7 days in healthcare (25th-31st July, 2022)

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Summary

From the point of view of biomedicine, it should be noted that the origin of acute childhood hepatitis has been discovered, it turns out to be due to a co-infection of two viruses, ruling out covid as the cause of this disease. Major advances by a group of Yale scientists in the treatment of brain tumors, specifically aggressive glioblastoma multiforme, using molecules that attack tumor DNA. Deep Mind (a company of the Alphabet group, parent of Google) launches an algorithm capable of identifying the structure of proteins. It seems that this advance may be of great importance for the discovery of new drugs.

As far as Global Health is concerned, air pollution is a public health emergency, according to the British Medical Journal. The WHO reaches an agreement on a treaty on pandemics, which should be agreed in May-2024.

Regarding international health policy, mention should be made of the declaration by the WHO of monkeypox as a global public health emergency, which is justified by the existence of more than 17,300 cases in more than 70 countries. It seems that it is confirmed that covid-19 originated in the live animal market in Wuhan (China).

If we talk about national health policy (Spain), two deaths in Spain as a result of monkeypox (in both cases due to encephalitis). At the present time there is only one other case of death from this disease in Brazil. The incidence of covid-19 drops very significantly, moving us away from the peak of the seventh wave.

In the field of companies, it should be noted that Fujijilm is going to be transformed into a health company. Teladoc’s notable financial losses. Vivalto Santé, an important French group, acquires the property of Ribera through the sale of Centene Corporation.

Biomedicine

Global Health

International health policy

National health policy

Companies

 

7 days in healthcare (June 27th-July 3rd, 2022)

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Summary

From the point of view of biomedicine, surprising finding that the flu vaccine helps prevent Alzheimer’s.

As far as Global Health is concerned, the ravages of the war in Ukraine are noted. Most of the morbidity and mortality is not caused by direct military action, but by problems of assistance and malnutrition. Interesting article in The Lancet about the need to put an end to a global problem: the marriage of girls under 18 years of age, which is also the cause of many health problems.

Regarding international health policy, it should be noted that the WHO is concerned about the possible spread of monkeypox among children and pregnant women. Regarding covid, a study among the G10 countries (Spain is not included) demonstrates the outstanding performance of Canada in its fight against covid, second only to Japan. Almost unanimity among the scientific and opinion press on the negative consequences of the annulment of the Roe v Wade ruling, leaving the legalization of abortion in the hands of the American States. It is insisted that previous experience shows that the ban does not change the number of abortions, but rather their safety. Condemns also from the American Medical Association (the American medical colleges) and the Association of American Medical Colleges (which represents the academic medical world in the USA). More online health care is expected as a result of the digitalisation plan of the British NHS.

If we talk about national health policy (Spain), given the increase in the incidence of covid and the increase in cases of hospitalization and deaths, Minister Darias recommends the use of masks indoors. Doubts about the credibility of this recommendation, after months minimizing the impact of covid and talking about “flu”. It was approved the so-called “Trans law”, which has consequences on the SNS. Significant opposition in Catalonia (both from the government and from associative entities, such as the UCH) to the Equity Law project approved by the government.

In the field of companies, regardless of their utility or not, great growth in the activity of vendors of “traditional medicine”, which in China have the support of the government. Spanish health technology companies request a plan, given the supply crisis and the increase in costs.

Biomedicine

Global health

International health policy

National health policy

Companies

 

 

 

7 days in healthcare (June 13th-20th, 2022)

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Summary

From the point of view of biomedicine, to highlight the new therapy against a disease as terrible as ALS tested in Canada. Unfortunately there are doubts as to its effectiveness.

As far as Global Health is concerned, it is verified that it is the vaccine nationalism of the States that has led to the failure of COVAX, which failed to extend covid vaccination to poor countries in significant percentages.

Regarding international health policy, the approval in the United States of the covid vaccination for children under five years of age should be highlighted. Also the agreement of the World Trade Organization regarding the temporary suspension of patents on covid vaccines, something he was discussing for two years. We will see if this agreement translates into relevant measures. For now, the IFPMA (World Association of Pharmaceutical Manufacturers) has already spoken out against it. Hospitalizations for covid increase in Europe, specifically in France, Germany and the United Kingdom.

If we talk about national health policy (Spain), we must mention the controversial announcement by the Minister of Health of the fourth dose of covid for the entire population, something partially rectified by the Ministry itself and which has been rejected by many experts. Also the approval by the Government of the preliminary draft of the Equity Law. Great controversy with the private sector, since it tries to minimize and declare exceptional the collaboration of the private sector in the public service of the National Health System. But by declaring “direct management” as preferable in the SNS, it also positions itself against the more entrepreneurial development of public management, despite the fact that the benefits of legal personality and the labor regime are known in terms of greater efficiency than direct management. On the other hand, the draft may undermine the powers of the autonomous communities, since health management (and therefore the way of carrying it out) is a transferred matter. It is not surprising that very important Catalan institutions (such as UCH, CSC, ACES and Círculo de Sanidad) have taken a position against it. Important demonstration by nurses in the center of Madrid, highlighting the importance of the abandoned professional policy in the National System of Health.

In the field of companies, it is worth noting the birth of the largest pediatric oncology center in Spain and one of the largest in Europe: the one located in the Sant Joan de Deu Hospital in Barcelona. Expansión highlights that the remarkable growth of health insurance is compatible with a loss of its operating profitability.

Biomedicine

Global health

International health policy

National health policy

• Monkeypox

• COVID

• Regulatory announcements

• Other themes

Companies

7 days in healthcare (6th-12th June, 2022)

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Summary

From the point of view of biomedicine, the article in the journal Cell stands out, in which MIT researchers design a complete functional map of genes in human cells. Also the possibilities of liquid biopsy, which will make it possible to diagnose cancers at an early stage through a simple blood test. It is also necessary to highlight the controversy over the transmission of monkeypox, some say that the transmission could be aerial, while the CDC denies it. This is important in terms of vaccination strategy.

As far as Global Health is concerned, the humanitarian problems of the Ukraine war should be highlighted, which will not only be local but global.

Regarding international health policy, it is worth highlighting the Health Affairs article that shows that mortality from covid is higher in counties with a Republican vote than in those with a Democratic vote. Incredible conclusion, although this can be explained by a greater rejection of masks, social distance and vaccination in Republican environments. Health and its preventive orientation declared a priority by Macron. We will see what this translates into in practice.

If we talk about national health policy (Spain), it should be mentioned that 15 new CAR-T centers are approved in several hospitals. Impressive and accurate title of a talk by Rafael Bengoa: “SNS: 500,000 competent professionals in an incompetent model.” It rightly puts the emphasis on management and organization. This contrasts with the poverty and lack of news and prioritization of the programs of both the PP and the PSOE in the Andalusian elections. The PP program introduces the nonsense of making the 9,000 hired by the public health companies statutory, one of the successes of the PSOE in health. As for the PSOE program, it is a very long program, without any prioritization, and full of reflections against collaboration with the private sector, as if the so-called “privatization” were the problem of the system.

At the corporate level, the promising advances of BioNTech in pancreatic cancer and AstraZeneca-Daiichi in breast cancer should be noted.

