VA secretary: St. Louis center’s sterilization problem during dental procedures ‘unacceptable’

VA secretary: St. Louis mistakes ‘unacceptable’

ST. LOUIS — The Veterans Administration says the chief of dental services at a St. Louis VA Medical Center has been placed on administrative after the hospital urged nearly 2,000 veterans to return for tests because inadequately sterilized equipment may have exposed them to viral infections during dental procedures.

The administration also says an independent board will investigate how employees failed to properly sterilize the dental equipment that potentially exposed veterans to infections including hepatitis and HIV.

The VA sent letters out Monday to 1,812 veterans who had dental procedures at the St. Louis center, saying reviews determined that some sterilization steps in preparing dental instruments were not in compliance. Officials say no illnesses have been uncovered so far.

THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP’s earlier story is below.

ST. LOUIS (AP) — Several members of Congress have demanded that a St. Louis VA Medical Center be investigated after it urged nearly 2,000 veterans to return for blood tests because inadequately sterilized equipment may have exposed them to viral infections during dental procedures.

The Department of Veterans Affairs sent out letters Monday to 1,812 people who had dental procedures at the John Cochran VA facility from Feb. 1, 2009, through March 11 of this year. The VA said quality reviews determined that some sterilization steps involved in preparing dental instruments were not in compliance with standards, creating a low risk of infection of infections such as hepatitis C and HIV.

VA Medical Center spokeswoman Marcena Gunter said Wednesday that about 100 veterans had returned to the facility for testing, and that hundreds of others have contacted VA to make arrangements. She was not aware of any infections uncovered.

Blood testing will screen for hepatitis B, hepatitis C, and HIV, the virus that causes AIDS.

“Though we believe the health risk is extremely low, it was not possible to rule out the possibility that one or more patients were exposed to an infection,” a statement from the VA read. The agency said patients who have had dental procedures since March 11 are not at risk because procedures were corrected.

Gunter said there was a delay in notifying the veterans of the possibility of exposure because officials were evaluating the risk.

Both U.S. senators from Missouri and several in Congress came down hard on the hospital and sent letters to VA Secretary Eric Shinseki demanding a formal investigation.

“This is absolutely unacceptable,” Democrat Russ Carnahan said in a statement Wednesday. “No veteran who has served and risked their life for this great nation should have to worry about their personal safety when receiving much needed health care services from a Veterans Administration hospital.”

Republican Todd Akin said those at fault should be “disciplined or dismissed.”

“I cannot believe that the Veterans Administration has failed our St. Louis veterans in such a dramatic and disturbing manner,” he said in a statement.

The VA said in a statement that it has implemented safeguards to prevent any future occurrences.

“While VA believes there is minimal risk — any risk at all is unacceptable,” the statement read. “Any error in judgment or procedure will not be tolerated as the safety of our veterans is essential to our mission.”

Barry Searle, director of the Veterans Affairs and Rehabilitation Division for the American Legion, testified before Congress in May about quality concerns at VA medical facilities. He said in a phone interview that the VA health care system is strong overall, but that frequent turnover caused problems like the one that happened in St. Louis.

“It occurs across the board,” Searle said. “They are hiring a lot of people very quickly. With new people, you have mistakes and training issues.”

VA centers around the country have had problems. In 2007, Walter Reed Army Medical Center in Washington came under scrutiny over concerns about conditions at the hospital and treatment of veterans. At the time, St. Louis VA officials said they were working to fix similar problems.