News Review

World Medical Association - Upcoming Events

Save the date:
Caring Physicians of the World
Leadership Course 2016
is planned for
May 2 to 6
Jacksonville, Florida.
Calls for nominations will go to the offices of the
Constituent Member Associations during the next days.

World Medical Association & Turkish Medical Association

Symposium on War, Migration and Health

February 25-27, 2016 Istanbul, Turkey

info click here -

Hurry up, registration fees will go up soon.

9th Geneva Conference on Person Centered Medicine

Geneva, Switzerland April 10-13, 2016
info click here -

203rd WMA Council Session

Thursday, 28th - Saturday, 30th of April 2016
Sheraton Buenos Aires Hotel & Convention Center
San Martin 1225/1275, Buenos Aires 1104, Argentina

Tel: +54 11 43189000 / Fax: +54 11 4318 9353

(Pre-meetings start April 26th!)

info click here -

Sir Michael Marmot

"World Health Professions Regulation Conference 2016 - 21 & 22 May 2016"

8 February 2016
Sir Michael Marmot to Present Keynote at WHPA Regulation Conference

Sir Michael Marmot, the world renowned expert on social determinants and also President of the World Medical Association, will be the keynote speaker at a conference on health professional regulation to be held in Geneva by the world’s health professions.

He will talk about the new Sustainable Development Goals announced last year by the World Health Organization and how they and the social determinants of health impact on health workforce and regulation.

The conference, to be held on May 21-22, is being organised by the World Health Professions Alliance WHPA, a body that brings together the International Council of Nurses, the International Pharmaceutical Federation, the World Confederation for Physical Therapy, FDI World Dental Federation and the World Medical Association (
Together, these five disciplines represent more than 600 national member organizations.

The conference, entitled ‘Health professional regulation - facing challenges to acting in the public interest’, will be held at the Crowne Plaza Hotel, and will be addressed by speakers from across the world.

Sir Michael, Director of the Institute of Health Equity at UCL, University of London, and a world-renowned expert on the social determinants of health, has spent his research life showing that the key determinants of health lie outside the health care system in the conditions in which people are born, grow, live, work and age. He will talk about how inequities in power, money and resources give rise to the inequities in conditions of daily life.

He says: ‘The way we organise our affairs, at the community level or, indeed at the whole societal level, are matters of life and death. As healthcare professionals we cannot stand idly by while our patients suffer from the way our societies are organised. Inequality of social and economic conditions is at the heart of it.'

Early bird registration deadline 15 February 2016 - register here

View list of speakers


Newsletter November 2015

Save the date: WMA Expert Meeting on Health Databases and Biobanks, 30-31 January 2016, Seoul, Korea Registration for this meeting will be open soon here.

Save the date: War, Migration and Health Symposium, 26-27 February 2016, Istanbul, Turkey The WMA is organising this Symposium with the Turkish Medical Association and the Istanbul Chamber of Medicine. It follows an emergency resolution adopted by the WMA General Assembly last month, and will seek to find ways to better serve the healthcare needs of migrants and refugees. Further information will be available on the WMA website soon.

Save the date: 203rd WMA Council Session, 28-30 April 2016, Buenos Aires, Argentina The 203rd Council Session will be held at the Sheraton Buenos Aires. Registration will be open soon here. Information on future WMA events and deadlines is available here.

Save the date: WMA General Assembly, 19-22 October 2016, Taipei, Taiwan The next WMA General Assembly will be held at the Grand Hyatt Taipei. Please save the dates in your diary! Preliminary information is available here.

WMA Medical Ethics Manual 3rd edition We are proud to introduce the 3rd edition of WMA Medical Ethics Manual written by Professor John Williams. The manual is an ideal introduction into the world of medical ethics. Case descriptions guide the reader through the identification of an ethical problem on to finding solutions or answers. It may be downloaded from the WMA website in English, French or Spanish.

WMA supports Albanian Order of Physicians under governmental pressure WMA leaders have expressed concern about Government involvement in the election for President of the Order of Physicians of Albania by nominating its own candidate. When its candidate lost the election, the Government challenged the election result in court last month. The WMA, along with the Standing Committee of European Doctors (CPME) and the German Medical Association, has issued a press release and written to the Minister of Health asking the government to respect the independence of the Order of Physicians.

Imprisonment of two young doctors condemned by WMA The WMA has condemned the decision of a Turkish court to imprison two young doctors for giving first aid to people injured during the Gezi Park demonstrations in Istanbul two years ago.

Stop the Violence. Protect Health Care The partners of the Health Care in Danger Initiative (HCiD) have called for access to and the delivery of health care to be made safer in armed conflict and other emergencies.

WMA General Assembly, Moscow 2015 Delegates from almost 60 national medical associations attended the annual General Assembly of the WMA in Moscow from 14-17 October.

World physicians urged to speak up about health inequity In his inaugural speech as the new WMA President, Sir Michael Marmot delivered a rallying call to physicians of the world to speak up about inequality and the causes of ill health. Physician leaders urge health care for refugees In an emergency resolution adopted at their annual Assembly in Moscow, delegates from more than 50 national medical associations said that governments and international agencies including the United Nations must make more effort to reduce the pressures of the current global refugee crisis. Read more here.

WMA urges end to healthcare attacks in Turkey The WMA has called for an end to recent attacks on healthcare personnel, patients, and health care facilities in Turkey.

WMA demands independent enquiry into hospital bombing Following its condemnation of the attacks, the WMA has demanded an immediate independent enquiry into the October air strikes on the Médecins Sans Frontières hospital in Kunduz, Afghanistan.

New guidelines for physicians on transgender healthcare The WMA has approved new guidelines for physicians to enable them to increase their knowledge and sensitivity towards transgender people and the unique health issues they face.

Medical profession urged to do more on physicians' ill health The WMA has called for the medical profession to do far more to prevent and deal with stress and illness among physicians.