Biomedicine

Global Health

International health policy

National health policy

Companies

7 days in healthcare (30th May-5th June, 2022)

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Summary

From the point of view of biomedicine, to highlight the Science article, showing that the brain and the immune system are interconnected. Monkeypox is transmitted by direct contact, therefore “ring vaccination” is indicated, only to contacts of an infected person.

As far as Global Health is concerned, the universal coverage approach in Nigeria, the most populous country in Africa, should be highlighted. It is seen that universal coverage is no longer just something of Europe or the industrialized countries.

As for international health policy, the frequent shootings in American schools are covered by medical journals (The Lancet, British Medical Journal), as it is also a health problem. Something perfectly avoidable.

If we talk about national health policy (Spain), it should be mentioned that private health offers to collaborate with public health in addressing the problem of waiting lists.

In the field of companies, Takeda’s statements are surprising, saying that pharmaceutical companies will be able to lower prices in the face of a global crisis. The acquisition of the HIPRA vaccine by Brussels is advancing.

Biomedicine

Global health

International health policy

  • Monkeypox

o 21 Americans affected by monkeypox, according to the CDC (https://www.nytimes.com/2022/06/03/health/monkeypox-vaccine-treatments.html)

o New York Times editorial: To fight monkeypox we have to learn the lessons of covid and HIV (https://www.nytimes.com/2022/05/29/opinion/monkeypox-covid-and- hiv.html)

o Concern in Europe that massive summer parties spread monkeypox (https://www.lavanguardia.com/vida/20220605/8317253/pretrabajo-fiestas-masivas-verano-extend-viruela-mono.html)

  • COVID-19

o Covid cases on the rise in the Americas: North and Central America) (https://www.bmj.com/content/377/bmj.o1355)

o Does the world need new covid vaccines? (https://www.nejm.org/doi/full/10.1056/NEJMe2204695)

o Doubts about whether the arrival BA.4 and BA.5 of the omicron will mean a new wave of covid in France (https://www.lemonde.fr/planete/article/2022/06/04/covid-19 -l-arrivee-de-ba-4-et-ba-5-en-france-va-t-elle-entrainer-une-nouvelle-vague-de-contaminations_6128892_3244.html)

o The subvariant of the BA.5 omicron is a cause of concern in Portugal (https://www.lemonde.fr/planete/article/2022/06/04/au-portugal-le-sous-variant-ba-5-d-omicron -restless_6128944_3244.html)

o The zero-covid policy in China is unfeasible in the long run, the only question is when it will abandon it to “live with covid”. Article in Science magazine (https://www.science.org/doi/10.1126/science.add1891)

  • Other themes

o The frequent shootings in American schools, also as a health problem, treated in medical journals. The Lancet: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01006-6/fulltext; British Medical Journal: https://www.bmj.com/content/377/bmj.o1378

o The black market of antivirals for covid (https://www.bmj.com/content/377/bmj.o1282)

o Shortage of doctors in Italy (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01009-1/fulltext)

o Medical abortion and telemedicine in a post-Roe v Wade phase (https://www.bmj.com/content/377/bmj.o1393)

o The Center for Medicare and Medicaid (CMS) in the USA plans to advance Value Based Healthcare (https://jamanetwork.com/journals/jama/fullarticle/2792275)

National health policy

  • Monkeypox

o Spain reaches 132 positives for monkeypox (https://www.consalud.es/pacientes/infecciosas/viruela-mono-espana-casos_115507_102.html)

  • COVID

o The incidence of covid in people over 60 years of age falls 45 points again (https://www.abc.es/sociedad/abci-incidencia-covid-mayores-60-anos-volve-caer-45-puntos-202206031649_noticia .html)

  • Regulatory announcements

o The Order to allocate 217 places to non-EU citizens was published in the Official Bulletin (BOE) (https://www.consalud.es/especial-mir/boe-orden-adjudicar-217-plazas-mir-vacantes-extracomunitarios_115651_102.html)

  • Other themes

o Private healthcare offers to reduce surgical waiting lists by 30%, according to ASPE (https://www.eleconomista.es/salud/noticias/11799678/06/22/La-sanidad-privada- offered-to-reduce-the-surgical-waiting-list-by-30.html)

o Aragon extends dental care up to 14 years of age (https://www.consalud.es/autonomias/aragon/aragon-amplia-hasta-14-anos-programa-atencion-salud-bucodental_115455_102.html)

Companies

  • International News

o GSK is going to buy the Affinivax biotech group for 3.0 billion dollars (https://www.ft.com/content/3a5e33ea-1af6-4554-bf50-225441fe4c24)

o BMS about to acquire drugmaker Turning Point for $4.1 billion (https://www.ft.com/content/9c5b319c-20c3-4558-826f-260d0698975b)

o Takeda says that pharmaceutical companies could lower prices in the face of a global crisis (https://www.ft.com/content/492beff8-a077-421e-8da9-faf378e15175)

o The company that manufactures the monkeypox vaccine has the capacity to produce 30 million doses (https://www.elespanol.com/invertia/observatorios/sanidad/20220531/empresa-fabrica-vacuna-viruela-capacity-produce -millions/676432695_0.html)

  • National News

o Brussels finalizes the acquisition of the HIPRA vaccine for covid (https://www.eleconomista.es/salud/noticias/11791545/05/22/Bruselas-ultima-la-adquisicion-de-la-vacuna-espanola-de -Hipra-for-the-Covid.html)

o HM acquires the Los Nogales Pontones center to build a new hospital (https://www.plantadoce.com/empresa/hm-hospitales-acquire-el-centro-los-nogales-pontones-para-levantar-un-nuevo- hospital.html)

o Vithas recovers from the covid downturn and grows 19% in 2021 (https://www.plantadoce.com/empresa/vithas-se-recupera-del-bache-del-covid-19-y-crece-un -Jan-19-2021.html)

o Grupo HLA targets 500 million revenues in 2022 (https://www.plantadoce.com/empresa/grupo-hla-apunta-a-500-millones-de-euros-en-ingresos-en-2022.html)

o The contracting of medical insurance skyrockets in Cantabria and Catalonia in 2021. At the national level, 24% of the population has private medical insurance, although low cost ones are included (only consultations and tests) (https://www. .elespanol.com/invertia/observatorios/sanidad/20220605/contratacion-seguros-medicos-dispara-cantabria-cataluna/677432488_0.html)

o The laboratories devastate the funds in their bid for Lacer (https://www.expansion.com/empresas/2022/05/30/6293eb1ee5fdea29048b45f4.html)

o Vithas has an agenda to achieve the 2030 goals (https://www.redaccionmedica.com/secciones/privada/vithas-se-fija-2025-para-alcanzar-el-80-de-los-objetivos-de-la -phonebook-2030-9828)

o DKV presents the 2021 corporate report and the Imagina 2025 Strategic Plan (https://dkv.es/corporativo/sala-prensa/noticias/informe-anual-2021)

7 days in healthcare (May 23th-29th, 2022)

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Summary

From the point of view of biomedicine, the most important are the advances in the study of the microbiota, published in the journal Science.

As far as Global Health is concerned, the tragic mistake of the donation of vaccines by Europe should be highlighted, since many of those sent were close to expiration. Reappearance of polio in Africa, always worrying.

Regarding international health policy, the European health agency asks governments to be prepared against possible vaccination against monkeypox. Health bursts into the spotlight at the Davos Economic Forum.

