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The scientific adviser of the OMC calls for influenza vaccination to more groups

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JUAN MART?NEZ CRITICA EL ESCEPTICISMO DE ALGUNOS PROFESIONALES ANTE LA VACUNA
El asesor cient?fico de la OMC pide vacunar de gripe A a m?s grupos

Actualizaci?n: 04/11/2009 - 11:09H
Una cobertura menor al 40 por ciento de la ciudadan?a s?lo beneficia al vacunado, no al c?mputo general

?scar L?pez Alba / Fotograf?as: Diego S. Villasante. Madrid

Sin ganas de generar alarma ni miedos, pero con su opini?n basada en la evidencia cient?fica por delante. As? se han mostrado este martes Juan Mart?nez, jefe del Servicio de Medicina Preventiva del Hospital Carlos III y asesor cient?fico de la OMC sobre gripe A, y Jos? Jover, subdirector de Salud P?blica del Ayuntamiento de Madrid, en una jornada sobre vacunas promovida por la Organizaci?n M?dica Colegial (OMC) y la Asociaci?n Nacional de Informadores de Salud (ANIS).

Mart?nez ha comenzado asegurando que ?las vacunas contra la gripe A son seguras y tienen una eficacia superior al 80 por ciento?, y ha insistido en que no se han acortado plazos en la comprobaci?n de su seguridad, sino s?lo administrativos.

As?, este especialista ha criticado ?el retraso de la vacunaci?n en Espa?a de casi dos semanas respecto a otros pa?ses [comienza el 16 de noviembre], un retraso que no es banal si contamos con que la reacci?n a la vacunaci?n lleva un tiempo y el pico de la epidemia est? pr?ximo. No son necesarios alarmismos, pero cuanto antes se empiece a vacunar, mejor?, ha dicho.

Tambi?n ha querido analizar la cobertura que ha previsto el Consejo Interterritorial del Sistema Nacional de Salud. ?Si vacunas por debajo del 40 por ciento de la poblaci?n no hay impacto de la actuaci?n de la enfermedad en la sociedad, s?lo proteges al vacunado. Y en Espa?a s?lo est? recomendada la vacunaci?n para un 9 por ciento de la poblaci?n?, ha expuesto.

De esta forma, se ha preguntado ?para qu? queremos 30 millones de dosis si s?lo tenemos intenci?n de utilizar 4,5 millones. Creo que esta diferencia se deber?a emplear en vacunar a m?s gente, porque estas vacunas probablemente no van a servir en campa?as de vacunaci?n futuras. Habr?a que vacunar sobre todo a los ni?os, que son elemento dispersor habitual de la enfermedad, o utilizarlas en cooperaci?n internacional?.

Mart?nez ha explicado que para el invierno austral de 2010 ya se ha aprobado la vacuna trivalente, con H3N2, B y H1N1 California, por lo que la monovalente quedar? a buen seguro desfasada para el invierno boreal de 2010.

Toque de atenci?n a los profesionales

Tanto Mart?nez como Jover han mostrado su preocupaci?n por el escepticismo que muchos profesionales sanitarios mantienen ante la vacunaci?n de la gripe A. ?Los protocolos pueden ser malos, pero si ni tan siquiera los lees, son peores. Hay mensajes oportunistas y hay otros basados simplemente en el miedo. El miedo es libre, y el m?dico como individuo puede hacer lo que quiera, pero para su paciente debe seguir las recomendaciones basadas en las evidencias cient?ficas?, ha se?alado el jefe del Servicio de Medicina Preventiva del Hospital Carlos III.

Para Jover, ?la actitud de ciertos profesionales ante la vacuna de la gripe A est? siendo deplorable. Tenemos rebeld?as inexplicables. Hay razonamientos morales o miedos que pueden ser discutibles, pero lo que no se puede discutir es la eficacia de la vacunaci?n?. El subdirector de Salud P?blica del Ayuntamiento de Madrid ha remarcado que ?no vacunarse es una banalidad impropia de una profesi?n milenaria?.



Juan Martinez criticized the skepticism of some PROFESSIONAL TO VACCINE
The scientific adviser of the OMC calls for influenza vaccination to more groups

Updated: 04/11/2009 - 11:09 H
Coverage less than 40 percent of the public benefits only vaccinated, not the overall

Diego S. ?scar L?pez Alba / Photographs: Diego S. Villasante. Villasante. Madrid
Not wanting to cause alarm or fear, but with his opinion based on scientific evidence in front. This showed on Tuesday Juan Martinez, chief of Preventive Medicine and Hospital Carlos III, science advisor of the OMC on influenza A, and Jos? Jover, deputy director of Public Health of the Municipality of Madrid, in a conference on vaccine promoted by the College Medical Organization (OMC) and the National Association of Health Reports (ANIS).


Martinez has begun asserting that "the influenza vaccines are safe and have an efficiency above 80 percent" and has insisted that no deadlines have been shortened in the verification of their security, but only administrative.

Thus, this scholar has criticized "the delay in vaccination in Spain for almost two weeks for other countries [begins November 16], a delay is not trivial if we expect the reaction to the vaccination takes time and peak of the epidemic is near. Not required alarmist, but the sooner you begin to vaccinate the better, "he said.

H also wished to examine the coverage has provided the Inter-Territorial Council of the National Health System. "If you shot below 40 percent of the population no performance impact of disease on society, only protects the vaccinated. And in Spain is only recommended vaccination for 9 percent of the population, "he explained.

Thus, wondered "what we want 30 million doses if we intend to use only 4.5 million. I think this difference should be used to vaccinate more people, because these vaccines are unlikely to serve in future vaccination campaigns. Should be primarily vaccinated children who are usual scattering element of the disease, or use in international cooperation. "

Martinez explained that for the austral winter of 2010 and has approved the trivalent vaccine, with H3N2, B and H1N1 California, so the monovalent surely be outdated for the winter of 2010.


Tap care professionals

Both Martinez and Jover have expressed concern about the skepticism that many health professionals remain before the influenza vaccination A. "The protocols can be bad, but if not even the read, are worse. There are opportunists and there are messages based simply on fear. Fear is free, and the physician as an individual can do whatever he wants, but to his patient should follow the recommendations based on scientific evidence, "said the head of the Preventive Medicine Department of Hospital Carlos III.

For Jover, "the attitude of certain workers given the influenza vaccine is still deplorable. We rebellions inexplicable. There are moral arguments or fears that may be debatable, but what can not be disputed is the effectiveness of vaccination. Public Health deputy director of Madrid City Council has remarked that "there is a banality improper vaccination of ancient profession.
 
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