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Old 03-29-2013, 11:57 PM
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OK Dentist Office a Menace to Public Health

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Dentist's office a, 'menace'; HIV tests urged for thousands

The Board of Dentistry accuses Dr. Scott Harrington of being a, "menace to public health," after his patients were exposed to rusty equipment and re-used needles and drug vials.

NBC's Gabe Gutierrez reports.

By Justin Juozapavicius, The Associated Press

The crisp, stucco exterior of an Oklahoma dental clinic concealed what health inspectors say they found inside: rusty instruments used on patients with infectious diseases and a pattern of unsanitary practices that put thousands of people at risk.

State and local health officials planned to mail notices Friday urging 7,000 patients of Dr. W. Scott Harrington to seek medical screenings for hepatitis B, hepatitis C and HIV. Inspectors allege workers at his two clinics used dirty equipment and risked cross-contamination to the point that the state Dentistry Board branded Harrington a, "menace to the public health."

"The office looked clean," said Joyce Baylor, who had a tooth pulled at Harrington's Tulsa office 1½ years ago. In an interview, Baylor, 69, said she'll be tested next week to determine whether she contracted any infection.

"I'm sure he's not suffering financially that he can't afford instruments," Baylor said of Harrington.

Health officials opened their investigation after a patient with no known risk factors originally tested positive for both hepatitis C and HIV, the virus that causes AIDS. Further testing determined that the, "index patient," was not actually positive for HIV, although was positive for Hep C, the Oklahoma Dept. of Health said Friday. Because Hep B, C and HIV are all bloodborne viruses, officials are still testing Harrington's patients for HIV, as well as Hep B and C.

The investigation began when it was learned the "index patient" had a dental procedure about the likely time of exposure. Investigators visited Harrington's office and found a number of unsafe practices, state epidemiologist Kristy Bailey said.

"I want to stress that this is not an outbreak. The investigation is still very much in its early stages," Bailey said.

Harrington voluntarily gave up his license, closed his offices in Tulsa and suburban Owasso, and is cooperating with investigators, said Kaitlin Snider, a spokeswoman for the Tulsa Health Department. He faces a hearing April 19, when his license could be permanently revoked.

"It's uncertain how long those practices have been in place," Snider said. "He's been practicing for 36 years."

The Centers for Disease Control and Prevention is consulting on the case, and agency spokeswoman Abbigail Tumpey said such situations involving dental clinics are rare. Last year a Colorado oral surgeon was accused of reusing needles and syringes, prompting letters to 8,000 patients, Tumpey said. It wasn't clear whether anyone was actually infected.

"We've only had a handful of dental facilities where we've had notifications in the last decade," Tumpey said.

The Oklahoma Dentistry Board lodged a 17-count complaint against Harrington, saying he was a, "menace to the public health by reasons of practicing dentistry in an unsafe or unsanitary manner." Among the claims was one detailing the use of rusty instruments in patients known to have infectious diseases.

"The CDC has determined that rusted instruments are porous and cannot be properly sterilized," the board said.

Health officials are sending letters to 7,000 known patients but cautioned that they don't know who visited his clinics before 2007. The letters urge the patients to be tested for hepatitis B, hepatitis C and HIV — viruses typically spread through intravenous drug use or unprotected sex, not occupational settings.

Harrington could not be reached for comment Thursday. A message at his Tulsa office said it was closed, and the doctor's answering service referred callers to the Tulsa Health Department. Phone numbers listed for Harrington were disconnected. A message left with Harrington's malpractice attorney in Tulsa, Jim Secrest II, was not immediately returned.

Harrington's Tulsa practice is in a thriving part of town, on a row of some of medical practices. The white-and-green stucco, two-story dental clinic has the doctor's name in letters on the facade.

According to the complaint, the clinic had varying cleaning procedures for its equipment, needles were re-inserted in drug vials after their initial use and the office had no written infection-protection procedure.

Harrington told officials he left questions about sterilization and drug procedures to his employees.

"They take care of that, I don't," the dentistry board quoted him as saying.

The doctor also is accused of letting his assistants perform tasks only a licensed dentist should have done, including administering IV sedation. Also, the complaint says the doctor's staff could not produce permits for the assistants when asked.

