132) Ruling of the Supreme Court of Justice

I - The crimes committed by negligence, are not punishable by terms of imprisonment exceeding one year, with or without fine, were the amnesty provisions of subparagraph w), Article 1 of Law No. 23/91 of July 4, since that ruling until April 25, 1991.

II - having been established that the applicant's civil claim, suffered pain, was left with a slight deformity in the chin area and needs a prosthesis for correction of a lesion in the region of the teeth, these facts are sufficient to cause the plaintiff personal injuries that must be balanced by giving the victim of a penny to be fixed equitably by the court, as specified in Articles 496 and 494, both of the Civil Code.

Ruling of the Supreme Court of Justice

131) Columbus: dental health program "A healthy mouth"

Colon (Argentina) - The Department of Health of the City of Columbus, through the Service Center's Preventive Dentistry Maternal and Child conjunction with the Dental Columbus Circle, reported the continuing program of oral licenses to "Healthy Mouth" implemented since 2000 in all schools in the Columbus game.

This program will be shown only to pupils in 1st, 3rd, 5th, 7th and 9th of EGB. Like the previous year, the student is going to the dentist of their choice (private or hospital), which, to find the mouth in terms of good oral health, provide a record of good oral, which will be switched on Preventive Center for Maternal and Infant an official certificate, legitimized with a seal hospital. Otherwise, the student must receive dental treatment to achieve high, given by the professional acting.

Agencia de Noticias Bonaerenses

130) Although the availability of the Ministry of Health

Concerning the assignment of "five million euros" for the National Program for Promotion of Oral Health for the population children and youth, and taking into account the national percentage of children and young people already covered by the program, I suggest that it becomes a responsibility solely the responsibility of public education, for whom the Ministry of Health would make the transfer.

So, without further charges, I sincerely believe that with the same "five million euros" transferred to schools according to their number of students, the program would cover a larger percentage of children and very young, would become and more efficient bureaucracy is the whole process, freeing up labor-bureaucrat of the Ministry of Health and its dependencies to other tasks of greater national interest, occupying socially better the times of non-academic school teachers - all this without adding a cent promised to "five million euros."

It is here the suggestion to Mr. Minister of Health, which I am asking that become public, all schools in the country, the list of clinics contracted by the Ministry of Health for the implementation of this program.

Gerofil

129) Board of Baião attentive to diseases

Striations on the ground, 24th of this month, a team of the Foundation for Education and Culture at the University Fernando Pessoa (UFP), consisting of doctors and students finalists of the Faculty of Health Sciences of UFP that, under a protocol of cooperation concluded with the City of Baião, will start a series of actions for screening the population baionense for six weeks - nearly two months. The actions will have to occur before the primary and secondary schools, retirement homes and joints parish in the aspects of preventive dentistry, medical tests for cholesterol and diabetes, nursing - control of blood pressure, drive human, physical therapy and speech therapy.

For the mayor of Baião, Jose Luis Carneiro, the protocol "is an initiative that fits in the effort that the municipality has developed in order to provide baionenses, particularly to the needy, living conditions more suited to the promotion of health ", refers to reported. Despite the activities related to health are not a responsibility of local authorities, the Board of thought adopt Baião a pro-active in ensuring the development of active social policies and to meet the specific needs of the municipality.

The Mobile Health and the provision of housing for doctors who want to practice the profession in the county are two examples, says the letter, the pro-active and have shown results. Shares of screening began in Ancede, one of the largest parishes of Baião and take place on Thursdays from 9:00 to 17:00 in different parts of the county.

O Primeiro de Janeiro

* * *

There is a good and sincere thanks for these initiatives by the City Council bay. An example to be followed by other municipalities, because all the money spent here will always be well spent, because it will always be in favor of the welfare of the population.

Gerofil

128) Autonomous Region of Madeira: Public Service already has three Regional Health Center with dental consultations

Since last September that the region apply the system of service contracts with doctors dentists, who pursue their activities in public service. That is how the Health Center of Porto Moniz, Porto Santo and the Bom Jesus give consultations of medicine and dental hygiene. There are other doctors available and only "are no longer, (the public service) because we are no longer equipped health centers for dental," says Gil Alves, the Order of Dentists of Madeira. The doctor points out that although the national level the EPE can also apply this system, the truth is that more and more hospitals and dental equipment whose health is degrading for lack of doctors. This, perhaps, the reason for the Portuguese are the Europeans with a major dental problems.

Gil Alves dispute the argument that this is due to the high price of treatments and remember that the cost of equipment and materials used in dentistry are high.

Jornal da Madeira

127) Promised better oral health

Correia de Campos ensures collaboration

with professionals of the sector

* * *

"I can assure that we are completely open and available to collaborate with you and discuss matters as the basic package, the establishment of a future Convention [of the National Dental Medicine] and the opening of Hospitals National Health Service (NHS) as proposed in the name of improvement the oral health of the Portuguese", said the Minister of Health, at the ceremony of swearing in of the new social organs of the Order of Dentists (MDGs) in Porto. At the meeting, held in the Stock Exchange Palace, Correia de Campos spoke of the success of the National Program for Promotion of Oral Health for the infant-juvenile population and that for this year has reflected "five million euros".

The governor said that "will not be the argument of lack of resources that will prevent program continue", despite admitting that "this support has increased so slow, however systematic and sustained up to say," given the results of some studies for cost benefits. The chairman of the MDGs, Orlando Monteiro da Silva, meanwhile sworn - and that will be ahead of the destinations of the Order until 2009 - reiterated that her main tasks is to "integrate the services of dentistry in the National Health System (NHS), to make it available to all Portuguese. "

According to the report, the vast majority of the Portuguese population has no access to dental services and contracting for dental practitioners with the public services "solve this problem. In that sense, thanked the opening of the Minister of Health and his ministry in "hear" the proposals of the Order, such as "payment of a moderating rate, to enable users to access to the NHS consultations."

O Primeiro de Janeiro

126) Horizontal equity in the Portuguese Health System

Horizontal equity in the Portuguese Health System

(Ana Simões, Ana Paquete and Marília Araújo)

* * *

The equity in the context of health is increasingly applicant as the public health systems based on this concept. In this study, the approach based on the concept of horizontal equity, checking the degree of equity in access to health care for individuals with equal need. The innovation here proposal was dealt with separately health care private and public. The analysis was based consultations of general practitioners (public sector), dentistry (private sector) and the specialty of cardiology (public / private).

The analysis, based on INS of 1998/99, was made by using the concepts of curves and indices of concentration in order to calculate the index of Le Grand. The results of this work have concluded that there is inequity in health Portuguese favouring higher income classes of the public sector and in private.

Gerofil

125) Tickets from Paris: Poor and very poor

Although the large majority of university students is home to more than wealthy (more than eighty percent come from families of professionals, engineers and technical staff and senior administrative and commercial), its economic situation cause seizures, which were listed in a report of a parliamentary committee: university students in large numbers, are facing difficulties to feed properly, abandon the idea of treating the teeth or the views (one in six), consume alcohol in excess (one in ten), and in the same proportion of one in ten, are victims of stages of depression.
O Primeiro de Janeiro
* * *
If this is the situation in France, as is currently in the universe of university students Portuguese?
Gerofil

124) Always too late for someone

What is lost in the best years of life
(...)

When I was fifteen years I have noticed that my friends of my age had their teeth treated - well, I asked my parents to leave me go to the city of Evora try to solve the problem of my teeth.