WMA launches 3rd phase of global influenza immunization campaign “Let Kids be Kids” The campaign highlights the need for physicians to ensure that chidren get immunized against seasonal influenza every year to protect them and their family members and communities.

WMA invited to Expert Consultation with UN Special Rapporteur on Torture This consultation, held from 5-6 November in Washington DC, focused primarily on the ways in which women, girl-children, and persons identifying as lesbian, gay, bisexual, transgender, and intersex (LGBTI) uniquely or disproportionately experience certain forms of harm, gender-based violence and discrimination that may in fact amount to torture or other ill-treatment.

Global Strategy and Action Plan on Ageing and Health The WMA attended the WHO expert consultation meeting on ageing in Geneva at the end of October and provided comments based on WMA policies, emphasizing the importance of ensuring quality of life for older people and the accessibility of palliative care and of combatting stigma and discrimination.

UNESCO – Merck Africa Research Summit (UNESCO-MARS) The WMA attended this summit in Geneva, which highlighted the importance of close links between research, innovation and health systems and aimed to foster networks to strengthen the scientific community, accelerate access and sustain innovation.

WHPA adopts new strategy for 2016 The new WHPA strategy will focus more on advocacy and communication. The key topics for 2016 will be (1) the WHO Global Strategy on Human Resources for Health – workforce 2030 and the human resource implications of the sustainable development goals, (2) Aging populations and the aging workforce and (3) Antimicrobial resistance.

WMA Past-President Dr Cecil Wilson honoured The WMA congratulates Dr Cecil Wilson, WMA Past President 2012-2013, who received the 2015 Emory Medal. Dr Wilson was awarded the medal, the university’s highest alumni honour, in recognition of his outstanding achievements in medicine. Read more here.

Annual report of the Special Rapporteur on the Right to Health to the UN General Assembly The Special Rapporteur on the right to health, Mr Dainius Puras, has prepared a report on the right to health in early childhood for the UN General Assembly. The report was presented in October 2015 at the 70th session of the Assembly. In this report, the Special Rapporteur focused on the right to health in early childhood, with particular attention on the right to survival and development.

The Lancet launches Commission on Obesity, This partnership between The Lancet, the University of Auckland in New Zealand, George Washington University in the USA, and the World Obesity Federation will hold its inaugural meeting in in Washington DC in February 2016.

Oral cholera vaccine campaign in Iraq An estimated 250,000 displaced persons will be targeted by the oral cholera vaccine (OCV) campaign to help control cholera outbreaks in Iraq. The WHO has already mobilized 510,000 oral vaccine doses to contain the disease and prevent its transmission in high-risk areas.

Danish Government cuts contribution to the Global Fund to Fight HIV/AIDS, TB and Malaria by $20 million According to reports in the Danish media and a press release by the Copenhagen-based NGO AIDS-Fondet, the cutbacks are the result of the government efforts to shore up domestic social programs and focus on migration and security at the expense of the foreign aid budget. Read more here.

International Coordination Public Health Committee established by National Medical Association of Kazakhstan This Committee, established together with other medical organisations, is based at the office of the Republican Public Association “National Medical Association” in Almaty, Kazakhstan. It invites further cooperation via a memorandum on international cooperation and mutual understanding, currently open for signature to all organisations.

Dr Konstanty Radziwiłł appointed Health Minister of Poland
Dr Konstanty Radziwiłł, recently elected to the Senate of Poland, was appointed as Health Minister this week. Dr Radziwiłł, a family physician from Warsaw, had served as President of the Polish Chamber of Physicians and Dentists and, more recently, as President of the Standing Committee of European Doctors (CPME). Dr Radziwill’s engagement to bring the Polish Chamber back into the membership of the WMA was greatly appreciated. The WMA congratulates him on his new position.

COP21 The WMA will be in Paris this December for the UN climate change negotiations COP21, with an official delegation and side events. See the latest activities here.

Reducing health risks from climate pollutants
A new WHO report highlights an urgent need to reduce emissions of black carbon, ozone and methane, as well as carbon dioxide, which all contribute to climate change. Black carbon, ozone and methane, frequently described as short-lived climate pollutants (SLCPs), not only have a strong global warming effect, they contribute significantly to the more than seven million premature deaths annually that are linked to air pollution.

Global obstetrics and gynaecology group warn of harm to babies from toxic chemicals in consumer products The International Federation of Gynecology and Obstetrics (FIGO) has addressed the risks to babies and mothers associated with everyday exposure to toxic chemicals in a paper published on 1 October 2015.

World Wide Views on Climate and Energy Results This report on citizens’ views on the ongoing climate change negotiations was launched at the UN General Assembly in New York following a high-level discussion focusing on 12 key findings with a further discussion to take place at an official UNFCCC Side Event at COP 21. Read more here.


WMA book celebrating the 50th anniversary of the adoption of the Declaration of Helsinki The WMA has produced a celebratory publication to mark the 50th anniversary of the adoption of the Declaration of Helsinki. Copies of "The World Medical Association Declaration of Helsinki: 1964-2014 - 50 years of evolution of medical research ethics".

WHO study on the carcinogenicity of consumption of red and processed meat The International Agency for Research on Cancer (IARC), the cancer agency of the WHO, has evaluated the carcinogenicity of the consumption of red meat and processed meats. These assessments are based on the contributions of 22 scientists from 10 countries, who met in October 2015 in Lyon, France. The outcomes of their work will be published in Volume 114 of the IARC monographs.

Interim report of the WHO Working Group on financing for NCDs This report was launched at a side event entitled “Changing the conversation on development finance for health” at the Third UN International Conference on Financing for Development in Addis Ababa, Ethiopia from 13-16 July 2015.

WHO NCD report & data monitoring app The recently published WHO Noncommunicable Disease Progress Monitor tracks the extent to which 194 countries are implementing their commitments to develop national responses to the global burden of NCDs. In addition, the WHO has developed an app to easily find new data on NCDs. It will include data on country NCD mortality, morbidity, risk factors and national systems capacity to prevent and control NCDs. The app can be downloaded for both Apple and Android platforms.

