Posts

7 days in healthcare (March 7-13, 2022)

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SUMMARY

From the point of view of Biomedicine, the Lancet report on risk factors in COPD (chronic obstructive pulmonary disease), one of the great burdens of all health systems, should be highlighted. Also the finding that COVID can cause brain damage, although its scope is yet to be determined.

As for Global Health, it is worth noting the WHO complaint that 16 health facilities have been attacked in the war in Ukraine, as well as the organization’s statement that women should have access to safe abortions, to avoid mortality as well as hospitalizations due to complications.

When it comes to international health policy, the advice for the next pandemic contained in a major editorial in the Financial Times is important. There would be three priorities: 1. Reduce the risk of the appearance of a new pathogen (controlling the markets where animals are sold, for example); 2. Prevent it from spreading throughout the world; and 3. Develop an effective weaponry with vaccines and treatments as soon as possible. The incidence of COVID is increasing in England and France, just as the outbreak in China is the largest since the initial one in Wuhan. A report by The Lancet analyzes the mortality from COVID by country and even (as in the case of Spain) by region in the different countries. Spain is among the nations with the highest mortality from COVID per number of inhabitants. In the United Kingdom, a conservative think tank, with the support of the British Secretary of Health, proposes that primary care physicians become primarily salaried, thus breaking one of the fundamental elements of the political pact that gave rise to the NHS (on the one hand, hospitals are nationalized, but, on the other, the consideration of primary care physicians as independent mini-entrepreneurs is respected).

In national health policy, it is found that the drop in the incidence of COVID stagnates in Spain. Private healthcare, through the IDIS Foundation, considers the interoperability of the clinical history of private healthcare patients, regardless of insurer or provider.

Of the activity of the companies, an analysis of the Financial Times comments on how the economy of the pharmaceutical companies works against the development of antibiotics. Europe has lost the race against the United States in the development of new drugs. Important publication of the Roche Institute of a manual on personalized medicine aimed at health professionals.

BIOMEDICINE

GLOBAL HEALTH

INTERNATIONAL HEALTH POLICY

  • COVID

o Lessons for the next pandemic, after two years of covid, an important Financial Times editorial. Three priorities: 1. Reduce the risk of emergence of a new pathogen; 2. Prevent it from spreading throughout the world; and 3. Develop an effective weaponry with vaccines and treatments as soon as possible (https://www.ft.com/content/c9640c9c-5a65-49fa-a8b2-c22cc1ffe508)

o The COVID pandemic has lasted two years. Next steps may be divisive (https://www.nytimes.com/2022/03/12/us/covid-pandemic-vaccines-mandates.html)

o The covid does not decrease, but increases, in France (https://www.lemonde.fr/planete/article/2022/03/11/covid-19-olivier-veran-alerte-au-sujet-d-un -rebond-de-l-epidemie_6117120_3244.html)

o Covid cases and hospitalizations on the rise in England (https://www.theguardian.com/world/2022/mar/11/covid-cases-england-omicron-levels-ons-data)

o China, fighting the largest outbreak since Wuhan (https://www.ft.com/content/1e7dab0d-3247-4cb7-8370-e1697d70d693)

o Chinese scientists, in search of an alternative to the “zero COVID” policy, which the Chinese government boasts so much about (https://www.economist.com/china/2022/03/10/chinas-scientists-are-looking-for-a-way-out-of-the-zero-covid-policy)

o Where did the 5 “Trillion” (American) dollars of Covid stimulus go(https://www.nytimes.com/interactive/2022/03/11/us/how-covid-stimulus-money-was-spent.html)

o Mortality from COVID, three times higher than official figures (https://www.theguardian.com/world/2022/mar/10/global-covid-19-death-toll-may-be-three-times-higher-than-official-figures), according to a major report by The Lancet (http://www.thelancet-press.com/embargo/COVIDexcessmortality.pdf)

o Austria suspends the first universal vaccination obligation (https://www.ft.com/content/65650cbe-10b0-4350-8eb5-691624be8c2d)

  • Other topics

o The pandemic has accelerated the demand for private healthcare services in the UK (https://www.bmj.com/content/376/bmj.o566)

o The NHS app should be the new ‘gateway’ to the NHS, says UK health secretary (https://www.bmj.com/content/376/bmj.o621)

o British primary care physicians should be primarily salaried (https://www.bmj.com/content/376/bmj.o594), says a report by a conservative think tank (https://policyexchange.org.uk/publication/at-your-service/)