Depart me to the Hospital District of Evora, in receipt of the hospital told me once that there were no vacancies for consulting stomatology (or dental). I remember very well that even after I spoke to the sector of consultations and came to enter the office where they were installed the equipment for consultations in dentistry, but there was not anyone.

It was a "dentist" who worked in the street "Arcos" in Evora; unfortunately, I think I made the biggest mistake of my life, as the "dentist" I met told me that he had to do more extractions, before could do me a treatment for cleaning the teeth… Possibly by all the fears that had passed the Health Centre of Alandroal, then did not want to do more extractions.

I joined the University of Lisbon, the result of a scholarship.

Only able to enter the consultation of stomatology of Social Services-Medical University of Lisbon when we walked in the 4 th year of the University; unfortunately, too late to be treated as it should have been in early childhood.

(...)

Full text here

* * *

Where is the social justice in the country, please? There is courage on the part of those who should have.

Gerofil

123) Programme for the Promotion of Oral Health in children and adolescents

The Evaluation Report of the Contracting of the Year 2004 specifically that between the years 2000 and the year 2004 were covered 143 289 children and young people by the Program for Promotion of Oral Health.

Given the data from the National Institute of Statistics for 2004, Portugal had 1 648 996 for children between 0 and the 14 years of age and from 1 360 606 young people between 15 and 24 years of age. Making an extrapolation, the number of children and adolescents aged 6 to 16 years (ages covered by the program) would be around 1 261 519. This means that, after five years of the program, it covered only 11 in every 100 children and young people in age to be answered (or 89 in every 100 children and young people were left out in access to that program) .

Some some positive and negative aspects referred to by the managers of the Program in ARS's:

-It was the late-starting the process of contracting which has limited activities of the programme;

-The gap between the school year and the calendar year prevents better enforcement of contracts;

-Shortage of human resources in the Health Centres, for the amount of work that is necessary to achieve and that conditioned the final outcome;

-Delays in payments to health care professionals oral contract, with far beyond the time stipulated in the contracts;

-Delays in delivery of deployable by professionals hired;

-Handicapped-quality records in Fiche traveller Oral Health;

-Greater involvement of Health and Centers for oral health professionals;

-The mobility of children complicates its location and routing;

-Most of caries in children target of contracting, were treated at the end of the programme, however "some" professional contractors have a large number of caries by deal by the end of the programme;

-For many children this was the first opportunity to benefit from an oral intervention.

Gerofil

122) In 2001 we were well

NHS without dentists - About 90% of health centres of the National Health Service (NHS) have no dentist or provide consultations for oral health. In the few who have dental, consultations are targeted almost exclusively to children, only carried out on average once a week and, hence, have waiting lists, rising to three years. Who needs to treat the teeth is not even no choice but to pay a medical consultation in particular.

These are only some of the "dramatic" results of a survey done by the Order of Dentists in recent months to a broad sample of health establishments belonging to the public network. "The oral health is fully geared excluded health in Portugal ', commented in this regard the President of Dentists, Orlando Monteiro da Silva. 'And this means that, for economic reasons, much of the population is, quite simply, access to oral health care, "he added.

The survey covered more than 400 establishments of the NHS, spread across the country, with the majority of health centres. Of the more than 70 hospitals questioned on the provision of oral health, only 30% said they had dentists.

On the other hand, and the second shows the study, only 7% of health centres which have no dentist who is heading the sick to hospital. The problem is that access to these, as the other consultations, hospital specialty, is never directly - always implying a referral made by the family doctor.

If this routing is done by the family doctor, patients are forced to rely on the emergency. But the more likely it is to give the guy at the door. According to the Order, over 80% of hospitals that dentists have at your service admitted that no urgency to make oral health. "Patients have no alternatives, or to treat any conditions of its mouth", stressed the president.

As for health centres, the study says that 90% have no dentists, and that those who provide this consultation, there comes the waiting lists, for three years. This is because in most 10% of centres with consultation from dentists' is only accepted one marking a week. And if it is the small group of health centres with dentist, is non existent in the provision of emergency oral health, 'which is a factor of great concern "- says the Order. 'If users have a serious problem can not even go to a permanent telephone hotline (SAP), the study adds.

In health centres where there are dentists, patients are mostly (92%) referred to private doctors. But the latter, as Orlando Monteiro da Silva, has access only those who can pay.

Help from 55 escudos (23 cents) - The lifting of the Order shows are other disturbing data. For example, which in Alentejo and Algarve was only found one dentist to work in public health services and that Lisbon, despite the public offer be greater, is one of the poorest regions of the country in this specialty.

The Ministry of Health has already responded favourably to some of the proposals of the Order to solve this problem, notably through an expansion of agreements with private dentists. Until now, however, the process has not passed the plan of intentions.

Dentaria.com

* * *

This text says almost everything on the relidade of oral health in the NHS in Portugal. Today, the situation has changed little. For more to say and if one thousand invent excuses, what is clear is that almost everything remains to be done in Portugal, when it comes to oral health.

Gerofil

121) Project Health Clinic at the University Fernando Pessoa crawled more than 12 thousand people

The Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP), which has the support of ratiopharm, held 12 064 free health screenings of September 2005 to August 2006. These surveys covered the provision of Dental Medicine, Clinical analysis (glucose / diabetes, and cholesterol), Nursing (control of blood pressure), Human Motion / Physical Therapy and Speech Therapy.

In this period, the Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP) crossed the northern and central areas of the country as well, he went during the month of August, Angola, specifically in Luanda, with the main objective of provide training and conduct surveys to people in Hospitals and Health Centers.

According to the UFP, in total, 6 302 people were screened for blood glucose / diabetes and cholesterol, 210 children in valence of the Speech Therapy, 2,261 people on Oral Hygiene, 140 in the area of Motion Physical Therapy and Human and 3,151 in Nursing (control of blood pressure).

During the 2005-2006 school year, were involved in this project 244 students and 13 employees of UFP. As in previous years, this initiative was supported by the ratiopharm, leading pharmaceutical company in Portugal in the development and marketing of generic drugs (in units).

For the current school year, the Project Clinic of Oral and Public Health at the University Fernando Pessoa (UFP) over the councils of Amarante, Baião, Santo Tirso among others, carrying out actions of screening in primary and secondary schools, centers and retirement homes in provision of medical tests for cholesterol and glucose, control of blood pressure, oral hygiene, drive human / physical therapy and Speech Therapy.

CiênciaPt

120) Infant, the innocent wronged

Since 1968, after the excellent work of Ben Haygard at the University of Arizona, which we know that human milk in the state of Arizona, contained abnormal amounts of 6 insecticides! The contamination was so high, which, if applied rigorously to U.S. law, a woman breastfeeding, could not get out of Arizona, because "it is prohibited to cross state borders leading food contaminated."

After the work of Dr. Haygard, the scientific world started to examine more closely the contamination of human milk. Until 1998, the date of publication of the last book of Pharmacology Publisher of Guanabara, 141 (one hundred and forty-one!) Toxic or potentially toxic substances were found in the "milk" - use quotes because I do not know paternal human milk. These substances are morphine, cocaine, codeine, alcohol, nicotine and almost all antibiotics, including the tetracyclines which are involved in bone and tooth malformation.

That is, a mother addicted to drugs almost for sure will vitiate his son in the same or on the same drugs. We could cite other risks, scientifically proven, such as contamination by adrenaline (norepinephrine) in the milk of a mother or with nervous stress, and various other situations, but the frightening aspect of this article and the first reason was the verification that in southern Africa and Asia, the contamination of infants with HIV (the AIDS) contained in mother's milk HIV positive, namely the vertical transmission of a disease hitherto incurable and fatal is made by hitherto sacred food, the "milk"!

