RG Kar Case: ‘Why Progress on safety measures so tardy?’ SC pulls up WB Govt, seeks National Task Force’s Report

New Delhi: The Supreme Court, while considering the suo-motu matter regarding the rape and murder of a PG trainee doctor at Kolkata-based RG Kar Medical College and Hospital, criticised the West Bengal Government today over its “tardiness” in installing CCTVs, and building toilets to ensure the safety of resident doctors at their workplace.

Taking note of the submission of the West Bengal Government’s counsel that the works would be completed by 31st October, the Apex Court bench comprising the Chief Justice of India DY Chandrachud, Justices JB Pardiwala and Manoj Misra observed, “…the status report submitted by WB indicates the ongoing work ….thought the state has indicated that remaining work will be completed by 31st October, but state has assured that it will make all endeavours to complete the work by 15th October 2024.”

Listing the matter for further hearing on October 14, 2024, the Apex Court bench directed the counsel for the Union Government Tushar Mehta to submit the report on the progress of the National Task Force on the next day.

What Happened at the Supreme Court Hearing today? 

Photographs & Name of Deceased Still Being Used on Social Media Posts:

During the hearing of the matter, the counsel for the deceased’s parents highlighted that there were still a lot of social media posts disclosing her name and photos.

However, CJI Chandrachud that an order in this regard has already been passed and now it is only upon law enforcement to enforce the order. Responding to this, the counsel asked if there could be a nodal officer and email ID provided by the Union for the taking down of the posts according to the law.

Meanwhile, Advocate Nandy for the senior doctors pointed out that reels were also being made with hindi songs in it. At this outset, the CJI observed that the West Bengal Government should immediately contact all the media posts.

Advocate Vrinda Grover, appearing for the victim’s family, pointed out that there is also a YouTube movie that is slated for release tomorrow which says that it is based on the victim. However, the CJI pointed out that to stop the film, legal recourse needed to be taken. Again, Advocate Grover urged the Court to appoint a nodal counsel to whom the victim’s family could pass the information.

After the counsels highlighted that the last order of the Apex Court was regarding Wikipedia only, the CJI noted that “The parents of the deceased are disconcerted by repeated clips in social media referring to photographs and the name of the deceased. Besides these, videos have also proliferated. Earlier order is clarified to apply in relation to all intermediaries and to reiterate no intermediate shall be allowed to carry the name or pics of her identity.” Further, the CJI asked MEITI to notify a nodal officer in relation to any uploading or unauthorized publication which be taken away.

Meanwhile, Senior Advocate Mahesh Jethmalani pointed out that till death no FIR has been lodged against the Police Commissioner who revealed the name of the victim and the High Court had said that the Supreme Court would look into this.

After perusing the status report submitted by the Central Bureau of Investigation (CBI), the CJI observed that very substantial leads have come up in the CBI investigation. Asking CBI to continue with the investigation, the CJI noted that the CBI has given statements on both aspects- the rape and murder case and the financial irregularities.

Referring to the report, which mentioned that the injury was accelerated because of braces and glasses she was wearing, the CJI asked “how can that happen if you are lying for sleep?” 

On this, one of the counsels asked if the person who conducted the Forensic Examination was examined. To this, Solicitor General Mehta informed that he was examined before hospitalisation.

Counsels Highlight Possibility of Accused Persons Still Being in Power: 

During the proceedings, Advocate Jaisingh, appearing for the junior doctors in Bengal, informed the Court that the Junior Doctors have already gone back to work. She also submitted that she had 4 names, who arrived at the place of crime and some were elected members of the Council. 

Advocate Nandy also submitted that a lot of people mentioned in the CBI wrt in the financial irregularities case and who were also present at the crime scene, are still in power. She urged the Court that they should be suspended temporarily until the investigation is over. Advocate Jaisingh pointed out that 7 people in investigation are still in employment at RG Kar and argued that they only needed to be suspended temporarily so that the doctors can go back to work with confidence. She urged the Court to issue directions to let the alleged persons go on leave.

Also Read: RG Kar Case: Supreme Court tells protesting doctors to resume work from tomorrow, state to ensure Safety

The CJI asked the Solicitor General to inform the Court why the people under investigation are still employed in RG Kar against whom financial irregularities are alleged. 

