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SC comes to rescue of US boy, allows distant Indian cousin to donate liver

New Delhi: Taking note of the “peculiar circumstance”, the Supreme Court has come to the rescue of a three-year-old US citizen in critical need of liver transplant by permitting his distant Indian cousin to donate the organ, saying it would not consider adherence of legal requirement in “absolute terms” for saving live in this case.

The court, however, made it clear that its decision will not be treated as “precedent for any other case”.

Faced with a legal question in the form of section 9 of the Transplantation of Human Organs and Tissues Act (THOTA), which bars donation of an organ to a foreigner by his distant Indian relative, the top court carved out the case-specific exception to facilitate the liver donation.

‘In our opinion, the instant case would not be an appropriate case to consider the same in detail,’ a bench comprising justices A S Bopanna and M M Sundresh said.

It said in the peculiar circumstance, there was a choice for this court to choose “between saving the life of a three years old child i.e. the petitioner No.1 or adherence to the legal requirement in absolute terms”.

Making it clear that its decision will not be treated as “precedent for any other case”, the top court, in a compassionate verdict, accorded primacy to saving the life of the child who was admitted to a private hospital in Gurugram for treatment of decompensated biliary cirrhosis (DBC).

The DBC is a medical condition which results from liver failure and a patient can be saved by the transplant only.

The bench was to deal with section 9 of THOTA which was coming in the way of liver donation to the child by his distant Indian cousin.

The section of THOTA bars transplant of organs where recipient is a foreigner and donor is not a “near relative”. The term -- “near relative” includes “spouse, son, daughter, father, mother, brother, sister, grandfather, grandmother, grandson or granddaughter”.

A cousin is not included in the definition of “near relative”.

The top court took note of the submissions of senior advocate Gopal Sankarnarayanan and lawyer Neha Rathi, who appeared for the petitioners -- the recipient and the donor.

The bench, in its November 9 order, noted the details of the case and the report of the authorisation committee which functions

under the THOTA and authorises the transplant of organs if the donor and the recipient comply with the statutory requirements.

‘At the outset, we clarify that though the provisions as contained in The Transplantation of Human Organs and Tissues Act, 1994 as also the Citizenship Act was referred to during the course of the submissions on either side, in our opinion, the instant case would not be an appropriate case to consider the same in detail,’ it said.

It took note of the immediate necessity of a donor to donate the liver to child in view of his precarious health condition and asked the parties to go through the legal process as contemplated.

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