Govt confirms hospital lapses behind HIV outbreak in 78 Karachi children

Findings emerge at CM-chaired meeting; Labour Minister presents inquiry details showing sterilisation failures, reuse of equipment at SESSI hospital

IV Report

KARACHI: The Sindh government has for the first time officially confirmed that lapses at Kulsum Bai Valika Hospital in Karachi led to HIV infections in 78 children, as 37 officers and officials were suspended and a Rs2 billion rehabilitation fund announced, according to details made available through an official hand after a high-level meeting chaired by Chief Minister Syed Murad Ali Shah on Monday.

The outbreak at the Sindh Employees’ Social Security Institution (SESSI)-run hospital first surfaced on October 23, 2025, when six HIV-positive cases were reported. Details of subsequent inquiries were presented to the CM by Labour Minister Saeed Ghani, assisted by subordinates from his department and SESSI executives.

A probe headed by SESSI’s Medical Advisor found no standard operating procedures in the hospital’s Paediatrics Department, inadequate supervision of sterilisation, improper disposal of biomedical waste, and shortages of biohazard containers and disposable medical items.

The committee noted instances where single-use medical equipment, including syringes, “may have been improperly handled,” while staff routinely flouted infection-prevention protocols and skipped personal protective equipment. Documentation was poor, HIV testing facilities were inadequate, and there was no structured follow-up for patients and families.

Concerns intensified after complaints from affected families and the SITE Association of Trade and Industry flagged “serious lapses in infection-control practices” at the Karachi facility.

Accountability and corrective steps

Briefing the meeting, Labour Minister Saeed Ghani said disciplinary proceedings began in December 2025 against the then Medical Superintendent and nine others. A second comprehensive inquiry report, submitted June 19, 2026 by a committee headed by Chief Medical Officer Dr Naila Zaheer, fixed responsibility for administrative, supervisory, and operational lapses.

As a result, 37 officers and officials — including former and serving administrators, doctors, nurses, laboratory personnel, and support staff — have been suspended. Show-cause notices were issued July 3.

SESSI has established an Anti-Retroviral Therapy (ART) Centre at the hospital, operational from November 24, 2025, and circulated HIV prevention protocols to all its facilities across Sindh. Over 300 staff were screened, identifying two HIV-positive employees whose family members tested negative.

The Provincial Ombudsman had earlier taken suo motu notice, ordering the MS’s transfer, an isolation ward, a third-party audit, and free treatment for all affected children.

Endowment fund, province-wide review

Chief Minister Murad Ali Shah announced a Rs2 billion Endowment Fund for treatment, welfare, and long-term rehabilitation of the children and their families. “The lives of children are sacred. Any lapse in medical protocols that endangers patients is unacceptable and will be dealt with strictly in accordance with the law,” he said.

The CM ordered a province-wide review of infection-control practices across SESSI health facilities, directing strict compliance with sterilisation, waste management, and patient-safety protocols. “This incident must serve as a turning point for strengthening patient safety standards,” he said.

Renowned paediatric infectious disease specialist Prof Dr Fatima Mir of the Aga Khan University Hospital has been engaged to oversee treatment. A third-party audit of hospital procurement, inventory, and budget use is underway. A constitutional petition on the matter remains pending before the Sindh High Court.

The findings presented at the meeting underscore a stark prevention gap: while screening and ART access have been scaled up, the infections themselves trace back to preventable lapses in basic hospital hygiene and supervision at the Karachi hospital.

Photos: Official sources

 

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