equipocesca » Appropriate use of resources

(Español) Mujeres, salud y derechos

Pedro — Sun, 17 May 2026 18:22:42 +0000

para actividades preventivas, clínica, desigualdad social, investigación, organización de servicios, política sanitaria y uso de servicios
-Este texto recoge las ponencias elaboradas para la celebración del Seminario de Innovación en Atención Primaria (SIAP) sobre “Mujeres y salud. Sociedad y sistema sanitario” celebrado en Quito (Ecuador), en su fase presencial, los días 16 y 17 de agosto de 2019.
Se pretendió su publicación como libro, pero no pudo ser por carecer de patrocinio.
En el texto se demuestra que no es que parezca que ser mujer sea una enfermedad sino que es un problema social general que va mucho más allá de la medicina pues parece que ser mujer sea en sí mismo un error dado que todo se moldea y prevé con el “modelo varón”, desde la seguridad en los automóviles a la ergonomía en los puestos de trabajo pasando por las aplicaciones para teléfonos móviles/celulares. Todo ello es absurdo ya que convierte a la mitad de la Humanidad en “invisible.
-Mujeres, salud y derechos. Sociedad Ecuatoriana de Medicina Familiar y Equipo CESCA. Quito-Ecuador. 2026)

Migraine. The promotion of prescription drugs directly to the public is not allowed in the European Union. But see the Ajovy case in Spain: direct-to-consumer news, the blurred margin between propaganda and information.

Pedro — Sun, 15 Mar 2026 19:28:58 +0000

It seems that Teva’s commercial strategy includes promoting fremanezumab (Ajovy) to the general public (direct-to-consumer). Vall d’Hebron Hospital (Barcelona, Spain) supports and presents as a novelty something that “offers nothing new”. Such promotion is clearly prohibited by Spanish and European legislation. It is also accompanied by an incredible and constant “apparatus” of pressure on those who “benefit” socially and financially through conferences, consensus statements, guidelines, publications, seminars, and other means.

In Spain, direct-to-consumer advertising of fremanezumab (Ajovy), February 2026. Migraine.Gérvas J. Madrid, Spain. March 2026. Download article here.

When family and societal expectations outweigh science. The case of ataluren for Duchenne.

Pedro — Thu, 12 Mar 2026 16:15:05 +0000

Duchenne muscular dystrophy is a neurodegenerative disease with no current cure.

In 2014, the FDA and EMA evaluated a new drug for this condition: ataluren. Ataluren was not approved by the FDA due to a lack of efficacy in Duchenne muscular dystrophy, while the EMA granted conditional approval.

After marketing authorization in the EU, the EMA allowed the company to continue performing trials to demonstrate efficacy.

The Spanish National Health System issued a resolution denying reimbursement of this drug due to lack of efficacy. In Spain, virtually all Regional Health Services overruled the Ministry of Health and reimbursed ataluren to Duchenne patients using their own resources, yielding to social pressure and/or seeking political benefit.

A study on the effectiveness of ataluren within Spain National Health System was started, but couldn´t be completed due to lack of involvement from the Regional Health Services.

The cost per patient is estimated at approximately €200,000 annually.

Eleven years later, the EMA withdraws the conditional authorization of the drug after repeated failure to prove efficacy.

When family and societal expectations outweigh science. The case of ataluren for Duchenne. Gérvas J. Madrid, Spain. December 2025. Download article here.

Vaccines are not seat belts, and motor vehicles are not human beings

Pedro Gérvas — Wed, 10 Apr 2024 07:53:09 +0000

The debate on the coercive vaccination is raised many times with the example of the acceptance of the implementation of the mandatory use of seat belts in motor vehicles. It is a very popular approach usually led by those who lack scientific training in vaccines. Seat belts are no vaccines, and motor vehicles are not human beings so the ethical foundation of coercive seat belts laws does not apply to coercive vaccination policies. Mandatory vaccination, which already exists in some countries, is being promoted when the outbreaks of vaccine preventable diseases are presented as the responsibility of the “anti-vaccines”. But “anti-vax” are residuals in the world.

Vaccines are not seat belts, and motor vehicles are not human beings. Gérvas J, Pérez-Fernández M. Madrid, Spain. April 2024. Download article here.

Veoza (fezolinetant) for hot flushes in menopause – think twice!

Pedro Gérvas — Sat, 20 Jan 2024 19:28:15 +0000

During the climacteric period, before, during and after the menopause, hot flushes are common. In general they can be endured without great discomfort and subside with time, but there are cases of great intensity and persistence. This paper discusses the marketing of Veoza (fezolinetant) for the relief of hot flushes. The issue is that it is an expensive, ineffective drug with significant adverse effects.

Veoza (fezolinetant) for hot flushes in menopause – think twice! Pérez-Fernández M, Gérvas J. Madrid, Spain. January 2024. Download article here.

Influenza-flu vaccine and covid19. Fifteen questions

Pedro Gérvas — Mon, 12 Oct 2020 08:19:44 +0000

The flu vaccine is a failed vaccine, useless at best, that discredits vaccines in general. The situation created by the #COVID19 pandemic does not change the recommendation not to use it. 15 questions with answers and references.

Influenza-flu vaccine and covid19. Fifteen questions. Gérvas J. Madrid, October, 2020. Dowload article here.