Wednesday, 27 May 2009

195. Spain: Dentists free for children between 7 and 8 years in 2008; free vaccine against cervical cancer

Children aged between 7 and 8 years living in Spain they will have free dental consultation from 2008, under a program negotiated by the central government and autonomous communities. The plan was already approved by the Inter-territorial Health which also approved the inclusion of the vaccine against human papillomavirus to prevent cervical cancer in the schedule of vaccines for free.
Bernat Soria, Minister of Health and Consumer Affairs, explained to journalists in 2012 that free access to the dentist will be progressively extended to all children up to 15 years. The health plan includes dental dentists in periodic reviews, instructions on diet and health of the mouth, topical fluoride application, evaluation of caries and plasters, among other things.
Regarding vaccine for cancer of the uterus, it is up to each region independently determine the age at which will be given to decide when and starts the program, which will be universal by 2010.
The costs of the initiatives will be divided in equal parts by the general budgets of state and each of the autonomous communities.
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It is also expected to Portugal initiative also has a foal January 2008, we await the presentation of the State General Budget. This time the expectations are great and it is expected that the government finally takes the initiative, after all, Portugal and Spain are EU countries.

Friday, 22 May 2009

194. OCTOBER: "Oral Health Month"

The eighth edition of "Oral Health Month" follows this month (October), allowing the realization of free dental screenings to the population. For more information about the office nearest the area of residence and make the query, simply call the phone number 808 205 206, Blue Line, available between 09:00 and 23:00.

193. Half of the Portuguese can not pay dentists, professionals are beginning to seek work in foreign countries

Around half the population is unable to pay the dental consultation, which is detrimental to oral health and dental is driving other countries to seek to exercise the profession. "We estimate that about 50 percent of the population is not able to pay even a dental consultation in private. While no dentists in medical centers or health systems issue, they will be excluded from the oral health, "he said in an interview the agency Lusa the president of the Association of Medical Dental, Orlando Monteiro da Silva.
The Order must strive to have dentists in the health centers and hospitals Portuguese or to create systems with the private agreement. Orlando Monteiro da Silva cited a study by University of Liverpool, where Portugal is given to "the darkest scene in Europe" in oral health care.
It is largely the lack of supply by the National Health Service (NHS) at the level of dentistry that is creating an excess of professionals in the country and Order regrets the "lack of planning for human resources." "If the population is replaced every access to oral health care, doctors dentists probably arrive hand, estimated Orlando Monteiro da Silva. But as this is not the case, dentists are trying to Portuguese other countries: "We are exporting human resources for deficit countries such as England and Holland, the Nordic countries because the profession is no longer attractive." Portugal and Poland are the countries that contribute most to the health services of the NHS oral English, for example.
Estimates indicate that the Order within three years, in 2010, there will be a dentist for every 1,180 inhabitants in Portugal. In comparison, Spain has a professional for every 2,667 inhabitants, the Netherlands one for each 2,118 inhabitants and the United Kingdom one per 2,105 citizens. The projections of the number of doctors and dentists for the next years show "a lack of over-training of graduates." "The result will inevitably be the increase in unemployment and under-employment in the class," refers to the Order.
In Portugal, only the autonomous regions have oral health systems to serve users of the NHS. In the Azores there are 19 dentists in the medical system of regional public health and Order provides that in some years, the Azores are the best indicators of oral health. Already in Madeira, there is an agreement between the regional health service and private, in which the public partly reimburses the cost of users that use private dentists.
RTP * * *
This blog is just to alert the national and international community about oral health policy in Portugal followed by all governments since April 25, 1974. Please do come and ask that this appeal to all health care organizations in Portugal and in the case of finding abroad, you get your voice revolt from all international bodies where Portugal is represented, denouncing the violation fundamental rights of the population in access to oral health care within the country.
I also thank the help we can give to translate this blog into other languages, enabling a greater knowledge and international reporting about what is happening in the area of oral health in Portugal.

Monday, 18 May 2009

192. Obligation to pay compensation

Portuguese law (civil code)
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Article 562. º (General principle) - Who is required to repair an injury to restore the situation that would exist if there was not the event that requires repair.
Article 563. º (Causation) - The obligation of compensation exists only for damages that the victim probably would not have suffered had it not been for injury.
Article 564. º (Calculation of Compensation) - 1. The duty to indemnify includes not only the injury, as the benefits that the victim failed to obtain a result of the injury. 2. In fixing the compensation the court can consider the future damage if they are predictable, if not determinable, the setting of the corresponding compensation will be referred to later decision.
Article 565. º (Provisional Damages) - Should the compensation be fixed in execution of sentence, the court may immediately order the debtor to pay compensation within the amount that it considers are proven.
Article 566. º (Cash Compensation) - 1. The compensation shall be in cash, where the natural replenishment is not possible, not fully repair the damage that is too costly for the debtor. 2. Notwithstanding the requirements in other provisions, the cash compensation is measured as the difference between the assets of the victim in the most recent date that can be answered by the court, and that that date would have if there were no damages. 3. If it can not be ascertained the exact amount of damages, the court judged fairly within the limits that has a proven.

