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HEALTH

Coughs, colds and flu: What to say and do if you fall sick in Spain

Falling ill sometimes is inevitable, so if you're feeling unwell in Spain you'll want to know how to explain your symptoms and situation correctly, whether it's to the pharmacist or your boss.

sickness vocab spanish
Familiarise yourself with the Spanish vocab you'll need when you fall ill. Photo: Photo by Andrea Piacquadio/Pexels

It’s the time of year when people start suffering from all sorts of autumn malaise, as children return to school and adults to the workplace.

That means that if you are feeling poorly and you live in Spain, you’ll need to be familiar with certain words that help you describe what you have and the symptoms, as just saying estoy malo/a (I’m sick) won’t cut it. 

La gripe : The flu. Some Spaniards may say gripe to describe a bad cold, but generally you’d call it gripe if you have a temperature. Bad flu can be described as un gripazo and you can also use the adjective engripado/a to describe yourself as having the flu.

Example: Tengo gripe, me encuentro fatal (I have the flu, I feel horrible)

Un resfriado: A cold. Un resfriado is how Spaniards refer to the common cold, with milder symptoms than the flu. Resfriado is both the noun and the adjective, so you can say tengo un resfriado (I have a cold) or estoy resfriado

Example: He pillado un resfriado, eso me pasa por no abrigarme (I’ve caught a cold, serves me right for not wrapping up)

Un constipado: Don’t be fooled by this false friend in Spanish, as it describes having a head cold (blocked nose) rather than constipation in the bowel area (which by the way is estreñimiento in Spanish). Again, constipado is both the adjective and the noun, so you can say estoy constipado or tengo un constipado.

Example: Estoy constipado, no paro de sonarme la nariz (I’ve got a head cold, I can’t stop blowing my nose)

Covid: Ah yes, the virus that dominated our lives for two years and is still around (minus the rules and restrictions). If you get tested (hacerse la prueba) and you test positive (dar positivo), you no longer have to self-isolate (hacer cuarentena) or wear a mask (llevar mascarilla) but you may want to do that anyway to prevent your loved ones and colleagues from getting el coronavirus

Example: Me he hecho la prueba de antígenos y he dado positivo por Covid (I got an antigen test and I tested positive for Covid)

Los síntomas (The symptoms)

You will need to describe your symptoms, either to a pharmacist if you want over the counter medicine or to the doctor if you require a day off sick.

La fiebre: to have a temperature or a fever. A slightly high temperature is referred to as febrícula.

Example: Tengo fiebre alta y escalofríos (I’ve got a high temperature and the shivers)

La tos: A cough. If you have one of these you will likely need one of the various jarabes (cough syrup) on offer.  There is a wide range of jarabes antitusivos, mucolíticos and expectorantes available over the counter depending on whether you are suffering from una tos seca (dry cough) or are bringing up flema (phlegm). You may also want pastillas para la garganta, throat lozenges or cough drops to help ease the symptoms.

Example: No paro de toser, es una tos seca (I can’t stop coughing, it’s a dry cough)

Dolores musculares/mialgiasA bout of the flu often brings muscle aches or joint pains. You may not have la gripe but be suffering una contractura (muscle cramp). If a paracetamol doesn’t fix the problem, you may need to get some analgésicos (painkillers). 

Example: Tengo dolores musculares en la espalda y en el cuello (I’ve got muscle aches in my back and neck)

Dolor de cabeza: A headache can be described as simply dolor de cabeza , whereas more constant or recurrent headaches can be referred to as cefalea or migraña (migraine). These can be treated with pastillas (pills) such as aspirina, ibuprofeno or naproxeno.

Example: Tengo un dolor de cabeza que no puedo ni pensar (I’ve got such a bad headache it won’t let me think)

Estornudos: Sneezing in Spain is met with the expression ¡Jesús! or ¡Salud! in place of “Bless you!” and is often accompanied by secreción nasal (a runny nose) otherwise known as mocos (snot). The verb to sneeze is estornudar.

Example: No puedo dejar de estornudar, ¿no tendrás un Kleenex? (I can’t stop sneezing. You don’t have a tissue, do you?)

Dolor de garganta: A sore throat often accompanies colds and flu or could be caused by inflamación de las amígdalas (inflammation of the tonsils) which may require antibióticos, available only with una receta médica (doctor’s prescription).

Example: Me duele mucho la garganta, por eso estoy ronco (Me throat hurts a lot, that’s why I’m horse)

La farmacia (chemist or pharmacy)

Your first point of call should always be the pharmacy where you will find a huge selection of medicines available over the counter. Pharmacists (farmacéuticos) in Spain do receive extensive medical training so are able to provide consultations and advice on a range of minor illnesses.

Pedir la baja (calling in sick)

If you are too sick to go into work then you may be required to go to a doctor to get a baja – a signed sick note – which must be provided to the employer within three days of the first day of sickness, delivered either in person, by a colleague or via email.

If it’s a short-term illness (such as the flu) then this may be accompanied by an alta (fit for work document) so as not to require a repeat visit to be given the all clear a few days later.

If a sick period lasts beyond seven days then a repeat visit to the doctor and a repeat baja must be signed.

It’s no longer compulsory in Spain to request sick leave if you have Covid-19, although depending on how serious your symptoms are you may want to reach a teletrabajo (work from home) agreement with your boss.

