Judgment Text
J. CHALAMESWAR, J.
( 1 ) THE present writ petition is filed with the prayer as follows:". . . . . . . PLEASED
to pass an order or order or writ more particularly one in the nature of writ of
mandamus declaring the action of the respondent in imposing the stipulation of
WHO-pre-qualification certificate for participating in the tender process vide short
tender Notice No. 10/hm HI DC/drugs Wing/ 2002-2003, dated 28-10-2002 as
arbitrary, illegal and violative of the rights of the petitioner under Articles 14 and 19
(l) (g) of the Constitution of India and consequently direct the respondent to
consider the petitioner's tender filed in response to Short tender Notice No.
lo/hmhidc Drugs Wing/ 2002-2003 dated 28-10-2002 without regard to WHO-prequalification
Certificate and pass such other order or orders as this Honourable court
deems fit and proper in the interest of justice."
( 2 ) THE first petitioner is a Company and the second petitioner is the shareholder
of the first petitioner-Company. The first petitioner-company is engaged in the
business of manufacture and sale of vaccines and drugs. The company's registered
office is at Hyderabad and its manufacturing unit is at Turkapally Village, Shameerpet
Mandal, Rnga Reddy District. The first petitioner- company has a manufacturing
capacity of 100 million doses of Hepatitis Vaccine. It is stated in the affidavit filed in
support of the writ petition that the first petitioner- company commenced its
commercial production in the year 1998. It is further asserted in the affidavit that
the first petitioner-Company has all the necessary licences and permits to carry on
the activity of manufacture and sale of various vaccines and drugs as required under
the law of land.
( 3 ) THE first respondent is a State owned Corporation. The second respondent is
the State of Andhra Pradesh. Third respondent who got himself impleaded in the
present writ petition is trade rival of the first petitioner, which is also manufacturing
hepatitis-B Vaccine.
( 4 ) IT appears from the affidavit that the Government of Andhra Pradesh took up a
programme called 'immunization strengthening Progamme' to immunize the citizens
of the State from Hepatitis-B by administering a vaccine called Hepatitis-B vaccine. A
philanthropic organisation known as Bill and Melinda Gates Foundation contributed
an amount of Rs. 50. 65 crores and the Government of Andhra Pradesh is
committed to contribute an amount of Rs. 18. 67 crores over a period of five years,
commencing from 2001. It appears that the said project was launched in six districts
of State of Andhra Pradesh during the month of November, 2001. Those six districts
are Anantapur, Kurnool, Cuddapah, Chittoor, Mahaboobnagar and Guntur.
( 5 ) FOR implementing the above mentioned programme, the Government of
Andhra Pradesh requires the vaccine and therefore the first respondent issued a
paper notification on 30-10-2002 calling for tenders for the supply of Hepatitis-B
vaccine. The terms of the said tender notification are not relevant for the present
purpose, except Condition No. 1 which reads as follows: ?the A. P. Health and
Medical Housing and infrastructure Development Corporation is inviting tenders for
supply of Hepatitis B vaccine from Primary manufactures in India with WHO prequalification
only"
( 6 ) FROM the above condition, it is clear that the Government invited tenders for
the supply of Hepatitis-B Vaccine only from the primary manufacturers in India with
further condition that such primary manufacturers of vaccine should possess 'who
pre-qualification.
( 7 ) THE subject matter of the writ petition is only the above extracted condition
No. 1 of the tender notification. The petitioner challenges the stipulation of the
above mentioned condition on the ground that it is arbitrary, violative of Article 14
and also that such condition is tailor-made to benefit to only one manufacturer, i.e.,
third respondent herein.
( 8 ) THE petitioner further asserted in the affidavit filed in support of the writ
petition as follows:". . . . . . . . IT is submitted that so far as the situation in India is
concerned, there are well established manufacturing facilities licensed by
Government under the Drugs and Cosmetics Act, 1940, with facilities for research
and testing. The standard to which the particular drug or vaccine could be 2003 (1)
FR-F-30 65 manufactured are set out prescribed under the Drugs and Cosmetics Act,
1940, read with the Rules."
( 9 ) IT is further averred in the writ- affidavit that other than the petitioner and the
third respondent, there are some more primary manufacturers of vaccine in
question, other than the petitioner and the 3rd respondent herein. It is stated in the
affidavit that four other companies, such as m/s. Glaxo, Cadila, VH Bhagat and LG
which are importing and marketing the vaccine in question.
( 10 ) IT is specifically averred that the impugned condition of the tender notification
is intended only to benefit the third respondent herein, excluding the above referred
manufacturers or suppliers of the vaccine in question, thereby creating a monopoly
in favour of the third respondent.
( 11 ) THE petitioner also averred that insofar as the vaccines are concerned, they
are required to be tested and approved by the Central Drug Laboratory, Kasauli,
himachal Pradesh before they are released into the Indian market either for actual
use or clinical trial. The fact that a particular manufacturer or supplier has "who Prequalification"
will not automatically entitle such person to release the vaccine into
the Indian market, unless it is approved by the Central Drug Laboratory. Therefore,
the petitioner submitted that the stipulation of WHO Pre-qualification is arbitrary and
without any rational basis, thereby violating article 14.
