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ARUNA RAMCHANDRA SHANBAUG versus UNION OF INDIA AND OTHERS

Citation: [2011] 4 S.C.R. 1057 · Decided: 07-03-2011 · Supreme Court of India · Bench: MARKANDEY KATJU · Disposal: Dismissed

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Judgment (excerpt)

• 
[2011] 4 S.C.R. 1057 
ARUNA RAMCHANDRA SHANBAUG 
v. 
UNION OF INDIA AND OTHERS 
(Writ Petition (Criminal) No. 115 of 2009) 
MARCH 7, 2011 
[MARKANDEY KAT JU AND GYAN SUDHA MISRA, JJ.) 
Human Rights: 
A 
B 
Euthanasia - Withdrawal of life support - Writ petition c 
filed in Supreme Court seeking euthanasia for a 60 year old 
woman - Petitioner was a Staff Nurse working in KEM 
Hospital, Mumbai, who was assaulted by a sweeper in the 
hospital who sodomized her and during this act twisted a dog 
chain around her neck due to which supply of oxygen to the 
0 
Petitioner's brain stopped and her brain got damaged -
Petitioner lay bed-ridden in KEM Hospital, Mumbai since 
1973 allegedly in a Persistent Vegetative State (PVS) - Held: 
The Petitioner cannot be said to be dead - Even from the 
report of Committee of Doctors it appears that she has some 
E 
brain activity, though very little - The Petitioner recognizes 
that persons are around her and expresses her like or dislike 
by making some vocal sound and waving her hand by certain 
movements - She smiles if she receives her favourite food, 
fish and chicken soup - She breathes normally and does not 
require a heart lung machine or intravenous tube for feeding 
F 
- Her dementia has not progressed and has remained stable 
for many years - Whatever the condition of her cortex, her 
brain stem is certainly alive - Though the Petitioner's parents 
are dead and other close relatives are not interested in her 
ever since she had the unfortunate assault on her, however, 
G 
the KEM hospital staff have been caring for her day and night 
for so many long years, who really are her next friends -
Hence it is for the KEM hospital staff to tak~ a decision on 
withdrawal of life support to the Petitioner - The KEM hospital 
1057 
H 
1058 
SUPREME COURT REPORTS 
[2011] 4 S.C.R. 
A staff have clearly expressed their wish that Petitioner should 
be allowed to live - However, assuming that the KEM hospital 
staff at some future time changes its mind, in such a situation 
the KEM hospital would have to apply to the Bombay High 
Court for approval of the decision to withdraw life support -
B Petition accordingly dismissed. 
Euthanasia - Withdrawal of life support of a patient in 
Permanent Vegetative State (PVS) - No statutory provision 
in India as to the legal procedure for withdrawing life support 
to a person in PVS or who is otherwise incompetent to take a 
C decision in this connection - Held: Passive euthanasia should 
be permitted in India in certain situations. 
Euthanasia - Withdrawal of life support of a patient in 
Permanent Vegetative State (PVS) - Law laid down by 
D Supreme Court in this connection until Parliament makes a 
law on the subject - Held: A decision has to be taken to 
discontinue life support either by the parents or the spouse 
or other close relatives, or in the absence of any of them, such 
a decision can be taken even by a person or a body of persons 
E acting as a next friend - If can also be taken by the doctors 
attending the patient - However, the decision should be taken 
bona fide in the best interest of the patient - Even if a 
decision is taken by the near relatives or doctors or next friend 
to withdraw life support, such a decision requires approval 
F from the High Court - This is even more necessary since 
cannot rule out the possibility of mischief being done by 
relatives or others for inheriting the property of the patient -
This is in the interest of the protection of the patient, protection 
of the doctors, relative and next friend, and for re-assurance 
G of the patient's family as well as the public - This is also in 
consonance with the doctrine of parens patriae. 
Euthanasia - Withdrawal of life support to a person who 
is unable to take a decision as regards such withdrawal -
H Application for, by near relatives or next friend or the doctors! 
• 
ARUNA RAMCHANDRA SHANBAUG v. UNION OF 1059 
INDIA AND ORS. 
hospital staff- Power of High Court u/Art.226 - Held: Article A 
226 gives abundant power to the High Court to pass suitable 
orders on the application filed by the near relatives or next 
friend or the doctors/hospital staff praying for permission to 
withdraw the life support - Procedure to be adopted by the 
High Court when such an application is filed - When such an 
B 
application is filed the Chief Justice of the High Court should 
I forthwith constitute a Bench of at least two Judges who should 
I decide to grant approval or n

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