“…ultimately any action has to be taken by the state govt…it would be appropriate at this stage for sharing of information with the State Govt,” observed the CJI, further seeking information about the 5 doctors in RG Kar who were suspended.

“presently we are seeing is Rape and financial irregularities ….we are focusing on RG KAR but rest assured we can see other things, we can look at the IA, if there is need for broadening the investigation…this is part of the broader nexus (alleged mafia mentioned by the adv),” the CJI was quoted noting by Live Law.

Meanwhile, Advocate Dwivedi appearing for the State of West Bengal informed that when the doctors met the CM, they requested the transfers of police officials, they were transferred. However, Advocate Nandy pointed out that they had asked for resignation.

In response to this, Advocate Dwivedi pointed out that furthermore any information is given by the CBI on any person, action will be taken without any difficulty. 

Taking note of these submissions, the CJI pointed out that CBI has submitted the 4th status report dated 30 September indicating the leads and steps taken in the investigation. Referring to this, the CJI observed, “…at this stage , when investigation is in progress, it would not be appropriate to set down the details of leads ….CBI is conducting investigation on (1) the rape and murder and (2) allegation on financial irregularities – whether there is relationship between the two is a matter of investigation by the CBI.”

“…several persons against whom serious allegations of misdemeanor are there are occupying positions in the college…the submissions of the doctor is that such persons should either be suspended or directed to be on leave is matter to be decided by the state govt ….” the Court further observed.

The CJI referred to the West Bengal Government’s submission stating that if the CBI shares any information of such person, the State will take action consistent with the law. Referring to this, the bench ordered, “…counsels submit that the financial irregularities would extent to outside the state, the CBI may be informed along with the modalities prescribed, the court may be informed what other directions maybe required to be given.”

Court Seeks Details of Work Done to Ensure Safety of Doctors: 

After issuing directions that the details of the IA may be shared with the CBI, the CJI questioned the West Bengal Government regarding the steps taken for CCTV cameras and the construction of toilets and separate resting rooms etc.

In response to this, Advocate Dwivedi requested for more time to complete the constructions as there are logistical delays, flood situation etc. He submitted that 36% CCTVs have been installed and the remaining likely to be completed by 10 October. 

At this outset, the CJI noted that no part of the work is above 50%. “why is the process so tardy? we have been monitoring since 9 August…” questioned the CJI. However, Advocate Dwivedi assured to complete the work by 31st October, by 15th most work will be done.

Meanwhile, the Apex Court bench recorded that 2 officers were brought in as Principal and VP of the College- Dr. Manas Banerjee and Dr. Saptarshee Chatterjee.

“…the status report submitted by WB indicates the ongoing work ….thought the state has indicated that remaining work will be completed by 31st October, but state has assured that it will make all endeavours to complete the work by 15th October 2024,” observed the CJI.

One of the advocates brought allegations against the current principal at RG Hospital. However, the CJI asked him not to just throw allegations without any basis. 

Allegations Against Junior Doctors Not Performing OPD Works: 

During the hearing, the counsel for West Bengal Government pointed out that doctors were not performing OPD services. However, CJI recorded the submission of Advocate Jaisingh stating that the doctors were performing all duties and services.

Advocate Jaisingh submitted that they were performing all essential services including IPD and OPD services and insisted the Court to record categorically that they were providing all essential and emergency services.

The CJI noted, “Jaisingh has categorically stated that all doctors shall perform essential services including IPD and OPD.”

Meanwhile, Advocate Nandy pointed out that there have been several other attacks including the recent incident at Sagar Dutta Medical College. At this outset, even though Advocate Dwivedi alleged that a patient had died because no beds were provided and no doctor attended, Advocate Nandy vehemently argued that such allegations could not be made.

Court Asks Solicitor General to Submit National Task Force’s Report on Next Date: 

When Advocate Jethmalai reiterated the case of the Police Commissioner revealing the victim’s name. the CJI observed, “we are not staying the proceedings before HC …HC seasoned enough to know which areas to enter upon. SG can I we have report of the NTF on next date? SG shall place on record of the progress of the NTF on the next date.”

Even though Advocate Jaisingh urged the Court to include one member from the State of West Bengal in the National Task Force, the Court clarified that the Task Force was not State specific and its report would have pan-India implications.

