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1987 (3) TMI 519

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.... asked for a direction to the Central  Government to constitute a high-powered Authority to go into  the hazards suffered by people of the country on account of  such drugs being in circulation and suggest remedial measures  including award of compensation. He has further prayed  that directions should be given for framing of strict regulations  to ensure the quality and standard of approved drugs  and to ensure weeding out of same, harmful as also injurious  drugs from the market. The petitioner has alleged that the  drug industry in India is dominated by multi-national Corporations  originally based in U.S.A.U.K., Federal Republic of  Germany, Swedon, Japan, France and the like. According to  the petitioner these Corporations have large resources and  make huge profits. The control exercised by the Government  in this country on such Corporations is minimal and inadequate.  The disease-prone sub-continent of India has been  used as pasture ground by these Corporations. The Hathi  Committee, appointed by the Central Government in its Report  submitted in 1974, highlighted the havoc played by ....

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....l combinations  of drugs could be banned. The said Committee of experts  recommended banning of twenty fixed dose combinations of  drugs. According to the petitioner, 400-500 drugs with  different trade names belong to the group of these twenty  fixed dose combinations. The sub-Committee's report was duly  approved by the Committee as also the Ministry of Health in  1981. The Central Drugs Controller issued directions to the  State authorities to strictly enforce the ban of drugs  pertaining to these combinations. On account of slackness in  the enforcement machinery these drugs are still prevalent in  the market.   The Legislation in the field is the Drugs and Cosmetics  Act, 1940 (hereinafter referred to as the Act). The act was  amended in 1982 and the definition of 'drug' was amended and  sections 10-A and 26-A were inserted into the Act conferring  power on the Central Government to prohibit import of drugs  and cosmetics in public interest as also to prohibit manufacture,  sale or distribution thereof. The amended Act came  into force with effect from 1st February, 1983, but....

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....s issued by the Central Drugs  Controller to the State Drugs Control Authorities in the  matter of banning of Oestrogens and Progestins. That circular  letter has clearly indicated the cut-off dates for  stopping the manufacture and sale of these-drugs as  31.12.1982 and 30.6. 1983 respectively.   These respondents have taken the further stand that  reports regarding prevalence of standard drugs as stated in  the Writ Petition have come to light as a result of action  taken by the State Drugs Control Authorities. As regards  combinations of Oestrogens and Progestins, in February 1975  the World Health Organisation informed all the member Governments  about the action taken by the Australian Department  of Health for withdrawal from the market of a number of  hormonal pregnancy testing preparations. On the basis of  such information supplied by the World Health Organisation,  the Indian Drugs Controller held consultations with a number  of gynaecologists within the country who opined that although  in advanced countries hormonal preparations for  pregnancy testing had been disconti....

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....nbsp; Ltd., respondent No. 9 before us filed writ petitions  before the High Court at Bombay and obtained interim orders  of stay; similarly in M/s Organon (India) Ltd., respondent  No. 8 before us moved the Calcutta High Court and obtained  an interim order of stay in regard to their preparations.  Challenge in these writ petitions is to the vires of Sections  10-A and 26-A of the Act. The counter affidavit further  points that some of the medicines which are alleged to  have been banned in some developed countries are allowed to  continue in the market of the other developed countries and  there is no uniformity.  475   The second counter-affidavit of these respondents has  been filed after the writ petition was amended. On this  occasion, the Assistant Drugs Controller of India has stated  that it is a fact that the Hathi Committee recommended 116  drugs to be sufficient to treat more than 90 per cent of the  diseases prevalent in the country. It was, however, found  out that this position was not correct and many other drugs  were required to meet the situation. It pointed out....

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....s are not litigants and do not have the choice of  keeping away from the Court like private parties in ordinary  litigations opting to go  476  exparte. The present matter is certainly one which is  sufficiently important and the stake of the entire nation is  high when the Court suo moto extended the opportunity of  being heard and invited the named statutory or other authorities  to come forward and place their view points on relevant  aspects, an attitude of callous indifference cannot be  appreciated. We hope and trust that there would be no repetition  of such a situation.   It must be remembered that this is not a normal litigation  with adversaries pitted against one another. What this  Court said in P. Nalla Thampy v. Union of India, [1983] 4  SCC 598 has full application. There it said:-  "The lis before us is not of the ordinary type  where there are two contending parties, a  claim is raised by one and denied by the  other, issues are struck, evidence is led and  the findings follow ...... The writ petition  is essentially in the nature of public interest&n....

