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Last Update: 04:16 GMT, Wednesday, Nov. 25, 2009

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Question and Answer Details

Name of Questioner

mezzo

Title

Got Infected with AIDS in Blood Transfusion: Whose Responsibility?

Question

A family having a chronic disease was being treated in a hospital, where they were infected with AIDS through a contaminated blood transfusion. They filed a suit against the administration of the hospital because of its responsibility for importing the blood contaminated with AIDS, which caused the death of two members of the family.

The administration of the hospital defended itself saying that that accident took place in 1982, and at that time the AIDS virus had not been discovered yet and there were no blood tests through which AIDS could be discovered.

The question raised here is, according to Islamic jurisprudence, to what extent is the hospital required to pay damages to the family in light of the causative and direct factors in causing others harm? It should be taken into account that doctors are held responsible for doing something wrong when they commit mistakes with regard to the duties they are to fulfill. But in the case in question, the doctor who transmitted the blood to the family was not required to examine the blood before transfusing it; rather, he could be regarded as a machine for transfusing blood to patients.

If the hospital's importing of the contaminated blood is considered a causative factor in the death of the two members of the family, it should be borne in mind that according to Islamic jurisprudence, being a causative factor in killing someone committing a kind of aggression against him. Hence, can we consider the hospital's importing the contaminated blood a direct factor in infecting the family with AIDS, and that the doctor who carried out the blood transfusion for the family is not held responsible, for what he does in that regard is no more than what a machine would do?

Date

02/Aug/2003

Topic

Medicine

Answer

In the Name of Allah, Most Gracious, Most Merciful.

All praise and thanks are due to Allah, and peace and blessings be upon His Messenger.

Dear questioner! Thank you very much for your good question that reflects deep insight and true search for knowledge. May Allah increase you in knowledge and grant you success in this world and in the afterlife.

In the first place, it is well known that AIDS can be transmitted through transfusion of contaminated blood. Whether blood is imported or collected domestically, transfusing it without testing it for AIDS can infect many people.

One is held responsible for a wrong action when he has been a direct factor or a causative one or negligent in his action it. The punishment in each of these cases depends on to what extent the doer has been aware of the risk involved in committing such an action and his intention on doing it. Accordingly, the responsible for giving a patient AIDS-contaminated blood falls on the one who does so intentionally and on the one who neglects his duty to examine the blood before transfusing it.

Elaborating on this issue, the eminent Muslim scholar Sheikh Mustafa Az-Zarqa (may Allah have mercy upon him) said:

"Infecting a patient with AIDS during blood transfusion is a new kind of negligence that brings about harmful results; it is an untraditional question that has not been tackled by jurisprudents before. After considering and contemplating the question in hand, I reached some conclusions. Firstly, the doctor who has transmitted the blood is not to be held responsible for inflecting the patients with AIDS, for it is not he who imports the blood, nor is it his duty to examine the blood brought to the hospital to make sure if it contains diseases. According to the questioner, the doctor in this case is like a machine that transmits blood to patients.

Secondly, the administration of the hospital is a causative, not a direct, factor in such a case. It has not done so intentionally; it is negligent in not examining the blood that it imports to make sure it is uncontaminated before allowing doctors to transfuse it to patients. Negligence of such a kind is a causative, not a direct, factor in transferring the virus. If being a causative factor in causing someone harm is committing aggression against him, the hospital's transfusing contaminated blood to a patient who needs it is, no doubt, also a kind of committing aggression against him.

But it should be taken into consideration that the date of the accident of the case in hand is of a paramount importance. If it is verified that blood tests to detect AIDS were not yet known at the time when the operation performed on the family mentioned in the question (i.e., 1982, according to the hospital), the administration of the hospital is not to be considered negligent in that respect. The family's being infected with the virus then is to be considered Allah's decree and no human being is to be held responsible for it.

The point with regard to verifying whether blood tests to discover AIDS were in effect at the time the patients mentioned in the question received blood is to be referred to doctors experienced in that regard, that is, doctors who follow recent discoveries in the medical field. This is my point of view on that subject."

Almighty Allah knows best.

Allah Almighty knows best.

 

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