PAHO/WHO adopts regional plan of action on dementia The Pan-American Health Organization (PAHO), the WHOs agency for the Americas, has become the first region to adopt a Regional Plan of Action on Dementia. The Plan guides countries through the development process of national dementia plans, including the promotion of risk reduction strategies through public health programmes, ensuring a rights-based approach to the provision of care and support for people living with dementia and better training for health professionals, as well as more funding for research

Key findings on trends in child malnutrition
UNICEF, the WHO and the World Bank Group have published the 2015 edition of the Levels and Trends in Child Malnutrition. Key findings of the 2015 edition can be found here.


Physicians, Human Rights, and Civil Liberties Human rights and civil liberties are, indeed, medicine’s business. Violation of rights and liberties—through political persecution, social strife, racial discrimination, exploitation of the disadvantaged—causes certain individuals and groups of people to succumb disproportionately to disease and premature death. The profession must be accountable for members who ignore human rights transgressions, and every physician should be dedicated to social justice and equitable health care for all. Contributors to the October issue of the AMA Journal of Ethics offer examples of just how that can happen:

Health and Social Justice: The Role of Today’s Physician
Nikhil A. Patel, MS, MPH Great vigilance is required to ensure that all physicians actively participate in the struggle for social justice.

Should an Undocumented Immigrant Receive a Heart Transplant?
Commentary by Aaron Wightman, MD, MA, and Douglas Diekema, MD, MPH
Arguments offered for denying anyone a transplant should not be based upon a worst-case prediction of what the future might hold for that person.

Dual Loyalties, Human Rights Violations, and Physician Complicity in Apartheid South Africa
Keymanthri Moodley, MBChB, MFam Med, DPhil, and Sharon Kling, MBChB, MMed, MPhil
During apartheid, the Medical Association of South Africa allowed state security issues to subvert its professional responsibilities and ethical obligations to its patients, most notably, activist Steve Biko.

WMA - Newsletter September 2015

Doctors and public health experts call on French authorities to give greater priority to health at COP21 climate summit
In a joint declaration released on 29 June, the French Medical Council (CNOM), the French Public Health Association and the French Society of Environmental Health, supported by several European and international health associations including the WMA, demanded a greater focus on health during the COP21 climate negotiations in Paris this December. The full text of the declaration is available in English and French.

WMA comments on WHO Global Strategy on Human Resources for Health: Workforce 2030
The 2014 World Health Assembly requested the development of a new global strategy on human resources for health, to be considered by the 69th World Health Assembly in May 2016. The WMA submitted comments as part of a public consultation on the zero draft of the Global Strategy, which was held from July to August 2015. This strategy represents a critical component of the WHO strategic vision towards universal health coverage (UHC) within the framework of the post-2015 health development agenda. Read more here.

WHO regional committee sessions
As an organisation with an official relationship with the World Health Organization, the WMA is invited to participate as an observer in Regional Committee Sessions of the WHO. More details are available here.

WMA Expert Meeting on the draft WMA Declaration on Ethical Considerations regarding Health Databases and Biobanks This Expert Meeting will be held on 15-16 September 2015 at the Danish Medical Association in Copenhagen. Registration is still open here.

WMA General Assembly, 14-17 October 2015, Moscow, Russia
The next WMA General Assembly will be held from 14 - 17 October 2015 in Moscow, Russia. Registration is open here. Participants from countries requiring an entry visa should submit visa applications as soon as possible - see the links on the website. Please note that higher registration fees will apply after 8 September.

203rd WMA Council Session, 28-30 April 2016, Buenos Aires, Argentina
The 203rd Council session will be held from 28-30 April 2016 at the Sheraton Buenos Aires in Argentina. Please make a note of these dates. Information on future WMA events and deadlines is available here.

5th World Health Professions Regulation Conference, 21-22 May 2016, Geneva, Switzerland
This conference, currently being organised by the WMA and other WHPA members, will take place prior to the World Health Assembly. The conference will provide participants with insights, perspectives and discussion on current challenges in health professional regulation. See here for more information.


Call for commitments towards the Global Strategy for Women’s, Children’s and Adolescents’ Health 2.0
In the lead up to its launch at the UN General Assembly in September 2015, the UN Secretary-General’s Office welcomes commitments to the updated Global Strategy for Women’s, Children’s and Adolescents’ Health. The strategy presents a roadmap on how to enhance financing, strengthen policy and improve service on the ground for the most vulnerable women and children. The Global Health Workforce Alliance has called upon its members and partners to make health workforce commitments in support of the Global Strategy. The deadline for submission is midnight (ES=T) on Tuesday, 8 September. Read more here.

Water sanitation and hygiene for accelerating and sustaining progress on neglected tropical diseases: WHO global strategy 2015-2020
The WHO has unveiled a global plan to better integrate water, sanitation and hygiene (WASH) services with public health interventions to accelerate progress in eliminating and eradicating neglected tropical diseases (NTDs) by 2020. Neglected tropical diseases affect over 1 billion people, causing chronic disability and death, primarily among the poorest of the world – the same people who often lack access to even the most basic water and sanitation services. Read more here.

Consultation on WHO Global Strategy and Action Plan on Ageing and Health
This strategy, which is currently under development, will have a global focus and is intended to provide a vision beyond what WHO alone can do. Draft zero is available for consultation until 30 October 2015. Find more information here.


My Green Doctor – the WMA’s free medical office guide on environmental sustainability
This free online tool from the WMA assists medical offices and outpatient facilities in their approach to environmental sustainability, providing guidance on how to operate an office Green Team and make changes to environmental practices. My Green Doctor includes more than 140 Action Steps on energy and water use, recycling, safe use of chemicals, transportation choices, climate change, renewable energy, and healthy foods etc.. Community environmental health is emphasized with educational materials directed at patients. It has been demonstrated that this programme can significantly lower office overhead expenses. Physicians and staff can register free of charge, will receive a registration certificate and can qualify for a Green Doctor’s Office certificate from the WMA. Look out for the My Green Doctor environmental sustainability lecture at the GA Scientific Session in Moscow on Thursday, 15 October.

