US officials said on Thursday that 40,000 people may have been exposed to HIV and hepatitis after a Las Vegas clinic was found to have re-used syringes and medicine vials.
Authorities in southern Nevada said they were notifying some 40,000 patients who received anesthesia injections at the clinic's endoscopy center between March 2004 and Jan. 11 this year about potential exposure to hepatitis and HIV.
They recommended in a statement that the patients "contact their primary care physicians or health care providers to get tested for hepatitis C as well as hepatitis B and HIV."
The move comes after several acute cases of hepatitis C showed up in the area. Six people have been diagnosed with the disease since January, which is three times higher than the yearly average for the Las Vegas region.
The first three cases came to light in January and three other patients were subsequently found to have been infected with hepatitis C.
Five of the infected people all received anesthesia injections on the same day at the Endoscopy Center of Southern Nevada in Las Vegas.
No cases of HIV or hepatitis B infections related to the clinic's practices have been detected yet, authorities said.
After an investigation, "the health district determined that unsafe injection practices related to the administration of anesthesia medication might have exposed patients to the blood of other patients," it said.
"The joint investigation identified the reuse of syringes and the use of single dose vials of anesthesia medication on multiple patients as the potential sources of contamination," it said.
Action has since been taken by the clinic to put an end to such practices.
"It appears the injection practices that can lead to the transmission of hepatitis C and other blood-borne infections have been occurring at this clinic for several years," chief health officer Lawrence Sands said.
"We are recommending all patients during this time frame get tested because we cannot determine which patients may have been exposed," he said.
Hepatitis C can result in severe liver damage, but the symptoms may not show up for several years, so even if patients are feeling well they should be tested, he said.
The health authorities said however that the risk to the general population was low as hepatitis cannot be spread by casual contact.
The clinic said in a statement it had taken corrective measures.
"On behalf of the Endoscopy Center of Southern Nevada, we want to express our deep concern about this incident to the many patients who have put their trust in us over the years," the statement read.
"As always, our patients remain our primary responsibility and we have already corrected the situation," officials at the facility said. "We have already taken steps to ensure that it will never happen again ... We want to be sure that every patient who may have been exposed is informed and tested."
The Endoscopy Center of Southern Nevada said it was working with "nationally renowned experts who have extensive epidemiological experience" on how best to proceed, as it tried to tamp down public fears.
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