NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
R.K. Agrawal, President and Dr. S.M. Kantikar, Member
Government of India and Ors. – Appellants
versus
Master Akash – Respondent
First Appeal No.764 of 2012
(Against the Order dated 11/09/2012 in Complaint No.25/2007 of the State Commission Delhi)
Decided on 25.5.2022
(i) Consumer Protection Act, 1986 – Section 21[Consumer Protection Act, 2019 – Section 58] – Services – Medical Negligence – HIV/ Wrong Blood Transfusion – Appeal against order of State Commission whereby Appellants were held liable for Medical Negligence - Opposite Parties failed to produce the blood bank register and the test reports to prove that the blood units were HIV negative - It is pertinent to note the B+ blood was issued twice, once 50 ml on 10.06.1998 vide D No. 3439 and another 100 ml on 16.06.1998 vide D. No. 3481. It was transfused on 13th and 16th June, 1998. There is nothing on record to ascertain how only 50 ml and 100 ml blood was drawn and the methodology used for HIV testing. No details of Microbiology/Serology Report creates doubt in the opinion of this Court - There was possibility of HIV infection due to other sources cannot be ruled out. Therefore, it is difficult to conclusively attribute negligence of the Opposite Parties who transfused blood to Master A – Thus, child contracted HIV and throughout his life he has to live with HIV and he subsequently likely to develop complications of AIDS - At present, the child is around 24 years of age. Certainly, he has already undergone untold sufferings and in future, he will still continue to suffer HIV related stigma and discrimination. The compensation cannot be measured in monetary terms – On facts, the compensation awarded by the State Commission, accordingly, the Appellant is directed to pay Rs. 10 lakh to the Complainant – Appeal dismissed. [Paras 15 to 22]
(ii) Consumer Protection Act, 1986 – Section 21 [Consumer Protection Act, 2019 – Section 58] – Services – Medical Negligence – HIV – Blood Transfusion - Whether or not the treating doctor had taken a valid or real Consent from the Complainant before the blood transfusion - The allegation of the Complainant’s son of having contracted HIV from the transfusion of contaminated blood at KSCH, which was supplied by RSSB blood bank. As per Schedule F (K) to the Drugs and Cosmetic Rules, it is made try to perform tests on blood for transmissible diseases like HIV, Hepatitis B and C, Malarial Parasites, VDRL and syphilis. Complete donor screening by detailed questionnaire is very important. If the blood donors are in window period, HIV test may be negative – Thus, The Opposite Parties have not placed any cogent evidence in this regard. Therefore, it amounts to deficiency in service of the treating doctors. [Para 18]
(iii) Consumer Protection Act, 1986 – Section 21[Consumer Protection Act, 2019 – Section 58] – Services – Medical Negligence – HIV – Blood Transfusion – Medical Negligence fastened on OP’s - Just Compensation – Award of - The incident occurred in 1998 and now, it is beyond 2 decades, therefore at this stage discussion on “ifs” and “buts” is certainly injustice to the HIV victim and against the object of the benevolent Consumer Protection Act. It is an admitted fact that Master Akash during 3 months of age received B+ve blood for the Adhesinolysis operation in the year 1998. Thereafter, he suffered recurrent respiratory infections and was detected HIV in early year 2006 - The Complainant, in his prayer, claimed compensation of Rs. 22 lakh with interest @ 18% per annum. To award just and fair compensation, Courts have to consider several points like the actual expenses for the medical treatment, travel and emotional sufferings of the parents – The Court cannot ignore that the life expectancy of Master A would depend on strict regular ART and healthy diet – Also, at present, the child is around 24 years of age. Certainly, he has already undergone untold sufferings and in future, he will still continue to suffer HIV related stigma and discrimination. The compensation cannot be measured in monetary terms. In our view, on priority, he should be provided adequate health facilities (regular ART treatment) and benefits through different welfare schemes of the Govt. for HIV positive people. [Paras 19 to 21]
Result: Appeal dismissed.
