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Copyright 2000 The Chronicle Publishing Co.  
The San Francisco Chronicle

NOVEMBER 30, 2000, THURSDAY, FINAL EDITION

SECTION: NEWS; Pg. A16

LENGTH: 787 words

HEADLINE: FDA Urged to Ban Unsafe Needles Now;

Union says new law will take too long to stop 'epidemic' of infections

SOURCE: Chronicle Staff Writer

BYLINE: William Carlsen

BODY:
Stepping up its campaign against dangerous needle injuries, the nation's largest health care workers union called on the Food and Drug Administration yesterday to immediately ban blood-drawing devices that lack safety mechanisms.

The Service Employees International Union, joined by Ralph Nader's Public Citizen advocacy group, petitioned the FDA to remove from the market the "most dangerous" type of needles -- blood collection sets, infusion needles and intravenous catheters.

"The people who work day and night to provide quality health care for all of us shouldn't have to worry that a preventable needle stick will become a death sentence," SEIU president Andrew Stern said.

As many as 600,000 medical and public safety workers sustain accidental needle injuries every year, and thousands have contracted hepatitis, AIDS and other diseases from contaminated needles. Over the last decade, syringes and blood-collection devices have been designed with retractable needles, self-blunting tips and other safety features that prevent accidental injuries. Yesterday's petition comes only four weeks after President Clinton signed a law that will gradually force most health care facilities across the country to switch to the safer needles.

But SEIU claimed yesterday that the process outlined in the federal legislation is too slow because it allows for a lengthy evaluation of the safety needles by hospitals after the new law goes into effect next summer.

It will also require, the union said, "workplace-by-workplace" enforcement by inspectors from the understaffed Occupation of Safety and Health Administration.

"Cutting off an epidemic of needle-borne infections at the source is the only effective public health strategy," said Dr. Peter Lurie, deputy director of Public Citizen's Health Research Group. "The FDA is the only entity that can immediately remove these unsafe devices."

The union said the petition mainly targets blood-drawing needles, glass capillary tubes and intravenous catheters because they have proved to be the most dangerous devices.

A spokesperson for the FDA said yesterday that the federal agency had just received the petition and plans to review it carefully, but at this time has no comment.

Stern noted that his union had petitioned the FDA to ban unsafe needles nearly 10 years ago.

"We were told then to wait, to allow for development of safer technology," he said. "In the past 10 years, hundreds of safety devices have been created but thousands of health care workers have been infected as a result of needle sticks."

"It is now time for the FDA to act."

In 1998, The Chronicle published a series of stories reporting on the needle stick epidemic and the government's lack of regulatory action to address the problem.

The series reported that FDA officials held a closed-door meeting with executives of Becton Dickinson, the nation's largest needle manufacturer, during which the company lobbied against such a ban, saying that market forces would solve the problem.

In 1998, California became the first state to pass a needle safety law, which became a model for the federal bill signed Nov. 6 by Clinton.

The federal bill requires most of the nation's health care facilities to evaluate safe needle technology and then shift from conventional devices to the safety needles. It made OSHA responsible for enforcing the new regulation.

Yesterday, Camilla Jenkins, spokesperson for Becton Dickinson, praised the legislation, which the company had strongly supported.

"OSHA is the federal agency with responsibility for worker safety in this country," she said. "We expect the market to move quickly to provide (safety needles) now that there is a new federal law."

She declined to comment on yesterday's FDA petition because the company has not yet reviewed it.

But Jenkins said that Becton Dickinson is supplying safety needles throughout the country, especially in California.

"Becton Dickinson has ample capacity to supply the market and meet the demand," she said.

Noreen Prill, a former nurse, was present at the press conference yesterday when the FDA petition was announced. She contracted hepatitis C 25 years ago when a kidney dialysis patient moved unexpectedly and she jabbed herself accidentally with a blood-drawing needle.

"I've had to leave nursing," said the 53-year-old Prill, describing how the disease and interferon treatments have robbed her of the energy to continue working.

"The needle device that injured me is still on the market 25 years later," she said. "It's not right, and it's not necessary. This petition is great because it can stop that."E-mail William Carlsen at wcarlsen@sfchronicle.com.

LOAD-DATE: March 20, 2001




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