UN Climate Change Conference COP21, November-December 2015, Paris, France
Visit the official website to learn more about the issues at stake, the progress of negotiations and climate events on the road to Paris.

The Climate and Health Summit, 5 December 2015, Paris, France
Organised by the Global Climate and Health Alliance in conjunction with the WHO and other partners including the WMA, this event builds on previous successful summits hosted in parallel with climate negotiations in Durban, Lima and Warsaw and other events. WMA President, Dr Xavier Deau, and other WMA delegates to the COP21 will attend.

Sustainable Cities for Climate Action: An Infographic
The latest infographic from Climate Action explores the role of cities in accelerating sustainable growth, from utilising renewable energy, to driving urban mobility to embedding efficiency measures. Read more here.


7th Milestones of a Global Campaign for Violence Prevention Meeting, 22-23 September 2015, Geneva, Switzerland
With its theme of “Linking global violence prevention with sustainable development”, this meeting will focus on how the post-2015 Sustainable Development Goals (SDG) can enhance national and international violence prevention efforts. Read more here.

UN Sustainable Development Summit 2015, 25-27 September 2015, New York, USA
The United Nations summit for the adoption of the post-2015 development agenda will be convened as a high-level plenary meeting of the General Assembly. Read more here. The zero draft outcome document of the Summit is available here.

Oxford Global Health and Bioethics International Conference, 28-29 September 2015, Oxford, UK The first biennial Oxford Global Health and Bioethics International Conference will be held at Keble College, University of Oxford. It will address critically important ethics issues in global health policy, practice and research. Read more here.

1st International Conference of Primary Care and Public Health, 29 – 31 October 2015, London, UK
This conference is jointly organised by the Department of Primary Care & Public Health (PCPH) at Imperial College London (ICL) and the International College of Person-Centred Medicine. It will cover five central themes: Primary Care in the 21st Century, Ageing and Ageism, Children and Adolescents, Integrated Care, and Public Health in Primary Care across the four major disciplines of education, training, research and clinical practice. Each of the five themes will have a plenary session with workshops, lectures, and poster sessions. More details are available on the conference website.

Scientific Symposium/ Delivering on the Promise of the Right to Rehabilitation, 14-16 March 2016, Mexico City, Mexico
This global interdisciplinary scientific symposium is hosted by the International Rehabilitation Council for Torture Victims (IRCT) and Mexican rehabilitation centre Colectivo Contra la Tortura (CCTI). It is a unique opportunity for the global torture rehabilitation sector to come together to exchange experiences and research on developments in the rehabilitation of survivors of torture. Call for abstracts until 1st October. Read more here.

1st International Conference of Doctors' Trade Unions, 13-14 June 2016, Berlin, Germany
The German physicians' trade union, the Marburger Bund, has issued an invitation to all medical associations that engage in collective bargaining to attend the first International Conference of Doctors' Trade Unions in Berlin. The main topics of the conference will be working time arrangements and the migration of doctors. Find more information, the programme and details of how to register here.


WMA Global Physician Immunization Campaign against Influenza
The Campaign focus for 2015 continues to be physicians; however the secondary target this year is children, particularly school-aged children. A promotional campaign video will be launched at the 2015 WMA General Assembly in Moscow. Read more here.

WHO Campaign to appreciate healthcare workers
On 19 August, World Humanitarian Day, the World Health Organization launched a campaign focusing on healthcare workers. Read more here.


Universal health coverage may be a challenge in Europe
An analysis of perceptions of access to healthcare in 29 European countries published in the journal Health Policy indicates that despite the mandate for universal health coverage in most European countries, individuals who are in poor health, have low income, are unemployed and/or female and lack citizenship are systematically at greater odds of feeling unable to access healthcare services. Read the article here.

Outcome document of the 3rd International Conference on Financing for Development
This conference, which took place in Addis Ababa, Ethiopia on 13-16 July 2015, adopted an outcome document “Addis Ababa Action Agenda”, which builds on the commitments made during the previous two conferences on financing for development held in Monterey (2002) and Doha (2008) and proposes a strengthened framework as a means to implement the Post-2015 Development Agenda. Access the document here.

New WHO report on sexual health, human rights and the law
This report shows how states in different parts of the world can and do support sexual health through legal and other mechanisms that are consistent with human rights standards and their own human rights obligations. Access the report here.

New WHO publication - Global health ethics: key issues
This document aims to assist policy makers, health care providers and researchers to understand key concepts in health ethics and to identify basic ethical questions surrounding health and health care. It illustrates the challenges of applying ethical principles to global public health and outlines practical strategies for dealing with those challenges. It can be downloaded here.

WMA book celebrating the 50th anniversary of the adoption of the Declaration of Helsinki
The WMA has produced a celebratory publication to mark the 50th anniversary of the adoption of the Declaration of Helsinki. Copies of "The World Medical Association Declaration of Helsinki: 1964-2014 - 50 years of evolution of medical research ethics" can be ordered here.

The World Medical Association Declaration of Helsinki: 1964-2014 - 50 years of evolution of medical research ethics
WMA DoH 1964-2014

The World Medical Association (WMA) is the global federation of National Medical Associations representing the millions of physicians worldwide. Acting on behalf of patients and physicians, the WMA endeavors to achieve the highest possible standards of medical care, ethics, education and health-related human rights for all people.

WMA Urges Australian Government to Reconsider Attempt to Silence Physicians

(02.07.2015) The World Medical Association has called on the Australian Government to allow doctors to speak out about the health of asylum seekers held in Australian detention centres.

In a letter to Australia’s Prime Minister Tony Abbott, the WMA’s President Dr. Xavier Deau and Chair Dr. Ardis Hoven say that the recent Australian Border Force Act effectively silences physicians who address the health conditions of asylum seekers. The legislation imposes a penalty of two years' imprisonment on any person, doctor or otherwise, who discloses information obtained by that person while working as an employee of a service provider to the relevant Government Department, namely Immigration and Border Protection.