If we talk about national health policy (Spain), Spain joins the European system for the purchase of vaccines against monkeypox. The MIR call leaves 200 vacancies for family doctors. An emergency situation is addressed, but not the underlying problem: the unattractive nature of these places.

In the field of companies, it should be noted that, according to Expansión, private insurance customers are dissatisfied with the massive use of the service. Between this and the unhappiness of both doctors and providers with the fees, it seems that significant changes are coming in this sector.

Biomedicine

Global health

International health policy

  • Monkeypox

o The European health agency asks governments to be prepared for vaccination against monkeypox (https://www.ft.com/content/11df80f5-32d5-4bb3-8215-420574f276c4)

o The monkeypox virus, what we know so far that alarms countries (https://www.ft.com/content/d951bd2b-0470-4d74-827d-0c06d9bf5056)

o Monkeypox, more than 180 cases outside Africa, countries prepare to vaccinate (https://www.lemonde.fr/planete/article/2022/05/25/variole-du-singe-plus-de- 180-cas-confirmes-hors-d-afrique-des-pays-se-preparent-a-vacciner_6127608_3244.html)

o A study published in The Lancet points to an antiviral as a possible treatment for monkeypox (https://www.eldiario.es/sociedad/estudio-publicado-the-lancet-senala-antiviral-posible-tratamiento-viruela- monkey_1_9018642.html)

  • COVID-19

o Lessons from Japan on dealing with covid, since this country had six waves and the number of cases and deaths per capita has been lower than other G7 countries, despite having an aging and highly concentrated population (https ://media.nature.com/original/magazine-assets/d41586-022-01385-9/d41586-022-01385-9.pdf)

o More than 1 in 5 COVID survivors may develop long covid in the United States (https://www.nytimes.com/2022/05/24/health/long-covid-infections.html)

o Pfizer warns of constant waves of covid-19, while complacency grows (https://www.ft.com/content/8244af52-26ba-4676-961a-c57f1d4892e8)

o What justifies the zero-covid policy in China?, an analysis by Zhang Jun, director of the China Center for Economic Studies in Shanghai (https://www.project-syndicate.org/commentary/shanghai-lockdown-why-china -keeps-its-zero-covid-strategy-by-zhang-jun-2022-05)

o A study suggests that women are twice as likely to suffer from persistent covid (https://www.ft.com/content/ea2d58c5-ae62-442c-b721-364c95852209)

  • Other themes

o Health bursts into the spotlight at the return of the Davos Economic Forum, with the presence of Bill Gates, the CEO of Pfizer and the president of AstraZeneca, among others (https://www.plantadoce.com/entorno/la- health-breaks-in-as-protagonist-in-the-return-of-the-davos-economic-forum.html)

o Tedros Adhanom Ghebreyesus re-elected as WHO Director General (https://www.ft.com/content/75de7a67-f850-4fe2-8911-8f6237f38514)

o Oklahoma Governor signs law strictly banning abortion (https://www.theguardian.com/us-news/2022/may/26/oklahoma-strictest-abortion-ban-law-us-governor)

National health policy (Spain)

  • Monkeypox

o At least six countries have detected cases of monkeypox in travelers from Spain (https://elpais.com/sociedad/2022-05-28/al-menos-seis-paises-han-detectado-casos-de- monkeypox-in-travelers-from-spain.html)

o 41% of monkeypox cases are in Spain (https://www.larazon.es/sociedad/20220523/6t2hw3xhhveq3e7oho5hnj3zxa.html)

o Spain will enter the European system for the purchase of the monkeypox vaccine (https://www.diariofarma.com/2022/05/25/espana-entrara-en-la-compra-centralizada-de-la -eu-to-deal-with-monkeypox)

  • COVID

o The cumulative incidence, down (728.2 cases in the last 14 days; there were 848 the previous Friday. Hospital occupancy due to covid: 5.6%; ICUs: 4.2%) (https://www.consalud .es/patients/special-coronavirus/covid-19-spain-coronavirus-data_115366_102.html)

  • Regulatory announcements

o New Framework Statute, at the table of the Advisory Council on June 2 (https://www.redaccionmedica.com/secciones/ministerio-sanidad/nuevo-estatuto-marco-y-10-puntos-mas-al-consejo- advisory-of-june-2-5764)

o A new draft of the Preliminary Draft Law is published, which modifies various regulations to consolidate the equity, universality and cohesion of the National Health System, after its approval in the Interterritorial Council of April 2022 (https://www.diariofarma .com/2022/04/06/el-cisns-da-luz-verde-a-la-ley-de-equidad), held in Toledo. In relation to the previous version of 11/15/2021, more requirements are introduced for agreement, incorporating the concept of “effective cost” previously established and reviewable by the Administration

  • Other themes

o The Ministry of Health marks November for the new palliative strategy (https://www.redaccionmedica.com/secciones/ministerio-sanidad/sanidad-marca-noviembre-para-activar-la-nueva-estrategia-de-paliativos- 6597)

o The public debt to suppliers amounts to 2,000 million (https://www.diariofarma.com/2022/05/23/la-deuda-publica-a-proveedores-sanitarios-asciende-a-2-000-millones)

o Warning from Brussels to Spain due to the “shortage” of health professionals and primary care financing (https://www.consalud.es/politica/toque-bruselas-espana-por-escasez-sanitarios-finacion-primaria_115145_102.html)

o Podemos takes the “deprivatization” of the SNS to Congress (https://www.redaccionmedica.com/secciones/parlamentarios/podemos-aprieta-al-psoe-llevando-al-congreso-la-desprivatizacion-del-sns-1224)

o The lack of family doctors worsens as the MIR call leaves 200 places vacant (https://elpais.com/sociedad/2022-05-24/la-falta-de-medicos-de-familia-se-agrava- la-convocatoria-de-mir-deja-200-plazas-vacantes.html), for which it is agreed to increase the number of MIR vacancies for non-EU people to fill the vacancies (https://www.elmundo.es/ciencia- y-salud/salud/2022/05/25/628e86d3e4d4d85f418b45e6.html

Companies

  • International News

o Pfizer intends to obtain approval in the USA for the covid vaccine for children under 5 years of age (https://www.ft.com/content/48c88652-502c-4b33-9866-589eeafcf302)

o Medtronic and DaVita announce the creation of a kidney health technology company (https://www.consalud.es/ecsalud/internacional/medtronic-davita-anuncian-creacion-empresa-tecnologia-salud-renal_115348_102.html)

o The USA will deploy the Bavarian Nordic monkeypox vaccine (https://www.consalud.es/ecsalud/internacional/eeuu-desplegara-vacuna-contra-viruela-mono-bavarian-nordic-entre-poblacion-vulnerable_115091_102. html)

o The IFPMA (global employers association of pharmaceutical manufacturers) proposes 10 measures to fight the next pandemic (https://www.diariofarma.com/2022/05/25/la-ifpma-propone-10-medidas-para-luchar- against-the-next-pandemic)

