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Supreme Court of India

SATYANAND SINGHversusUNION OF INDIA & ORS.

Citation
2024 INSC 236
Decided
20 March 2024
Disposal
Appeal(s) allowed

Holding

The appellant was wrongfully discharged due to an erroneous AIDS diagnosis and a discriminatory policy, and is entitled to reinstatement of pension rights and compensation.

Summary

The appellant, a Havaldar in the Indian Army, was discharged in 2001 after being diagnosed with AIDS based on a medical report that linked his HIV-positive status with neuro‑tuberculosis. He challenged the discharge, arguing that the diagnosis was erroneous, his CD4 count remained above the threshold prescribed in the 2003 Guidelines, and that the Army’s policy treating HIV/AIDS as a self‑inflicted condition was discriminatory. The Supreme Court examined the medical evidence, the Army Rules, the Guidelines for HIV/AIDS management, and the Human Immunodeficiency Virus and AIDS (Prevention and Control) Act, concluding that the appellant was not medically unfit and that the discharge was based on a wrong diagnosis and a biased policy. The Court held that the Armed Forces Tribunal erred in rejecting the appellant’s request for a fresh medical board and in denying disability pension. Consequently, the Court set aside the Tribunal’s order, awarded the appellant a lump‑sum compensation of Rs. 50 lakh, and directed that he be granted pension as if he had continued in service. The appeal was therefore allowed.

Issues considered

  • The validity of the appellant's discharge from the Army on the ground of an AIDS diagnosis in view of medical evidence and the 2003 Guidelines.
  • Whether the Army's policy treating HIV/AIDS as a self‑inflicted disease and denying disability benefits violates constitutional and statutory provisions.
  • Whether the appellant is entitled to a reference to a fresh Medical Board for review of his medical condition.
  • Whether monetary compensation and pension can be awarded for wrongful discharge and discrimination.

Legislation cited

Subjects

Discharge from serviceCompensation for wrongful diagnosisStigma against HIV

Judgment

                 [2024] 3 S.C.R. 865 : 2024 INSC 236

                           Satyanand Singh
                                    v.
                          Union of India & Ors.
                       (Civil Appeal No. 1666 of 2015)
                                20 March 2024
               [Sanjiv Khanna & Dipankar Datta,* JJ.]

                           Issue for Consideration
       The issue for consideration before this Hon’ble Court was a
       challenge to a judgment of the Armed Forces Tribunal, which
       rejected the Appellant’s prayer for a reference of his diagnosis of
       AIDS, to a fresh Medical Board.
       The matter arose out of the Appellant’s discharge from service
       from the Indian Army under Rule 13(3), Item III (iii) of the Army
       Rules, 1954 on the ground that he was suffering from AIDS. The
       Appellant approached the Madhya Pradesh High Court challenging
       the Order of discharge from service. A Single Judge of the High
       Court allowed the Appellant’s writ petition, which was reversed
       by the Division Bench. On a challenge made to the Supreme
       Court, the Appellant was permitted to withdraw his appeal, and
       avail statutory remedies. Accordingly, the Appellant approached
       the Armed Forces Tribunal, which passed the Impugned Order.

                                  Headnotes
       Service Law – Armed Forces – Discharge from service on the
       ground of the Appellant suffering from AIDS – Application of
       the Appellant for a reference to a fresh Medical Board rejected
       by Armed Forces Tribunal – Challenge to:
       Held: The Armed Forces Tribunal referred to extensive medical
       literature regarding hazards of HIV – However, the Armed Forces
       Tribunal failed to observe that the Appellant was not diagnosed with
       any such symptoms – Nothing was brought on record to indicate
       that the Appellant was unfit to continue in service – This is a case
       of wrong diagnosis and false alarm with imperilling consequences
       for the Appellant – The contention of the Union of India that the
       doctors in 2001 [relevant time of the medical test] used their best
       professional judgment to conclude that the Appellant was HIV+ve
       was rejected on the ground that there were no test results to

* Author
866                                                              [2024] 3 S.C.R.