( 12 ) COUNTERS are filed by the respondents. The relevant averments in the
counters will be referred at the appropriate place in the judgment.
( 13 ) TO understand the nature and scope of the controversy, an examination of
law of the land relating to the maintenance of the standards of drugs and vaccines is
required. Apart from that it. is also required to be examined as to what is meant by
the expression 'who Pre-qualification.'
( 14 ) DRUGS and Cosmetics Act, 1940 is the law which regulates the import,
manufacture, distribution and sale of drugs and cosmetics in this country. The main
object of the Act, as it is observed by the supreme Court in Chimanlal Jagjivindas
Sheth v. State of Maharashtra (AIR 1963 sc 665) is to prevent sub-standards in
drugs presumably for maintaining high standards of medical treatment. The
expression 'drug' is defined under Section 3 (b) of the act, as follows:" 'drug
includes': (i) all medicines for internal or external use of human beings or animals
and all substances intended to be used for or in the diagnosis, treatment, mitigation
or prevention of any disease or disorder in human beings or animals, including
preparations applied on human body for the-purpose of repelling insects like
mosquitoes; (ii) such substances (other than food) intended to affect the structure
or any function of the human body or intended to be used for the destruction of
(vermin) or insects which cause disease in human beings or animals, as may be
specified from time to time by the Central Government by notification in the Official
Gazette; (iii) all substances intended for use as components of a drug including
empty gelatine capsules; and (iv) such devices intended for internal or external use
in the diagnosis treatment, mitigation or prevention of disease or disorder in human
beings or animals, as may be specified from time to time by the Central government
by notification in the Official gazette after consultation with the Board".
( 15 ) AN examination of the scheme of the Act discloses that it deals with the drugs
falling under various medical systems called Allopathy, Homoeopathy, Ayurveda,
siddha and Unan. There cannot be a second opinion other than that a vaccine is also
a 'drug' within the meaning of that expression as defined under the Act. It is
common knowledge that vaccine is a substance administered for preventing disease.
( 16 ) FOR the purpose of regulating the standards of drugs, the Act contemplates
establishment of the Drugs Technical advisory Board under Section 5 of the Act, the
function of which is to advice the central and State Governments on technical
matters arising out of the administration of the Act and to carry out the other
functions assigned to it by the Act. Similarly a Drugs consultative Committee is
contemplated under Section 7 of the Act, the purpose of which is to advice the
Central and State governments and the Board referred to above, 'on any matter
tending to secure uniformity throughout India in the administration of this Act. '
( 17 ) IT is also to be noticed that various chapters of the above enactment deal
with the various varieties of drugs separately. For the purpose of the present case
we are only concerned with those provisions which deal with allopathic drugs.
( 18 ) CHAPTER IV of the Act deals with the manufacture for sale, selling and
distribution of drugs. Section 16 stipulates that for the purpose of the said Chapter,
expression 'standard quality' in relation to a drug means that the drug should
comply with the standard set out in the second schedule. Section 17 of the Act deals
with 'misbranded drugs'. Section 17-A deals with 'adulterated drug'. Similarly Section
17-B deals with the 'spurious drugs'.
( 19 ) SECTION 18 of the Act mandates that from such date as may be fixed by the
state Government by notification in the official Gazettee, no person shall
manufacture for sale or for distribution or sell or stock or exhibit for sale or
distribute any drug which is not of a standard quality or is misbranded, adulterated
or spurious. Proviso to Section 18 also mandates that none of the above referred
activities shall be carried out by a person except under and in accordance with the
conditions of licence issued for such purpose under the Chapter. Section 18 (b)
stipulates that every person holding a licence shall keep and maintain such records,
registers and other documents as may be prescribed and further mandates that
such person shall furnish to any officer or authority exercising any power or
discharging any function under the Act for carrying out the purposes of this Act.
Section 20 contemplates appointment of government Analysts by the State
government as well as Central Government subject to limitations imposed under
section 20. Section 21 contemplates appointment of Inspectors by both the
governments. The powers and functions of the Inspectors are required to be
prescribed by the Government appointing them by Rules. Section 22 confers certain
enumerated powers on the Inspectors, which powers are required to be exercised
subject to the Rules made by the Central Government and provisions of Section 23.
( 20 ) SECTION 27 prescribes the penalty for the manufacture, sale etc. , of any
drug which is adulterated or spurious or any drug used by any person for or in the
diagnosis or prevention of any disease or disorder, which is likely to cause the death
or is likely to cause such harm to the human body, which would amount to grievous
hurt within the meaning of Section 320 IPC, punishable with imprisonment for a
term which may extend up to a term of life and with fine. Analysis of the other
provisions of the chapter-IV may not be necessary for the purpose of the present
case.
( 21 ) SECOND Schedule of the Act is relevant for the present purpose which deals
with the standards to be complied with, by both the imported drugs and drugs
manufactured for sale. This Schedule is referred to both in Section 8 of the Chapterill
(dealing with the import of drugs) and section 16 of the Chapter-IV (which deals
with the manufacture, sale and distribution of drugs ). Both the provisions stipulate
that standard quality for the purpose of these two Chapters is set out in the Second
schedule.
