Cholera created pressure and tension in Dr

The epidemic of cholera, conflicts between trade unions and authorities of social security funds of occupational risks and primary care and a high demand in hospitals as a result of violence and road accidents, were the main facts that matizaron the 2011 in the field of health.

Also exhibits the epidemiological control of diseases such as dengue, malaria, leptospirosis and separation with success in United States of the Siamese and the unfortunate loss of a moniker long dates, Minerva Magdaleno, with experience in trade union life in the sector health of over thirty years.

Social Security in conflict
the Social security system faced major conflicts this year because of decisions that found opposition from doctors and owners of clinics.

Also reported authorities changes and stayed a while without sessions due to the withdrawal of the trade union sector of all u000atripartite bodies, calling for the delivery of funds to the Instituto Dominicano de social insurance (IDs) for its restructuring, among other demands.

The private clinics also suspended on several occasions services offering teachers due to the debt maintained with them the administering of risks of health of the masters (Semma), which was repaid this year.

One of the first conflicts between the health and the National Council of Social Security (CNSS) guilds arose at beginning of year motivated by an agreement between the members of the Agency to distribute between the business sector and Government about 7,500 billion pesos of the accumulated funds of the administering of labour risks (ARL). This prompted marches and pickets on the part of the medical school outside the headquarters of the Agency.

Another conflict it generated the topic of primary care, once the CNSS issued a resolution setting may u000anext the entry into force of the first level of care as a gateway to the system.

This led to the rejection of doctors and clinics, which allege that this removes the right to free choice of the patient and lead to many centers fail and doctors lose their patients.

Recently announced an agreement to start the strategy gradually and by consensus.

country "premieres" epidemic
the most delicate health situation of her lived abroad this year as a result of the cholera epidemic that affected him, creating great pressure to the health system, overflow the capacity of the hospital units specializing in the care of this disease, creating major tensions neighborhoods marginalized.

Despite the emergence of the first case of cholera in the country was in November 2010, is the 2011 when this illness, present for the first time in Dominican territory, ago u000aits highest peaks. January saw the first mortality, with the death of the Haitian Renauld Francois.

He also drew attention to the case of a group of Venezuelans who was contaminated cholera while participating in a wedding in a tourist country.

This disease, which in its first year left official 149 deaths and more than 19,773 suspected cases, showed the conditions of poverty and unhealthy living communities located in neighborhoods marginalized.

Until this past week the cholera had caused in the country killed 152 people and affected to 16,659.

Alarm gave the neighborhood La Ciénega where the community reported deaths and hospitalizations due to diarrhea. La Ciénega was followed by other neighborhoods located in the margins of the Ozama River in the Puya of Arroyo Hondo, and shoots various in different parts of the country, including Santiago, San Pedro of Macorís and the region u000aSouth.

hospitals without strikes or dengue
2011 was a year of few labour disputes. Hospitals did not live the traditional pressure of medical strikes and stood under control diseases such as dengue, malaria, and leptospirosis, which annually generate disturbing situations in the population.

However, the problems of violence and the victims of traffic accidents continued reflecting the increase in emergency hospital.

Except some stays in the hospital Francisco Moscoso Puello calling for better food and conclusion of the process of remodeling, the year ended without strikes medical.

According to official statistics the dengue recorded this year two deaths and 2,141 cases confirmed.

The year before by this disease had registered some 48 deaths and 11,991 cases.

In leptopirosis, deaths declined from 31 deaths in u000athe previous year to 20 in 2011, and cases of 1,256 to 855, while there was also a decline in cases of malaria, which in 2010 amounted to a total of 2,309, and this year 1,516 people affected by the disease, with a record of deaths of 15 and 10, respectively.

The decline in this type of disease is attributed by the Ministry of public health to the development of Conference mass of prevention, involving the communities.

Also reports reduction in the rate of maternal mortality, registering this year 43 deaths for some 39 less than in 2010, and the child from the previous year to 720 1,240 this year.

Cell mothers
the use of stem cells in the treatment of a prominent baseball player by a specialist of Santiago generated a debate in the country on this novel tool provider, carried to the National Council on bioethics in health (Conabios) alert on the approval of those u000aprocedures.

They were separated successfully in a hospital in United States the twins Maria Teresa and Maria Teresa, who had been born the year before in hospital Luis Eduardo Aybar.

In addition, there were changes to the directive of the Dominican medical school, from the Presidency the Guild from the hands of Dr. Senén Caba to Dr. Amaryllis Herrera.

( )
Management of A new PATHOLOGY
investment: public health reported that it spent 1,200 million in cholera and other programs.

acción: there was mobilization, intervention and control fast.

praise: public health achieved recognition of PAHO, for the appropriate management

outbreak: the last outbreak occurred this month of December in Bonao.

posición: there were positions were found around the figures u000abetween CMD and authorities.

sectors: communities played a very active role in the detection

agua: there was a higher rate of potability of water in the country.

higiene: messages to step up hygiene and hand washing were present.

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