7 days in healthcare (8-14 November, 2021)

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ABSTRACT

 

From an international point of view, the appearance of two new drugs for COVID (Merck and Pfizer) is considered a milestone in the evolution of the pandemic. Both drugs are small molecule, easy to produce, and for oral use. The other great milestone of the pandemic was, at the time, the appearance of vaccines. Especially worrying are the high numbers of COVID in Europe, especially in the United Kingdom, Ireland, but also Germany and the Netherlands, without forgetting the special situation due to its seriousness in Romania and Bulgaria.

From the national point of view, the announced draft bill on Equity, Universality and Cohesion of the SNS is of great interest. Although the text of the preliminary draft is not known at the time of writing this note, from what was announced it could be said that the positive aspect is universality (provided that universality is not identified with equity) and the negative are the possible repeal of Law 15 / 97, on enabling new forms of management in the National Health System, the imposition of direct management compared to other more flexible forms of management and bad messages regarding co-payments. It seems that he wants to transfer the idea that “privatization” and “copayments” are the problems of the sector, which is absurd.

Regarding companies, the disappearance of large industrial business conglomerates, such as J&J and GE, is striking. It should be noted that in both operations one of the bets is health. This contrasts, instead, with the creation of tech giants (Google, Amazon, Apple, etc.).

 

INTERNATIONAL

 

  • The Economist forecast: COVID will most likely disappear by 2022. Success: vaccines and new drugs. Failure: immunity at terrible cost, 16.5 million deaths worldwide (The Economist, 8 Nov 21)
  • The Economist welcomes the extension of “assisted death” as a new and important right, started in 1995 in Australia and already legal in a dozen countries, most recently Portugal. It is not yet legal in the UK, but Parliament is discussing a law on the subject. In the Netherlands, 4% of deaths are assisted (The Economist, 13 Nov 21)
  • The new anti-COVID drugs represent a significant change in the pandemic (the first notable change was that of vaccines). The new drugs are malnupiravir (Merck) and paxlovid (Pfizer). Both are “small molecule” drugs, easy to produce and for oral use (The Economist, 12 Nov 21)
  • 100 Years of Insulin (Toronto, 1922), a therapeutic success, but a failure in its worldwide spread. The producing companies are Novo Nordisk, Eli Lilly and Sanofi. Now there is biosimilar (The Lancet, Nov 13, 21)
  • The 100,000 genomes project in the United Kingdom (Genomics England) has made it possible to catalog, and in some cases treat, many rare diseases (New England Journal of Medicine, 11 Nov 21)
  • The rise of the COVID epidemic in Germany (almost 500 cases in the last 14 days per 100,000 inhabitants), at the peak and rising, is considered an pandemic of the unvaccinated. Among the factors, the interim Merkel government is valued (NYT, 11 Nov 21). Merkel will meet with the “Länder” next week to take measures against the growth of the covid (El Mundo, 11 Nov 21)
  • The Netherlands imposes new restrictions, as COVID cases are very high (The Guardian, 12 Nov 21)
  • The governments of 42 countries (including the United States, the United Kingdom and Germany) ask to cut emissions from the healthcare sector. The sector’s emissions represent 5% of the total. If it were considered a country, the health sector would be the 5th emitter of CO2 pollution (NYT, 8 Nov 21)
  • The Economist analyzes the non-zero cost of China’s zero-COVID policy (The Economist, 13 Nov 21)
  • COVID vaccination will be mandatory for NHS staff starting next spring (FT, 9 Nov 21)
  • Waiting lists on the NHS soared. They grow by 100,000 people in a month. More than 5.8 million were waiting in September, with 12,500 awaiting treatment for more than two years (FT, Nov 11 21)

NATIONAL

 

