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2019 Supreme(SC) 1097

SUPREME COURT OF INDIA
L. NAGESWARA RAO, HEMANT GUPTA, JJ.
No. 14666828M Ex. CFN Narsingh Yadav – Appellant
Versus
Union of India and Others – Respondents
Civil Appeal No. 7672 of 2019, Diary No. 27850 of 2017
Decided On : 03-10-2019

Advocates Appeared:
For the Appellant(s) :Archana Pathak Dave, Advocate
For the Respondent(s):Aishwarya Bhati, Kirti Khangarot, Chitrangada Rastravara, Nitin P., Celesty Agarwal, Mukesh Kumar Maroria, Advocates

IMPORTANT POINT
A decease not noticed at the time of enrolment, will not invariably lead to presumption that the disease was aggravated or attributable to military service.

Headnote:

(a) Service law - Army service - Disability pension - The principle that any disorder not mentioned at the time of enrolment is presumed to be attributed to or aggravated by military service is not applied mechanically - Test is whether the person was posted in harsh and adverse conditions leading to mental imbalance - Schizophrenia, not noticed at the time of enrolment, will not lead to presumption that the disease was aggravated or attributable to military service - Rule 14(d0, Entitlement Rules for Casualty Pensionary Awards, 1982. (Para 15, 16, 18)

(b) Service law - Army service - Disability pension - Opinion of Invaliding Medical Board - Could be reviewed by Court by constituting a Review Medical Board - But only on strong medical evidence to dispute opinion of the Medical Board - Instantly, no material on record to doubt correctness of such opinion. (Para 21)

Facts of the case:

The appellant was enrolled in the Indian Army on December 2, 2003. The invaliding Medical Board found the appellant to be suffering from Schizophrenia, which disability was assessed at 20% for a period of five years. The opinion of the Board was that disability was neither attributable to nor aggravated by military service and consequently, the appellant was discharged from army service on May 8, 2007. The claim of the appellant for disability pension was rejected departmentally and later by the Tribunal.

Finding of the Court:

There is no reason to doubt correctness of the opinion of the Medical Board.

Result: Appeal dismissed.

Judgement Key Points

Key Points: - A disease not noticed at the time of enrolment does not invariably lead to a presumption that it was aggravated or attributable to military service (!) . - The test for determining if a mental disorder is attributable to or aggravated by military service is whether the person was posted in harsh and adverse conditions leading to mental imbalance (!) . - The opinion of an Invaliding Medical Board can be reviewed by a court only on strong medical evidence to dispute its correctness (!) . - Schizophrenia, a mental disorder, not noticed at the time of enrolment, will not automatically lead to a presumption that it was aggravated or attributable to military service (!) . - The appellant was enrolled in the Indian Army and later discharged due to Schizophrenia, with the Medical Board opining the disability was neither attributable to nor aggravated by military service (!) . - The appellant's postings were at peace stations, and his duties as a Vehicle Mechanic were not considered to have caused stress and strain leading to the disability (!) . - The appellant's personal statement indicated no incidents during service that he believed caused or worsened his disability, and the Commanding Officer stated duties did not involve severe/exceptional stress and strain (!) . - The amended Rule 14(d) of the Entitlement Rules for Casualty Pensionary Awards, 1982, states that entitlement to disability pension for congenital, hereditary, degenerative, and constitutional diseases detected after joining service will not be conceded unless it's established that military service adversely affected the disease's course (!) . - The court found no infirmity in the Medical Board's report that would warrant reconsideration by a Review Medical Board (!) . - The appeal was dismissed as the court found no merit in the case (!) .None

What is the presumption regarding diseases not noticed at the time of enrolment for disability pension claims?

What is the test to determine if a mental disorder is attributable to or aggravated by military service?

When can a court review the opinion of an Invaliding Medical Board for disability pension claims?


JUDGMENT :

HEMANT GUPTA, J.

1. The challenge in the present appeal is to an order passed by the Armed Forces Tribunal, Lucknow [for short ‘Tribunal’] on September 23, 2011 whereby, the claim of the appellant for grant of disability pension was not accepted.

2. The appellant was enrolled in the Indian Army on December 2, 2003. The invaliding Medical Board found the appellant to be suffering from Schizophrenia, which disability was assessed at 20% for a period of five years. The opinion of the Board was that disability was neither attributable to nor aggravated by military service and consequently, the appellant was discharged from army service on May 8, 2007. The claim of the appellant for disability pension was rejected departmentally and later by the Tribunal and still aggrieved, the appellant is before this Court.

3. The appellant was appointed as CFN-Craftsman (Military Rank). In Annexure RP-1 which includes the signed Personal Statement of the appellant, he was posted at 3-EME Centre, Bhopal from December 2, 2003 to August 23, 2005 and thereafter at AD Static Workshop from August 24, 2005 till the time, he was produced before the invaliding Medical Board. Both the places of posting of the appellant were the peace stations. In respect of disease, the appellant declared that he was treated, firstly, at INHS, Nivarini Chilka on September 7 and 8, 2006, then, at Command Hospital, Kolkata from September 9, 2006 to December 23, 2006. Thereafter, he was treated at Military Hospital, Allahabad from January 21, 2007 to February 21, 2007 and finally, at Command Hospital, Kolkata from February 23, 2007 till the time, he was examined by the invaliding Medical Board. In Part I of the Personal Statement, the Question asked was to “Give details of any incidents during your service which you think caused or made your disability worse.” The answer given by the appellant was NIL. In Part-II of the Report, the Commanding Officer answered ‘No’ to the question - “Did the Duties involve Severe/exceptional stress and strain?”

4. The summary and opinion of the Specialist in Psychiatry of Command Hospital (Eastern Command), Kolkata dated April 10, 2007 read as under:-

Summary

Period of Hospitalization:

Sec Hospital, Gopalpur

07 Sep 06 to 07 Sep 06

INHS Kaiyani, Vizag

07 Sep 06 to 15 Sep 06

CH (EC), Kolkata

16 Sep 06 to 23 Dec 06

Sick Leave

24 Dec 06 to 21 Jan 07

MH Allahabad

21 Jan 07 to 22 Feb 07

CH (EC), Kolkata

23 Feb 07 onwards till date

AFMSF-10 dated 07 Sep 06 mentions “punctual, disciplines, dedicated, social drinker, above average competence, cheerful, active and outgoing, retention recommended, developed fever and headache on 06 Sep 06 following which he was noted to be behaving abnormally.

History of Present Illness:

Individual was brought to psychiatric attention in mid Sep at the behest of unit authorities as he was talking irrelevantly, laughing and crying for no apparent reason, in the background of febrile episode. Apparently functioning well until Sep 06 when he was noted to be aloof, lacked interest in his work, not taking self care nor reporting for duty in time. Found to be wandering aimlessly in the unit. Felt that others were planning to harm him; could hear them talking about him. Further when onboard the train to Vizag felt he was being followed and things happening around him was in reference to him. When offered fruits by co-passenger felt it had a special meaning often noted to be taking irrelevantly, crying for his mother who had died about 12 years back. Felt that others came to know what he was thinking. Become violent when others tried to stop him or gave instructions to follow.”

“Opinion

21½ years old EME/Veh Mech with nearly 3½ years service, no past or family h/o psychiatric illness. Had a psychotic breakdown of schizophrenic nature in Sep 06 Managed as a case of Schizophrenia F-20

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