7 days in healthcare (14th-20th November, 2022)
Summary
From the point of view of Biomedicine, the promising advances in the clinical trial of monoclonal antibodies against malaria are noteworthy. Although malaria has declined remarkably in the last 20 years, progress stopped in 2014. 6 African countries suffer 55% of global malaria cases. There is no doubt that the world would be much better without this disease.
As regards Global Health, the COP27 summit approves what was a general demand: the creation of a fund to help countries vulnerable to warming, although it does not agree to end fossil fuels. Faced with the opinion of the Director General of the WHO to hail the Qatar soccer championship as good for health, The Lancet is more skeptical, pointing out, among other things, that it had already shown in 2021 that the Olympic Games do not contribute to the generalization of the practice of physical exercise among the population.
Regarding International Health Policy, it seems that China is beginning to soften the covid-zero policy with regulations that are not as draconian as up to now. The American CDC initiates the changes, after the report that was made that demonstrated notable failures during the pandemic. The pharmaceutical industry warns in the United States and the United Kingdom that a change in price conditions in the first country and an increase in taxes in the second, could harm investments and, consequently, innovations in medicines.
If we talk about National Health Policy (Spain), the incidence of covid has risen in the last week, after two weeks of decline. With the announced change of the Minister of Health, Spain will have the sad record of having five Ministers of Health (Montón, Carcedo, Illa, Darias and the new one) in five years. Not surprisingly, the Ministry of Health has become a contingency management ministry, rather than the driver of transformative system change. If any of those ministers, which is quite doubtful, had had any transformation approach, he would not have had time to even raise it. It is not surprising that, in these circumstances, the Ministry of Health has not had the opportunity to rule on the conflict between Primary Care doctors, as if it did not affect it, when local circumstances aside, the working and professional conditions of healthcare personnel at Primary Care are a national problem. It confirms what was already known: that Spain is among the countries with the most doctors per 1,000 inhabitants in the world. Important and necessary organizational revolution at the Vall d’Hebrón hospital in Barcelona, creating 32 areas of knowledge. The approach will be presented at the next meeting of the European University Hospitals Alliance (EUHA).
In the field of Companies, at the international level, obesity is seen as the expected Eldorado of Big Pharma. In Spain, Sanitas acquires a hospital in Mexico; Ribera buys a hospital group in Murcia; and, Imed considers the construction of three new hospitals: Valencia, Alicante and Barcelona.
Biomedicine
- Monoclonal antibodies against malaria. Promising results from a clinical trial (https://www.nejm.org/doi/full/10.1056/NEJMe2213148)
- Global decline in sperm counts (https://www.ft.com/content/1962411f-05eb-46e7-8dd7-d33f39b4ce72)
- Keys to optimize breast cancer detection: more personalized screenings and changes in blood proteins (https://www.diariomedico.com/medicina/oncologia/congresos/cribados-personalizados-y-cambios-en-proteinas -of-the-blood-seek-to-optimize-the-diagnosis-in-breast.html)
- Is lung cancer screening necessary? Controversy (https://elpais.com/salud-y-bienestar/2022-11-18/es-necesario-un-cribado-de-cancer-de-pulmon-la-controversia-se-instala-en-una- tumor-that-leads-23000-deaths-per-year.html)
Global Health
- The COP27 summit creates a fund for the countries most vulnerable to warming, but does not agree to end fossil fuels (https://www.ft.com/content/b3a6ea05-1357-4564-a448-27b16a376a4a)
- Will the Qatar championship be good for health? This is the question asked by The Lancet in an editorial. Although the Director General of the WHO has hailed this championship as good for health, The Lancet is more skeptical, saying that it has already shown in 2021 that the Olympic Games do not contribute to improving the level of physical activity. On the other hand, among the sponsors of the championship are Budweisser, McDonalds and CocaCola, which are not known for defending healthy lifestyles. That for not commenting on the contempt for human rights in that country (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02357-1/fulltext)
