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HEALTH

Whooping cough epidemic declared in Denmark

Over 1,300 cases of whooping cough were recorded in Denmark up to and including August this year.

Whooping cough epidemic declared in Denmark
Stock image: serezniy/Depositphotos

The figures, collected by Statens Serum Institut (SSI), have resulted in the medical and disease research institute declaring an epidemic of the illness.

At 1,323 recorded cases, the incidence of the disease is over three times normal levels.

SSI department doctor Peter Henrik Andersen said that the increase in cases is spread across all age demographics, but particular attention should be paid to small children.

“Whooping cough can be serious for small children. Doctors are therefore advised to be particularly alert to potential cases of whooping cough in patients with attacks of dry coughing,” Andersen said in a press statement issued by SSI.

“That applies in particular to smaller children but also to older children and adults who can be a source of infection for smaller, unprotected children,” he added.

“It’s important that parents are aware that small children, in particular, are vaccinated on time. Additionally, unvaccinated children under the age of 24 months who have been in contact with someone with whooping cough can be offered preventative antibiotics,” the SSI specialist continued.

Whooping cough can be dangerous for small children due to their narrower airways, in which hardened mucus can collect and cause breathing difficulties.

Long coughing fits can also result in the child not taking in sufficient oxygen.

In a statement, health minister Magnus Heunicke advised parents to ensure their children follow the vaccination programme against the disease. Vaccines are given at the ages of 3, 5 and 12 months and at 5 years.

“We have a vaccine that works. That’s why I feel it’s important to remind all parents of the responsibility they have – remember to get your small children vaccinated,” Heunicke said.

“That way we can all contribute to limiting the consequences of epidemics such as the one we are seeing now,” he added.

Whooping cough is caused by a bacteria, Bordetella pertussis, which is considered to be one of the most contagious in Denmark. The time between infection and the onset of symptoms is around 5 to 15 days.

Symptoms initially resemble a cold and light cough lasting around two weeks, before more severe and dry coughing fits begin. The dry coughing can last for as long as 10 weeks.

Small children can suffer up to 30-40 coughing fits per day as a result of the disease.

READ ALSO: Emergency in Denmark: Who to call and what to say

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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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