Environment Protection Act

jamia millia islmiaEnvironment Protection ActSubmitted to Archita Bansal

Submitted by Sahil Chowdhury

AcknowledgementFirstly, I would like to express my profound sense of gratitude towards the almighty ALLAH for providing me with the authentic circumstances which were mandatory for the completion of my project.Secondly, I am highly indebted to Miss Archita Bansal at Faculty of Law, Jamia Millia Islamia University, New Delhi for providing me with constant encouragement and guidance throughout the preparation of this project.Thirdly, I thank the Law library staff who liaised with us in searching material relating to the project.My cardinal thanks are also for my parents, friends and all teachers of law department in our college who have always been the source of my inspiration and motivation without which I would have never been able to unabridged my project.My father, a lawyer with large access to books of value has been of great help to me.Without the contribution of the above said people I could have never completed this project.

SAHIL CHOWDHURYB.A.LL.B (Hons) 8th Semester4th Year

Table of Contents

Introduction to Health Law3Introduction to Environment Protection Act in relation to Health Laws9Context of Judicial Intervention and Evolving Understanding of Right to Health10Mahajan Committee Recommendations on Environment11Right to Health is a Fundamental Right12People are entitled to adequate health care12Conclusion23Bibliography24

Introduction to Health LawLaw has had important contributions to several public health achievements but, despite this, the conceptual framework for its effective application has not been fully explicated.[footnoteRef:1] Medicine has moved beyond treating disease to promoting health, which entails policy interventions and regulations at different levels to bring about behavioural changes in individuals. This was identified by the nineteenth century German physician Rudolph Virchow who said: Medicine is a social science and politics nothing but medicine on a grand scale. In the present-day changing scenario, physicians need to understand the social implications and the over-arching role of law. We highlight how a framework of law can be developed for promoting public health goals. [1: Mensah GA, Goodman RA, Zaza S, Moulton AD, Kocher PL, Dietz WH, et al. Law as a tool for preventing chronic diseases: Expanding the spectrum of effective public health strategies. Prev Chronic Dis 2004; 1: A11. Available at http://www.cdc.gov/pcd/issues/2004/jan/03_0033.htm (accessed on 10 July 2008).]

Health and health care need to be distinguished from each other for no better reason than that the former is often incorrectly seen as a direct function of the latter. Heath is clearly not the mere absence of disease. Good Health confers on a person or groups freedom from illness - and the ability to realize one's potential. Health is therefore best understood as the indispensable basis for defining a person's sense of wellbeing.The health of populations is a distinct key issue in public policy discourse in every mature society often determining the deployment of huge society. They include its cultural understanding of ill health and well-being, extent of socio-economic disparities, reach of health services and quality and costs of care and current bio-medical understanding about health and illness.Health care covers not merely medical care but also all aspects pro preventive care too. Nor can it be limited to care rendered by or financed out of public expenditure within the government sector alone but must include incentives and disincentives for self-care and care paid for by private citizens to get over ill health. Where, as in India, private out-of-pocket expenditure dominates the cost financing health care, the effects are bound to be regressive. Heath care at its essential core is widely recognized to be a public good.Its demand and supply cannot therefore, be left to be regulated solely by the invisible had of the market. Nor can it be established on considerations of utility maximizing conduct alone.What makes for a just health care system even as an ideal? Four criteria could be suggested- First universal access, and access to an adequate level, and access without excessive burden. Second fair distribution of financial costs for access and fair distribution of burden in rationing care and capacity and a constant search for improvement to a more just system. Third training providers for competence empathy and accountability, pursuit of quality care add cost effective use of the results of relevant research. Last special attention to vulnerable groups such as children, women, disabled and the aged.Health Law provides a foundation for legal practice in the fields of Individual Health Care Law and Public Health Law in the India. In so doing, it explores the relationship between law and policy, and examines the legal issues that often arise in the government's attempt to regulate personal behavior and the provision of medical care. It examines the central tension between the state's regulatory powers and individual rights in the context of protecting the public's health. It covers such subject areas as: federal, state and local public health powers; the circumstances under which the state can limit the freedoms of individuals in order to protect citizens from the consequences of their personal lifestyle choices; compulsory screening; immunization; quarantine and civil commitment; criminal punishment; and mandated treatment.The reach of public health law is as broad as public health itself and both have expanded to meet the needs of society. The scope of the right to health and its correlation with the right to healthcare was first outlined in the Universal Declaration of Human Rights in 1948, wherein while the right to health was conceived as an individuals civil right, states were bound to provide minimum conditions to enable individuals to enjoy this right and provide primary health services in an equal and fair manner. It is important to note that while the right to health is considered an inherent human right, the right to healthcare is its progressive realization through declared constitutional and legal rights, in particular, through public health law.The Constitution of India has provided guarantees and policy directives in Part III (Fundamental Rights) and Part IV (Directive Principles of State Policy) for the right to health and healthcare.The Supreme Court of India has articulated in several landmark judgments like in case of Consumer Education and Resource Centre v. Union of India[footnoteRef:2]; State of Punjab and Others v. Mohinder Singh[footnoteRef:3], that the right to health is integral to the right to life under Article 21 of the Constitution of India. While on the one hand, the right to health is guaranteed as a fundamental right, the Constitution also imposes a positive duty on the State under Article 47 to raise the level of nutrition and the standard of living and to improve public health to ensure the right to healthcare. Thus, as endorsed in the Declaration of Alma Ata in 1978, the attainment of the highest possible level of health becomes the key worldwide social goal. The Constitution of South Africa too, in its Bill of Rights, expressly declared access to healthcare, food, water and social security, besides emergency medical treatment, as the fundamental rights of individuals (Article 27 of the Constitution of South Africa). [2: AIR 1995 SC 636] [3: AIR 1997 SC 1225]

