Share -->PrintHomeGlobal Health PolicyKaiser Daily Global Health Policy ReportMay 13, 2015Brazil’s Dengue Outbreak Highlights Issues Within National Health Care SystemMay 13, 2015

Reuters: Brazil dengue outbreak exposes tough challenge for Rousseff
“An epidemic of dengue fever is fanning public anger over what Brazilians say is President Dilma Rousseff’s biggest challenge — the sad state of the national health care system. … Health Minister Arthur Chioro has blamed the outbreak in part on a severe drought in Brazil’s southeast, an area including Sao Paulo where dengue has been most prevalent. … However, many point their finger back at the government. Brazil promises universal health care in its constitution, but the system is underfunded and poorly managed, critics say…” (Winter, 5/12).

Share -->PrintHomeGlobal Health PolicyKaiser Daily Global Health Policy ReportMay 13, 2015Devex Examines World Bank President Jim Kim’s ‘Science Of Delivery’ SystemMay 13, 2015

Devex: Inside Jim Kim’s ‘science of delivery’
“…Kim’s emphasis on delivery and systematically sharing knowledge can be traced at least back to his time at the World Health Organization from 2003 to 2006. It was at the WHO where Kim noticed that policymakers and health care workers with access to similar resources achieved different health outcomes. … Then Kim came to the World Bank where he sought to push the envelope at the institution by making the transition from a ‘knowledge bank’ to a ‘solutions bank’ that enacts a systematic science of delivery…” (Tyson, 5/12).

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MONDAY, May 11, 2015 (HealthDay News) -- The Senza spinal cord stimulation system has been approved by the U.S. Food and Drug Administration to treat chronic back pain without the tingling sensation that characterizes more traditional pain-relieving methods.

The implanted device uses high-frequency stimulation to avoid the tingling sensation known as "paresthesia," the agency said in a news release. Spinal pain could be characterized by conditions including failed back surgery syndrome, low back pain and leg pain.

Before treatment with Senza begins, potential users are treated with a trial system for a week or two, the FDA said. Once a physician determines that the trial device has worked, patients have minimally invasive surgery to implant Senza in the upper buttocks or abdomen. The device includes a patient-operated remote control.

Senza's safety and effectiveness were clinically evaluated in a study involving nearly 200 people. Three-quarters of those treated with Senza reported pain reduction of about 50 percent, the FDA said. The most common adverse reactions included pain at the implant site and dislocation of the device lead after implantation.

The system is manufactured by Nevro Corp., based in Menlo, Calif.

-- Scott Roberts
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