  • The government approves the “preliminary draft of the Law by which various norms are modified to consolidate the equity, universality and cohesion of the National Health System” (reference of the Council of Ministers 8 Nov 21)
  • The Secretary of State for Health publishes a prior consultation on the draft bill of measures for equity, universality and cohesion of the National Health System, establishing the November 19 deadline for submitting opinions.
  • The Minister of Health, in public statements, mentions the laws that are going to be repealed or modified. Among those that will be repealed, “explicitly and expressly”, she mentions Law 15/97, on enabling new forms of management in the National Health System (El Periódico de España, 8 Nov 21)
  • The BOE publishes the agreement between the Government, certain autonomous communities and the Amando Ortega Foundation, for the implementation of 10 proton therapy equipment in the public system. A monitoring commission is created on the subject (BOE, no. 267, 8 Nov 21)
  • The health PERTE is presented on November 15. It is integrated into the five PERTES that the government has devised: cutting-edge healthcare, electric vehicle, new language economy, aerospace and smart and sustainable food chain. It appears that the health PERTE will have three components: 1. Innovative techniques and technologies for the diagnosis and prevention of diseases; 2. Development of advanced therapies; and, 3. Platform for the design and industrial production of medicines and vaccines (ConSalud, 11 Nov 21)
  • The autonomies claim to maintain the covid funds for 2022 (El País, 9 Nov 21)
  • The University of Washington predicts a sixth wave of covid in Spain (Vozpópuli, 8 Nov 21)
  • The cumulative incidence of covid grows in Spain to 71.5 cases per 100,000 inhabitants in the last 14 days. It is not comparable to the figures of other European countries, but it continues to rise slowly (ConSalud, 12 Nov 21)
  • The waiting list grows. The latest data published is from December 31, 2020 and the waiting time had passed, in relation to the previous record, from 121 to 148 days for interventions. Pending publication of the data corresponding to June 2021 (ConSalud, 8 Nov 21)

COMPANIES, EMPLOYERS AND MAIN ACTORS IN HEALTH

 

  • J&J (Johnson & Johnson) will be divided into two companies: one dedicated to consumer products and the other to drugs and medical devices (NYT, 12 Nov 21)
  • GE (General Electric) will be divided into three companies: health, energy and aviation (FT, 9 Nov 21)
  • The Spanish pharmaceutical industry proposes a plan of 1.7 billion to produce essential drugs (CincoDías, 10 Nov 21)
  • Moderna rejects the claims of the American government to appear as a co-inventor of vaccine technology (FT, 11 Nov 21)
  • BioNTech shoots its profit up to 7,126 million euros in the first nine months of the year. (Floor Twelve, Nov 9, 21)
  • The Zendal hospital in the post-pandemic: 400 personnel for 38 patients (Diario.es, Nov 7 21)
  • Fresenius is interested, along with other investors, in InsudPharma, specialized in biosimilars and valued at 1,000 million euros (El Periódico de España, Nov 9, 21)
  • Advent gives gas to Vitaldent, with the purchase of Smysecret (dental aesthetic treatments) (PlantaDoce, 12 Nov 21)
  • Acciona will build a hospital in Chile (PlantaDoce, 11 Nov 21)
  • KKR enters fertility with the purchase of GeneraLife from Invesindustrial (Expansión, 10 Nov 21)
  • HIPRA will imminently begin the new phase of clinical trials for its vaccine (El Economista, Nov 8, 21)
  • Grifols liquidates the blood bag business and closes production in Brazil and Murcia (Cinco Días, Nov 12, 21)

7 days in healthcare (1-7 november, 2021)

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ABSTRACT

From an international point of view, to highlight something we knew: that WHO, in its current configuration, is not prepared for global health challenges. However, this finding is important in the article in the British Medical Journal by Anthony Costello. Europe, once again in the center of expansion of the pandemic. The decision of the North American Democrats to reduce the price of medicines, via the negotiation in Medicare, is very far-reaching. This decision, if applied, will have major consequences for the entire pharmaceutical industry globally.

