Crisis in public health & Medias
Sorry for the bad translation, I'll try to fix some bit
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Media & crises in public health
Perhaps that this history does not make the cuff everywhere in the world but it is here a a big history in Canada.
But finally, I believe that it had a certain repercussion because it was posted by members elsewhere in the anglophone section and I well also believe that it was brought back at pro-medmail of the international society of the infectious diseases.
The current crisis is of small scale and is caused by an infectious agent slightly contagious. Simple measurements of prevention and basis hygiene could have prevented this crisis from reaching this width. Moreover, it would seem that directives administrative misfit and pushed by budgetary compromises pushed the personnel to use nondisposable material without accompanying them by measurements of suitable disinfection.
In short, in front of 11 dead caused here us by a nosocomial disease (transmitted in the hospital by the personnel) and the resignation of the hospital's director after a whole media din where prevails at the same time information and misinformation, populist demagogy and set institutionnal language.
Yes, our institutions are fragile and one any small hit can break normal operation.
Yes, the institution public have accounts to return and this media pressure sometimes unhealthy growth the leaders to hide, or to minimize the real problems.
Yes, this highlights the weaknesses of the system of health which will be charged to look after us at the time of next pandemia.
Yes, the shock will be large the surprise of public and of the media will be as large as the silence that haved prevailed up to the last minute. The media will be as much to blame that the institution which they will criticize. the These-last frankly fesant what they will be able taking into account their resources. The health care worker as confuse as their superiors and their patients.
A sample of what is to be envisaged. ?
And it is all so outstanding for me that all this is held in Saint-Hyacinthe the city where I work, two steps of home.
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HTTP://www.info690.COM/nouvelle-c_difficile_11e-36144-2.HTML C. difficile: one 11th victim with Saint-Hyacinthe |
(INFO690) - the bacterium C. difficile made to one 11th victim at the hospital
Honore-draper of Saint-Hyacinthe. Since the end of 31, July
patients were infected by the bacterium. The good news in this file, it is that it
a number of patients infected by this bacterium in the hospitals of
Quebec decreased by 37% in one year, having passed from 6200 to 3900.
The number of the deaths which are directly connected there as for him fell by 55%, by 190 to 85.
HTTP://www.to ledevoir.com/2006/11/09/122473.HTML (http://www.worldlingo.com/wl/services/S1790.5/translate?wl_srclang=fr&wl_trglang=en&wl_rurl=http%3A%2F%2Fwww.flutrackers.com%2Fforum%2 Fshowthread.php%3Fp%3D46148%23post46148&wl_url=http%3A%2F%2Fwww.ledevoir.com%2F2006%2F11%2 F09%2F122473.html)
C. difficile: Couillard requires a public investigation of the coroner
Robert Dutrisac (http://www.worldlingo.com/wl/services/S1790.5/translate?wl_srclang=fr&wl_trglang=en&wl_rurl=http%3A%2F%2Fwww.flutrackers.com%2Fforum%2 Fshowthread.php%3Fp%3D46148%23post46148&wl_url=http%3A%2F%2Fwww.ledevoir.com%2Fcgi-bin%2FContact%3Ffrom%3D122473%26id%3D1599%26nom_au teur%3DDutrisac)
Edition from Thursday November 9, 2006 (http://www.worldlingo.com/wl/services/S1790.5/translate?wl_srclang=fr&wl_trglang=en&wl_rurl=http%3A%2F%2Fwww.flutrackers.com%2Fforum%2 Fshowthread.php%3Fp%3D46148%23post46148&wl_url=http%3A%2F%2Fwww.ledevoir.com%2F2006%2F11%2 F09%2F)
Key words: Hospital Honore-Draper, Charest government, C. difficult, Government, Hospital, Quebec (province)
Quebec -- After the eleventh death caused by the bacterium C. difficile with
the hospital Honore-Draper of Saint-Hyacinthe, the Charest government has
decided, yesterday, to ask the coroner to carry out a public survey into
this fatal series.
At the conclusion of the meeting of the Council of Ministers, the minister of
the Health and of the Social services, Philippe Couillard, announced that it
Minister for public Safety, Jacques Dupuis, had asked, by
letter, with the coroner in chief Danielle Bellemare that a public investigation
that is to say carried out in order to elucidate the reasons of the infections in Clostridium
difficult which touched 31 patients of the hospital Honore-Draper these
last months, according to the last calculation.
