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Tuesday, 14 November, 2000, 17:43 GMT
GP admits causing disease outbreak
Finchley Alternative Medical Centre
The outbreak occurred at Finchley Alternative Medical Centre
A GP has admitted that sub-standard hygiene at his acupuncture clinic was responsible for an outbreak of the liver infection hepatitis B.

Dr Madhusudhan Shivadikar, appearing before the General Medical Council (GMC) on a charge of serious professional misconduct, was previously struck off the medical register in the 1970s for performing illegal abortions.

He told the hearing that there was no "proper infection control" at his clinic, the Finchley Alternative Medical Centre in north London.

Used needles and other types of clinical waste were not properly disposed of, he admitted.

GMC counsel Lydia Barnfather said 30 patients were infected with the potentially deadly virus after being treated with an unproven procedure called autohaemotherapy.

This involves reinjecting people with their own blood in pressure points around the body after mixing it with a saline solution.

The hearing heard that among the patients who contracted hepatitis B were:

  • a 17-year-old girl who had made several trips from Newcastle to be treated for chronic knee pain
  • a pensioner who had been advised to seek alternative remedies after doctors could not find a cure for his swollen tongue and lips
Medically untrained

Ms Barnfather said Dr Shivadikar's medically untrained daughter Miriam performed autohaemotherapy on 80-90 people between July 1997 and February 1998.

Autohaemotherapy
The patients underwent autohaemotherapy
She said it was "extremely fortunate" that none of the doctor's victims had been infected with HIV.

Both the 70-year-old doctor and his daughter Miriam were also found to be infected with Hepatitis B.

When Barnet Health Authority launched an Incident Control Team to investigate the outbreak of Hepatitis B they discovered patients' records kept by Dr Shivadikar were blood-stained or incomplete. Other records were missing.

Ms Barnfather said blood-stained clinical waste from the clinic was left to be collected by dustmen.

The hearing also heard that in March 1978 Dr Shivadikar was sentenced to 18 months in prison at Leicester Crown Court after carrying out illegal abortions on two women.

One of the women, known only as Miss K, who paid 100 for the "operation", had to spend a number of days in hospital where she was "seriously unwell" from a septic abortion.

In 1979, Dr Shivadikar was struck off the medical register for his crime, but less than a year later, in March 1980, he was reinstated.

Dr Shivadikar admitted a number of medical blunders including failing to take appropriate measures to prevent himself, staff, patients and others from being exposed to the risk of serious communicable diseases.

He also accepted that he failed to keep adequate records of his patients and that he had misled the Incident Control Team set up by Barnet Health Authority by failing to disclose that his daughter performed skin breaching procedures and not keeping adequate records of his patients.

He denies that these mistakes amount to serious professional misconduct.

The hearing was adjourned until Wednesday.

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10 Jun 98 | Health
Private clinic in hepatitis scare
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