In their letter, the WMA leaders say: ‘This we must assume extends to doctors working in refugee centres who report on their observations arising from their work.

‘This is in striking conflict with basic principles of medical ethics. Physicians have to raise their voice, if necessary publicly, when health conditions of their patients, be those free or in detention, are unacceptable. From the incoming reports we must assume that this is the case in the detention centres under responsibility of the Australian Government. We applaud and support those colleagues who advocate for their patients and speak out.

‘We do support the motion by Australian Medical Association National Conference calling on the Australian Government to amend the legislation to provide an exemption for public interest disclosure. Nothing less would be appropriate for a democratic state.’

Commenting on the letter, Dr. Deau said: ‘This is effectively an attempt by the Australian government to gag physicians by making their advocacy for the health care of asylum seekers in Australian detention camps a criminal offence. Such a procedure is not acceptable‘.

WMA - Press release 2015


National Institute for Health and Care Excellence

NICE is updating its guideline on the diagnosis and management of atrial fibrillation and has published a draft for public consultation. The draft guideline addresses several clinical areas where new evidence has become available since publication of the original guideline in 2006, including stroke and bleeding risk calculation, the role of new anticoagulants, and ablation.
European Medicines Agency
The EMA’s Pharmacovigilance Risk Assessment Committee has recommended that Protelos/Osseor should no longer be used to treat osteoporosis.
The Committee for Medicinal Products for Human Use has approved Brintellix, which contains the active substance vortioxetine, as a treatment for major depression in adults.
Public Health England
Public Health England’s National End of Life Care Intelligence Network and NHS Improving Quality have updated their guidance documents to align with new organisational structures and resources.

PHE has published the results of its survey of 136 local authorities and directors of public health setting out their obesity priorities. The report gives an overview of the survey findings and recommendations on reducing obesity in local communities.

We look forward to continue to serve your medical educational and PDP needs over the coming months.
Best wishes,
Editorial Team, OnMedica


December 2013 NICE Guidance Round Up

Click to Open
MS word Document File

Knowledge Resources
Dear Colleagues,
Happy New Year to all our readers.
Please find attached a PDF of the latest issue of the News and Information Bulletin from Knowledge Resources containing news and publications issued during December 2013.

This month there are four Hot Topics:
1. Patient Quality and Safety issues in Health and Social Care (29 items in total)
This section includes a variety of new material related to the NHS and Social Care, including material on Seven day services, Accident & Emergency, CQC Monitoring arrangements including GP inspections, GP patient survey, winter pressures, the Health Foundation's Hard Truths report, etcetera.
2. Older People's Health and Social Care (12 items)
This section includes new material on the ASCOF, a new JRF study about valuing older people, items on loneliness, statistical reports, GP services for older people, intermediate care audit, mental wellbeing of older people in care homes etc.
3. Mental Health (15 items)
This section includes new material covering IAPT statistics, Liaison psychiatry, Mental health and community services, a national audit of psychological therapies, ten questions for your Council (about mental health), welfare advice for people who use mental health services, and several items related to young people's mental health issues. Please note, this section does not include the worrying new report from the Prince's Trust (which featured in the media today) as this will appear in the January 2014 Bulletin, but see immediately below for the links:

The Prince's Trust
has published 'Macquarie Youth Index 2014'.
There is also a BBC news report

4. Cancer (12 items)
This section includes several new reports from ONS regarding Cancer Survival, Be Clear on Cancer 2014 campaigns, Cancer Incidence and Mortality, big boost from Be Clear on Cancer (Lung Cancer) campaign in terms of GP visits, National Lung Cancer Audit, national cancer strategy report, and global cancer cases rise.

The New Health and Social Care System keeps its own (cross-cutting) stand-alone section in the Bulletin and this month there are 34 separate references including the latest developments on the new NHS and Care system, Information Governance in the new system, material and factsheets on the Care Bill, CCG funding formulas, NHS Licence requirements, service planning guides, smart guides to engagement etc. This section also now includes proposed health policy papers, domestic and international.
The Bulletin includes detailed sections on Public Health (including Building sustainability into JSNAs, Community engagement to reduce health inequalities, Improving the Public's Health resource for Councils, several items related to the NCMP, integrated approach needed on Public Health, a study into alcohol and youth offending in London, and PHE Sustainability) with additional Public Health references in the New Health and Social Care System section, Hot Topics and News section; and Commissioning and Service Improvement (including commissioning for value, Care Data, Improving access to health care for gypsies, travellers, homeless and other disadvantaged communities, GP practice profiles updated) with additional references in the New Health and Social Care System section and Hot Topics.
The Bulletin also has the NICE guidelines material published in December as well as a host of NICE-related materials, and a comprehensive list of new publications (25 in total) from DH and other agencies, including several Bulletins. Please note that the Bulletin normally adheres to strict alphabetical order, but occasionally (due to reasons of formatting and aesthetics) an element of artistic license prevails! The contents list on the front page follows the A-Z order.

The Bulletin also includes the major news stories and recent developments within health and related sectors during the month, including:
· Almanac 2013
· Applying Behavioural Insight into Organ Donor registrations
· At a glance briefings - learning the lessons from Case Reviews
· Autumn Statement 2013 and health-related responses
· Change4Life Smart Swaps campaign launched
· Drinking Habits amongst Adults
· Drugs reports on Legal Highs
· Extended NHS charges for visitors and migrants
· Flooding Advice Leaflet from PHE
· G8 dementia summit and Global Impact of dementia
· Health Survey for England
· Long-term public health gains jeopardised by Cuts
· Maternity service and midwifery reports - several
· Smokers twice as likely to die of Stroke as hard-hitting smoking campaign launched
· Waterpipe tobacco smoking - new briefing
· Youth Report

It also includes information from Knowledge Resources, including the availability of free resources to order from the Resource Centre. (This will be the last time this free resources section appears in this Bulletin, so please read this item if you want to continue receiving alerts about the free leaflets and posters available from the Centre.)

