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HEALTH

Coronavirus: 36 crew members test positive on Norwegian cruise ship

Thirty-six crew members confined on a Norwegian cruise ship have tested positive for the new coronavirus.

Coronavirus: 36 crew members test positive on Norwegian cruise ship
Cruise ships have become a major new infection point (file photo) Photo: PATRIK STOLLARZ / AFP

Arriving at the northern Norwegian port of Tromso from the archipelago of Svalbard, the crew of the MS Roald Amundsen was quarantined on board the ship on Friday after four staff members tested positive for the virus and were hospitalised.

Of the 158 crew members on board, 36 are infected, Pal Jakobsen, media officer for the city of Tromso, told AFP, confirming a development that raises fears of a resurgence of cases in Norway. The ship's company Hurtigruten had earlier indicated 33 positive tests.

The infected crew were all Filipino apart from three people from France, Norway and Germany. The company said on Friday that four crew members “were isolated several days ago because of other disease symptoms, with no symptoms of COVID-19.

“There was no reason to suspect COVID-19 when the ship docked in Tromso based on the symptoms they were showing,” Hurtigruten said.

The ship had nearly 180 passengers on board since departing on July 25. None of the passengers reported symptoms related to coronavirus during the voyage, Hurtigruten said.

All passengers disembarked the ship on Friday but about 60 people have since been quarantined in Tromso, the cruise line said on Saturday.

The Norwegian Institute of Public Health has not ruled out the possibility of more cases emerging, “but we will only have the answer once the tests have been carried out”.

It recommended all passengers remain quarantined while awaiting their results. As of Friday, Norway had 9,208 confirmed cases of coronavirus.

One person died of the virus on Friday night, bringing the country's death toll to 256. It was the first coronavirus-related death in the Nordic country in two weeks.

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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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