Preventing Breast Cancer Awareness operation of Mrs. Bush in Mexico City

A First Lady of the United States Laura Bush took part Friday in Mexico City to the signing of a partnership Etats-Unis/Mexique for breast cancer prevention and better detection of the disease, AFP noted. The Partnership for education and research on breast cancer is aimed "to focus on raising awareness from an early age and to strengthen medical cooperation" between Mexico and the United States. "The majority of breast cancers are diagnosed when they are already in an advanced stage, but we can reverse the trend," she added. Breast cancer, which affects 8 out of 10 women in the world, said Mrs. Bush. Thursday, Mrs. Bush went to Port-au-Prince (Haiti) for a visit focused on the American aid to the fight against AIDS and for education. Haiti has the American Emergency Plan to Fight AIDS (PEPFAR).

Health insurance. Tracking down to fraud

Forty-three actions against socially insured or health professionals: in 2007, the CPAM (*) of Côte d'Armor has further intensified its device to combat abuse, misconduct and fraud. Started in 2005, this struggle revolves around two actions: prevention (to avoid paying undue amounts and, if necessary, recover) and Punishment (dissuasive sanctions). "We want to create an environment unfavorable to fraud. We have therefore set up a special division in charge of monitoring and detection, "explains Andrew Perros, the director of CPAM 22. "We can not allow people continue to loot the social security system". Eight establishments inspected The credit union, for example, found that health professionals were wrongly declared (note not charged prescribed non-compliance packages, fictitious acts ...) more than € 210,000 in 2007 and during the first months of 2008. Some were placed under surveillance, others have been the subject of criminal complaints. In the same way, eight health institutions (medicine, surgery, obstetrics) department has been checked. Result: an undue final € 305,622. As on insured, many were subjected to procedures: complaints or criminal penalties. * Fund's primary health insurance.

A Bobigny, a cochlear implant placed directly

In the video room of the hospital Avicenna of Bobigny, applause resounded. After an hour and a half of a difficult, Bruno Frachet, ENT chief of the institution completes the installation of a cochlear implant on a patient of 67 years. For the first time, the surgery was broadcast live. Nearly fifty enthusiastic spectators had responded to this initiative organized in the framework of the 11st National Day of Hearing, Thursday, March 13. In the broadcast room, journalists, members of associations, hearing impaired or appareillées already awaiting an implant comment on the delicate intervention. "I had the impression of an outstanding film," said a woman came to learn about cochlear implants. For pigmenter it all, the spread was placed under the sign of interactivity. The public was able to ask questions directly to the teacher to understand the progress of the intervention. As for the deaf, they had subtitles for follow comments from Bruno Frachet and a sound amplification. In France, 700 cochlear implants are placed annually in a dozen establishments specialized in microsurgery highly accurate, 135000 in the world. To date, nearly five million people are affected by hearing in France. 50000 of them might be interested in the installation of a cochlear implant.

The cities want to rely on local contracts to public health

While the content of the draft law on the organization of the health care system - in particular the provisions relating to future regional health agencies (ARS) - became clearer every day, local authorities are taking their brands to position itself in a reform that the government as a "turning point in our health policy." After small towns (APVF), medium-sized cities (FMVM) and big cities (AMGVF), it is the turn of the national association of cities for the development of public health Elected, public health and territories (PTSD) taking a position. In a press release dated March 13, PTSD thus its expectations regarding the creation of regional health agencies. The association supports the principle of ARS, powers much larger than the existing regional agencies of hospitalization (ARH). But she said that their implementation must meet three challenges. The first is to "make the organization of the provision of care, both private and public health needs of the population declined by territories and priorities of the PRSP [regional plan for public health]." The second issue highlighted by PTSD - and which will determine its final support for the reform - is to "implement the new policy by regional health contracts local public health" (already proposed last October by the City and suburbs for urban areas). PTSD hopes that the new approach to resume the city health workshops, involving all three levels of local governments. The third point concerns the place of communities in the LRA, which is still very unclear in the current bill. The association intends to "make local politicians of full members of the executive and the board of directors of ARS future." The judge in effect "ridiculous" the current participation of local elected officials in the preparation and monitoring of regional health organization plans. It is not clear whether the association will succeed on this point. Despite the expansion of their powers, the LRA remain very focused on the planning and organization of the provision of care, financed almost exclusively by the Health Insurance agencies and the Supplemental health protection. At the moment, community interventions are summarized mainly to participation in public health activities, to the financing of aid for health professionals (in LFA), and for some communities, participation the financing of investments in hospitals or tools for ongoing care of the city (such as medical care homes). If local authorities are now well represented in regional groupings of Public Health (two representatives in the region, a general councillor by department and four representatives of Commons), they can expect a similar presence within ARS, skills largely beyond the sole public health. The State and the Insurance - in their qualities of supervisions and main financers - appear to be determined to limit their role in decision-making bodies. Furthermore, the establishment of ARS may well sound the "revenge" of departments. In the first sketches agencies, the emphasis was primarily on the regional level and on major cities and intermunicipalities. But the announcement, in the wake of the report Ritter, as well ARS encompass facilities and services sector médicosocial radically change the situation. Difficult indeed, in these circumstances, not to grant a significant departments, which allow, tarifient and finance - alongside the Health Insurance - a large part of these structures. The struggle for representation in the councils of ARS promises to be particularly hot.

Information court for fraud against a radiologist suspended

A criminal investigation for "swindling gang" was opened by the prosecutor of Valenciennes (North) against Farid Alsaïd radiologist, which has been banned in February from exercising for three years, including one year closes, it learned Saturday from judicial source. Information, opened in late February, is named Mr. Alsaïd, suspended for serious malfunctions in his cabinet du Nord et de l'Aisne, told AFP the public prosecutor of Valenciennes, Vincent Lesclous. "He was billing irregularities at checkouts primary" health insurance, he added Information should sétendre to "other persons who are yet to be determined," said the prosecutor, confirming a newspaper information La Voix du Nord. On the "public health" in the dossier, the preliminary investigation is continuing. "There are things that are going very long, which are highly technical and require the opinion of many administrations," said Lesclous. On 6 February, Dr. Alsaïd, aged 52, has been banned from practicing medicine for three years, two suspended, by the Regional Council of the Order of Physicians (CROM) de Picardie, after being suspended - for five months by the prefect of the Aisne in December. A survey of Departmental Directorate of Health and Social Affairs of the North and Aisne had found malfunctions in its five firms (Wattignies, Anzin, Hautmont, Fourmies and Hirson), closed since. It had been noted "a lack of disinfection protocol" on the probes used for ultrasound dating endovaginales pregnancy, in which the reusable material is inserted into the vagina. The development of certain areas was also not in conformity with my regulator. If the doctor admitted that the call for "unqualified personnel," he found the ban to exercise "unjustified", repeating it had "never put patients' lives in danger." Health Minister, Roselyne Bachelot, has appealed against the ruling of CROM, citing "several new testimony aggravating."