NATIONAL HEALTH POLICY (SPAIN)

  • COVID

o The drop in infections stagnates in Spain, with the incidence still at high risk, with 430.1 cases per 100,000 inhabitants, far from 50 (https://elpais.com/sociedad/2022-03-12/la-caida-de-contagios-de-covid-se-estanca-en-espana-con-la-incidencia-aun-en-riesgo-alto.html)

o Sánchez announces that the mandatory indoor mask will soon be abolished (https://www.rtve.es/noticias/20220306/sanchez-anuncia-pronto-se-supulsara-mascarilla-obligatoria-interiores/2303441.shtml)

o Spain destroys more than a million vaccines against covid, most of them from Janssen and AstraZeneca (https://www.elespanol.com/espana/politica/20220306/espana-destruye-vacunas-covid-19-mayoria-janssen-astrazeneca/654184713_0.html)

  • Political announcements

o Congress backs the proposal of the political party Ciudadanos for a law on ALS (https://www.larazon.es/sociedad/20220308/pvwdajf2yrgljceanzw4qgsr6a.html)

  • Other themes

o The Valencian health system carries out almost 600 sex change interventions in five years (https://www.eldiario.es/comunitat-valenciana/sanidad-valenciana-realiza-600-intervenciones-quirurgicas-cambio-sexo-cinco-anos_1_8822169.html)

o 9,932 candidates will be able to choose a MIR position (https://www.diariomedico.com/medicina/medico-joven/mir/9932-candidatos-podran-elegir-plaza-mir.html)

o The IDIS calls for more accessibility in Oncology (https://www.redaccionmedica.com/secciones/privada/el-idis-pide-un-modelo-de-organizacion-en-oncologia-accesible-y-equitativo-7382)

o Change in the General Directorate of Farmaindustria (https://cincodias.elpais.com/cincodias/2022/03/09/companias/1646826907_604545.html)

o The Royal National Academy of Medicine joins the European Academies of Medicine with a declaration on Ukraine (https://www.ranm.es/noticias/4799-declaracion-de-la-ranme-sobre-la-situacion-en-ucrania.html)

o Private healthcare invests 1.3 million euros to give private healthcare patients access to digital medical records in 2023 (https://www.elespanol.com/invertia/observatorios/sanidad/20220310/sanidad-privada-invierte-millones-pacientes-historia-clinica/656184536_0.html)

COMPANIES, EMPLOYERS AND OTHER AGENTS IN THE SECTOR

  • International News

o The Sacklers will pay $6 billion for Purdue’s opiate lawsuits (https://www.consalud.es/ecsalud/internacional/sacklers-pagaran-6000-millones-demandas-opiaceos-purdue_111017_102.html)

o Kirin goes beyond beer and goes into healthcare (https://www.ft.com/content/1d99a0be-6e76-4327-8516-da549a5f767e)

o How Pharmaceutical Economics Holds Back Antibiotic Development (https://www.ft.com/content/29292a3c-321d-4187-9ff0-59d70eb796f4)

o Europe loses the battle against the USA and only develops 22% of new medicines (https://cincodias.elpais.com/cincodias/2022/03/07/companias/1646677340_160102.html)

o Sanofi acknowledges that they were late for the covid vaccine (https://www.elmundo.es/ciencia-y-salud/salud/2022/03/13/6229d430fc6c832c328b4584.html)

  • National News

o Korian: 60 new beds and more purchases to bill one hundred million euros in Spain (https://www.plantadoce.com/empresa/korian-60-nuevas-camas-y-mas-compras-para-facturar-cien-millones-de-euros-en-espana.html)

o Europe asks HIPRA to expand its clinical trial of the covid vaccine (https://cincodias.elpais.com/cincodias/2022/03/07/companias/1646677340_160102.html)

o The Roche Institute publishes a personalized medicine manual for healthcare professionals (https://www.institutoroche.es/recursos/publicaciones/201/Propuesta_de_competencias_en_Medicina_Personalizada_de_Precision_de_los_profesionales_sanitarios)

 

 

 

7 days in healthcare (13-19 December, 2021)

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Summary

From an international point of view, perhaps the most striking thing is the great growth worldwide of the “omicron” variant, already present in 89 countries. Although it is clear that it is much more transmissible than the Delta variant, it is not clear that the disease is milder. Some countries in Europe decree confinements. The effectiveness of COVID passports is demonstrated, in terms of increased vaccinations. Figures for healthcare spending in the United States are released in 2020, spending increased significantly, especially federal spending, related to COVID. It reaches 19.7% of GDP (which is said soon). It is also striking that for the first time in the history of the United States, public health spending exceeds private spending.

