Protocol breached in Tamil Nadu organ transplant case, says probe (GS02) (Page- 5) An investigation ordered by the Tamil Nadu government into the retrieval of organs from a brain dead patient at a private hospital in Salem district in May this year has found that the harvested heart and lung were allocated to two foreign nationals in two corporate hospitals in Chennai without adopting the stipulated protocol for allocation. The organs were harvested and transplanted on the patients on May 21. In one case, the organ was allotted to a foreigner although it was requested for an Indian patient in the waitlist of organ recipients. Recipients of the heart and lung died shortly after the transplant surgeries were performed. * The inquiry officer has concluded that two outsourced staff of the Transplant Authority of Tamil Nadu (TRANSTAN) had violated norms, by allocating the kidney to a different patient, and shifting allocation to benefit recipients admitted to the Chennai hospitals. Engaging of the outsourced staff at TRANSTAN was done in 2014. Both members resigned after the controversy over allocation of organs to foreign nationals was raised.
Letter from Kerala CM The inquiry committee was set up by the Department of Medical and Rural Health following a letter from Kerala Chief Minister Pinarayi Vijayan to his Tamil Nadu counterpart Edappadi K. Palaniswami seeking an investigation into a complaint that organs were "stolen" from a brain dead patient, P. Manikandan of Palakkad in Kerala, who met with a road accident near Kallakurichi in Villupuram district on May 18. Referring to the instant case, the inquiry report said, "This again points to the TRANSTAN co-ordinator aiding specific hospitals to get allocation of organs to patients of their choice, denying others ahead of them in the waiting list." The two TRANSTAN outsourced staff "wilfully put the wrong UID (unique identity number)" to facilitate the bypassing of patients. "In addition they did not update the TRANSTAN registry or the website of the changed recipient numbers," it said. The investigation revealed that in one case, the reason given to allocate the organ to an international patient and not an active Indian patient was that the chief surgeon of the hospital was out of station. "However, it was established that he was in station and available" in the private hospital in Chennai on the night of May 21 when the transplant was done
The report said the offences made out in the Salem case attracted the provisions under Section 18 (Punishment for removal of human organ or tissues or both without authority) of The Transplantation of Human Organs and Tissues Act, 1994, and Section 465 (forgery), 420 (cheating) read with 120B (criminal conspiracy) of IPC * The inquiry revealed that Manikandan's family members were reluctant to give their consent to harvest his organs but later gave in after persuasion. Investigators noted that the counselling for family members, which should have been done by the grief counsellor of the private hospital as per the TRANSTAN guidelines, was done by its Chief Operating Officer (COO) "Thus, the COO showed interest in pacifying the family members though they were not willing for organ donation and they had declined thrice," the report said. The inquiry revealed that the kidney was proposed for one patient but given to another. The heart was allotted to a Ukrainian national, but investigation revealed that it was transplanted on a Lebanese patient, who died hours after the transplant as the "heart did not work."
The organ utilisation certificate in this case did not mention the nationality of the citizen who underwent the transplant. The then Member Secretary of TRANSTAN who headed the organ transplantation programme told the investigators that he was not aware that the heart harvested from Manikandan was put on a Lebanese patient instead of the Ukrainian national The change in allocation was done privately over the personal mobile phones of TRANSTAN coordinators and the transplant team of the corporate hospital. The report recorded the testimony of a TRANSTAN official that that in one case, a senior bureaucrat in the State government had intervened directing him to "allocate immediately" an organ for a patient in a corporate hospital. At another Chennai hospital, the report said there were five active Indian patients waiting for lung transplant but the organ was given to an Israeli patient Investigation revealed that the hospital authorities gave a variety of reasons to justify the decision. Incidentally, the organs used by the two corporate hospitals in Chennai were refused by other hospitals since they were of "poor quality.'" In the report, the inquiry committee referred to an instance on March 13, 2018, where the outsourced staff of TRANSTAN allowed a corporate hospital in Chennai to take the lung of a donor for an international patient even when active Indian patients were on waiting list in other hospitals. No decline message Was obtamed trom the Indian patients.
Audits to track construction workers' benefits (GS-3) (Page-11) Social audit pilot projects to check if construction worker welfare boards are registering workers and giving them benefits, and also to weed out non-workers registered illegally, are scheduled to begin this week in Rajasthan and Delhi. ewdonlue non-workers registered t The Labour Ministry has also issued the draft framework for the social audit on implementation of the Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996 (BOCW), in accordance with the Supreme Court's orders. * The construction industry is India's second largest employer, with estimates suggesting that there are between five and seven crore workers in the sector, of whom less than half are registered.