“the cabinet secretary are coordinating, they will take into account what the WB has to say …..please write an email, request an urgent appointment and give them inputs, it will be a welcomed suggestion, the SG can communicate,” observed the Court.

While Advocate Jaisingh pressed for making a sub-taskforce for West Bengal, the CJI noted, “all that you have to do is address an email, they will ensure that representation of the residential doctors will be heard.”

Also Read: Conditions of Women Doctors not Working at Night Will Prejudice their Careers: Supreme Court Criticises Bengal Govt’s Policy

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Pfizer gets CDSCO Panel nod to study antimicrobial FDC Avibactam plus Aztreonam

New Delhi: The drug major Pfizer has got approval from the Subject Expert Committee (SEC) functional under the Central Drug Standard Control Organisation (CDSCO) to conduct the phase 2A clinical study of the antimicrobial drug combination Avibactam 0.5 g plus Aztreonam 1.5 g Powder for Concentrate for Solution for Infusion.

This came after the firm presented phase 2A clinical study protocol no. C3601010 dated 27 September 2023.

Avibactam is a non-β-lactam β-lactamase inhibitor used in combination with ceftazidime for the treatment of complicated intra-abdominal infections, complicated urinary tract infections, and hospital or ventilator-acquired pneumonia.

Avibactam is a non-β lactam β-lactamase inhibitor that inactivates some β-lactamases (Ambler class A β-lactamases, including Klebsiella pneumoniae carbapenemases, Ambler class C and some Ambler class D β-lactamases) by a unique covalent and reversible mechanism, and protects ceftazidime from degradation by certain β-lactamases. Avibactam rapidly reaches the periplasm of bacteria at high enough concentrations to restore activity of ceftazidime against ceftazidime-resistant, β-lactamase-producing strains. Avibactam does not decrease the activity of ceftazidime against ceftazidime­ susceptible organisms.

Aztreonam is a beta-lactam antibiotic used to treat select aztreonam-sensitive gram-negative bacteria.

The bactericidal action of aztreonam results from the inhibition of bacterial cell wall synthesis due to a high affinity of aztreonam for penicillin binding protein 3 (PBP3). By binding to PBP3, aztreonam inhibits the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins. It is possible that aztreonam interferes with an autolysin inhibitor.

At the recent SEC meeting for Antimicrobial and Antiviral held on September 19, 2024, the expert panel reviewed the phase 2A clinical study protocol no. C3601010 dated 27 September 2023 presented by the drug major Pfizer.

After detailed deliberation, the committee recommended the grant of permission to conduct the trial as presented by the firm.

Also Read:Torsemide, Dapagliflozin FDC not rational: CDSCO Panel Rejects Syngene’s Proposal for BA/BE study

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Homoeopathic doctor, 5 others arrested for illegally manufacturing psychotropic drug

Busting an illegal supply of drugs racket in the capital, the Delhi police recently arrested a homoeopathic doctor previously honoured with the prestigious Indian Achiever’s Award along with five others for illegally manufacturing Alprazolam, a psychotropic drug used to treat anxiety disorders.

According to the police, around 18 kg of Alprazolam powder was recovered in the possession of one of the accused Rajender Prasad Mishra who worked as a carrier in a drug cartel involved in the racket. Additionally, the police recovered the drugs worth Rs 4.20 crore from the accused.

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Health Bulletin 30/ September/ 2024

Here are the top health news for the day:

Eye hospital, Ophthalmologists slapped Rs 15 Lakh compensation for vision loss due to Surgical Negligence

Holding a private eye institute, its director and two ophthalmologists guilty of medical negligence, the District Consumer Disputes Redressal Commission-II, Visakhapatnam directed them to pay Rs 15 lakh to the patient who lost vision in one eye.

The history of the case goes back to February 2019 when the patient was chatting with his friend while another friend was playing with an air rifle. One of the pellets from the air rifle touched the complainant’s left eye and due to this, he sustained bleeding injury.

For more details, click the link below

Vision loss due to negligence in surgery: Eye Hospital, ophthalmologists slapped Rs 15 lakh Compensation

HC attaches salary of State Health Secretary as hospitals unpaid despite Ayushman Bharat funds release

While considering the pleas filed by several hospitals in Punjab seeking the release of pending dues from the State Government under the Ayushman Bharat Scheme, the Punjab and Haryana High Court till October 16, attached the salaries of senior officials, including the Principal Secretary of the Health Department of the State, for failing to release the pending dues.

