Significant differences in the use of healthcare resources of native-born and foreign born in Spain

<p>Abstract</p> <p>Background</p> <p>In the last decade, the number of foreign residents in Spain has doubled and it has become one of the countries in the European Union with the highest number of immigrants There is no doubt that the health of the immigrant population has become a relevant subject from the point of view of public healthcare. Our study aimed at describing the potential inequalities in the use of healthcare resources and in the lifestyles of the resident immigrant population of Spain.</p> <p>Methods</p> <p>Cross-sectional, epidemiological study from the Spanish National Health Survey (NHS) in 2006, from the Ministry of Health and Consumer Affairs. We have worked with individualized secondary data, collected in the Spanish National Health Survey carried out in 2006 and 2007 (SNHS-06), from the Ministry of Health and Consumer Affairs. The format of the SNHS-06 has been adapted to the requirements of the European project for the carrying out of health surveys.</p> <p>Results</p> <p>The economic immigrant population resident in Spain, present diseases that are similar to those of the indigenous population. The immigrant population shows significantly lower values in the consumption of alcohol, tobacco and physical activity (OR = 0.76; CI 95%: 0.65–0.89, they nonetheless perceive their health condition as worse than that reported by the autochthonous population (OR = 1.63, CI 95%: 1.34–1.97). The probability of the immigrant population using emergency services in the last 12 months was significantly greater than that of the autochthonous population (OR = 1.31, CI 95%: 1.12–1.54). This situation repeats itself when analyzing hospitalization data, with values of probability of being hospitalized greater among immigrants (OR = 1.39, CI 95%: 1.07–1.81).</p> <p>Conclusion</p> <p>The economic immigrants have better parameters in relation to lifestyles, but they have a poor perception of their health. Despite the fact that immigrant population shows higher percentages of emergency attendance and hospitalization than the indigenous population, with respect to the use of healthcare resources, their usage of healthcare resources such as drugs, influenza vaccinations or visits to the dentist is lower.</p

Inhalación de helio

The poisonings are an important cause of pediatric urgency. It, added to the increase of unknown substances in ours around,does necessary to have performance protocols against these more and more frequent situation.The purpose of this article is to illustrate the typical spectrum and the management of inhalation of helium gas in children, andalso to discuss the possible gravity of this situation that is apparently inoffensive.We must think over this possibility in every childwith similar clinic.Las intoxicaciones son una causa importante de urgencia pediátrica. Ello, sumado al aumento de substancias desconocidasa nuestro alrededor, hace necesario disponer de protocolos de actuación ante estas situaciones cada vez más frecuentes.El objetivo del presente artículo es el de mostrar los hallazgos típicos y el manejo de la inhalación de gas helio enniños, así como el de discutir la gravedad a la que puede llegar esta situación aparentemente inocua, y plantearnossu posible diagnóstico en todo niño que acuda a nosotros con una clínica similar

Brote familiar de brucelosis: La importancia de la sospecha epidemiológica

Background: Brucellosis is the most widespread zoonosis in the world. In Spain its incidence has decreased considerably in recent years thanks to the social and health measures carried out. 40 cases of brucellosis have been reported in humans in 2018, representing a rate of 0.09 per 100,000 inhabitants. The objective of the study was to highlight the importance of epidemiological suspicion, as well as the screening of relatives for the diagnosis of the disease. Methods: A descriptive study of a family outbreak of imported brucellosis was carried out. Five members of the same family were evaluated after the diagnosis of brucellosis in a patient in the Health Area III of Zaragoza, in May 2019. The relatives of the patient and the health center were contacted by telephone to investigate the possibility of involvement of the relatives with whom he had traveled and lived in Morocco. Results: In a scenario with a low frequency of disease such as our country at the present time, family screening, after an initial diagnosis of imported brucellosis, allowed the detection and treatment of four members of the same family of Maghreb origin. They were infected during a trip to their place of origin in April 2019, a month in which they lived in rural areas in contact with animals (sheep, goats, cows) and consumed dairy and meat products. The appearance of presented symptoms was temporally consistent with the incubation period of the disease. Conclusions: Emphasize the importance of active surveillance and screening in relatives of patients diagnosed with Brucellosis, since they generally share exposures to a common source.Fundamentos: La brucelosis es la zoonosis más extendida en el mundo. En España su incidencia ha disminuido considerablemente en los últimos años gracias a las medidas sociosanitarias llevadas a cabo. Se han comunicado 40 casos de brucelosis en humanos en 2018, lo que representa una tasa de 0,09 por cada 100.000 habitantes. El objetivo de este estudio fue destacar la importancia de la vigilancia activa y del cribado en familiares de pacientes diagnosticados de brucelosis. Métodos: Se realizó un estudio descriptivo de un brote familiar de brucelosis importada. Se evaluaron cinco miembros de una misma familia tras el diagnóstico de brucelosis de un paciente en el Área III de Salud de Zaragoza, en mayo de 2019. Se contactó telefónicamente con los familiares del paciente y el centro de salud para investigar la posibilidad de afectación de los familiares con quienes había viajado y convivido en Marruecos. Resultados: En un escenario de escasa frecuencia de enfermedad como es nuestro país en el momento actual, el cribado familiar, tras un diagnóstico inicial de brucelosis importada, permitió detectar y tratar a cuatro miembros de una misma familia de origen magrebí. Resultaron contagiados durante un viaje en abril de 2019 a su lugar de origen, un mes en el que convivieron en el ámbito rural en contacto con animales (ovejas, cabras, vacas) y consumieron productos lácteos y cárnicos. La aparición de síntomas presentados concordó temporalmente con el periodo de incubación de la enfermedad. Conclusiones: Destaca la importancia de la vigilancia activa y del cribado en familiares de pacientes diagnosticados de brucelosis, ya que comparten, por lo general, exposiciones a una fuente común