  • National News

o Grupo Juste, a Spanish pharmaceutical company that turns 100 (https://www.redaccionmedica.com/secciones/industria/una-farmaceutica-espanola-cumple-100-anos-7009)

o Esteve intends to double its turnover, reaching 1,000 million euros (https://cincodias.elpais.com/cincodias/2022/05/26/companias/1653591656_508050.html)

o Clients of private health insurance, disappointed by the mass use of the service (https://www.expansion.com/empresas/banca/2022/05/28/6290b63c468aebbe018b45d8.html)

o The private sector of assisted reproduction moves 500 million in 2021, 9% more than in 2020 (https://www.plantadoce.com/entorno/el-sector-privado-de-reproduccion-asistida-mueve-500-millones -in-2021-a-9-more-than-in-2020.html)

o FENIN registers a 27% decrease in investment in 2021 (https://www.actasanitaria.com/tecnologia/fenin-registra-descenso-27-en-inversion-tecnologia-sanitaria_2002610_102.html)

o Sanitas and the San Pablo CEU University sign an agreement for the training of health professionals (https://www.servimedia.es/noticias/sanitas-universidad-ceu-san-pablo-firman-acuerdo-para-formacion-profesionales- assistance-future/3406605)

o Malaga will have a new public hospital in 2023, after the agreement with the Pascual group (https://www.vidaeconomica.com/2022/05/hospital-malaga/)

 

 

 

 

 

7 days in healthcare (May 16th-22nd, 2022)

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Summary

From the point of view of biomedicine, there seems to be new evidence of the relationship between acute childhood hepatitis and COVID. Interesting articles on how COVID can affect the brain, generating a kind of “dementia epidemic” and what long covid is and how to treat it.

Regarding Global Health, possible alarming effects of a global food crisis resulting from the war in Ukraine and its consequences. Report on serious deficiencies of “assisted technologies” (basically, wheelchairs, glasses and hearing aids) in a large part of the world’s population. The shortage of covid vaccine production in African countries continues to be denounced.

As for international health policy, an article in The Economist takes the drama out of “monkey pox”, saying that it is nothing comparable to what covid represented. Catastrophe due to covid in North Korea, a country that did not take advantage of its total closure during the pandemic to favor the immunization of its population and the reinforcement of its health system. Also, very reluctant to accept foreign aid. Isolated dictatorship things. Interesting experiment in New Zealand on a generation without tobacco.

If we talk about national health policy (Spain), the Ministry of Health has issued a protocol on monkeypox, about which there are some interesting statements by López Acuña, who also takes the drama out of this epidemic. Approved in the Council of Ministers the new abortion law, destined, probably, not to solve anything and to generate artificial problems. The SEMFYC (association of primary care doctors) warns about the need for 10,000 primary care doctors, to cover the generational change.

In the field of companies, the initiative of the Government of Catalonia to create a commission to study the new location of the Hospital Clínic should be highlighted. Surely an avant-garde and innovative hospital does not fit well in the current old building. A true revolution in the hospital and urban world of Barcelona. The AESEG warns about the low price of certain basic medicines, which discourages their production.

Biomedicine

Global health

International health policy

  • Monkeypox

o Monkeypox spreads to several countries: after originating from a traveler from Nigeria, the disease has spread to the United States, Australia, Canada and 8 European countries. According to The Economist, there is nothing to worry about and it has nothing to do with the covid pandemic, which took the world unprepared, without vaccines or treatments (https://www.economist.com/the-economist-explains/2022 /05/20/monkeypox-is-popping-up-in-more-countries-how-worrying-is-this)

o What is Monkeypox, article in the New York Times (https://www.nytimes.com/article/what-is-monkeypox.html)

o We will see more cases of monkeypox, warns a British scientist (https://www.theguardian.com/world/2022/may/21/we-will-see-more-cases-of-monkeypox-warn-british- scientists)

  • COVID-19

o Taiwan gradually renounces the “zero-covid” policy, assuming that the number of cases will increase (https://www.lemonde.fr/planete/article/2022/05/16/taiwan-renonce-peu -a-peu-a-politique-zero-covid_6126267_3244.html)

o Catastrophe in North Korea. The country was closed during the pandemic, but it was not used to immunize the population or strengthen the health system (https://www.economist.com/asia/2022/05/17/covid-19-is-spreading-like -wildfire-in-north-korea)

o Shanghai is going to open its commerce in stages (https://www.lemonde.fr/planete/article/2022/05/15/covid-19-shanghai-va-rouvrir-ses-commerces-par-etapes-apres- deux-mois-de-confinement_6126204_3244.html)

o How Australia saved thousands of lives from covid, in contrast to what happened in the United States (https://www.nytimes.com/2022/05/15/world/australia/covid-deaths.html)

  • Other themes

o The policy on the possible annulment of the Roe v Wade judgment in the United States continues, important editorial in Science (https://www.science.org/doi/10.1126/science.adc9968)

o A generation without tobacco in New Zealand, prohibited for all those born since January 1, 2009. Malaysia and Denmark are also considering similar measures (https://www.thelancet.com/journals/lancet/article/PIIS0140- 6736(22)00925-4/fulltext)

o The United States, Switzerland and Norway lead the world in spending on health per capita (https://www.plantadoce.com/entorno/estados-unidos-suiza-y-noruega-lideran-el-gasto-per-inhabitante- in-medical-care.html)

o The NHS needs access to medical data to save lives, interesting article in the Financial Times (https://www.ft.com/content/dc01b30f-472d-4da6-b694-28486383aeff)

o A report commissioned by the Minister for Health proposes that the legal smoking age in the UK be 21 (https://www.theguardian.com/society/2022/may/21/legal-smoking-age -in-england-could-be-raised-to-21-report)

National health policy

  • Monkeypox

o Protocol of the Ministry of Health against monkeypox (https://www.consalud.es/pacientes/protocolo-contra-viruela-mono-aislamiento-cuarentena-solo-confirmados-sopechosos_115004_102.html)

o Interesting statements by López Acuña: there is no reason for social alarm over monkeypox (https://www.elmundo.es/ciencia-y-salud/salud/2022/05/22/62890984e4d4d80e098b4591.html)

o Spain will buy thousands of vaccines for the monkeypox disease (https://elpais.com/sociedad/2022-05-19/espana-prepara-la-compra-de-miles-de-vacunas-frente-a -the-traditional-smallpox-to-deal-with-the-monkey-virus-outbreak.html)

  • COVID

o The cumulative incidence, on the rise: 848 points (https://www.consalud.es/pacientes/especial-coronavirus/covid-19-espana-notifica-58839-nuevos-casos-305-muertes-ia-sube-848 -points_114982_102.html)

  • Regulatory announcements

o The new abortion law approved by the Council of Ministers (https://www.diariomedico.com/medicina/ginecologia/politica/montero-las-mujeres-podran-abortar-en-el-hospital-publico-mas-cercano- your-address.html)

  • Other themes

o Spain, leader in the consumption of benzodiazepines for anxiety and insomnia (https://www.elmundo.es/ciencia-y-salud/salud/2022/05/15/627e8bf0fdddffa9638b458b.html)

o The National Health System (SNS) would need 10,000 family doctors for generational turnover, according to a study by the Spanish Society of Family and Community Medicine (SEMFYC) (https://www.plantadoce.com/entorno/el-sns-necesita-10000-medicos -of-family-more-to-guarantee-the-generational-handover.html)

o The strike of specialist doctors in Madrid, suspended after an agreement (https://www.diariomedico.com/medicina/profesion/madrid-medicos-desconvocan-la-huelga-con-la-promesa-de-2500-plazas- contest.html)

o Spain, last in mental health, there are only 2,800 psychologists in public health, only 344 in Primary Care (https://www.elespanol.com/invertia/observatorios/sanidad/20220522/espana-mental-invierte-europa -psychologists-public-health/672183163_0.html)

o Private healthcare works on a code of good practice: joint initiative of ATA (Association of Self-Employed) and ASPE (https://www.redaccionmedica.com/secciones/privada/la-sanidad-privada-espanola-trabajo-en- your-own-code-of-good-practices-4162)