At the national level, to highlight the article in The Lancet, which says that Spain could have achieved group immunity. For the rest, the incidence of COVID continues to grow in our country, although it does not reach, by far, those of other European countries. Waiting lists are a big concern throughout Spain. Controversy over the new Equity, Universalization and Cohesion Law. Podemos wants to take advantage of it to repeal Law 15/1997, which allows the outsourcing of health services.

As a business activity, to highlight the two new antivirals against covid-19, one from Merck and the other from Pfizer. Merck has released the patent so that it can be used widely in developing countries. Novartis dissociates itself from Roche, selling it its 33% stake in the latter company.

INTERNATIONAL

  • The WHO, in its current configuration, is not ready for its purpose, but is limited by lack of funds and political interference, and this has been demonstrated in this pandemic that has produced more than 18 million deaths, writes the economist Anthony Costello in the British Medical Journal (BMJ, 3 Nov 21)
  • Europe once again at the center of the covid pandemic, says WHO, (The Guardian, 4 Nov 21)
  • The WHO warns of the increase in deaths from covid in 56 countries, and insists that vaccine manufacturers have not done their job well (ConSalud, 5 Nov 21)
  • Democrats in the United States reach an agreement to reduce the price of drugs, allowing the government to negotiate the price of Medicare drugs. The United States pays three times more for many drugs than Europe, according to a study by the Brookings Institution. Initially, the measure will be launched with the 12 most expensive drugs (FT, 2 Nov 21)
  • The fourth wave continues to beat the record of infections in Greece, with almost 7,000 daily (El Confidencial, 6 Nov 21)
  • Excess mortality grows in Russia, since the beginning of the pandemic (FT, 2 Nov 21)
  • The management of the pandemic leaves a trail of investigated political leaders: Brazil, France, Italy, Austria, India, … (El Debate, 2 Nov 21)
  • India’s successes against covid are analyzed: more than half of Indians have received at least one dose of the vaccine. 6 million are vaccinated every day (The Economist, 29 Oct 21)

NATIONAL

 

  • The Lancet suggests that Spain could have achieved group immunity. They are based on the high infections and the high percentage of vaccination (La Razón, 3 Nov 21)
  • The incidence of covid rises more than two points, to 53.7 cases per 100,000 inhabitants (El País, 5 Nov 21)
  • Madrid for the first time exceeds half a million patients to see the specialist. Experts warn that the pandemic has generated in Spain a dammed demand that will emerge in the coming semesters (El País, 5 Nov 21)
  • Spain, one of the five countries in which Covid-19 caused the greatest loss in life expectancy, according to a study published by the British Medical Journal (ABC, 3 Nov 21)
  • The Health Ministry sells a million vaccines to Australia, New Zealand and Paraguay, before they expire (El Español, 2 Nov 21)
  • The WHO requests to increase oral public coverage in Spain (Health Act. The proposal receives the support of the General Council of Dentists (Health Act, 5 Nov 21)
  • Podemos will not support the Darias Equity Law. The Ministry wants to promote a Law of Equity, Universality and Cohesion and Podemos does not support it by not repealing Law 15/1997, which allows the outsourcing of health services (ConSalud, 5 Nov 21)
  • The Health Ministry seeks location for its strategic reserve of covid material (El Periódico de España, 5 Nov 21)

COMPANIES, EMPLOYERS AND MAIN ACTORS IN HEALTH

 