You must be back at work the day after the alta is signed which must be presented at work within 24 hours. 

Example: Voy a tener que pedir la baja porque me encuentro muy mal (I’m going to have to get a signed sick note because I feel very unwell)

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HEALTH

What cancer-fighting immunotherapy does Spain offer?

Spain currently offers several different immunotherapy treatments for cancer, but recently there have been several developments with two new therapies approved for use in the public health system.

What cancer-fighting immunotherapy does Spain offer?

The Spanish Medicines Agency (Aemps) has recently approved a new CAR-T therapy, which is only the second public immunotherapy in the world for multiple myeloma, the second most common blood cancer behind chronic lymphatic leukaemia. 

This is a type of cancer that forms in certain white blood cells called plasma cells.  

The new CAR-T therapy has been manufactured entirely by Hospital Clínic in Barcelona. According to reports, there is no other hospital in the world that has manufactured a product of this type.  

CAR-Ts are a type of advanced immunotherapy, treating not only blood cancers, but tumours or diseases such as lupus or multiple sclerosis. It works by carrying out a genetic modification of the patient’s blood.  

The Aemps Committee for the Evaluation of Medicines for Human Use has given the green light for Hospital Clínic’s CAR-T ARI-0002 as an advanced therapy medicine in patients with multiple myeloma in a situation of relapse. This was announced this Friday at a press conference by the Barcelona hospital and the Department of Health. 

It now means that oncology departments across Spain will be able to use this type of therapy, without patients having to travel to Barcelona for treatment. 

Spain’s Health Ministry has also authorised the financing of another new immunotherapy treatment, designed to help fight a range of different types of cancers, mainly types of tumours.  

This will replace the current intravenous drip with a subcutaneous injection, reducing treatment time from one hour to seven minutes, without losing its effectiveness.

The injection, called atezolizumab, will be given to patients once every three weeks without need to remain in hospital for observation afterwards, meaning it’s not only easier for them, but it also saves health resources too.

Atezolizumab was authorised by the European Medicines Agency (EMA) last January and will be used treat the same nine conditions as the intravenous drug, mainly tumours of the lung, liver, bladder and breast.

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It will also be used for some of the most aggressive and difficult-to-treat forms of cancer, such as early-stage non-small cell lung cancer or for various forms of metastatic cancer; hepatocellular carcinoma and alveolar soft-part sarcoma, among others. 

Immunotherapy treatments for cancer differ from chemotherapy in that it helps the body identify and attack cancer cells better using its own immune system. This means it can continue to work even when the treatment has ended.  

Chemotherapy on the other hand kills fast growing cells, which can be cancerous as well as non-cancerous.  

Both treatments are still used for different types of cancer and different patients or even in combination with each other. Chemotherapy can work more quickly for example, but immunotherapy can help over a longer period of time and is less invasive and damaging to the body.

According to the recent IMscin002 immunotherapy trail, the subcutaneous injection is preferred by 79 percent of patients, because they find it less invasive, painful and annoying, which results in a higher quality of life.  

Nine out of ten healthcare professionals agreed that the injection is easy to administer and three out of four said it could save time too.

The approval of the new drug in Spain’s public health system is based on data from the phase III IMscin001 trail, in which seven Spanish centres participated, totalling 20 percent of the number of patients recruited for it worldwide. This showed that the injection was found to be just as safe and efficient as the intravenous option.

Spain is a world leader in CAR-T research, an immunotherapy that has already treated more than 1,000 patients in the country and that has proven to be effective against certain types of cancer, such as breast cancer or glioblastoma of the brain, but especially haematological cancers, such as leukaemia or lymphoma.

This means that we can expect an increasing number of immunotherapies for cancer to be available through Spain’s public health system in the coming years.

For the treatment of large B-cell lymphoma, mantle cell lymphoma, multiple myeloma, and acute lymphoblastic leukaemia in adults, the following hospitals in Spain offer immunotherapy:

  • Donostia University Hospital (Basque Country).
  • University Hospital Complex of A Coruña (Galicia)
  • Reina Sofia University Hospital (Andalusia).
  • Regional University Hospital of Malaga (Andalusia).
  • Central University Hospital Complex of Asturias (Asturias).
  • Marquis of Valdecilla University Hospital (Cantabria).
  • Virgen de la Arrixaca University Clinical Hospital (Murcia Region).
  • Morales Meseguer University Clinical Hospital (Murcia Region).
  • Son Espases University Hospital (Balearic Islands).
  • Puerta del Hierro Hospital in Majadahonda (Community of Madrid).
  • Ramon y Cajal University Hospital (Community of Madrid).
  •  Hospital 12 de octubre (Community of Madrid).
  • La Paz University Hospital (Community of Madrid).
  • La Princesa University Hospital (Community of Madrid).
  • Hospital Clínic de Barcelona (Catalonia)
  • Sant Joan de Déu Hospital (Catalonia)

For the treatment of acute lymphoblastic leukaemia in paediatrics, the following hospitals in Spain offer treatment:

  • University Hospital Complex of Santiago de Compostela (Galicia)
  • Reina Sofia University Hospital (Andalusia)
  • Regional University Hospital of Malaga (Andalusia)
  • Virgen de la Arrixaca University Hospital (Murcia Region)
  • Son Espases University Hospital (Balearic Islands)
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