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2012 Supreme(Del) 1421

189 (2012) DLT 427
IN THE HIGH COURT OF DELHI AT NEW DELHI
VIPIN SANGHI, JJ.
PARVEEN BEGUM AND ANR - Petitioners
versus
APPELLATE AUTHORITY AND ANR - Respondents
W.P.(C) 2574/2012
Decided On : 15.05.2012

Advocates Appeared:
Mr. Vikas Pahwa, Senior Advocate with Mr. B. Badrinath, Advocate.
Mr. Sumeet Pushkarna, Advocate for the respondent No. 1/UOI.
Mr. Subhash Kumar, Advocate for the respondent No. 2.
Mr. Najmi Waziri, Standing Counsel with Mr. Vikrant Pachnanda, Advocate for the respondent No. 3.

Headnote:

TRANSPLANTATION OF HUMAN ORGAN ACT, 1994 - [SUBJECT] - SECTION 2(F), 2(I), 2(K), 3(1), 3(4), 4A, 6A, 6F, 9(1), 9(3), 9(5), 9(6) - [ACT SECTION LIST] - THE COURT HELD THAT THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY MISDIRECTED THEMSELVES WHILE REJECTING THE PETITIONERS' CASE FOR TRANSPLANT OF A KIDNEY. THE COURT HELD THAT THE ENQUIRY BEFORE THE AUTHORISATION COMMITTEE PROCEEDS ON THE FOOTING THAT THE RECIPIENT AND THE DONOR ARE NOT NEAR RELATIVES (EXCEPT IN CASES COVERED BY SECTION 9(1A)). THE AUTHORISATION COMMITTEE IS NOT REQUIRED TO ENQUIRE INTO THE QUESTION AS TO WHY A NEAR RELATIVE OF THE RECIPIENT IS NOT READY OR WILLING TO, OR IN A POSITION, TO DONATE THEIR ORGAN/TISSUE TO THE RECIPIENT. MERELY BECAUSE, IN A GIVEN CASE, A NEAR RELATIVE MAY NOT BE WILLING TO DONATE HIS/HER ORGAN/TISSUE TO THE RECIPIENT, IS NOT GROUND TO EITHER RAISE A SUSPICION OF A COMMERCIAL TRANSACTION, OR TO REJECT THE CASE ALTOGETHER. THE COURT HELD THAT THE AUTHORISATION COMMITTEE DID NOT ASK THE PETITIONERS OR THEIR FAMILY MEMBERS EVEN ONE QUESTION AS TO WHETHER THERE WAS ANY FINANCIAL DEALING OR TRANSACTION BETWEEN THE RECIPIENT AND THE DONOR, UNDERLYING THE OFFER MADE BY THE DONOR TO DONATE ONE OF HER KIDNEYS TO THE RECIPIENT. THE COURT HELD THAT THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY COMPLETELY MISDIRECTED THEMSELVES WHILE RENDERING THEIR DECISION TO REFUSE THE CASE OF PETITIONER NO. 1 FOR TRANSPLANT OF A KIDNEY WHICH PETITIONER NO. 2 AGREED TO DONATE TO PETITIONER NO. 1. THE COURT HELD THAT THE AUTHORISATION COMMITTEE SHOULD SATISFY ITSELF THAT THE REAL PURPOSE OF THE DONOR AUTHORIZING REMOVAL OF THE ORGAN IS BY REASON OF AFFECTION OR ATTACHMENT TOWARDS THE RECIPIENT OR FOR ANY OTHER SPECIAL REASON. THE SPECIAL REASON CANNOT ENCOMPASS COMMERCIAL ELEMENTS. THE COURT HELD THAT THE AUTHORISATION COMMITTEE, WHILE ASSESSING THE EVIDENCE PRODUCED IN THE FORM OF OLD PHOTOGRAPHS SHOWING THE ASSOCIATION BETWEEN THE DONOR AND THE RECIPIENT, HAS TO ACT WITH PRAGMATISM, AND KEEPING IN MIND THE GROUND REALITIES. THE COURT HELD THAT THE APPROACH OF THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY CLEARLY LACKS THE EXERCISE OF DISCRETION JUDICIOUSLY AND WITH PRAGMATISM. THE COURT HELD THAT THE IMPUIGNED DECISION OF THE AUTHORISATION COMMITTEE AS WELL AS THE APPELLATE AUTHORITY ARE WHOLLY UNSUSTAINABLE AND, ACCORDINGLY, THEY ARE QUASHED. THE COURT HELD THAT THE AUTHORISATION COMMITTEE SHOULD FORTHWITH GRANT ITS APPROVAL TO THE CASE OF THE PETITIONERS FOR DONATION OF ONE KIDNEY BY PETITIONER NO.2 TO PETITIONER NO.1 IN TERMS OF THEIR APPLICATION. THE FORMAL APPROVAL SHOULD BE GRANTED WITHIN TWO DAYS, FAILING WHICH IT SHALL BE DEEMED THAT THE SAID FORMAL APPROVAL STANDS GRANTED. UPON THE GRANT OF THE SAID FORMAL APPROVAL/DEEMED FORMAL APPROVAL, THE PETITIONERS SHALL BE ENTITLED TO UNDERGO THE REQUIRED MEDICAL PROCEDURES AND OPERATION FOR THE PURPOSE OF CARRYING OUT THE TRANSPLANTATION, AS AFORESAID. THE COURT HELD THAT THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY COMPLETELY MISDIRECTED THEMSELVES WHILE RENDERING THEIR DECISION TO REFUSE THE CASE OF PETITIONER NO. 1 FOR TRANSPLANT OF A KIDNEY WHICH PETITIONER NO. 2 AGREED TO DONATE TO PETITIONER NO. 1.