Thursday, 14 May 2009

191. Memory for future

Hello
I thank anyone or international entity that can help me. I need support. In Portugal there is no justice, and I need the support of human rights organizations. Please read the text and help me:


alves.saudeoral@gmail.com


I hereby direct me to you to explain, as possible, the questions for which answers and clarifications sought actually concrete. So then ask for some entities would be to provide me some information, or noticed that I was not clear enough or got answers that had absolutely nothing to do with the information I had requested.
So, to remove any doubt about the issues for which seek a total and complete enlightenment, the freedom of all first summarize as much as possible the vicissitudes through which he passed and that today raise me a whole series of questions for which I intend to answer enlightening and practical.
The crucial issue and relevant leads me to make this detailed description is related to the quality of care I have received oral health throughout my period of training, particularly among 80 and the end of my degree, which concluded at the University Lisbon.
Although you can make here other health problems, the substance is only relevant for me to do with the oral health care to (not) have been provided, which very question today and that I need now and as I hit I are and will make me definitely to mark the rest of my life, both physical and psychological. I know that you, with power of decision making and, therefore, with clear responsibilities in terms of oral health policy followed in Portugal, at least in the foal of 1975, I can carefully examine the issues and provide me the appropriate answer correctly .
As far as I remember, when I had oral health problems - I remember perfectly still walk on the lap of mother and already suffering from pain in teeth. I must clarify that my parents were farmers, my father and my mother is illiterate not completed primary education, my childhood was always in the interior, far from urban centers and better medical care. Sadly missed me, at that time, the initial provision of oral health care.
I lived with my family in a small town in the interior of the Alentejo: Alandroal - there was entered in the Health Center site, which was exactly what got the first oral health care. Then I will explain how it works: I know that I was given by the family doctor of the time (late seventies) to the query of "dentist" - the Health Center of Alandroal I remember moving a "dentist" in Elvas. Usually there were twelve to fifteen people to be served in a morning, when the dentist arrived this, go to form a single file and plays to take an injection (anesthesia) - I think the same syringe used to inject everyone.
Soon after beginning the extractions ... I do not remember any other consultation carried out there, is there were only extractions (no fillings, cleaning or other treatments). After two hours they were all "treated" and there would be but the "dentist".
I have my twelve or thirteen years, the treatments that the dentist made me this was only to extract teeth - never did an X ray or other type of oral treatment. If after ten minutes failed to draw me a root or a tooth, the dentist "marked a new query me for eight or fifteen days later, so a root more difficult to extract took sometimes three or four "sessions", ie more than a month to be extracted.
I do not know exactly because I tired of both go and never have finished the treatment (which consisted only in making extractions), also never saw that this "dentist" or had made any written record of the treatments that did - was all along, or they were children, adults or elderly. However, from 1980 began to suffer from tinnitus, which, unfortunately, still reside in my head 24 hours a day, 365 days a year (I do not know how far they have been caused by the treatments made by this "dentist" ; unfortunately traveled by many specialists in neurology and OTR but not one managed to suppress the symptom that causes me the tinnitus).
When I was fifteen years I have noticed that my friends of my age had their teeth treated - and then will ask my parents to let me go to Évora try to solve the problem of my teeth.
Drove me to the Hospital District of Évora, in receipt of the Hospital told me once that there were no vacancies for the consultation of dental (or dental). I remember very well that even after I spoke to the area of consultation and came to enter the office where they were installed the equipment for dental consultations, but there was not anyone. I was also a "dentist" who worked on the streets of the "Arcos" in Évora, unfortunately, I think made the biggest mistake of my life, as the "dentist" that I met told me I had to do more extractions before could do me a treatment for cleaning the teeth ... Possibly by all the trauma that had already passed the Health Center of Alandroal, then did not want to do more extractions.
Entered the University of Lisbon, the result of a scholarship.
Only able to enter the consultation of dentistry Medico-Social Services, University of Lisbon when he was in the 4th year of the University, unfortunately, too late to be treated as it should have been in early childhood.
As a result, suffered the greatest trauma of all time in my life, have to be forced to use dental - something that had yet been possible to avoid, I think, if the doctors who treated me since childhood had been so kind to want to the case because of my health.
Today I have the full consequence of that all by now, and particularly the brands that I have to load the rest of my life, shall be due, in large part, by the way of how nobody in health knew I treat as it should have been treated, I think just a little humility and common sense by all the entities that I mentioned that I had not fallen in what today are the physical and psychological that I have, unfortunately, support the rest of my life.
