Nurture Egg Donors CC v Minister of Health and Others (82891/15) [2016] ZAGPPHC 185 (8 April 2016)
The court finds that the National Health Act and its regulations prescribe only certain mandatory donor information for gamete banks and do not prohibit the provision or trade of additional, non-identifying donor information (soft type information) for profit. The applicant's request for legal certainty is...
Source-derived case information.
- Citation
- [2016] ZAGPPHC 185
- Parties
- Applicant: Nurture Egg Donors CC; Respondent: Minister of Health; Respondent: Director-General of the National Department of Health; Respondent: National Director of Public Prosecutions
- Court
- North Gauteng High Court, Pretoria
- Jurisdiction
- South Africa
- Case Number
- 82891/15
- Procedural Posture
- Declaratory Application / Interlocutory Order to Show Cause
- Outcome
- Interlocutory order granted; respondents are called upon to show cause why the declaratory order should not be granted.
- Judges
- SS Madiba
- Legal Topics
- National Health Act, Gamete Donation, Declaratory Relief, Regulatory Compliance
Source-derived case record
Summary, issues, holding and outcome
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Parties
Nurture Egg Donors CC
Applicant
Minister of Health
Respondent
Director-General of the National Department of Health
Respondent
National Director of Public Prosecutions
Respondent
Procedural Posture
Declaratory Application / Interlocutory Order to Show Cause
Legal Issues
- 1 Whether an egg bank may lawfully trade in additional donor information (soft type information) for profit in South Africa.
- 2 Whether the provision of additional information about gamete donors, beyond statutory requirements, is prohibited by law.
- 3 Whether the applicant, not being a medical practitioner, may operate an independent egg bank.
Ratio Decidendi
The court finds that the National Health Act and its regulations prescribe only certain mandatory donor information for gamete banks and do not prohibit the provision or trade of additional, non-identifying donor information (soft type information) for profit. The applicant's request for legal certainty is justified, as there is no statutory authority expressly permitting or prohibiting such trade. The respondents have not opposed the application or provided guidance. In the interests of justice, the respondents are called upon to show cause why the declaratory order sought by the applicant should not be granted.
Court Disposition
Interlocutory order granted; respondents are called upon to show cause why the declaratory order should not be granted.
Orders
- The respondents must show cause why the declaratory order should not be granted.
- The respondents must serve and file their papers within thirty (30) days from the date of this order.
Full Case Text
Judgment text and source record
92 paragraphs
REPUBLIC OF SOUTH AFRICA
IN THE HIGH COURT OF SOUTH AFRICA
(GAUTENG DIVISION, PRETORIA)
8/4/2016
CASE NO: 82891/15
(1) REPORTABLE: NO
(2) OF INTEREST TO OTHER JUDGES: NO
In the matter between:-
NURTURE EGG DONORS CC Applicant
and
MINISTER OF HEALTH 1st Respondent
DIRECTOR - GENERAL OF THE NATIONAL
DEPARTMENT OF HEALTH 2nd Respondent
NATIONAL DIRECTOR OF PUBL C PROSECUTIONS 3rd Respondent
JUDGMENT
MADIBA (A J)
INTRODUCTION
1.
This is an application in which the Applicant seeks a declaratory order that it is lawful to operate an egg bank business on a for-profit basis by trading in Additional information / so type information.
The 1st, 2nd and 3rd Respondents have not filed notices to oppose.
2.
BACKGROUND
The facts are briefly as follows:-
Ms Tertia Albertyn established the Applicant, Nurture Egg Donors CC, an online egg donation agency in 2008. She possesses an MBA degree and she is involved in the fertility industry and has written extensively on the topic of fertility.
The person or couples interested in Applicant's business, search on line for potential egg donors free of charge. Once they found a matching donor they pay a matching donor fee to the Applicant. The Applicant will then arrange and coordinate the donation on behalf of the clinic and the recipient.
3.
The Applicant intends to establish an egg bank which will be the first egg bank in South Africa that is independent from any fertility clinic. It will not be owned or be part of any existing clinic. As stated above, Ms Tertia Albertyn, owner of the Applicant is not a medical practitioner but possesses extensive knowledge in the field of fertility.
The intended egg bank which the Applicant wants to operate will recruit egg and sperm cells (collectively known as gametes) from donors, store and make available certain information about their donors on line and supply gametes to the interested parents on a fee.
