Publicaciones

Applying the precautionary principle to breast cancer screening: implications to public health

23 Mar

This article discusses the Precautionary Principle to strengthen Quaternary Prevention when dealing with additive preventive measures such as breast cancer screening. According to Geoffrey Rose additive preventive measures are generally professional-led interventions that are alien to human ecology, economy, and physiology. These include drugs, vaccines and other biological, physical, and chemical products. Additive preventive measures [...]

Coronavirus from Wuhan (China). 2019-nCoV. What you need to know to avoid a panic epidemic

23 Mar

Coronaviruses have been with us for thousands of years, and we are prepared to overcome their infections.  If you have traveled to Wuhan (China) or have had close contact with those who have traveled there and have severe catarrhal symptoms with respiratory distress, consult your doctor especially if you have any underlying disease.  In all [...]

What has evidence based medicine (EBM) done for our patients? We do not know. We must abandon it

18 Sep

We must admit that: a / “if the final objective of EBM (Evidence Based Medicine) is to improve patients-populations’ health, do we have evidence of succeed in this objective?” No, b / is EBM harming patients-populations’ health? We do not know. Evidence-Based Medicine (#EBM) has not demonstrated any impact on patients’ health. It is honest [...]

Quaternary prevention: a task of the general practitioner

18 Sep

-“Prevention is better than cure”. This principle is undisputed. New knowledge points to the fact that prevention can  also  do  harm.  Under  the  concept  “quaternary  prevention”  efforts  are  currently  focused  on  finding  the  right measure of preventive care, true to the old medical tenet “primum non nocere”. Quaternary prevention: a task of the general practitioner. [...]

Coercion is not justified in influenza vaccination

30 May

There are some countries (as Canada and the US) where mandatory influenza vaccine for health workers is a question in debate. There is good intention (to decrease influenza transmission) but has no scientific base, and has adverse effects in public health, as we consider in this paper. Coercion is not justified in influenza vaccination. Gérvas [...]