-Caveat Lector-

Degenerative brain disease may have spread at hospital

NEW ORLEANS (October 27, 2000 3:09 p.m. EDT
http://www.nandotimes.com) - A patient who died after brain surgery had an
incurable disease that may have spread to as many as eight other patients
through tainted instruments, hospital officials said.

Tulane University Hospital and Clinic destroyed the instruments as soon as
officials realized the first patient had died from Creutzfeldt-Jakob disease,
said Dr. Alan Miller, a Tulane vice president.

The patient checked into the hospital in March and the disease was
diagnosed in an autopsy in May, The Wall Street Journal reported Friday.
The university said the other patients all had brain surgeries and the
surgical instruments were put through "normal" washing and sterilization
procedures.

Citing patient confidentiality requirements, Tulane did not release the
patients' names or the dates of the procedures. The eight living patients
are receiving counseling and related medical care, Miller said in a
statement.

University officials declined requests for interviews Friday.

The disease strikes about 6,000 people a year, leaving the brain with holes
and a spongelike consistency, resulting in progressive dementia and loss
of physical functions. Patients usually die within a year of the first
symptoms.

University officials did not say whether the original patient had the form of
Creutzfeldt-Jakob that may be related to a bovine brain disorder known as
"mad cow disease." Some authorities believe humans contract that form of
the disease by eating meat from infected cows.

It was not known how the original patient contracted the disease. The only
proven method of transmission between people is medical treatment with
tainted human matter or surgical instruments, according to the Creutzfeldt-
Jakob Disease Foundation.

The independent group that renewed the hospital's accreditation last month
for three years, will investigate, as will the federal agency that administers
Medicare and Medicaid.

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