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       justify the diagnosis that the Appellant was suffering from AIDS.
       [Paras 6 and 7]
       Service Law – Armed Forces – Extreme caution and care to
       ensure correct diagnosis required where Officer serving in
       the army is prematurely discharged from service:
       Held: The Appellant was diagnosed with neuro-tuberculosis, without
       examination by a neurologist, whose opinion was elementary – The
       Appellant, while serving in the army, was prematurely discharged;
       thus, extreme caution and care in ensuring correct diagnoses was
       required – The Union of India tried to cover up the wrong diagnosis,
       in spite of the test reports of the Appellant, and the Guidelines for
       Management and Prevention of HIV/AIDS Infection in the Armed
       Forces, 2003 [which prescribed that for condition for invalidment
       of an officer on the ground of suffering from AIDS as a CD4 Cell
       Count below 200 cells/mm3] – The Medical Board arbitrarily
       rejected the Appellant’s prayer for a Review Medical Board on
       flimsy grounds. [Para 8]
       Service Law – Armed Forces – Discharge from service –
       Psychological trauma of displacement from service:
       Held: The severance of the employer-employee relationship results
       not only in the employee losing his livelihood, but also affects those
       who depend on him for their survival – The Appellant, who was
       trained to live a disciplined life since the tender age of 19, was
       unnecessarily, and without cogent reason thrust into civilian life
       with little warning or preparation – Such displacement also causes
       psychological trauma. [Para 12]
       Service Law – Armed Forces – Denial of disability status on
       the ground of AIDS being a self-inflicted disease is arbitrary
       and unreasonable – Systemic discriminatory practice – Deep-
       rooted bias against individuals diagnosed as HIV+ve:
       Held: The Court expressed its reservation with respect to a Policy
       of the Army which determined AIDS as self-inflicted, and prescribed
       a procedure for HIV+ve service personnel to be brought before the
       Release Medical Board, on the ground that it reflected a systemic
       discriminatory practice – Reliance placed on the Judgment in
       CPL Ashish Kumar Chauhan v. Commanding Officer [2023]
       14 S.C.R. 601 : 2023 INSC 857 to hold that AIDS is not always a
       self-inflicted disease. [Paras 14 to 17]
[2024] 3 S.C.R.                                                              867

                Satyanand Singh v. Union of India & Ors.


     Constitution of India – Compensatory jurisprudence – Just
     compensation:
     Held: The Constitution, through its Preamble, guarantees ‘Justice’
     to all its people, in the deliverance of which, Courts have developed
     a nuanced compensatory jurisprudence – Reliance was placed
     on the Judgments in D.K. Basu v. State of West Bengal [1996]
     Supp. (10) SCR 284 : 1996 INSC 1508 : (1997) 1 SCC 416; P.S.R.
     Sadhanantham v. Arunachalam [1980] 2 SCR. 873 : 1980 INSC
     16 : (1980) 3 SCC 141; and the judgment in K. Suresh v. New
     India Assurance Co. Ltd. [2012] 11 SCR 414 : 2012 INSC 490:
     (2012) 12 SCC 274, wherein it was held that, while determining
     the quantum of compensation, the adjudicating authority has to
     keep in view the sufferings of the injured person, which would
     include his ability to lead a full life – Having considered the plight
     of the Appellant and the social stigma attached to persons who are
     diagnosed as HIV+ve patients, coupled with the position that the
     Appellant’s reinstatement in service is not an available option, the
     Court awarded additional monetary compensation to him. [Paras
     18 to 21 and 23]
     Human Immunodeficiency Virus and Acquired Immune
     Deficiency Syndrome (Prevention and Control) Act, 2017 –
     Stigma and discrimination of HIV+ve diagnosis :
     Held: The stigma and discrimination which accompanies an HIV+ve
     diagnosis is still an illness which afflicts the minds of society
     today – The discriminatory sentiment of deeming persons who
     are HIV+ve to be unfit for employment is evident from the way
     in which the Appellant was treated by various authorities – The
     Court awarded the Appellant a lumpsum compensation of Rs.50
     Lacs towards compensation – In addition, the Appellant was held
     to be entitled to pension, as if he had continued in service – The
     compensation can, in no way, compensate for the ordeal faced
     by the Appellant, but it may act as a balm to soothe the mind and
     steady the future. [Paras 25, 26 and 28]

                              Case Law Cited
           CPL Ashish Kumar Chauhan v. Commanding Officer
           [2023] 14 SCR 601 : 2023 INSC 857; D.K. Basu v.
           State of West Bengal [1996] Supp. 10 SCR 284 : 1996
           INSC 1508 : (1997) 1 SCC 416; P.S.R. Sadhanantham
           v. Arunachalam [1980] 2 SCR 873 : (1980) 3 SCC 141 :
868                                                        [2024] 3 S.C.R.

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            1980 INSC 16; K. Suresh v. New India Assurance Co.
            Ltd. [2012] 11 SCR 414 : (2012) 12 SCC 274 : 2012
            INSC 490 – relied on.