Fact of the Case:

THE PETITIONERS PREFERRED THE PRESENT WRIT PETITION TO SEEK A WRIT OF CERTIORARI THEREBY QUASHING THE ORDER OF REJECTION OF THE PETITIONERS’ APPEAL PASSED BY THE APPELLATE AUTHORITY ON 24.04.2012. THE PETITIONERS ALSO SEEK A WRIT OF MANDAMUS DIRECTING THE RESPONDENTS TO ACCORD APPROVAL TO THE PETITIONERS FOR EFFECTING TRANSPLANT OF KIDNEY FROM PETITIONER NO. 2 TO PETITIONER NO. 1.

Finding of the Court:

THE COURT HELD THAT THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY MISDIRECTED THEMSELVES WHILE REJECTING THE PETITIONERS' CASE FOR TRANSPLANT OF A KIDNEY. THE COURT HELD THAT THE ENQUIRY BEFORE THE AUTHORISATION COMMITTEE PROCEEDS ON THE FOOTING THAT THE RECIPIENT AND THE DONOR ARE NOT NEAR RELATIVES (EXCEPT IN CASES COVERED BY SECTION 9(1A)). THE AUTHORISATION COMMITTEE IS NOT REQUIRED TO ENQUIRE INTO THE QUESTION AS TO WHY A NEAR RELATIVE OF THE RECIPIENT IS NOT READY OR WILLING TO, OR IN A POSITION, TO DONATE THEIR ORGAN/TISSUE TO THE RECIPIENT. MERELY BECAUSE, IN A GIVEN CASE, A NEAR RELATIVE MAY NOT BE WILLING TO DONATE HIS/HER ORGAN/TISSUE TO THE RECIPIENT, IS NOT GROUND TO EITHER RAISE A SUSPICION OF A COMMERCIAL TRANSACTION, OR TO REJECT THE CASE ALTOGETHER. THE COURT HELD THAT THE AUTHORISATION COMMITTEE DID NOT ASK THE PETITIONERS OR THEIR FAMILY MEMBERS EVEN ONE QUESTION AS TO WHETHER THERE WAS ANY FINANCIAL DEALING OR TRANSACTION BETWEEN THE RECIPIENT AND THE DONOR, UNDERLYING THE OFFER MADE BY THE DONOR TO DONATE ONE OF HER KIDNEYS TO THE RECIPIENT. THE COURT HELD THAT THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY COMPLETELY MISDIRECTED THEMSELVES WHILE RENDERING THEIR DECISION TO REFUSE THE CASE OF PETITIONER NO. 1 FOR TRANSPLANT OF A KIDNEY WHICH PETITIONER NO. 2 AGREED TO DONATE TO PETITIONER NO. 1. THE COURT HELD THAT THE AUTHORISATION COMMITTEE SHOULD SATISFY ITSELF THAT THE REAL PURPOSE OF THE DONOR AUTHORIZING REMOVAL OF THE ORGAN IS BY REASON OF AFFECTION OR ATTACHMENT TOWARDS THE RECIPIENT OR FOR ANY OTHER SPECIAL REASON. THE SPECIAL REASON CANNOT ENCOMPASS