4.
The egg bank that the Applicant intends operating, targets person or couple with fertility problems who needs services of fertility healthcare professionals to conceive.
Only private fertility clinics and some public hospitals offer the fertility health care service in South Africa.
Trading in gametes is not permitted in South Africa.
The donor profiles can be obtained on line free of charge. Any person or couple who wants to source more information about the donor other than the required information in such cases, has to pay for the required information.
5.
ISSUE TO BE DETERMINED
The issue in this matter is whether a gamete bank can provide more additional information than what is required about the gamete donor on a profit basis in South Africa.
6.
TH E CURRENT POSITION OF OUR LAW
In terms of Section 60 (1) (a) and (b) of the National Health Act no 61 of 2003 the gamete bank may receive payment for supplying gametes in order to retrieve reasonable costs incurred in the donation. It is an offence for a person who has donated gametes to receive any form of financial or other reward for such donation other than reasonable costs incurred.
7.
Section 60 (1) (a) of the National Health Act provides that only authorized institutions may receive payment for supplying gametes to intended person or couple. Any egg bank must be an authorized institution before it can operate its business. See Section 54 (1) of the National Health Act.
It is required by law that gamete donation should provide specific information / hard type information by the gamete donor. The specific information required include:-
The particulars and identification of the donor, informed consent from the donor relating to the physical examination, the age of the donor, eye colour, hair colour, family history population group, qualification and field of interest. See Regulation, in terms of the National Health Act specifically sub regulation 8 (2) b - c.
9.
The following are examples of additional information not regulated in terms of the Regulation:-
- Early childhood photos;
- Personal essays
- Handwriting samples
- Voice samples
The above information is classified as Additional information or soft type information.
Generally speaking, the additional information does not disclose the identity of the donor.
10.
Therefore the additional information or soft type information is not a legal requirement for the donor and is not provided for in regulation 4 of the Regulations and the National Health Act.
Consequently the Applicant seeks a declaratory order that free trade in additional information is lawful.
12.
In the circumstances the Applicant further submits that since additional information is not prohibited by any law, the egg bank can provide additional information as an extra option to the recipient on a profit basis.
13.
The 1st, 2nd and 3rd Respondents were approached and engaged by the Applicant seeking their confirmation that Applicant is entitled to trade in additional information for a profit. The Respondents in this matter did not corporate as seen from numerous letters addressed to them. (As per annextures "TA3" to "TA12 of the notice motion)
14.
The Southern African Society of Reproductive Medicine and Gynaecological Endoscopy (SAREG) which regulate the profession in the fertility industry was also contacted. (See annexture "TA11" of the notice of motion)
SASREG is of the view that authorized institutions applying to operate egg banks should be Reproductive medicine specialists and not people who do not have medical qualifications like Applicant.
It should be noted that SASREG's guidelines are not legally binding but influential in the fertility industry.
15.
For the Applicant to proceed with its intended egg bank, it needs legal certainty whether it will be entitled to operate an egg bank trading in additional information for profit.
16.
The test case is therefore whether the Applicant should proceed with its plans to establish an egg bank and operate it on a profit basis by trading in additional information.
17.
The declaratory order sought is informed by the fact that there is no authority in our law authorizing the gamete donor to trade in Additional Information soft type information.
The Applicant deems it necessary to first obtain legal certainty on the subject matter before proceeding with the establishment of an egg bank.
In a nutshell the Applicant's matter raises a res nova.
18.
Having considered the application and the declaratory order sought, I am of the view that it is in the interest of justice to call upon the Respondents to show cause why the declaratory order should not be granted.
Consequently the following order is made:-
19.
ORDER
a) The Respondents in this matter should show cause why the declaratory order should not be granted.
b) The Respondents should serve and file their papers within thirty (30) days from the date of this order.
c) The Sheriff of the Court Pretoria or his Deputy must serve this order personally on the 1st 2nd and 3rd Respondents.
d) No order as to costs is made.
______________________
SS MADIBA
ACTING JUDGE OF THE HIGH COURT
APPEARANCES:
HEARD ON THE: 26
NOVEMBER 2015
DATE OF JUDGMENT: 08
APRIL 2016
APPLICANT'S COUNSEL: ADV.
JORDAAN
APPLICANT'S ATTORNEY: C.R
BOTHA
1ST, 2ND & 3RD RESPONDENTS: NO APPEARANCES