Vincent
Panikurlangara Vs. Union of India & Ors [1987] INSC 68 (3 March 1987)
Misra
Rangnath Misra Rangnath Dutt, M.M. (J)
CITATION:
1987 AIR 990 1987 SCR (2) 468 1987 SCC (2) 165 JT 1987 (1) 610 1987 SCALE
(1)490
CITATOR
INFO : RF 1987 SC1802 (1) F 1988 SC 952 (3,6) RF 1988 SC1737 (73) RF 1991 SC
363 (9)
ACT:
Constitution
of India, 1950, Article 144-Civil and
judicial authorities to act in aid of the Supreme Court--Public Interest
Litigation relating to drug policy filed in the interest of nation's health--Statutory
bodies except State of Karnataka responding to Supreme Court's
notice--Constitutional obligation stressed.
Public
Interest Litigation--Health Care for citizens--Whether the Supreme Court could
interfere with the matter touching the policy of the Government and the duty
cast under Article 47 of the Constitution.
HEAD NOTE:
The
petitioner, an advocate by profession has moved the Supreme Court in public
interest seeking directions banning import, manufacture, sale and distribution
of such drugs which have been banned in Western countries or recommended to be
banned by the Drugs Consultative Committee under the Drugs and Cosmetics Act,
1940. The petitioner has also sought directions, (i) for cancellation of licences
authorising import, manufacture, sale and distribution of such drugs; (ii) for
Constitution of 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.
Disposing
of the petition, the Court,
HELD:
1. Statutory bodies when called upon by a Court, in particular the apex Court
of the Country, are duty-bound to respond and join the proceedings before the
Court, as required by Article 144 of the Constitution. These bodies are not
litigants and do not have the choice of keeping away from the Court like
private parties in ordinary litigations opting to go ex parte. The present
matter is certainly one which is sufficiently important and the stake of the
entire nation is high when the Court suoe moro 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
indif469 ference cannot be appreciated. It is hoped that there would be no
repetition of such a situation. [475G-H; 476A-B] P. Nalla Thampy v. Union of
India, [1983] 4 SCC 598, followed.
2.
Having regard to the magnitude, complexity and technical nature of the enquiry
involved in the matter and keeping in view of the far reaching implications of
the total ban of certain medicines for which the petitioner has prayed, it is
clear that a judicial proceeding of the nature initiated is not an appropriate
one for determination of such matters. [476H; 477A]
2.2
The issues raised in this petition are of vital importance as they relate to
maintenance of approved standards of drugs in general; the writ petition
involves the claim for withdrawal of 7000 fixed dose combinations and
withdrawal of licences of manufacturers engaged in manufacture of about 30
drugs which have been licensed by the Drugs Control Authorities; the issues
that fall for consideration are not only relating to technical and specialised
matters relating to therapeutic value, justification and harmful side effect of
drugs but also involve examination of the ectness of action taken by the
respondents 1 and 2 on the basis of advice; the matter also involves the
interest of manufacturers and traders of drugs as also the interest of patients
who require drugs for their treatment. The technical aspects which arise for
consideration in a matter of this type cannot be effectively 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. [476D-F; 478F-G]
2.3
This branch namely, Health Care of citizens, is a problem with various facets.
It involves and over-changing challenge. There appears to be, as it were, a
constant competition between Nature (which can be said to be responsible for
new ailments) on the side and human ingenuity engaged in research and finding
out curative processes. This being the situation, the problem has an
ever-shifting base.
It is
common place that what is considered to be the best medicine today for
treatment of a particular disease becomes out of date and soon goes out of the
market with the discovery or invention of new drugs. Again what is considered
to be incurable at any given point of time becomes subjected to treatment and
cure with new finds. There is yet another situation which must be taken note of
as human knowledge expands and marches ahead. With the onward march of science
and complexities of the living 470 process and hitherto unknown diseases are
noticed. To meet new challenges, new drugs have to be found. In this field,
therefore, change appears to be the rule. [478G-H; 479A-C]
Therefore,
such drugs as are found necessary should be manufactured 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 injuries ones from the market must take within its sweep an
obligation to make useful drugs available at reasonable price so as to be
within 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 is an obligation under Article 47 of the
Constitution.
[479G-H;
480A-B] Bandhua Mukti Morcha v. Union of India, [1984] 3 SCC 161, referred to.
ORIGINAL
JURISDICTION: Writ Petition No. 3492 of 1983.
