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HEALTH

Swiss hospital starts worldwide Zika register

Lausanne’s world-renowned CHUV hospital has launched a global Zika register in order to keep track of women exposed to the virus and better understand how it affects pregnancy.

Swiss hospital starts worldwide Zika register
A pregnant woman attends a clinic in Colombia. Photo: Schneyder Mendoza/AFP

Doctors David Baud and Alice Panchaud, specialists in women’s health and pregnancy, announced the register in an article published in international journal The Lancet ID on Tuesday.

The only way to better understand the Zika virus – which is thought to cause birth defects in unborn babies – is to launch a large study, said the pair in a statement by CHUV.

“The idea came to us as we remarked that a number of questions remain unanswered about this virus and the only way to answer them is to have a lot of cases,” said Baud.

Until now, the only papers published on the virus only focus on a few cases at the time without having ruled out other causes of brain defects, said the statement.

For the register to work, CHUV needs the cooperation of doctors in affected countries, so the researchers have sent requests to 4,000 obstetricians around the world.

Baud’s laboratory at CHUV is already studying the virus and the ways in which it can infect human cells.

“If we understand how the virus infects, we can better prevent this infection, either by medicine or by a vaccine,” said Baud.

Declared a world health emergency and thought to have affected 60 countries to date, the Zika virus is spread by Aedes aegypti mosquitoes in Latin America.

Most of the time the infection is benign and in 60-80 percent of cases it causes no symptoms.

However in infected pregnant women the virus is thought to cause serious birth defects in the foetus, including microcephaly, a brain defect where the baby’s head is smaller than normal.

There is currently no vaccine against Zika, so pregnant women and those who wish to conceive in the near future are advised against travelling to affected regions, as are their partners, over fears the virus can be sexually transmitted.

Speaking to news agencies, Baud said the research that comes out of the register could answer the question of whether contracting the virus through sexual intercourse is as dangerous to pregnant women as becoming infected by a mosquito.

Switzerland’s health authorities have registered 28 cases of Zika since the start of the year.

In 18 of those cases people had returned from Latin American countries.

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HEALTH

How difficult is it to change your doctor in Switzerland?

If you already have a GP doctor in Switzerland but, for some reason, need or want to switch, how easy is it to do so?

How difficult is it to change your doctor in Switzerland?

There are a number of reasons why you may want to leave your GP and find a new one.

Maybe you don’t like their bedside manner, are not happy with the medical care, or are simply moving away and need to find someone closer to your new home.

Whatever the reason, whether or not you can easily switch from one doctor to another depends on the kind of health insurance you have.

Different models, different rights

If you have the ‘standard’ — and typically the most expensive — type of the obligatory health insurance (KVG / LaMal), then you are free to switch your GPs at will, and you don’t have to inform the insurance carrier of the switch.

However, if you have opted for one of the cheaper insurance models, then your right to switch doctors may be limited:

Family doctor model’

It is the most popular in Switzerland (and 20 percent cheaper than standard insurance policy premiums).

Under this model, you have a family doctor who will manage your care — that is, treat you or send you to specialists if needed (with the exception of gynecologists and eye doctors, who don’t require a referral).

You can’t, however, change doctors at will, unless your insurance company approves the switch.

Telemedicine model

If you have opted for the Telemed formula, you must call a health hotline set up by your insurance company.

They will give you a referral to a doctor or hospital based on your symptoms.
 
Heath Maintainance Organisation (HMO)

Under this model, policyholders are required to consult a particular HMO practice. Two disadvantages of this alternative is a limited choice of doctors and you also need a referral to see a specialist.

So the only option that gives you the right to switch doctors with no hassle is the standard one, with the family doctor model also possibly allowing you to do so, under certain circumstances.

The way Telmed and HMO are set up, however, switching doctors is not possible. If that option is important to you, then you will have to switch to the (more expensive) standard insurance.

The only exception to the above restrictions are emergencies, when you need urgent medical treatment.

Assuming you have the standard model, how do you go about changing?

The process is pretty simple: you can find physicians in your area either through recommendations from people you know (which is the best way to ensure you will not be getting an ‘anonymous’ doctor) or, if no recommendations are available, then through the OneDoc platform, which lists which doctors are taking new patients and where.

You can then make an appointment directly online.

When you do so, ask your current physician’s office to transfer your file to the new doc.

You don’t need to explain the reasons for the switch.
 
READ ALSO: The essential Swiss websites you need to use for health matters 
 

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