- A cancer epidemic threatens Europe in the next decade. Article in The Lancet Oncology. It is estimated that the covid prevented the diagnosis of one million cancers in Europe (https://www.consalud.es/pacientes/pacientes-avances/epidemia-cancer-amenaza-europa-proxima-decada_122824_102.html)
- Maternal mortality in eight European countries. The comparative study was carried out in Denmark, Finland, France, Italy, the Netherlands, Norway, Slovakia and the United Kingdom (https://www.bmj.com/content/379/bmj-2022-070621)
- “The Health Inclusivity Index”, a new index of assessment of the level of health and the health system created by The Economist, in collaboration with HALEON, a health company (https://impact.economist.com/projects/health-inclusivity -index)
- Why is the bronchiolitis epidemic so strong this year? (https://www.lemonde.fr/planete/article/2022/11/19/pourquoi-l-epidemie-de-bronchiolite-est-elle-si-forte-cette-annee_6150610_3244.html)
- The war in Ukraine has already left more than 600 attacks on the country’s health system (https://www.consalud.es/politica/situacion-sanitaria-ucrania_122832_102.html)
International Health Policy
- COVID19
- China continues to loosen the “covid-zero” rules. A new regulation with 20 changes to its policy was published on November 11 (https://www.economist.com/china/2022/11/17/china-tweaks-its-zero-covid-policy)
- Will the covid “boosters” be able to prevent a new wave? Scientists aren’t sure (https://www.nytimes.com/2022/11/18/health/covid-boosters-surge.html)
- Changes in the US healthcare system
- The American CDC begins the changes, after the rulings during the pandemic, after an independent review that recommended changes in this agency (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02354- 6/fulltext)
- The crisis of the British National Health Service
- One in three hospital beds in England occupied by patients who could be discharged (https://www.theguardian.com/society/2022/nov/13/hospital-beds-england-occupied-patients- fit-discharge)
- Health spending in the UK, below the European level by £40 billion a year (https://www.ft.com/content/f752a1ad-4a23-408f-a549-4909974c6a2c)
- The Guardian in an editorial says the NHS may fail due to lack of resources, preventing it from responding to the care demand (https://www.theguardian.com/commentisfree/2022/nov/15/the-guardian-view- on-the-nhs-set-up-to-fail-by-being-underresourced-to-meet-demand)
- The crisis of the healthcare system in France
- Clinical analysis laboratories on unlimited strike starting Monday (https://www.lemonde.fr/sante/article/2022/11/13/les-laboratoires-de-biologie-en-greve-illimitee-a- from-lhtml)
- It may be necessary to recruit 100,000 nurses in France (https://www.lemonde.fr/idees/article/2022/11/19/dominique-meda-il-pourrait-etre-necessaire-de-recruter-jusqu-a- 100-000-infirmiers-pour-un-montant-de-5-milliards-d-euros_6150612_3232.html)
- Warnings from the pharmaceutical industry
- BMS (Bristol Myers Squibb) warns that drug price reforms in the US could alter the development of new drugs (https://www.ft.com/content/a763ba0d-e48e-47e4-aba0-a71ee7e18d1f)
- BMS says UK drug tax system may threaten investment (https://www.ft.com/content/671bfe19-2ef0-4f3c-84e4-a573b8567345)
- Other themes
- Is competition between healthcare providers good for improving quality and efficiency? Recent report from the European Observatory on Healthcare Services, without definitive conclusions. A very difficult issue (https://www.who.int/europe/publications/i/item/Policy-brief-48-1997-8073)
National health policy
- COVID
- The covid epidemic rises to 181 points, after two weeks of decline (https://www.consalud.es/pacientes/especial-coronavirus/covid-espana-casos-fallecidos_123002_102.html)
- Changes in the Ministry of Health
- Darias, the minister of Health, candidate for mayor of Las Palmas. There will be five Ministers of Health in five years from 2018 (Montón, Carcedo, Illa, Darias and the next one) (https://www.consalud.es/politica/darias-formaliza-candidatura-palmas_123003_102.html)
- Health professions
- Faculty deficit in the Faculties of Medicine (https://www.consalud.es/profesionales/medicina/deficit-profesorado-facultades-medicina_122711_102.html)
- The paradox of Spanish healthcare: more doctors than anyone but a lack of specialists (https://theobjective.com/sociedad/2022-11-20/faltan-medicos-familia-pediatras/)
- Spain has more doctors per inhabitant than most developed countries (https://theobjective.com/sociedad/2022-11-19/no-faltan-medicos/)
- Tensions in the public health system in Madrid