I have several questions, but they do not want to fall in deaf ears and that "fault" (to exist) simply die unmarried, answers when I return to say "Look, who can answer your questions and this is the entity about .... " My goal is simple: never get another couple in Portugal is the victim of so much contempt for the health care that are the various health authorities in our country (do not know the remorse that I have now when I cross almost daily, with pre-adolescents and young people in their age of innocence, are faced now with advanced tooth decay, or when I speak, showed the lack of teeth, despite their young age - that will have future in terms of happiness, they people? Will they go through the same ordeal I? How many adults, being aware of the facts, will continue to bury our heads in the sand and ignore the suffering of these children and young people for the rest of their lives?).
I do not think that if I were the son of a president of the republic, minister, attorney general, director-general of any public body, chairman of the Board or any Director, Clinical Hospital Center, the top military career, distinguished Mr knowledgeable of laws or any businessman, would have had all the necessary treatment and care throughout my childhood and adolescence. It, quite simply, I think we could occur in Portugal ...
Thus, taking full knowledge of the involved and responsible for the consequences that now have to bear is the only way to achieve some emotional balance and to stop the beautiful battle that is life, not in any way want to measure the effects of suffering, suffering and suffer forever by simply not having a natural smile normal, nor do I think and reflect on it meant to me in emotional and interpersonal relationships with other people. I am not able to provide all the reflections that I have in my future for health care, which (not) have and that, sooner or later, be direct reflection of how I was treated (disappoint whoever now, as adults, because I am not so naive as I was in childhood and adolescence, I am perfectly sure that in future I will be confronted with diseases directly caused by what I have and that I should take as given, in terms of care health).
Furthermore, I hope that I was the only trace of contempt of the national health service users, particularly by children and young people in the case of oral health, and that from today all have a right to a simple beautiful smile, without fear to see in the mirror. Fortunately this is possible - in the hands of anyone or have run on other people.
But I will never rest until they feel very well with me, I know that time does not go back and what I wanted for me today is impossible happen. But at least I want to be with me very well psychologically, this will only be possible in the day to find all the answers to my "why me?". These are questions that I get completely: why me and why? What evil have I done to the world to be like victims?
Here a list of questions I want to see answered and clarified once and for all, without subterfuge or indirect and inconclusive answers. The people there are, take positions and be fully accountable for functions that play or played (currently, the one year to five years or twenty years ago). I have every right to see and answered all my questions and to know why these things happened to me.
I do not want monetary rewards or someone go to jail for having failed to care that should have been me, I, yes, I say directly to me and how to take publicly responded to me in time to my requests for treatment.
Listed here are my questions, I hope that answers completely enlightening, arise quickly and are public, only then have some psychological comfort and will take the heavy burden of conscience that weighs about myself and at least make you never no child or adolescent is treated well in Portugal.
1.-What is the "dentist" who served in the Alandroal Health Center in the late seventies and during the eighties?
2.-What specific training (academic - university attended; professional - membership in the Order of doctors or dentists) that this "dentist" was to treat children and young people?
3.-What is the official authority which determined that such dental service in the Health Center?
4.-What is the institution that controls all the processing undertaken by the "dentist"?
5.-How can I now access to my personnel file that this "dentist" should have on me? (I do today, so relevant, to have full access to all the reports that the "dentist" has drawn on me)
6.-Who was the clinical director at the Center of Health Alandroal during the period in which this "dentist" there was consultation?
7.-Who was the Clinical Director of the Hospital District of Évora in the 80s?
8.-What are the criteria by which the Hospital District of Évora, in the 80s, so that children and young people could be found in consultation with dental or dental?
9.-What are the criteria that determine the care of Portuguese students in consultation with fellow dental or dental services Social-Medical University of Lisbon?
10.-What are the laws in force in Portugal, from 1975, with regard to school health? (I remember once I was asking for this clarification to Social Support Services of the Ministry of Education in Lisbon, and then received information that Portugal was the second country in the world to deploy the system in school health education.)
I am grateful to see all my questions answered, only be fully free and be me psychologically very well on the day and see everything clear, especially when I make absolutely sure that not another child or young person in Portugal will be neglected in terms of oral health. Because if there is any suffering it all, nobody can take me.
Because the smile is also good for health.
Well-there.
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The description of reality is made, and each was asked to assume its responsibilities in this case to a single fault does not die. Because, after all, still living in a state of law and why these things still happen in Portugal.

