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PIL In Supreme Court Seeks Compulsory NAT Testing In All Blood Banks Across India — UPSC Current Affairs | February 25, 2026
PIL In Supreme Court Seeks Compulsory NAT Testing In All Blood Banks Across India
The Supreme Court is scheduled to consider in March the issue of whether all blood banks should mandatorily conduct Nucleic Acid Test (NAT) for the identification of diseases. The bench of CJI Surya Kant and Justice Joymalya Bagchi was hearing a PIL seeking directions for the implementation of mandatory NAT testing across all blood banks in the country. Notably, the Nucleic Acid Test (NAT) is a highly sensitive molecular technique that detects the genetic material (DNA or RNA) of viruses like HIV, Hepatitis B (HBV), and Hepatitis C (HCV) directly in the blood. The counsel explained that through NAT blood testing, a vast number of infections can be identified, as compared to the common method of ELISA testing (Enzyme-Linked Immunosorbent Assay). He added that NAT testing presently only being used in Delhi's government Hospitals. The CJI inquired about the difference in cost-efficiency between the two tests, and whether other states could afford this. "Delhi can afford, in other states, who are struggling hard to even pay their employees, those who are unable to pay electricity charges , you want to put another burden on them? " The counsel answered that the costs would be substantially less. The CJI stressed the need for the petitioner to have conducted an audit of the expenditure in such tests. " You do your homework and find out in how many state hospitals it is available, is it available Pan India or in a few states? or there are some states where it is not available at all ...we don't know that, you will have to find out." The bench granted additional time to the petitioner to file an affidavit in regard to the above query. The matter will now be heard on March 13. Case Details : SARVESHAM MANGALAM FOUNDATION Vs UNION OF INDIA| W.P.(C) No. 184/2026
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Overview

Supreme Court pushes mandatory NAT testing in blood banks to boost transfusion safety

Key Facts

  1. The PIL (Sarvesham Mangalam Foundation vs Union of India, W.P.(C) No.184/2026) seeks compulsory NAT testing in all Indian blood banks.
  2. Nucleic Acid Test (NAT) detects HIV, Hepatitis B (HBV) and Hepatitis C (HCV) directly from blood, offering higher sensitivity than ELISA.
  3. As of early 2026, NAT is routinely used only in Delhi government hospitals; other states rely mainly on ELISA.
  4. The bench hearing the case comprises CJI Surya Kant and Justice Joymalya Bagchi; the next hearing is scheduled for 13 March 2026.
  5. The Supreme Court has asked the petitioner to submit an audit of current NAT availability and cost‑benefit analysis across states.

Background & Context

Ensuring safe blood transfusion is a public‑health priority under the Union's responsibility for health services. The debate pits advanced molecular diagnostics against fiscal constraints of state health systems, highlighting the interplay of judiciary, policy and federal finance.

UPSC Syllabus Connections

Prelims_GS•Biology and HealthGS2•Functions and responsibilities of Union and States

Mains Answer Angle

GS‑3 (Health) – Discuss the need for uniform, technologically advanced blood‑safety standards in India and the role of the judiciary in enforcing them.

Full Article

The Supreme Court is scheduled to consider in March the issue of whether all blood banks should mandatorily conduct Nucleic Acid Test (NAT) for the identification of diseases. The bench of CJI Surya Kant and Justice Joymalya Bagchi was hearing a PIL seeking directions for the implementation of mandatory NAT testing across all blood banks in the country. Notably, the Nucleic Acid Test (NAT) is a highly sensitive molecular technique that detects the genetic material (DNA or RNA) of viruses like HIV, Hepatitis B (HBV), and Hepatitis C (HCV) directly in the blood. The counsel explained that through NAT blood testing, a vast number of infections can be identified, as compared to the common method of ELISA testing (Enzyme-Linked Immunosorbent Assay). He added that NAT testing presently only being used in Delhi's government Hospitals. The CJI inquired about the difference in cost-efficiency between the two tests, and whether other states could afford this. "Delhi can afford, in other states, who are struggling hard to even pay their employees, those who are unable to pay electricity charges , you want to put another burden on them? " The counsel answered that the costs would be substantially less. The CJI stressed the need for the petitioner to have conducted an audit of the expenditure in such tests. " You do your homework and find out in how many state hospitals it is available, is it available Pan India or in a few states? or there are some states where it is not available at all ...we don't know that, you will have to find out." The bench granted additional time to the petitioner to file an affidavit in regard to the above query. The matter will now be heard on March 13. Case Details : SARVESHAM MANGALAM FOUNDATION Vs UNION OF INDIA| W.P.(C) No. 184/2026
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Analysis

Practice Questions

Prelims
Easy
Prelims MCQ

Molecular diagnostic technology in healthcare

1 marks
5 keywords
GS3
Medium
Mains Short Answer

Public health safety and disease detection

10 marks
5 keywords
GS3
Hard
Mains Essay

Regulatory framework for blood transfusion services

250 marks
6 keywords
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