COMMERCIAL ELEMENTS. THE COURT HELD THAT THE AUTHORISATION COMMITTEE, WHILE ASSESSING THE EVIDENCE PRODUCED IN THE FORM OF OLD PHOTOGRAPHS SHOWING THE ASSOCIATION BETWEEN THE DONOR AND THE RECIPIENT, HAS TO ACT WITH PRAGMATISM, AND KEEPING IN MIND THE GROUND REALITIES. THE COURT HELD THAT THE APPROACH OF THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY CLEARLY LACKS THE EXERCISE OF DISCRETION JUDICIOUSLY AND WITH PRAGMATISM. THE COURT HELD THAT THE IMPUIGNED DECISION OF THE AUTHORISATION COMMITTEE AS WELL AS THE APPELLATE AUTHORITY ARE WHOLLY UNSUSTAINABLE AND, ACCORDINGLY, THEY ARE QUASHED. THE COURT HELD THAT THE AUTHORISATION COMMITTEE SHOULD FORTHWITH GRANT ITS APPROVAL TO THE CASE OF THE PETITIONERS FOR DONATION OF ONE KIDNEY BY PETITIONER NO.2 TO PETITIONER NO.1 IN TERMS OF THEIR APPLICATION. THE FORMAL APPROVAL SHOULD BE GRANTED WITHIN TWO DAYS, FAILING WHICH IT SHALL BE DEEMED THAT THE SAID FORMAL APPROVAL STANDS GRANTED. UPON THE GRANT OF THE SAID FORMAL APPROVAL/DEEMED FORMAL APPROVAL, THE PETITIONERS SHALL BE ENTITLED TO UNDERGO THE REQUIRED MEDICAL PROCEDURES AND OPERATION FOR THE PURPOSE OF CARRYING OUT THE TRANSPLANTATION, AS AFORESAID.

Issues: None

Ratio Decidendi: THE COURT HELD THAT THE AUTHORISATION COMMITTEE AND THE APPELLATE AUTHORITY COMPLETELY MISDIRECTED THEMSELVES WHILE RENDERING THEIR DECISION TO REFUSE THE CASE OF PETITIONER NO. 1 FOR TRANSPLANT OF A KIDNEY WHICH PETITIONER NO. 2 AGREED TO DONATE TO PETITIONER NO. 1.

Final Decision: THE COURT HELD THAT THE AUTHORISATION COMMITTEE SHOULD FORTHWITH GRANT ITS APPROVAL TO THE CASE OF THE PETITIONERS FOR DONATION OF ONE KIDNEY BY PETITIONER NO.2 TO PETITIONER NO.1 IN TERMS OF THEIR APPLICATION. THE FORMAL APPROVAL SHOULD BE GRANTED WITHIN TWO DAYS, FAILING WHICH IT SHALL BE DEEMED THAT THE SAID FORMAL APPROVAL STANDS GRANTED. UPON THE GRANT OF THE SAID FORMAL APPROVAL/DEEMED FORMAL APPROVAL, THE PETITIONERS SHALL BE ENTITLED TO UNDERGO THE REQUIRED MEDICAL PROCEDURES AND OPERATION FOR THE PURPOSE OF CARRYING OUT THE TRANSPLANTATION, AS AFORESAID.

