Dr. Conall O'Seaghdha:

This is a bigger issue in the United Kingdom. A colleague of mine who worked in Manchester until recently has indicated he encounters two or three patients every year who have returned from overseas having had a transplant. It is important to point out that these patients often return in very poor health. They experience high rates of transmissible infection, including hepatitis and tuberculosis, and outcomes are poor. One of the drivers of that activity is the difference in cultural make-up between, for example, Manchester and Ireland. For this reason, the problem is not as great here as elsewhere. However, we need to look forward because as society becomes more diverse, this is likely to become a growing problem here too.