To leave no doubt of nutritional point of view, human milk is the most perfect food for the newborn. However, to be offered to infants, two basic conditions must be met: first, the mother has to be healthy, and second, the child must be healthy!

O Noroeste on line

119) Draft young / schools / health

The ARS Alentejo sees the National Health Plan (NFP) as a "framework director of organizational change" and as such demand consider it and recover it when making the planning of activities or where changes tackles cultural, architectural and functional in the system the health of the region.

In this perspective, and following the philosophy of the NFP, ARS believes that it is in schools, at work and in places of recreation (where it spent much of the time of a typical day) that should introduce and promote prevention measures of disease and health promotion. Indeed, these environments are integrating a number of different interventions in nature as such it can definitely contribute to the success of these actions aimed at prevention of reducing the burden of disease over the life of our citizens.

In the specific case of schools, this principle is particularly important given the vital role they play in the process of acquisition of lifestyles and its importance to the aforementioned health promotion and disease prevention.

In this sequence, under the protocol established between the Ministries of Education and Health, the Regional Direction of Education of Alentejo and the Regional Health Administration proposed to carry out the implementation on the ground of the project called "Youth / Schools / Health".

Indeed, with this project, what it does is promote health education in schools, a process which contribute to the sectors of education and health, and to contribute, ultimately, for adoption by the schools of policies and practices consistent with the Promotion of Health, particularly with regard to the prevention of risk behaviour.

In this context, and with regard to the design curriculum, the curriculum areas not disciplinary - area of training and civic project - the privileged space for the development of activities under the project which now begins in Alentejo.

Let's take a brief characterization of the entire project:

1. Target Population (Cycle of Education) - now has to occur among young people, an increase in risk behaviors. Among other highlights is the increase in sedentary lifestyles, nutritional imbalances of violent conduct, morbidity and mortality from accidents, maternity and paternity early and behaviors potentially additives, related particularly alcohol, tobacco and illicit drugs.

Thus, for the above reasons, those covered by the innovative project that is implemented in Alentejo are pupils of 2 and 3 cycles of basic education and secondary education in the region.

2. Partnerships - The main actors are the elements because the schools / groups, in which the project is developed, elements of Health Centres and local elements of the Portuguese Youth Institute and other partners in the community, whose release is appropriate. Currently, the schools are already implementing this project are:

- Secondary School Diogo Gouveia, in Beja;

- Integrated Primary School Diogo Lopes Sequeira, in Alandroal;

- Primary School 2, 3 and Secondary Dr. Hernani City, Redondo;

- Secondary School D. Sancho II in Elvas.

3. Content - The activities that are developed under this project focus on matters that relate to follow:

- Interpersonal Relations;

- Issues of Mental Health;

- Food Education;

- Oral Health;

- Sex Education;

- Prevention of Maternity / Paternity early;

- Prevention of consumption of licit and / or illegal;

- Prevention of HIV / AIDS and other STI;

- Security at the level of plant and equipment and Physical Activity.

4. Objectives - Establish an Office of the Schools Support for pupils under the Health Promotion. Contribute to:

- The improvement of intra and interpersonal relationships;

- The promotion of nutritional education;

- The promotion of oral health;

- The promotion of sexual and reproductive health, particularly the prevention of unwanted pregnancies and STI;

- Preventing the consumption of substances adictivantes, licit and / or illegal;

- The promotion of security at installations and equipment;

- The promotion of regular physical activity.

5. Materials and Human Resources - In schools, it needs to be provided a space for operation of the office of Draft. In addition will be used where justified an auditorium, or multipurpose room for the holding of sessions for clarification and / or discussions, if they involve a large number of participants. Other activities may take place in meeting rooms of various classes or other spaces provided by the school, for the purpose.

Regarding human resources, that are provided by schools and the Health Centres where this project is implemented. Whenever possible, the draft requires that parents be involved and Officers of Education as well as those with whom to establish partnerships.

6. Assessment

The assessment of this project is to begin now that will be made, essentially, in two different moments:

- Periodic evaluation and end of each school year;

- The first should be continuous, but achieved at the end of each school term, with a report jointly held by all elements actors who developed the actions, and will be presented at a meeting of the Pedagogical Council, the coordinator of the project.

- At the end of each school year, it is proposed that the assessment is made by the team to work in each school, and focusing on the business plan developed under the project. That should aim to promote good practices arising from the implementation of the Project and the recasting of the methodologies involved in activities, which have had less impact among students. Also here will lead to reflection, which should serve as a basis for drawing up proposals for work for the coming school year.

As regards specifically the work of the office of care for young people, should be made a record of each call. This should include the scope of each requested clarification and routing data, ensuring the data anonymous and confidential.

ARS Alentejo

* * *

This is a project that should already have been implemented in Portugal to 25 or 30 years ago - unfortunately vast majority of adults younger this region (Alentejo) was often far from access to such projects, with serious repercussions personal and interpersonal for many who today are already adults.

Amazed by the fact that the project be restricted to a small minority of children and young people of Alentejo - the overwhelming majority continued, as the 25 or 30 years, with lack of specialist support in terms of child health and youth, to all levels.

At ARS of Alentejo question is when the placement of specialized technical staff, full-time in each of the groups of primary schools and in each of the secondary schools in the region? In recent years it has witnessed a situation exactly the opposite.

I fear, therefore, that this project does not pass this same: the overwhelming majority of those who urgently need these actions continue to be marginalized.

Gerofil

118) Roadmap for inclusion: Figures shocking

The reports of violence impressed the president; the president was unable to remain indifferent to what you counted on day and a half of roadmap for inclusion dedicated to children at risk and abused women. In the north of the country impressed him know that adolescents receive visits violated the violators in the hospital. The president was shocked by the fact that babies are used to renew visas to stay in Portugal.
NUMBERS:
- 291 complaints from women victims of domestic violence only in the district of Aveiro in 2005. For the box under Home of the Divine Savior, Ílhavo, passed in eight years, 511 women and children;

- 36% of women victims of domestic violence who returned to the companion after having exercised the box under Home of the Divine Savior, in Ílhavo;

- 2 priority areas of intervention in working with women victims of domestic violence. The first is related to family planning and the second with oral health, women and children have the teeth;

- 900 women victims of domestic violence and their children who are in shelter homes or other institutions of the same type, in Portugal there are 33;

- 13% percentage of children victims of abuse assisted in hospitals and health centres whose mothers are teenagers, the early pregnancy is a double exclusion - the pregnant and the child;

- 60 users of the Center for Family Support Pinto de Carvalho, in Oliveira de Azeméis, so many that it does not know what is the color that everyone likes most.

Correio da Manhã

117) APMCH, Order and doctors unions come together in platform

The Portuguese Association of Hospital Doctors of Employment, the Order of Physicians and the two unions resolved the class create a platform for devising a common strategy against the current policy of health, was revealed.

"Rather than worry about denigrate the medical careers to the population, the Minister of Health should concern itself with existing structures in the system. It is the degradation of medicine that concerns us," said today the vice president of the Portuguese Association of Doctors Hospital of Employment (APMCH), Armando Rocha, the agency Lusa. According to the manager, by creating this structure the various organizations align themselves "in a common objective: the defence of the National Health Service [NHS]" and opposition to the current policy for the sector.

