December 8, 2025
TAMIL NADU – In a disturbing revelation that highlights the persistent challenge of illegal prenatal sex determination in India, a special medical team has dismantled a mobile racket operating across multiple districts in Tamil Nadu. Three individuals, including a prime accused who allegedly learned to operate ultrasound equipment via YouTube tutorials, were arrested this week near Salem. The operation, executed by health officials from Krishnagiri and Salem districts, underscores the grave public health risks posed by unregulated medical procedures and the continued battle against female feticide.
The Decoy Operation
The arrests were the culmination of a meticulously planned undercover operation led by the Krishnagiri District Health Office. Acting on a tip-off about a clandestine network offering sex determination services—a practice strictly prohibited under the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act of 1994—officials deployed a decoy pregnant woman to infiltrate the ring.
According to Dr. G. Ramesh Kumar, the Krishnagiri District Health Officer who spearheaded the operation, the team trailed the suspects from Krishnagiri to Salem. “The miscreants asked us to reach Salem bus stand in the wee hours,” Dr. Kumar told reporters. The decoy, along with other pregnant women soliciting the service, was eventually taken to a secluded rented house in Belur, near Vazhapadi.
Authorities intercepted the gang in the early hours of Tuesday, catching the prime accused red-handed as he prepared to scan three pregnant women. The officials seized a portable ultrasound machine, which had been installed inside a car to facilitate a mobile operation that spanned Salem, Namakkal, Dharmapuri, Krishnagiri, Cuddalore, Kallakurichi, and Villupuram districts.
‘YouTube’ Training and High Stakes
Perhaps the most alarming aspect of the investigation is the background of the prime accused. Officials revealed that the individual, who has reportedly only completed Class 12 education, possessed no formal medical training. Investigations suggest he acquired the skills to operate the complex diagnostic machinery solely by watching YouTube videos.
The accused allegedly purchased an old, unregistered ultrasound machine from Mettupalayam and mounted it in a vehicle to evade detection. The gang relied on a network of local intermediaries to recruit pregnant women, charging exorbitant fees ranging up to Rs 30,000 (approximately $360) for disclosing the sex of the fetus.
Legal and Public Health Implications
The arrest brings into sharp focus the ongoing struggle to enforce the PCPNDT Act, a critical piece of legislation designed to arrest India’s declining child sex ratio. The Act mandates that prenatal diagnostic techniques can only be conducted by qualified professionals for specific medical indications, and explicitly bans sex determination to prevent sex-selective abortions.
“The existence of such rackets is not just a legal violation; it is a direct assault on public health and gender demographics,” explains Dr. Anita Rajan, a senior public health consultant and gynecologist based in Chennai who was not involved in the raid. “When unqualified individuals perform these scans in unsterile environments, they miss critical fetal anomalies and endanger the mother. Moreover, the primary intent of these scans is almost always to facilitate the abortion of female fetuses, contributing to the skewed sex ratio.”
Data from the National Family Health Survey (NFHS-5) indicates that while Tamil Nadu has a sex ratio that is generally healthier than the national average, specific pockets and communities remain vulnerable to son-preference, fueling the demand for illegal scans.
The Dangers of “Quack” Diagnostics
The medical community has expressed deep concern over the rise of technology-enabled quackery. Diagnostic ultrasonography is a specialized field requiring years of training to interpret images accurately.
“An ultrasound in the hands of an untrained person is dangerous,” notes Dr. Rajan. “Beyond the ethical crime of sex selection, there is the risk of misdiagnosis. A ‘quack’ might misinterpret a normal pregnancy as problematic or vice versa, leading to unnecessary interventions or causing patients to ignore genuine medical emergencies.”
Key Takeaways for the Public
-
Illegality: Seeking or providing information on the sex of a fetus is a non-bailable offense in India, punishable by imprisonment and heavy fines for both the provider and the seeker.
-
Safety: Medical procedures performed by unregistered individuals in non-clinical settings carry severe health risks, including infection and misdiagnosis.
-
Reporting: Citizens are encouraged to report suspected illegal sex determination centers to local health authorities or via state helplines.
Limitations and Ongoing Challenges
While this arrest marks a victory for enforcement agencies, experts warn that the mobility of modern technology makes policing difficult. Handheld ultrasound devices are becoming smaller and more affordable, allowing perpetrators to operate out of vehicles or private homes, constantly changing locations to stay ahead of the law.
Furthermore, the social pressure for male heirs remains a potent driver. Until the deep-rooted cultural preference for sons is addressed through continued social education and economic empowerment of women, the demand for such illegal services is likely to persist.
Medical Disclaimer
Medical Disclaimer: This article is for informational purposes only and should not be considered medical advice. Always consult with qualified healthcare professionals before making any health-related decisions or changes to your treatment plan. The information presented here is based on current research and expert opinions, which may evolve as new evidence emerges.
References
-
Primary Incident Report: Medical Dialogues. (2025, December 7). 3 arrested for running illegal sex determination racket in Tamil Nadu. https://medicaldialogues.in/news/health/hospital-diagnostics/3-arrested-for-running-illegal-sex-determination-racket-in-tamil-nadu-160140