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2016/10/26 17:03:35

Health care in Spain

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Spain is the leader in organ transplants

2016: Growth in the number of donors in the 1st half of the year by 11%

The growing trend seen in Spain in donation and transplantation over the past three years continued in 2016. According to preliminary data from the NOT, in the first half of 2016, the number of donors increased by 11%. Due to cardiac arrest, they became 58% of the total mass, and due to brain death - 11%.

If that pace holds, Spain could end the year with a record figure of 2,000 donors. It turns out that for every million people in the country there are 42-43 who give their organs for transplantation. Moreover, 25% of the total is due to cardiac arrest. Another 20% become donors after emergencies. Just behind Spain in the list of countries with the highest number of transplanted organs is Croatia. Here, for every million people, there are 40.2 donors. Recently, in transplantology, this country began to use the Spanish model. Although in absolute terms, the indicators in Croatia are not so high: 169 donors for the year and 399 transfers.

2015: 4,769 organs from 1851 donors transplanted

In 2015, Spain once again confirmed its status as a leader in transplantology. The country has been holding world leadership for 24 years. In 2015, 4,769 organs from 1851 donors were transplanted. These are the data of the National Transplant Organization (NOT). On average, 13 transfers were carried out per day. In 2015, people received 2,905 new kidneys, 1,162 new livers, 299 heart, 294 lungs, 97 pancreas and 12 intestines.

If we compare Spain with the whole world, then 17.6% of transfers in the European Union and 6.7% of the world volume were carried out here. In total, 119,873 organs were transplanted in the world in 2015. This is 1.65% more than a year earlier, Spain is the[1].

2014: Regulation of organ, tissue and cell donation

In January 2014, the Ministry health care Spain issued a document regulating the procedure for organ, tissue and cell donation. With these measures, the authorities hope to curb the illegal trade in organs, as well as stop the search for donors for specific patients, mainly children, through. Internet

In this regard, the chief sanitary doctor of the National Organization of Transplants (ONT), Dr. Gregorio Garrido, explained which organs, tissues and cells can be donated legally in Spain and who can become a donor. As for the organs, after the death of the donor, their heart, liver and lungs can become them. During life, the kidneys are most often donated - for example, parents to a sick child or brother/sister.

In the field of tissue donation from deceased patients, such are the skin and horns, as well as bone tissue. Bone transplantation from living donors is less common, but sometimes there is a need for such transplantation (for example, during prosthetic knee joint). Another important type of tissue for donation is the amniotic membrane, one of the inner membranes of the placenta, which is used in wound surgery and ophthalmology.

As for cell donation, their transplantation is carried out only from living donors. As such are bone marrow cells, peripheral mononuclear blood cells, as well as blood from the umbilical cord.

Dr. Garrido said that any adult capable person with a suitable state of health can become a donor in Spain. When donating bone marrow cells, it is allowed that a minor can become a donor, but only with the consent of the parents. "It happens that a person has leukemia, and the only one who has compatible cells is his brother or sister," he explained.

The level of organ donation in Spain is the highest in the European Union: more than 35 donors per 1 million inhabitants, with the average European 19 people per 1 million.

Those who wish to become a donor to Spain can contact the ONT through the website, by phone (902 300 224), email (ont@msssi.es) or at: La Organización Nacional de Trasplantes, calle Sinesio Delgado 6-8, Pabellón 3; 28029 Madrid.

2013: 4.2 thousand operations

Spain ranks first in the number of transplants of various organs and tissues in Europe and the world and sets new records in this area. Moreover, Spain has been holding the "palm" for the 22nd year, leading in the field of donation and transplantation among world powers.

In 2013, 4,279 organ transplants were performed in Spain. This figure was a record for the 22 years that the country holds the position of world leader in this area. In addition, the number of bone marrow donors has doubled since 2012, reaching 30,000.

Until the end of 2013, Spanish surgeons performed more than 90,000 organ transplants, 300,000 tissue transplants and about 50,000 bone marrow transplants and cord blood transfusions. This was told by the Secretary General for Health Pilar Farkas. She also noted the importance of the Spanish transplant model, which has already saved half a million patients.

"Spaniards in need of organ transplants have the greatest chances among residents of all countries of the world to get them," Farhas emphasized. According to her, 2013 was a successful year for those who needed such operations.

The total number of donors in the country was 1,655, while their number for every million population was 35.12 people. The number of lung transplants increased by 20% and thereby broke another historical record, and the number of pancreatic transplants - by 10.8%. In total, in 2013, doctors conducted:

  • 2,552 kidney transplants,
  • 1,093 - liver,
  • 285 - lungs,
  • 249 - hearts,
  • 92 - pancreas and
  • 8 - intestines.

Among the autonomous communities, Rioja (55.9 people per 1 million population), Cantabria (55.8 people) and Castile and Leon (52.8 people) became the leader in the number of donors. In Asturias and the Basque Country, this figure exceeded the mark of 40 people per million (44 and 43.8, respectively).