Under
Article 32 of the Constitution of India.
Petitioner-in-person.
A.K. Ganguli,
M.S. Rao, S.N. Kacker, A.B. Divan, G.V. Iyer, C.V.S. Rao, G. Chandra, P. Parmeswaran,
H.K. Puri, Vimal Dave, Swaraj Kaushal, R.K. Mehta and M.K.D. Namboodiri for the
Respondents.
The
Judgment of the Court was delivered by RANGANATH MISRA, J. The petitioner, an
advocate by profession is the General Secretary of Public Interest Law Service
Society, Cochin. In his application as amended on 7th
February, 1983, under Article 32 of the Costitution he has asked for
directions, in public interest, banning import, manufacture, sale and
distribution of such drugs which have been recommended for banning by the Drugs
Consultative Committee and has also asked for cancellation of all licences authorising
import, manufacture, sale and distribution in respect of 471 such drugs. He has
also 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 these
Corporations in the Indian scene and pleaded for nationalising the drug
industry in the best interest of the Indian people. The recommendation has not
been accepted by the Government. According to the petitioner several drugs
banned in the advanced west after appropriate analytical research are routed
into India and on account on lack of control
and sluggish enforcement of the law conveniently find their way into the
market. What is poison to the human body in the west is equally poison to
people in India but not knowing the repercussion
thereof on the human system, such drugs freely circulate and are even
prescribed for patients.
The
Central Government announced its drug policy in 1979 and set out a guideline
covering the relevant aspects of the trade. According to the petitioner no
attempt has been made to give effect to the policy and there has really been no
enforcement. The objectives outlined therein have remained on paper. Though the
policy indicated that Government intended to develop indigenous drug technology
so as to become self-sufficient, no effective steps have been taken in this
direction. The poor illiterate people of India are often misled and misguided as they are not aware of the evil
effects of certain drugs available in the market and often become a tool in the
hands of quacks and inexperienced doctors. Often they fall a victim to
publicity and not known how dangerous the result of taking the particular drug
could be they take it. According to the petitioner, almost half of the drugs
used in India are still being imported into the country,
notwithstanding indigenous manufacture both by local as also the multi-national
Corporations. The petitioner has contended that modern drugs reach 472 only
one-fifth of the Indian population. According to him, the drug industry is
totally profit-oriented and no care or attention is bestowed upon good health
of the citizens of India.
In
1980, the Drug Consulative Committee set up a sub Committee of experts for
screening the formulations of drugs prevalent in the Indian market from the
point of therapeutic rationale in order that irrational and harmful
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 on account of proceedings taken in Court by manufacturers
challenging the vires of Section 26-A of the Act and interim directions given
by the Courts, the benefit of the new power conferred on the Central Government
is not yet available.
According
to the petitioner, Article 21 of the Constitution guarantees fight to life and
this Court has interpreted the guarantee to cover a life with normal amenities
ensuring good living which include medical attention, life free from diseases
and longavity upto normal expections. On account of both want of appropriate
enforcement of the law as also strict measures necessary to eradicate the
existing evils.
the
fundamental right to life is not available to the citizens of the country.
In his
writ petition the petitioner originally impleaded the Union of India, the
Central Drugs Controller as also the Drugs Controller of Kerala as Respondents
1, 2 and 3 respectively.
The
Assistant Drugs Controller of India filed an affidavit by way of joint return
to the Rule Nisi on behalf of the Union of India and the 473 Central Drugs
Controller. He pointed out that 19 categories of fixed dose combinations were
recommended for withdrawal from the market and named them in Annexure-I to the
counter affidavit. According to him, the provisions of the Act and the rules
made there under confer sufficient legislative authority and power on the
Central Government as also the Central Drugs Controller to effectively operate
in the field. In paragraph 8 of the counter-affidavit it has been stated that
the report of the sub-Committee was considered by the Drugs Consultative
Committee as also by the Drugs Technical Advisory Board and the recommendations
of the Board had been accepted by the Ministry of Health in 1982. A circular
letter was issued to all the State Drug Controllers on 22nd of April, 1982
asking them to ban manufacture and sale of the named categories of fixed dose
combinations and the cut-off date being 30th September, 1982 for stopping for
manufacture of these combinations and 3 1st March, 1983 for sale of these
combinations was stipulated. On June 26, 1982, a further circular letter was 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 discontinued
on account on better methods for detection of pregnancy being available, the
prevailing situation in India did not require complete withdrawal from the
market of the preparations and it recommended that a warning to the effect that
there was possibility of congental malformation in case the preparations were
administered in the earlier stage of pregnancy should be indicated.
