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Riesgo de autoritarismo: la hepatitis C transmitida por fibrinógeno en Japón
1Department of Planning, Information and Management, University of Tokyo Hospital, Tokyo, Japan. yasunagah-jyo@h.u-tokyo.ac.jp
Lancet (London, England)
|December 18, 2007
Resumen
El uso de concentrado de fibrinógeno en Japón condujo a 10.000 infecciones por hepatitis C debido a cambios atrasados en las políticas. Esto pone de relieve la necesidad de que los científicos y los responsables políticos actualicen continuamente las prácticas basadas en la evolución de la evidencia científica.
Área de la Ciencia:
- La medicina es la medicina de la medicina.
- Salud Pública La salud pública.
- La historia de la medicina y la historia de la medicina.
Sus antecedentes:
- El concentrado de fibrinógeno fue ampliamente utilizado para el sangrado obstétrico en Japón hasta 1988, a pesar de la revocación de la licencia en los Estados Unidos en 1977 debido a los riesgos de hepatitis.
- Los textos académicos de obstetricia en Japón siguieron recomendando el concentrado de fibrinógeno incluso en 1997.
Objetivo del estudio:
- Para analizar el impacto de los cambios de política retrasados con respecto al uso de concentrados de fibrinógeno en Japón.
- Examinar el papel del autoritarismo en el impedimento de los ajustes efectivos de la política de salud pública.
Principales métodos:
- Revisión histórica del uso y la concesión de licencias de concentrado de fibrinógeno en Japón y Estados Unidos.
- Análisis de las respuestas de las políticas de salud pública a la evidencia científica sobre la transmisión de la hepatitis.
Principales resultados:
- Se estima que 10.000 casos de infección por hepatitis C en Japón están relacionados con el uso de concentrados de fibrinógeno.
- Las estructuras autoritarias dentro de la comunidad médica impidieron reformas políticas oportunas.
Conclusiones:
- El uso continuado de concentrado de fibrinógeno en Japón resultó en una transmisión significativa de la hepatitis C.
- Existe una necesidad crítica de adaptación continua de las políticas de salud pública para alinearlas con los avances científicos.
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