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U.S. Department of Health and Human Services

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Organ Donation and African Americans

What is Organ Donation?

According to the Centers for Disease Control and Prevention (CDC), an organ transplant is a lifesaving procedure in which tissue, or an organ is transferred from one area of a person’s body to another area, or from one person (the donor) to another person (the recipient). In the United States, the most commonly transplanted organs are the kidney, liver, heart, lungs, pancreas, and intestines. On any given day there are around 100,000 people on the active waiting list for organs, but only approximately 14,000 deceased organ donors in 2021, with each providing on average 3.5 organs. Living donors provide on average only around 6,000 organs per year.

How Does Organ Donation Affect African American Populations?

African Americans make up the largest group of minorities in need of an organ transplant. In 2021, non-Hispanic blacks made up 12.1 percent of the national population.

  • The number of organ transplants performed on non-Hispanic blacks in 2021 was 27.8 percent of the number of non-Hispanic blacks currently waiting for a transplant. The number of transplants performed on non-Hispanic whites was 47.2 percent of the number currently waiting.
  • While 28.6 percent of the total candidates currently waiting for transplants are non-Hispanic blacks, they comprised 15.1 percent of organ donors in 2021.
  • In 2021, 81.3 percent of donor organs from non-Hispanic blacks were from deceased donors.
  • In 2021, 18.7 percent of non-Hispanic blacks were living donors as compared to 33.6 percent of white living donors.
  • Although the total number of non-Hispanic whites on organ transplant waiting lists is about 1.4 times greater than that of non-Hispanic blacks, the number of candidates waiting for a kidney transplant is almost the same between non-Hispanic blacks and non-Hispanic whites.
  • Non-Hispanic Blacks have higher rates of diabetes and high blood pressure than the non-Hispanic white population. These conditions are known to put patients at risk for organ failures.

 

U.S. Transplant Waiting List – Candidates by Race/Ethnicity, 2021

Organ

All Candidates

# of Non-Hispanic Black Candidates

Non-Hispanic Black % of All Candidates

# of Non-Hispanic White Candidates

Non-Hispanic White % of All Candidates

All Organs

116,041

33,240

28.6

46,217

39.8

Kidney

97,433

30,576

31.4

34,735

35.7

Liver

11,085

756

6.8

7,372

66.5

Heart

3,401

932

27.4

1,903

55.9

Lung

1,012

138

13.6

672

66.4

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of October 31, 2022. https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/#

 

Transplants Performed in the U.S. by Recipient Ethnicity, 2021

 

Number

Percentage of Total 2021 Transplants

Non-Hispanic Black

9,252

22.4

Non-Hispanic White

21,355

51.6

Total Transplants

41,356

100

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of October 31, 2022.
https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/

 

U.S. Organ Donors Recovered, 2021

Donor Type

# of All Donors

# of Non-Hispanic Black Donors

% of All Non-Hispanic Black Donors

# of Non-Hispanic White Donors

% of All Non-Hispanic White Donors

Living

6,543

484

7.4

4,631

70.8

Deceased

13,863

2,098

15.1

9,148

65.9

Total

20,406

2,582

12.7

13,779

67.5

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of October 31, 2022.
https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/

 

U.S. Organ Donors Recovered, 2021

Donor Type

# of Black Donors

% of All Black Donors

# of White Donors

% of All White Donors

Living

484

18.7

4,631

33.6

Deceased

2,098

81.3

9,148

66.4

Total

2,582

100

13,779

100

Source: HRSA. U.S. Organ Procurement and Transplantation Network (OPTN). Based on OPTN data as of October 31, 2022.
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: 2/17/2023 4:05:00 PM