This Bulletin (in PDF format) is also available to download from our website

We hope you find the Bulletin useful for keeping up-to-date with developments in primary care and public health. Please forward copies of the Bulletin to colleagues and ask them to email back if they would like to be added to our extensive distribution network. We welcome your feedback so if you have any comments please do let us know.
Kind regards.
Des Conway

The Resource Centre
Public Health, Nottingham City
Aspect House, Bennerley Road
Bulwell, Nottingham, NG6 8WR

Tel: 0115 883 4205
Fax 0115 883 4210

Opening hours: Monday - Friday 9.00am - 4.30pm

Prodigy ebulletin November 2011‏
The following PRODIGY topics have been updated to include new evidence and recommendations published by the Faculty of Sexual and Reproductive Health (FSRH), the British Association for Sexual Health and HIV (BASHH) and the World Alzheimer Report 2011.

- Contraception – Emergency has been revised to reflect the updated emergency contraception guidance issued by the FSRH.
- Dementia has been updated to into include a summary of key recommendations from the World Alzheimer Report 2011 which emphasizes the benefits of early diagnosis and intervention.
- Gonorrhoea has been updated to reflect the revised UK National Guideline for the Management of Gonorrhoea in Adults 2011, published by BASHH. The main changes include:
- First-line treatment for gonorrhoea is now ceftriaxone 500 mg by intramuscular injection plus azithromycin 1 g orally.
- A test of cure is now recommended for all people after treatment for gonorrhoea.
- Pelvic inflammatory disease and scrotal swellings have been updated to reflect the current UK treatment guidelines for uncomplicated gonorrhoea from BASHH. The dose of intramuscular ceftriaxone has been increased from 250 mg to 500 mg to reflect the reduced sensitivity of Neisseria gonorrhoeae to cephalosporins.
- Warts and verrucae has been updated include the results of a recent Health Technology Assessment that found no evidence to suggest that cryotherapy was more effective than self-treatment with 50% salicylic acid for the treatment of verrucae.
A literature search was conducted in October 2011 to identify evidence-based guidelines, UK policy, systematic reviews, and key RCTs published since the last revision of the following topics:
Common cold - no changes to clinical recommendations have been made.
Insect bites and stings - no changes to clinical recommendations have been made.

Kind Regards

Some interesting problems may arise from generic prescribing
Mesalazine prescribing in the management of IBD is one of those "exception to the rules" cases, where generic prescribing is not recommended. In February 2011, Professor Forbes co-authored an article in the Pharmaceutical Journal* outlining some interesting problems that may arise from generic prescribing.

Professor Forbes has kindly recorded a short webcast in order to share his expert opinion and best practice in the management of IBD.

for more detail

Optum Middle East LLC to Provide Technology-Enabled Health Services to Help
Region’s Hospitals and Care Providers Enhance Care, Streamline Performance

New joint venture between Optum and Lifeline Hospital Group will offer performance improvement and revenue cycle management solutions to help care providers enhance patient care, reduce costs and improve financial performance

ABU DHABI, United Arab Emirates, Oct. 26, 2011 – Optum today announced it is launching Optum Middle East LLC, a joint venture with Abu Dhabi-based Lifeline Hospital Group, to help leading care providers in the region improve financial performance and increase operating efficiency, enabling them to focus on enhancing patient care.

Optum Middle East will redesign, staff and manage all elements of Lifeline Hospitals’ revenue cycle management functions using an integrated suite of services and technology. Revenue cycle management encompasses a broad set of administrative services related to creating, submitting, analyzing and ultimately handling collections for patient medical bills.

Optum’s revenue cycle management capabilities include its Electronic Financial Record™ (eFR™) application. The eFR platform integrates disparate financial and reimbursement data into a single database to create real-time, patient-centered financial records – flagging items that may require information and alerting personnel when to take steps to keep claims and reimbursement processes moving forward.

Bringing enhanced technology to the revenue cycle management process will help enable hospitals to improve productivity, increase revenue and reduce costs. They will benefit from reduced write-offs, improved accounts receivable, improved collections and cash flow – enabling hospitals to focus resources on patient care rather than administrative tasks. As joint venture partner, Lifeline Hospitals will be the first to benefit from Optum’s capabilities.

Total hospital bed capacity in the United Arab Emirates is expected to double by 2019 to keep up with population growth and rising demand, providing significant revenue cycle management and operational performance improvement opportunities for the joint venture.

Lifeline Hospital Group provides inpatient and outpatient care through its network of private hospitals, pharmacies and health care support services in the United Arab Emirates and other locations in the region. Optum, a leading information and technology-enabled health services business, will provide comprehensive revenue cycle management and other performance-improvement services to health care providers in the market.

Serving as CEO and general manager of Optum Middle East LLC is Warren Guillett, a senior executive from OptumInsight with extensive experience in revenue cycle management, health care provider operations and performance improvement. Guillett will be based in Optum Middle East’s offices in Abu Dhabi and will manage the strategic direction and day-to-day operations of the joint venture. Dr. Shamsheer Vayalil Parambath, managing director of Lifeline Group, will be the chairman of Optum Middle East LLC.

“Hospitals and health systems across the Middle East can benefit from performance improvement assistance. Through this joint venture, we anticipate generating significant gains in productivity and increased collected revenue, enabling health care providers to better meet the growing health care needs of the communities we serve,” said Dr. Shamsheer.

“We see significant opportunities to help health systems across the Middle East increase their operational efficiency and improve the level of health care and services provided to the region’s residents through the use of health intelligence, data management and analysis, and technology,” said Guillett.

About Lifeline Hospital Group
Lifeline Hospital Group was born out of a desire to provide world-class, specialized and superior healthcare complemented by a warm and personalized human touch to the growing population of the emirate of Abu Dhabi. The group has now grown into four operating hospitals and nine pharmacies in the UAE and Oman, with four new hospitals under implementation (including a 200 bed tertiary care Super Specialty Hospital in Abu Dhabi). Major expansion is under way in the pharmacy retail business together with pharmaceutical and medical equipment distribution.