“Let an affidavit be filed by the State Government of Punjab giving the details of the payments that have been made against bills since 30.12.2021 to 24.09.2024 alongwith the date on which such payment was released, within a period of two weeks from today. The salaries of Kumar Rahul, IAS, Principal Secretary, Department of Health, Ms. Babita, Chief Executive Officer, Mr. Deepak, Director and Ms. Sharanjit Kaur, Deputy Director, State Health Agency, Department of Health and Family Welfare, Punjab shall remain attached till the next date of hearing,” ordered the HC bench.

For more details, click the link below

Hospitals Not Paid Despite Release of Funds Under Ayushman Bharat: HC Attaches Salary of State Health Secretary among Others

Andhra announces NEET PG bond policy: 10 Years service, Rs 50 lakh penalty for in-service candidates

Doctors getting admitted to PG medical courses (degree and diploma) in the Competent Authority Quota seats at Andhra Pradesh-based Dr. NTR University of Health Sciences will have to compulsorily serve the State Government or pay a penalty of Rs 40 lakh and Rs 50 lakh

In the case of service candidates, they will have to serve the State Government for a minimum period of 10 years after completion of in-service PG Degree/Super Specialty course in any Government institution/health facility of the State. For them, the amount of bond penalty is Rs 50 lakh, in addition to the pay and allowances received during the years of study.

For more details, click the link below

10 years of service, Rs 50 lakh penalty for Inservice candidates: Andhra notifies bond policy for NEET PG admissions this year

Homoeopathic doctor and 5 others arrested for running drug racket,
Rs 4.2 crore worth anxiety drug seized

Busting an illegal supply of drugs racket in the capital, the Delhi police recently arrested a homoeopathic doctor previously honoured with the prestigious Indian Achiever’s Award along with five others for illegally manufacturing Alprazolam, a psychotropic drug used to treat anxiety disorders.

According to the police, around 18 kg of Alprazolam powder was recovered in the possession of one of the accused Rajender Prasad Mishra who worked as a carrier in a drug cartel involved in the racket. Additionally, the police recovered the drugs worth Rs 4.20 crore from the accused.

For more details, click the link below

Homoeopathic doctor, 5 others arrested for running psychotropic drug manufacturing racket, 4.2 crore drug seized

UP medical student allegedly dies by suicide in Car

A 28-year-old Master of Surgery
student from Moti Lal Nehru Medical College has reportedly died by suicide in
his car at a hospital affiliated with the college, according to police reports
on Sunday.

According to DCP (City) Abhishek
Bharti, doctors at SRN Hospital reported on Saturday night that a medical
professional working at the hospital had committed suicide.

The individual, a resident of Kotdwar
in Uttarakhand, is believed to have injected himself with a poisonous
substance. ACP Kotwali Manoj Kumar Singh stated that a field unit, dog squad,
and surveillance team have been dispatched to the scene, and evidence is
currently being collected.

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IRGMA Welcomes CDSCO’s New Guidelines, Urges to stop import of substandard gloves

New Delhi: Welcoming the updated guidelines detailing the functions and responsibilities of the zonal, sub-zonal, and port offices issued by the Central Drugs Standard Control Organization (CDSCO), the Indian Rubber Gloves Manufacturers Association (IRGMA) has urged the government to take stringent measures to implement the order effectively to stop the import of substandard gloves in the country.

The CDSCO issued the new Guidance Document for Functions and Responsibilities of Zonal, Sub-zonal, and Port offices on September 12. The guidelines were last released in 2011, and the recent changes include the introduction of new rules and regulations and the online system through the SUGAM portal, which necessitated the revised order in line with the procedures followed in CDSCO offices.

Guidance documents for Zonal, Sub zonal and Port offices were prepared in 2011 and implemented since then. It sets out the nature of work that Zonal, sub-zoneal, and port offices generally carry out and the guidelines about the policy that should be followed in disposing of work and duties.

Recently, there have been many changes in the procedures of Zonal, Sub-Zonal, and Port Office activities due to the introduction of new rules and regulations, online systems through the SUGAM portal, and delegation of some activity to the state Drugs Authority, etc.