Companies

  • International News

o Big Pharma pressures the G20 to prepare for the next pandemic (https://www.ft.com/content/ca71ee0e-9b4b-4c2e-b60b-bbd841415697)

o Monkeypox shoots up the stock of the only company that manufactures them: Bavarian Nordic (https://cincodias.elpais.com/cincodias/2022/05/20/companias/1653035794_646119.html)

  • National News

o Dependency insurance grows 71.4% and closes the first quarter with 132,000 users (https://www.plantadoce.com/entorno/el-seguro-de-dependencia-crece-un-714-y-cierra- the-first-quarter-with-132000-users.html)

o Catalonia constitutes the commission that will decide the location of the new Clinic Hospital (https://www.plantadoce.com/publico/cataluna-constitución-la-comision-que-decidira-el-emplazamiento-del-nuevo-hospital-clinic. html)

o Colgate-Palmolive breaks into the bid for Lácer (https://cincodias.elpais.com/cincodias/2022/05/19/companias/1652978299_749683.html)

o AESEG asks to raise the price of essential medicines to produce them (https://www.eleconomista.es/salud/noticias/11768114/05/22/El-generico-pide-subir-el-precio-de-los-farmacos -essential-to-produce-them.html)

 

 

7 days in healthcare (May 9th-15th, 2022)

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Summary

From the point of view of biomedicine, the important study published by the journal Science should be highlighted, outlining the most detailed atlas of human cells to date. The discussion about the origin of acute childhood hepatitis continues.

As far as Global Health is concerned, it is found that the United States has reached one million deaths from COVID and Europe two million. A sad milestone.

Regarding international health policy, in relation to COVID, the debate continues on the sustainability of the zero-COVID policy in China. Lockdowns in North Korea, possibly the most opaque country in the world. The debate continues in the United States on the modification of the Roe v Wade sentence. Pronouncements from scientific journals (Nature, The Lancet), as well as from the President of the American Medical Association. The ECDC (European Center for Disease Prevention and Control) stops recommending the use of masks on public transport in Europe.

If we talk about national health policy (Spain), the accumulated incidence of COVID continues to grow. Great debate regarding the announced new Abortion Law. It is more than doubtful that the Law will be approved and, if it is, that it will be complied with, given the large number of controversial elements (registration of conscientious objectors, the obligation that these interventions be carried out in public hospitals, the use of terminology of obstetric violence, etc.). The Ministry of Industry takes out the first tender of the cutting-edge health PERTE. Important editorial in El País on waiting lists, which it presents as a scourge of the SNS.

In the field of companies, the WHO denounces attempts to whiten tobacco companies, by way of presenting themselves as green companies.

Biomedicine

Global Health

International health policy

  • COVID-19

o The Director of the WHO affirms that the zero-covid policy in China is not sustainable (https://www.ft.com/content/9b81b9f0-e13d-4b0a-8bdf-91c97c7d61e7)

o A study says that lifting the “zero COVID” policy in China could mean 1.5 million deaths (https://www.theguardian.com/world/2022/may/11/lifting-zero-covid-policies-in -china-could-risk-16m-deaths-says-study)

o China considers the WHO statement on its zero COVID policy “irresponsible” (https://www.ft.com/content/2e20867b-5f1d-4307-93b0-1d9b07d65e34)

o China renounces organizing the 2023 Asian Soccer Cup, due to the pandemic (https://www.lemonde.fr/international/article/2022/05/14/la-chine-renonce-a-organiser-la- coupe-d-asie-2023-de-football-in-raison-de-la-pandemie-de-covid-19_6126096_3210.html)

o Confinement in North Korea, as the first cases of COVID are confirmed (https://www.ft.com/content/41dec58c-3860-4ae3-86c4-716ffe85dbdd)

o Alert in the state of New York, due to the increase in cases (https://www.nytimes.com/live/2022/05/13/world/covid-19-mandates-vaccine-cases)

  • The debate on abortion continues in the United States

o The pronouncement of medical and scientific journals continues against the annulment of the Roe v Wade ruling in the United States, for reasons of public health and worsening of the health of women and children, particularly those with fewer resources. Editorials in Nature (https://www.nature.com/articles/d41586-022-01249-2) and The Lancet (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22) 00870-4/fulltext), among others.

o Gerald E. Harmon, President of the AMA, the representation of American doctors, was “deeply concerned” about the impact on reproductive health in the United States of this possible modification (https://www.ama-assn.org/ delivering-care/population-care/why-leaked-abortion-opinion-antithetical-public-health)

o The New York Times assures that the annulment of same-sex marriage could be the next step (https://www.nytimes.com/2022/05/11/us/politics/roe-wade-supreme-court- abortion.html)

o Certain groups try to ban telemedicine prescription of pills that interrupt pregnancy (https://www.ft.com/content/6a3dd70e-8bb9-4727-af4a-4036a660db64)

  • Other themes

o The United States, willing to share vaccine technology with poor countries, says Biden (https://www.ft.com/content/ec6b5b3a-7cff-4aa9-8e68-cba3bbaae06f)

o The European Union Aviation Safety Agency and the European Center for Disease Prevention and Control (ECDC), eliminate the recommendation to use masks in airports and during flights (https://www.larazon.es/ society/20220511/2dur4ogv7zemfkl5bbwmsitpme.html)

o Disposable electronic cigarettes are imposed among adolescents in France (https://www.lemonde.fr/societe/article/2022/05/08/les-cigarettes-electroniques-jetables-s-imposent-parmi-les-adolescents_6125199_3224 .html)

o France will stop requiring a mask on public transport starting next Monday, May 16 (https://www.expansion.com/economia/2022/05/12/627ccd8e468aeb71118b4611.html)

National health policy

  • COVID

o The accumulated incidence continues to rise, growing 13 points since the last measurement and standing at 856.65 cases in the last 14 days per 100,000 inhabitants. The ward occupancy rate is 5.80% and the ICU occupancy rate is 4.07% (https://www.consalud.es/pacientes/especial-coronavirus/covid-19-espana-suma-31036-casos- 321-deceased-ia-uploads-856-points_114645_102.html)

  • Regulatory announcements

o The Government willing to approve next Tuesday, May 17, a new abortion law at the initiative of the Ministry of Equality. The 14-week period for abortion to be considered legal is not modified. Most controversial points: 1. Without permission or information to parents from the age of 16; 2. No to surrogacy; 3. Registration of conscientious objectors; 4. Abortion in public hospitals; 5. Leave due to painful menstruation, outside the regulations of the common disease; 6. The terminology of obstetric violence is maintained (https://www.abc.es/sociedad/abci-no-reforma-sino-ley-aborto-ultima-gobierno-diez-claves-rapidas-202205111920_noticia.html)

o The need to strengthen public healthcare so that it can address the 74,000 abortions that are performed in the private sector (https://elpais.com/sociedad/2022-05-14/la-sanidad-publica-debera-reforzarse-para-asumir -the-74000-abortions-that-now-derives-to-the-private.html)

o The Constitutional Court is preparing a ruling in favor of the 2010 Abortion Law for June, after an appeal by the PP, parked for 12 years (https://www.elconfidencial.com/espana/2022-05-13/constitucional-junio -judgment-favorable-law-abortion_3423623/)