"There is a major concern of doctors in relation to the functioning of health in Portugal and the NHS, which is essential to provide a lead assistance to the population, there serious risks", said. The lack of capacity of hospitals in the training of internal and "misuse" of clinical services in emergency, to address the lack of doctors, are some of the criticisms made by the leader, who also expressed concerned about the trend towards privatization of health ".

To join in this structure, the various organizations expressed their "concern at the measures" adopted in the sector, and particularly with the possibility of finishing the careers medical "- also said Armando Rocha. In view of the vice president of APMCH, we need a restructuring of medical careers and the NHS.

RTP Informação

116) Class of dental care for babies of Santos receives high

Santos (Brazil) - The theatrical presentation of the grandparents of the Community Center (Cecom) northwest of Zone enchanted the children who participated in the afternoon yesterday (Friday - 15), the festival of the pediatrics department of dentistry, the Basic Health Unit (UBS ) Of Aparecida. "It was a tooth that once lived in the mouth of a boy who liked to eat many sweets ...". Thus began staging of the character Mrs. Brush, Mr wire Dental, Dona pulp of the tooth and vilã of history, the Dona Caries. After you have fun with the educational theater, the approximately 50 children received kits with brush and toothpaste and gas balloons. Mothers gained buttons of pink and then were served cake and juice.

The programme of care for babies began in 1994 and is aimed at children from zero to 3 years, with monthly consultations, during which the mothers learn to clean the gums and the teeth and the correct way to do the brushing. They also receive guidance on nutrition.

Prevention - "In this class that is forming nobody has caries. It is important that mothers continue to follow the guidelines at home, "stressed the dental Venturini pediatrician Patricia de Almeida, on children who completed three years and were discharged the programme. "The health begins with the mouth and prevention is essential. The Basic Unit has to do just that, moving closer to the community, "said Secretary of Health, Odílio Rodrigues Filho.

The mother of small Larissa of 2 years and 4 months, the owner-to-house Andréia Menezes, 31 years, highlights the importance of the project Prefecture. "Taking care she already gave us a fright. He had a white spot in the tooth and had to cut the sweet, "he said, adding that the sacrifice worth it. The care with prevention is also emphasized by the student Patricia sweet, 24 years, press the girl Bruna, two years. "It's important to start early, because they leave beyond the caries increases," alert.

ClickLitoral

115) DRAFT LAW No. 154/IX (Discussion in the Assembly of the Republic, February 6, 2003)

DRAFT LAW No. 154/IX

Discussion in the Assembly of the Republic,

February 6, 2003

Source: DAILY ASSEMBLY OF THE REPUBLIC

* * *

Mr. President (Narana Coissoró): - We the discussion, in general, the draft law No. 154/IX - Integration of dentistry in the National Health Service (BE). To start the debate, has the floor to Ms Mrs Joana Amaral Dias.

The Mrs Joana Amaral Days (BE): - Mr. President, ladies and gentlemen: We believe that the right to health is a universal right and a Accessibility of the conditions of democracy in which the state should have a role structuring and regulator and not resign. Do not accept a mercantilist vision of health, opposed to this vision a humanist and a constitutional priority that always has been postponed. In Portugal, the deficiencies of the National Health Service show the fragility of health care. Our families pay about 40% of expenditure, which is approximately twice the effort occurred in developed countries.

The dental health is an integral part of the general health of individuals. The dental health is not a secondary aspect of the general condition of the individual nor is a luxury. The prevalence of diseases which seeks, as well as those that may have severe implications on health overall individual in particular, digestive, kidney, heart and cancer, put the oral health, so compelling, as a central issue in public health. It should then be to ensure the rule, so free, under the National Health Service, care of basic oral health. However, the situation of oral health in Portugal, is alarming and is in last place regarding all EU countries and behind non-EU countries such as Switzerland, Norway, Czech Republic, Slovakia and Slovenia. The oral health is effectively excluded from the right to health of the Portuguese. 60% of the population is unable to access the private dental clinics, 90% of children and adolescents have no access to the Oral Health Program and 98% of dental practitioners engaged exclusively private medicine.

According to a survey of the Order of Dentists, covering all public hospitals and health centres, around 70% of hospitals do not have oral health services, as well in 90% of health centres, the situation is serious, in Lisbon , With waiting lists of up to three years in the health units that have this valencia, very serious, in Alentejo and Algarve, where in each of these regions, there is only one health centre, with this provision, or unbelievable, in the districts of Beja , Guarda and Portalegre, where there is only one dentist.

In addition to the brutal consequences physical, psychological and social problems that are caused by negligence for the individual in the oral health, also found that, economically, this issue is complex, and that only in absenteeism at work, caused by low levels of assistance in this area, Portugal lost 35 million euros annually. Furthermore, doctors dentists, whose university training lasts six years and is in Portugal since the decade of 70, did not have a career itself, which, of course, would have the right, nor is considered superior technical health.

Here too we live in a paradoxical situation and extremely unfair, both to users and for professionals. On the one hand, we have enough doctors and dentists admittedly the most well qualified in Europe, with a significant increase in the number of professional and moving towards a situation of potential excess, is not regulated because their career, and, secondly, we have a large part of the population unable to access services for lack of economic capacity.

The political promises, consistently asserted, the recruitment of Dental Practitioners for the health units have been systematically put back defraud the legitimate expectations of doctors and dentists and students, especially, of a population which assists thus powerless to prevent a right Human and social base.

Mr. John Teixeira Lopes (BE): - Very good!

The Speaker: - It is at least strange that, in Portugal, 143 health units have the equipment necessary for the practice of dentistry, most of these devices are fully operational, but without dentist who can exercise and therefore without the enjoyment the user. It is incomprehensible that at least in Portugal, even the agreements with private clinics are made under a table that provides a reimbursement of $ 127, or about 60 cents for each treatment of a tooth. Thus, the Left Block stresses the urgent need for a reversal of this situation, including dentistry in the National Health Service (NHS) and including the classification of doctors and dentists higher health technicians. In oral basic health care, advocating that priority be given to the monitoring of pregnant women, children, adolescents, the elderly, heart patients and other circumstances, also ensuring the human and technical resources in health centres, in emergencies and in consultations. We extend fundamental, quantitative and qualitative terms, the programme of oral health for children and adolescents, organizing the collaboration of the Ministry of Health with local authorities under their jurisdiction, in programmes of prevention, early diagnosis and treatment of emergency. We consider it essential to ensure the respect of transactions and dentures. Mr. President, ladies and gentlemen, with this bill, so we want to see-just completed a constitutionally enshrined right, the right to health, and that the dental health, Portugal, leave definitively to be the 'poor relation' .

Applause from BE.

Mr. President (Narana Coissoró): - In a speech, has the floor Mr Jose Antonio Silva.

Mr. Jose Antonio Silva (PSD): - Mr. President, Honourable Members and Sr.as: The oral health is an integral part of general health. No person may be considered healthy if you have any kind of disease in the oral cavity. Although the mortality directly caused by diseases of the oral cavity is low, these diseases may eventually affect the health of many individuals. In addition, the dental disease contribute to a decrease in productivity, whether at work or at school. The main feature of dental caries is its universal prevalence, affecting virtually all individuals. In children and adolescents is the main cause of the loss of teeth. Most preventive procedures require an individual action, whether in terms of changes in diet either in the practice of good oral hygiene and regular visits to the dentist.

Under the strictly economic point of view, the importance of prevention of oral diseases comes from the high price of dental services provided to deal with the consequences of these diseases. In Portugal, the continuous and persistent intervention of the family doctor has contributed decisively to be provided to children, from birth, care essential for their dental health.