Accordingly, a decision was taken that combinations of Oestrogens and Progestins
may be continued for pregnancy test but a warning to the following effect was
474 asked to be put on the package as also in any other promotional literature
regarding the drugs: "Warning: There is some evidence to show that
hormonal preparations when used during pregnancy may lead to foetal abnormalities
and as such these should not be used during pregnancy or for pregnancy
diagnosis." The Director-General of India Council of Medical Research
communicated the following recommendations: "Fixed dose combinations of oestrogens
and progesterone may be totally banned in the country even for the treatment of
secondary amenorrhoea as other, substitutes are available in the market for
management of secondary amenorrhoea. ' ' On the basis of same the Ministry of
Health took a decision to ban fixed dose combinations of these medicines in the
country and cut-off dates for manufacture and sale were fixed as 31st December
1982 and 30th of June 1983, respectively.
From
time to time the Drugs Controller of India has been advising the State Drugs
Controller for stopping of manufacture of combinations which have been found to
be bad or injurious to health and instances thereof have been given in the
counter affidavit. With the amendment of the Act in 1982, the Central
Government has now been armed with power to prohibit, in public interest, the
import, manufacture, sale and distribution of any drug or cosmetic which is
likely to involve any risk to human beings or it would not have the theapeutic
value claimed in respect of such preparation. The counter affidavit points out
that M/s Nicholas Laboratories of India Ltd. of Bombay and M/s Unichem
Laboratories 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 that though the Hathi
Committee identified 116 essential drugs, it did not recommend banning of the
remaining. The WHO Expert Committee in its report (serial No. 722 of 1985) has
indicated that 285 basic drugs and 358 single ingredient formulations should be
considered to be most important for the health and care of the human race. It
is asserted that all these companies manufacture medicines within the framework
of the list published by the World Health Organisation.
It is.
pointed out that there are about 8000 small scale manufacturers and 214 big
manufacturers in the organised sector for manufacture of medicines. When for
some reason one particular brand of drug is not available in the market, a
substitute thereof has got to be looked for. According to them, all appropriate
steps have been taken by the Union of India and the Central Drugs Controller
and the petitioner is not entitled to any relief in this writ petition.
The
respondent No. 4 is the Association of the Drug manufacturers and respondent
No. 5 is the organisation of pharmaceutical producers the remaining respondents
are manufacturers of specified drug preparations. In their respective
affidavits, respondents No. 4 and 5 have pleaded against maintainability of the
writ petition.
This
court as early as 11.4.1983 directed issue of notice to the Medical Council of
India, the Indian Medical Association and the Drugs Medical Council of India,
the Indian medical Association and the Drugs Control authorities of the States
except that of Kerala as it was already made a respondent to the writ petition.
Obviously such notice was given as in the opinion of the Court, the matter was
one of great importance and the Court looked for participation of these
authorities in the debate with a view to assisting the Court in the disposal of
the matter. We are surprised that the notice from the Court has not evoked
response excepting the State of Karnataka. (Statutory bodies when called upon by a Court, in particular the apex
Court of the Country, are duty-bound to respond and join the proceedings before
the Court. as required by Article 144 of the constitution. These bodies 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 ex-parte. 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 litigation and the petitioner has attempted to voice the
grievances of the community." The issues in this petition are of vital
importance as they relate to maintenance of approved standards of drugs in
general; the writ petition involves the claim for withdrawal of 7000 fixed dose
combinations and withdrawal of licences of manufacturers engaged in manufacture
of about 30 drugs which have been licensed by the Drugs Control Authorities;
the
issues that fall for consideration are not only relating to technical and specialised
matters relating to therapeutic value, justification and harmful side effect of
drugs but also involve examination of the ectness of action taken by the
respondents 1 and 2 on the basis of advice; the matter also involves the
interest of manufacturers and traders of drugs as also the interest of patients
who require drugs for their treatment.
The
respondent No. 5 has made references to the recommendations of the Drugs
Consultative Committee and the ultimate consideration of DTAE to plead against
the prayer of banning of preparations. As already. stated the remaining
respondents are manufacturers of specific preparations and have supported in
their respective counter-affidavits their claim that drugs manufactured or
handled by them should not be banned.
