Issue No 58, September 7-13, 2003 | ISSN:1684-2057 | satribune.com

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Pakistani Minister Wanted in US on Sexual Misconduct Charge, Sued for Millions

By Afshan Tabassum in Nebraska & H. Khalid in Islamabad
Special to the South Asia Tribune

FREMONT, Nebraska/ISLAMABAD: The Health Minister of General Pervez Musharraf's main supporting political party PML-Q in the largest Pakistani province of Punjab, a medical doctor from Narowal, is wanted in Nebraska on criminal charges of sexual misconduct and causing the largest known Hepatitis-C outbreak in the United States.

Now Punjab Health Minister, Dr. Tahir A. Javed contested the October elections on PML-Q ticket from Narowal-II after he fled the US on July 13, 2002. He has so far been formally accused by the State of Nebraska for unprecedented negligence and misconduct.

Interestingly with a collapsed medical career in US where he was almost declared a fugitive, Dr. Javed was found fit by his in-laws, who are senior officers in the Pakistan Army, to enter politics and he was asked to contest for a Punjab Assembly seat on the pro-Army PML-Q ticket.

In Islamabad, sources close to the PML-Q high-ups, the Chaudhry Brothers of Gujrat, say Dr. Javed’s father in law, a retired Brigadier and one of his cousins, a serving Lieutenant General, Mohammed Akram, now posted in the MS Branch which oversees all postings and transfers in the Army, promoted Dr. Javed to get into politics and later be named as a minister.

Lt. General Akram was number two in the infamous Inter Services Intelligence (ISI) when the October 2002 elections were held and in that position he was the political king-maker, taking all the decisions on who would be allowed to contest the polls on PML-Q and even other party tickets and who will eventually win. It was within his total discretion to put his discredited nephew on a winning seat in the heartland of Punjab. Thus Dr. Javed entered politics.

After entering the provincial assembly, again using his ISI and Army connections, Dr. Javed pushed himself upstairs and was inducted into the cabinet of Chief Minister Pervaiz Elahi as the Health Minister on January 3, 2003. Click to View Dawn Report

Dr. Javed faces scores of allegations in a petition filed by Special Assistant Attorney General Roger Brink for disciplinary action filed against him. Health investigators have linked poor infection-control practices at Javed's former cancer clinic in Fremont, to 99 cases of Hepatitis-C diagnosed over the past two years. One patient has died. The petition outlines 12 reasons for discipline or revocation of Javed's Nebraska medical license. Click to View Nebraska State Announcement

The investigation of Dr. Javed, the announcement said, has taken more than 550 hours of staff time in the Department of Regulation and Licensure. To support their case, investigators have documented nearly 1,000 pages of interviews with physicians, nurses, pharmacists, laboratory personnel, patients and patients’ families. The investigation included an intensive review of hospital and clinic records and required the creation of a database to track the appointments of each patient from 1998 to mid 2002.

But the most serious charge is of sexual misconduct. Javed is accused of an improper sexual relationship with a patient. He allegedly falsely told the patient she had a terminal illness and impersonated at least two other physicians to obtain or interfere with her test results.

"The conduct in this petition is unprecedented in our memory," said Richard Nelson, Director of Regulation and Licensure for the Nebraska Health and Human Services System.

Nelson said state officials have had no direct contact with Javed. Nelson said they are trying to serve Javed notice of the petition and set a hearing date, after which the state's chief medical officer will decide whether and how to discipline him. That could take several weeks, Nelson said.

Attorneys representing the victims of Javed told the South Asia Tribune they had served a notice to Javed to appear in the case which is going full blast with the State of Nebraska pushing the charges. "We are at the discovery stage and all systems are go," one attorney in Fremont, Nebraska said.

According to the petition:

• Javed was repeatedly informed - as early as November 1999, months before the first known hepatitis-infected patient came to the clinic for treatment – that his nurses were reusing syringes used to draw blood and saline. Although the practice put his patients at risk for blood-borne diseases, he allowed the practice to persist.

• Javed left for Pakistan July 13, 2002 - two days after another Fremont doctor informed Javed that four of his patients had the same strain of hepatitis. As he left the country, Javed mailed patients a letter saying that he had to tend to a family emergency and that two other doctors would be taking care of them. But Javed had not arranged anything with those doctors, including one who was not scheduled to begin work at the clinic for another month.

• Javed had an improper sexual relationship with a patient. He falsely told the patient she had a terminal illness and impersonated at least two other physicians to obtain or interfere with her test results.

Javed could not be reached as all calls made by the South Asia Tribune to his telephone numbers listed in the Punjab Cabinet List went unattended. Click to View the list with his address and phone numbers

Two of his Nebraska attorneys had earlier declined to comment to local newspapers on the petition or the allegations in it.

"I think it's inappropriate to comment to the press on this matter," said Mark Christensen, a Lincoln attorney representing Javed in civil suits filed by his former patients. "I think that there's been too much coverage already. It has or will make it impossible for Dr. Javed to have a fair trial in Dodge County."

Jim Davis, a Fremont attorney representing about 20 of the nearly 80 patients who have sued Javed, said many doubt he will return to Nebraska. But he said the state action is still important.

Sources said the defence case of Javed was being contested by his medical insurance company.

Legal experts in Nebraska said Javed could be asked by the US Government to be extradited to Nebraska in the criminal case involving sexual misconduct with a patient but this decision would be taken by the Nebraska Governor’s office.

Local Nebraska newspapers said Javed also may face criminal charges. The FBI and the Food and Drug Administration, which would have jurisdiction over such a case, are known to have investigated the outbreak, but neither office could be reached for comment.

Venita Wotipka, a 55-year-old Wahoo woman who was infected and who has filed a lawsuit against the clinic, said Javed could have spared people a lot of grief if the issue had been dealt with the right away.

"It is really devastating to know that we as cancer patients could have been spared this added burden of another life-threatening disease," she said. "It's too bad that someone didn't step up and do what was right."

According to local newspapers, which are following the Javed case vigorously, a "For Sale" sign has come up on the unkempt lawn of his northwest Omaha home. An orange trailer sits in the driveway and moving boxes were visible through the glass front door.

A woman who answered the door when a local reporter rang the bell said she was not related to the accused doctor.

Javed's house is listed as "new listing" with "immediate occupancy" on CBS Home Real Estate's Web site, with a $389,900 asking price.

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