“What is abnormal, it is not to have a case -- there or elsewhere
-- of infection, it is that one has some too much during a reduced time and
that, it seems, according to information which was transmitted in
the documents intern establishment, major deviations of
protocols, which, however, were communicated, would have been observed
in the establishment”, Mr. indicated. Couillard in a point of press.
Theoretically, it is to the coroner to decode if investigation there will be and
if this one will be public. The office of the coroner did not make
difficulty: there will be a public investigation led by Me Catherine
Rudel-Tessier, confirmed the spokesman Marie-Eve Bilodeau. Me
Rudel-Tessier carried out last year the survey into deaths which have occurred in
private residences old people.
During the course of the investigation of the coroner, the government and
the minister will be able to avoid answering the questions about the series of
death at the hospital Honore-Draper. “The investigation follows its course”,
will be able one to retort. The coroner in chief wish that the report/ratio of Me
Rudel-Tessier is made public inside a one year deadline, has
fact knowledge the spokesman. A many events could occur
by then, to start with general elections in Quebec.
According to Mr. Couillard, the investigation will not relate to the infections to
C. difficult and will not seek either to identify the culprits.
“If one begins the question “Which did that, which is responsible?“, it y
a thing of sure has, one will not learn and one will not have a valid lesson
at the end of the process”, it has says, quoting its experiment, him which has
taken part on several occasions, as a doctor, with examinations of
complications and of deaths which have occurred in the hospitals. “The question with
to pose, it is: what occurred?”, put forward the minister.
At the time of the period of questions to the Quebec's National Assembly, Mr.
Couillard supported that it was currently “completely sedentary”
for a patient to be made treat with the hospital Honore-Draper, where
situation is become again “under control”. Recalling that the prevalence of
C. difficult had fallen of 40% since the ministry deployed sound
action plan, Mr. Couillard said that “it is absolutely not
necessary to recommend to the Québécois to delay, differ or
to cancel a visit or a treatment the hospital taking into account
current situation”. According to the minister, “our hospitals are among
sedentary in the world”.
The chief of the official opposition, Andre Boisclair, wanted, yesterday,
to be made the echo of the concern of the population. “Not only it
world is afraid, in Quebec, to go on our roads, it is afraid to go in
the hospitals”, it launched to the Prime Minister Jean Charest.
The spokesman of the official opposition as regards health,
Louise Harel, announced that the data on the program of
monitoring of the infections with C. difficult which is reproduced on the site
Internet of the ministry had delay. Last data
go up at the end of June. It also called some with tolerance zero.
“What would be responsible, precisely, it would not be
to aim at tolerance zero as regards infections nosocomiales?
minister, when it speaks, it is of resignation [that it] speaks. I
do not think that that comforts the families tested by the deaths with
Honore-draper.»
Tolerance zero in this matter is impossible thing, recalled
Mr. Couillard. “There is not a country in the world, it is not a system
of health in the world which has zero infection nosocomiale. In normal time with
Quebec, taking into account the foreseeable incidence, there is of 2000 to 3000
case per year of C. difficult”, a fact which will prove even when it
Québécois party will return to the capacity, said Mr. Couillard.
__________________
Louis Pasteur - “Chance favor the prepared mind."
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__________________ Louis Pasteur - “Chance favor the prepared mind." http://www.flutrackers.com/forum/images/buttons/quote.gif (http://www.worldlingo.com/wl/services/S1790.5/translation?wl_srclang=fr&wl_trglang=en&wl_rurl=http%3A%2F%2Fwww.flutrackers.com%2Fforum%2 Fshowthread.php%3Fp%3D46148%23post46148&wl_url=http%3A%2F%2Fwww.flutrackers.com%2Fforum%2F newreply.php%3Fs%3Df7820daed3a2ea8e2f9a4e40224f838 b%26do%3Dnewreply%26p%3D46144) |
| http://www.flutrackers.com/forum/images/icons/icon1.gif Re: Media & crises in public health All the same, a crisis and hop! a head which falls... It is perhaps justified but can also be representative of the unhealthy capacity of the media on sectors which it entirely do not control. It is also symptomatic of the loosing rules of basis hygienes in the hospital. But especially... the symptom of what seems to be the natural evolution of the bacteria having apprisent to live with the human kind: Resistance to antibiotics. Yes, the era of effective antibiotics draws at its end and its massive use in the breeding of the animals contributes to it for much. Isn't Saint-Hyacinthe the area most strongly agricultural of Quebec? |
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