( 22 ) ENTRY 2 of the Second Schedule of the Act deals with the vaccines, which
reads as under: class of drug standard to be complied with 1. Xxxx xxxxx 2.
Substances commonly known as Vaccines, sera, toxins, toxoids, antitoxins and
antigens and biological products of like nature for human use or for veterinary use
xxxxxx xxxxx the standards maintained at the International Laboratory for Biological
standards, Stantans Serum Institute, Copenhagen and at the Central Veterinary
Laboratory, Weybridge, Surrey, UK and such other laboratories recognised by the
World Health Organisation from time to time and such further standards of strength
quality and purity as may be prescribed.
( 23 ) RULES are made by the Union of India in exercise of various powers conferred
under the Act. Those rules are called Drugs and Cosmetics Rules, 1945. The Central
drug Laboratory mentioned earlier by definition under Rule 2 (e) is the Laboratory
for the purpose of Rules.
( 24 ) THE sale of drugs other than homoeopathic drug is regulated by Part VI of the
said Rules. Rule 59 therein contemplates appointment of licensing authority for
various purposes mentioned in the said part. Part VII of the Rules deals with
manufacture, sale and distribution of drugs other than Homoeopathic drugs. Rule
68-A stipulates the requirement of a licence for manufacture, sale or distribution of
drugs specified by the Central Government by a notification published in the Official
gazette, which is required to be taken from the Central Licence Approving Authority.
Various forms of licences are prescribed for various persons who deal with drugs in
various capacities such as manufacturers, dealers, stockists etc. Similarly Rule 69
deals with various forms of licences prescribed for the manufacture of various kinds
of drugs. Licences insofar as manufacture of allopathic drugs are concerned are
granted either in Form 25 or 25 F. Rule 71 prescribes various conditions which are
required to be satisfied before a licence under Form 25 or 25f is granted. One of the
conditions is that the manufacturing activity shall be conducted under the active
direction and personal supervision of competent technical staff, (whose
qualifications are stipulated under the rules) and another is that the factory
premises shall comply with the conditions prescribed in Schedule M.
( 25 ) SCHEDULE M to Rules deals with good manufacturing practices. Such as the
standards or safeguards to be maintained in the premises, plant and equipment. It
also provides for the various stringent measures which are required to be followed
by a manufacturer who seeks a licence either in form 25 or 25f. Those stipulations
deal with, the quality of the water used in the manufacturing process, appropriate
arrangements for disposal of waste, health, clothing and sanitation of the workers,
precautions to be taken while designing the machinery, systematic maintenance of
the record of the raw materials which are used in the manufacturing process, etc. ,
Para 9 of the Schedule M also mandates the maintenance of records as per the
Schedule- u for each batch of drugs produced, and further stipulate that such
records 'provide a complete account of the manufacturing history of each batch of a
drug showing that it has been manufactured, tested and analysed in accordance
with manufacturing procedures and written instructions as per the master formula'.
Para 16 stipulates that manufacturer must have an exclusive Quality control
Department, the duties of which are specified in the said paragraph to ensure
maintenance of standards.
( 26 ) SIMILARLY Rule 76 deals with grant of licences in Form 28 for the
manufacture of drugs specified in Schedules C and C 1. Even in the case of Form 28
licences, the conditions stipulated in Schedule M are required to be complied with.
Rule 74 (2) mandates the same.
( 27 ) APPROPRIATE sanctions are provided for in the Act to deal with those persons
who violate the law. Section 27 already noticed is one of them.
( 28 ) THE analysis of these provisions made so far demonstrates that the law of this
country is very strict in dealing with the activities of manufacture, sale etc. , of the
drugs. The standard quality that is required to be maintained, is the same as is
maintained by the various international institutions referred in the Second Schedule.
( 29 ) NOW the rationale behind the stipulation of the tender notification which
required WHO Pre-qualification for intending tenderer is required to be examined. As
a first step the meaning of the expression 'who Pre-qualification' is required to be
found out.
( 30 ) A document titled "procedure for assessment and acceptability in principle of
vaccine that produced by the United Nation agencies" is placed before me. The
following facts emerge from the examination of the said document. World Health
organisation (WHO) advises UNICEF and other agencies of the United Nations on
the acceptability in principle of vaccines considered for purchase by such agencies.
For the purpose of tendering advise, WHO is necessarily required to have a
procedure for evaluation of the vaccines manufactured and offered for sale to the
agencies of the united Nations. In fact the purpose of evaluation is described in the
document as follows: ?the present document is a new revision that takes into
consideration the above mentioned considerations and also includes a new policy
governing pre-qualification of vaccines from manufacturers that perform only bulk
filling and formulation activities. The purpose of the assessment is to verify that the
vaccines (a) meet the specifications of the relevant UN agency and (b) are produced
and overseen in accord with the principles recommended by WHO, including those
for Good Manufacturing Practices (GMP ). This is to ensure that vaccines used in
national immunization services in different countries are safe and effective and that
they meet particular operational specifications for packaging and presentation".
