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2003 Supreme(Gau) 407

IN THE HIGH COURT OF GAUHATI
P.P. NAOLEKAR AND AFTAB H. SAIKIA, JJ.
Bijan Kumar Mahajan and Anr. – Appellant
Vs.
State of Assam and Ors. – Respondent
W.P. (C) (PIL) No. 44 of 2001
Decided On: 03.09.2003

Advocates:
Advocate Appeared
For Appellant/Petitioner/Plaintiff: M.K. Choudhury, U. Bhuyan, A. Dutta and A. Choudhury, Advs.
For Respondents/Defendant: A. Hazarika and C. Chaudhury, Advs.

The judgment established the State's duty to protect fundamental rights and ordered payment of exemplary damages under public law for breach of public duty.

Headnote:

Vitamin-A - Public Health - [The Drugs and Cosmetics Act, 1940, Section 18(c), The Drugs and Cosmetics Rules, 1945, Rule 96(1)] - The court discussed the administration of Vitamin-A to children and the adverse effects leading to the death and illness of a number of children. The judgment highlighted the provisions of The Drugs and Cosmetics Act, 1940 and The Drugs and Cosmetics Rules, 1945, which regulate the quality and administration of drugs, and their implications on public health.

Fact of the Case:

The Director of Health Services, Assam undertook a programme of administering Vitamin-A to children aged 1 to 5 years. Following the administration, a number of children fell ill and 23 deaths were reported. The petitioners sought an independent enquiry, compensation for the affected children, and measures to prevent such incidents in the future.

Finding of the Court:

The court found that the Vitamin-A solution was not contaminated, and the deaths and illnesses were not directly attributed to the solution. However, it noted negligence in the administration and recommended compensation and guidelines for future campaigns.

Issues: The issues included the cause of death and illness of children following the administration of Vitamin-A, the adequacy of infrastructure and training for the programme, and the negligence of health workers and officials.

Ratio Decidendi: The court held that the State had a duty to protect the fundamental rights of the citizens and ordered payment of exemplary damages as a remedy under public law. It also directed the State to provide guidelines and distinguish sick children before administering Vitamin-A.

Final Decision: The court directed the State to pay additional compensation to the families of the deceased children and to issue guidelines for future Vitamin-A administration campaigns.

JUDGMENT

P.P. Naolekar, C.J.

1. The Director of Health Services, Assam undertook a programme of administering Vitamin-A to the children of the age group of 1 to 5 years initially in the year 1999. The third round in the third phase of the said programme was carried out through out the State on 11.11.2001 in the financial and logistic support of UNICEF. A target of 31,74,278 numbers of children within one group of 1 to 5 years was laid down for the programme on 11.11.2001. The main objectives of the programme were-

i) to reduce blindness,

ii) to lower the risk of death in a child by 23 percent,

iii) to reduce malaria attack by 40 percent,

iv) to reduce mortality from diarrhoea by 40 percent,

v) to reduce fatality death from measles,

vi) protection from diseases and infection for growth and development of children.

The programme for 11.11.2001 was designated as the third round of the third phase of pulse Vitamin-A campaign. The first phase of this campaign had been earlier conducted only in the districts of Kamrup and Barpeta on 24th October, 99 as a pilot project. The second phase of the said campaign was conducted on 26th March, 2000 in the districts of Kamrup, Bongaigaon, Nagaon, Sonitpur and Darrang. The third phase had two eariierrounds, the first round having being conducted on November, 2 000 and the second round on 3rd June, 2001. The administrations of pulse vitamin-A during first and second phase and first and second rounds of the third phase did not have any adverse report involving illness or death of children. However, as soon as the third round of the third phase of the administration of Vitamin-A to children was conducted on 11th November, 2001, a number of reports started coming in from the districts about children falling ill with various complaints and also of death of a number of children. The death reported after the third round of the third phase of the campaign was 23. A number of enquiries were conducted into the incidents of death district wise by the district administration concerned, health officials and representatives of UNICEF into the causes and extent of the deaths and illness of the affected children. The Petitioners did not find satisfactory answer to the death caused by administration of Vitamin-A doses to the children within the age group of 1 to 5 years and for the illness of large number of children who have been administered Vitamin-A under the programme, approached the High Court by filing the present petition praying for amongst other things, an enquiry by an independent body into the cause and reasons for death and sickness of children following administering PulseVitamin-A solutions in the UNICEF sponsored programme; to provide adequate compensation to the near relatives of the children who have died and have fallen sick out of administering of Pulse Vitamin-A and for a direction to the authorities to take appropriate measures in future programmes to ensure that such tragedy do not occur.

2. The Division Bench of this Court by interim order dated 5.6.2002 directed the Director General of Police, Assam to have an enquiry conducted by an officer not below the rank of D.I.G. (C.I.D) who has submitted its report on 25.10.2002. The enquiry was conducted keeping in view the allegations made in the writ petition as well as the directions issued by the Gauhati High Court and taking into consideration issue of public interest involved in the matter. For the purposes of enquiry the spread was on the following points-

(1) Was the vitamin-A solution administered free of contamination?

(2) Did the cases of illness and death of the affected children have any cause and effect relation with the administration of Vitamin-A solution on 11th Nov/2001?

(3) Was the infrastructure for the conduct of a programme of such a magnitude strong enough to bear it?

(4) Was the preparation including training of workers sufficient for the o ne day programme?

(5) Was there any fault during the actual conduct of the programme?

(6) Was th




































































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