Revista espanola de salud publica
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Rev Esp Salud Publica · Oct 2016
Multicenter Study Observational Study[Aggressions towards Primary Health Care Workers in Madrid, Spain, 2011-2012].
The number of aggressions towards health care professionals has risen over the past few years. There are no previous studies in primary care covering an entire region and to all professional categories. The aim of this study was to characterize aggressions in Primary Care in the Community of Madrid. ⋯ The risk of assault is higher in health personnel, particularly physicians. There were significant differences by gender and age, both in the profile of the aggressor and the victim.
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The current Plan for the elimination of measles and rubella is made of the Plan for the elimination of measles in Spain, set up in 2001, and the Surveillance protocol of rubella and congenital rubella syndrome in the phase of elimination, established in 2007. The monitoring of the elimination of both diseases conducted from the European Region of World Health Organization (WHO) has been reinforced since 2010. ⋯ The Ministry of Health, Social Services and Equality nominated a National Committee for Verification of Measles and Rubella Elimination in 2013, for the review and delivery of the requested information. The strategies and activities currently recommended from the WHO European Region, the verification process in Spain, and the steps to follow for the updating of the Plan for the elimination of measles and rubella in Spain are mentioned in this article.
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Rev Esp Salud Publica · Jul 2015
[Immunization Programme and Coverage against Measles and Rubella in Spain. Challenges for Achieving their Elimination].
The World Health Organization had established the achievement and sustainability of very high coverage with two doses of vaccine against measles and at least one against rubella as one of the key strategies for the elimination of both measles and rubella. The current immunization programme in Spain includes the immunization with two doses of combined vaccine against measles, mumps and rubella at 12 months and 3-4 years of age. ⋯ In 2014, at subnational level three regions had coverage below the objective and only eight regions achieved the objective for the second dose. The challenges and some activities to strengthen the immunization programme in order to achieve the elimination of measles and rubella are discussed.
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Immigration is a fairly recent phenomenon in Spain and there are still few scientific publications on tuberculosis (TB) and immigration. Therefore, the aim of this study is to describe the differential characteristics of TB in the immigrant population with respect to natives in Spain. ⋯ Immigrants with TB were characterized by being younger and having more drug resistance and coming mostly from Latin America, Eastern Europe, Africa and Asia. It was also detected that the unavailability of a health card could be a problem.
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An important proportion of the population in Spain is immigrant and the international literature indicates their inadequate access to health services. The objective is to contribute to improving the knowledge on access to health care of the immigrant population in Spain. ⋯ Access to health care in immigrants has been scarcely studied, using different approaches and the barely analysed factors related to the services. No clear patterns were observed, as differences depend on the classification of migrants according to country of origin and the level of care. However, studies showed less use of specialized care by immigrants, higher use of emergency care and the existence of determinants of access different to their needs.