(Adnkronos) - In questo numero:
Al via campagna Longevitas per promuovere prevenzione vaccinale, prima tappa dedicata all’Herpes zoster
Scompenso cardiaco vera pandemia, importante diagnosi rapida con puntura al dito
Malattie rare, qualità della vita ed inclusione al centro del 3^ appuntamento di ‘Let’s Talk’ di Sobi
Cambiamento di rotta nel trattamento del tumore ovarico in Campania. Il punto in un incontro a Napoli
In Italia mercato della sanità digitale in espansione, +11% nel 2023
Conferenza annuale Federfarma Lombardia: focus sul potenziale delle farmacie dei servizi in tema di prevenzione vaccinale
Al via campagna Longevitas per promuovere prevenzione vaccinale, prima tappa dedicata all’Herpes zoster
Scompenso cardiaco vera pandemia, importante diagnosi rapida con puntura al dito
Malattie rare, qualità della vita ed inclusione al centro del 3^ appuntamento di ‘Let’s Talk’ di Sobi
Cambiamento di rotta nel trattamento del tumore ovarico in Campania. Il punto in un incontro a Napoli
In Italia mercato della sanità digitale in espansione, +11% nel 2023
Conferenza annuale Federfarma Lombardia: focus sul potenziale delle farmacie dei servizi in tema di prevenzione vaccinale
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NewsTranscript
00:00 [Music]
00:10 In this issue, Alvia Campagna Longevitas to promote vaccination prevention,
00:16 first stage dedicated to the Zoster herpes,
00:19 Cardiac discompensation, real pandemic, important rapid diagnosis with a finger puncture
00:25 and again, rare diseases, quality of life and inclusion at the center of the third appointment of Let's Talk by Sobi.
00:33 Change of route in the treatment of the ovarian tumor in Campania, the point in a meeting in Naples.
00:39 In Italy, market of digital health in expansion, +11% in 2023.
00:46 Annual conference FederPharma Lombardia, focus on the potential of pharmacies and services in the field of vaccination prevention.
00:55 [Music]
01:00 The importance of vaccination prevention in the adult was at the center of the homonymous convention
01:04 organized by the Longevitas Foundation in Pirelli Palace in Milan,
01:07 made with the sponsorship of Region Lombardia and the Institute Superior of Health with the support of GSK.
01:13 The meeting, first stage of the vast campaign promoted by the Foundation with the aim of improving the quality of life of people,
01:19 optimize and reduce health spending through the development of a healthy longevity,
01:24 took for example the case of the vaccine against Zoster herpes,
01:27 a pathology that breaks out with the reactivation of the Zoster varicella virus
01:31 and that has among the main symptoms acute pain, but not only.
01:35 This pain is accompanied by cutaneous eruptions, distributed along the cute in the area of innervation
01:45 and in some cases can give complications such as the Zoster herpes oftalmic,
01:50 in which the cute part is hit around the eyeball,
01:58 post-herpetic neurology, which is particularly problematic, especially above 75 years,
02:06 particularly widespread, but can also give complications of various types,
02:10 even in some cases, ictus, cardiovascular diseases, rather than, especially in the elderly,
02:16 loss of motor function, which is, especially in the elderly, fragile,
02:22 really a condition with a devastating impact from the point of view of quality of life.
02:28 When the Zoster herpes virus is already reactivated, the treatment is not effective,
02:33 the best prevention tool available to doctors and patients, therefore,
02:37 is confirmed to be the vaccine coverage.
02:40 I believe that there is to be considered the active call as an important element
02:49 to be able to raise the vaccine coverage.
02:52 Then each region must choose the areas in which to supply the vaccine,
02:57 which can be the ambulatories of the National Health Service, hospitals, pharmacies.
03:03 Here, regions and family doctors, of course, where they are available,
03:09 but we must insist on the active call that Veneto has made with very favorable results.
03:17 In order to increase the vaccine coverage against Zoster herpes,
03:21 it is now possible for doctors of General Medicine Lombardy to supply the vaccine in the ambulance.
03:27 The general medicine doctor, at a certain point, directs towards the path of cure.
03:32 Certainly, having the vaccine available for Zoster herpes in the ambulance,
03:38 makes it very easy for us and makes it easier for the patient, because it is already in the ambulance
03:42 and therefore we can supply directly.
03:44 On the other hand, we can also organize vaccination campaigns for specific categories,
03:50 maybe for age groups, in order to call the patients to the attention and importance of this vaccination.
03:58 Certainly, our most important target are the elderly, the frail and the chronic patients,
04:03 therefore with pathologies that are more subject to the complications of these diseases.