Susan Rogers, executive director of the State Dentistry Board, said that as an oral surgeon Harrington regularly did invasive procedures involving, "pulling teeth, open wounds, open blood vessels." The board's complaint also noted Harrington and his staff told investigators a, "high population of known infectious disease carrier patients," received dental care from him.

Despite the high-risk clientele, a device used to sterilize instruments wasn't being properly used and hadn't been tested in six years, the board complaint said. Tests are required monthly.

Also, a drug vial found at a clinic this year had an expiration date of 1993 and one assistant's drug log said morphine had been used in the clinic last year despite its not receiving any morphine shipments since 2009.

Officials said patients will be offered free medical testing at the Tulsa Health Department's North Regional Health and Wellness Center.

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Old 03-30-2013, 12:03 PM
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Re: OK Dentist Office a Menace to Public Health

they should check all dentist offices for lack of hygiene etc.

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Old 03-30-2013, 03:38 PM
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Re: OK Dentist Office a Menace to Public Health

Yuck. When you make as much as you do and charge as much as you do as a dentist.... thats just gross.

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Old 03-31-2013, 01:53 AM
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Re: OK Dentist Office a Menace to Public Health

My current dentist always uses fresh, disposable tips for all of his instruments.

I like the sound of the plastic wrap so I know they're fresh

The one before him was the brother-in-law of a friend and he kept instruments for each patient in their files. I think I paid $25 because I got a discount anyway.

Now I'm concerned about the old silver fillings, which contain mercury vapors!

Damned Dr. Oz! I don't watch him, but, I didn't change the channel in time the other day and caught part of that debate.

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Old 03-31-2013, 11:22 AM
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Re: OK Dentist Office a Menace to Public Health

Ehh your fillig god knows what else. What doesnt give you cancer?

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Old 04-19-2013, 10:59 PM
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**UPDATE**

By NBC News

Dozens of patients of an Oklahoma dental clinic shuttered for unsanitary conditions have tested positive for hepatitis, Tulsa health officials said Thursday. The clinic of oral surgeon W. Scott Harrington was shut down in March after an investigation.

So far, 57 current and former patients who may have been treated with dirty equipment have tested positive for hepatitis C and three tested positive for hepatitis B, the Tulsa Health Department said in a statement.

“We understand these first reported test results may be of concern,” said THD Director Dr. Bruce Dart. “Thorough investigations are routinely conducted upon notification of a positive report for these infections. This response will be handled in the same manner, as disease investigation is a core public health service and staff are well trained to conduct this type of response.”

Positive results for HIV have also been reported, but Oklahoma law prohibits public reporting of cases fewer than three.

On March 28, investigators from the Oklahoma State Department of Health and Tulsa Health Department urged as many as 7,000 patients of the Tulsa dental clinic to be screened for hepatitis B, hepatitis C and HIV, after a patient of Harrington's had tested positive for hepatitis C.

The patient had no other risk factors for the infectious disease. Inspectors for the Oklahoma Dentistry Board called Harrington, "a menace to the public health,

Dozens of patients of Oklahoma dentist test positive for hepatitis, sterilization procedures, the Associated Press reported.

Current and former patients who tested positive are being personally contacted and counseled, state health officials said. Patients with negative results will receive letters in the mail.

It's possible at least some of the positive infections are not related to exposure to procedures at the dental practice, health officials said.

“This is a complex investigation,” State Epidemiologist Dr. Kristy Bradley said in a statement. “The next phase will include more in-depth interviews of persons who test positive to determine the likelihood that their exposure is associated with their dental surgical procedure at the Harrington practice. We will certainly continue to keep the public informed as we learn more.”

According to the statement, an estimated 4,944 persons are living with HIV/AIDS in Oklahoma and as many as 68,000 Oklahomans may be infected with hepatitis C.

So far, the state lab has screened 3,235 current and former patients for the bloodborne viruses. It's unknown how many patients have been tested through private doctors.

Harrington voluntarily gave up his license and is reportedly cooperating with the investigation.

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Old 04-29-2013, 06:12 PM
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Re: OK Dentist Office a Menace to Public Health

Yeah. I live here. And this is so jacked. We get nightly news updates of yet more patients testing positive as results come in. Stay tuned but, there could possibly be a public lynching.

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Old 04-29-2013, 08:15 PM
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Re: OK Dentist Office a Menace to Public Health

It's inexcusable!

Hang him upside down in public and let the patients each pull out a tooth or two, then let him bleed out.

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