Round table: The Moral Mandate of Public Health – Back to Basics

European Journal of Public Health, Volume 27, Issue suppl_3, 2017
Chairs: John Middleton, Els Maeckelberghe
“The core mission of Public Health is to protect and promote health through the organized efforts of society. The use of political power to achieve public health goals, and the imperatives to improve health and reduce health inequalities, suggest an inherently moral agenda, and thus require a sound moral mandate. However, concerns have arisen about a lack of unified vision and leadership within Public Health, with consequent concerns about heightened threats to the health of the public.”
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Patients’ Experiences With Communication-and-Resolution Programs After Medical Injury

JAMA Intern Med. Published online October 09, 2017
Authors: Jennifer Moore, Marie Bismark, Michelle M. Mello
“Dissatisfaction with medical malpractice litigation has stimulated interest by health care organizations in developing alternatives to meet patients’ needs after medical injury. In communication-and-resolution programs (CRPs), hospitals and liability insurers communicate with patients about adverse events, use investigation findings to improve patient safety, and offer compensation when substandard care caused harm. Despite increasing interest in this approach, little is known about patients’ and family members’ experiences with CRPs.”
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Doctors blame media for scaring patients off vaginal mesh implants

The Guardian, 6 October 2017
Author: Melissa Davey
“Inaccurate media reporting about vaginal mesh implants and the lawsuits associated with them has caused patients to become fearful of mesh procedures that may be essential to improving their health, New Zealand general surgeon Dr Steven Kelly says.”
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Slapping therapist accused of causing boy’s death said Western medicine was poison, court told

SMH, 4 October 2017
Author: Harriet Alexander
“A Chinese “self-healing promoter” accused of causing the death of a six-year-old boy allegedly described Western medicine as “poison” and encouraged diabetics to participate in slapping therapy instead of taking their insulin.”
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Vaginal mesh scandal: women don’t need body-shaming on top of their pain

The Guardian, 1 October 2017
Author: Barbara Ellen
“The ongoing vaginal mesh implant scandal is a complex affair, with group lawsuits erupting all around the world, including the US, the UK and Australia. Last week, Johnson & Johnson’s Ethicon unit was ordered to pay a record $57m in damages to a woman called Ella Ebaugh. The J&J implant, launched without a clinical trial, is still marketed, often in cases involving traumatic births, years after it was known to cause appalling problems to women such as Ebaugh, including intense pelvic pain and torn bladders and vaginas, leading to agonising sex and incontinence.”
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Knowles v Pharmacy Council of NSW

Decision date: 25 September 2017
“CIVIL AND ADMINISTRATIVE TRIBUNAL – Occupational Division – Stay – additional principle in NSW – protection of health and safety of the public the paramount consideration. In the January 2017 Decision, the Council found that, given a lack of adherence to accepted guidelines and the lack of substantive evidence about the safety and efficacy of certain drugs in humans, the applicant’s practice in relation to the dispensing of peptides was not within accepted standards nor compliant with the Pharmacy Board of Australia (PBA)’s Guidelines on Compounding Medicines (the PBA Guidelines) or otherwise met the public interest.”
Find decision here.