  • Merck drug effective to treat covid-19. The drug is an oral antiviral, called molnupiravir, and has already been approved by the British Agency. It has been launched by Merck and Ridbback Biotherapeutics, a Florida-based biotech. The drug is indicated for the unvaccinated and for those vaccinated who develop the disease. The treatment will be worth US $ 700 in developed countries. Merck will allow the development of generics in 105 countries (The Economist, 4 Nov 21)
  • Alphabet, Google’s parent company, launches an AI company, Isomorphic Labs, for the discovery of new drugs. It will work together with DeepMinds, Google’s AI company (FT, 4 Nov 21)
  • Pfizer increases the sales forecast of its covid vaccine in 2021 to 36,000 million US $ (FT, 2 Nov 21)
  • Biogroup, a bioanalysis group piloted by Stéphane Eimer and with a presence in Belgium, Luxembourg and the United Kingdom, enters the Iberian Peninsula with the purchase of Cerba Internacional and Analiza (both owned by Marcelo Weisz). ASISA will retain its 50% stake in Analiza (Les Echos, 4 Nov 21)
  • Novavax, a protein-based American covid-19 vaccine, receives its first approval in Indonesia. May promote immunization in developing countries. An application for authorization has also been sent to Canada, the United Kingdom and the European Union (FT, 1 Nov 21)
  • Pfizer announces an antiviral pill (Paxlovid) that prevents 89% of hospitalizations and deaths from covid (El País, 5 Nov 21)
  • The Valencian government will propose to the Data Protection Agency a sanction to Ribera for withholding data from the Torrevieja hospital (eldiario.es, Nov 4 21)
  • Centene closes the year of the coronavirus with losses in its health adventure in Spain (Nov 6, 21)
  • “Son Espases”: the macro-investigation on the concession to OHL of this hospital in the Balearic Islands, which links the Balearic Islands with the illegal financing of the PP (eldiario.es, Nov 5, 21)
  • Novartis sells its 33% stake to Roche for more than US $ 20 billion. A relationship of more than twenty years between the two companies is ended (PlantaDoce, Nov 4, 21)
  • MD Anderson launches a clinical trials unit (PlantaDoce, 3 Nov 21)
  • Eugin expands through Canada and acquires the fertility centers of Trio Fertility (PlantaDoce, 2 Nov 21)
  • Affidea, a European provider of diagnostic imaging, outpatient services and cancer care, expands in Spain and Northern Ireland with two new acquisitions (PlantaDoce, Nov 3, 21)
  • The biotechnology company of Spanish origin Aura Biosciences, jumps to the Nasdaq (PlantaDoce, 3 Nov 21)
  • Rovi doubles its profit in the first nine months of 2021, to 99 million (PlantaDoce, 3 Nov 21)

7 days in healthcare (October 11-17, 2021)

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INTERNATIONAL

  • A British Parliament report “Coronavirus: Lessons Learned to Date” is highly critical of the government’s policies in the face of the pandemic. The report is not just about covid, but about how decisions are made in government. Confinement was not decreed until March 24, 2020 in the United Kingdom (BMJ, Oct 15, 21)
  • “Decarbonization of the health sector in the US”, NEJM article on the need to take decarbonization measures in the health sector, which represents 8.5% of C02 emissions (NEJM, 13 Oct 21)
  • The WHO warns that progress in tuberculosis was slowed by the pandemic. Mortality from tuberculosis rose for the first time in more than a decade (FT, Oct 14 21)
  • Vaccination of the poorest countries is vital for recovery (FT, Oct 12, 21)
  • Ten WHO commitments in favor of climate action, defining global warming as the most serious threat to health facing humanity (Note WHO, Oct 11, 21)
  • The success of mRNA vaccines opens prospects for a new generation of drugs (FT, Oct 13, 21)
  • In the USA, covid cases fell by 22%, leaving hope that the worst has already passed (FT, Oct 11 21)
  • The WHO appoints the experts in charge of reactivating the investigations on the origin of the covid (El País, 13 Oct 21)
  • The WHO officially defines persistent covid as a disease (La Vanguardia, Oct 11, 21)
  • The FDA authorizes E-cigarettes for the first time in the American market (NYT, 12 Oct 21)
  • A new therapy eliminates head and neck tumors in terminally ill patients (The Guardian, 11 Oct 21)
  • Only one in seven cases of covid in Africa has been diagnosed, while less than 5% of Africans have received the full vaccination schedule (El País, 14 Oct 21)
  • Human guinea pigs in Brazil, authorities study 200 deaths in the study of an experimental drug against covid (El País, 14 Oct 21)
  • This is how COVAX has failed, in its attempt to vaccinate the world against covid (El País, 12 Oct 21)
  • The release of patents is paralyzed in Brussels, in favor of COVAX (Medical Staff, Oct 14 21)
  • The EU pharmaceutical strategy approved in the European Parliament committee (Acta Sanitaria, 12 Oct 21)