Regarding national news, great concern about the rapid expansion of the pandemic, which forces the President of the government to convene a Conference of Presidents, for two days before Christmas Eve, which prevents measures from being adopted for Christmas. The plenary session of the Interterritorial Council approves the “Primary and Community Care Plan 2022-2023”, a set of good intentions and the announcement of measures that, where appropriate, would have to be implemented by the autonomous communities. Once again you see how difficult “co-governance” without good governance.

In relation to the activity of companies and other agents in the sector, the activity of vaccine manufacturing companies continues. Two things are difficult to understand: the letter from the President of the Madrid Medical Association to the President of ASISA and the launch by DKV-Yoigo of a medical insurance for 20 euros. We believed, on the one hand, that health insurance companies were free to hire their medical staff; and, on the other hand, that it was difficult to continue lowering the price of health insurance in our country. It is true that in the United States and other countries online insurance, Oscar type, is emerging with cheaper policies than conventional insurance. But in Spain the policies are already very cheap and I do not think that it is about making policies for young and healthy people, who hardly consume health care.

International

  • The “omicron” variant advances at an incredible speed (The Economist, 18 Dec 21)
  • The ECDC warns that vaccination alone is not enough and calls for drastic measures (La Razón, Dec 15 21)
  • The “omicron” variant grows 70 times faster than the Delta in bronchial tissue (The Guardian, Dec 15 21)
  • The “omicron” variant is already present in 89 countries and is growing rapidly, according to the WHO (The Guardian, 18 Dec 21)
  • There is no evidence that the “omicron” variant is more benign than the delta (FT, Dec 17 21)
  • Seven people die in the United Kingdom from the “omicron” variant (El Independiente, 18 Dec 21)
  • The Netherlands decrees a new strict confinement until January 14 (El Periódico de España, Dec 18 21)
  • COVID passports have a positive effect on the number of vaccinated, according to an international study carried out in six countries (Denmark, Israel, Italy, France, Germany and Switzerland), (The Lancet, Dec 13 21)
  • The United States exceeds 800,000 deaths from COVID, the country with the highest mortality (The Guardian, Dec 15 21)
  • The scientific advances of 2021, according to the journal Science (the ease of identifying the structure of proteins, the most significant advance. In relation to medicine, several advances: treatments for COVID-19; psychedelic drugs versus some psychiatric disorders; artificial antibodies to infectious diseases; CRISP tools to modify genes within the body; Alzheimer’s medication, despite doubts about its efficacy) (Science, Dec 17, 219
  • The figures for healthcare spending in the USA in 2020 are published. The growth was 9.7% over the previous year, which had grown by 4.3%. The acceleration is due to the increase in federal spending, which grew 36%, especially in relation to COVID. The percentage of GDP dedicated to health reached 19.7%. The number of uninsured decreased. For the first time in US history, public health spending surpasses private spending (51% vs 49%) (Health Affairs, January, 22)
  • The repetition of epidemics due to different types of coronavirus (SARS, 2002 and 2003; MERS, since 2012 and COVID-19, since 2019) leads some to demand a kind of universal vaccine against coronaviruses. The article is signed, among others, by Fauci (New England Journal of Medicine, Dec 15, 2021)
  • Medicare Advantage for All, a potential pathway to universal coverage in the USA. Against Medicare for All, it would keep private insurers (JAMA, Dec 16 21)