04:09 So it is even more important that they protect themselves and be vaccinated.
04:14 What is the impact of the Cardiac Discompensation?
04:18 On the Cardiac Discompensation, a pathology that about 26 million people suffer from,
04:23 so much to represent a real pandemic,
04:25 medical research has made very significant steps in recent years,
04:29 but much work still remains to be done to raise awareness among the population.
04:33 The Cardiac Discompensation is in fact in Italy the main cause of recovery among the over 65 years
04:38 and has hospital costs equal to 1.5% of health expenses.
04:42 The technologies are helpful, as in the case of some electrostimulation devices
04:47 and methods that allow to safely arrive at the heart transplant.
04:51 The first symptoms of this cardiovascular problem are not, however,
04:54 as people think,
05:10 can reveal the presence of the discompensation in the early stages.
05:13 An exam is this, however, rarely widespread,
05:15 despite being a standard test available in the emergency room to diagnose serious dyspnea,
05:20 but that could also allow to identify patients with very blurred symptoms.
05:25 For this reason, it is necessary to spread the use of it also in the territorial medicine.
05:29 To remember it is the ISC, Italian Association of Cardiac Discompensation,
05:33 which to turn on the spotlight on the importance of cardiovascular rehabilitation in the course of care,
05:37 has promoted at the ILCS San Raffaele Montecompatri a convening entitled "Rehabilitation in Cardiac Discompensation",
05:43 a new model built on the needs of the patient.
05:46 But what is at the base of this pathology?
05:48 We asked the cardiologist Salvatore Di Somma,
05:50 director of the scientific committee ISC-APS,
05:53 internal medicine professor at the University of Florence in Rome and president of GRID Italy.
05:57 Cardiac failure or cardiac failure is a clinical situation characterized by the fact that the heart
06:03 cannot fully perform its pumping function and consequently there is a reduction of oxygen in the tissues.
06:11 This situation is a clinical situation as a result of many diseases such as myocardial infarction,
06:17 arterial hypertension, myocarditis, but what is more important is that it is a pathology of great increase,
06:24 precisely because the population is aging and we have very effective therapies for ischemic cardiopathy.
06:31 The Italian Association of Cardiac Discompensation, then announced by Professor Di Somma,
06:35 is committed to the implementation of a protocol that provides access to tests also to doctors of general medicine and pharmacies,
06:42 because, underlines, this is the basis to cover to reduce mortality and hospitalizations.
06:46 Meanwhile, however, cardiac failure remains a problem to be solved.
06:50 Mortality for this pathology at 5 years is equal to some forms of cancer,
06:56 in fact 50% of people with cardiac failure unfortunately can die within 5 years.
07:03 Another problem related to the pathology is that the patient with cardiac failure
07:07 is often forced to recover during the year more than a few times for the acute disease
07:16 and this also leads to a worsening of the prognosis.
07:19 What should be done then to counteract the consequences of this serious pathology?
07:23 Certainly there is a great need to develop the patient's convulsion
07:28 to prevent mortality and hospitalization.
07:32 In this sense, the Italian Association of Cardiac Discompensation
07:37 was created 10 years ago with the aim of including the patient in the management of its pathology
07:44 because a patient informed is able to better manage his chronicity.
07:48 There are also many new pharmacies, many devices that have recently demonstrated
07:53 the ability to reduce mortality by cardiac failure
07:56 and therefore there is a need to work together with medical patients
08:02 to try to make this clinical situation be able to be overcome at best,
08:08 improving the prognosis of the patient himself.
08:11 What are the next steps?
08:15 The third meeting of the Let's Talk project by Sobi,
08:18 born with the aim of deepening current and unexplored perspectives in the context of rare diseases
08:24 entitled "Health Equity - Objective Experiences for a Better Quality of Life of People with Rare Diseases"
08:31 has had the theme of inclusion at the center.
08:33 Also on this occasion, as he does every day carrying out his mission,
08:37 Sobi asked himself what can be done to help improve the quality of life of people with rare hematological diseases
08:44 to achieve real health equity.
08:47 We must include them in schools, in the asylum first of all,
08:53 in schools, avoid already frequent bullying phenomena.
08:59 We must free them from thinking that they can do everything that others do.
09:05 Today this is possible and they must be aware of it.
09:09 This is called "empowerment" of the patient and their parents,
09:14 so I have to take care of them in any case.
09:17 Scientific research is making huge progress.
09:20 In addition to those achieved, new treatments are being carried out
09:23 able to ensure an ever better quality of life.
09:27 Oncological hematology in recent years, through innovation,
09:31 is really changing the design and history of various pathologies.