( 31 ) THE assessment of the product even according to the said document is based
on the principles described in the document in the following terms: ?reliance on the
National Regulatory authority (NRA) of the country of manufacturer; general
understanding of the product and presentations offered, production process, quality
control methods and relevance for the target population of available clinical data.
Assessment of production consistency through compliance with GMP specifications.
Random check testing of vaccines to monitor compliance with tender specifications
on a continuing basis. Monitoring of complaints from the field. Since reliance on
effective and independent quality assurance by the NRA plays a critical role in the
system, WHO recommends that manufacturers (a) inform their NRA of their
application for the assessment procedure (b) at the same time request the NRA to
participate in the process; (c) provide the nra with the necessary authorization to
discuss the relevant files with WHO representatives. WHO can advise UNICEF and
other UN agencies whether vaccine effectively meet WHO recommended
requirements only if the National Regulatory Authority of the producing country
exercises independent and appropriate oversight of the vaccines in question and if
the vaccines have been assessed through the procedure described in this document.
It should be noted that other vaccines that have not gone through this process may
be as safe and effective as those that have actually been assessed".
( 32 ) FROM the above it can be seen that even WHO places reliance on the national
Regulatory Authority of the country of manufacture and it is further categorically
made clear that vaccines which have not gone through the assessment process by
the who should be as safe and effective as those that have actually been assessed.
From the language of the document, it appears that such assessment is made by
the WHO either at the instance of the manufacturer itself or otherwise.
( 33 ) THE assessment procedure starts with the collection of data which includes
information regarding the premises and equipment, the vaccine composition,
production, quality control, satiability, clinical experiences etc. After the data is
collected by the WHO, the same is examined by experts appointed by the WHO. The
next step is that samples of the product are actually tested in the laboratory chosen
by the WHO. WHO also makes an evaluation of the existing regulatory mechanism
of the country of manufacture. The next step in the process of evaluation is the visit
of the site where the manufacture took place. The experts committee constituted by
the WHO visits the place of manufacture to examine the manufacturing process,
more specifically with reference to the process of production, quality control and
good manufacturing practices. After the site visit, a report is prepared by the WHO,
a copy of which is required to be sent to the manufacturer as well as the National
Regulatory Authority. At that stage 'if minor adjustments need to be made by the
manufacturer, WHO will postpone it's final recommendations to unicef or the other
UN agency involved until such adjustments have been incorporated and verified by
WHO'.
( 34 ) AFTER completion of the entire exercise described above , if the WHO is
satisfied, the vaccine would be included in the list of Pre-qualification. Such
assessment is undertaken at regular intervals usually every two years or at such
shorter intervals if required, in situations where the pre- qualified vaccine fails to
meet WHO recommended requirements and/or the specifications of the offer to bid
etc.
( 35 ) FROM the above it can be seen that the WHO makes an assessment of the
quality of the product as well as the efficiency and purity of the manufacturing
process. What exactly is the criteria adopted by the WHO while making such
assessment is not indicated in the document. I hasten to add that the WHO is not
under any obligation to disclose the same and also conscious of the fact that these
are the internal procedures adopted by the WHO for the sake of a fair and
systematic conduct of its operations and WHO is not making any law which would
be amenable to the scrutiny of the Courts administering municipal Law. The fact I
wish to highlight is that nothing is brought to my notice to establish the fact that the
WHO adopts any standards which are higher than the standards adopted by the
Indian Law for assessing the quality of the product. The Indian law in this regard as
already noticed also seeks to ensure the quality of the product by very stringent
measures and standards which are adopted from the international institutions and
international practices in the matter of manufacture and sale of the drugs.
( 36 ) THE letter of the Indian Law in this regard takes every care to ensure
avoidance of the sub-standards in the field of drugs. In fact in a letter dated 14-6-
2001, Mr. John. Gillmartin, Chief Procurement officer, UNICEF, New Delhi addressed
to the Commissioner, Family Welfare and Ex- officio Secretary to Government,
Health, medical and Family Welfare Department, government of Andhra Pradesh,
stating as follows:"3. . . . . I believe the HBV specification in India conforms with the
WHO requirements. 4. What difference WHO Certificate in India versus WHO
Inspection for GMP; ltnicef's experience with pharmaceuticals and vaccines
manufactured in India indicates that the GMP Certificate is issued by State
authorities does not reflect high levels or consistent application of the GMP
standards. We have seen some inspections which were rigorous and the certificate
reflects a high level of GMP compliance. Others appear to be using a very different
interpretation of the standards. The frequency of re-inspection has not been
consistent, nor generally well documented. The follow up with manufacturers to
correct deficiencies noted is also not consistent with good GMP compliance. . . . . . "
( 37 ) THE background and relevance of the letter will be discussed in the later part
of the judgment. Two points are required to be noted from the above letter that
even Mr. John Gillmartin opined that Hepatitis-B vaccine specifications in India
conforms with the WHO specifications. All that Mr. John Gllmartin pointed out in
substance is that there is some laxity on the part of the executive in enforcing the
standards stipulated by the law and that too, such laxity is not a general feature, but
there are occasions where such laxity is noticed by who. The said observation is
general in nature and does not specifically refer to any particular manufacturer.