190. Government should create agreement with private oral health

The Order of Doctors Dentists today expressed the hope that the government create a system of private agreement with the treatments of oral health to patients of the National Health. Tuesday in Parliament, the Health Minister Correia de Campos, who took the National Health Service (NHS) failure in the provision of dental care, and promised to announce measures during the debate in the state budget for 2008.
The president of Medical Dental, Orlando Monteiro da Silva, Correia da Campos has since July a report by a group of specialists from various areas with proposed measures to improve health services in relation to oral health. "The proposal that most concerns people is to establish a system of agreement with dentists and dental clinics for NHS patients, including more specific to certain sectors of the population," said the Lusa Orlando Monteiro da Silva. Dental fillings, extraction of teeth and devitalization, rehabilitation and cleaning of removable dentures are the areas that the Order of Dentists considers to be included in a package of oral health such.
"We see these measures announced very soon," said the president, who welcomed the recognition of the Ministry of Health that oral health is an area that has been systematically neglected. " According to the 2001 National Health Center, nearly four in ten older people in Portugal have lost all their teeth, given that the Association believes are still undervalued in relation to reality.

Monday, 11 May 2009

189. SPAIN: Four million children will benefit from new oral health plan

MADRID, 10-SEP-2007: The Minister of Health and Consumption, Bernat Soria, said today that the new Oral Health Plan for the National Health System (NHS) to respond in a gradual four million children between 7 and 15 years.
"The next year nearly one million children aged between seven and eight years may benefit from this plan to be developed in a progressive manner," said the minister, as reported by the Ministry of Health and Consumption. The benefits included in this plan include annual revisions to special treatments such as fillings, cleaning the mouth and teeth extractions.
"This is an indication that this government is working to ensure that all Spaniards have access to the same services," said Soria. "The ministry will provide free dental header for all children between 7 and 15 years. For the small smile does not depend on their social status," said Soria.

Tuesday, 5 May 2009

188. Open letter to the organs of sovereignty

This Open Letter is addressed to all the organs of sovereignty in any way that can make any move to change the disastrous state of the oral health of a large percentage of the population.
Calls to all readers living in Portugal or anywhere in the world, they get a copy of this open letter to the Portuguese authorities and send by email to all your contacts.
Because, after all, there are still people who see this world and in Portugal's going to get deprived of having a simple natural smile.
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Open Letter
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To the President of the Republic of Portugal, Prime Minister of Portugal, the President of the Assembly of the Republic of Portugal, the Minister of Health of Portugal, the groups represented in the Parliamentary Assembly of the Republic of Portugal, the Director General of Health of Portugal , the Directors of Regional Administrations of Health of Portugal, the chairmen of local authorities in Portugal and the President of the Order of Doctors Dentists: let me address a few considerations about the oral health in Portugal today.
Since about a year I have done, from this area, several calls attention to the problem of oral health in Portugal. However, returned several months, continues to be seen standing inertia of the authorities to point out practical resolutions to the problem of oral health in Portugal, or the Assembly of the Republic, the Government wants to remain in lethargy on the need to combat this scourge typical Third World countries and widespread in Portugal, member of the European Union.
A link to the negligence of those charged by law, there is a favorable position in social terms, to this, perpetuating the black stain on the health of the population that chooses not age and that particularly affects the lives of many hundreds of thousands of children and young people for the rest of his life, particularly the most disadvantaged social classes and living in rural areas of the interior, which are never addressed in dentistry or stomatology, leaving the fate handed to them is restricted.
Instead, look at what is happening in the Azores with the launch of the card user of Oral Health, or what happens in other European countries, which rely on recruitment of health professionals oral Portuguese - is just unthinkable, that the best formed in our colleges, the price of gold (many tens of thousands of euros it costs to train a doctor or dentist Stomatologist in Portugal, out of our tax money?) will give the country euro zero productivity.
I think therefore that we must address the real problems of the country and not bury them in sand, forgotten, as our legislative leaders and government are to make progress. A specialist in medicine knows that investing today 1 000 in the monitoring of oral health over the life of a child until the age of majority can be translated into real gains for thousands and thousands of euros to the country, in two ways: by a hand, will allow better overall health, enabling better learning and training for better performance of work delivered as the labor market, allowing substantially increase the productivity and income, creating more wealth for the country and, secondly, to drastically reduce the occurrence of other diseases of all types associated with oral health problems, allowing the state and the private wealth-creating reduce billions of euros in costs of health and abstentionism to work (when recorded an entire working life of each person multiplied by the number of people may benefit from the existence of a program of oral health in the country, accessible to everyone), let alone in serious psychological problems of the forum that the problem of oral health results to those who unfortunately have to survive with disease.
Grateful for the attention given, I thank now all your offices to light a light of hope in the treatment of a completely preventable disease with the human and financial resources that the country currently has.