09:35 This is a good thing. Long live innovation, long live research.
09:40 We always talk about it, but it is always worth celebrating.
09:43 What is missing? We are missing the care of people, we are missing being close.
09:47 Today we are increasing the quantity and quality of life,
09:51 but sometimes we do not realize what the meaning of this quantity and quality of life is.
09:56 Being included on a social level, being included in a path of care is the basis today.
10:02 We focus on very refined things,
10:05 but in the end we miss the connection of taking care of these people.
10:10 Recently, SOBI launched the project "Blood Inclusivity",
10:14 which promotes inclusion in the field of hematological diseases,
10:17 also rare, and values diversity through blood, a vital element of every human being.
10:23 You can do a lot, especially not considering sick people.
10:27 That is why I like "Blood Inclusivity", which overturns the system,
10:32 which overturns the fact of showing what is in common and not what divides.
10:37 I believe that this approach should be used in all rare diseases
10:41 to avoid isolationism and exclusion instead of exclusivity.
10:47 From alarm bells and checks to the discovery of the disease,
10:56 from increasingly precise therapies to the challenges of an early diagnosis of the ovarian tumor.
11:01 The pathology is of interest in Italy at about 5,000 new cases every year.
11:05 And at the center of the meeting, sponsored by Napoli by Acto Campania and sponsored by GSK,
11:10 from the title "Let's change the route".
11:12 Doctors, researchers, institutions and patients have confronted each other
11:16 on the latest progress in research on this neoplasia,
11:19 exploring new frontiers in personalized therapy
11:22 and in the multidisciplinary approach to disease management.
11:26 In Campania we have developed two very important documents,
11:30 which are the PDTA of ovarian tumors, which defines the diagnostic and therapeutic aspects,
11:37 and the PDTA of hereditary tumors, which is part of a comprehensive plan
11:42 of the Campania region to identify tumors transmitted on a hereditary basis.
11:47 We have tried to apply both these two documents.
11:50 For the part of therapy, for example, we have selected the surgical centers
11:55 that are able to do this difficult surgery, which is the surgery of the ovarian tumor.
12:00 For hereditary tumors we have identified six centers, one per million inhabitants,
12:05 which are responsible for oncogenetic screening,
12:09 that is, for the research of mutations and then for the prevention that follows.
12:15 Today, thanks also to the work of awareness brought forward by ACTO throughout Italy,
12:19 70% of women with ovarian tumors already know the disease before the diagnosis,
12:24 but there is an aspect on which women are not yet aware,
12:28 that is the importance of the structure in which it is cured, which can make a difference,
12:32 an aspect that Campania sees among the best oncological networks in Italy,
12:36 but much more needs to be done on the prevention issue.
12:39 What IOM is trying to do is improve the equity of the treatments on the national territory
12:47 through the production of guidelines that dictate standards that we are confident to be able to say
12:55 are applied throughout the national territory, in addition to the diagnostic-therapeutic guidelines,
13:02 and to push the regional administrators, not only in Campania and in the regions of southern Italy,
13:11 but everywhere, to commit themselves much more to making prevention programs efficient.
13:18 Looking to the future, it is essential that the scientific community, researchers,
13:22 political decision-makers work together to promote prevention,
13:26 while the development of new targeted treatments and innovative therapies
13:29 offer hope for a more effective and personalized management of the disease.
13:34 We have many innovations, fortunately, both in the surgical field,
13:38 with the development of mini-invasive surgeries, laparoscopic and robotic,
13:43 but also in the pharmacological field, for example, in particular,
13:47 we have a new class of drugs called inhibitor PARP,
13:51 which we routinely use in clinical practice, but which require molecular tests,
13:57 and the quality of the treatments, today, for a center or for an oncological network,
14:01 as in our case, means identifying those centers that are also able to do molecular tests.
14:08 Not only surgery or medical therapy is enough.
14:12 From artificial intelligence applied to diagnostics, to the adoption of the cloud archiving system,
14:21 from data interoperability to computer security.
14:24 These are, in short, the topics discussed at the Next Generation Healthcare Informatics event in Milan,
14:29 organized by Philips in collaboration with the Italian Association of Asis Health Systems,
14:35 Chiems Italian Community, and the Italian Association of Clinical Engineers, AIIC.
14:39 An opportunity to compare between experts in the field, clinical engineers and managers of the IT systems
14:44 and clinical engineers of the main Italian health institutions, both public and private,
14:48 on the next challenges of digital health.
14:50 A market for this clear expansion, as demonstrated by the importance of digital informatics
14:55 to create increasingly more efficient and interconnected health systems.