( 38 ) IT is a very sad commentary on the state of affairs in the country regarding
the enforcement of law by the executive. The executive instead of rectifying the
deficiencies pointed out seeks to take shelter under the above observations to justify
it's stand in stipulating the impugned condition of the tender notification.
( 39 ) IT is also relevant to notice that there are only two manufacturers of the
vaccine in question in the State of Andhra Pradesh. It is not very difficult for the
State to cross-check the correctness of the observation of Mr. Gillmartin with
reference to the two local manufacturers. Apart from the present problem the State
owes such a legal obligation under the Constitution and the Drugs Act.
( 40 ) THE entire thrust of the argument of the respondents 1 and 2 is that by
stipulating a condition such as one challenged in the present Writ Petition, the State
is only ensuring a higher quality in the commodity which is sought to be procured. It
is argued by the learned Additional Advocate-General that the criteria adopted and
object sought to be achieved by the adoption of such criteria being inherently
rational, the same should not be interfered with by this Court in exercise of its
jurisdiction under Article 226 of the Constitution. I have no doubt about the said
proposition of law. But, the question is whether the criteria adopted by the State can
be called a rational one. The learned Additional Advocate-General submitted that
such criteria of adopting 'who Pre-qualification' is not found for the first time at the
time of issuing the impugned tender notification, but in fact was adopted earlier also
in the year 2001 when the State sought to procure Hepatitis B vaccine. He therefore
argued that submissions made by the learned Counsel for the petitioner that the
impugned stipulation is only tailor-made to benefit the third respondent is factually
incorrect and legally unsustainable.
( 41 ) IN the year 2001, when the government of Andhra Pradesh wanted to procure
Hepatitis B Vaccine, the government of India, (Department of Family welfare)
guidance was sought regarding the source from which the vaccine is to be procured.
By" letter dated 8-5-2001 the secretary to the Government of India informed the
Government of Andhra Pradesh that the Government of India did not have any past
experience in that regard and advised the Government of Andhra Pradesh to contact
Mr. Gill Martin, who is the chief Procuring Officer of UNICEF at New delhi for further
action on the issue. In fact the relevant portion of the letter, which is filed by the
Government along with the counter reads as follows: ?kindly refer to your letter
dated 25-4-2001 regarding assistance in procurement of hepatitis B Vaccine could
claim equipment and AD Syringes under the Bill and Melinda gates Foundation
Project. During 2001-2002 HSCC is procuring the cold chain equipment for the
Universal immunization Programme. However they do not have any past experience
in vaccine procurement or on procurement of AD syringes. UNICEF has a very large
base and mechanism for procurement of this item and could be contacted as they
have been supplying these items to more than 100 countries. I would suggest that
you may like to contact Mr. Gill Mariyn, Chief Procurement Officer, unicef, New Delhi
for further action on this issue. So far as WHO approved Hepatitis b vaccine is
concerned, one of the Indian manufacturers are currently approved by who. The
Indian manufacturers have applied to WHO for inspection which will take some more
time."
( 42 ) AS a consequence, the Government of Andhra Pradesh started
correspondence with Mr. Gill Martin. In one of the letters written by the Secretary to
Government of Andhra Pradesh dated 9-6-2001 the government sought certain
information from Mr. Gill Martin in the context of the procurement of Hepatitis B
Vaccine. The relevant portion of the letter reads as under "thank you for sending the
signed MOUs promptly. Regarding the comments on the domestic vaccine issue for
Hepatitis B vaccine, I request you to kindly furnish the information on the following
issues for facilitating the Government of Andhra Pradesh to take a decision. 1. What
are the pre-requisites/ qualifications that a vaccine manufacturing company
musuhave, if the Vaccine is to be procured by UNICEF for use in EPI/uip. 2. What
are the technical clearances if any the company needs to possess for supply of
vaccine to UNICEF for EP1 use. 3. Are there any differences in composition/
specifications between the Hepatitis-B vaccine when marketed domestically and
when marketed internationally. 4. What is the difference between WHO GMP issued
by Drug Controller of India and inspection by WHO for review of manufacturers for
GMP mentioned in your letter. 5. Are there any companies in India manufacturing
Hepatitis-B Vaccine which meet all the pre-requisites/requirements for procurement
of Hepatitis-B Vaccine by UNICEF for use in EPI/uip. 6. What is the cost difference of
Hepatitis- b Vaccine if procured locally and if procured internationally."
( 43 ) ONE thing that is required to be noticed from the above referred letter is that
at that point of time, the Government of Andhra Pradesh was also conscious of the
fact that there could be a cost difference in the procurement of the vaccine in
question depending upon the fact whether the same is procured from the local
manufacturer or international manufacturer.