 

NATIONAL

 

  • Covid: the incidence remains at 40 cases per 100,000 inhabitants, but the deaths remain above 50 a day (El Mundo, 16 Oct 21)
  • The scientists who participated in the creation of the covid vaccine have an appointment in Oviedo at the “Princess of Asturias” awards (La Nueva España, 13 Oct 21)
  • The Spanish Society of Psychiatry rejects the draft of the Podemos Mental Health Law (El Debate, 13 Oct 21)
  • Psychiatrists see Sánchez’s mental health plan as “populist” and unfounded, which includes 100 million euros (La Nueva España, Oct 12, 21)
  • The deans of medicine warn that in five years half of the doctors who teach will retire and there is no relief. Ways are being sought to increase the incentives and rigidity of the ANECA accreditation system (El País, 12 Oct 21)
  • Andalusian primary care takes to the streets to ask for a comprehensive reform of the service (El Confidencial, Oct 14 21)
  • The PP plans to repeal the abortion law (the one of terms, not the one of assumptions), although the Constitutional law endorses it (El País, 13 Oct 21)
  • Those over 69 years of age will receive the flu vaccine and the third dose of the covid vaccine in the same act. The procedure will begin on October 25 (La Vanguardia, Oct 13 21)
  • The OMC (Organización Médica Colegial) warns of the risk of increased organ trafficking (Acta Sanitaria, 13 Oct 21)
  • The Amancio Ortega Foundation will help implement proton therapy in the SNS, through donations (ConSalud, 13 Oct 21)
  • Argimón: we are not asking for the MIR exam, but for co-governance (ConSalud, 13 Oct 21)
  • Biocat appoints new director: Robert Fabregat (PlantaDoce 14 Oct 21)

COMPANIES, EMPLOYERS AND MAIN ACTORS IN HEALTH

 

  • The Age and Life and Technology and Health Foundations publish a report on homecare: “Future model: Home technology to support social and health care” (diariofarma, 14 Oct 21)
  • Medtronic brings the Da Vinci competitor surgical robot (HUGO) to Spain. There are 80 Da Vinci robots installed in our country, which will reach 90 by the end of the year (El Economista, Oct 14 21)
  • The German pharmaceutical company Curevac renounces its vaccine against covid (El Periódico de España, 12 Oct 21)
  • The Spanish Top Doctors raises more than 11 million to implement its telemedicine platform (CincoDías, 14 Oct 21)
  • The Werfen medical group (a Catalan medical diagnostics company, with a presence in 30 countries, linked to the Rubiralta family) makes an issue of 300 million euros (CincoDías, 15 Oct 21)
  • Iñaki Peralta (CEO Sanitas): “The coronavirus will have a small impact on the price of premiums” (CincoDías, 14 Oct 21)
  • Apax explores the sale of UNILABS, including its businesses in Spain (CincoDías, 12 Oct 21)
  • Health in code: agreement to promote precision medicine in Germany (PlantaDoce, 14 Oct 21)
  • Ribera and the Consellería formalize the transfer of the Torrevieja Hospital to public management (Valencia Plaza, 15 Oct 21)
  • Adeslas creates a virtual training campus for its professionals (SegurCaixaAdeslas official note, 14 Oct 21)
  • Genesis Care bets on Spain with an investment of 40 million in three years (PlantaDoce, 13 Oct 21)
  • Alliance Healthcare launches its new headquarters in Viladecans (PlantaDoce, 14 Oct 21)

7 days in healthcare (October 18-24, 2021)

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Summary

At the international level, the WHO publishes a report on strengthening the resilience of health systems after the covid, betting on primary care and on research and innovation in health systems.

