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Probe finds serious lapses

A Health Ministry investigation has concluded that the deaths of six newborns at Ad-Din Medical College Hospital in Dhaka were linked to a combination of inadequate ventilation, overcrowding and serious lapses in supervision and patient care.

The investigation committee, formed by the ministry, submitted its report
on 4 June. Speaking at a press conference afterwards, Health Minister Sardar Md Sakhawat Hossain said the government would take action in accordance with the law and that those found responsible would be held accountable.

According to ministry officials, the Directorate General of Health Services (DGHS) has issued a show-cause notice to the hospital under Section 11(2)(b) of the Medical Practice and Private Clinics and Laboratories (Regulation) Ordinance, 1982, asking why its licence should not be cancelled. The hospital authority has been asked to respond by 4:00pm on 7 June.

Officials said the law allows the DGHS to revoke a private clinic’s licence if violations are established following an investigation, although the institution must first be given an opportunity to present its explanation.

The investigation report found that the approximately 900-square-foot post-operative ward where the newborns were being treated was fully enclosed and lacked any alternative ventilation system.

The committee said around 50 people were present in the room, exceeding its capacity, while the air-conditioning system remained switched off between 2:00am and 6:00am. As a result, oxygen levels reportedly fell and carbon dioxide levels increased, adversely affecting the infants’ breathing.

The report also noted that no doctor was present in the ward at the time of the incident. It further stated that medical assistance was not sought promptly after the infants’ condition began to deteriorate. Investigators cited shortcomings in supervision, staff training and hospital management.

Following site visits, interviews with family members and statements from doctors, nurses and hospital employees, the committee concluded that the deaths of the six newborns at the Mogbazar-based hospital on 27 May were associated with failures in clinical oversight and operational management.

In its show-cause notice, the DGHS stated that the hospital had not complied with relevant provisions of the 1982 Ordinance and that the investigation committee had identified significant negligence in relation to the incident.

Meanwhile, Ad-Din Medical College Hospital has challenged the validity of the notice and indicated that it intends to pursue legal remedies.

Speaking at a press conference on Saturday, Senior Advocate Shishir Monir, representing the hospital authority, described the notice as unlawful and said legal action would be taken.

The hospital authority also said it would take action against any individuals found responsible, provide long-term support to the affected families and offer compensation.

Ministry officials said the hospital’s response to the show-cause notice would be reviewed before any further regulatory decision is taken.