Solution to Killer Superbug Found in Norway:
http://www.sphere.co...n-norway/19299601
Very interesting read.
Hey, we could save *TONS* of money this way. Especially not allowing Pharma companies to advertise.
Anti-Biotic bad...
Solution to Killer Superbug Found in Norway:
http://www.sphere.co...n-norway/19299601 Very interesting read. Hey, we could save *TONS* of money this way. Especially not allowing Pharma companies to advertise. |
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Holding the operators' feet to the fire
The advertising mentioned in the article is the direct to patient kind. Most of the European continent has always had blanket ban on such advertising. Yet the MRSA infection rates are dramatic. Unless Norway also banned direct marketing to the MD's as well, banning advertising will have not much effect on MRSA. (Even in the US, few direct to patient advertising targets pathogen causes illness and those that do are aimed at viral diseases.) The latter would be a lot harder to do as you'd run afoul of various basic rights concerns.
The chief problem is the flouting behavior of the MDs. When the last batch of antibiotics were put in circulation, it was publicly and privately (through the continuing ed programs) stressed that these drugs were only for use as a last resort. Not 6 months later, they topped the list of subscribed medications. It sounds like Norway has finally put a pricetag on that behavior: If I treated someone with an infection in Spain with this penicillin, I would probably be thrown in jail He may have spoken in jest, but it is probably not far off the mark (e.g. revocation of prescription privileges). Of course, implementing something like this will take varying degrees of political courage depending on where you live. I'd say making these changes stands a good chance on the Continent. Most have single payer systems, MRSA is a hot topic with ill advised reactions already having made the news, and the public is growing ever wearier of Big Pharma's corruption. Going by the meek reaction of the CDC, there's still a lot of work to do here.... |
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i would be interested in the infection rates in mexico
you can buy antibiotics otc no prescription needed.
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Would think twice about surgery there
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why? other than general tropic issues?
UNAM has world class heart folks. Maybe in the wet provinces bacteria could be a problem but the staff are excellent
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That is when MR strains becomes dangerous
It has nothing to do with the skill of the MDs, or even the cleanliness of the hospital in general. That is why most Western nations are in such a pickle with regards to the MR strains. They are quite harmless until the skin is breached. You can sterilize surfaces, but you can't get the air germ free (outside of a handful of isolation cells). Another large portion of infections happens not in the OR, but once the patient has been returned to their room. Catheter sites in particular are a weak point.
One vector for the bacteria to enter a hospital is through visitors. That is one of the reasons why cather sites are so vulnerable. MRSA in particular is carried on the skin, just like its non-MR counterpart. If the freely available antibiotics do indeed breed more MR strains, then that is a reason for concern as a larger portion of the population is expected to carry them. Unless, of course, MDs are less prone to carpet bomb every sign of infection with antibiotics because the patients already got their own fix. But as you saw, data is hard to come by. |
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it's a lot better than you'd think
my folks lived there for 10 years and have experienced it first hand. The doctors my mom saw were trained in the states, the cost was significantly less, plus she got a private room which included another room w/bed for my dad to stay in. The quality of health care is one of the reasons my folks are seriously considering moving back to Mexico when they retire (dad was transferred to Trinidad a few months ago).
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I think this may be among the best policies...
All workers are paid on days they, or their children, stay home sick. Isolation - not pills - is the best way to keep infections from spreading. As long as there's a severe financial penalty for people to stay home, more people than necessary will get sick. Thanks. Cheers, Scott. |
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and a bunch of folks can telecommute
no reason to be unproductive because you are horking lugies
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It's the same problem as sick days
I could telecommute one or two days a week most of the time at my current job. But certain managers don't like it because they can't look over our shoulders if we are at home.
It's the same thing with sick days. If you run the statics, it's actually in the companies best interest to give a fairly generous set of sick days. People coming in sick get other people sick and even if they are at work they don't work well. But managers can't stand the idea that somebody might use a sick day as an extra vacation day. Jay |
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You combat that with better leave policies.
And better communication about it. Employers are rigourous about recreation leave acrued and consumed; other kinds of leave may need that kind of attention. Plus, the availability of non-recreation and non-sick leave needs to be provided. I've been in two companies where taking a day off work to appear in court means you should apply for Personal Leave, not Recreational Leave.
Wade. Q:Is it proper to eat cheeseburgers with your fingers? A:No, the fingers should be eaten separately. |
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Wow, that isn't a standard thing in the US? :(
They said I was gullible ... and I believed them
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Not any more.
My sister in law works for a semiconductor company in Texas. Before the company's recent financial problems, employees had a pool of days that covered everything. They could have paid absence from work for say 10 (I can't swear that's the number, but it's small) days during the year - that included vacation, holidays, and sick days. If they were absent more than that, they risk disciplinary actions and possible termination.
I think that policy is pretty common in the private sector here, now. :-( It really is stupid, but the "geniuses" in management at too many companies only look at certain kinds of numbers these days - "We cut our payroll expenses by 10%!" Of course, now that the company is having huge financial problems, they have to take weeks of unpaid leave... :-( Cheers, Scott. |