Consultations of child health and, later, health education opportunities are privileged to inform and sensitize parents and children. Parents, here, have an irreplaceable role in the fight against oral diseases. A father informed and motivated can do more for your child's dental health than any dentist. Under the NHS, there is a program of intervention in oral health, defined since 1985, whose intervention has been targeted at children and young people of school age. This programme has been developed by health centres, in child health and school health, and even in kindergartens and primary schools. In 1999, the Directorate General of Health restructured the program, outlining a strategy of intervention based on a model of primary and secondary prevention of oral diseases, aimed at reducing the incidence and prevalence of oral diseases, particularly dental caries in children and young people under 17 years. This program is built on three levels: the level 1 - basic program of oral health, the level 2 - specific programme for application of sealants, and level 3 - programme of medical and dental intervention. The programme of basic oral health is a set of activities for health promotion and disease prevention, such as the administration of fluoride and oral hygiene.

The specific programme for application of seals has been executed for oral hygiene and also by the NHS contracts with others. The programme of medical and dental assistance is made not only through the services of the NHS but also by contracting with dentists and dental practitioners, and it is possible to apply in such cases where there are no seals of oral hygiene and the treatment of injuries caused by dental caries that prevention was unable to avoid, thereby obviating the unmet needs in oral health, the NHS.

In 2001, started the project of oral health in disability, with the aim of reducing inequalities in oral health, reduce the prevalence of oral diseases in children and teenagers suffering from physical or mental disability and intervene from the school, in institutions that support.

Mr. President, Honourable Members and Sr.as: Despite the improvement in standards of oral health of children and young Portuguese, we must continue to invest in promoting health, disease prevention and oral assistance in strengthening the curative. Hence, more gains in oral health involves extending the basic program to all kindergartens and primary schools, strengthen the framework of personnel with oral hygiene in the NHS and gradually extending the contract with the private sector, creating new partnerships to the provision of health care in an area needy in the NHS (which admit as much needy) and involving the public and private sectors in solving the problems of oral health of children and young people. Thus, to achieve this strategy, the system was approved for 40 000 children, plus 15 000 who have already begun the process this year and complete basic education. The concern with the excluded groups and with children with disabilities will be enhanced, either through the production of materials or through appropriate training to health professionals and the institutions that support them.

The Manual of Good Practice for Oral Health, for those working with children and young people with special health needs, will be released by the government shortly. Mr. President, Honourable Members and Sr.as: Regarding the draft law presented by the Left Bloc, yet we consider the initiative in the virtuous goals, it is completely useless and unnecessary, since the gains in health, obtained with the application the programme of oral health in hand, make us think we are on the right track.

The model on which the draft law of the Left Block, in our opinion, is outdated - is in decline, has the best health system, namely complementarity between the public sector, private sector and the social sector.

Mr. Luis Marques Guedes (PSD): - Very good!

The Speaker: - In this organizational model for the provision of health care that differ from the Left Bloc. For us, integration of dental practitioners in the NHS is not to link the obligation of public function, much less the creation of a career in technical higher for dental practitioners. More gains are possible in oral health concluding contracts for service with dental practitioners, with oral hygiene and other professionals from the private sector for the provision of care to users of the NHS.

Mr. President, Honourable Members and Sr.as: The way forward should be, in our view, enlargement of reference for contracts under the programme of oral health for children and young people, should be investing in the training of health professionals that make up the teams of school and health professionals in the schools where the program is implemented, should be the establishment of partnerships with the Order of Dentists and with local authorities in order to extend the provision of oral health to another type of the target population, especially elderly and needy.

Applause from PSD.

Mr. President (Narana Coissoró): - There being no requests for clarification, you have the floor for a speech, Ms Mrs. Luisa Portugal.

The Ms Luisa Portugal (PS): - Mr. President, Honourable Members: The bill 154/IX No, the Left Block, provides in its articles, the classification of doctors and dentists technical higher health and establishing criteria for their release as professionals in services and establishments dependent on the Ministry of Health, the Santa Casa da Misericordia de Lisboa and the Ministry of Justice, to which proposes amendments to Decree-Law No. 414/91, 22 October, in their articles. 2 and 9. Proposes thereof, in its transitional provisions, its phased implementation, and, from the third year of its term, applies to all units of health. The proposed model is based on a clear option for public service of care, not taking into account, in particular, the experience and impact of measures already adopted in Portugal and other European Union countries.

In a first point, more specifically, analysis of this law, say that the Socialist Party considers the debate on the oral health of the utmost importance. Important by the magnitude of the problem - if the scale is large, with oral diseases highly prevalent among the population of all ages, we estimate, as has already been said, that 60% of the Portuguese do not have access to health care in this area.

Important economic effort yet by causing the Portuguese households, since the existing care are provided almost exclusively in the private sector, and co-financing is only for some, but subject to deductions on taxes. Important because it is a health problem with great vulnerability to programmes of prevention, whose assessment shows very positive indicators. Important because its resolution involves all levels of care across the board, forcing the work of a team scheduled and continued. In fact, oral health is a challenge for the organisation of care and health services, so that the correct implementation of its measures and targets program has positive impacts, not only in oral health but also on learning to proper nutrition, for personal hygiene in general, to the knowledge of risk factors and therefore for the care of prevention and for the teamwork and knowledge of the various professionals involved.

It is not an easy area to boost up its implementation because it calls into question the biomedical model of care that, although already in disuse, we have seen with some concern take body in political discourse of the current Minister of Health.

Mr. President, Honourable Members and Sr.as: In a second point of consideration of the draft law, it is important to stress the difficulties of access to curative care in this area by the majority of the Portuguese population and the need to find an costumes organization of human and material resources and financing that responds to those impediments that lead to inequality, which penalises the most disadvantaged, particularly in economic terms.

The Socialist Party in 1999, hosting previous lessons and strategic proposals of the World Health Organization (WHO) in this area, started a program of promoting oral health for children and adolescents through contracting with curative care, dental practitioners to engage in clinical private sector, benefiting the network of resources and equipment already spread across the country This program was part of an overall strategy of intervention, based on three sub-programmes: the basic program, as part of the activities of school health, covering a large population student of pre-school and. 1 cycle of basic education; strengthening the tables of staff of health centres with more oral hygiene to support the specific programme for placing the crack sealant, and the programme of medical and dental assistance already said. In 2001, he started up a draft oral health disability.

This route is allowed to Portugal today between the group of countries with moderate prevalence of dental caries at this age and achieve objectives consistent with the recommended by WHO for the European region, as stated in assessment by the Directorate General of Health and published in March 2002, has also previously said here.

The positive assessment of the implementation of this programme and satisfaction for professionals and citizens leads us to conclude that this is a model that, to be extended to the entire population, could bring significant benefits and gains in terms of overall health. They should take into account the criteria of access, the health objectives of the reach and cost / benefit of co-financing by the NHS. Finally, say that extending the programme of contracting does not mean for the Socialist Party - and hopefully also for the government - the slowdown in the basic program of oral health and collaboration with schools and other partners, or the strengthening of oral hygiene in Tables of health centres.

As parentheses, and finally, I say to the PSD and the CDS-PP which have in this area, a window of opportunity to achieve what they both have been repeated by the Minister of Health: 'give a doctor every Portuguese. They can start with the oral health goals and reach good health cross towards the end, as will a healthy collaboration to put a beautiful smile in the mouth of each citizen.

Applause from PS.

Mr. President (Narana Coissoró): - In a speech, has the floor Mr Bernardino Soares.