JUDGMENT :

VIPIN SANGHI, J.

1. The petitioners have preferred the present writ petition to seek a writ of certiorari thereby quashing the order of rejection of the petitioners’ appeal passed by the Appellate Authority on 24.04.2012. The petitioners also seek a writ of mandamus directing the respondents to accord approval to the petitioners for effecting transplant of kidney from petitioner No. 2 to petitioner No. 1.

2. The respondents in the present writ petition are the Appellate Authority, namely the Director General of Health Services constituted under Section 17 of the Transplantation of Human Organ & Tissues Act, 1994 (the Act), the Authorisation Committee for Human Organ Transplant, Sir Ganga Ram Hospital, constituted under Rule 6A 2(ii) of the Transplantation of Human Organs Rules, 1995 (the Rules) and the Government of National Capital Territory of Delhi.

3. The case of the petitioners is that petitioner No. 1 is a home maker aged about 58 years and is a permanent resident of Darya Ganj, Delhi. Petitioner No. 2 is also a home maker aged about 38 years and a permanent resident of Meerut, U.P. It is claimed that petitioner No.2 is related to petitioner No. 1, being the grand-daughter of the brother of petitioner No. 1?s father. The petitioners have annexed to this petition the family pedigree to show the relationship between the two petitioners, which is as follows:

FAMILY PEDIGREE

Late Noor Khan Late Sakina



Late Abdul Rashid Khan

Late Anees Fatima Late Naseer Khan

Late Jamila



Parveen Begum

58/F/AB+ Positive

(Recipient) Amna Begum

70 Yrs Female

Late Niyaj



Israt

38/F/B+ Positive

(Donor)



4. The petitioners state that petitioner No. 1 was suffering from high blood pressure since the year 1982. She started suffering from high blood sugar level since the year 1995. She underwent Angioplasty in the year 2008. At that stage, the falling condition of her kidney was diagnosed. It is stated that she has been receiving treatment from Dr. A.K. Bhalla, Sir Ganga Ram Hospital, New Delhi since the year 2008. The petitioners state that the condition of petitioner No. 1 has deteriorated over the years. Since June, 2011, the treating doctors have advised regular dialysis to petitioner No. 1. It was advised that kidney transplant could be the only possible sustainable option to save the life of petitioner No. 1.

5. The petitioners state that petitioner No. 2 being related to petitioner No. 1, had been regularly visiting petitioner No. 1. The relationship between the petitioners is as akin to a mother-daughter relationship. It is stated that petitioner No. 2 had in the past, taken care of petitioner No. 1 whenever she had fallen ill. The petitioners state that due to the fragile health of petitioner No. 1, petitioner No. 2 has been visiting her more often to enquire about her well-being. In June, 2011, when petitioner No. 2 learnt that petitioner No. 1 requires a kidney transplant, she offered to donate one of her kidneys to petitioner No.1. In August, 2011, the petitioners presented their application to the concerned department at Sir Ganga Ram Hospital, New Delhi requesting them to conduct the necessary tests for determining the medical compatibility of the two petitioners, so that petitioner No.2 may be able to donate one of her kidneys to petitioner No. 1.

6. The petitioners further state that on 16.08.2011, the Transplant Coordinator at Sir Ganga Ram Hospital, New Delhi sought issuance of „No Objection Certificate? from the State Authorisation Committee for Organ Transplant, Meerut, U.P. in terms of the Act. On 24.08.2011, upon medical examination of the two petitioners, it was confirmed that they are medically compatible to effect the said kidney transplant. The concerned department of Sir Ganga Ram Hospital, in compliance with the provisions of the Act, required submissions of documents from the petitioners which were duly submitted in September, 2011. On 24.09.2011, Police Superintendent, Janpath, Meerut gave his approval






































































































































































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