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....therefore, it is the obligation  of the State to ensure the creation and the sustaining  of conditions congenial to good health. This Court in Bandhua  Mukti Morcha v. Union of India, [1984] 3 SCC 161 aptly  observed:-  "It is the fundamental right of everyone in  this country, assured under the interpretation  given to Article 21 by this Court in Francis  Mullin's case--[1981] 1 SCC 608--to live with  human dignity, free from exploitation. This  right to live with human dignity enshrined in  Article 21 derives its life breath from the  Directive Principles of State Policy and  particularly clauses (e) and (f) of Article 39  and Articles 41 and 42 and at the least,  therefore, it must include protection of the  health and strength of the workers, men and  women, and of the tender age of children  against abuse, opportunities and facilities  for children to develop in a healthy manner  and in conditions of freedom and dignity,  educational facilities, just as humane conditions  of work and maternity relief. These are  the minimum requirements which must exist in&nbsp....

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....ore, is of  high priority--perhaps the one at the top.   None of the parties before us claimed, and perhaps  tightly, that the prevailing state of affairs in this regard  is a commendable one. The technical aspects which arise for  consideration in a matter of this type cannot be affectively  handled by a court. Similarly the question of policy which  is involved in the matter is also one for the Union Government--  keeping the best of interests of citizens in view to  decide. No final say in regard to such aspects come under  the purview of the court. Yet there are certain contentions  raised by the petitioner which deserve serious consideration  and we would now proceed to deal with them.   The branch with which we are now dealing, namely, health  care of citizens, is a problem with various facets. It  involves an everchanging challenge. There appears to be, as  it were, a constant competition between Nature (which can be  said to be responsible for new ailments) on one side and  human ingenuity engaged in research and  479  finding out curative processes. This bein....

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....sp; in abundance and availability to satisfy every demand should  be ensured. Undue competition in the matter of production of  drugs by allowing too many substitutes should be reduced as  it introduces unhealthy practice and ultimately tends to  affect quality. The State's obligation to enforce production  of qualitative drugs and elimination of the injurious ones  from the market must take within its sweep an obligation to  make useful drugs available at reasonable price so as to be  within  480  the common man's reach. That would involve regulating the  price. It may be that there may be an improved quality of a  particular medicine which on account of its cost of production  will have to sell at a higher price but for every  illness which can be cured by treatment, the patient must be  in a position to get its medicine. This, in our view, is an  obligation which the Court has already found in the relevant  articles of Part IV of the Constitution.   The prescribed preparations must maintain their quality,  and for ensuring it, strict regulations are necessary.  Provision i....

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....State is  concerned and anxious to improve the general condition and  is willing to exercise adequate control; Parliament has in  several legislations in recent years enhanced the penalities  with a view to ensure elimination of injurious drugs and  maintenance of the quality and standard of drug preparations.  There is, however, no scope for complacency in this  field and constant and regular attention has to be bestowed  in order that the flow into the market may be only of acceptable  drugs.   Every indigenous drug manufacturer must have an obligation  by law to disclose the formula of preparation and other  statutory information in the national language and at least  one or two other languages, keeping in view the place of  manufacture of the drug and the area of its circulation. Any  statutory warning to be administered should also follow the  same course. We would like to indicate that it is for the  Government on the basis of expert advice to decide whether  use of poisonous medicine may not be reduced; after all  administering the warning is not a sufficient excuse to&nbsp....

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....tion on behalf of the consuming  public. If necessary, prompt steps may be taken to bring  about suitable amendments to authorise such representation  both on the Technical Board as also the Consultative Committee.   The Central Government should set up regional Drug  Laboratories in addition to the Central Laboratory as provided  by section 6 of the Act to facilitate and promote  research and coordinate activity in that regard.   We have no doubt that the existing Drug Consultative  Committee is a useful body but the Central Government should  consider whether it requires to be broad-based and confined  with larger scope of operation or it is necessary to constitute  another high powered authority, as prayed for by the  petitioner so that such a vital matter like public health  does not go without adequate attention.   Before we part with the case, we must point out that the  amending provisions of 1982 which were brought into force in  1983 have remained mostly inoperative on account of orders  of injunction granted by High Court. The Central Government  may get ....