Having
regard to the magnitude, complexity and technical nature of the enquiry
involved in the matter and keeping in view the far 477 reaching implications of
the total ban of certain medicines for which the petitioner has prayed, we must
at the outset clearly indicate that a judicial proceeding of the nature
initiated is not an appropriate one for determination of such matters. There is
perhaps force in the contention of the petitioner that the Hathi Committee too
was not one which could be considered as an authoritative body competent to
reach definite conclusions. No adverse opinion can, therefore, be framed
against the Central Government for not acting upon its recommendations.
A
healthy body is the very foundation for all human activities. That is why the
adage "Sariramadyam Khaludharma Sadhanara". In a welfare State,
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 order to enable a person to live
with human dignity, and no State--neither the Central Government---has the right
to take any action which will deprive a person of the enjoyment of these basic
essentials".
While
endorsing what has been said above, we would refer to Article 47 in Part IV of
the Constitution. That Article provides:-"The State shall regard the raising
of the level of nutrition and the standard of living of its people and the
improvement of public health as among its primary duties and, in particular,
the State shall endeavour to bring about prohi478 bition of the consumption
except for medicinal purposes of intoxicating drinks and of drugs which are
injurious to health." This Article has laid stress on improvement of
public health and prohibition of drugs injurious to health as one of the
primary duties of the State. In Akhil Bharatiya Soshit Karmachari Sangh v.
Union of India, [1981] 1 SCC 246 this Court has pointed out that, "the
Fundamental Rights are intended to foster the ideal of a political democracy
and to prevent the establishment of authoritarian rule but they are of no value
unless they can be enforced by resort to courts.
So
they are made justifiable. However, it is also evident that notwithstanding
their great importance, the Directive Principles cannot in the very nature of
things be enforced in a Court of Law, but it does not mean that Directive
Principles are less important than Fundamental Rights or that they are not
binding on the various organs of the State." In a series of pronouncements
during the recent years this Court has culled out from the provisions of Part
IV of the Constitution these several obligations of the State and called upon
it to effectuate them in order that the resultant pictured by the Constitution
Fathers may become a reality. As pointed out by us, maintenance and improvement
of public health have to rank high as these are indispensable to the very
physical existence of the community and on the betterment of these depends the
building of the society of which the Constitution makers envisaged.
Attending
to public health, in our opinion, therefore, 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 ever changing 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 being the situation, the
problem has an ever-shifting base. It is common place that what is considered
to be the best medicine today for treatment of a particular disease becomes out
of date and soon goes out of the market with the discovery or invention of new
drugs. Again what is considered to be incurable at any given point of time
becomes subjected to treatment and cure with new finds. There is yet another
situation which must be taken note of as human knowledge expands and marches
ahead. With the onward march of science and complexities of the living process
and hitherto unknown diseases are noticed. To meet new challenges, new drugs
have to be found.
In
this field, therefore, change appears to be the rule.
We
have already taken note of the position that the Hathi Committee was of the
view that a fixed number of formulations were enough to meet the demand. From
the counter-affidavit of respondents 1 and 2, we have gathered that this
conclusion of the Hathi Committee was not accepted as on analysis it was not
found to be a correct statement of the position. The World Health Organisation
in its report, on the basis of expert advice, is of the view that human
ailments can be treated effectively with 285 basic drugs. We assume and it is
not disputed that the expertise available to the World Health Organisation was
of a higher order and perhaps more accurate than what was at the disposal of
the Hathi Committee. While we are cognizant of the position that the problem is
a shifting one and one cannot have a fixed process to deal with the situations
that would arise from time to time, the Central Government on the basis of the
expert advice can indeed adopt an approved national policy and prescribe an
adequate number of formulations which would on the whole meet the requirement
of the people at large.
Obviously,
instant attention has to be bestowed to keep abreast of the changing situations
and make proper and timely amends. While laying the guidelines on this score,
injurious drugs should be totally eliminated from the market. Great care in
this regard has to be taken.
Such
drugs as are found necessary should be manufactured 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
in statutes or rules or instructions issued by executive authorities do not
meet the demands of today's situation. The process of regulation has to be
strengthened.