                                List of Acts
       The Constitution of India, 1950; The Army Rules, 1954; The Army
       Regulations 1987; The Guidelines for Prevention and Control
       of HIV Infections in the Armed Forces, 1992; The Guidelines
       for Management and Prevention of HIV/AIDS Infection in the
       Armed Forces, 2003; The Armed Forces Tribunal Act, 2007; The
       Human Immunodeficiency Virus and Acquired Immune Deficiency
       Syndrome (Prevention and Control) Act, 2017.

                             List of Keywords
       Discharge from service; Compensation for wrongful diagnosis;
       Stigma against HIV.

                            Case Arising From
       CIVIL APPELLATE JURISDICTION : Civil Appeal No.1666 of 2015
       From the Judgment and Order dated 05.09.2012 in O.A. No.89 of
       2010 and dated 25.02.2013 in M.A. Nos.81-82 of 2013 of the Armed
       Forces Tribunal, Principal Bench at New Delhi
                         Appearances for Parties
       Satya Mitra, Ms. Kawalpreet Kaur, Nayab Gauhar, Advs. for the
       Appellant.
       R. Balasubramanian, Sr. Adv., Rajesh Kr. Singh, Debashish Mishra,
       Mohan Prasad Gupta, Sanjay Kr. Tyagi, Ms. Sweksha, Dr. N.
       Visakamurthy, Dr. Arun Kumar Yadav, Ishan Sharma, Advs. for the
       Respondents.
                 Judgment / Order of the Supreme Court

                                 Judgment
       Dipankar Datta, J.
       THE CHALLENGE
1.     The present civil appeal lays a challenge to the judgment and order
       dated 05th September, 2012 (“impugned judgment”, hereafter) of the
       Principal Bench of the Armed Forces Tribunal at New Delhi (“AFT”,
[2024] 3 S.C.R.                                                         869

                 Satyanand Singh v. Union of India & Ors.


     hereafter), whereby the AFT rejected the appellant’s prayer seeking
     reference of his diagnosis as AIDS inflicted, to a fresh Medical Board.
     BRIEF RESUME OF FACTS
2.   The factual matrix of the case, insofar as is relevant for the purpose
     of a decision on this appeal, is noted hereinbelow:
     (i)    The appellant was enrolled in the Indian Army on 30th October,
            1993 as a Havaldar. He continued discharging his duties on
            a clerical post without impediment until the year 1999, when
            he began suffering from fever, headache and vomiting. For
            treatment he was referred to the Jabalpur Military Hospital.
            Here, the appellant tested positive for HIV.
     (ii)   On 9th January, 2000, the Army Headquarters issued a Notice
            (“Notice”, hereafter) stating that all persons who are HIV+ve and
            are suffering from pulmonary or extrapulmonary tuberculosis,
            would be considered as AIDS cases.
     (iii) Thereafter, on 20th August, 2001, the appellant developed similar
           symptoms yet again, for which he was referred to the Jabalpur
           Military Hospital. The doctors there prescribed certain medicines
           to the appellant, which he claims led to his developing double
           vision. The appellant was referred to the Command Hospital
           at Pune for further treatment.
     (iv) In view of the appellant’s ocular afflictions, the doctors,
          suspecting the same to be a symptom of neuro-tuberculosis,
          began treating him for the same. Vide Medical Report dated 14th
          September, 2001 (“Medical Report” hereafter), the appellant was
          reported to be suffering from “AIDS defining illness in the form
          of neuro-tuberculosis”, and thus was officially diagnosed with
          AIDS. The appellant was then recommended to be invalided
          out in the “P5” category. Per the medical categorisation of the
          Army, “P5” referred to those persons who were suffering from
          “gross limitations in physical capacity and stamina”.
     (v)    As a consequence of the report dated 14th September, 2001, the
            appellant was referred to the Invaliding Medical Board (“IMB”
            hereafter), which confirmed his diagnosis of suffering from AIDS.
     (vi) On 26th December, 2001, after 8 years and 58 days of service, at
          the young age of 27, the appellant was discharged from service
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             under Rule 13 (3), Item III(iii) of the Army Rules, 19541 (“Rules”
             hereafter) on the ground of having been found medically unfit
             for further service.
       (vii) On 23 rd May 2003, the “Guidelines for Management and
             Prevention of HIV/AIDS Infection in the Armed Forces” (“2003
             Guidelines” hereafter) came into force. In a shift from the Notice,
             the said policy included into its consideration the CD4 cell count
             of the personnel, and that the condition for invalidment would
             be, inter alia, a CD4 cell count below 200 cells/mm3.
       (viii) The appellant approached the Madhya Pradesh High Court,
              seeking quashing of the discharge order dated 26th December,
              2001 and reinstatement with all consequential benefits. A
              learned Judge of the High Court, vide order dated 20th April,
              2006, allowed the appellant’s writ petition.
       (ix) However, in exercise of intra-court appeal jurisdiction, an
            Hon’ble Division Bench of the High Court vide its order dated
            28th March, 2007 reversed the order under appeal. The Division
            Bench observed that in accordance with Para 355 (f)2 of the
            Regulations for the Army, 1987 (“Regulations”, hereafter), the
            appellant was not discharged solely on the ground of having
            contracted a sexually transmitted disease. The appellant’s
            discharge from service was held to be valid on the ground that
            AIDS would incapacitate his physical capacity, thus coming
            within the ambit of Rule 13 of the Rules. An application for
            review of the said order was also dismissed vide order dated
            27th August, 2007.
       (x)   The appellant challenged both the orders before the Supreme
             Court. A 3-Judge Bench of this Court vide order dated 01st
             April, 2009 allowed the appellant to withdraw his appeal,