( 44 ) IN response to the above mentioned letter, Mr. Gill Martin wrote to the
Government of Andhra Pradesh on 14-6-2001 which is already referred to earlier. In
this context, it is necessary to extract the entire letter: "dear Dr. Sawhney, thank
you for your fax received 11. 06. 2001 requesting information on vaccine
procurement. The following is an interim reply as some points will need further
consultation. 1. Qualifications for vaccine supply through UNICEF: Most Vaccine
UNICEF buys is supplied by export from one country to another, i.e., it moves in
international trade. Suppliers in this market are required to comply with a WHO
qualification process for supply to UN Agencies. UNICEF is the major vaccine supply
agency in the UN and provides funding for WHO to carry out qualification services.
They include licence review, clinical data review, assessment of the National Control
Authority and National laboratory and finally assessment of the manufacturer's GMP.
Occasionally, UNICEF buys a domestically made vaccine for domestic consumption
OPV made in India is the largest example of this type. In this case, the
manufacturers in India were reviewed by who for GMP compliance. This was done to
reassure the large number of donors, the world Bank and the GOI who collectively
were investing about Rs. 200 crore annually, that the quality of OPV used for
eradication met high standards for safety and effectiveness. 2. Technical clearance a
company requires: essentially, the supplier need to demonstrate that it is selling a
fully licensed product, meeting all national vaccine requirements, meeting the WHO
technical requirement for that vaccine in EPI use and confirming to who Good
Manufacturing Procedures (what is generally referred to as 'who GMP?). 3.
Differences between domestic marketed and International HBV: there are several
specifications for HBV in use in different countries: plasma derived, recombinant,
pediatric and adults strength levels vary among countries. UNICEF refers evaluation
of a specific vaccine to WHO to confirm that it conforms with the WHO HBV
requirements. In the case of a domestic HBV vaccine for domestic use, the national
licence and regulatory authority determine acceptability within that country. UNICEF
would consult with WHO to advise if there were significant differences between the
nationally licensed vaccine and the international specifications. I believe the HBV
specification in India conforms with the who requirements. 4. What difference WHO
certificate in India versus WHO Inspection for GMP: UNICEF's experience with
Pharmaceuticals and vaccines manufactures in India indicates that the GMP
certificate is issued by State authorities does not reflect high levels or consistent
application of the GMP standards. We have seen some inspections which were
rigorous and the certificate reflects a high level of GMP compliance. Others appear to
be using a very different interpretation of the standards. The frequency of reinspection
has not been consistent, nor generally well documented. The follow up
with manufacturers to correct deficiencies noted is also not consistent with good
GMP compliance. That was the basis for requesting WHO to provide additional
inspection services. These are always conducted with national inspection authorities
to assure that consistent interpretation of the standard are applied regardless of the
location of the supplier. The findings of the WHO inspection team are discussed and
shared with the manufacturer and national inspectorate. WHO provide GMP experts
with extensive international experience and the observations are clarified before
departure so that all parties understand the findings, the recommendations if any.
Most manufacturers and inspectors find the process a valuable professional audit by
well qualified professionals. Generally it offers an opportunity to further improve the
vaccine. 5. Suppliers in India Meeting WHO requirements: This question is being
referred to WHO. I believe there are or will be several in the next months. There is
an on going assessment in process and the results should be available before year
end. 6. Cost-difference: A good question. The domestically made vaccine when
approved generally is less costly than imported. The domestic vaccine would be
purchased in local currency and delivery to project locations would be included in
the price. Domestic vaccine will not require import clearance and transport from the
international airport to the project sites. Domestic HBV will be required to meet the
same VVM requirement applied for international supply. If you wish UNICEF can
tender from the domestic product now to secure prices while the approval process is
being completed. If domestic vaccine is not less costly then UNICEF would supply
the lower cost option. Recommendation: You may wish to purchase the first quarter
of HBV from the international source and thus assure that you will have the vaccine
you require before end September. Tendering can being in advance of the domestic
approvals and then place future orders for domestic HBV after WHO has completed
their evaluation. I will write separately on the domestic AD syringe supply. We are
confirming the availability of domestic AD's at this time. "
( 45 ) THE following features are required to be taken note from the above letter
that Mr. Gill Martin opined at that time that domestically manufactured vaccine
generally is less costly than imported. Mr. Gill Martin also informed that if the State
so wished to procure the vaccine from the domestic market, the price structure
could be examined to find out the cost of the vaccine. However in view of the
urgency of the matter, he advised the State to purchase the vaccine from the
international market as the assessment regarding the quality of the domestically
manufactured vaccine had not yet been completed by the WHO.
( 46 ) IN response to the above letter dated 14-6-2001, the Secretary to the
government of Andhra Pradesh wrote back to the Mr. Gill Martin, the relevant
portion of the letter reads as under: ?based on the information given in your e- mail
dated 4-6-2001 and clarification given by you in your letter dated 14-6-2001, it is
requested to take action to procure hepatitis-B vaccine with a national tender for
supplies to the project with the necessary technical clearances from the competent
authorities subject to quality, availability and cost effectiveness. Further, since
Hepatitis-B vaccine is being introduced for the first time in EPI/uip, it is necessary
that the most stringent and highest quality standards are set for the vaccine. Hence,
while procurement is to be done domestically, the standards set by UNICEF for a
supplier to be pre-qualified for international bidding should be met by the domestic
manufacturers. This would include, I presume as per your letter, licence review,
clinical data review, assessment of the National Control Authority and National
Laboratory, assessment of the manufacturers GMP by WHO experts among others.