Public health law could be defined as the study of the legal powers and duties of the State, to ensure conditions for people to be healthy with collaboration from multiple stakeholders (e.g. healthcare professionals, business, community, media and academe)[footnoteRef:4]. Unlike at the turn of the century, today the field of public health has expanded from areas of communicable diseases and environmental sanitation to address enlarged health concerns, for instance, chronic diseases and mental health as well as provide services to create a healthy environment[footnoteRef:5]. Eminent scholar Frank Grad observed that public health law does not come in a neat legislative package, but consists of many types of legislations which have little in common except for the benign purpose of advancing public health.[footnoteRef:6] The preservation of public health is among the most important goals of governments and law can serve as an effective tool not only at the individual level but also at a larger community level.[footnoteRef:7] [4: Gostin LO. Legal foundations of public health law and its role in meeting future challenges. J Roy Ins Pub Health 2006;Suppl 1:815.] [5: Grad FP. The constitutional and legal sources of public health powers and the place of public health in Government. The Public Health Manual. 3rd edn. Washington, DC: American Public Health Association; 2004:10.] [6: Grad FP. Public health law: Its form, function, future, and ethical parameters. Int Dig Health Legis 1998;49:1939.] [7: Gostin LO (ed). Public health law and ethics: A reader. California:University of California Press; 2002. Available at http://www.publichealthlaw.net/reader/ (accessed on 20 May 2008).]

Within the framework of the Constitution of India, public health is a subject for the states to legislate. However, very few states in India have crafted public health legislations. At the national level, the archaic 112-year-old Epidemic Diseases Act, 1897 is an example of the nature of laws dealing with public health emergencies. There are also some policing provisions in legislations such as the Indian Penal Code that date back to 1860, which seek to protect the publics health in the face of an epidemic. The post-Independence laws were more progressive and addressed various issues concerning public health, albeit in a piecemeal manner, for which the Constitution laid a strong foundation under Part III (Articles 14, 15, 17, 21, 23, 24), which are mandatory and Part IV (Articles 38, 39, 41, 42, 47, 48A, 51(c), 51A), which are directives. However, the need for a comprehensive public health law has always been felt. The Ministry of Health and Family Welfare, Government of India has proposed drafting this much needed law (The National Health Bill, 2009) for consideration by Parliament.Preservation of public health through enforcement and enactment of appropriate laws is one of the most important goals of governments. The public health law approach posits that the government has both the power and the duty to regulate private behaviour in order to promote public health.[footnoteRef:8] Law, therefore, emerges as a tool in public health to be used, where appropriate and after due process, in promoting and protecting public health goals. However, achieving a just balance between the powers and duties of the State to defend and advance the publics health while ensuring protection of the constitutional rights of individuals poses an inevitable challenge for public health law. [8: Gostin LO. Public health law: Power, duty, restraint. Berkeley: University of California Press; 2000.]

The basic issue in delineation and realization of health rights is the existence of conflicting constitutional and legal rights. In the Indian context, health rights emanate from the fundamental protection envisioned under Article 14 (equality before law and equal protection of all laws) and Article 21 (right to life) of the Constitution of India, in essence obligating the State with a positive duty to eliminate any adverse conditions in the enjoyment of a dignified life and ensuring complete protection of the laws.However, the most common challenge to health rights ride on the claims of fundamental freedoms granted to every citizen under Article 19. Though this may be overcome by a common legal principle of Sic utere tuo ut alienum non ledas that would support restrictions vis--vis enjoyment of the fundamental freedom to the extent it impacts on anothers enjoyment of life, property and well-being.