Mr. Bernardino Soares (CFP): - Mr. President, Honourable Members: The first observation that needs to be done with regard to this law is that oral health is part of health care. It seems a redundancy to say, but, actually, we must also reaffirm it to justify and noted that an instrument which, in our country, exists to give substance and content access to health care, provided in the Constitution, which is the NHS, has no oral health care sufficient to meet the majority of the population and their needs.

Clearly, this situation is the result of a route where there is a decrease of dentists as specialty of medicine - today, will be 300 or 400 - without which they are to train new experts in this area and, in parallel, its replacement In practice, with a new course, relatively new in dentistry. Only that doctors dentists are being integrated into the NHS, occupying the place, so to speak, that until a few years ago, was played by doctors dentists. The result is that the NHS has no answer to the problems of oral health. And this is clearly visible in the indices that our country has in this area. The WHO estimates that in our country, the population up to 6 years, 47% of it is affected by caries, in people up to 12 years, 70%, and an index that WHO has for the calculation of caries in the population, our country has an index of 3.1, when the world average is 1.74. Without doubt, is an index that in shame!

Nor are strangers this index and these results when we see that in our country, the spending on oral health is 0.3% of GDP, against, for example, 6.2% in France, or 4.65%, the United Kingdom.

Mr. Bruno Days (CFP): - That is this!

The Speaker: - The Order of the Left Bloc is undoubtedly a laudable objective and opportunity in this area, proposing concrete measures to begin to reverse this situation, in particular pointing a per capita ratio, which could be achieved if the majority of dental practitioners were integrated into the NHS. It is not a problem of quantity, but not of integration and not affixed in the public service in this area of health care.

A doubt that in this law raises concerns of the BE form used for such integration, through the inclusion of dental practitioners in the career of higher health technicians. I think we could find a more appropriate, given that doctors are closer to dentists in terms of function, in prescription and many other materials - in their training, three years have common - and the doctors. Therefore, it may not be the most appropriate status. Perhaps the creation of a career own or another solution would be more appropriate rough. In any case, this does not cut validity to the plan presented.

We agree with their priorities, also highlighting the proposal on the approximation of contributions to the scheme of the ADSE and remembering that in successive Budgets of State, PCP proposed for dentures, and also for other, the approximation of the contributions General contributions to the scheme envisaged for the ADSE, something which, in time of the socialist government, came to be entered in the State budget but was never fulfilled and that, now that the PSD budget was simply failing in the last budget debate, because It appears that the Honourable Members of the PSD and the CDS-PP are not concerned about the cost that is the treatment of the teeth and use of dentures for our population.

Voices of the CFP: - Very good!

The Speaker: - your vote and your denounces this misunderstanding. On the issue of human resources, it is clear that the framework is contradictory to the proliferation of private courses in this area, which has generated opposition even from Order of Dentists, for lack of qualification of some of these courses that, not quite sure why, ultimately be approved. As has been said here, a study of the order of Dentists say that, of around 3500 professionals registered, 700 are unemployed or under the underemployment because the private market no longer extends more and are being integrated into the National Service Health, and every year more 400 to 450 leave the Faculties.

On the other hand, this is contradictory with those 60% of Portuguese who have no economic possibilities to go to private dentist. But this is particularly inconsistent with the policy that this Government has already approved, for example, for the Faculties of Dental Medicine. It is known that, for example, the School of Dental Medicine of Lisbon is always a substantial part of its money from revenue derived from the consultations and activities in the profession that are within the Faculty and who have always had. But this year, the budget cuts in education and in the area of higher education leads to that is threatening the funding for materials needed to perform these tasks, to make these consultations and that these treatments have always been a recipe itself of the Faculty. That means that we may be faced with a situation in a time of financial collapse, which says the intention of this government as well as to matters of oral health and training of professionals in this matter. Then, even in relation to human resources, lack a plan of needs for human resources allowing, in this area, to plan the growth of human resources trained in view of the integration in the National Health Service and taking into account the ability of the profession in practice absorb those who are being trained over the years.

There is also another issue which remains to look: that is, through the perversion that the entry into Medicine, Medicine and Dentistry in Nursing have in our country by the extremely high notes and the numerus clausus, this means that many of the students of Dental Medicine are students who took this course as a second option, and we must also know that consequence is that this eventually has in the training of these professionals and the future of the profession.

I would also point out an important resolution of the Regional Legislative Assembly of Madeira where he says: 'Whereas the care with teeth are, from an early age, the fundamental point of view of creating habits to a good oral health; whereas all citizens should regularly consult the dentist, whereas it is often the use of these consultations to treatments; whereas users of the Regional Health Service, when need of such care, are forced to rely on the expertise of consultations in private, which cost "says ADR Madeira 'that can reach hundreds of stories, the Regional Legislative Assembly of Madeira to the Government recommends the creation of consultations of dentistry at the health of the seats of county, in order to a more appropriate response to users of the Regional Health Service.

Mr. Lino de Carvalho (CFP): - Well, here is a good thing!

The Speaker: - For what is asked now is that the Honourable Members of the PSD and the CDS-PP, or at least the majority of the PSD which are in the Regional Legislative Assembly of Madeira, are in line with the recommendation of your Madeira companions and we have also to take in this debate that we are doing.

Applause from the CFP and the BE.

The Speaker: - Finally, Mr. President, this example is proof that without National Health Service, there is no democratic access to health care and, in this case, not taking the National Health Service capacity to provide care of oral health, this has meant that much of the population, for economic reasons, for social reasons, they lacked access to health care. That is why the privatization of the National Health Service, their abilities, as has happened with the oral health means, in practice, the denial of health care to the portion of the population that most need them.

Applause from the CFP and the BE.

Mr. President (Narana Coissoró): - In a speech, has the floor to Ms Mrs Isabel Gonçalves.

The Ms Isabel Gonçalves (CDS-PP): - Mr. President, Honourable Members and Sr.as, the BE submitted a draft law aimed at the integration of dentistry in the National Health Service since the situation, in the view of the signatories of the project, is alarming and worrisome. Certainly, we all know that currently, there is little efficient protection in the area of oral health and it is desirable that the national coverage, both in health centres and in hospitals, to be extended. But it is also true - I say with complete certainty - we all would like to have dermatologists, ophthalmologists pulmonologists or the health centres…

Laughter of the PS, the CFP and the BE.

… Transforming the health centres in authentic polyclinics with all specialties in the service of users, but, unfortunately, the financial situation of the National Health Service does not allow the government to implement this reality…! The explanatory memorandum of this law, the BE advances with a large number of professionals in dentistry that would be available for this service - not dispute the figures. It is true that the number of dental practitioners is increasing in Portugal, also, perhaps, depends of the situation here have said that the dental end up being a little a second alternative for those who can not, due to the numerus clausus, into medicine.

Voices of the CDS-PP: - Yes!

The Speaker: - But the fact remains that the costs of the National Health Service are also increasing. Mr. President, Honourable Members Sr.as and we have seen in recent years, the constant postponement of policies essential for health. The current government is now developing a policy to order the accounts of health, lower prices of medicines, streamline the management of hospitals, reduce operating costs, and enhance the vast and skilled human resources available in this area. We do not want to say that in their oral health, nothing was done - not!

There was, and with some positive results, the implementation of a strategy to prevent oral - we are talking about, particularly the already mentioned programme to promote oral health among children and adolescents, with which there were gains in the oral health in our country. We do not believe, however, that the creation of a more technical career top is the appropriate response to this problem.

Voices of the CDS-PP: - Very good!

The Speaker: - It is probably the easiest and most populist, but it would be one that would contribute to a further worsening financial, a worsening of the expenditure of the National Health.

