By Carol Smith
InvestigateWest
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Luci Power was among the first pharmacists in the United States to pressure her employer to take warnings about chemo handling coming out of Europe in the early 1980s seriously.
The alarm was triggered by a letter from Finnish researchers published in Lancet in 1979. That study found evidence of exposure in nurses preparing and administering chemo. Their urine contained higher amounts of chemo drugs than control groups.
“That was a landmark,” said Power.
The Australians had already moved to publish some English-language guidelines. Power learned of them through a friend and colleague. But when she asked for more protective equipment for her staff at the University of California, San Francisco, no one took her seriously, she said. She ended up creating make-shift “personal protective equipment” out of welder’s masks and other scavenged pieces.
Then one day, a team from Cal-OSHA happened to be in the hospital monitoring an asbestos abatement project in a room adjacent to where Power and her staff were mixing chemo. The team used her room as a base, so they could observe the asbestos removal from a safe distance.
When they saw the pharmacy staff working behind bright red welders’ face shields, they were horrified, she said. They started asking questions.
Power told them what she knew of the potential dangers of handling chemo, and her difficulties securing equipment to protect workers from getting it on their skin or in their lungs.