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13 August 2026

Medical and health-related developments

The topic covers specific legal frameworks like the MTP Act and Advance Medical Directives, as well as public health policy directives regarding cancer notification, which are directly relevant to governance and health sector policy questions in GS2.

1 min read 2 questions 2 prelims

Notes

  • Medical Termination of Pregnancy (MTP) Act regulates abortion in India, permitting termination up to 20 weeks under specific medical and legal conditions.
  • Tamil Nadu Advance Medical Directive Guidelines, 2026, provide a framework for passive euthanasia, allowing adults to document preferences for withdrawing or withholding life-sustaining treatment.
  • Advance Medical Directives (AMD) take effect only when the executor loses the capacity to communicate or make informed healthcare decisions.
  • The AMD process requires a Primary Medical Board (treating physician + 2 experts) and a Secondary Medical Board (panel of registered medical practitioners) to validate the withdrawal of treatment.
  • Supreme Court directed 19 States and Union Territories to declare cancer a 'notifiable disease' to improve early detection and data tracking, following a parliamentary standing committee recommendation.
  • Currently, only 17 of 36 States/UTs in India have notified cancer as a notifiable disease.
  • Complex reconstructive surgeries, such as for recurrent tracheoesophageal fistula, highlight advancements in paediatric multidisciplinary surgical care.

Questions

  1. Discuss the significance of Advance Medical Directives (AMD) in upholding patient autonomy and the legal safeguards provided by the judiciary to prevent misuse of passive euthanasia. 150 words
    Attempt this — 150 words in 8 min
    0 / 150 words 8:00
  2. The notification of diseases is a critical component of public health surveillance. In the context of the Supreme Court's directive on cancer, analyze the importance of making non-communicable diseases notifiable and the challenges in implementing a uniform national policy across States. 250 words
    Attempt this — 250 words in 11 min
    0 / 250 words 11:00

Prelims

  1. Under the Tamil Nadu Advance Medical Directive Guidelines, 2026, when does an Advance Medical Directive (AMD) formally take effect?

  2. What is the primary objective of declaring a disease as 'notifiable' by the State government?