  • Other themes

o The Ministry of Industry is putting out to tender the Vanguard Health PERTE for the pharmaceutical and health products sector (https://www.boe.es/boe/dias/2022/05/07/pdfs/BOE-B-2022-14280 .pdf)

o Important editorial in El País on waiting lists, which it presents as a major problem for the SNS (https://elpais.com/opinion/2022-05-10/largas-listas-de-espera.html)

o War of figures in the strike of medical specialists in Madrid (https://elpais.com/espana/madrid/2022-05-10/primer-dia-de-huelga-indefinida-de-medicos-en-madrid-basta -already-of-temporary.html)

o Castilla y León intends to lower the surgical delay in six months by 21 days (https://www.diariofarma.com/2022/05/11/castilla-y-leon-objetivo-bajar-21-dias-la-demora -surgical-in-6-months)

o The national 024 telephone line for suicide prevention is launched (https://www.larazon.es/sociedad/20220509/cubyq6iicncg3nfm6hieltpxvy.html)

o The SNS Interterritorial Council gives the green light to the Mental Health Plan (https://www.diariofarma.com/2022/05/11/el-cisns-da-luz-verde-al-plan-de-salud-mental -con-practica-unanimidad), which is criticized by the President of the Spanish Society of Psychiatry, saying that “Mental Health needs professionals and intermediate centers, not apps” (https://www.redaccionmedica.com/secciones/psiquiatria /-mental-health-needs-professionals-and-intermediate-centers-no-apps–8807)

o The Ministry publishes the list of 462 strategic medicines, which includes 249 active ingredients (https://www.diariomedico.com/farmacia/industria/estos-son-los-462-medicamentos-estrategicos-para-el-sns. html)

o Private doctors ask insurers to raise their fees, which according to them have been frozen for 32 years (https://theobjective.com/economia/2022-05-15/medicos-privados-honorarios/)

o Andalusia can have up to 8 Faculties of Medicine, after the steps in Jaén and Almería only Huelva remains (https://www.redaccionmedica.com/bisturi/-ocho-facultades-de-medicina-en-una-misma-region –3332), something (the proliferation of Medical Faculties) totally against the approaches of the CEEM (State Confederation of Medical Students) and the Conference of Deans

Companies, employers and other agents of the sector

  • International News

o The WHO asks countries to stop the tobacco companies that try to whitewash their image as a green industry (https://elpais.com/clima-y-medio-ambiente/2022-05-13/la-oms-pide- to-the-countries-that-stop-the-tobacco- companies-that-try-to-clean-up-their-image-as-a-green-industry.html)

o Pfizer will buy the biotech company Biohaven for 11.6 billion dollars (https://www.ft.com/content/ea9bb9bc-b5ec-4278-ab42-1f5f14a1a76f)

  • National News

o Vithas invests 3 million euros in the renovation of emergencies (https://www.plantadoce.com/empresa/vithas-madrid-la-milagrosa-invierte-tres-millones-de-euros-en-la-renovacion- of-your-emergencies.html)

o Vitaldent is committed to dental aesthetics by incorporating 73 Smysecret spaces into its clinics (https://www.plantadoce.com/empresa/vitaldent-apuesta-por-la-estetica-dental-e-incorpora-73-espacios-smysecret-a -your-clinics.html)

o Asisa buys a 600m2 center in Zaragoza (https://www.ondacero.es/programas/en-buenas-manos/asisa-compra-centro-medico-600-zaragoza_20220510627a3bbc64c3c90001106b03.html)

o Hospitales Parque grows in Talavera with a new building for outpatient consultations (https://www.plantadoce.com/empresa/hospitales-parque-crece-en-talavera-de-la-reina-con-un-nuevo-edificio- for-external-queries.html)

o Sanitas, SegurCaixa Adeslas and Línea Directa, the most profitable insurers (https://www.expansion.com/empresas/banca/2022/05/09/627567d7e5fdea58068b45f4.html)

o Novartis will manufacture an oncology drug for the whole world in Barcelona (https://www.eleconomista.es/salud/noticias/11765483/05/22/Novartis-fabricara-en-Zaragoza-un-oncologico-para-todo-el -world-.html)

7 days in healthcare (May 2nd-8th, 2022)

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Summary

From the point of view of biomedicine, two important editorials in The Economist should be highlighted on wearables (devices to wear, mainly smart watches) and medicalized apps, which could represent a new form of relationship between citizens and the health system and greater involvement of the population in maintaining their own health.

As far as Global Health is concerned, two books stand out, the one by Bill Gates on the pandemic, in which he says, in short, that outbreaks are not avoidable, but pandemics are, and the one by Devi Sridhar on the pandemic in general, commented by The Lancet.

As for international health policy, much of the debate in the international press is centered around the controversy over abortion in the United States, which is dividing American society. Much of the international media speaks out against the reversal of the Roe v Wade ruling, which established abortion as a constitutionally based right in the United States (The Economist, New York Times, Financial Times, Le Monde), although some they do it for (Wall Street Journal). Especially harsh is the article in the New England Journal Medicine, which says that the reversal of this sentence would mean a return to 1973, where women with resources could access an abortion by changing state or country, while the poor had to assume a pregnancy not desired or undergo interventions without guarantee, with high mortality and complications.

If we talk about national health policy (Spain), we must highlight the important editorial in El País on cancer drugs, which try to be introduced despite their high price and poor results in terms of survival. It is also necessary to highlight the “Update of the Stability Program 2022-2025“, where the government puts black on white that it will not fulfill its programmatic promise of reaching 7% of GDP in health in 2023.

In the field of companies, from the international point of view, it is worth noting the dismissal of the head of Biogen, after the controversial introduction of a drug against Alzheimer’s, whose approval by the FDA had already produced a cataclysm in this organism, with deep internal divisions. In the national environment, the important Pfizer document on gene therapies should be highlighted, as well as Quirónsalud’s proposal for a new hospital in Gijón, which could renew the private hospital scene in that region.

Biomedicine

Global health

International health policy

  • COVID-19

o In China, the covid-zero policy accentuates the slowdown in the economy (https://www.lemonde.fr/economie/article/2022/05/06/en-chine-la-politique-zero-covid-accentue -le-slow-down-de-l-economie_6125001_3234.html)

o Deaths from covid worldwide are at their lowest since the start of the pandemic (https://www.elespanol.com/ciencia/salud/20220507/muertes-covid-mundo-situan-minimos-inicio-pandemia/ 670433394_0.html)