Further it is presumed that the specifications of Hepatitis-B Vaccine will conform
with the WHO requirements for UIP programme. Further, I presume that the
manufacturers will have all such technical clearances needed to demonstrate for
supply of vaccine to UIP as per UNICEF standards. Further I presume that it would
be preferable that in keeping with the current practice in respect of polio vaccine,
samples of every consignee be tested by the National Control Authority (CRI,
Kasauli). This testing could be organised either by you or us as per convenience. I
would appreciate if you could kindly confirm whether the presumptions made in para
above are in order and will not lead to unduly delay and are exhaustive enough to
ensure that the highest standards are set for the vaccine. Regarding AD Syringes
and cold chain equipment also, Government of AP prefers national procurement
subject to availability, quality and cost effectiveness. If these are not available,
procurement will have to be done from international market".
( 47 ) AFTER some correspondence in this regard, the Government of Andhra
Pradesh took a decision to procure the vaccine in question from the international
sources for the year 2001. The reason for such decision is mentioned in Para 12 of
the counter affidavit filed by the State-second respondent and Paragraph 12 of the
counter-affidavit reads as under: ?however, UNICEF was not able to procure
hepatitis-B Vaccine locally. As per UNICEF, 'all three local invitees effectively offered
the same prices, there was only one US cent difference between the three offers
which were substantially higher than the equivalent offshore landed price. This
factor plus the reality that none of the local suppliers are pre-qualified does not
advance the matter in a direction that would ensure an imminent or positive
outcome'. Therefore UNICEF recommended and desired that the procurement be
done internationally from a pre-qualified source that would ensure a guaranteed
delivery at a very competitive price. Accordingly, considering the issue of quality,
guaranteed delivery, the competitive price, and WHO pre-qualification, UNICEF had
procured Hepatitis-B vaccine internationally".
( 48 ) IT can be seen from the above that UNICEF advised the State Government to
procure Hepatitis-B Vaccine from international sources for two reasons. First is that
none of the local manufacturers had 'who pre-qualification', secondly, the difference
in price offered by the three domestic manufacturers was only about one American
cent, which in turn was substantially higher than the equivalent offshore landed
price. In fact this assertion of the State goes against the earlier opinion of Mr. Gill
Martin that domestically manufactured Vaccines generally are cheaper than the
imported vaccines. For all the said reasons, both UNICEF and State government
thought that it would be better to procure the vaccine in question from the foreign
sources.
( 49 ) ONCE again for the present year, when the State wanted to procure the
vaccine, it started enquiries to find out whether there are any WHO pre-qualified
manufacturers in the country. An examination of the original files/records clearly
indicates that by the date of the decision to call for tenders from primary
manufacturers of India who have WHO pre-qualification, the State was aware of the
fact, that there is only one manufacturer who acquired the WHO pre-qualification. In
fact the respondents were in regular correspondence. Still the State went ahead
with the process of calling for tenders stipulating the condition that the tenderer
should be a primary manufacturer with WHO pre-qualification.
( 50 ) IT may be open for the State to prescribe such rational conditions as it thinks
fit in the matter of entering into a contract for procurement of commodities. In my
view the rationality of the decision, cannot be decided only on the basis of the
prescription of the standard of quality of the commodity sought to be procured. It is
already noticed that for the earlier year, the state had more than one criteria for
identifying sources from which vaccine is to be procured. Undoubtly one of them is
quality of the commodity, but the second and equally important is the cost of
procurement. As already noticed from paragraph 12 of the counter, the State was
advised by the UNICEF to go for procurement from the international market for the
reason that it not only ensured the quality of the material, but also worked out
cheaper.
( 51 ) HOWEVER, when it came to the present year, the State does not appear to
have considered the question whether procurement from the domestic market would
be cost effective. A factor which was considered relevant for the previous year. For
the reasons best known to the state, the State ignored that consideration. The
counter of the State is silent in this regard. Yet the State seeks to justify the
impugned stipulation in the tender notification to be a rational one and beyond the
reach of the Court's scrutiny.
( 52 ) THE only reference with regard to the cost effectiveness of the procurement
in the domestic market is to be find at the paragraph 13 of the counter, which reads
as under:". . . ACCORDINGLY, APHMHIDC was addressed, vide letters dated 11-10-
2002 and 21-10-2002 to procure from National manufacturers with WHO prequalifications at a cost less than last year's procurement price from UNICEF
APHMHIDC invited tenders for supply of Hepatitis-B Vaccine from primary
manufacturers in India with WHO pre- qualification only. . . "
( 53 ) IN the background of the above, it becomes very difficult to understand as to
why the State decided to call for tenders from the primary manufacturer in India
with who pre-qualifications. The State had definite information that only one such
manufacturer exists. When State decided to procure vaccine at a price less than the
cost of the imported vaccine only from the domestic manufacturers with WHO prequalification, the State could have straightaway negotiated with the third respondent
after actually ascertaining the actual current cost of the imported vaccine. However
the State did not choose to take such course of action. For some mysterious
reasons, the State chose to call for tenders with the impugned condition. Therefore
the allegation of the petitioner that the impugned condition is tailor-made to suit
only one person, i.e., third respondent is to be accepted.