ORDER
Dr. S.M. Kantikar, Member.—The Appellants challenged against the impugned Order dated 11.09.2012, passed by the State Consumer Disputes Redressal Commission, New Delhi (hereinafter referred to as the ‘State Commission’), whereby the Appellants Nos. 2 and 3 were directed to pay a sum of Rs. 10 lakh holding liable for medical negligence.
2. For the convenience, the Parties are referred as placed in the Original Complaint filed before the State Commission.
3. The facts are that Master Akash the Complainant (Complaint filed through his mother), after birth, at the age of 3 days, was operated for the correction of diaphragmatic hernia on 13.06.1998. It was performed by Dr. Ajay Kumar, the Opposite Party No.3 at Kalawati Saran Children Hospital (KSCH) (hereinafter referred to as the ‘Opposite Party No. 2’). During operation, the baby was given blood transfusion twice as 50ml and 100ml on 13th and 16th June, 1998. The blood was brought from the Blood Bank at Smt. Sucheta Kriplani Hospital, New Delhi (hereinafter referred to as the ‘Opposite Party No. 4 – SSKH’). The baby was discharged on 23.06.1998.
4. Thereafter, Master Akash was brought to the hospital on 06.08.1998. It was diagnosed as follow up case (FUC) of diaphragmatic hernia with intestinal obstructions and adhesions. On 07.08.1998, the Opposite Party No. 3 performed second operation of exploratory for adhesionolysis at KSCH and discharged after a week on 14.08.1998. The baby was kept under follow-up till the end of 1999, at same Hospital. It was stated that during 17.12.1998 to 01.01.2000 the baby continued to remain sick and unhealthy, frequently suffered from fever, pneumonia and cough etc. In the year, 2003, Master Akash developed Episclerits (disease of eye), consulted eye specialist on 05.04.2003 at KSCH. X-rays chest, blood test were conducted but, it was alleged that the treating Doctor never advised HIV testing because of fear being exposed. Again in 2005 the child suffered diffuse pain in abdomen and consulted in OPD at KSCH on 14.09.2005. On the insistence of the few well-wishers, the parents of Master Akash got HIV testing done at VMMC & Safdarjung Hospital, New Delhi. It was reported on 09.01.2006 as HIV positive – AIDS and he was admitted in Safdarjung Hospital for further treatment. He was discharged on 18.01.2006 and advised for follow up and remained under observation at AIIMS & Safdarjung Hospital. It was alleged that entire episode was sheer deficiency and medical negligence on the part of the Opposite Parties.
5. Being aggrieved, the Complainant filed the Complaint before the State Commission and prayed Rs. 22 lakh along with 18% interest as compensation.
6. The Opposite Parties filed their respective written versions and denied entire allegations. It was submitted that the doctors, who treated the patient, were skilled and qualified. The blood was brought from the Blood Bank of SSKH of the Lady Harding Medical College and transfused to save the life of baby. The Blood Bank issues blood after doing all mandatory tests for HIV and HbsAg as per the statutory guidelines of Drugs Controller. Only negative tested blood was issued to the patient. Thus there was no question of negligence and/ or deficiency on the part of the OPs. The instant complainant deserves to be dismissed.
7. On hearing the parties and the evidence, the State Commission partly allowed the Complaint and directed the Opposite Parties Nos.2 & 3 to pay Rs.10 lakhs as compensation.
8. Being aggrieved the Opposite Parties filed the instant Appeal.
9. We have head the learned Counsel on both the sides and perused the material on record.
10. The learned Counsel for the Appellants vehemently argued that the State Commission ignored the opinion of an expert of the medical board, which held no medical negligence or carelessness from the Opposite Parties. The learned Counsel further submitted that for more than 3 years (01.01.2000 till 14.03.2003) the patient might have taken treatment from diff
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