Site visits While the BOCW social audits aim to cover all districts every two years, the pilot projects will be done in Delhi's Bhawana ward and a yet-to-be-finalised block in Udaipur district, according to the civil society organisations leading the process. "We will visit construction sites as well as the areas where workers live, to check how many of them are registered with the welfare boards," says Subhash Bhatnagar, convener of the National Campaign Committee for Central Legislation on Construction Labour (NCC-CL), which is coordinating the pilot in Delhi. "Do the children of the workers all have the scholarships they are entitled to? Those who have applied for various benefits -pension, maternityhow long do they have to wait? If you only get the maternity benefit when your child is two or three years old, what is the use?" The social audit team will also find workers who have not registered and try to find the reasons that prevented them from doing so, he said. "There are also problems in some districts where large number of non-construction workers have been illegally registered," added Abha Mishra, programme manager at Aajeevika, the nodal agency for the Rajasthan pilot. the formatfo the audit has/beentaid put/in detail in a draff framework issued by the Labor Kinistry last w ek
SC direction In its March 19 judgement on a petition by the NCC-CL, the Supreme Court noted that the Centre and States had "flouted with impunity" previous directions to implement the BOCW and directed that social audits be conducted to hold the government accountable. * The apex court noted that the BOCW would be useless without accountability in registration efforts. "All that we have been told is that there are more than 4.5 crore building and construction workers in the country and earlier about 2.15 crore had been registered and as of now about 2.8 crore have been registered. How these figures have been arrived at is anybody's guess. In any event, the registration of building and construction workers is well below the required number and is also a guesstimate," the judgment noted.
From the transfer of the U.S Embassy to Jerusalem to the halting of aid to Palestinians these are some of the key moves of President Donald Trump in the context of the Silence on settiementsA Palestinian Lawyer demonstrating in the West Bank city of Jan 24, 2017 Trump stays silent on Iarael's decision to approve 2.500 new settlements in the West Bank 1 2 3 4 5 Ramallah in December 2017. Moving the Embassy May The transfer of June 19. The US 6 announces its withdrawal Tel Aviv to Jerusalem coincides with bloody Human Rights Couno over its alleged bas Break from the past Feb. 15 Trump halts Washington's quest fora two-state solution, saying he would back a single state if it led to peace 7 Aug 24: The U.S, announces that it has cancelled more than $200 million in aid for Palestinians in the Gaza Strip and the West Bank Aug.31: Washington decides to end funding or UNRWA, saying the organisation was the Western Wal May 22: Trump becomes the first sitting L.S President to visit the Western Wall in Jerusalem's Old Tow A LIFELINE FOR PALESTINIANS The United Nations Relief and Work Agercy (UNRWA hds been o lifeline for millions of Polestinins since i wos set up nearly 0 years g0 Dec. 6Trump says Helps in running 58 "it is time to offhicially recognise Jerusalem as the capital of Israel breaking with the existing1948 war surrounding December 1949 by the UNThe UNRWA's schools t Assembly afterThe UNRWAS srael's creation $20,000 children became the only Holding back assistance Jan. 16,2018:Wash- ington holds back $69 million of assistance an 25: liumetin a refugees West Asia, mostly Palestian, nternational status of the more than 7,60,000 people displaced as - Ihe Lnited btaces worth hundrao mill ong cf dels te Assistance to refagees than three willoa
'Mauritius tops India's FDI charts again' (GS-3) (Page-13) * Mauritius remained the top source of foreign direct investment (FDI) into India in 2017-18 followed by Singapore, whereas total FDI stood at $37.36 billion in the financial year,a marginal rise over the $36.31 billion recorded in the previous fiscal, according to RBI data. While FDI from Mauritius totalled $13.41 billion as against $13.38 billion in the previous year, inflows from Singapore rose to $9.27 billion from $6.52 billion. FDI from the Netherlands declined marginally to $2.67 billion as against $3.23 billion a year earlier. Provisional data for the fiscal ended March revealed that FDI into the manufacturing sector witnessed a substantial decline to $7.06 billion, as against $11.97 billion a year earlier However, FDI into communication services rose to $8.8 billion in FY18 from $5.8 billion. The inflows into retail and wholesale trade also shot up to $4.47 billion as against $2.77 billion, while financial services too saw a rise to $4.07 billion from $3.73 billion in the previous year "The fact that these sectors accounted for more than 50% of total FDI of $37.36 billion in linterest in new areas i 17-18 reflects the financi l techn logies, said Assochah in a statemen places and
Graduate in Economics. Gold medal in Dissertation, Prepared various documents on Demonetisation and GST, Share-trading and many more