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HEALTH

Sweden’s National Health Agency warns of flu vaccine shortages

Sweden’s National Health Agency has warned that there are local shortages of the flu vaccine across the country.

Sweden's National Health Agency warns of flu vaccine shortages
Photo: Gorm Kallestad/NTB Scanpix/TT
In light of the shortages, the agency has called on local officials to prioritize as needed. To be given first priority are those in certain medical risk groups, including pregnant woman and adults and children older than six months who have diseases or other medical conditions that would increase their risk of developing a severe influenza infection. 
 
Following that group, the vaccine should be prioritized for otherwise healthy people over the age of 65 and then healthcare personnel and others who come in contact with people with severe immune deficiencies. 
 
Vaccination shortages were first reported in Södermanland County in mid-November, but a health official there told broadcaster SVT that there were similar shortages throughout the country. The National Health Agency officially confirmed the shortages last week.
 
AnnaSara Carnahan, an epidemiologist at the Public Health Agency, said the shortage is due to increased demand. 
 
“Roughly the same number of doses have been ordered and delivered as usual – around 1.5 million. But for unclear reasons, the demand has been greater than expected. More people simply want to be vaccinated,” she told news agency TT. 
 
Although the National Health Agency states that all adults can “benefit” from vaccinations, it only officially recommends that those 65 and over, pregnant woman and “persons with certain underlying diseases” get an annual influenza vaccination. 
 
If you have fallen ill with the flu, it’s recommended that you start by calling 1177, a free healthcare phoneline where you’ll be able to speak to a nurse in Swedish or English. 
 
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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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