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, and political belief, economic or social condition. The health of all peoples is fundamental to the attainment of peace and security and is dependent upon the fullest co-operation of individuals and States. The achievement of any State in the promotion and protection of health is of value to all. Unequal development in different countries in the promotion of health and control of disease, especially communicable disease, is a common danger. Healthy development of the child is of basic importance; the ability to live harmoniously in a changing total environment is essential to such development. The extension to all peoples of the benefits of medical, psychological and related knowledge is essential to the fullest attainment of health. Informed opinion and active co-operation on the part of the public are of the utmost importance in the improvement of the health of the people. Governments have a responsibility for the health of their peoples, which can be fulfilled only by the provision of adequate health and social measures. - WHO Constitution

Human health and quality of life are at the centre of the effort to develop sustainable human settlements. We ... commit ourselves to ... the goals of universal and equal access to ... the highest attainable standard of physical, mental and environmental health, and the equal access of all to primary health care, making particular efforts to rectify inequalities relating to social and economic conditions ..., without distinction as to race, national origin, gender, age, or disability.Good health throughout the life span of every man and woman, good health for every child ... are fundamental to ensuring that people of all ages are able to ... participate fully in the social, economic and political processes of human settlements.... Sustainable human settlements depend on ... policies ... to provide access to food and nutrition, safe drinking water, sanitation, and universal access to the widest range of primary health-care services...; to eradicate major diseases that take a heavy toll of human lives, particularly childhood diseases; to create safe places to work and live; and to protect the environment.... Measures to prevent ill health and disease are as important as the availability of appropriate medical treatment and care.It is therefore essential to take a holistic approach to health, whereby both prevention and care are placed within the context of environmental policy.... - Habitat Agenda, paras. 36 and 128

Health and development are intimately interconnected. Both insufficient development leading to poverty and inappropriate development ... can result in severe environmental health problems.... The primary health needs of the worlds population ... are integral to the achievement of the goals of sustainable development and primary environmental care.... Major goals ... By the year 2000 ... eliminate guinea worm disease...; eradicate polio... By 1995 ... reduce measles deaths by 95 per cent...; ensure universal access to safe drinking water and... Sanitary measures of excreta disposal...; By the year 2000 [reduce] the number of deaths from childhood diarrhoea ... by 50 to 70 per cent... - Agenda 21,Chapter 6, paras. 1 and 12

Introduction to Environment Protection Act in relation to Health LawsPollution refers to any undesirable change in the physical, chemical or biological characteristics of our environment, i.e. air, water, and soil that may or will adversely affect humans or other species and life support systems of our biosphere directly or indirectly. Usually we try to forget the social and psychological environment when we talk of environmental pollution. Diet, alcohol use, risk behavior, crime, and many other similar factors could be considered as environmental. For the basic understanding the major causes of pollution as Fossil Fuel consumption, Motor transport, Modern agriculture and Industries. Protection of environment is directly protecting peoples health. The government has enacted number of legislations in this direction from time to time such as the Destructive Insect & Pest Act, 1914; Wild Life (Protection) Act, 1942; The Atomic Energy Act, 1962; The Water (Prevention and Control of Pollution) Act, 1974; The Air (Prevention and Control of Pollution) Act, 1981; The Environment (Protection) Act, 1986; The Motor Vehicles Act, 1988.The right to healthy, clean and pollution-free environment has its origin in the human right to Health because in order to have a healthy body one needs clean environment. There are, of course a number of additional reasons why we need of a good environment, namely conservation of natural resources, maintaining bio diversity and protecting wild life.I would like to address the following: Has the right to healthy environment vis a vis health been recognized in India? What has been the role of the judiciary and the legislature in furthering the right to healthy environment?According to the Constitution of India it is the duty of the state to protect and improve the environment and to safeguard the forests and wildlife of the country. It imposes a duty on every citizen to protect and improve the natural environment including forests, lakes, rivers, and wildlife. A reference to the environment has also been made in the Directive Principles of State Policy as well as the Fundamental Rights. The Department of Environment was established in India in 1980 and in 1985, became the Ministry of Environment and Forests. The constitutional provisions are backed by a number of laws acts, rules, and notifications. The EPA (Environment Protection Act), 1986 came into force soon after the Bhopal Gas Tragedy and is considered an umbrella legislation as it fills many gaps in the existing laws. Subsequently number of related laws Nine Environment and Health Advocate Vijay Hiremath have come into existence as the problems began rising, for example, the Handling and Management of Hazardous Waste Rules was passed in 1989.In India, the judicial recognition of the fundamental right to healthy environment preceded the recognition of the right to health. A large chunk of public interest litigation in the last 20 years has revolved around environmental issues. In this Chapter, we are confining ourselves mainly to those judicial decisions that touch upon right to health care and not merely right to health.Context of Judicial Intervention and Evolving Understanding of Right to HealthTo begin with, the right to health as a fundamental right grew as an offshoot of environmental litigation initiated by environmental activists regarding the environment issues. Undoubtedly the right to environment was crucial because a polluted environment affects public health. A pollution free environment as a fundamental right presupposes right to health as a fundamental right.Logically, the explicit recognition of the fundamental right to health should have preceded the fundamental right to good environment. However, the development of jurisprudence in this branch has been the reverse. The right to unpolluted environment was recognized as a right in the first instance and from that followed the right to public health, health and health care.Secondly, the right to health care has also been debated by the courts in the context of rights of Government employees to receive health care. A number of observations of the Court concerning the importance of these rights are to be found in cases dealing with denial or restriction of health care facilities for Government employees, and not to the general masses. This is the context of judicial pronouncements on health care.The following case law will help in the following ways: To understand the affirmation of right to health and health care as a fundamental right. It will give us the growing understanding of different aspects of right to health. It provides tools for those who want to use them in similar situations.While dealing with the issue of fundamental right to health and health care the courts have also dealt with specific categories such as under trials, convicts and mentally ill persons. The courts have recognized that imprisonment does not deprive a person of right to health and health care.In 1988, Shukri from Bombay filed a writ petition in the Bombay High Court.[footnoteRef:9] He complained that his mother, who was an inmate of Yeravada Mental Hospital, died due to negligence of the staff. The High Court appointed a committee to look into the affairs at the Hospital. The Mahajan Committee was appointed to look into the affairs of the Central Institute of Mental Hygiene and Research, Yerawada, Pune; and to submit a report about the improvements to be carried out in the Hospital. The Committee had several meetings and visits to the Hospital, and came out with the Mahajan Committee Report on August 5, 1989. The Report has taken up 8 specific aspects: [9: Petition (No. 7560) in Bombay High Court in 1988.]

