Three babies in Letterkenny General Hospital have been infected with MRSA.

Clearly, the Hospital is answerable for these infections. They have occurred in the health care setting; the babies cannot be accused of any contributory negligence in the matter.

Their respective parents cannot be held responsible either; they had contact, in each case, with just one baby.

Indeed, these are absurd notions, born of desperation to dodge responsibility.

They have meaning only to medical practitioners and health care managers willing to delude themselves that they can avoid shouldering responsibility for such infections in the absence of being confronted with a video or other visual record (and therefore, presumably unchallengeable) of the mechanism of infection.

What is now clear is that the Chief Executive of Letterkenny General Hospital knows someone in the Hospital is the source of these infections.

He is obliged in criminal law to ensure that person does not cause any more infections.

Why did it not happen sooner? The UK Government will publish statistics on mortality in National Health Service hospitals.

Are we to think governments disbelieve knowledge revealed by statistics? Well, we should not.

Here in Ireland we have a deep resistance in our government to the disclosure of information. When will we follow the lead of the UK government? The Irish public pays for the HSE and is, in principle, entitled to know something as important as the level of death in our various hospitals. Indeed, there are many other statistical items of information that the public ought to know, like the incidence of nosocomial (health care-institution related) infections or disease associated with our different hospitals.

What is staggering is that the reason the public needs to know such things is to ensure that the HSE management effectively deals with the problems that would be revealed generally. I say generally, because it must be a certainty that the knowledge is already known to the HSE and the Department of Health and Children. It is, in short, already revealed; revealed to some, but not to the public. This is what must be changed.

The Department of Health and Children is in Hawkins St. in Dublin 2. Hawkins St. is a short street.

At the end of the street there is a memorial in Victorian style to Constable Patrick Sheehan who died, in 1905, trying to rescue a workman from a gas filled sewer.

The gas must be still there, affecting the Minister for Health.

The Health Service Executive is, currently, dysfunctional and a failure. It has failed on a number of fronts but consistently it has failed on the issue of hospital hygiene. The extreme cases of Ennis General Hospital and now St. Columcille’s Hospital where multiple deaths through nosocomial infections have taken place are representative of the general situation.

The Minister’s response to the situation is bizarre, and reported HERE:

She pointed out that the health service has a national plan to tackle health acquired infections which would see them reduced by 20% in the coming years, and MRSA in particular by 30%.

This would involve a reduction in the use of antibiotics, she said, of 20%.

The reference to antibiotics is a reference to her theory that health care infections are caused by the evolution of microbes. She attributes the evolution to excessive use of antibiotics.

She is not deterred in her assertions by any contrary evidence. Like the fact that Irish hospitals have a low standard of hygiene and that poor hospital hygiene is the cause of the infections. Or the fact that Clostridium difficile has not perceptibly evolved. Clostridium difficile is the infection that caused the deaths in Ennis and St. Columcille’s.

One can only feel, if the gas is not the explanation for her views, that she is motivated by the fact that no person or institution is answerable for excessive use of antibiotics and no legal liability would attach to the HSE if her view prevails.