health system

Researchers at the Hospital Germans Trias in Badalona (Greater Barcelona) have taken an important step toward creating a vaccine for Type 1 diabetes, which currently has no cure. The discovery, published in the scientific journal 'Plos One', consists of the preparation of nanoparticles in the laboratory that, once introduced into the body, slow down the destruction of beta cells (whose primary function is to store and release insulin). With Type 1 diabetes, the body’s immune system attacks these insulin-producing cells located in the pancreas and destroys them. Currently, to combat the disease, patients must take insulin injections. In recent years, Catalonia has become a global hub for biomedical investigation, developing cutting-edge research initiatives and participating in leading international projects. With just 0.1% of the world’s population, Catalonia accounts for nearly 1% of global scientific production and attracts 2.2% of European competitive funds and 3.5% of European Research Council (ERC) grants.

The Autonomous Community governments, such as the Catalan Executive, cannot meet the deficit objectives imposed by the Spanish Government because of the current inter-territorial fiscal scheme, according to a report from the Spanish banking giant BBVA. The bank has published two studies on two consecutive days that shed some light on this scheme and its consequences. In the first report, the BBVA states that spending per capita on basic Welfare State services, such as healthcare and education, varies by 60% among the Autonomous Communities. A second report highlights that the Spanish Executive reduced the funds for the Autonomous Community governments in 2014, despite the economic situation and the intake of public revenue improving. On top of this, it refuses to review a fiscal scheme that legally expired 16 months ago and that was designed before the financial crisis.

The fee that was temporarily charged on each drug prescription in Catalonia between June 2012 and January 2013 has started to be refunded by the Catalan Government, after the Constitutional Court definitively banned it in May 2014. The decision came after an appeal from the Spanish Government, despite the People Party (PP) initially having supported the measure in spring 2012. However, after the Catalan Government started to back independence from Spain in autumn 2012, the PP decided to oppose the drug prescription fee. The measure had been adopted to reduce pharmaceutical spending, with the final goal being to reduce public deficit. In the short period the fee was in place, €45.7 million was directly earned but much more was saved, since drug spending dropped by around 23%. According to the Catalan Government's calculations, so far 100,000 euros has already been returned to approximately 5,000 people and about €6 million will be returned in total. So far, 300,000 people have filed the request, with an average of €20 per person.

Barcelona El Prat has been the main centre in Catalonia for assisting the relatives of the passengers flying on the Germanwings aircraft between the Catalan airport and Düsseldorf that crashed in the Alps this morning. 150 people were on board and, most likely, there will not be any survivors, according to French authorities. Teams of psychologists, social workers and first responders, from the Catalan Government, the Red Cross and professional associations have been deployed at Terminal 2. Lufthansa, the owner of Germanwings, attended more than 150 relatives and booked nearby hotels to host them during the upcoming days. The flight was regularly used by Germans working in Catalonia as well as by tourists. A group of 16 German high school students was on board, after spending an exchange week in the Greater Barcelona area. At least 31 Catalans were also travelling to Düsseldorf on this flight, many of them to attend a trade fair. Catalan authorities have declared 3 official days of mourning.

Catalonia has a long history with immigration, welcoming foreigners from all over the world has left it with a cosmopolitan and multicultural nature. In more recent years, immigration has been well-documented by the Catalan Government and official statistics, which show various patterns. The first wave of people arriving in Catalonia, especially in the industrial capital of Barcelona, were domestic immigrants from within Spain, while later many came from South America and Northern Africa. The recent economic crisis caused a lull in these figures, but the number of foreign nationals from Asia and Europe (especially Italy and the UK) has increased over more recent years. Conscious of the need for sustainable co-living, Catalonia taken pains to accommodate its diverse population and the ACN spoke to several people about their experience moving to Barcelona.

Former two time Formula One World Champion Fernando Alonso had to be kept in hospital last Sunday night after he was involved in a serious accident at the Circuit de Catalunya, in Greater Barcelona. The Spaniard suffered head injuries and concussion and had to be airlifted from the circuit to hospital via helicopter. Alonso was given the all clear after undergoing a series of scans and tests but was kept in hospital overnight for observation because of the nature of his injuries. The Spaniard was completing the 21st lap of the day for his new McLaren team when the accident happened at turn four on the fourth and final day of the test. According to his team, Alonso was “conscious” upon his arrival at the circuit’s medical centre and able to talk to doctors before being airlifted to hospital.

A day after the President of the Catalan Government and leader of the centre-right pro-Catalan State coalition CiU, Artur Mas, announced his plan to further develop the so-called state structures before the 27 September elections, the leader of the left-wing Catalan independence party ERC, Oriol Junqueras, has once again requested to be part of the Executive and sit in Cabinet. Junqueras justified his request in order “to guarantee the indispensable state structures”, such as Catalonia’s own tax administration and Social Security system. The embryonic frame of such structures should be created before the next Catalan elections, which will be called early and will be transformed into a ‘de facto’ referendum on independence from Spain. On Tuesday, Mas had already ruled out the possibility of the ERC sitting in Government and, on Wednesday, the Catalan President stressed that the current Cabinet will only be in office for the next 6 months.