1   An enrolled person under the Army Act who has been attested on the ground of being found medically
    unfit for further service could be discharged by the Commanding Officer, to be carried out only on the
    recommendation of an invaliding Board.
2   “355. Contraction of sexually transmitted disease - The following principles will be observed in dealing
    with OR including reservists and non - combatants, who contracts sexually transmitted disease:
    f) An OR is not to be discharged from service solely on account of his having contracted sexually
    transmitted disease. If, however, he has been absent from duty on account of sexually transmitted
    disease for a total period of four months, whether continuous or not, his case may be brought to the
    notice of the authority empowered to order his discharge from the service, for consideration as to
    whether he should be discharged from the service under the table annexed to Army Rule 13 item III if
    attested, and under item IV if not attested.
[2024] 3 S.C.R.                                                           871

                Satyanand Singh v. Union of India & Ors.


           while directing that he could avail of the available statutory
           remedies.
     (xi) The appellant availed of his statutory remedy by making an
          application to the Director General Armed Forces Medical Service
          (“DGAFMS” hereafter) seeking a Review Medical Board. The
          DGAFMS, vide order dated 20th October, 2009, rejected the
          appellant’s prayer on the ground that the criteria for discharge
          was satisfied in terms of the Army’s prevailing policy at the time,
          i.e., the “Guidelines for Prevention and Control of HIV Infections in
          the Armed Forces” dated 30th November, 1992 (“1992 Guidelines”
          hereafter). Furthermore, the appellant was also denied disability
          pension, AIDS being categorised as a self-inflicted condition.
     (xii) The order passed by the DGAFMS was subjected to challenge
           by the appellant before the AFT which, vide the impugned
           judgment, rejected his prayer on the ground that the Medical
           Report had concluded after sufficient investigation and detail
           that he was suffering from (i) CNS Tuberculosis and (ii) Immune
           Surveillance for HIV. The IMB, which confirmed the findings of
           the Medical Report, was held to have been rightly constituted
           with the required experts. The appellant argued that he was
           misdiagnosed with AIDS, his CD4 cell count being 379 cells/
           mm3 till as late as 05.08.2012 as opposed to the benchmark
           of 200 cells/mm3 set by the World Health Organisation. The
           AFT rejected this argument on the ground that such a CD4 cell
           count was marginal and would not entitle the appellant to be
           declared AIDS free, thus obviating the need for referring him
           to a Review Medical Board.
     CONTENTIONS OF THE PARTIES
3.   Learned counsel for the appellant, Ms. Kawalpreet Kaur, relied on
     the 1992 Guidelines to argue that in terms thereof, all personnel
     with HIV infection were to be retained in service, the only restriction
     on their employment being, inter alia, that they would not be posted
     to high altitude areas. Ms. Kaur further contended that there had
     been an error in diagnosis in the Medical Report itself, since the
     appellant never suffered from tuberculosis which was taken as a
     defining illness for AIDS. It was urged that the appellant was merely
     suffering from double vision, which cleared up by 15th November,
     2001. However, the doctors misdiagnosed the appellant’s double
872                                                        [2024] 3 S.C.R.