Nationals

  • Spain is at a very high risk of contagion, after exceeding an incidence of 500 per 100,000 in the last fourteen days (El País, 17 Dec 21)
  • Sánchez calls the conference of presidents for next week, given the worsening of the pandemic (El País, 18 Dec 21)
  • Announcement on TV on Sunday, December 19, by Sánchez of the presidents’ conference for Wednesday, December 22, without advancing any measures. Logically, due to the date, there is no possibility of organizing measures for Christmas (El Mundo, 19 Dec 21)
  • Navarra and the Basque Country among the five regions with the most COVID in Europe (El Español, Dec 16 21)
  • Third dose for people over 40 and vaccinated with AstraZeneca (El Confidencial, Dec 16 21)
  • Spain is at the forefront of Europe in excess of mortality, according to the EuroMoMo (The Objective, 19 Dec 21)
  • On December 15, the plenary session of the Interterritorial Council approved the “Plan for Primary and Community Care 2022-2023”, continuation of the “Strategic Framework for Primary and Community Care”, approved in 2019 and never implemented. The plan is a set of promises, which to a large extent have to be implemented by the autonomous communities (such as the finalist budget, telemedicine and others). The plan is strongly criticized by SEMERGEN (Spanish Society of Primary Care Physicians and by FADSP (Federation of Associations for the Defense of Public Health) (Infolibre, Dec 16 21)
  • Antigen test: pharmacies appear to be short of supplies (El País, 19 Dec 21)
  • The Government (Ministry of Social Affairs and Agenda 2030) proposes to limit the residences for the elderly to a maximum of 50 places, as well as some ratios of staff per resident. The text must be consensual, which seems difficult (Infolibre, Dec 17 21)

Companies, employers and other agents in the sector

 

  • María Vila, elected President of FENIN (El Español, Dec 14 21)
  • Ana Polanco, reelected President of ASEBIO (Planta Doce, 16 Dec 21)
  • Letter from the President of the College of Physicians of Madrid to ASISA, reproaching him for the dismissal of doctors for the MUFACE system (Sanifax, Dec 15 21)
  • Spain has already manufactured 380 million vaccines for COVID (CincoDías, Dec 17, 21)
  • Catalonia creates a venture capital fund to promote scientific entrepreneurship (PlantaDoce, Dec 16 21)
  • The European Medicines Agency approves Pfizer’s anti-COVID pill (El Debate, 16 Dec 21)
  • Pfizer’s (Paxlovid) anti-COVID pill works well against the “omicron” variant, the company confirms (NYT, Dec 14 21)
  • The WHO and the EMA could approve the American vaccine NOVAVAX next week (FT, Dec 16 21)
  • Oracle, about to buy CERNER for US $ 30,000 million (FT, Dec 17 21)
  • The CDC discourages the use of the J&J vaccine, due to some clot problems (NYT, Dec 16 21)
  • Sanofi intends to request approval of its vaccine again (FT, Dec 15 21)
  • The IMED healthcare group invoices 12% more and its profit almost doubles, reaching 6 million (Valencia Plaza, Dec 15, 21)
  • The CEU and ASISA sign an agreement for the training of students at the HLA Moncloa hospital (El Debate, 18 Dec 21)
  • Venture capital is pushing for the formation of MIRs. The CVC fund studies buying MIR Asturias (El Periódico de España, 19 Dec 21)
  • Vivanta requests a ransom of 40 million euros from SEPI (PlantaDoce, Dec 16 21)
  • Quirón proton therapy successfully treats its first 100 children (ConSalud, Dec 14 21)
  • Philips expands its portfolio with the purchase of Vesper Medical (PlantaDoce, Dec 15 21)
  • Modern: agreement to bring a mRNA vaccine factory to Australia (PlantaDoce, Dec 14 21)
  • Company health insurance will become more expensive by 7.2% in 2022 (PlantaDoce, Dec 14 21)
  • Grifols sells VCN Biosciences for 66 million euros (PlantaDoce, Dec 15 21)
  • CSL acquires Vitor Pharma for 11.7 billion dollars (PlantaDoce, Dec 16 21)
  • Asistensi and Clínica de Navarra, agreement to export health insurance to immigrants (PlantaDoce, Dec 16 21)
  • Ysios enters the Dutch Northsea leading a round of 77 million euros (El Economista, Dec 17 21)
  • Biontech investors are studying buying Sandoz (El Economista, Dec 14 21)
  • Atrys Health acquires Simm molecular (Expansión, Dec 17 21)
  • DKV and the telephone company Yoigo launch a family health insurance for less than twenty euros (El Economista, 9 Dec 21)
  • The Savana company, founded in 2014, with an ecosystem of 160 hospitals in Europe and America, intends to lead the “healthcare data lake” (El Economista, 18 Dec 21)
  • Rovi receives the European recommendation for its own research antipsychotic (CincoDías, 17 Dec 21)
  • Almirall wins the rights to a drug against autoimmune diseases (CincoDías, Dec 14 21)