Voices of the CDS-PP: - Exactly!

The Speaker: - In this sense, and inserted in the spirit of restraint and accuracy of expenditure in the health sector, the Government placed at the disposal of health centres and hospitals, especially those recently made undertakings, legal mechanisms that allow the hiring of experts. The recent amendment of the Basic Law on Health is to open the necessary legal resolution of this problem, will allow the possibility of extending the system of contract of employment to health professionals, thus allowing fill the needs with regard also to this specialty.

Mr. Bernardino Soares (CFP): - Oh, is it? It is automatic?

The Speaker: - But, Mr. President, Honourable Members Sr.as and, in addition to the individual employment contract, may still be concluded in accordance with the law, a services contract with the professionals of dentistry. Regarding the user, it is important to emphasize that it is not as unprotected as the proponents of this draft law want to believe. We emphasise again, and recognize that there is much to do for oral health in Portugal, but it is also important to remember that there are already many conventions and subsystems, such as ADSE, which give an effective response to users in the field of dentistry.

We believe that with these tools, you can substantially improve services to users of the National Health Service in relation to dentistry.

Mr. President, Honourable Members Sr.as and it is important the Portuguese are aware that all steps in this regard, when data have to be firm and solid to ensure the viability of that health system. We have a time of change, but of change for the better - better management, better accessibility, better service, better means all, of course, in order, ultimately, better health and, even now, with a beautiful smile, a best smile.

Applause from the CDS-PP and the PSD.

Mr. President (Narana Coissoró): - In a speech, has the floor to Ms Mrs Maria de Belem Roseira.

The Ms Maria de Belem Roseira (PS): - Mr. President, Honourable Members: I asked for permission to make a speech. I hope you do not take much time but I think it important that, in this context that we are talking about health and especially of gains in health, here are some guidelines for all this, because I think all sides were unanimous in recognizing the goodness of the objectives of the proposed measure.
The ways to achieve the results are not coincidental, but already now, let me make some comments on this issue. When the National Health Service was created in 1979 expressly allowed that there were linkages with the private sector to bridge the gaps of what was a public service to respond to all needs of the population. The National Health Service has grown and has been developing and remained largely on the conventions that existed and that problem was raised in relation to the conventions was in so, there is such conventions, there was an incompatibility, when people who were approved were, at the same time, officials from the National Health Service.

Indeed, this was explicitly recognized by the Statute of the National Health Service has been done in 1993, therefore, still the responsibility of the last government before the PSD government of the PS.

But during my mandate in the Ministry of Health, found that it was essential for strengthening the actions of the National Health Service and for a healthy conjunction with either private sector or with the social sector, there was a definition of incompatibilities in order to allow the agreements to be signed were agreements that respected the same status.

It is against this background that comes this new program of oral health, based on contracts with doctors dentists, conventions, so to speak, since the Dental Practitioners never entered the National Health And this not because there was lack of recognition of the importance of oral health, but because the financial difficulties sometimes determine solutions of substance, at a time when doctors had enough with the training. Moreover, this was a measure taken at a time much controversy over the training of dental practitioners in the past the mid 80's, but there was a coincidence: to be already a number of dental practitioners with adequate training, not making these doctors Party the tables of the National Health Service, because its integration into careers is very complex (and I will not have time to speak about it, but it is complex because it can not be different from other doctors, up because of the rise in relation to the direction services, etc.). and also the requirements of incompatibility of absence so that they could make the system that has already been mentioned by Mr Robert Silva.

So based on these guidelines and those guidelines, progress was made within what was possible and reasonable, in a program with potential to grow. But it was made more: it has developed an operational intervention on health, focusing on the strategy of health, with access also a line of financing for the installation of private clinics, with investment financed by the state to allow the setting of reasonable prices for people because, really, one of the difficulties that exist in Portugal is not only the National Health Service does not respond to this need as well as in private prices are extraordinarily high, but are not equal throughout the country.

So, in conclusion, since I have little time, say that there is this need by all diagnosed here, there are several ways to achieve its satisfaction, which are not, necessarily, for the creation of a career itself, which is not necessary to train companies to enable the system, which was made in a different context…

Voices of the PSD: - No one said that!

The Speaker: - It was Ms Mrs the PP, also with good intention. I am not even to raise any problem, I am saying that the creation of companies is not necessary, because that contract can be made, and either that was in a different context and with different legislation. What is essential is that the Government seize the opportunity to contractually, without conflicts, to achieve reasonable prices for the whole population.

What more reason to believe that maintaining a strong public service, a National Health Service and strategically strong player, is just as representative of nearly 10 million Portuguese, with the providers to negotiate reasonable prices for the population. This is the call that I leave here and congratulate me with the fact that matters of such importance be discussed here in the plenary, which means that it is possible we all agreed when we talk about the best interests of the people, that the same is true for higher interests of the country

Applause from HP.

Mr. Luis Marques Guedes (PSD): - Very good!

Mr. President (Narana Coissoró). - In a speech, has the floor to Ms Mrs Joana Amaral Dias.

The Mrs Joana Amaral Days (BE): - Mr. President, Honourable Members and Sr.as: In relation to the intervention of the central tone of the majority parties and specifically on the Program for Promotion of Oral Health in Children and Adolescents, if it is to say that "the mountain gave birth to a mouse", if only because this program is something that exists in all countries of the European Union from 0 to 18 years in age and not restricted, such as those where he is being applied, that is, from 6 to 7 years and 11 to 12 years, which is fully geared primarily preventive, when we know that in children, even at very early ages, the curative aspects of treatment and are very important, given that the valence of treatment has only two consultations, which raises serious restrictions on accuracy, the seriousness and commitment that, of course, the professional dentists and doctors put into treatment.

Mr. John Teixeira Lopes (BE): - Very good!

The Speaker: - therefore not worth doing the Program for Promotion of Oral Health in Children and Adolescents a flag, obviously it is necessary, but missing him a lot. The new contracts made earlier this year are important but are far, far away, they are what is necessary.

Regarding the other key issue that most presented here, that the draft law of the Left Block is outdated, I say that, perhaps that is outdated for what appears to be the new trend of the majority, the privatization of National Health Service It amazes me that, paradoxically, all Honourable Members who spoke here say that oral health is part of the overall health of the individual and, hence, is a human right and social compelling, and at the same time, will not say that it is necessary that it is part of the National Health Service, unless the majority has decided that the whole health of the Portuguese will be guaranteed by private, which, incidentally, I am not surprised, and then there would be no reason for dentistry that does not come in the National Health Service as all other specialties.

Mr. John Teixeira Lopes (BE): - Very good!

The Speaker: - What is under discussion here today, this draft law, are not the contracts or financial contributions, which is under discussion here is the oral health as an essential right, and you have not had a single in for that reason it is not seen as such.

As to the intervention of Mr Bernardino Soares, which we appreciate, we want to make clear, as I think we already have left at the time of submission of the draft law, we are completely available for the discussion of a career fit for the Dental Practitioners, which would be complex, as the Honourable Mrs Maria de Belem Roseira.

This solution for their integration and technical higher health seemed to us to be a possible solution, especially to address immediate and short-term to this tragic situation that this class professional lives, especially those students who are beginning to see this potential for excess as very complicated, and also, obviously, to users.

Returning to the question of the majority position in relation to the commodification of health and the slogan "Who wants to pay the health", which, of course, we do not agree in any way, Ms Mrs People's Party made a by saying that students of dentistry students are usually the second choice of doctors or frustrated,…

Voices of the PSD and the CDS-PP: - It was this that was said! It was the CFP! PCP is what I said that!

