Ireland’s cervical cancer shame shows women are still second-class citizens

Opinion: Damage to confidence in screening service by the Vicky Phelan case is massive

 Vicky and Jim Phelan from Annacotty, Co Limerick, pictured leaving the Four Courts last week after the announcement of a settlement of their High Court action for damages. Photograph: Collins

Vicky and Jim Phelan from Annacotty, Co Limerick, pictured leaving the Four Courts last week after the announcement of a settlement of their High Court action for damages. Photograph: Collins

 

For the Government, the timing couldn’t be worse.

In the middle of a tense referendum campaign on abortion, it has had to open an official inquiry into an extraordinary breach of trust in the State’s handling of women’s healthcare.

As so often in these cases, the astute inquiries of one individual have unravelled a national calamity.

Vicky Phelan, a terminally ill 43-year-old woman who was diagnosed with cervical cancer in 2014, questioned why a smear test in 2011 had given her the all-clear.

Abnormalities were detected in a test three years later, but she wasn’t told about them until 2017, by which time the disease was advanced.

She sued the US lab to which the test had been outsourced by the Irish screening service.

Phelan is not alone - 208 other women had abnormalities that were detected only after tests were audited, and the information was withheld in 162 of those cases.

Seventeen women have since died, 15 of whom were not informed about abnormalities in their tests.

The numbers keep growing. At least 1,500 more women who were diagnosed with cervical cancer in recent years did not have their smear test results reviewed by the national screening service to determine if their disease could have been flagged up sooner.

Cytologists

As a result of the scandal, a team of cytologists from the Royal College of Obstetricians and Gynaecologists in the UK will now review the screening history of every woman who has had a cervical cancer diagnosis in Ireland since screening began in 2008.

Of the women invited to undergo smear tests every year by our national screening service, 270,000 take part - an 80 per cent take-up. To examine smear tests, the Irish Health Service Executive (HSE) has been using two US companies, with one laboratory in the US and one in Ireland.

The damage done to confidence in the screening service by the fallout from the Vicky Phelan case is massive, with many women now worriedly revisiting the results of their tests, scared of false negatives. The Labour politician Alan Kelly warned fellow members of Dáil that the Irish public viewed the episode as “one big, massive cover-up”.

Adding insult to injury, a helpline established last weekend suffered a technical glitch: “The last thing anyone needed, I know,” Minister for Health Simon Harris tweeted.

The drama has played out in real time through the media. Phelan was on the Ray D’Arcy Show on RTÉ One on Saturday when news broke that Grainne Flannelly, director of CervicalCheck, had resigned.

Now there are calls for Tony O’Brien, director general of the HSE, to follow suit. It emerged this week that he joined the board of a US contraceptives manufacturer earlier this year.

He has now taken leave from that role but has resisted pressure to resign from the health service, saying he regarded the crisis as “a personal blow”.

Public anger

Public anger is compounded by an atmosphere of heightened tension as women’s health and reproductive healthcare is being debated hourly, in the media and on the doorsteps, ahead of the vote to legalise abortion on May 25th.

Beneath all of this is a simmering rage at the evidence that women’s healthcare is treated in a cavalier manner.

News that thousands of women in the UK may have missed out on breast cancer screenings they were entitled to has not gone unnoticed. Why, some wonder, do these healthcare mistakes seem to disproportionally involve women. Irish Times writer Miriam Lord eviscerated Ireland’s paternalistic and patriarchal political and medical culture on Wednesday.

“Another day in the Dail and another gallop of TDs into the chamber to agonise over the latest sorry episode concerning this state’s disordered relationship with women from the waist down,” she wrote.

Sinn Féin’s spokesperson on health, Louise O’Reilly, told the Dáil: “The toxic culture of concealment and harassment pursued by the HSE and government against women who have been wronged by the state is now in full public view”. Indeed it is. Again. - Guardian

The Irish Times Logo
Commenting on The Irish Times has changed. To comment you must now be an Irish Times subscriber.
SUBSCRIBE
GO BACK
Error Image
The account details entered are not currently associated with an Irish Times subscription. Please subscribe to sign in to comment.
Comment Sign In

Forgot password?
The Irish Times Logo
Thank you
You should receive instructions for resetting your password. When you have reset your password, you can Sign In.
The Irish Times Logo
Please choose a screen name. This name will appear beside any comments you post. Your screen name should follow the standards set out in our community standards.
Screen Name Selection

Hello

Please choose a screen name. This name will appear beside any comments you post. Your screen name should follow the standards set out in our community standards.

The Irish Times Logo
Commenting on The Irish Times has changed. To comment you must now be an Irish Times subscriber.
SUBSCRIBE
Forgot Password
Please enter your email address so we can send you a link to reset your password.

Sign In

Your Comments
We reserve the right to remove any content at any time from this Community, including without limitation if it violates the Community Standards. We ask that you report content that you in good faith believe violates the above rules by clicking the Flag link next to the offending comment or by filling out this form. New comments are only accepted for 3 days from the date of publication.