Chattisgarh sterilisation fiasco: Rusty instruments used

The women, among more than 80 to undergo surgery, fell ill at a so-called family planning camp at Bilaspur on Saturday. Such camps are held regularly in India as part of a long-running effort to control its booming population.

The cause of the deaths was not immediately clear, but officials said the victims showed signs of toxic shock, possibly because of dirty surgical equipment or contaminated medicines.

"Preliminary reports show that the medicines administered were spurious and also the equipment used was rusted," senior local government official Siddharth Komal Singh Pardeshi said.

The doctor, R.K Gupta, had been accused of operating on more than 80 women in just a few hours with the help of two assistants in an abandoned private hospital, officials said, contravening government guidelines to limit such operations to 30 a day.

The local government on Wednesday registered with the police a case of causing death by negligence against Gupta. Local media said Gupta blamed medicine the women had been later given and denied making any mistakes. He could not immediately be reached for comment.

A tubectomy procedure is considered major surgery but doctors often exceed daily limits. Before guidelines were set there were reports doctors carried out as many as 200 surgeries a day, said Suneeta Mittal, head of gynaecology at Fortis Memorial Research Institute near New Delhi.

All the women have been hospitalised for observation and 20 are in critical condition, with many not responding to treatment, doctors said.

India carries out more female sterilisations than any other country. Sterilisation is the most popular form of birth control and the government provides cash and other incentives to encourage men and women to undergo the operation.

Winter is known in some quarters as "sterilisation season" when the weather is cool, reducing the risk of infection, and state governments rush to meet targets.

A team of doctors had arrived in the district of Bilaspur from New Delhi to investigate what went wrong.Congress workers have called for a statewide strike.