Decade after hepatitis outbreak, medical registry might end - Albuquerque Journal

Decade after hepatitis outbreak, medical registry might end

CONCORD, N.H. — The medical technician who drew blood from New Hampshire Rep. Peter Schmidt after he broke his leg in February was registered with the state, thanks to a 2014 law enacted after a traveling medical technician infected dozens of people with hepatitis C.

But by the time Schmidt was back on his feet, colleagues had hijacked his bill aimed at improving the registry. House lawmakers passed a bill last month eliminating the registration requirement altogether, and Schmidt is now urging senators to reject it.

“Please do not pass this, this is a terrible idea,” Schmidt said. “I think we need to continue to register these medical technicians, otherwise we are opening ourselves up to a potential repeat of the Exeter experience.”

New Hampshire created the Board of Registration for Medical Technicians in response to David Kwiatkowski, who is serving 39 years in prison for stealing painkillers and replacing them with saline-filled syringes tainted with his blood.

At the time, officials hoped the board would become a model for other states, but that hasn’t happened. And those who want to ditch it say it creates unnecessary bureaucracy at a time when health care facilities are struggling to hire workers.

“The actions of one bad actor, however heinous, are not reason to require thousands of technicians to register and pay fees,” said Rep. Carol McGuire, R-Epsom, when the House passed the bill last month.

But Linda Ficken, a Kansas woman who contracted hepatitis C from Kwiatkowski in 2011, said she believes any medical worker with access to drugs should be registered and should undergo frequent drug testing.

“Every time I go into the hospital, I can’t help but wonder, is this a repeat?” she said. “Cured or not, the thoughts and anxiety are still there.”

Despite being fired numerous times over drug allegations, Kwiatkowski had worked in 18 hospitals in seven states before being hired in at Exeter Hospital in New Hampshire. After his arrest in 2012, 46 people in four states were diagnosed with the same strain of the hepatitis C virus he carries, including one who died in Kansas.

In all, 32 patients were infected in New Hampshire, seven in Maryland, six in Kansas and one in Pennsylvania. Kwiatkowski also worked in Michigan, New York, Arizona and Georgia.

The case highlighted the fact that medical technicians aren’t as closely regulated as nurses or doctors, whose misconduct and discipline are tracked via a nationwide database. While some states require certain technicians to be licensed, four of the states where he worked didn’t license any of them at the time of his arrest, including New Hampshire.

The registry New Hampshire eventually created applies to all health care workers who are not otherwise already licensed or registered and have access to both patients and drugs. Hospitals are required to report disciplinary actions to the board, which also investigates complaints and takes disciplinary action.

The board has struggled to maintain a quorum, however, and hasn’t met in more than a year, said Lindsey Courtney, director of the Office of Professional Licensure and Certification.

“We’re greatly concerned the state is not meeting its obligation to protect the public,” she said at a public hearing.

Courtney, who isn’t taking a position on eliminating the board, supported Schmidt’s original proposal to convert it to an advisory panel that would make recommendations to her office. There are currently 1,691 registered technicians, and although complaints are rare, the board has taken action in a handful of cases each year.

Schmidt said his goal was to shift some of the administrative burden from the board to the larger agency. He hopes the Senate will either kill the amended bill or return to his original idea.

While hospitals are on the front lines of preventing and responding to drug diversion, partnering with public health, licensing and law enforcement agencies is essential, said Dr. Matthew Crist, a medical officer with the Centers for Disease Control and Prevention.

He said the CDC isn’t aware of outbreaks in recent years related to drug diversion and is cautiously optimistic given that health care facilities have improved security around controlled drugs, and many state licensing agencies have taken steps to improve communication across state lines.

In the decade before Kwiatkowski’s arrests, similar hepatitis C outbreaks had been traced to other hospital technicians in Texas, Colorado and Florida, and CDC officials said at the time that the Kwiatkowski case highlighted a problem that was a growing concern across the public health system.

Even though other states didn’t follow New Hampshire’s lead, the registry likely has deterred people like Kwiatkowski from coming to the state in the first place, said state Sen. Tom Sherman, D-Rye, who led the bipartisan effort to create the board.

Sherman, a gastroenterologist who is running for governor, played a key role in discovering Kwiatkowski’s misconduct when he and his colleagues noticed a cluster of hepatitis C cases among their patients and realized they all had been treated in Exeter Hospital’s cardiac catherization lab. He’s now urging his fellow senators to consider “the price of doing an experiment to see what happens if we get rid of the board.”

“People died because of that outbreak,” he said. “This was a very carefully thought-out solution that has worked. To take it away now means we just don’t learn from history.”

Home » News » Nation » Decade after hepatitis outbreak, medical registry might end

Insert Question Legislature form in Legis only stories




Albuquerque Journal and its reporters are committed to telling the stories of our community.

• Do you have a question you want someone to try to answer for you? Do you have a bright spot you want to share?
   We want to hear from you. Please email yourstory@abqjournal.com

taboola desktop

ABQjournal can get you answers in all pages

 

Questions about the Legislature?
Albuquerque Journal can get you answers
Email addresses are used solely for verification and to speed the verification process for repeat questioners.
1
NM education chief retires as Cabinet turnover continues
ABQnews Seeker
Kurt Steinhaus — New Mexico's third ... Kurt Steinhaus — New Mexico's third public education secretary in four years — announced his retirement Saturday, accelerating an unusual burst of turnover during ...
2
2 teens shot, 1 killed, in Southwest Albuquerque shooting
ABQnews Seeker
Authorities are investigating a shooting that ... Authorities are investigating a shooting that left one teen dead and one in critical condition late Friday night in Southwest Albuquerque. Bernalillo County Sheriff's ...
3
Wrong-way driver killed in crash on West Side
ABQnews Seeker
A wrong-way driver was killed after ... A wrong-way driver was killed after crashing his car into a truck Saturday morning on the West Side. Albuquerque police spokesman Gilbert Gallegos said ...
4
David Scrase to step down as Human Services Department ...
ABQnews Seeker
Physician emerged as the face of ... Physician emerged as the face of NM's response to the COVID-19 pandemic
5
There’s almost unlimited clean, geothermal energy under our feet. ...
ABQnews Seeker
Modern drilling capabilities developed by the ... Modern drilling capabilities developed by the oil and gas industry are opening the gateway to deep underground geothermal energy.
6
‘La Cartonería Mexicana’ celebrates more than 100 colorful pâpier ...
Arts
Santa Fe's Museum of International Folk ... Santa Fe's Museum of International Folk Art is showing ‘La Cartonería Mexicana’ through Nov. 3, 2024
7
NM lawmakers scrutinize pretrial release system
ABQnews Seeker
Sides clash over Arnold Tool, used ... Sides clash over Arnold Tool, used to assess defendants' flight risk
8
NM House Republicans oust Jason Harper as whip in ...
ABQnews Seeker
Roswell's Greg Nibert selected as replacement Roswell's Greg Nibert selected as replacement
9
Happy Birthday Bob's Burgers! Albuquerque institution celebrates 60 years ...
ABQnews Seeker
It's been family first, business second, ... It's been family first, business second, say restaurant's owners
10
Bernalillo County commissioners make Atrisco Vista a priority
ABQnews Seeker
Commissioners also vote to rescind a ... Commissioners also vote to rescind a 2020 resolution identifying Paseo del Volcan as a priority