Hence, it was needed to amend/revise the guidance documents in line with the recent procedures followed by the zonal, sub zonal and port offices.

In order to undertake the revision of guidance documents for zonal, sub-zoneal, and port offices, a team was constituted via order ref. no. GBT /RS /SS /NRS /2023-24 dated.26.12.2023.

The team submitted the draft document with respect to their responsibilities for the preparation of the first draft by a team comprising officials from CDSCO.

The guidance drafted and reviewed was shared with all officials (DDC (I) level) of CDSCO HO/Zones/Sub-Zone/Port offices to provide comments/suggestions/inputs if any, and the same was deliberated on 02.09.2024 virtually with all CDSCO Zonal, Sub-Zonal, and Port offices and CDSCO (HQ) officials.

Accordingly, revised and finalized guidance documents for Zonal, Sub-Zonal, and Port offices (revision: 01, 2024) are prepared to ensure uniform procedures in the execution of various regulatory processes by Zonal/Sub-Zonal and port offices of CDSCO.

Speaking on the new CDSCO guidelines, IRGMA General Secretary Man Mohan Singh Gulati said, “The new guidelines issued by CDSCO are a welcome step. However, the implementing authorities, including ADCs posted at ports, must be made aware of the document to effectively control the import of substandard bulk-packed gloves.”

The association has long been demanding the Quality Control Order (QCO) for gloves to keep substandard imports at bay and urged the government to expedite its process. This will not only help Indian manufacturers but also contribute to the union government’s Make in India initiative to achieve self-sufficiency and reduce dependence on other countries.

The IRGMA general secretary added that the new CDSCO guidance document will bring uniformity, transparency, predictability, and accountability to all offices, incorporating risk-based inspections as part of the organization’s technical functions.

The risk-based inspection guidelines outline uniform enforcement procedures for onsite inspections to evaluate compliance with quality systems and infrastructure, adhering to nationally and internationally accepted Good Manufacturing Practice (GMP) standards.

The guidelines also set timelines for processing various applications in the medical devices sector, including procedures for granting licenses to manufacture drugs for examination, testing, or analysis under the New Drugs & Clinical Trials Rules, 2019, and the issuance of No Objection Certificates (NOCs) for cargo clearance at CDSCO port offices, among other matters.

According to the guidelines, each drug inspector will collect at least ten samples each month, comprising nine samples of drugs (APIs, excipients, and formulations) and one sample of cosmetics or medical devices. Each inspector shall maintain data on sampling and submit it to their controlling authority monthly to facilitate the execution of the sampling plan. The inputs from the monthly sampling data will be used to plan the next month’s sampling strategy.

To view the updated guideline for the functions and responsibilities of the zonal, sub-zonal, and port offices of the Central Drugs Standard Control Organization (CDSCO), click the link below:

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American Academy of Pediatrics releases clinical practice guideline for opioid prescriptions

The American Academy of Pediatrics has published its first clinical guideline for pediatricians on prescribing opioids, including explicit instructions on how and when to prescribe these medications for pain while reducing the long-term risk of addiction.

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People who experience side effects from cranial radiation therapy may recover full neurocognitive function within months

A substantial number of patients with brain metastases who experience cognitive side effects following radiation therapy may fully regain cognitive function, according to a pooled analysis of three large, Phase III clinical trials.

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Radiopharmaceutical therapy offers promise for people with tough-to-treat meningioma brain tumors

A radiopharmaceutical therapy that has successfully extended progression-free survival for patients with neuroendocrine tumors shows early promise for delivering similar benefits to patients with difficult-to-treat meningioma, a type of brain tumor. Findings of the nonrandomized Phase II study were presented at the American Society for Radiation Oncology (ASTRO) Annual Meeting.

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Ketamine: What to know about the UK’s growing drug problem

There is growing awareness of the problems caused by the use of a fast-acting drug called ketamine. Often referred to as K or ket, it was made a class B drug in the UK in 2014 and is illegal to buy or sell. Possessing the drug can lead to a maximum five-year prison sentence and supplying the drug up to 14 years in prison.

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How alcohol-associated liver disease differs among races

Researchers have long known that outcomes for alcohol-associated liver disease (ALD) aren’t equal among all races and ethnicities in the U.S., but differences among these groups have been less clear.

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