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U.S. Department of Health and Human Services

Office of Minority Health

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Organ Donation and American Indians/Alaska Natives

Although American Indians and Alaska Natives account for less than 1 percent of patients on the organ transplant waiting list, they suffer from disproportionately high rates of diabetes and heart related diseases. Alcoholism is also prevalent among American Indians/Alaska Natives (AI/AN), and in turn, they face higher rates of cirrhosis and other liver diseases. These conditions are known to put patients at risk for organ failures. In 2019, American Indians/Alaska Natives alone made up 0.9 percent of the national population.

  • The number of organ transplants performed on American Indians/Alaska Natives in 2020 was 30 percent of the number of American Indians/Alaska Natives currently waiting for a transplant. The number of transplants performed on whites was 48.8 percent of the number currently waiting.
  • While about 0.8 percent of the total candidates currently waiting for transplants are American Indian/Alaska Natives, they comprised 0.6 percent of organ donors in 2020.
  • In 2020, 28.8 percent of the organs recovered from American Indians/Alaska Natives came from living donors as compared to 33.4 percent of white living donors.
  • American Indians/Alaska Natives are more likely to develop a case of hepatitis C than the white population, a cause of liver failure.

 

U.S. Transplant Waiting List – Candidates by Race/Ethnicity
Organ All Candidates # of AI/AN Candidates AI/AN % of All Candidates # of White Candidates White % of All Candidates
All Organs 106,666 901 0.8 43,054 40.4
Kidney 90,235 792 0.9 32,377 35.9
Liver 11,704 94 0.8 7,865 67.2
Heart 3,531 11 0.3 2,004 56.8
Lung 922 2 0.2 661 66.6

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of August 23, 2021.
https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/*

 

Transplants Performed in the U.S. by Recipient Ethnicity, 2020
  Number Percentage of Total 2020 Transplants
AI/AN 280 0.7
White 20,997 53.8
Total Transplants 39,036 100

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of August 23, 2021.
https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/

 

U.S. Organ Donors Recovered, 2020
Donor Type # of All Donors # of AI/AN Donors % of All AI/AN Donors # of White Donors % of All White Donors
Living 5,729 22 0.4 4,129 72.1
Deceased 12,588 90 0.7 8,249 65.5
Total 18,317 112 0.6 12,378 67.6

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of August 23, 2021.
https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/

 

U.S. Organ Donors Recovered, 2020
Donor Type # of AI/AN Donors % of All AI/AN Donors # of White Donors % of All White Donors
Living 22 19.6 4,129 33.4
Deceased 90 80.4 8,249 66.6
Total 112 100 12,378 100

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of August 23, 2021.
https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/

 

*OPTN data is updated monthly online. The data and statistics for this section will be updated annually.

Last Modified: 8/26/2021 4:40:00 PM