The Ministry of Health noted that the number of donors involved in road accidents has reached the minimum historical mark (4.4% versus 6% in 2012). In addition, for the third time in a row, more than half of donors were over 60 years[2].

2012: 86K organ transplants since 1964

From 1964 to 2012, a total of 86,180 organ transplants were carried out in Spain. Thus, in 2012, 2.551 kidney transplants, 1.084 liver transplants, 247 heart transplants, 238 lung transplants, 83 pancreas transplants, and 8 intestinal transplants were performed. Among the Spanish autonomies, Catalonia and Madrid lead the way.

Breast cancer treatment

2014: Recovery of a breast cancer victim

At Bellvitge Hospital in Barcelona, ​ ​ an innovative technique has been developed for the complete recovery of a breast cancer victim in one minimally invasive surgery. In just one operation, the tumor is removed and the chest is restored, including the nipple and areola. Previously, similar operations were not carried out in Spain.

"We were able to minimize the consequences and degree of trauma for the sick, as well as combine several operations into one," explains Dr. Joaquin Muñoz, a plastic surgeon at the Bellvitge Clinic. Until 2013, at least two surgeries were required to repair the breast.

The new surgical technique involves endoscopic extraction of the broad dorsal muscle, which is transplanted to the site of the extracted breast. "This muscle performs the function of internal support of the breast implant and gives the volume of the restored breast," says Dr. Munoz. After surgery, the patient remains a small scar on her back about 4 cm long, while earlier its length reached 15 cm.

Between 25% and 35% of women suffering from breast cancer undergo a complete mastectomy, or breast removal. Half of them opt for breast repair using their own tissues, and doctors consider this method optimal. In other cases, prostheses are used, but patients feel much less comfortable with them.

Since the end of 2012, the Department of Plastic Surgery of the Bellvitge Clinic has already performed 22 operations using a new method. Doctors assess their results as extremely positive and note that this technique allows patients to more easily tolerate the consequences of radiation therapy, which patients are often exposed to.

Maternity leave

in
Число недель оплачиваемого maternity leave countries around the world for 2021

Disease statistics

HIV/AIDS

Data for 2017

Depression

2019: Chronic depression affects 5.7% of the population aged 15 + years

at 15
Процент population + years of age who reported "suffering from chronic depression" in 2019

Hygiene

Data for 2018

Smoking

Main article: Smoking

2022:22% of Spaniards smoke

According to government statistics available at the end of 2022, about 22% of Spaniards (16.4% of women and 23.3% of men) smoke, with an EU average of 18.4%. Nevertheless, despite the large number of smokers, especially among young people, public opinion is in favor of tightening restrictions on smoking in public places.

2018: 26.7% of women smoke tobacco

2018 data

The cause of the highest number of deaths

As of 2018

Vaccination

2022: In Spain, AstraZeneca vaccine victims complain they are not being treated

Workers of the vital services of Spain affected by the AstraZeneca vaccine in December 2022 ask the authorities to treat them for serious side effects, reports the Spanish newspaper El Periodico.

The Association of Essential Workers Affected by the AstraZeneca Vaccine said its members continue to suffer the serious adverse effects of vaccination.

In Spain, the AstraZeneca vaccine necessarily vaccinated vital workers, but after reports of thrombosis, its use was suspended for people under 60 years old, and then the vaccine was finally withdrawn from use.

A lack of knowledge about the side effects of this vaccine means many of the affected people suffer from delays in detecting diseases, according to association secretary Professor Bertha Giharro. Gijarro emphasizes that Spanish medicine does not recognize that the vaccine is a trigger for diseases suffered by members of the association, there is no therapeutic protocol for actions to treat side effects caused by vaccines. This means that specialists cannot receive advice on many cases.

Giharro herself has not been able to return to work for more than a year, since after vaccination against coronavirus she suffers from severe headaches due to thrombosis of the left venous sinus. The blood clot passed, but there were memory problems and severe headaches, she notes.

2020: In Spain, 72% of citizens would agree to vaccination against COVID-19

Consent of citizens of countries for vaccination against COVID-19 as of August 2020

Euthanasia

2021: Spain passes law legalising euthanasia

On March 18, 2021, Spain passed a law legalizing euthanasia, becoming the fourth country in Europe to allow people to kill themselves in certain circumstances.

The lower house of the Spanish parliament approved the law with the support of centrist and left-wing parties.

The law allows adults with "serious and incurable" illnesses causing "unbearable suffering" to choose the end of their lives.

It is expected to take effect in June.

Before the law was passed, helping someone die in Spain was potentially punishable by up to 10 years in prison.

Chronicle

2020: Duration of guaranteed paid sick leave 6 months or more

Data as of September 1, 2020

2019

Health Care Cost Dynamics

High proportion of doctors over 55 years of age

Data for 2019

See also

Notes