14:58 In 2023, in Italy, the digital health market has grown, thanks also to the funds of the PNRR,
15:04 by about 11% compared to the previous year, and the cloud has recorded a value of 200 million euros.
15:09 A sector that certainly lives in a very particular moment,
15:13 thanks also to the redefinition of what is the paradigm of care and assistance,
15:17 increasingly territorial, and therefore must be strongly structured by an IT infrastructure
15:23 that allows an increasingly important data sharing.
15:27 We, as Philips, in particular, analyze our efforts for the evolution of platforms
15:33 that allow, in some way, to manage clinical data, which can be, for example, imaging data,
15:39 and to provide the right tools to healthcare workers,
15:42 to be able to visualize, analyze and refer these studies.
15:47 Another important theme discussed in the course of this event is that of artificial intelligence.
15:51 It is seen as a very strong frontier, also from a clinical point of view,
15:55 precisely because these algorithms will allow, in some way, to suggest
15:59 also the potential pathologies to healthcare workers, which may confirm or refuse the diagnosis.
16:05 But not only.
16:06 The last, perhaps very important, theme that has been won from all the tables
16:10 is precisely that of how much this digital transformation will be a technological transformation,
16:16 but this must also be accompanied by an organizational transformation,
16:21 and precisely of the models of care.
16:22 And so, we, as Philips, face this 360-degree transformation
16:27 with all our skills that we will put in common within all the hospital companies
16:33 that are ready to face this transformation.
16:36 What are the future prospects of the Pharmacy of Services and its healthcare?
16:40 The Pharmacy of Services and the future prospects of the evolution of healthcare in Lombardy
16:45 were the themes at the center of the annual meeting of Federpharma Lombardia,
16:49 held together with European House Ambrosetti,
16:52 with the non-conditioning contribution of GSK, MSD, Pfizer and Teva.
16:57 The event, entitled "Towards a full implementation of the Pharmacy of Services,
17:01 which contributes to the improvement of the quality of life of citizens",
17:05 highlighted the fundamental role played by pharmacies.
17:08 The data show that there are, only in the Lombardy region,
17:11 800,000 patients who go to the pharmacy every day,
17:16 74% of Lombardian patients go to the pharmacy once a month,
17:21 so the role is important as a lever also for a program and organization of vaccination
17:27 throughout the year.
17:29 I do not think only of when the need for vaccination is increased,
17:34 therefore, in the influential season, I think of anti-influential and anti-covid vaccinations,
17:40 or of the new vaccination that as a company we are bringing against the respiratory and syncytial virus,
17:47 but I also think of vaccines for adults that can and must be de-seasoned,
17:52 such as the vaccine against the herpes zoster virus.
17:56 In an increasingly connected and close to people health,
17:59 the regional network of pharmacies, with 14,000 members and more than 3,000 structures,
18:03 is becoming more and more a point of reference for Lombard citizens,
18:10 not only from the point of view of care and services, but also of prevention.
18:15 I think that vaccinating in the pharmacy, of course in agreement with the Lombardy region,
18:21 is very important.
18:23 Vaccinations in Italy, in pharmacies, started much later than in many other European nations.
18:29 I remember Portugal, which even vaccinated pharmacists 15 years ago.
18:34 Now we do it, we started doing it during a sad period in our history,
18:38 which was that of covid.
18:40 We can do this type of vaccination, we can vaccinate people against influenza,
18:44 but how important would it be to vaccinate them, for example, against herpes zoster,
18:49 against HPV, against antipyremic, maybe even for tetanus?
18:54 I think that if we want to do prevention in our country, prevention in the pharmacy,
19:00 and also in this region, we must increase the possibility that pharmacists can vaccinate.
19:08 To win the challenge of the expansion of the vaccination coverage of the general population,
19:12 with particular reference to the elderly, the frail, the chronic patients,
19:16 pharmacies can play an important role, as shown by the case of Marche.
19:22 Governor Aquaroli has taken the opportunity to use pharmacists to increase vaccination coverage,
19:29 and I would say that the experiment, because this is the experiment, has had a very important success.
19:35 What is important to emphasize is the fact that the citizen appreciates this ability
19:41 to choose the time of vaccination.
19:44 It is evident that pharmacies with extended schedules, pharmacists always present on the territory,
19:49 Saturday, Sunday, holidays, almost every day of the year, are an extraordinary opportunity
19:54 also to raise the vaccination coverage of our country, which objectively are not at fantastic levels.
20:01 This was our latest news, to contact us you can write to salute@adnchronos.com
20:11 Thank you for following us and see you next time.
20:14 [Music]