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2018 Supreme(Del) 321

IN THE HIGH COURT OF DELHI AT NEW DELHI
RAJIV SHAKDHER, J.
SMT. HUMA QAMAR AND ANR - Petitioners
Versus
AUTHORIZATION COMMITTEE, SIR GANGA RAM HOSPITAL THROUGH: CHAIRMAN AND ANR. - Respondents
W.P.(C) No.1405 of 2018
Decided On : 06-04-2018

Advocates Appeared:
For the Petitioner:Mr. Ajay Sharma with Mr. Sheetanshu Shekhar, Mr. Ananya Misra with Mr. Gautam Polanki, Advocates.
For the Respondent:Mr. Subhash Kumar, Advocate. Mr. Anil Panwar, CGSC with Mr. Gaurav Rohilla, Dr. (Brig.) Satyendra Katoch, Addl. Director (Medical), Sir Ganga Ram Hospital.

Headnote:

Transplantation of Human Organs and Tissues Act, 1994 - Section 3, 9(3) - Transplantation of Human Organs and Tissue Rules, 2014 - Rule 31(4)(d) - Constitution of Authorization Committee - Notification issued by the Central Government - Authorities have failed to apply their minds to relevant factors with regard to organ transplantation - Offer of petitioner no.2 to donate her kidney to petitioner no.1 was not propelled by love and affection - Appellate Authority had taken into account irrelevant factors - Reference was made that the petitioners belonged to different communities - Declining the request for transplantation of organ could mean denying a lifeline to a patient - Court overturned the orders, on the ground that they had declined the request for organ transplantation on a mere suspicion that money had changed hands - Report submitted by the SSP or the DM - Authorization Committee and the Appellate Authority were to simply rely on the report of the SSP or DM - They would be failing in their duty to discharge the obligation placed upon them by the statute - Such an interpretation would be in the teeth of provisions.

Transplantation of Human Organs and Tissue Rules, 2014 - Rule 22 - Organ transplant - Independent consent - Physical and mental evaluation - Scope of - Physical evaluation of the petitioner no.2 was carried out - Nothing to show about her mental evaluation - Recommendatory letter of the treating doctor - There is no documentation - Evaluation done on the direction of the Court revealed that the petitioner no.1 case falls in "medium risk" category There are several loose ends which needed to be tied up by the Appellate Authority to come to a definitive conclusion - Probability of rejection of the organ by petitioner no.1's body would have to be balanced against long and medium term physiological changes that would be brought about post-surgery in petitioner no.2's body - Appellate Authority would have to look into these aspects - Order of the Appellate Authority is set aside - Appeal is remanded to the Appellate Authority for a re-examination.

JUDGMENT :

RAJIV SHAKDHER, J.

Preface 1. The petitioners seek to assail order dated 25/27.07.2017, passed by respondent no.1 and order dated 22.11.2017, passed by respondent no.2.

1.1 Respondent no.1 is the Authorization Committee constituted pursuant to a notification issued by the Central Government in that behalf in consonance with the provisions of the Transplantation of Human Organs and Tissues Act, 1994 (hereafter referred to as the "1994 Act"). Respondent no.2 is the Appellate Authority, also constituted under the 1994 Act.

1.2 Petitioner no.1 is the donee, that is, the person who wishes to receive an organ, while petitioner no.2 is the prospective donor.

2. The petitioners, as indicated above, are aggrieved by the fact that the authorities below have failed to apply their minds to relevant factors in coming to the conclusion that organ transplantation cannot be permitted in this case.

Background

3. In this context, it would be important to note the following facts which are necessary for adjudication of the matter.

3.1 Petitioner no.1 is an End Stage Renal Disease (ESRD) patient; which in lay terms means that both her kidneys have stopped functioning. Petitioner no.1 is currently on dialysis, which is taken by her twice a week.

3.2 It is averred that in past one year petitioner no.1 was being treated in a hospital, located in Bareilly; the name and particulars of this hospital are not alluded to in the writ petition. The record, though, shows that petitioner no.1 indicated to the doctors at Sir Ganga Ram Hospital, Delhi (SGRH) that she was put on dialysis at Sai Hospital situate in Bareilly.

3.3 Prior to this, petitioner no.1 was being treated at SGRH. Petitioner no.1 was evidently discharged on 24.5.2015, and thereafter, her follow up treatment was being carried out in SGRH OPD, till December, 2016.

3.4 It appears that in and about September 2016 a decision was taken by and on behalf of petitioner no.1 to seek permission for transplantation of a kidney, which petitioner no.2 had offered to donate. Necessary statutory forms i.e., Form No.3, 18 and 20 were filed. The forms are dated 14.09.2016.

3.5 In this behalf, an application was also made to the Senior Superintendent of Police, Bareilly for issuance of a character certificate qua petitioner no.2. The concerned Senior Superintendent of Police, Bareilly, issued a certificate on 06.11.2016 which is indicative of the fact that in so far as petitioner no.2 was concerned, no case was pending or registered against her in any court of law.

3.6 Likewise, an application, it appears, was also made to the District Magistrate, Janpad, Bareilly. The record shows that the District Magistrate had submitted a report dated 8.11.2016 to the Medical Superintendent, SGRH, to the effect that an inquiry had been made as to whether any pressure had been brought on petitioner no.2 to donate her kidney to petitioner no.1. The report concludes that the enquiry revealed that petitioner no.2, of her own volition, had offered to donate her kidney as she had known petitioner no.1 for the past 10 to 12 years. A copy of the enquiry report dated 15.02.2016 was, apparently, enclosed by the District Magistrate, Bareilly, for reference, with his report, which was submitted to SRGH.

3.7 On 08.02.2017, petitioner no.1 received a recommendatory letter from the treating doctor as well.

3.8 Furthermore, besides the aforesaid statutory forms, to which I have made reference, on 25.11.2016, the husband of petitioner no.1 made a formal application to the Medical Superintendent, SGRH for granting approval for transplantation of kidney. The application adverted to the fact that none of his near relatives were in a position to donate a kidney either on account of lack of compatibility or due to debilitative health parameters. It was further stated that, one, Ms. Bhagwan Devi i.e., petitioner no.2 had agreed to donate her kidney to petitioner no.1. A reference was made to the blood parameters of petitioner no.2 and also to the fa





















































































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