic Fiqh Council.
For more information please
see the answer to question no.
2159
And Allaah knows best.