BRAZIL: MEDICAL & PERSONAL INJURY RISKS

INFECTION

Chikungunya 21,000 in 2015 Aedes aegypti A albopictus

Dengue 1.6-million in 2015  Aedes aegypti  A.albopictus

Leishmania infantum Transmitted by Sand Fly Lutzomyia longipalpis. Vector mainly dogs. Incidence 1.9/100,000.

Trypanosoma Cruzi (Chaga's Disease) " Barbiero" in Brazil. Spread through faeces of Triatomid insects; contaminated food; blood transfusion;.

Zika virus Aedes aegypti  & A.albopictus

BOMBING & SHOOTING eg 2013 Boston Marathon. ; 1972 Munich Olympics attack.

KIDNAPPING:: BBC reports in Mexico 270 a day kidnapping INSURANCE advised

BMJ: ROTARIAN & UNITARIAN Dr Charles Killick MILLARD (1870-1952) MB CM(Edin) MD DSc

Founded Voluntary Euthanasia Legislative Society (now Dignity in Dying)

Medical Officer Health Leicester (1900-1935)

BMJ 1952 1,660-1

WHO STATS 2016

HIGHEST  MALE  LIFE  EXPECTANCY

SWITZERLAND /\81.3; Iceland 81.2; Austria 80.9; Sweden 80.7; Israel 80.6; Japan & Italy 80.5; Canada 80.2

HIGHEST  FEMALE LIFE EXPECTANCY

JAPAN 86.8; Singapore 86.1; Spain & S.Korea 85.5; France 85.4; Switzerland 85.3; Australia 84.6

COMMENT: by blog.

SWITZ: Medical care covered by private insurers. Gov pays for insurance if necessary.

JAPAN> Heavy smokers but highest ratio of Hospital beds.

SWITZERLAND The Local: Minimum Income

June 5 Swiss will vote on a minimum INCOME for all Swiss of CHF 2.500/month. = Can $ 3250, Cost of living in Switz approx twice that of Canada. McDonald's  Zurich Filet-of-Fish combo (small) Can$12..

SPIEGEL ONLINE(ENGLISH) CHIKUNGUNYA IN NORTHERN ITALY

Tropical mosquitoes gain foothold in Europe, Important article free. Northern Italy: 1 dead 200 infected with Chikungunya virus, Traveller from India with Chikungunya virus bitten in Italy by
Asian Tiger mosquito,

DAILY MAIL BOOTS & LLOYDS pharmacies to offer GP services

Boots to offer "sore throat check" at GBP 7:50 and  referral photo of melanotic skin lesion to Dermatologist for GBP 35. Lloyds pharm to offer Cardiac check. Although these services are free on NHS the pharm. services saves time at GP office, parking costs and no waiting, In Ontario pharms already are paid by the Province to give yearly 30 min advice for about $50 . Pharms can alter a MD prescription. Can give vaccine injections,

Medical Tourism

Present lack of money for Ont medicine has increased medical tourism to most expensive private hospitals in Europe incl Switzerland and UK,  No waiting list and hospital stay at advice of doctor and patients' request, In one London private hospital patients are screened before admission for infection. Majority of central Toronto home owners are property millionaires, Princess Margaret Cancer hospital Stem cell programme stalled through because of money problems, As well PMH level of hygiene can be improved. Many now Catastrophic insurance up to $2million. Doctors can only be paid privately if the service is not covered by OHIP or the client is non-Canadian resident,
Canucks from different provinces submit bill to their Provincial insurance, Patients who require Stem cell treatment are being referred to USA hospitals; OHIP paying for treatment but not travel and hotel expenses.

ONTARIO PRIVATE MEDICINE

In Canada ,medicine is Provincially administered. Funded partially by Federal Govt, Doctors piece-work fees have been cut again. Since 1970 OHIP pays approx 50% of OMA recommended fees, About a drop of 1% a year over 45 years, Doctors are diversifying their portfolios, Doing non-insurance medicine such as COSMETIC MEDICINE OHIP does not pay for removal of non-malignant lesions. Doctors are leasng lasers for cosmetic treatment. Hair transplants are private,
EYE EXAMINATION between 20-64 are not covered. Cost $60-100 depending on service. ORTHOTICS have profit margin of 300-400% SPORT MEDICINE is also private.inc Physiotherapy,Some doctors including Russian organise medical clinics, No medical license required as they do not treat patients, Clinic doctors pay 30% of their monthly income, Nurse Practitioners are slowly replacing GPs including the right to aid patient to end their life,