7 days in healthcare (September 26th-October 2nd, 2022)
Summary
From the point of view of Biomedicine, to review the advances, still to be confirmed, in the treatment of two terrible diseases: ALS and Alzheimer’s.
Regarding Global Health, concerns continue about the evolution of polio, whose eradication was announced in 2019, but which is reappearing in several countries.
Regarding International health policy, it is worth noting the similarities between the covid-zero policy in China and the era of prohibition in the United States, something pointed out by The Economist. Very worrying is the “burnout” of doctors, a phenomenon highlighted by the New York Times in the United States, but which seems to be universal.
If we talk about National health policy (Spain), the debates on the Equity Law continue. The update of the RD on the minimum data set of the SNS leaves out the private sector, despite the opposition of the POP, IMAS Foundation, IDIS Foundation and ASPE. It is a modification of a 2010 RD, but in twelve years the private sector has developed a lot and it is no longer so easy to leave it out in certain decisions. The Senate rejects the PP’s motion to facilitate access to medicines and reduce the time it takes to join the SNS. Surely the motion of the PP was too vague and, at this point, it is necessary to explain very well the “what” and the “how” of any proposal.
At the corporate level, at the international level, big rise in Biogen shares, spurred by what appear to be hopeful results from its Alzheimer’s drug. At the national level, there are rumors that KKR and CVC could be trying to buy Quirónsalud, currently in the hands of the German group Fresenius, which has recently changed its CEO. The Murcian company Vócali develops the Inbox Medical software for transcription of medical reports.
Biomedicine
- It is announced that a simple blood test can identify up to 50 types of cancer before symptoms appear, a relevant change or hyperselling? (https://www.bmj.com/content/378/bmj.o2279)
- New drug against ALS, the devastating disease that causes paralysis and death. It will cost US$158,000 a year. The drug is called Relyvrio and will be available in the US in 4-6 weeks. It was approved by the FDA, although with doubts about its effectiveness (https://www.nytimes.com/2022/09/30/health/relyvrio-price-als-amylyx.html)
- Eisai and Biogen say they have been successful in a study of a drug against Alzheimer’s, showing in the clinical trial that the speed of progression of the disease is slowed down. Hope for the 50 million people with Alzheimer’s in the world (https://www.ft.com/content/531636df-e937-41f5-81c1-5195fb4acd9b)
- Malnutrition can be treated, using the right gut bacteria, correcting the microbiome imbalance (https://www.economist.com/science-and-technology/2022/09/28/malnutrition-can-be-treated-by -encouraging-the-right-gut-bacteria)
Global Health
- Polio eradication, failing in the last mile? Although it had been considered eradicated in 2019, it is returning to many parts of the world (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01875-X/fulltext)
- Global fund for the eradication of AIDS, tuberculosis and malaria, obtains 14 billion US from donors. First donor: USA, second donor: Norway (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01876-1/fulltext)
- New infectious threats arrive in the US, which is ill-prepared to deal with new pathogens (https://www.nytimes.com/2022/09/29/health/pandemic-preparedness-covid-monkeypox.html)
International health policy
- Monkeypox
- Monkeypox appears to be receding, but risks and uncertainty remain (https://www.nytimes.com/2022/09/26/health/monkeypox-vaccine.html)
- COVID-19
- China’s covid-zero policy resembles the prohibition era in the United States (https://www.economist.com/china/2022/09/29/how-chinas-covid-policy-is-like -prohibition-in-america)
- Debate on the consequences of the annulment in the USA of the Roe v Wade ruling
- Interruption of pregnancy in France: women do not have the option to choose between an instrumental or a medicinal method (https://www.lemonde.fr/societe/article/2022/09/28/entre-ivg-instrumentale-et-medicamenteuse -le-choix-de-la-methode-non-garanti_6143468_3224.html)
- Other themes
- Physician burnout has reached worrying levels, according to a study (https://www.nytimes.com/2022/09/29/health/doctor-burnout-pandemic.html)
- The Oregon experiment to decriminalize hard drugs triggers overdoses by 20% (https://www.lavanguardia.com/vida/20220928/8545924/experimento-oregon-despenalizar-drogas-dura-dispara-20-sobredosis.html)
- China is trying to get women to have more children. “One child” policy in the 1980’s; 2015: “two children policy”; since 2021: “three children policy”, which is not succeeding (https://www.economist.com/china/2022/09/29/china-is-trying-to-get-people-to-have- more-babies)
- Italy withdraws the obligation to wear masks in means of transport (https://www.elmundo.es/ciencia-y-salud/salud/2022/09/30/6336afebfc6c8389728b459d.html)
National health policy
- Monkeypox
- Spain has registered 7,188 cases since its appearance (https://www.epe.es/es/sanidad/20220930/espana-casos-viruela-mono-76422344)
- COVID
- ICU admissions go up and deaths go down (https://www.epe.es/es/sanidad/20220930/situacion-coronavirus-espana-muertos-pacientes-uci-76433440)
- Fourth dose for three million people over 80 years of age (https://www.larazon.es/sociedad/20220927/7glqdgldkzddvc2tz3v5zaq4ze.html)
- Regulatory changes
