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The article reports on the results of an investigation which was launched by the New York State Department of Health in 2008 after it received reports of three hemodialysis patients who had seroconverted from anti-hepatitis C virus (HCV) negative to anti-hepatitis C virus positive while being treated in a New York City hemodialysis unit. The investigation found that six additional patients had also tested positive for hepatitis C, and that the hemodialysis unit in question had numerous deficiencies in infection control policies, procedures and training.

The article summarizes the findings of an investigation conducted by the New York State Department of Health (NYSDOH) into reports of three hemodialysis patients seroconverting from anti-hepatitis C virus (HCV) negative to anti-HCV positive in a New York City hemodialysis unit from 2001 to 2008. Variables examined included hemodialysis treatments, infection control practices and HCV surveillance activities. The epidemiolgical findings on the sources of four HCV infections are discussed. Also highlighted are the recommendations by NYSDOH.