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       vision for a tuberculosis related symptom of blindness. Consequently,
       in view of the Notice, the appellant having been found to be both
       HIV+ve and suffering from tuberculosis, was invalided from service.
       Ms. Kaul further argued that as per the Army’s 2003 Guidelines,
       the appellant was fit for service since his CD4 cell count remained
       above 200/mm3 till as late as 2012. This defining indicator for AIDS
       was argued to have been erroneously disregarded by both, the
       IMB and the AFT. In support of the same, it was further argued that
       the appellant was asymptomatic till date, without undergoing any
       anti-retro viral therapy as would have been prescribed for a person
       suffering from AIDS; thus, establishing without a doubt, that the
       appellant never developed AIDS to begin with. Ms. Kaur concluded
       by arguing that the appellant’s case was one of wrongful discharge,
       based on a wrong diagnosis.
4.     Per contra, Mr. Balasubramanian, learned senior counsel for
       the respondents contended that the appellant had never been
       discharged solely on the basis of his HIV+ve status, the same being
       evident from his uninterrupted service from 1999 till April 2001. The
       doctors at the time, on the basis of their best professional judgment
       and giving due regard to the medical knowledge prevalent in 2001,
       diagnosed the appellant with neuro-tuberculosis, which led to a
       change in status of the appellant from HIV+ve to “AIDS related
       complex”. It was further argued that the appellant responded well
       to anti-tuberculosis treatment, thus confirming the diagnosis of
       the time. It was further contended that his survival ought to be
       attributed to be a natural variation in the course of the disease
       rather than a misdiagnosis on the part of the medical professionals.
       With respect to the appellant’s allegation that his double vision
       was mistaken for blindness, Mr. Balasubramanian further argued
       that the appellant had placed no documents on record to prove
       such a claim, and that the tuberculosis diagnosis was made only
       after detailed investigations. It was also argued that AIDS would
       expectedly lead to a deterioration in the health of the appellant,
       which is why he was discharged under the P5 category, having
       been found grossly unfit for medical service.
       ANALYSIS
5.     We have heard learned counsel for the parties and perused the
       impugned judgment as well as the other materials on record.
[2024] 3 S.C.R.                                                          873

                Satyanand Singh v. Union of India & Ors.


6.   The AFT, in the impugned judgment, has referred to extensive
     medical literature citing the hazards of HIV and how it can lead to a
     deterioration in the physical condition of those who get detected as
     HIV+ve. However, while the medical literature contemplates myriad
     infirmities which accompany such a disease and consequently render
     an individual unfit for military service, the AFT failed to observe that
     the appellant in the present case was not diagnosed with any such
     symptoms. The appellant was treated by the Command Hospital
     at Pune in 2001, and by the respondents’ admission, successfully
     responded to the treatment administered. Nothing has been brought
     on record to indicate that the appellant was thereafter unfit to continue
     in service as a Clerk.
7.   We have no doubt in our mind that this is a case of wrong diagnosis
     and false alarm with imperilling consequences for the appellant.
     The respondents’ contention that doctors in 2001 have used their
     best professional judgment to opine that the appellant was HIV+ve,
     in our opinion, should be rejected, in the absence of any medical
     literature to show that the test results as per then prevailing medical
     standards justify the diagnosis that the appellant was suffering from
     AIDS defining illness. On the other hand, there are lapses galore on
     the part of the respondents. They were, in spite of being aware of
     the adverse and pernicious impact on the appellant, grossly careless
     and negligent.
8.   The appellant was diagnosed with neuro tuberculosis, which diagnosis
     was without examination by a neurologist whose opinion, according
     to us, would seem to be elementary. The AFT’s opinion that the
     need of the medical specialist was fulfilled by placing an oncologist
     on Board is something with which we cannot agree. The appellant
     while serving in the army was being prematurely discharged; thus
     extreme caution and care in ensuring correct diagnoses was required.
     The respondents have deliberately tried to cover up the wrong
     diagnosis in spite of the 2003 Guidelines and the test reports of the
     appellant. The respondents had the opportunity from 2007 onwards
     to rectify and correct themselves after the order of the single Judge
     of the High Court dated 20th April, 2006. The Medical Board, which
     was constituted upon the appellant availing the statutory remedy,
     arbitrarily, wrongly and in our opinion deliberately vide order dated
     20th October, 2009 rejected the appellant’s prayer on flimsy and wrong
     grounds by applying the 1992 Guidelines. Even disability pension
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       was denied by categorising the appellant as suffering from AIDS, a
       self-inflicted condition.
9.     Significantly, the appellant had submitted between the period of 2007
       and 2012, as many as four diagnostic reports, showing that his CD4
       cell count was above 300 cells/mm3, as opposed to the respondents’
       2003 Guidelines defining an AIDS illness to be one where the CD4
       cell count is below 200 cells/mm3.
10. The apathetic attitude of the respondents to the appellant’s plight is
    evident in the repeated submission that has been made before all
    fora, i.e., the appellant’s case had been re-examined several times
    and thus did not merit another look. It is borne out from the record
    that other than the Medical Report, which the appellant alleges was
    made by a doctor who did not treat him, and the review of such report
    by the IMB, his case was never again considered on its merits. The
    dismissal of the appellant’s application by the DGAFMS vide order
    dated 20th October, 2009 can only be called perfunctory at best,
    since it did not take into account any of the material subsequently
    produced by the appellant.
11. The respondents’ submissions, as elaborate as they may be, in
    defence of the AIDS diagnosis which was used to discharge the
    appellant from service, are rendered unworthy of acceptance on the
    face of his existence today, as an asymptomatic HIV+ve individual
    without the intervention of any anti-retroviral therapy.
12. The severance of the employer – employee relationship can never
    be said to be an easy choice, for it not only results in the employee
    losing his livelihood, but also affects those who depend on him for
    their survival. And if the employer happens to be the Indian Army,
    the loss is even greater, since it has the effect of suddenly displacing
    a soldier from the regimented lifestyle of the military. The appellant,
    who was trained to live a disciplined life since the tender age of 19,
    was unnecessarily and without cogent reason thrust into civilian life
    with little warning or preparation. The psychological trauma that such
    displacement can bring about needs no elaboration. However, the
    cruel passage of time has unfortunately rendered the appellant’s
    original hopes of reinstatement an unrealised dream.
13. The appellant, as an alternative relief, has consistently prayed for
    disability pension but was denied the same on the ground that the
    disease is self-inflicted.
[2024] 3 S.C.R.                                                                 875