1. environment;2. patients;3. staff for the care of the patients;4. method of treatment;5. conditions at the hospital6. internal control;7. orientation; and8. Arrangement for specialised treatment.Mahajan Committee Recommendations on Environment[footnoteRef:10] [10: Mahajan committee report available at http://www.camhindia.org (accessed on April 10th 2007)]

Immediate steps to be taken to improve the environment conditions by creating a more humane and pleasing environment wherein the patients can live with human dignity. The dilapidated buildings to be repaired or reconstructed. Along with additional dormitories or wards. The essential amenities, such as drinking water and toilet facilities to be provided inside the wards.

Right to Health is a Fundamental Right: In 1991, in CESC Ltd. vs. Subash Chandra Bose[footnoteRef:11], the Supreme Court relied on international instruments and concluded that right to health is a fundamental right. It went further and observed that health is not merely absence of sickness: [11: (AIR 1992 SC 573,585)]

The term health implies more than an absence of sickness. Medical care and health facilities not only protect against sickness but also ensure stable manpower for economic development. Facilities of health and medical care generate devotion and dedication to give the workers best, physically as well as mentally, in productivity. It enables the worker to enjoy the fruit of his labour, to keep him physically fit and mentally alert for leading a successful economic, social and cultural life. The medical facilities are, therefore, part of social security and like gilt edged security, it would yield immediate return in the increased production or at any rate reduce absenteeism on grounds of sickness, etc. Health is thus a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. In the light of Articles 22 to 25 of the Universal Declaration of Human Rights, International Covenant on Economic, Social and Cultural Rights and in the light of socio-economic justice assured in our Constitution, right to health is a fundamental human right to workmen. The maintenance of health is a most imperative constitutional goal whose realisation requires interaction by many social and economic factors.People are entitled to adequate health care:In case of Mahendra Pratap Singh vs. Orissa State[footnoteRef:12], The petitioner, an ex-sarpanch of Pachhikote Gram Panchayat approached the court for issuance of appropriate writ commanding the opposite parties to take effective measures to run Primary Health Centre at Pachhikote within Korei block in the district of Jaipur by providing all amenities and facilities for proper running of the said health centre. The Government of Orissa decided to open certain primary health centres in different areas in 1991-92 subject to fulfilment of certain conditions, on basis of demands of the local people and public at large. [12: AIR 1997 Ori 37]

The conditions fulfilled were as follows:1. The local people should provide minimum one acre of land duly pledged in favour of the Panchayat Samiti for the Medical Institution within a period of one month from the date of issue of this order.2. The local people should provide permanent buildings for the medical institutions as well as for the staff within six months from the date of issue of this order.The court noted:Great achievements and accomplishments in life are possible if one is permitted to lead an acceptably healthy life. Health is lifes grace and efforts are to be made to sustain the same. In a Country like ours, it may not be possible. To have sophisticated hospitals but definitely villagers of this Country within their limitations can aspire to have a Primary Health Centre. The Government is required to assist people, and its endeavour should be to see that the people get treatment and lead a healthy life. Healthy society is a collective gain and no Government should make any effort to smother it. Primary concern should be the PHC and technical fetters cannot be introduced as subterfuges to cause hindrances in the establishment of health centre.The judgment stated that the gram panchayat was agreeable to offer of the gram panchayat building for running of the health centre. If the building was still available, the same could be utilised for the purpose of running of the PHC, till the new building was completed. The Government either diverts the staff from Korei or makes suitable arrangement for running of the PHC in the building of Pachhikote Gram Panchayat.Necessary arrangement would be made within a period of three months from that day. This is perhaps the only judgement commending the right to health for a general population.In CERC vs. Union of India,[footnoteRef:13] the Supreme Court was dealing with the rights of workers in asbestos manufacturing and health hazards related to it. The Court was dealing essentially with private employers involved in asbestos mining and industry. To begin with, the Court noted that the right to health and health care of a worker is a component of the fundamental right to life guaranteed under Article 21 of the Constitution of India. The Court observed: [13: (1995) 3 SCC 42]

