Decade after hepatitis outbreak, medical registry might end

Apr 8, 2022, 5:05 PM | Updated: Apr 9, 2022, 7:56 am
This Monday, Aug. 6, 2012 file photo shows the Exeter Hospital in Exeter, N.H. David Kwiatkowski, a...

This Monday, Aug. 6, 2012 file photo shows the Exeter Hospital in Exeter, N.H. David Kwiatkowski, a former traveling medical technician and former worker at the New Hampshire hospital, is currently serving a 39 year sentence in prison for stealing painkillers and replacing them with saline-filled syringes tainted with his hepatitis C positive blood, infecting more than 40 patients with hepatitis C across four states. New Hampshire legislators responded to the 2013 case by creating a licensing board to register, investigate and discipline medical technicians. In 2022, the N.H. House has passed legislation eliminating the board and the registration requirements. (AP Photo/Jim Cole, File)

(AP Photo/Jim Cole, File)

              This undated file photo provided by the U.S. Attorney's Office in New Hampshire shows David Kwiatkowski, a former traveling medical technician and Exeter, N.H. hospital worker. Kwiatkowski, who is serving a 39 year prison sentence for stealing painkillers and replacing them with saline-filled syringes tainted with his hepatitis C positive blood, infected more than 40 patients with hepatitis C across four states. New Hampshire legislators responded to the 2013 case by creating a licensing board to register, investigate and discipline medical technicians. In 2022, the N.H. House has passed legislation eliminating the board and the registration requirements. (AP Photo/U.S. Attorney's Office, File)
            
              This Monday, Aug. 6, 2012 file photo shows the Exeter Hospital in Exeter, N.H. David Kwiatkowski, a former traveling medical technician and former worker at the New Hampshire hospital, is currently serving a 39 year sentence in prison for stealing painkillers and replacing them with saline-filled syringes tainted with his hepatitis C positive blood, infecting more than 40 patients with hepatitis C across four states. New Hampshire legislators responded to the 2013 case by creating a licensing board to register, investigate and discipline medical technicians. In 2022, the N.H. House has passed legislation eliminating the board and the registration requirements. (AP Photo/Jim Cole, File)

CONCORD, N.H. (AP) — 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.”

Copyright © The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

AP

File - People shop at an Apple store in the Westfield Garden State Plaza mall in Paramus, New Jerse...
Associated Press

A key inflation gauge tracked by the Fed slowed in February

The Federal Reserve's favored inflation gauge slowed sharply last month, an encouraging sign in the Fed's yearlong effort to cool price pressures through steadily higher interest rates.
1 day ago
FILE - The OpenAI logo is seen on a mobile phone in front of a computer screen displaying output fr...
Associated Press

Musk, scientists call for halt to AI race sparked by ChatGPT

Are tech companies moving too fast in rolling out powerful artificial intelligence technology that could one day outsmart humans?
2 days ago
starbucks...
Associated Press

Starbucks leader grilled by Senate over anti-union actions

Longtime Starbucks CEO Howard Schultz faced sharp questioning Wednesday before the Senate Health, Education, Labor and Pensions Committee
3 days ago
FILE - The overdose-reversal drug Narcan is displayed during training for employees of the Public H...
Associated Press

FDA approves over-the-counter Narcan; here’s what it means

The U.S. Food and Drug Administration on Wednesday approved selling naloxone without a prescription, the first over-the-counter opioid treatment.
3 days ago
FILE - A Seattle police officer walks past tents used by people experiencing homelessness, March 11...
Associated Press

Seattle, feds seek to end most oversight of city’s police

  SEATTLE (AP) — The U.S. Justice Department and Seattle officials asked a judge Tuesday to end most federal oversight of the city’s police department, saying its sustained, decade-long reform efforts are a model for other cities whose law enforcement agencies face federal civil rights investigations. Seattle has overhauled virtually all aspects of its police […]
4 days ago
capital gains tax budgets...
Associated Press

Washington moves to end child sex abuse lawsuit time limits

People who were sexually abused as children in Washington state may soon be able to bring lawsuits against the state, schools or other institutions for failing to stop the abuse, no matter when it happened.
4 days ago

Sponsored Articles

Compassion International...

Brock Huard and Friends Rally Around The Fight for First Campaign

Professional athletes are teaming up to prevent infant mortality and empower women at risk in communities facing severe poverty.
Emergency Preparedness...

Prepare for the next disaster at the Emergency Preparedness Conference

Being prepared before the next emergency arrives is key to preserving businesses and organizations of many kinds.
SHIBA volunteer...

Volunteer to help people understand their Medicare options!

If you’re retired or getting ready to retire and looking for new ways to stay active, becoming a SHIBA volunteer could be for you!
safety from crime...

As crime increases, our safety measures must too

It's easy to be accused of fearmongering regarding crime, but Seattle residents might have good reason to be concerned for their safety.
Comcast Ready for Business Fund...
Ilona Lohrey | President and CEO, GSBA

GSBA is closing the disparity gap with Ready for Business Fund

GSBA, Comcast, and other partners are working to address disparities in access to financial resources with the Ready for Business fund.
SHIBA WA...

Medicare open enrollment is here and SHIBA can help!

The SHIBA program – part of the Office of the Insurance Commissioner – is ready to help with your Medicare open enrollment decisions.
Decade after hepatitis outbreak, medical registry might end