About Optum
Optum is an information and technology enabled health services company serving the broad health care marketplace, including care providers, commercial health plans, life sciences companies and consumers. Its business units — OptumInsight, OptumHealth and OptumRx — employ more than 30,000 people worldwide. It is a subsidiary of UnitedHealth Group (NYSE: UNH), a diversified health and well-being company serving more than 75 million people worldwide.
Finsbury Abu Dhabi
1st floor, Office 27, Blue Building, Twofour54, P.O. Box 77842, Abu Dhabi

Finsbury Dubai
T: +971 4 448 4282; 43rd Floor, Tower-B, Business Central Towers, Sheikh Zayed Rd, Dubai Media City, P.O. Box 74021

International AIDS Society and partners recognize outstanding researchers from around the world at the 6th IAS Conference on HIV Pathogenesis, Treatment and Prevention (IAS 2011) in Rome
Women, Girls and HIV Investigator Prize – supported by UNAIDS and ILF –; IAS TB/HIV Research Prize; and IAS/ANRS Young Investigator Awards to be presented to pioneering researchers from Uganda, Kenya, The Netherlands, China, United Kingdom and United States

Monday, 11 July, 2011 (Geneva, Switzerland)

The International AIDS Society (IAS) announced today the six winners of three prestigious scientific awards, to be presented at plenary sessions during the 6th IAS Conference on HIV Pathogenesis, Treatment and Prevention (IAS 2011) to be held in Rome July 17-20, 2011.

Presented by the IAS and partners, these awards recognize scientists involved in innovative HIV and AIDS research throughout the world.

“The quality of work represented by the 2011 awardees is remarkable,” said IAS President Elly Katabira. “The IAS hopes to draw the world’s attention to these individuals and to their significant scientific accomplishments, as well as to the continued need for innovation in all of the major areas of HIV and AIDS research, represented by the conference programme tracks.”

Award winners will be available for interview before and during the conference.

About the Awards

Women, Girls and HIV Investigator Prize
Supported by UNAIDS, ILF, ICRW and ICW
Date: Monday, 18 July, Session Room 1, 08:55 (before Plenary)
Presented by Elly Katabira, IAS President and Catherine Hankins, Chief Scientific Adviser, UNAIDS

The Women, Girls and HIV Investigator Prize is offered jointly by the IAS-Industry Liaison Forum and UNAIDS, and supported by the International Center for Research on Women and the International Community of Women Living with HIV/AIDS. The US$2,000 prize is awarded to an investigator from a low-income or middle-income country whose abstract demonstrates excellence in research and/or practice that addresses women, girls and gender issues related to HIV. This prize serves to highlight the challenges faced by women and girls in this epidemic and to encourage investigators from low- and middle-income countries to pursue research in this field of scientific endeavour.

The winner of the Women, Girls and HIV Investigator Prize is: Milly Kaggwa Nanyombi (Uganda)

Abstract Title: Preventing HIV Infection among adolescents by addressing Cross Generational Sex (CGS) in Secondary Schools in Uganda

IAS TB/HIV Research Prize Monday, 18 July, Session Room 1, 14:25

Presented by Elly Katabira, IAS President and Papa Salif Sow, IAS Governing Council member.

The aim of the US$2,000 IAS prize on TB/HIV research is to generate interest and stimulate research on basic, clinical and operations research in TB/HIV prevention, care and treatment. The IAS TB/HIV Research Prize is an incentive for researchers to investigate pertinent research questions that affect TB/HIV co-infection and operational effectiveness of core TB/HIV collaborative services.

The winner of the IAS TB/HIV Research Prize is: Sabine Margot Hermans, The Netherlands

Abstract Title: Integration of HIV and TB services results in earlier and more prioritised ART initiation in Uganda

IAS/ANRS Young Investigator Award
Tuesday, 19 July, Session Room 1, 08:55 (before Plenary)
Presented by Elly Katabira, IAS President and Jean-François Delfraissy, Director, French National Agency for Research on AIDS and Viral Hepatitis (ANRS).

The US$2,000 IAS/ANRS Young Investigator Award is jointly funded by the IAS and the French National Agency for Research on AIDS and Viral Hepatitis (ANRS) to support young researchers who demonstrate innovation, originality and quality in the field of HIV and AIDS research. To be eligible, the presenting author of an abstract accepted for presentation must be under 35 years of age. One prize is awarded in each of the four conference tracks.

The recipients by track are:

Track A: Basic Sciences
Winner: Xu Yu, China
Abstract Title: Unique mechanisms of CD4 T cell homeostasis in HIV-1 elite controllers

Track B: Clinical Sciences
Winner: Musa Ngayo, Kenya
Abstract Title: Association of abnormal vaginal flora with male-to-female HIV-1 transmission among HIV-1 discordant couples in sub-Saharan Africa

Track C: Prevention Science
Winner: Anandi Sheth, USA
Abstract Title: Genital secretions of HIV-1 infected women on effective antiretroviral therapy contain high drug concentrations and low amounts of cell-free virus

Track D: Operations and Implementation Research
Winner. Lilanganee Telisinghe, UK
Abstract title: Antiretroviral therapy roll-out in an African prison: It can be done


International AIDS Society urges Russian government to radically reassess counterproductive drug policies which are fueling the country’s HIV epidemic

28 June 2011. Geneva, Switzerland.

As Boris Gryzlov, speaker of the Russian state Duma, calls for a “total war on drugs” to tackle Russia’s growing drug problem, the International AIDS Society (IAS) urges the Russian government to radically reassess its approach to drug policy, and to accept that the war on drugs has failed dramatically from both a law enforcement and a public health perspective.