- The health workers in Madrid call off the extra-hospital emergency strike, after reaching an agreement with the Community of Madrid (https://www.elconfidencial.com/espana/madrid/2022-11-17/sanitarios-consejeria-sanidad-madrid -agreement-call off-strike-emergencies_3525208/)
- The meeting between the AMYTS union and the Madrid Ministry of Health ends without an agreement: strike starting Monday November 21 in Primary Care (https://www.vozpopuli.com/espana/acabo-sin-acuerdo-huelga-atencion -primary-madrid-union-amyts.html)
- Madrid wants to replace the lack of health personnel with non-EU doctors (https://www.elindependiente.com/espana/2022/11/16/madrid-quiere-suplir-con-medicos-extracomunitarios-la-falta-de- personnel-in-health/)
- Tensions in primary care in Spain as a whole
- The doctors of Cantabria do not accept the preliminary agreement with the Ministry of Health and will continue the strike (https://www.elindependiente.com/espana/2022/11/14/los-medicos-de-cantabria-no-aceptan-el -Pre-agreement-with-the-Ministry-of-Health-and-they-will-continue-on-strike/)
- Extremadura healthcare, on the verge of a hospital strike (https://www.vozpopuli.com/espana/sanidad-extremena-borde-huelga-hospitales-sin-prestigio-falta-personal.html)
- Catalonia willing to imitate the protests in Madrid for public healthcare (https://www.elmundo.es/ciencia-y-salud/salud/2022/11/18/63764e3421efa0ba2b8b45d2.html)
- Moreno fears that the health protests in Madrid will infect Andalusia (https://www.elconfidencial.com/espana/andalucia/2022-11-16/moreno-fears-that-las-protestas-sanitarias-de-madrid_3524294/)
- Advances in public hospitals
- Organizational revolution at the Vall d’Hebrón Hospital: group services into areas of knowledge and organization of nursing according to the intensity of care (https://www.diariomedico.com/medicina/politica/asi-es-la-revolucion -organizational-of-the-hospital-vall-dhebron.html)
- Regulatory changes
- César Hernández lays the foundations for the new Medicines Law (https://elglobal.es/politica/cesar-hernandez-hay-que-hacer-posible-el-triangulo-de-innovacion-acceso-y-sostenibilidad-del -system/)
- Other themes
- Francesc Moréu, a well-known health manager, updates his document published in 2020 entitled: “A new health model for a new society” to November 2022. The fundamental thesis is that the health sector was created for another society and the fact that in-depth reforms have not been carried out for more than 40 years is creating problems for patients and professionals (https://drive.google.com/ uc?export=download&id=1W3l4Lz6gH3s-cG7rlKX_2kqKlsorkCy0)
Companies
- International News
- Obesity, the new Eldorado expected from big pharma (https://www.lemonde.fr/economie/article/2022/11/18/l-obesite-nouvel-eldorado-espere-des-big-pharma_6150459_3234.html )
- BioNTech buys a factory in Singapore from Novartis to produce mRNA vaccines (https://www.plantadoce.com/company/biontech-purchases-a-novartis-a-factory-in-singapore-to-produce-vaccines-of- mRNA.html)
- National News
- Sanitas leads the purchase of a hospital in Mexico for BUPA (https://cincodias.elpais.com/cincodias/2022/11/15/companias/1668509582_096743.html)
- Health approves Almirall’s dermatological drug (https://www.eleconomista.es/salud/noticias/12037818/11/22/Sanidad-approves-el-farmaco-dermatologico-de-Almirall.html)
- The Gallardo family earns 120 million for the parent company of the Vithas hospitals (https://cincodias.elpais.com/cincodias/2022/11/11/companias/1668190679_903118.html)
- Janssen increases its sales in Spain to 1,250 million in the year of its vaccine (https://cincodias.elpais.com/cincodias/2022/11/14/companias/1668454019_607348.html)
- Esteve obtains the go-ahead from Health to finance his therapy for Parkinson’s (https://www.expansion.com/catalunya/2022/11/19/6377e84be5fdea19178b45da.html)
- Wow Aesthetics boosts its sexual health business and opens a new clinic in Barcelona (https://www.plantadoce.com/empresa/wow-aesthetics-potencia-su-negocio-de-salud-sexual-y-abre-una -new-clinic-in-barcelona.html)
- Ribera invests in Murcia and acquires the Virgen de la Caridad Medical Center (https://www.plantadoce.com/empresa/ribera-amplia-su-apuesta-por-murcia-y-adquiere-grupo-centro-medico-virgen- of-charity.html)
- Institutos Odontológicos, a group of dental clinics owned by the Ares fund, anticipates a 30% increase in revenue in 2022 and new openings (https://www.plantadoce.com/empresa/institutos-odontologicos-anticipa-un-alza- del-30-on-your-revenues-in-2022-and-new-openings.html)
- IMED invests with the US fund MPT 121 million in three new acute care hospitals: Valencia, Alicante and Barcelona (https://www.plantadoce.com/empresa/imed-invierte-con-mpt-121-millones-de-euros -in-three-new-acute-hospitals.html)