Article 38(1) lays down the foundation for human rights and enjoins the State to promote the welfare of the people by securing and protecting, as effectively as it may, a social order in which justice, social, economic and political, shall inform all the institutions of the national life. Art. 46 direct the State to protect the poor from social injustice and all forms of exploitation. Article 39(e) charges that the policy of the State shall be to secure the health and strength of the workers. Article 42 mandates that the States shall make provision, statutory or executive to secure just and humane conditions of work. Article 43 directs that the Slate shall endeavour to secure to all workers, by suitable legislation or economic organisation or any other way to ensure decent standard of life and full enjoyment of leisure and social and cultural opportunities to the workers. Article 48-A enjoins the Slate to protect and improve the environment. As human resources are valuable national assets for peace, industrial or material production, national wealth, progress, social stability, descent standard of life of worker is an input. Art. 25(2) of the UDHR ensures right to standard of adequate living for health and well-being of the individual including medical care, sickness and disability, Article 2(b) of the International Convention on Economic, Social and Cultural Rights (ICESCR) protects the right of worker to enjoy just and favourable conditions of work ensuring safe and healthy working conditions. The right to health to a worker is an integral facet of meaningful right to life to have not only a meaningful existence but also robust health and vigour without which worker would lead life of misery. Lack of health denudes his livelihood. Compelling economic necessity to work in an industry exposed to health hazards due to indigence to bread winning to him and his dependents should not beat the cost of the health. and vigour of the workman. Facilities and opportunities, as enjoined in Article 38, should be provided to protect the health of the workman. Provision for medical test and treatment invigorates the health of the worker for higher production or efficient service. Continued treatment, while in service or after retirement is a moral, legal and constitutional concomitant duty of the employer and the State. Therefore, it must be held that the right to health and medical care is a fundamental right under Article 21 read with Articles 39(c), 41 and 43 of the Constitution and make the life of the workman meaningful and purposeful with dignity of person. Right to life includes protection of the health and strength of the worker is a minimum requirement to enable a person to live with human dignity. The State, be it Union or State Government or an industry, public or private, is enjoined to take all such action which will promote health, strength and vigour of the workman during the period of employment and leisure and health even after retirement as basic essentials to live the life with health and happiness.The health and strength of the worker is an integral facet of right to life. Denial thereof denudes the workman the finer facets of life violating Art. 21. The right to human dignity, development of personality, social protection, right to rest and leisure are fundamental human rights to a workman assured by the Charter of Human Rights, in the Preamble and Arts. 38 and 39 of the Constitution. Facilities for medical care and health against sickness ensures stable manpower for economic development and would generate devotion to duty and dedication to give the workers best physically as well as mentally in production of goods or services. Health of the worker enables him to enjoy the fruit of his labour, keeping him physically fit and mentally alert for leading a successful life, economically, socially and culturally. Medical facilities to protect the health of the workers arc, therefore, the fundamental and human rights to the workmen.Therefore, we hold that right to health, medical aid to protect the health and vigour of a worker while in service or post retirement is a fundamental right under Article 21, read with Articles 39(e), 41, 43, 48A and all related to Articles and fundamental human rights to make the life of the workman meaningful and purposeful with dignity of person.The Court also held that the right is available not just against the State but also against private employers. The Court observed: It would thus be clear that in an appropriate case, the Court would give appropriate directions to the employer, be it the State or its undertaking or private employer to make the right to life meaningful; to prevent pollution of work place; protection of the environment; protection of the health of the workman or to preserve free and unpolluted water for the safety and health of thepeople. The authorities or even private persons or industries are bound by the directions issued by this Court under Article 32 and Article 142 of the Constitution.In Case of Municipal Council Ratlam vs. Vardichand and Ors[footnoteRef:14] is a crucial case because for the first time the Supreme Court prescribed that in matters concerning public health financial inability was no ground for State authorities not to carry out their duties. The Apex Court held that, [14: AIR 1980 SC 1622]