Although the pandemic seems to be in regression in many developed countries (USA, European Union, not in the United Kingdom, with some 50,000 cases a day), it continues to be a serious problem in many other countries: Russia, Bulgaria, Romania, Peru, etc. . The failure of the COVAX initiative and the success of India in vaccinating more than 1 billion people are also noted.

The American Democrats, on the verge of failing in their reform on the negotiation of drug prices in the USA. They will continue to pay them at a price of 250% above the average for OECD countries.

At the national level, Spain seems to stabilize at a low risk level in terms of the pandemic, with the beginning of the third dose for those over 70 years of age.

The Amancio Ortega Foundation donates 10 proton therapy machines. The question is whether this donation will not be oversized, considering that the entire United States has 25 of these teams. In any case, welcome.

SEMERGEN’s note on Primary Care reforms is very important, with its proposals to regain the prestige of Primary Care, more funding, a new care model and a change in professional roles with the proposal of the new figure of the “clinical assistant”.

Regarding companies, perhaps underline the statements of Ugur Sahin and Ozlem Tureci, creators of BioNTech, winners of the Princess of Asturias Award 2021, that they are already able to offer, based on mRNA technology, personalized vaccines against cancer very quickly (in 4-6 weeks). The next therapeutic revolution.

 

INTERNATIONAL

 

  • WHO publishes a report entitled “Building resilience in health systems for universal health coverage and health security during and after the COVID-19 pandemic” with 7 recommendations (WHO, October, 2021)
  • The Biden Administration’s plan to vaccinate children between the ages of 5 and 11 is finalized (NYT, Oct 20 21)
  • The FDA gives the green light to the third doses of Moderna and J&J (FT, 21 Oct 21)
  • The EMA begins to evaluate Pfizer vaccines for children between 5 and 11 years old (El Periódico de España, 18 Oct 21)
  • COVID-19 produces 50,000 cases a day in the UK, as the Prime Minister’s office warns of a troubled winter (The Guardian, 18 Oct 21)
  • Health leaders call for immediate restrictions in the UK (FT, 20 Oct 21)
  • The COVAX program, sponsored by the WHO, continues to cause problems (9.3 vaccines per 100 inhabitants in poor countries; compared to 155 in rich countries, (FT, 23 Oct 21)
  • India exceeds 1 billion people vaccinated, (FT, Oct 21, 21)
  • Peru: more than 200,000 deaths caused by the pandemic. With 6,065 deaths per million, Peru has the highest death rate from covid in the world (Le Monde, 23 Oct 21)
  • The rejection of the vaccine in the Balkans produces a catastrophe in Bulgaria and Romania. In Romania 19,000 cases and 400 deaths per day, out of a population of 19.9 million, only 35% of adults have received both doses of the vaccine (Le Monde, 22 Oct 21)
  • Last Saturday, Russia reached 1,075 deaths in 24 hours. Only 36% of Russians are fully vaccinated (The Guardian, 23 Oct 21)
  • Bolsonaro, accused of crimes against humanity by the Senate of Brazil. (The Economist, 23 Oct 21)
  • Experimental transplantation of the kidney from a pig to a man, apparently with good results, which may open the door to new ways of obtaining organs (NYT, 19 Oct 21)
  • Democrats on the brink of failure in the US on measures to reduce the price of drugs (NYT, Oct 21, 21)
  • WHO estimates 115,000 health workers died from covid, January 2020 to May 2021 (ConSalud, 19 Oct 21)
  • Ebola returns to the Congo once again (La Razón, 17 Oct 21)

 

