Tejal Somvanshi
In a concerning development, NSW Health has issued an alert after discovering that a healthcare worker at Nepean Hospital’s Birth Unit was infectious with hepatitis B between 2013 and 2024. This 11-year exposure period has potentially affected 223 women and 143 children who received specific medical procedures at the facility.
NSW Health has classified the risk of transmission as low but is taking proactive measures to address the situation. The health authority has apologized to those affected and is offering free testing and assessments.
Who Is Affected?
Women who underwent specific procedures performed by the infected healthcare worker are considered at risk. These procedures include:
- Episiotomies (a surgical cut made during childbirth)
- Repairs for vaginal or perineal tears
- Application of fetal scalp electrodes
Patients who received these procedures from the infected worker will be contacted directly by the Nepean Blue Mountains Local Health District.
Response and Support
“Nepean Blue Mountains Local Health District understands hearing this may cause concern within our community and to those directly impacted, for this we extend our sincerest apologies,” NSW Health said in a statement.
NSW Health Minister Ryan Park also offered an apology, stating: “We understand people are concerned. I would be, if it was my wife or my child. That is why we want to move as quickly and effectively as we can.”
A dedicated support line (1800 716 662) has been established for affected individuals seeking information and guidance. The health authority emphasized that they have worked with the healthcare worker to eliminate any further risk of transmission.
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Understanding Hepatitis B
Hepatitis B is a liver disease caused by the hepatitis B virus. It can be transmitted through blood-to-blood contact, during birth, or during sexual activity.
A blood test can determine if a person is currently infected or has had hepatitis B in the past and is no longer infectious. The best protection against hepatitis B is vaccination, which is part of Australia’s routine immunization schedule.
Modern treatments are available to prevent long-term complications for those who test positive, and precautions can be taken to prevent spreading the infection to others.
Future Safeguards
While this incident raises concerns about infection control in healthcare settings, NSW Health has assured the public that Nepean Hospital continues to provide high-quality care in safe birthing environments.
Health officials recommend that women who are unsure whether they may be at risk call the dedicated support line for expert information and advice.
Frequently Asked Questions
How do I know if I’m affected by this hepatitis B exposure?
If you gave birth at Nepean Hospital between 2013 and 2024 and underwent an episiotomy, repair of vaginal/perineal tear, or had fetal scalp electrodes applied, you may be at risk. NSW Health will contact you directly if you’re identified as potentially exposed. If unsure, call the support line at 1800 716 662.
What is the risk level of contracting hepatitis B from this exposure?
NSW Health has assessed the risk as low. The Blood Borne Viruses Advisory Panel reviewed the care provided by the healthcare worker and determined that while there is a potential risk, it is considered low for the 223 women and 143 children identified.
What are the symptoms of hepatitis B infection?
Many people with hepatitis B don’t experience symptoms, especially in early stages. When symptoms do appear, they may include fatigue, nausea, abdominal pain, loss of appetite, mild fever, dark urine, and yellowing of the skin and eyes (jaundice). A blood test is the most reliable way to detect the infection.
How is hepatitis B treated?
Treatment depends on whether the infection is acute (short-term) or chronic (long-term). Most adults with acute hepatitis B recover completely without treatment. For chronic hepatitis B, antiviral medications can help control the virus and reduce the risk of liver complications. Regular monitoring is essential for managing the condition effectively.
Can my child still attend school if they were potentially exposed?
Yes. Hepatitis B is not spread through casual contact like hugging, sharing food, or coughing. Children who may have been exposed can continue their normal activities, including school attendance, while awaiting testing. If your child tests positive, healthcare providers will advise on any necessary precautions.
What steps is NSW Health taking to prevent similar incidents in the future?
While specific future prevention strategies haven’t been detailed in the current statements, NSW Health has confirmed they’ve worked with the affected healthcare worker to remove any further risk. Australian healthcare facilities typically follow strict infection control protocols, including staff screening and vaccination requirements, to prevent such exposures.