( 54 ) NOTHING further is brought to the notice of this Court in this regard whether
any assessment was made to find out the difference between the current cost of the
imported vaccine vis-?is the vaccine manufactured in India. On the other hand, i
am informed at the time of hearing that when the tenders are opened there is a
price variation of almost 100% between the petitioner who participated in the
process pursuant to the interim order in this writ petition and the third respondent,
the price offered by the third respondent being higher. A premium which the third
respondent obviously demands for being the only manufacturer in this country who
satisfied the conditions stipulated in the tender notification.
( 55 ) BUT that does not solve the problem in the present case. The third
respondent filed an affidavit along with certain documents indicating that the
petitioner had also made an attempt in the month of July, 2001 to obtain WHO Prequalification, but failed. This fact is not disputed by the petitioner tho
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ugh the petitioner raised some objections regarding the production of the document on the ground that it is a confidential correspondence between the petitioner and WHO, the third respondent being the trade rival of the petitioner cannot be permitted to place the document on the record of the Court, without disclosing the source from which he had obtained the document. ( 56 ) IN a case like the present one the larger public interest, that is the requirement of maintenance of higher standards in the health care of the society, should prevail over the private law rights of the parties. The examination of the said document discloses that the WHO made certain observations to the effect that the petitioner's manufacturing operations did not meet the good manufacturing practices set up by the WHO. Such observation was made an year and half back. The learned Counsel for the petitioner vehemently submitted that, now the first petitioner meets all the standards set up by the WHO. In fact in the counteraffidavit filed in response to the implead petition, the writ petitioner also made an assertion that the petitioner has already initiated the process once again to obtain who pre-qualification. ( 57 ) FROM the above facts, it is clear that the third respondent definitely has the WHO pre-qualification whereas the petitioner does not have the same as on today. Since the acquisition of the WHO pre-qualification is optional on the part of any domestic manufacturer, it is doubtful whether such a prescription could be sustained if a manufacturer who never attempted to acquire such pre-qualification ever challenges the condition such as the one impugned. For the present I do not wish to examine the said question, as the petitioner unsuccessfully attempted to acquire such pre-qualification cannot now complain that such a stipulation in the tender notification is arbitrary. ( 58 ) THE state of facts inevitably lead to another question. Whether the State can take a stand that the quality of the petitioner's product is not up to the required standard for purchase by the State, whether such a stand would be consistent with its obligations under the Drugs and Cosmetics Act and the obligations of the executive under the constitution to administer the law. ( 59 ) THE State permits the petitioner to sell its product including Hepatitis B Vaccine in open market, in fact the petitioner asserted in the affidavit filed in support of the Writ petition as follows:". . . IT is submitted that the first petitioner is a regular manufacturer and supplier to both trade and institutions which include both central and State Governments and also to countries like Peru, Mexico, Phillpines, moldavia and also in the process of registration and supplies to various other countries like Georgia, Ghana, Zimbabwe, Sri lankr, Bangladesh etc. " ( 60 ) THE allegation is not rebutted by any one of the respondents. ( 61 ) IF the product of the petitioner is available for purchase in the open market with a certification of the State that the quality of the product is in accordance with the standard stipulated by the law of the land, I do not understand how the State can contend that the same product cannot be purchased by the State as it does not have who Pre-qualifications. ( 62 ) THE only basis for the contention can be that, the State obviously has no faith either in the adequacy of the law dealing with the standard quality of the drugs manufactured in the country or in the standard of the implementation of such law. But the State does not disclose it's stand in this regard. ( 63 ) BUT, in view of my conclusion that the legality of prescribing the condition of WHO pre-qualification cannot be decided in the present case, I shall assume for the sake of argument, that the belief of the State that a WHO pre-qualified manufacturer's product would be of a higher standard is justified, still the State will have to explain the reasons which prompted the state to call for tenders only from the domestic manufacturers with WHO pre- qualification. For by making such a stipulation the State obviously overlooked the cost factor which even according to the State was a relevant factor in the previous year. No explanation is forthcoming from the State, to justify the stipulation to procure the material from only a domestic manufacturer with such pre-qualification. Therefore I find it difficult to accept the submission of the state that the impugned stipulation is inherently a rationale stipulation. ( 64 ) NO assessment of the current price of the commodity manufactured by the who pre-qualified manufacturer in the international market is demonstrated to have been made. ( 65 ) FOR the above mentioned reasons, I am of the opinion that the impugned stipulation insofar as it invites tenders only from domestic manufacturers is arbitrary. The Writ Petition is therefore allowed to that limited extent.