Publicaciones | Sanitary politics RSS feed for this section

BRCA test, only for females of high familiar risk

22 May

BRCA genes are “normal” genes we all share in our cells. Some mutations of BRCA genes are associated with a higher incidence of breast and ovarian cancer. In this summary there is a few numbers to understand the problem. BRCA test, only for females of high familiar risk. Gérvas J. Madrid, 21st May 2013. Download [...]

A few reasons to say no, thanks, to influenza vaccines

13 Sep

Influenza is a very common infection that spreads during winter time. In general flu is a lightly disease, but it may complicate the evolution of chronic patients, and even healthy ones. The best answer to stop the propagation is just to wash your hands. But official institutions and private organizations push to introduce influenza vaccine [...]

Primary health care oriented systems, for whom, why and how

4 Jun

Health systems are social products, and as such they cannot being invented. They are expression of the final election between “freedom” and “equity”. Freedom means that each person may select and pay for the needed health services. Equity means solidarity, to help those in need even at the cost that are fit. Only the USA [...]

Quaternary prevention: a summary

4 Jun

Quaternary prevention is the prevention of harms by medical interventions and as such a foundation block of medicine (primum non nocere). All services have adverse effects, all services might produce damage to health. A few services produce more benefits than harms in specific situations. Unnecessary and inappropriate services mainly produce harms, and few benefits if [...]

Vaccines, health and life

8 Jan

There is a debate on vaccines. There is agreement on the advantages of some of them have for the individual and for the population, like the poliomyelitis, and there is great disagreement on others, like the vaccine against the human papilloma virus or the flu. In any case, vaccines should be a voluntary practice because [...]

Influence vaccines: miracles, errors and business [updated 13/10/2011]

13 Oct

Influenza vaccines are useless. But every year millions of patients and healthy persons get vaccinated against flu virus. Cochrane reviews are consistent: flu vaccines are useless in healthy persons (elderly, adults and children under two years) and do not stop transmission in between humans. The case of Poland versus the world demonstrated that the vaccine [...]

Quaternary prevention: theory and practice

13 Oct

All health services have adverse effects, all health services might produce damage to health. A few services produce more benefits than harms in specific situations. Unnecessary and inappropriate services mainly produce harms, and few benefits if any. Quaternary prevention is the prevention of unnecessary and/or inappropriate services and the prevention of over-medicalisation. Quaternary prevention refers mainly to personal services, [...]