Law
must be provided with sufficient biting teeth and there must be genuine
apprehension in the mind of every person engaged in the trade that any
infraction would be visited with exemplary punishment. In the prevailing
situation in the country, unless the law is properly enforced, it would be
difficult to regulate the quality of the drugs. Standardisation of the
preparations will also introduce a healthy atmosphere in the market. The practising
doctor should be acquainted with the drug policy, availability of drugs and
take care to prescribe available medicine to his patient.
There
must be due emphasis on indigenous production so that in due course, what the
Government contemplated in 1979 in its then drug policy may be effectuated by
India. We have made large strides in our advancement in the field of science as
also manufacture of drugs since independence.
Drugs
prepared in India today have an international market in a limited way. There
does not seem to be any lack of ability to manufacture drugs. We commend to
Government, therefore, that the drug policy of the Government should emphasise
upon a time-bound switch over to indigenous production.
Research
in this field is of vital importance. Constant attention has to be devoted to
get the best of results at the laboratories and put to use all useful findings.
The traditional indigenous system of treatment in India had once upon a time
made a lot of advancement. There is, therefore, sufficient scope for research
on the basis of our own knowledge. Herbal preparations, as far as practicable,
should be encouraged and appropriate laboratories should be set up, both in the
public and the private sector to continue the system of research into every
branch in this field relevant to gathering of knowledge and proper utilisation
thereof in the field of treatment and manufacture of drugs. We reiterate that
it is not for the Court to lay down the drug policy of 481 the Government. We
are aware of the fact that the 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 circulate poison by way of medicine.
We hope and trust that the Union of India would come forward with a declaration
of its drug policy at a very early date.
It
appears to us that there is an immediate need for a central enforcement
machinery in the interest of community at large. We hope and expect that every
State Government would cooperate with the Central Government in this regard and
the Central Government would take a lead to establish such an authority which
would have jurisdiction all over the country with a view to regulating
manufacture and punishing defaults and lapses. Licencing of manufacture should
also be centralised so that uniformity can be maintained. These are matters of
common concern and we hope that the Central Government, without loss of time,
would take care to evolve a system which would effectively operate. Leave is
granted to the Central Government to apply to the Court, if there be any
difficulty experienced in implementation of such a scheme.
Section
5 of the Act authorises constitution of a Central Drugs Technical Advisory
Board as also a State Board for each State. The object of setting up of such
Boards is to advise the respective Governments on technical matters arising out
of the administration of the Act and to carry out such other functions as are
assigned to the Boards by the Act. Sub-section (2) provides for the manning of
the Central Board. We are of the view that adequate representation should be,
provided to consumers and at least two capable representatives from 482 out of
their category should be nominated by the Central Government. The manning of
this Board should be such that in its functioning it would be in a position to
effectively advise the Central Government on all technical matters.
Section
7 provides for the setting up of the Drugs Consultative Committee and its
statutory purpose is to advise the Central Government, the State Governments
and the Drugs Technical Advisory Board on any matter tending to secure
uniformity throughout India in the administration of the Act. We are of the
view that on this Committee too there should be adequate representation 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 impleaded in the pending proceedings before the different High Courts
and request the said High Courts for expeditious disposal of the matters. At
one point of time, we were thinking of making an order dissolving the interim
directions but that would have necessitated impleading these parties in this case
and hearing them. We have, therefore, thought it proper to suggest that the
Central Government may get impleaded in the pending proceedings, if they are
already not parties and apply to the High Courts. We sincerely hope that when
any such application is moved before the High Court where a dispute of this
type is pending, the High Court would make every endeavour to expedite the
disposal of the proceedings and have the same disposed of as early as possible
and preferably within a period of two months from the date when it is 483
approached so that the dispute may end. If there be any difficulty in giving
effect to this part of the judgment, the Central Government has leave of this
Court to make an appropriate application for directions.
The
objection raised by the petitioner with reference to specific medicines has not
been examined by us mainly for the reason that we have found this proceeding
not an appropriate one for such purpose. We, however, hope that the Central
Government shall take into consideration the objections raised by the
petitioner and have the same referred to the Consulative Committee or to such
other body as it considers expedient for immediate examination and a decision
in that regard shall be taken, not later than six months.
The petitioner
has indeed done a commendable job in bringing the matter before the Court. We
appreciate his move and are inclined to think that he should be suitably
compensated with a view to reimbursing him for the expenses. We direct the
Ministry of Health of the Central Government to deposit a sum of Rs.5000
(Rupees Five Thousand only) in this Court within two months hence which the
petitioner will be at liberty to withdraw.
Petition
disposed of.
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