Under new laws being drawn up by the Russian parliament, injecting drug users would be forced into treatment or jailed, while drug dealers would be sent to forced labour camps. These new measures contradict the recommendations of the recent report by the Global Commission on Drugs Policy, which clearly states that there must be a shift away from criminalizing drugs and incarcerating those who use them, and which calls on policy makers to “end the criminalization, marginalization and stigmatization of people who use drugs but who do no harm to others.”

These new measures also ignore existing solid scientific evidence demonstrating that harm reduction programmes, including Opioid Substitution Therapy (OST), are effective in keeping injecting drug users (IDUs) in treatment programmes, reducing risky behaviors and mitigating a wide range of health and social consequences of drug dependence.

Outside of sub-Saharan Africa, injecting drug use accounts for approximately one in three new cases of HIV. In some areas of rapid HIV spread, such as in Eastern Europe and Central Asia, injecting drug use is the primary cause of new HIV infections. Legal barriers to scientifically proven prevention services such as needle and syringe programs and opioid substitution therapy (OST) mean hundreds of thousands of people become infected with HIV and Hepatitis C every year. The effectiveness of these programmes is well-documented, though access to such interventions is often limited in those locations where HIV is spreading most rapidly. According to various scientific reviews conducted by the World Health Organization, the Institute of Medicine (U.S.) and others, these programmes reduce HIV rates without increasing drug use.

“With an stimated 6 million heroin addicts, Russia’shard-line “war on drugs” has proved entirely ineffective in terms of curbing the growing numbers of injecting drug users," said IAS President Elly Katabira. “Injecting drug-use is also fuelling Russia's HIV crisis because, despite the addition of OST medicines to the World Health Organization’s essential medicine’s list, and despite the growing international acknowledgement of the success of harm reduction programmes – OST is banned in Russia and needle exchange programmes are scarce.”

Last year, the International AIDS Society, along with other leading scientific and health policy organizations, launched the Vienna Declaration (, a statement seeking to improve community health and safety by calling for the incorporation of scientific evidence into illicit drug policies. The statement calls for a complete reorientation of international drug policy towards evidence-based approaches that respect, protect and fulfill human rights, and which would allow for the redirection of the vast financial resources spent on law-enforcement towards where they are needed most: implementing and evaluating evidence-based prevention, regulatory, treatment and harm reduction interventions. Over 20, 000 scientists, policy makers and political figures, including three former Latin American presidents, Fernando Henrique Cardoso (Brazil), Ernesto Zedillo (México) and César Gaviria (Colombia), have signed the declaration.

“To deny people evidence-based treatment and then to jail them in overcrowded prisons -- where individuals already vulnerable to HIV infection are placed in an even higher risk setting -- amounts to nothing less than state complicity in human rights abuses," said Bertrand Audoin, IAS Executive Director. “Instead of criminalization, which has resulted in record incarceration rates and a massive burden on the taxpayer, the Russian government needs to turn its back on the harsh rhetoric of the “war on drugs” and instead invest time, effort and money in rehabilitation, substitution treatment, case management for drug users and protection from HIV infection.”

About the IAS
The International AIDS Society (IAS) is the world's leading independent association of HIV professionals, with over 16,000 members from more than 196 countries working at all levels of the global response to AIDS. Our members include researchers from all disciplines, clinicians, public health and community practitioners on the frontlines of the epidemic, as well as policy and programme planners. The IAS is the custodian of the biennial International AIDS Conference and lead organizer of the IAS Conference on HIV Pathogenesis, Treatment and Prevention, which will be held in Rome, Italy in July 2011. |

For general enquiries:
Tel: +41 22 710 0800

For more information:
Sian Bowen (Geneva, Switzerland)
Senior Manager, Communications
Tel: +41 22 710 0864

Lindsey Rodger (Geneva, Switzerland)
Communications and Media Officer
Tel: +41 22 710 0822

The United States National Institutes of Health, the Centers for AIDS Research and the International AIDS Society announce a new round of innovative HIV research awards

20 June 2011 (Geneva, Switzerland) – The International AIDS Society (IAS), in partnership with the U.S. National Institutes of Health (NIH) and the NIH-supported Centers for AIDS Research (CFAR), today announced the launch of a new round of the joint research grant programme, Creative and Novel Ideas in HIV Research (CNIHR).

The CNIHR programme supports projects intended to advance the scientific understanding of HIV by exploring new approaches to pressing scientific questions on such issues as the long-term survival of individuals with HIV infection, strategies to control viral reservoirs and research leading toward a cure for HIV/AIDS, and new approaches for the prevention of HIV transmission including treatment as prevention. “The NIH is delighted to continue this important international partnership, which is designed to promote innovative research and new ideas from early-stage investigators whose primary focus has previously been in fields of scientific inquiry other than HIV/AIDS,” Dr Jack Whitescarver, NIH Associate Director for AIDS Research and Director of the Office of AIDS Research, said. “The science of AIDS is making important strides, and we need to continue to generate innovative ideas and build multi-disciplinary collaborations. We must recruit and train tomorrow’s leading HIV researchers from across many areas of science, whose work will benefit not only HIV, but other fields of research as well.”

Given the limited resources available to pursue the rollout of antiretroviral therapy (ART) to all who need it, as well as the fact that in resource-limited settings, new infections continue to outstrip numbers of people on treatment by two to one, there is a strong need for continued investments to find new strategies to tackle the HIV epidemic. “In the current economic climate of treatment funding shortages and with a scale of unmet need that can only increase, the IAS is highly concerned by the long-term sustainability of antiretroviral therapy rollout,” Elly Katabira, IAS President, said. “Along with our partners, the IAS is committed to investing in finding better and more cost-effective options to curb the epidemic. One of the ways we can pursue this is through the CNIHR research grant programme.”

The first round of grants was announced in 2010. The joint programme awarded a total of US$3.4 million to fund the research projects of outstanding early-stage researchers. Each awardee is funded for up to two years with up to $150,000 (direct costs) per year plus applicable indirect costs.

“The truly international nature of this programme – it is open to candidates globally – enables it to select%