A responsible Municipal Council constituted for the precise purpose of preserving public health and providing better finances cannot run away from its principal duty by pleading financial inability. Decency and dignity are non-negotiable facets of human rights and are a first charge on local self-governing bodies. Similarly, providing drainage system not pompous and attractive, but in working condition and sufficient to meet the needs of the people cannot be evaded if the municipality is to justify its existence.Ratlam is a town in Madhya Pradesh. The town had the Ratlam Municipal Council, as its local self-governing body. Sanitation in Ratlam was pathetic as the drains overflowed. The municipality was oblivious to its obligation towards human wellbeing and was directly guilty of breach of duty and, of public nuisance and active neglect. The sub-Divisional Magistrate, Ratlam, was moved to take action under Section 133 CrPC to abate the nuisance by ordering the municipality to construct drains to wash the filth and stop the stench. The magistrate made the direction sought and scared by the prospect of prosecution under Section 188 IPC, for violation of the order under Section 133 CrPC, the municipality rushed from court to court till; it reached the Apex Court as the last refuge of lost causes.The Sessions Court held the order as unjustified but the High Court of Madhya Pradesh upheld the order of the Divisional Magistrate, Ratlam. The Municipal Council, Ratlam argued that though it was their statutory obligation to build proper drains, there was financial inability. The Court held, the plea of the municipality that notwithstanding the public nuisance financial inability validly exonerates it from statutory liability had no juridical basis. The criminal procedure code operates against statutory bodies and others regardless of the cash in their coffers, even as human rights under Part III of the Constitution have to be respected by the State regardless of budgetary provision. Likewise, Section 123 of the Act has no saving clause when the municipal council is penniless. Otherwise, a profligate statutory body or pachydermic governmental agency may legally defy duties under the law by urging in self-defence a selfcreated bankruptcy or perverted expenditure budget. That cannot be. The Supreme Court also held that it was not just a matter of the health of a private individual; but the health, safety and convenience of the public at large was at stake.The Supreme Court while passing the judgment in this matter partially modified the order of the magistrate and also asked the Municipal Council, Ratlam to carry out the following orders,1. We direct the Ratlam Municipal Council (R1) to take immediate action, within its statutory powers, to stop the effluents from the Alcohol Plant flowing into the street. The State Government also shall take action to stop the pollution. The sub-Divisional Magistrate will also use his power under Section 133 CrPC, to abate the nuisance so caused. Industries cannot make profit at the expense of public health. Why has the magistrate not pursued this aspect?2. The Municipal Council shall, within six months from today, construct a sufficient number of public latrines for use by men and women separately, provide water supply and scavenging service morning and evening so as to ensure sanitation. The Health Officer of the Municipality will furnish a report, at the end of the six-monthly term, that the work has been completed. We need hardly say that the local people will be trained in using and keeping these toilets in clean condition. Conscious cooperation of the consumers is too important to be neglected by representative bodies.3. The State Government will give special instructions to the Malaria Eradication Wing to stop mosquito breeding in Ward 12. The sub-Divisional Magistrate will issue directions to the officer concerned to file a report before him to the effect that the work has been done in reasonable time.4. The municipality will not merely construct the drains but also fill up cesspools and other pits of filth and use its sanitary staff to keep the place free from accumulations of filth. After all, what it lays out on prophylactic sanitation is a gain on its hospital budget.5. We have no hesitation in holding that if these directions are not complied with the sub-Divisional Magistrate will prosecute the officers responsible. Indeed, this Court will also consider punishing for contempt in case of report by the sub-Divisional Magistrate of willful breach by any officer.The Court also held that the State should be guided by the paramount principle of Art. 47 of the Constitution of India which states that, improvement of public health should be one of the primary duties of the state.In the case of Bombay High Court in Citizens Action Committee, Nagpur vs. Civil Surgeon, Mayo (General) Hospital, Nagpur and Ors[footnoteRef:15], put in detail the responsibilities of the Municipal Corporation, in marinating the civic hospital and the other basic amenities in the city. The high court in its order stated that, we cannot but emphasize that the hospitals have their own role to play. Hospitals are the necessities of modern life and they have to respond to the needs of any growing city. Hardly any option can be speedy out or any excuse permissible so as to afford an alibi when the matters concern the authorities would bestow urgent attention on every facet of the problem of public health and effectively. The Citizens Action Committee approached the Nagpur bench of the Bombay High Court asking the court to intervene as the overall condition of the civic amenities such as roads, sanitation and public health was deteriorating considerably. [15: AIR 1986 Bom 136]

The court issued notice to all the concerned authorities and asked them to file their say. Two fact finding reports of the citizens were also given to the court. The court largely based its finding on the reports and the affidavits filed by the citizens. There were three hospitals that were being run by the state. Overcrowding in all these hospitals had reached dangerous levels. Trespassers and visitors also burdened the hospitals. Even the staff of the hospitals was housed in poor conditions and they were living in unhygienic conditions.The court held that as per Art. 47 of the Constitution of India it is the duty of the state to provide for proper facilities for public health. The court set up an Investigative and Remedial Measures Suggestive Committee (I. R. M. S. C.) to look into the matter.In the case of High Court of Madhya Pradesh in Hamid vs. State of M.P.[footnoteRef:16] held that the citizens have right to clean and safe drinking water. The court stated, Under Article 47 of the Constitution of India, it is the responsibility of the State to raise the level of nutrition and the standard of living of its people and the improvement of public health. It is incumbent on State to improve the health of public providing unpolluted drinking water. State in present case has failed to discharge its primary responsibility. It is also covered by Article 21 of the Constitution of India and it is the right of the citizens of India to have protection of life, to have pollution free air and pure water. [16: AIR 1997 MP 191]