The Speaker: -… I must say that perhaps that this evidence and what is your position on oral health and its importance. If perhaps, still want to bring out the National Health Service to dentistry and see it as a poor relation of medicine, with the disrespect clear that there are such professionals and their rigorous training.

Voices of the BE: - Well!

Mr. President (Narana Coissoró): - Honourable Members, no more applications for word, I declare closed the debate the draft law No. 154/IX - Integration of dentistry in the National Health Service (BE).

END

Inside the Assembly of the Republic (February 7, 2003)

114) 25 th International Congress of Dentistry of Sao Paulo

113) BRAZIL: Brazil smiling Program

Link: Brazil smiling Program

112) Germans teeth with the price of China

The dentist is increasingly expensive and the box of German aid scheme ever less on health care spending. In a society accustomed to have all of the health system, the cuts made with the reforms of the last two government beginning to be felt. But a beautiful smile is no longer so expensive now and we must not cross the border of Poland, as many Germans still choose to do. The German company McZahn AG (now called McDentista) propose to solve the problem by ensuring dental treatments at low cost. The success hastened and the company has already thirty clinics around the country and now wants to move towards a system of franchising. The secret is in the place of production of material used: China.

The figures depend on the treatment. A crown, for example, that a dentist normal cost 300 euros for the patient - paid between 35 to 50% of the actual cost, depending on their health subsystem - cost only 69 to 100 euros in McZahn. All because the consultation is done in Germany, but the crown - such as bridges, dentures and other prostheses - are produced at low cost in Chinese laboratories. The quality is certified, because all the material used by technicians is produced in German soil.

The results are in sight. The company has already three thousand patients a day in visits and phone calls, which forced the McZahn to open clinics from north to south of the country in the space of just three months - the first clinic opened in the city of Krefeld in September this year. And the phenomenon promises not leave it there. The master and pioneer of the idea, Werner Brandenbush, it ensures that by the end of 2009, will open more than 450 clinics across Germany, which generate another four to five thousand jobs.

The criticisms and rivals - But the success of McZahn not be exempt from criticism. The Association of Dentists Germans believe that the new business is bad for dentistry, considering that the quality of clinical service is not the same, and accuses the dentists who choose to work in McZahn of only seeking quick profit. To work at the company, a dentist paid 35 thousand euros for "registration" and must give a percentage of monthly revenue to the company. Still, the gains seem to compensate.

Brandenbush argues that their dentists are responsible for patients and good professionals, and says it is pleased with the success of clinics and with the number of dentists who want to work in McZahn. The German entrepreneur, who comes from the textile industry, has already made public that wants to move to a system of franchising. Even so, will have to prepare for competition from a new brand: it is called "Dr.Z" AG, produces everything in Turkey and wants to invest in Eastern Europe with the opening of more clinics.

A poll published in Stern magazine that tells about 72% of Germans are willing to support this type of service.

Diário de Notícias

111) Dentists take measures to patients

Biosafety dental - The strange name is a concept that is being increasingly valued by dentists and patients and represents a series of measures designed to prevent contamination in the office. Hepatitis B, herpes, mumps, rubella, mononucleosis and influenza are some of the diseases that can be contracted during a simple trip to the dentist, if certain rules are not respected.

Today, it is legally required that the professional use gloves, mask, apron, hat and sunglasses for protection. All instruments that come into contact with blood must be sterilized. Anything that touches the dental hygienist during the service must be protected by PVC, the pen of high / low speed it feared, the feared engine, the spotlight.

The explanation is simple: the dentist, with the glove, this one channel, plays in blood and saliva. Then, adjust the reflector to illuminate better. The blood and saliva are there. The patient leaves and the scene is repeated with another person, which may have indirect contact with the virus before. This is called cross infection - from patient to patient. There is also the most obvious contamination, which is between the patient and professional.

"There is a risk, but taking the right steps, you can meet so guaranteed. The dental biosafety is an effective way to work, providing security for the professional and the patient''says dental hygienist and doctor of the Centre for Research Dental San Leopoldo Manvic John Albano Carvalho. A few years ago, they already existed, but it was with the emergence of AIDS that began to be given attention to the matter. The colleges were the few open space for it, and now is the population that takes conscience.

"We, teachers, we have the desire to teach it, but that does not have much power intended working hours appropriate to the subject, many people formed without a very great responsibility''says Dagmar de Paula Queluz, Ph.D., Faculty of Dentistry of Piracicaba of UNICAMP.

The biosafety improved as the population began to recover from dental care. "When the patient comes to office, has to see if the floor is clean, are being disinfected, the sterilization instrumental, see if there is glass or autoclaving. Observe the barrier of protection, which is plastic everywhere where the professional puts his hand. It looks if it is to use it, has disposable material. These items of biosecurity condition you have to repair.''

If there are irregularities, the patient can make a complaint to the Health Surveillance. Every office is through inspections: the initial, amendment (if any changes), the routine and in case of complaint. Some older professionals do not adopt all measures for lack of habit, others do not know, and some people claiming lack of money. "These measures are easy and have a very low cost in total cost of dental. This argument is not justified''says Marco Antonio Manfredini, a master's degree in public health, dental surgeons that incorporates the group's oral health advisor of the Ministry of Health.

Diário de Cuiabá

110) Shopping `s and Oral Health

CURITIBA (Brazil) - Program for oral health of Provopar brings together about 350 children, about 350 children participated in a further stage of the Parana Child Smile ", earlier this month in the New Shopping Batel, in Curitiba. The programme of oral health promoted by the Social Action Provopar met children from 4 to 14 years, Socio-Educational Center of Hope, the School Annette Macedo Maternal and Child House of Francis of Assisi, all of Curitiba, as well as students of the School Professor Ceci Sueli da Silva Contador, the Garden Daybreak, in the city of Araucária.

The children passed by the circuit of lectures on the importance of oral health, "what are and what are the teeth, to serve", which the major diseases of the mouth (of caries and gum diseases), and the correct technique of brushing the teeth and the use of dental floss. Afterwards, the children attended the mouth and play the vampires of Parana, the Theater Paulo Autran. Each school received a CD containing all information on past tours, as well as drawings, games and songs of play. Already the students received the kit with Gibi "Bocão", pulp, brush and dental floss, and "tooth of vampire."

The success of the initiative was that both the direction of the shopping asked to place new steps of the programme, during the school holidays. "It was extremely important to portray a playful information of this kind, because immediately been successful among students, not only with respect to the use of objects that are part of the kit, but also with the use of songs sung in the theatre", he said Suzana Blanco, Director of the New Shopping Batel.

Parana Child Smile - The dental program designed by Julio Cesar Ferreira de Sá was launched in an experimental chairman of the Provopar, Lucia Arruda, last year in Campo Largo, in the metropolitan region of Curitiba. The success of the initiative was both what new steps were undertaken with the participation of thousands of children. They were so far the steps of Four Bars, Santo Antonio da Platinum, Japira, Siqueira Campos, Guaratuba, Pontal do Paraná and Shopping New Batel (Curitiba).

The main objective of the programme is the prevention of oral health for children from 6 to 12 years, through lectures, brushing of teeth, using dental floss, as well as lectures and presentation of the play.

Agência Estadual de Notícias do Paraná

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This news serves as an example of work that can be carried out (eg possible programmes of oral health) when there is close cooperation between entities of social support and major commercial areas. Everyone gets to win, especially those who most need.

Gerofil