                Satyanand Singh v. Union of India & Ors.


14. At this juncture, we consider it apposite to refer to certain provisions
    of the Notice published by the Army:
           “4. Pulmonary Tuberculosis and HIV infection will not be
           assessed separately for attributability / aggravation. HIV
           aggravation is a ‘STD’ and hence AIDS is self-inflicted,
           neither attributable nor aggravated.
           5. The policy on awarding longevity and percentage of
           disability for HIV+ve service personnel brought before
           release medical Board is as follows :-
                ‘As per existing instructions, JCOs/ORs or their
                equivalent in the Navy/Air Force placed in permanent
                low Medical category are permitted to continue in
                service only in case the Unit COs render a certificate
                to the effect that sheltered appointment shall be
                provided. Otherwise such individuals are brought
                before Release Medical Board for releasing from
                service. It is unlikely that HIV positive cases in perm
                low Medical Category would be given sheltered
                appointment and recommended for retention in
                service by unit cos’.
           6. Following procedure will be followed in HIV+ve service
           personnel brought before Release Medical Board.
           a)   Longevity: By the time HIV+ve case is brought before
                Release Medical Board, it is likely that he had acquired
                the infection about 1-2 years earlier. Therefore, it is likely
                that he would develop AIDS within next 6-8 years. After
                development of AIDS the average life span is only 1-2
                years. Therefore loading of age by 2 years at the time
                of Release Medical Board is considered appropriate.
           b)   Percentage of disability: In fact viral multiplication
                during this period is average and the immune system
                being systematically destroyed. Apart from infection,
                HIV+ve cases will suffer emotionally, psychologically
                and socially. Taking all these factors in consideration,
                40% disability for asymptomatic cases and upto 100%
                for symptomatic cases will be awarded.”
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15. A perusal of the Notice reveals that in terms of Para 6A, a person who
    has been diagnosed as HIV+ve was expected to develop AIDS within
    6-8 years, and thereafter, have a limited lifespan of only 1-2 years. We
    cannot help but record reservation as the policy reflects the systemic
    discriminatory practice and predisposition treating HIV as aggravation
    of STD and AIDS is self-inflicted. In arguendo, even going by the
    respondents’ own policy, the appellant could not be said to be suffering
    from AIDS since, in flagrant defiance of the policy assessment, the
    appellant is reportedly still alive and suffering from no serious ailment.
16. A further examination of the respondents’ policy reveals that though
    AIDS was always deemed to be a self-inflicted disease, there was still a
    provision for conferring disability status to those afflicted with the same.
    Yet, time and again, we find the respondents here have mechanically
    denied the appellant’s request for disability status in a most arbitrary and
    unreasonable manner. It is pertinent to note that in yet another instance
    of the deep-rooted bias against individuals diagnosed as HIV+ve, the
    Notice allows for sheltered appointments to those diagnosed with such
    a condition, while in the same breath stating that the provision of such
    sheltered appointments is an unlikely possibility.
17. We may note here that in CPL Ashish Kumar Chauhan v.
    Commanding Officer3, the concerned member of the Air Force
    was diagnosed as HIV+ve because of a blood transfusion that did
    not proceed along laid down protocol and went awfully wrong for
    which this Court had to award appropriate quantum of compensation.
    Reference is made to the said decision at this stage only to highlight
    that AIDS is not always a self-inflicted disease and there appears
    to have been no worthy attempt on the part of the respondents to
    ascertain the root cause of the appellant’s physical distress.
18. The Constitution, through its Preamble, guarantees to all its people
    ‘Justice’, in the deliverance of which, the Courts of the land have
    developed a nuanced compensatory jurisprudence through a catena
    of judgments, for a wide compass of situations.
19. This Court, towards the end of the last century held in D.K. Basu
    v. State of West Bengal4 that:



3   [2023] 14 SCR 601 : 2023 SCC OnLine SC 1220
4   [1996] Supp. 10 SCR 284 : (1997) 1 SCC 416
[2024] 3 S.C.R.                                                                 877

                   Satyanand Singh v. Union of India & Ors.


            “54. Thus, to sum up, it is now a well-accepted proposition
            in most of the jurisdictions, that monetary or pecuniary
            compensation is an appropriate and indeed an effective and
            sometimes perhaps the only suitable remedy for redressal
            of the established infringement of the fundamental right
            to life of a citizen by the public servants and the State is
            vicariously liable for their acts.”
20. In P.S.R. Sadhanantham v. Arunachalam 5, this Court while
    emphasising its power to do full and complete justice, ruminated:
            “6. The jural reach and plural range of that judicial process
            to remove injustice in a given society is a sure index of
            the versatile genius of law-inaction as a delivery system
            of social justice. By this standard, our constitutional order
            vests in the summit Court of jurisdiction to do justice, at
            once omnipresent and omnipotent but controlled and
            guided by that refined yet flexible censor called judicial
            discretion. This nidus of power and process, which master-
            minds the broad observance throughout the Republic of
            justice according to law, is Article 136.”
21. While discussing award of ‘just compensation’ in a personal injury
    case, this Court in K. Suresh v. New India Assurance Co. Ltd.6
    had the occasion to observe that:
            “10. It is noteworthy to state that an adjudicating authority,
            while determining the quantum of compensation, has to
            keep in view the sufferings of the injured person which
            would include his inability to lead a full life, his incapacity to
            enjoy the normal amenities which he would have enjoyed
            but for the injuries and his ability to earn as much as he
            used to earn or could have earned. Hence, while computing
            compensation the approach of the Tribunal or a court
            has to be broad based. Needless to say, it would involve
            some guesswork as there cannot be any mathematical
            exactitude or a precise formula to determine the quantum
            of compensation. In determination of compensation the



5   [1980] 2 SCR 873 : (1980) 3 SCC 141
6   [2012] 11 SCR 414 : (2012) 12 SCC 274
878                                                         [2024] 3 S.C.R.

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         fundamental criterion of “just compensation” should be
         inhered.”
22. Not too long ago, in CPL Ashish Kumar Chauhan (supra), this
    Court while awarding compensation to a person discharged from
    the Indian Air Force, ruled:
         “103. ***People sign up to join the armed forces with
         considerable enthusiasm and a sense of patriotic duty.
         This entails a conscious decision to put their lives on the
         line and be prepared for the ultimate sacrifice of their lives.
         A corresponding duty is cast upon all state functionaries,
         including echelons of power within the armed forces to
         ensure that the highest standards of safety (physical/
         mental wellbeing, medical fitness as well as wellness) are
         maintained. This is absolutely the minimum required of the
         military/air force employer for not only assuring the morale
         of the forces but also showing the sense of how such
         personnel matter and their lives count, which reinforces
         their commitment and confidence. Any flagging from
         these standards - as the multiple instances in the present
         case have established, only entails a loss of confidence
         in the personnel, undermines their morale and injects a
         sense of bitterness and despair not only to the individual
         concerned but to the entire force, leaving a sense of
         injustice. When a young person, from either sex (as is
         now a days the case) enrols or joins any armed forces,
         at all times, their expectation is to be treated with dignity
         and honour. The present case has demonstrated again
         and again how dignity, honour and compassion towards
         the appellant were completely lacking in behaviour by
         the respondent employer. Repeatedly the record displays
         a sense of disdain, and discrimination, even a hint of
         stigma, attached to the appellant, in the attitude of the
         respondent employer. Although this court has attempted
         to give tangible relief, at the end of the day it realizes
         that no amount of compensation in monetary terms can
         undo the harm caused by such behaviour which has
         shaken the foundation of the appellant›s dignity, robbed
         him of honour and rendered him not only desperate
         even cynical.”
[2024] 3 S.C.R.                                                          879

                Satyanand Singh v. Union of India & Ors.