The court also held that the state was liable to pay for the damages caused by the consumption of the polluted water. Hamid Khan a lawyer filed a petition before the High Court of Madhya Pradesh, regarding the quality of water supplied through the hand pumps in the district of Mandla. The water being supplied contained high amount of fluoride causing damages such as skeletal flurosis and dental flurosis to a number of people.The High Court held that under Article 47 of the Constitution of India, it is the responsibility of the State to raise the level of nutrition and the standard of living of its people and the improvement of public health. It is incumbent on State to improve the health of public providing unpolluted drinking water. State in present case has failed to discharge its primary responsibility. It is also covered by Article 21 of the Constitution of India and it is the right of the citizens of India to have protection of life, to have pollution free air and pure water...The court also held that the people affected due to the contaminated water should be treated at the expense of the State. It also added that the State should bear the expenses of any surgery might be required.The State was also directed to closing of hand pumps where the water had excessive amount of fluoride and that a proper and safe drinking water facility should be put in place. The Allahabad High Court in case of Kamlavati vs. Kotwal and Ors[footnoteRef:17], ordered the brick klin owners to follow the norms laid down by the government very strictly and also ordered the government to set up a fund for the modernization of the brick kilns as the traditional brick klins were causing a lot of air pollution. [17: MANU/UP/0785/2000]

The Supreme Court in Murli S. Deora vs. Union of India and Ors[footnoteRef:18], recognized the harmful effects of smoking in public and also the effect on passive smokers, and in the absence of statutory provisions at that time, prohibited smoking in public places such as, [18: AIR 2002 SC 40, MANU/SC/0703/2001]

1. auditoriums,2. hospital buildings,3. health institutions,4. educational institutions,5. libraries,6. court buildings,7. public office,8. Public conveyances, including the railways.In T. Ramakrishna Rao vs. Hyderabad Development Authority,[footnoteRef:19] the Andhra Pradesh High Court observed: [19: Writ Petition 36929/1998 T. Ramakrishna Rao vs. Hyderabad Urban Development Authority decided on 20.7.2001]

Protection of the environment is not only the duty of the citizens but also the obligation of the State and its all other organs including the Courts. The enjoyment of life and its attainment and fulfilment guaranteed by Article 21 of the Constitution embraces the protection and preservation of natures gift without which life cannot be enjoyed fruitfully. The slow poisoning of the atmosphere caused by the environmental pollution and spoliation should be regarded as amounting to violation of Article 21 of the Constitution of India.It is therefore, as held by this Court speaking through P.A, Choudary, J., in T. Damodar Rao and others vs. Special Officer, Municipal Corporation of Hyderabad[footnoteRef:20], the legitimate duty of the Courts as the enforcing organs of the constitutional objectives to forbid all actions of the State and the citizens from upsetting the ecological and environmental balance. [20: AIR 1987 AP 171]

In Virender Gaur vs. State of Haryana[footnoteRef:21], the Supreme Court held that environmental, ecological, air and water pollution, etc., should be regarded as amounting to violation of right to health guaranteed by Article 21 of the Constitution. It is right to state that hygienic environment is an integral facet of the right to healthy life and it would not be possible to live with human dignity without a humane and healthy environment. [21: 1995 (2) SCC 577]

In Consumer Education and Research Centre vs. Union of India[footnoteRef:22], Kirloskar Brothers Ltd. vs. Employees State Insurance Corporation[footnoteRef:23], the Supreme Court held that right to health and medical care is a fundamental fight under Article 21 read with Article 39(e), 41and 43, In Subhash Kumar vs. State of Bihar[footnoteRef:24], the Supreme Court held that right to pollution-free water and air is an enforceable fundamental right guaranteed under Article 21. Similarly in Shantistar Builders v. Narayan Khimalal Totame[footnoteRef:25], the Supreme Court opined that the right to decent environment is covered by the right guaranteed under Article 21. Further, in M.C. Mehta vs. Union of India[footnoteRef:26], Rural Litigation and Entitlement Kendra v. State of U.P.[footnoteRef:27], Subhash Kumar vs. State of Bihar[footnoteRef:28], and the Supreme Court imposed a positive obligation upon the State to take steps for ensuring to the individual a better enjoyment of life and dignity and for elimination of water and air pollution. It is also relevant to notice as per the judgment of the Supreme Court in Vincent Panikurlangara vs. Union of India[footnoteRef:29], Unnikrishnan, JP vs. State of A.P.[footnoteRef:30], the maintenance and improvement of public health is the duty of the State to fulfil its constitutional obligations cast on it under Article 21 of the Constitution. [22: (1995) 3 SCC 42] [23: (1996) 2 SCC 682= AIR 1996 SC 3261] [24: AIR 1991 SC 420 = (1991) I SCC 598] [25: (1990) 2 SCJ 10 = AIR 1990 SC 630 = 1990 1 SCC 520] [26: (1987) 4 SCC 463 = AIR 1988 SC 1037] [27: AIR 1987 SC 359] [28: (supra)] [29: AIR 1987 SC 990 - (1987) 2 SCC 165] [30: AIR 1993 SC 2178 - (1993) 1 SCC 645]

