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National Medical Commission Advisory on LGBTQIA+

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October 21, 2021

Why in news?

The National Medical Commission (NMC) in its recent advisory has emphasised the need to avoid derogatory references to the LGBTQIA+ community in medical textbooks and teaching methods.

What are the instructions given?

LGBTQIA+ - Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual people

  • Medical institutions should not teach students in a way that is derogatory or insulting to the LGBTQIA+ people.
  • Authors of medical textbooks should amend all unscientific and discriminatory information about the community.
  • Medical universities, colleges, institutions should not approve books with such derogatory references.
  • Government and authorities are to strictly apply the guidelines.


What was the Madras HC role in this?

  • The NMC circular represents the fruition of efforts by Justice N. Anand Venkatesh, who framed guidelines in an order in June 2021, to protect the LGBTQIA+ community’s rights.
  • In the course of the hearing, Justice Venkatesh subjected himself to counselling to overcome his own mindset, limitations in understanding issues of gender non-conformity.


  • A writ petition was filed by a lesbian couple for protection against harassment.
  • The case went on to introspect the status of those who did not conform to gender identity assigned at birth or to hetero-normative sexual orientation.


  • The court’s attention was then drawn to psychiatry, forensic medicine and toxicology textbooks that had unscientific and derogatory remarks against LGBTQIA+ people.
  • E.g. curriculum of undergraduate forensic medicine described “sodomy”, “lesbianism” and “oral sex” as sexual offences, and “transvestism” (cross-dressing) as a “sexual perversion”.
  • Some books listed homosexuality as a disorder and even mentioned conversion therapy.
  • Conversion therapy is, notably, banned in several countries and was harshly criticised by the Madras high court.
  • The HC also observed that “queerphobia” was rampant in medical education.

“Queerphobia” refers to prejudicial and abusive attitudes and behaviour towards the community.

HC Directions

  • The NMC and the Indian Psychiatric Society should bring in necessary changes in the curriculum.
  • Police are advised not to harass sexual minorities.
  • Changes to the police conduct rules to provide for punishing erring police personnel in this regard.

What lies ahead?

  • The NMC advisory underscores the value of institutional awareness on issues concerning queer and transgender people.
  • However, in complex issues with that of LGBTQIA+ people, there is need for greater effort by the authorities at various levels.
  • Moreover, changes in law on same-sex relations must be along with an attitudinal change in society.


Source: The Hindu, Hindustan Times

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