23. It has been submitted by the counsel for the appellant that he is
    presently aged 50 years and is into a small business of his own.
    Having considered the plight of the appellant, which his employer
    failed to address, as well as the social stigma attached to persons
    who are diagnosed as HIV+ve patients, coupled with the position
    that the appellant’s reinstatement in service is not an available option
    now and also that direction for grant of pension, which we propose
    to make, cannot be considered an equitable restitution of what the
    appellant has suffered by reason of psychological, financial and
    physical trauma, we deem it fit to additionally award him monetary
    compensation.
24. Having been discharged from the services of the Indian Army at
    the prime age of 27, the appellant was robbed of the opportunity of
    further serving the nation for many more years on account of a most
    unfortunate turn of events, the responsibility for which can lie on no
    shoulders other than the respondents 2 to 4. It is also borne from
    the record that the appellant neither received his leave encashment,
    nor received reimbursement for the expenses incurred by him in
    medical tests.
25. We would be remiss in not recognising the particular circumstances of
    the appellant’s discharge from service which compounded the agony
    of the process, i.e., a wrongful diagnosis of AIDS and subsequent
    termination of services on the same ground. It is no secret that despite
    the enactment of the Human Immunodeficiency Virus and Acquired
    Immune Deficiency Syndrome (Prevention and Control) Act, 2017,
    and the slew of awareness measures taken by Governments in recent
    times, the stigma and discrimination which lamentably accompanies
    an HIV+ve diagnosis is still an illness that afflicts the minds of society
    today. The discriminatory sentiment of deeming persons who are
    HIV+ve to be unfit for employment, is starkly evident from the way
    in which the appellant has been responded to and treated by the
    various authorities. By misdiagnosing the appellant with AIDS, the
    respondents indubitably subjected the appellant to further misery
    in not only combating social stigma against a disease which the
    appellant never suffered from but also from the dreadful thought of
    an imminent death resulting from an incurable disease.
26. In view of the extreme mental agony thus undergone by the appellant,
    in not only facing the apathetic attitude of the respondents 2 to 4 but
880                                                         [2024] 3 S.C.R.

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       in facing the concomitant social stigma and the looming large death
       scare that accompanied such a discharge from the armed forces,
       we deem it fit to award a lumpsum compensation of Rs.50,00,000/-
       (Rupees fifty lakh only) towards compensation on account of wrongful
       termination of services, leave encashment dues, non-reimbursement
       of medical expenses and the social stigma faced, to be paid by
       the respondents 2 – 4 to the appellant within eight weeks from
       the date of this judgment without fail. In addition to the above, the
       appellant shall be entitled to pension in accordance with law as if
       he had continued in service as Havaldar and on completion of the
       required years of service retired as such, without being invalided.
       We make it clear that since the appellant had not continued in
       service beyond 26th December, 2001 and there was no occasion to
       assess his performance for securing a promotion, he shall not be
       entitled to raise any plea in relation thereto. However, in computing
       the quantum of pension payable to the appellant, the respondents
       shall take into account allowances / increments that the appellant
       would have been entitled to, had he continued in service till the date
       of his retirement as Havaldar.
27. For the reasons aforesaid, the impugned judgment is set aside and
    the civil appeal stands allowed.
28. We are conscious that whatever amount by way of compensation
    has been directed to be paid to the appellant, by the respondents
    2 to 4, can in no manner compensate for the ordeal he had to face
    over the years; there could never be an appropriate substitute for
    such adversity but such financial compensation might act as a balm
    to soothe the mind and steady the future. Now that we have been
    informed that the appellant is active and involved in a business of
    his own, our prayers are with him to lead a long and healthy life.


       Headnotes prepared by:                             Result of the case:
       Vidhi Thaker, Hony. Associate Editor                 Appeal allowed.
       (Verified by: Liz Mathew, Sr. Adv.)


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