  • The great debate on abortion in the United States

o The leak of an exploratory vote in the United States Supreme Court on the abolition of the Roe v Wade judgment (which declared abortion legal throughout the United States), unleashed a great controversy. If Roe v Wade is amended, abortion rights would become an issue for the states, not for the United States as a whole. There would be states in which abortion would be legal, while others would not (https://www.nytimes.com/article/abortion-laws-us.html)

o The most important international media editorialize and publish articles on the subject, such as The Economist (https://www.economist.com/united-states/how-the-end-of-roe-v-wade-will- affect-american-politics/21809130), The New York Times (https://www.nytimes.com/2022/05/06/opinion/roe-v-wade-constitution.html), Financial Times (https:// www.ft.com/content/92042f8d-7954-4ffa-a0f5-b0fae12f7da3), Le Monde (https://www.lemonde.fr/international/article/2022/05/07/avortement-aux-etats-unis- un-retour-en-arriere-de-la-cour-supreme-serait-l-aboutissement-de-cinquante-ans-de-combat-de-la-droite-religieuse-contre-l-ivg_6125107_3210.html) and The Wall Street Journal (https://www.wsj.com/articles/the-end-of-roe-will-be-good-for-america-supreme-court-draft-leak-decision-abortion-pro-life-choice-justices-alito-11651787057), by cite just a few

o The medical press also speaks out: important article in the New England Journal Medicine, totally against the possible annulment of Roe v Wade (https://www.nejm.org/doi/full/10.1056/NEJMp2119364)

o The position on abortion in the United States: religion, not gender, is the greatest predictor of position (https://www.economist.com/graphic-detail/2022/05/07/religion-not-gender -is-the-best-predictor-of-views-on-abortion)

o The debate on abortion in the United States is unsettling in Canada (https://www.lemonde.fr/international/article/2022/05/05/le-retour-du-debat-sur-l-avortement-aux-etats -unis-restless-le-canada_6124913_3210.html)

o The American corporate world (Corporate America) is silent on the subject (https://www.ft.com/content/b1f32dd2-e01b-4b7f-880d-946d8b0db1ca)

  • Other themes

o The WHO warns that covid has accelerated the obesity pandemic. Proposes taxes on less healthy food and subsidizing fruits and vegetables (https://elpais.com/sociedad/2022-05-03/la-oms-alerta-de-que-el-impacto-del-coronavirus-ha-acelerado -another-epidemic-of-obesity.html)

National health policy

  • COVID

o Contagios in the elderly continue to rise and the deaths are about 70 a day (https://www.lavanguardia.com/vida/20220507/8249221/contagios-mayores-siguen-alza-muertes-continuan-70-diarias.html )

o Seventh wave or new phase of the pandemic? (https://www.epe.es/es/sanidad/20220506/septima-ola-covid-13618507)

  • Regulatory announcements

o List of essential drugs imminently (https://www.redaccionmedica.com/secciones/industria/la-inminente-lista-de-farmacos-de-sanidad-abre-una-nueva-via-de-rebaja-2143 )

o A reform of the Framework Statute is controversially proposed (https://www.redaccionmedica.com/bisturi/union-y-rebelion-sindical-ante-la-reforma-del-estatuto-marco-9760)

  • Other themes

o Important editorial in El País on cancer drugs, their high price and their sometimes minor effects on survival (https://elpais.com/opinion/2022-05-07/el-precio-de-la-salud. html)

o The “Update of the Stability Program 2022-2025“, presented by the Government to Brussels, does not foresee that the government’s promise to reach 7% of GDP in 2023 in public health spending will be fulfilled (https://www. hacienda.gob.es/CDI/Programas%20de%20Estabilidad/Programa-de-Estabilidad-2022-2025.pdf)

o The doctors maintain the strike for May 10, rejecting the Community of Madrid-ICOMEM agreement (https://elpais.com/espana/madrid/2022-05-07/la-encrucijada-final-de-los-medicos -de-madrid.html)

o Order of the Government of Catalonia on unit prices for compensation for hospital and specialized care (https://www.iberley.es/legislacion/orden-slt-88-2022-22-abril-determinan-ano-2022 -unit-prices-consideration-specialized-hospital-care-27084794)

Companies, employers and other agents of the sector

  • International News

o The head of Biogen dismissed due to the failure of the new drug against Alzheimer’s, after detecting that it has unproven benefits and serious health risks (https://www.nytimes.com/2022/05/03/business/biogen- aduhelm-michel-vounatsos.html)

  • National News

o Pfizer presents in Congress a Decalogue to promote gene therapy (https://www.pfizer.es/sites/default/files/2022-04/TERAPIA%20GENICA%20SNS%20interact%20v1.pdf)

o Quirón intends to build a new hospital in Gijón, with an investment of 40 million and 300 jobs (https://www.plantadoce.com/empresa/quironsalud-inviertera-40-millones-de-euros-en-nuevo-hospital -en-gijon.html)

o Teladoc Health is reinforced in Barcelona and will open a new digital hub in the city (https://www.plantadoce.com/empresa/teladoc-health-se-refuerza-en-barcelona-y-abrira-un-hub-digital -in-the-city.html)

o Vitaldent continues to grow and opens clinics in Pola de Siero, Lugo and Getafe (https://www.eleconomista.es/salud/noticias/11748887/05/22/Vitaldent-abre-tres-nuevas-clinicas-en-Espana. html)

o Besins Healthcare, a company based in Mónica and specialized in novel therapies in gynecology, fertility and endocrinology, lands in Spain and invests 25 million in a plant in Muel (Zaragoza) (https://www.plantadoce.com/empresa/besins -healthcare-lands-in-spain-and-invests-25-million-in-a-plant-in-muel.html)

 

 

 

 

7 days in healthcare (April 25-May 1, 2022)

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Summary

From the point of view of biomedicine, to highlight the evolution of acute hepatitis in children; Lilly’s announcement of a drug to tackle obesity that could compete with bariatric surgery; and the analysis of the New England Journal of Medicine on the “boosters” for covid.

As far as Global Health is concerned, we again quote Bill Gates, who is publishing a new book on pandemic prevention. Great concern about the resurgence of measles, yellow fever and polio in Africa, due to the low levels of vaccination against these diseases, given that resources have been largely diverted to covid.

As for international health policy, the problems of the “zero-covid” policy in China continue, which threatens the global economy, due to the closure of the largest port in the world: Shanghai. It seems increasingly clear that for political reasons this “zero-covid” approach will not change until the approval of a third term for its leader Xi. Also noteworthy is the very serious discrediting of the National Health Service in the United Kingdom, which until now had been the object of almost religious veneration.

If we talk about national health policy (Spain), the incidence of covid continues to increase, particularly in some regions (Galicia, Navarra, Asturias and Castilla y León). The Health Advertising Law was not approved by Parliament, which is not necessarily bad news, since it was largely part of the confrontation between the College of Dentists and the dental care networks. The announced strike of doctors in Madrid, regardless of its results, has its origin in a very serious problem: the very high rate of temporary employment (more than 50% of doctors in the public system in Madrid). Very interesting statements by José Ramón Repullo, proposing national accreditation and hiring at the local level.

In the field of companies, from the international point of view, certain possible disruptive changes for the pharmaceutical industry should be highlighted: 3D printing, which would allow the “manufacturing” of medicines in a clinical environment; and the movements of Amazon for the sale of prescription drugs.