In Consumer Education and Research Centre vs. Union of India1 the Supreme Court was concerned with rights of employees in the asbestos manufacturing industry. It was a public interest litigation filed concerning conditions of work and health affects on workers.In this crucial decision the Supreme Court held that the right to health of a worker is an integral facet of a meaningful right to life to have not only a meaningful existence but also robust health and vigour without which the worker would lead a life of misery. The lack of health denudes his livelihood. Compelling economic necessity to work in an industry exposed to health hazards should not be at the cost of the health and vigour of the worker. Facilities and opportunities, as enjoined in Article 38, should be provided to protect the health of the worker. The provision for medical test and treatment invigorates the health of the worker for higher production or efficient service. The Court further held that continued treatment, while in service or after retirement is a moral, legal and constitutional concomitant duty of the employer and the State. Therefore, it must be held that the right to health and medical care is a fundamental right under 21 read with Article 39(c), 41 and 43 of the constitution to make life of the workman meaningful and purposeful with dignity of person.Right to life includes protection of the health and strength of the worker and is a minimum requirement to enable a person to live with human dignity. The State (Central and State) government or an industry, public or private, is enjoined to take all such action which will promote health, strength and vigour of the workman during the period of employment and leisure and health even after retirement as basic essentials to live the life of health and happiness. The Supreme Court went on to observe that the right to human dignity, development of responsibility, social protection, right to rest and leisure are fundamental human rights to a worker assured by the Charter of Human Rights, in the Preamble and Arts. 38 and 39 of the Constitution.The health of the worker enables him to enjoy the fruit of his labour, keeping him physically fit and mentally alert for leading a successful life, economically, socially and culturally. Medical facilities to protect health of the workers are, therefore, the fundamental and human rights of the workmen.The court also held that in an appropriate case, the court would give directions to the employer, be it the duty of the State or its undertaking or a private employer to make the right to life meaningful; to prevent pollution of the work place; protect the environment; protect the health of the worker or to ensure free and unpolluted water for the safety and health of the people. This was an important observation because ordinarily, under its Constitutional jurisdiction the Supreme Court gives directions only to State authorities and not to private individuals or employers.The employer is vicariously liable to pay damages in the case of occupational diseases, here in this case asbestosis. The Employees State Insurance Act and Workmens Compensation Act provide for payment of mandatory compensation for the injury or death caused to the worker while in employment. Since the Act does not provide for payment of compensation after the cessation of employment, it becomes necessary to protect such persons from the respective dates on cessation of their employment.The Court observed:The Employees State Insurance Act and Workmens Compensation Act provide for payment of mandatory compensation for the injury or death caused to the workman while in employment. Since the Act does not provide for payment of compensation after cessation of employment, it becomes necessary to protect such persons from the respective dates of cessation of their employment till date. Liquidated damages by way of compensation are accepted principles of compensation.The Court, while allowing the Petition, ordered in respect of Asbestos industries:All the industries are directed1. to maintain and keep maintaining the health record of every worker upto a minimum period of 40 years from the beginning of the employment or 15 years after retirement or cessation of the employment whichever is later;2. the Membrane Filter test to detect asbestos fibre should be adopted by all the factories or establishments on a par with the Metalliferrous Mines Regulations, 1961 and Vienna Convention and rules issued there under;3. all the whether covered by Employees State Insurance Act or Workmens Compensation Act or otherwise are directed to compulsorily insure health coverage to every worker;4. the Union and all the State Governments are directed to consider inclusion of such of those small scale factory or factories or industries to protect health hazards of the workers engaged in the manufacture of asbestos or its ancilliary products; and5. The appropriate inspector of factories in particular of the State of Gujarat, is directed to send all the workers, examined by ESI hospital concerned, for reexamination by the National Institute of Occupational Health to detect whether all or any of them are suffering from asbestosis. In case of positive finding that all or any of them are suffering from occupational health hazards, each such worker shall be entitled to compensation in a sum of rupees one lakh payable by the factory or industry or establishment concerned within a period of three months from the date of certification by the National Institute of Occupational Health.ConclusionIn the hundreds of cases dealing with the environment, our Courts have not really dealt so much with right to health care as the right to health and the impact of environment on health. While dealing with environmental issues the Supreme Court has developed a number of innovative doctrines such as polluter pays, public trust, reversal of burden of proof, preventive principle, trangenerational equity, etc. However, none of them directly deal with health care. Many might argue that as long as the environment is clean and this leads to the better health of the people it does not matter as it is the result that counts. But the notion of the right to health does not come clearly through these judgements. It is important to recognize this aspect, as it is of utmost important to put across to the common people and the executive that there is more than one reason to keep the environment clean. However, few of these judgements have asked the polluters to compensate the victims.The orders of judiciary in the environment cases have made a difference to the environmental law scenario in the country and also in providing clean environment. In this development era where Special Economic Zones are, cropping up across the country it is important for the judiciary to play an proactive role in safeguarding the environment and also looking at the health aspects of the people living in this country.

Bibliography A Textbook Of Medical Jurisprudence And Toxicology 24th Edition (English) 24th Edition Water Management In 2020 And Beyond (English) Reconsidering Law and Policy Debates: A Public Health Perspective (English) http://www.environmentallawsofindia.com/the-environment-definitions-and-acts.html http://www.epa.vic.gov.au/about-us/legislation/acts-administered-by-epa http://www.legislation.act.gov.au/a/1997-92/current/pdf/1997-92.pdf

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