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HEALTH

Experts predict heavy winter flu toll

Health experts at Berlin's Robert Koch Institute (RKI) said on Friday that Germany is likely to suffer more deaths than usual this winter from the flu virus.

Experts predict heavy winter flu toll
Germany is well below recommended vaccination levels

Silke Buda, leader of the Influenza Working Group at the government disease control centre, said that large numbers of people had fallen ill with the disease this year.

“This is one of the most serious flu outbreaks of recent years,” she said.

So far 40,000 people have been treated for the flu this season, with especially large numbers of people aged 39 to 59 affected.

Vaccinations less effective

The constantly-evolving flu virus is a tough target to pin down for developers of vaccinations.

The type of virus prevalent this year means that even vaccinated patients are not as well protected as during previous outbreaks.

“Despite all our efforts, it's difficult to predict so far in advance the exact subtype of influenza that the vaccination has to counteract,” said Carlos Guzman of Brunswick's Helmholtz Centre for Infectious Disease Research.

Outbreaks of the same strain in the winters of 2012-13 and 2008-09 saw up to 20,000 people die from the infection, although Buda said it was too early to estimate what the toll might be this year.

Most at risk are older people who are already ill.

“The weaker the immune system, the more difficult it is to react properly to a new influenza virus,” Buda said.

Both experts emphasized that it is still important to have flu jabs in autumn, as they offer the best possible protection against a possible infection.

Currently only around 30 percent of people in Germany get themselves vaccinated, far short of the World Health Organization (WHO) recommendation that at least 75 percent of older people be immunized.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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