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Gotbaum: Department of Health Puts X-Ray Patients at Risk of Missed Diagnosis, Workers at Risk of Radiation

Public Advocate Betsy Gotbaum today released results of a survey showing that 20 percent of x-ray machines at private health clinics are not inspected by the Department of Health and Mental Hygiene (DOHMH) as often as they should be, putting patients’ and x-ray technicians’ health at risk.

“Peoples lives are being risked because the Department of Health isn’t getting out to inspect these machines. We know what happens when x-ray technology breaks down,” said Gotbaum.

X-ray equipment that breaks down can either provide false and unreliable results or can emit an excess of radiation, which can increase a person's life-time risk of cancer. “By not inspecting one-in-five machines on time, DOH is playing Russian Roulette with people’s lives,” continued Gotbaum.

State law requires that x-ray equipment be registered and inspected regularly. State Sanitary and City Health Codes call for annual inspections of x-ray equipment based on health risks, but have allowed for local health agencies to set a different inspection schedule. In New York City, DOHMH is charged with inspecting all machines in hospitals and radiology offices once every two years.

Gotbaum’s staff surveyed 47 of the 250 independent and hospital-based radiology facilities throughout the city. The facilities surveyed mirror the distribution of radiology practices across the boroughs. Facilities in the Bronx and in Queens were least likely to be inspected. In all 9 of the 47 surveyed sites missed their last inspection.

Past reports have indicated similar problems with past-due DOHMH inspections. A 1992 report by the then City Comptroller Elizabeth Holtzman found that almost 40 percent of facilities with x-ray equipment had not been inspected after one year, as was then required by both state and city agencies. A 2001 report by then-State Comptroller Carl McCall, conducted after DOHMH set inspection for every two years, found that 14 percent of facilities requiring inspection every two years were overdue. “DOH has had two warnings. Hopefully the third time’s the charm. We can’t afford another Jacobi Hospital-like disaster. In this case thousands of New Yorkers could be misdiagnosed and hundreds of workers can be exposed hazardous levels of radiation. It’s time for DOH to do more than push off deadlines for inspections. People’s lives are at risk,” concluded Gotbaum.

Gotbaum recommends that:
? DOHMH review registration records and immediately inspect all x-ray equipment that has not been inspected in over 2 years
? DOHMH inspect 100 percent of all equipment when it is first put into use and every two years from then on
? DOHMH make information available to the public so that consumers can verify the last date of inspection
? The New York State Department of Health conduct a biennial audit of DOHMH’s radiation protection activities

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