BMC hospital TB doctors blame lack of rotation policy for their susceptibility to disease

MUMBAI: The BMC is working on a new proposal for the health of the staff at the Sewri TB facility. The development comes after a senior Sewri TB doctor contracted extremely drug resistant tuberculosis (XDR TB).

Many TB staffers are blaming the administration's failure to rotate them within the system for the susceptibility to the disease.

"An informal study among staffers has revealed that people who have been in the hospital for over 15 years are most susceptible to TB," said a senior doctor who did not want to be identified.

BMC health officials are now working on a workplace policy. "We will have a policy ready next week that will look at medication and nutrition of the staff as well as infection control measures in the hospital," said Dr Suhasini Nagda, director of medical education in civic hospitals.

In the last couple of years, the hospital has introduced a compulsory screening programme for its staff, which has revealed TB among 45 staffers.

The BMC's 1,000-bedded TB hospital in Sewri has in recent times been upgraded with extra beds and diagnostic equipment, but its staffers, including the clerical staff, have been protesting against the high rate of TB infection among staffers.

A senior doctor from the hospital said 60 staffers had TB in 2011. "So we have seen a reduction in total number of people suffering," he said.

A union member said the severity of cases had worsened in the interim, with half of the newly diagnosed 45 cases suffering from multi-drug resistant TB (MDR-TB). "The problem with Sewri hospital is that once you are transferred here, you can't leave," said the member.

This follows a BMC policy in 1995 to not transfer seniors out of a hospital. "The idea was to protect their seniority within an individual hospital," said Dr Umesh Haigal, chief superintendent of BMC's specialty hospitals.

Public health officials agree that duty in Sewri Hospital should be on rotation. "For a staffer, every successive infection in the lungs or throat worsens TB risk over a long period," said the doctor.

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