Every day in every hospital in the world blood is needed. The only way to get it is from donations, since blood cannot be created artificially. Each altruist action may serve to help three different patients. In Catalonia, for the system to work optimally 1,000 donations a day would be needed but the average donation figure is lower. Everyone can donate if they weigh over 50kg, since a donation is 450ml of blood and a minimum weight is required. Men can do it four times a year and women three times. There are now various mobile units that travel throughout Catalonia to make donating more accessible to donors.

The President of the Catalan Government, Artur Mas, assessed on Tuesday the Executive’s work during 2014, which he found to be “positive” overall, although he admitted there are still many people in great need and many social and economic challenges ahead. Referring to the current debate on whether to call early elections transformed into a ‘de facto’ referendum on independence from Spain, Mas promised immediate decisions to be announced on Thursday. Before taking the definitive decision and after weeks of admitted “confusion”, the Catalan President wants to hold a last round of talks with the main civil society organisations supporting independence and the left-wing pro-independence party ERC – with whom the governing centre-right pro-Catalan State coalition CiU has shared a parliamentary stability agreement for the last 2 years. “I will not slack” in the self-determination process, Mas stated.

Joan Herrera, the leader of the Catalan Green Socialist and post-Communist coalition ICV-EUiA, also held his own conference on Catalonia's political future and self-determination road map, after those of the Catalan President, the Spanish Prime Minister and three other political leaders. Despite supporting Catalans' right to vote on independence, Herrera rejected exclusively voting on independence, since after years of budget cuts and corruption scandals, citizens also have to vote on social issues and measures to clean up the democratic system. Herrera strongly criticised the austerity measures approved by the centre-right pro-Catalan State coalition CiU and the People's Party (PP). The ICV-EUiA does not have an official position regarding independence and about half of its leadership and voters would support it, while the other half supports greater powers for the Catalan Government within a federal Spain.

This Saturday the European Society of Cardiology (ESC), the most world's most important heart specialist conference, will begin in Barcelona. Up until the 3^rd of September the Catalan capital will host 30,000 cardiology specialist participants in a summit where 4,500 new studies will be presented about the latest discoveries in vascular diseases, which cause 47% of deaths in Europe. The Catalan Minister for Health, Boi Ruiz, said that efforts should be concentrated on reducing the "inequality" between different areas of the world which register mortality rates that are "unreasonably different".

Like many major European cities, Barcelona is ageing fast. In the years ahead the city must grapple with many of the problems associated with an increasingly top heavy demographic: as the over-65 population burgeons, health and social services are stretched, the financing of pensions is challenged, and a growing number of frail and vulnerable people face competing over declining resources. Today’s elderly cohort constitutes a greater proportion of Barcelona’s population than ever before, and, perhaps most worryingly, face an increased likelihood of living alone.  But all is not doom and gloom, as the city enjoys an active, dynamic and engaged elderly population, the health and social sector rises to meet the challenges, and the labour market benefits from what are known as the ‘super-grandmothers.’

An independent Catalonia would be totally viable, according to a report conducted by the research institute from the bank, Credit Suisse. In addition it would improve its ranking on the United Nation's Human Development Index (HDI) and reach the 20^th position while Spain would drop by three places and reach the 26^th position. The report claims that small countries tend to have a higher standard of living due to a number of factors, such as more efficient services, a higher chance of benefitting from globalisation and a more homogenous population. It uses these findings to predict the HDI of territories seeking independence, such as Catalonia, Scotland, Flanders and Quebec.

On Thursday, the Catalan Finance Minister, Andreu Mas-Colell, admitted that Catalonia will not be able to meet the strict 1% deficit target imposed by the Spanish Government for 2014. In fact, the Catalan Executive had previously warned on several occasions that this deficit target was not realistic, despite the great austerity efforts undertaken over the past four years. In addition, despite Spain's economic recovery of 2014 – which is led by Catalonia – and therefore the increase of taxable activity, the Spanish Government will reduce the Catalan executive's funds by €500 million this year while the deficit target becomes stricter. On Wednesday, the Catalan President, Artur Mas, already stated that, considering the austerity measures adopted since 2011, further budget cuts cannot be undertaken in 2014 without dramatically damaging basic public services such as healthcare and education. Instead of relaxing the deficit target or transferring pending funds and debts to the Catalan Government, the Spanish Finance Ministry will reduce the interest rate that the Autonomous Communities have to pay back to 1% for the loans of the Liquifidity Fund (FLA).

On Wednesday the World Health Organisation (WHO) appointed Barcelona-based researcher Pedro Alonso as the new Director of its Global Malaria Program. Alonso is a key figure in the global fight against malaria and has lead research into a vaccine to combat the life-threatening illness. He has been involved with WHO since 2011, when the organisation appointed him as the Chair of the GTS Steering Committee on the Global Technical Strategy on Malaria. Alonso is currently the Director of the Barcelona Institute for International Health Research. He is also the Head of the Department of International Health and Tropical Medicine at Barcelona's Hospital Clínic and a lecturer at Barcelona University. The physician is due to start his new position in October and is expected to give his formal recommendation on the strategy against malaria in the first quarter of 2015.