Biomedicine

Global Health

International health policy

  • COVID-19

o Serious problems continue in China with the “zero-covid” policy. The general impression is that the rhetoric of war does not help to defeat covid (https://www.economist.com/leaders/2022/04/30/chinas-martial-rhetoric-will-not-help-it-defeat- covid), while the global economic implications of the closure of Shanghai persist, the largest port in the world (https://www.epe.es/es/internacional/20220429/estrategia-covid-cero-china-dessolucion-inflacion-13586353)

o The “zero-covid” policy in China, a great personal bet of the leader Xi and difficult to be modified before his re-election for a third term (https://www.ft.com/content/33b7fcb2-bc88- 4a76-9b81-d561deaabc5c)

o Covid cases on the rise in virtually all of the United States (https://www.nytimes.com/2022/04/29/world/coronavirus-cases-us.html)

  • Other issues

o The FDA, about to ban menthol cigarettes. They are the most used among the black population (https://www.nytimes.com/2022/04/28/health/menthol-ban-fda.html)

o Very serious loss of prestige of the National Health Service, which is ending an almost religious adoration of this body in the United Kingdom. A survey says that global satisfaction dropped to 36%, something never known. Poor staff planning among major problems (https://www.economist.com/britain/2022/04/28/the-nhs-is-in-seriously-poor-shape)

National health policy (Spain)

  • COVID

o The cumulative incidence among people over 60 years of age continues to rise, reaching (April 29) 676.43 cases per 100,000 inhabitants in the last 14 days, an increase of almost 70 points compared to the previous measurement. Occupation rate due to covid: 5.12% in the ward and 3.66% in the ICU (https://www.consalud.es/pacientes/especial-coronavirus/covid-19-espana-notifica-62695-casos-229- deceased-ia-exceeds-676-points_113987_102.html)

o The Ministry of Health reports almost 2,000 deaths in April, the first full month of “flu” from covid (https://www.elespanol.com/ciencia/salud/20220430/sanidad-notifica-muertes-primer-completo- flu-covid/668683313_0.html)

o Increase in the incidence of covid grows by 35% after Easter and there are already four regions with the unbridled incidence (Galicia, Navarra, Asturias and Castilla y León) (https://www.elespanol.com/ciencia/salud/20220428 /revenues-covid-semana-santa-ccaa-incident-runaway/668183406_0.html)

o The Ministry of Health will authorize the fourth dose for those over 80 years of age and those who live in residences, a total of about 3 million people (https://www.lavanguardia.com/vida/20220425/8219507/sanidad-autorizara- fourth-dose-vaccine-covid-older-80.html)

  • Regulatory announcements

o The Health Advertising Law presented by the PP fails, which is regretted by the professional associations, in particular that of dentists. Apparently, the Government is preparing a Royal Decree on the subject (https://www.diariofarma.com/2022/04/28/el-congreso-desestima-la-ley-de-publicidad-sanitaria-del-pp)

  • Other issues

o Madrid hospital doctors go on strike over temporary contracts (https://www.epe.es/es/sanidad/20220429/medicos-hospitales-madrid-huelga-contratos-temporales-13587639)

o Interesting statements by José Ramón Repullo regarding the temporality of doctors and health professionals and their non-solution through the OPEs. He proposes national accreditation and contracting by centers, as exists in other countries (https://elpais.com/espana/madrid/2022-04-30/la-temporalidad-de-los-medicos-es-el-resultado -of-a-bad-system-worse-governed.html)

o Cases of severe hepatitis in children in Spain rise to 22 (https://www.lavanguardia.com/vida/20220429/8233030/hepatitis-aguda-ascienden-22-casos-espana.html)

o 700,000 Spaniards on the surgical waiting list, the worst figure in the history of public healthcare (https://www.elespanol.com/espana/20220501/espanoles-lista-espera-quirurgica-historia-sanidad-publica/668683270_0. html)

o Núñez Feijóo calls for the creation of the emergency specialty, with the argument of preventing primary care professionals from leaving (https://www.consalud.es/autonomias/galicia/feijoo-pide-creacion-urgencias_113617_102.html)

o Facme presents the Spanish recertification model (https://www.diariofarma.com/2022/04/22/facme-presenta-el-programa-espanol-de-recertificacion)

o Five communities (Extremadura, Aragón, Baleares, Comunidad Valenciana and Navarra) ask AIReF to evaluate their healthcare and pharmaceutical spending (https://www.diariofarma.com/2022/04/26/cinco-ccaa-piden-a- the-airef-assess-your-health-care-and-pharmaceutical-expenditure)

o Very interesting article by José Luis Puerta: “Data saves lives”, on the need to overcome the situation in which the custodians of the data are not capable of exploiting them, nor do they allow third parties to do so (https://www.diariomedico .com/opinion/data-saves-lives.html)

Companies

  • International News

o Possible disruptive changes for the pharmaceutical industry (http://gestionclinicavarela.blogspot.com/2022/04/aires-de-disrupcion-en-la-industria.html?utm_source=feedburner&utm_medium=email): volumetric 3D printing that would allow drugs to be “manufactured” in a clinical setting (https://www.sciencedirect.com/science/article/abs/pii/S2214860422000781) and Amazon Prime’s offer to facilitate basic drugs for $1 a month (https://www.reuters.com/business/healthcare-pharmaceuticals/amazon-pharmacy-offers-half-yearly-prescriptions-starting-6-2021-06-08/)

o Roche sales soar in the United States due to the demand for covid tests (https://www.ft.com/content/ed5f4f64-4fa6-4663-bc75-8860bb1ad997)

o Investors pressure Nestlé and Kraft Heinz to target health (https://www.ft.com/content/545651c2-c408-4cad-b724-698ed896ee89)

o Philips records losses of 151 million euros in the first quarter of 2022 (https://www.plantadoce.com/empresa/philips-registra-unas-perdidas-de-151-millones-de-euros-en-el -first-quarter-of-2022.html)

o Abbie strengthens its neurosciences portfolio and acquires Syndesis Therapeutics (https://www.plantadoce.com/empresa/abbvie-strengthens-its-neurosciences-portfolio-and-acquires-syndesi-therapeutics.html)

  • National News

o Lácer attracts the interest of venture capital funds (https://www.expansion.com/empresas/distribucion/2022/04/29/626afa0de5fdeaa9578b45a2.html)

o Grifols closes the purchase operation of its German rival Biotest (https://cincodias.elpais.com/cincodias/2022/04/25/companias/1650876940_315447.html)

o Faes Farma profit grows 24% thanks to licenses and the Latin American market (https://www.eleconomista.es/pais_vasco/noticias/11743403/04/22/El-beneficio-de-Faes-Farma-crece -a-24-thanks-to-the-licenses-and-the-latin-american-market.html)

o Senniors disembark in Abu Dhabi with the support of the country’s sovereign wealth fund (https://www.plantadoce.com/empresa/senniors-desembarca-en-abu-dabi-con-el-apoyo-del-fondo-soberano-del -country.html)

o Quirónsalud launches a new rehabilitation center in Ronda de Triana (https://www.plantadoce.com/empresa/quironsalud-pone-en-marcha-un-nuevo-centro-de-rehabilitacion-en-ronda-de -triana.html)

o Hospitales Parque (CASER) accelerates in 2021 and raises its income by 46%, up to 58 million euros (https://www.plantadoce.com/empresa/hospitales-parque-acelera-en-2021-y-eleva-un -46-your-income-up-to-58-million-euros.html)

o Asisa strengthens Otoaudio and opens its first center in Seville (https://www.plantadoce.com/empresa/asisa-refuerza-otoaudio-y-abre-su-primer-centro-en-sevilla.html)

o Asisa Dental opens its first own clinic in the Canary Islands in Las Palmas (https://www.consalud.es/ecsalud/nacional/asisa-dental-abre-palmas-clinica-canarias_113952_102.html)