New figures show that rates of tuberculosis (TB) in England are at their lowest level in 35 years, having fallen by a third in the last six years. According to data from Public Health England, tuberculosis rates have declined by 38% since 2012. In fact, there was a 9.3% decline in 2017 alone, highlighting how the country’s efforts to eradicate the disease are proving effective. Improved diagnosis, treatment and awareness are being credited for the decline. However, despite the fall, England still has one of the highest rates of TB in Western Europe, with 5,200 people affected in 2017. Dr Sarah Anderson, head of the National TB Office at Public Health England, said: "People often think that TB is a Victorian disease that is no longer a problem in England, but in fact it still affects over 5,000 people a year and there is still a lot to do until the target to eliminate TB is met.” TB is a bacterial infection that primarily affects a person’s lungs and it is spread through coughs and sneezes. But despite its infectious nature, it is actually quite difficult to catch. Nevertheless, it can be fatal if left untreated. Another issue is that TB is becoming resistant to some of the major drugs used to treat it, which is why the BCG vaccine that offers protection against TB is recommended for babies, children and adults alike who are at risk of catching the disease.
In a step designed to help save the NHS in England money, providers of treatment are now required to make sure patients are eligible for free care before they receive it. If they aren’t, healthcare providers will ask them to pay upfront. It is hoped the measures, which will only apply to planned, non-emergency care, will contribute to £22bn of savings needed in the NHS. Accident and emergency (A&E), general practice and infectious disease treatment will remain free to all. Once the new measures are in place, patients will be asked where they have lived over the past six months. If they have lived abroad, they will be required to prove they are eligible for free treatment on the NHS, by showing a non-UK European Health Insurance Card or similar. Speaking about the proposed changes, Health Minister Lord O'Shaughnessy said: “We have no problem with overseas visitors using our NHS as long as they make a fair financial contribution, just as the British taxpayer does. “The new regulations simply require NHS bodies to make enquiries about, and then charge, those who aren't entitled to free NHS care.” However, the British Medical Association has warned that the changes could prevent vulnerable individuals from getting treatment they need.
IM2S - Institut Monégasque de Médecine du Sport, Monaco Situated on the port of Monte-Carlo, IM2S welcomes everyone, whether they practice sport regularly or not, for prevention advice in order to optimise their performance, for tailor-made medical and surgical treatment, physiotherapy and rehabilitation. Key figures In-patient hospital beds 32 Operating rooms 5 Recovery space 8 Surgical ambulatory beds 4 Surgical consultation department 1 Medical consultation department 1 Independent sterilization department 1 Permanent and non-permanent surgeons 11 Medical sport physicians 5 Osteopaths 2 Algologist 1 Infectious disease specialist 1 The Medical and Surgical Orthopaedic Institute of Monaco is specialized in the care of the ostéo-articular pathologies, ligamentary surgery, paediatric orthopaedics and of the vein surgeries. In the surgical domain, the activities are organized in specialties poles: foot, ankle, knee, hip, shoulder, hand, wrist, elbow, spine, and veins. The Institute also developed an activity of paediatric orthopaedic department for children above 5 years old. In the medical and traumatology domain : muscular and articular specialized consultations, effort testing, isocinetism, echography, electromyogram, and shock waves. A traumatological emergency department is opened 7 days a week from 8am to 8pm. it integrates a reception department for hand emergencies. IM2S disposes of a check-up centre, which permits the patients have a complete expertise of their health state. The podology unit is designed for the evaluation and the treatment of the functional pain. The Institute disposes of a research department and dynamic medical training: Monthly post university teaching Pratical patient work Thematic workshop and live surgery Scientific publication Medical meeting IM2S offers: An operating department of 5 operating rooms and 8 recovery space 2 hospitalization floors for a total of 32 beds A surgical ambulatory department of 4 beds A surgical consultation department A medical consultation department An independent sterilization department