- The Minister of Health undertakes to change the Equity Law to adapt it to the Catalan model (https://www.lavanguardia.com/vida/20220922/8539795/darias-se-compromete-modificar-ley-sanidad-adaptarla-programa -catalan.html)
- Avoidance of the private healthcare sector in the interoperable clinical history decree. This is the modification of RD 1093/2010, on the minimum set of data of the clinical reports of the SNS. The system will affect the SNS, but not private health, contrary to the pronouncement of the POP (Platform of Patient Organizations); the IMAS Foundation, the IDIS Foundation and ASPE (https://www.diariomedico.com/medicina/politica/sanidad-obvia-la-privada-en-el-decreto-de-historia-clinica-interoperable-pese-la- petition-for-doctors-and-patients.html)
- ASPE says that the private sector cannot be left out of the interoperable medical record (https://www.diariomedico.com/medicina/politica/historia-clinica-interoperable-aspe-advierte-que-el-sector-privado-no -can-stay-out.html)
- Private healthcare
- The President of the Valencian Community says that he is going to resort to the private sector to deal with the problem of the waiting lists. Patients who have to wait more than 60 days may opt for the concerted option (https://www.redaccionmedica.com/autonomias/valencia/puig-suma-a-la-privada-en-su-plan-para-reduce- waiting-lists-in-health-3191)
- Health professionals
- Salary increase for doctors and nurses: 9.5% over three years (https://www.redaccionmedica.com/secciones/empleo/hacienda-mejora-la-subida-de-sueldos-en-el-sns-hasta- the-9-5-in-3-years-2553)
- Access to treatments
- The Senate rejects speeding up access to new medicines, against a proposal from the PP. It is said that the motion did not provide enough details (https://www.consalud.es/politica/parlamentos/senado-rechaza-agilizar-acceso-nuevos-medicamentos-por-inconcrecion_120820_102.html)
- Madrid proposes to the Ministry a new financing model for pharmaceuticals to reduce the incorporation periods (https://www.elespanol.com/invertia/observatorios/sanidad/20220930/madrid-propone-darias-financiacion-farmacos-disminuir-incorporacion /706929799_0.html)
- Other themes
- The Ministry of Health convenes the Interterritorial Council for October 7 in Galicia. It is said that the obligation to wear masks in public means of transport can be abolished (https://www.consalud.es/politica/ministerio-sanidad/sanidad-convoca-interterritorial-galicia-7-o-fin-obligatoredad-mascarillas_120979_102 .html)
- Doctors ask for non-prescription access to the pill to reduce the 88,000 annual abortions (https://www.lavanguardia.com/vida/20220926/8543295/medicos-farmaceuticos-piden-acceso-receta-pildora-reduce-88-000 -abortions.html)
- Catalonia: pharmacological abortion between weeks 9 and 14 will be done in hospitals (https://www.diariomedico.com/medicina/politica/cataluna-el-aborto-farmacologico-entre-las-semanas-9-14-se -hara-in-hospitals.html)
- In 2020 fertility treatments decreased by 16% (https://www.consalud.es/pacientes/descenso-tratamiento-fertilidad-2020_120849_102.html)
- Official figure for euthanasia in Spain, the year the law began: 180 throughout Spain (https://www.elmundo.es/ciencia-y-salud/salud/2022/09/28/63341dd6e4d4d8fa2e8b45ab.html)
Companies
- International News
- Biogen shares experience a 37% growth, given the good prospects for the new Alzheimer’s treatment (https://www.consalud.es/ecsalud/economia/acciones-biogen-experimentan-crecimiento-37-gracias-su- drug-against-alzheimer_120952_102.html)
- Moderna rejects China’s request to share vaccine technology (https://www.ft.com/content/a481c129-c5aa-4972-84a8-3a45bb000098)
- National News
- KKR and CVC sound out the shareholders of Quirónsalud, valued at more than 7,000 million (https://www.elconfidencial.com/empresas/2022-09-30/kkr-cvc-lanzan-recomprar-quiron-valorado-millones_3495038/ )
- The Murcian company Vócali develops Invox Medical, medical report transcription software, which can be used in 20 specialties and is already used in 500 medical and hospital centers in 19 countries (https://cincodias.elpais.com/cincodias/2022 /09/27/companies/1664292112_746110.html)
- Advent creates the Donte Group (in which Vitaldent is integrated) and expands its dental business to go public (https://www.elconfidencial.com/empresas/2022-09-21/donte-group-vitaldent-advent-javier -martin_3494041/)
- Pharmamar obtains authorization for its lung cancer treatment in South Korea (https://www.plantadoce.com/empresa/pharma-mar-obtiene-la-aprobacion-de-su-tratamiento-de-cancer-de- lung-in-south-korea.html)
- Sanitas bets on “in house” and internalizes its analysis business (https://www.plantadoce.com/empresa/sanitas-apuesta-por-el-in-house-e-internaliza-su-trabajo-de- analysis.html)
- Hospitales Parque (owned by CASER) acquires the San Francisco Clinic in Cáceres (https://www.plantadoce.com/empresa/hospitales-parque-adquiere-la-clinica-san-francisco-de-caceres.html)
- Vithas expands and renovates its hospital in Benalmádena (https://www.plantadoce.com/empresa/vithas-pone-en-marcha-la-ampliacion-de-su-hospital-en-benalmadena-tras-inversión-16- millions.html)
- Olympia Quirón launches a sports medicine unit (https://www.plantadoce.com/empresa/olympia-quironsalud-pone-en-marcha-una-unidad-de-medicina-del-deporte.html)
- Saarema sells a “prime” residence for the elderly to Grupo Ballesol (https://www.plantadoce.com/empresa/saarema-vende-una-residencia-para-la-tercera-edad-prime-en-madrid- a-group-ballesol.html)
- Almirall and Simcere agree to the exclusive license of a drug for autoimmune diseases (https://www.plantadoce.com/empresa/almirall-a cuerda-con-simcere-la-licencia-de-un-farmaco-para-enfermedades-autoinmunes .html)