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Mumbai Ailing Hospitals Part 11: Sion Hospital Struggles With Medicine Shortages, Overcrowding & Equipment Failures

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Mumbai: Danish Shaikh, a relative of a patient, shared a distressing experience involving his 67-yearold aunt, Noor Shaikh, who suffers from kidney disease. “We had to purchase medicines worth Rs7,000 from outside the hospital because they were unavailable there,” he said.

Visiting the hospital at night and lacking sufficient funds, Shaikh was forced to borrow money from fellow visitors, which he could return only the next day. “I was completely uncertain about what to do,” he added. Another patient, Manoj Singh, echoed similar frustrations: “Whatever medicines doctors prescribe are not available here. We are forced to buy expensive drugs from private medical shops. Getting treated in Sion Hospital now feels like going to a private hospital.”

Such incidents are becoming alarmingly common, as the hospital frequently runs out of essential medicines, compelling patients to buy costly drugs from outside. Such incidents are becoming increasingly common at the Lokmanya Tilak Municipal General Hospital (LTMGH), also known as Sion Hospital, the second-largest hospital run by the Brihanmumbai Municipal Corporation (BMC).

The hospital is grappling with a deepening crisis that is severely affecting patient care. The hospital serves as a critical healthcare hub for millions, handling 22 lakh patients annually and 5,000 to 6,500 daily outpatient department (OPD) visits, peaking at 7,500 during monsoons. However, medicine shortages, overcrowded wards, equipment failures, and unhygienic conditions are pushing patients and their families to the brink.

An anonymous official from the civic administration admitted that the BMC has not yet received new medicine stocks, forcing the hospital to manage with dwindling supplies. “The hospital is somehow managing with the old stock and distributing whatever is available,” the official said, adding that fresh supplies are expected soon. However, the delay continues to leave patients in distress. Sion Hospital’s challenges extend beyond medicine shortages.

Overcrowding is a persistent issue, with its 1,900 beds insufficient to accommodate the massive patient load. In medicine wards 6, 7, and 20, designated for male and female patients, two patients often share a single bed, while others are accommodated on mattresses laid out on the floor. On one occasion, a ward designed for 40–50 patients housed 105, making proper sanitation nearly impossible.

Sumit Dhar, a relative of a patient, said, “My relative feels very uncomfortable. I can barely reach the bedside — there’s hardly any space to walk between the beds.” Dirty beds, soiled linen, and insufficiently cleaned toilets and common areas further exacerbate hygiene concerns, raising the risk of infections. As a tertiary care centre, Sion Hospital attracts patients from Mumbai’s densely populated areas like Kurla, Chembur, Dharavi, Dadar, Matunga, Bandra, Ghatkopar, Mulund, and Govandi, as well as from surrounding districts like Thane, Navi Mumbai, and Raigad.

An administrative official, speaking anonymously, noted that despite Thane having its own chief minister for over two years, public hospitals there remain underdeveloped, funneling patients to Sion Hospital for specialized care. “The hospital has specialised medical care, advanced treatment facilities, and experienced doctors,” the official said, underscoring its critical role. Yet, patients report a starkly different experience.

Equipment failures add to the hospital’s woes. One of its two MRI machines is non-functional, leaving a single machine to handle both admitted and emergency cases. Patients face appointment delays of two to three months, with some redirected to Eknath Gaikwad Hospital in Dharavi, known as “Chhota Sion.”

Dr. Mohan Joshi, the hospital’s dean, claimed that all MRI machines are currently functional, but patients continue to face delays. CT scans, outsourced, require patients to queue early in the morning for appointment dates, adding to their inconvenience. The hospital’s blood bank has also drawn criticism. Previously fined for failing to update its stock on the SBTC website, it struggles to provide blood for nearly 280 thalassemia patients who require regular transfusions.

“There is a perennial shortage of blood, even though the hospital has a dedicated thalassemia unit… Private blood banks also refuse to provide blood free of cost, in violation of government policy,” said a health activist.

Despite increasing blood collection over the past three years, mismanagement persists. The hospital’s basement, filled with trash, discarded medical materials, and broken furniture, poses a serious safety hazard. Blocked pathways and flammable materials could hinder emergency evacuations, highlighting administrative negligence.

Despite these challenges, Sion Hospital remains a vital healthcare provider, performing 400 surgeries, 100 endoscopies, and 10 angiographies daily. Its OPD, operating from 8.30 am to 12.30 pm, serves a wide range of specialities, but the strain on resources demands urgent reform to restore its ability to deliver quality care.

National News

Married daughters cannot be excluded from compassionate appointments: SC

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New Delhi, July 31: The Supreme Court has ruled that a married daughter cannot be denied consideration for compassionate appointment merely because a state government policy allows such appointments only to divorced or deserted daughters, holding that such a classification is unconstitutional and violative of Article 14 of the Constitution.

A Bench of Justices M.M. Sundresh and Prasanna B. Varale allowed an appeal filed by Sayara Khatoon and her daughter against a Patna High Court order, which had upheld the rejection of the daughter’s claim for compassionate appointment following the death of her father.

The appellants had questioned the Bihar government’s December 10, 2014 policy, under which only a divorced or deserted daughter is eligible for compassionate appointment.

The state government had also rejected the claim on the ground that the deceased employee’s brother had objected to the appointment.

However, the Supreme Court recorded that the brother had earlier furnished a no-objection certificate, observing that “the said ground for rejection no longer survives”.