NATIONAL 

• Covid infections in Spain stagnate at the low risk level (El País, 22 Oct 21)• As of this Monday, the communities will be able to start administering the booster dose to those over 70 years of age (El Mundo, 24 Oct 21)• The Interterritorial Council of the National Healthcare System will address this week to review the use of masks at recess (El Mundo, 24 Oct 21)• Spain reaches 90% of the population over 12 years vaccinated with at least one dose of vaccine (El País, 19 Oct 21)

• The Amancio Ortega Foundation donates 280 million to Health to buy ten proton therapy equipment, which will be implemented in 7 autonomous communities: Basque Country (1), Catalonia (2), Galicia (1), Andalusia (2), Community of Madrid ( 2) and the Canary Islands (1) (El Mundo, 19 Oct 21)

• SEMERGEN publishes its ten points for the improvement of Primary Care, in a consensus document (“Family Medicine in the reconstruction of the SNS: proposals for a new model of Primary Care”), signed, among others, by Ana Pastor and José Martínez Olmos (October 21)

• The IDIS Foundation publishes a report on the digital patient experience, which shows that the majority (89%) of private healthcare patients are happy with telemedicine (Diario Médico, Oct 22 21)

• Spain, at the bottom of Europe in palliative care. 80,000 patients die each year in our country without receiving palliative care (ConSalud, 24 Oct 21)

• A Health Ministry report shows a drop in the effectiveness of covid vaccines (La Razón, 22 Oct 21)

• Catalonia confirms five cases of the Delta plus variant of covid (Vozpópuli, 23 Oct 21)

• The PSOE stands out from the abortion reforms and the gender violence law proposed by the Equality Ministry (El Periódico de España, 24 Oct 21)

COMPANIES, EMPLOYERS AND MAIN ACTORS OF HEALTH

• Ugur Sahin and Ozlem Tureci, the couple that created the BioNTech vaccine, affirm in Oviedo that they are already capable of offering personalized vaccines against cancer in 4-6 weeks (Diario Médico, 22 Oct 21)• The forecasts of Pfizer and Moderna are to almost double their sales in 2022 (FT, 18 Oct 21)

• FENIN produces an interesting report: “2021 Innovation and Health Report“, in which it analyzes the relative position of Spain and the different communities in health innovation (FENIN, October 21)

• Carlos Rus, new president of the CEOE health commission (PlantaDoce, 20 Oct 21)

• Atrys Health multiplies its sales by five in the first half of 2021 (PlantaDoce, 21 Oct 21)

• The insurance sector donates 3.8 million to the Carlos III Health Institute to investigate covid-19 (PlantaDoce, 18 Oct 21)

• Esteve introduces its first patented drug in the United States (PlantaDoce, Oct 18 21)

• Faes Farma expands in Latin America and opens new offices in Bogotá (PlantaDoce, 19 Oct 21)• Grifols starts up its first plasma center in Egypt (PlantaDoce, 19 Oct 21)• HM and the Camilo José Cela University launch a Health Sciences training project (Acta Sanitaria, 20 Oct 21)

• Muface loses a healthcare provider (Igualatorio de Cantabria, now acquired by AXA), (Medical Office, Oct 22 21)

• Fremman (a private equity) acquires the majority of the shareholding of Palex for 400 million euros (Expansión 20 Oct 21)

• Novartis asks public health for almost 2 million euros for each dose of Zolgensma, a medicine against spinal muscular atrophy (El País, 18 Oct 21)

• Biogen sells only US $ 300,000 of its questioned Alzheimer’s drug (FT, 20 Oct 21)• OHLA closes its divestment plan, with the exit of the Montreal hospital (CincoDías, 20 Oct 21)

• Prisons privatizes (Quirón, Cuenca; Clarís, Burgos) health care in prisons due to the lack of doctors (El Periódico de España, 18 Oct 21)

• Telemedi (a Polish telemedicine company) seeks to expand in Europe through agreements with banks and insurers (CincoDías, 18 Oct 21)

• The French biotechnology company Valneva shoots up 45% in the stock market due to the good results of its vaccine against covid-19 (CincoDías, 18 Oct 21)