On the policy restricting compassionate appointment to divorced or deserted daughters, the Justice Sundresh-led Bench held that any distinction between sons and daughters in such matters is constitutionally impermissible.

“This Court has repeatedly held that any classification differentiating a daughter from a son is, per se, unconstitutional,” the apex court said.

It added that “classification restricting eligibility only to a divorced or deserted daughter cannot be sustained in the eye of law”.

Rejecting the presumption underlying the Bihar government’s policy, the Supreme Court observed: “There cannot be a presumption in law that, after marriage, a daughter severs her ties with her parental family and resides with her husband in her matrimonial home.”

The order noted that the appellant had specifically stated that although her divorce had not been formally recognised in law, she had been living with her parental family and enjoyed the support of her mother and brother.

“In any event, adopting a hyper-technical approach cannot be a ground to deny consideration of her claim for compassionate appointment,” the bench said.

Setting aside the Patna High Court’s order as well as the rejection of the compassionate appointment claim, the apex court directed the Bihar authorities to reconsider the appellant’s case on merits.

“The respondent (Bihar government) is directed to consider the case of the appellant for compassionate appointment on merits within a period of eight weeks from the date of receipt of a copy of this order,” it ordered.

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National News

‘Are you from the BJP?’: Rahul snaps at scribe over Delhi cops’ families media meet

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New Delhi, July 31: Rahul Gandhi, the Leader of Opposition in the Lok Sabha, on Friday responded to a question regarding the plight of families of Delhi Police personnel injured during the July 20 student march from Jantar Mantar to Parliament with a remark, “Are you from the BJP?”

Many families of Delhi Police personnel who sustained injuries during the clashes with protesting students on July 20 held a press conference earlier in the day, recounting their ordeal and personal hardships they underwent during the troubling hours.

They also demanded answers from those politicising the violence in favour of the protesting groups and sought justice for their family.

When a scribe questioned Rahul Gandhi on the Parliament premises, seeking his response to the press conference where the cops’ families shared their complaints and travails, the LoP snapped at him, asking, “Bhaiya, are you from the BJP?”

Rahul Gandhi’s response, seen as insensitive and indifferent to Delhi police personnel, comes after the families shared personal accounts of their sufferings, in the wake of violence inflicted on the injured personnel and questioned why their agony was being overlooked at the cost of protesters, many of whom have a ‘criminal past’.

According to reports, more than 200 police personnel were injured, some of them grievously, when the ‘Sansad Chalo’ march helmed by Cockroach Janata Party (CJP) turned violent, leading to stone-pelting and violence against the police by the protesting groups, which, as reports, were infiltrated by miscreants and those with criminal antecedents.

As the families of Delhi Police personnel injured in violent clashes during the July 20 students’ stir demanded justice in the press conference, the issue also snowballed into a political controversy with Congress and BJP firing salvos at each other.

A noted Opposition leader accused the government of hatching a plot to pit cops against the students to deflect attention from the brutality inflicted on them, while BJP’s Ravi Shankar Prasad questioned the former’s sensitivity regarding police and their families.

Speaking to the media, Ravi Shankar Prasad said, “The attack on police personnel and the injuries they sustained is a matter where we should show sensitivity. They also have families, they also have children, and they also have human rights.”

“We respect the youth, but if criminals are involved behind such protests and are involved in attacking police personnel, then it raises serious questions,” he stated.

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Business

Indian Railways launches online excess luggage booking with ticket reservations

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New Delhi, July 31: Passengers travelling by train can now book and pay for excess luggage online while reserving their tickets, as Indian Railways on Friday rolled out a new digital facility aimed at making the travel process more convenient.

The service integrates excess luggage booking with the online ticket reservation system, eliminating the need for passengers to visit parcel offices separately before boarding.

Previously, travellers carrying baggage beyond the free allowance had to complete a separate booking process at railway parcel counters, often leading to additional paperwork and long queues.

The online excess luggage booking facility is available only to passengers holding confirmed tickets and is restricted to travel classes where carrying luggage beyond the free allowance is permitted upon payment of the prescribed charges.

Passengers travelling in AC First Class, AC 2-Tier, First Class, Sleeper Class and Second Class can avail of the service.

However, those travelling in AC 3-Tier and AC Chair Car will not be eligible, as the maximum permissible baggage limit in these classes is the same as the free luggage allowance.

Under the existing baggage rules, AC First Class passengers are entitled to carry up to 70 kg free of charge and can carry a maximum of 150 kg after paying excess luggage charges.

Passengers in AC 2-Tier and First Class are allowed 50 kg free, with a maximum permissible limit of 100 kg.

Sleeper Class passengers can carry 40 kg free and up to 80 kg in total, while Second Class passengers have a free allowance of 35 kg and a maximum limit of 70 kg.

In contrast, AC 3-Tier and AC Chair Car passengers can carry up to 40 kg, which also serves as the maximum permissible limit.

Indian Railways has clarified that passengers carrying baggage beyond the free allowance but within the prescribed maximum limits will be required to pay applicable excess luggage charges.

Apart from weight restrictions, the Railways also enforces size limits for luggage carried inside passenger coaches.

Trunks, suitcases and boxes measuring up to 100 cm × 60 cm × 25 cm are generally permitted inside compartments.

However, passengers travelling in AC 3-Tier and AC Chair Car coaches must adhere to a smaller size limit of 55 cm × 45 cm × 22.5 cm.

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