Extending and issuing new licenses for nearly 900 types of drugs; Piloting a pre-marital health check-up model

Medical news on August 16: Extension and issuance of nearly 900 new drugs; Piloting a model of pre-marital health check-up

The Ministry of Health has just issued a document extending the registration of nearly 900 more pharmaceutical products, including 30 original brand name drugs, nearly 400 domestically produced drugs, and the rest are foreign drugs.

These include drugs including proprietary drugs, vaccines and medical biological products that are newly granted and renewed for a period of 5 years; 3 years and until December 31, 2025.

Illustration photo.

These are new issuances and renewals according to the provisions of the 2016 Pharmacy Law. It is known that the domestic and foreign pharmaceutical products, original pharmaceuticals, and vaccines that have been newly issued and have their circulation registrations renewed this time are quite diverse in terms of pharmacological effects, including drugs for cardiovascular treatment, hypertension, diabetes, cancer treatment, antiviral drugs, drugs for respiratory diseases, antibiotics, antipyretics, analgesics, other common anti-inflammatory drugs... and vaccines and biological products that are in high demand for use in medical examination and treatment, and disease prevention.

The Ministry of Health requires that drug manufacturing and registration establishments are responsible for manufacturing drugs in accordance with the records and documents registered with the Ministry of Health and must print the registration number issued by the Vietnamese Ministry of Health on the drug label.

At the same time, update drug labels and instructions for use according to regulations. In addition, the Ministry of Health also requires drug manufacturers and drug registration facilities to coordinate with treatment facilities to comply with current regulations on prescription drugs, monitor the safety, effectiveness, and adverse effects of drugs on Vietnamese people, and summarize and report according to regulations...

Drug registration facilities must ensure that operating conditions are maintained during the validity period of the drug and drug ingredient circulation registration certificate.

In case the registration facility no longer meets the operating conditions, it must be responsible for changing the registration facility according to the provisions of Circular No. 08/2022/TT-BYT within 30 days from the date the registration facility no longer meets the operating conditions.

Saving the life of a child with complex congenital heart defects

Doctors and nurses at the General Surgery Center, National Children's Hospital, received and successfully performed surgery on a boy named Tr.QD (6 years old, in Hanoi) with congenital diaphragmatic hernia accompanied by ectopic kidney in the chest and isolated lung.

This is a complex congenital malformation with a high mortality rate, requiring expertise and close coordination between different specialties.

Previously, the child was hospitalized due to chest pain and recurrent respiratory infections. The child was clinically examined by doctors, had chest X-rays and CT scans, and the observed images showed a left diaphragmatic hernia with herniated organs being the spleen, colon, small intestine, and an ectopic left kidney on the chest.

Realizing that this was a complicated case of diaphragmatic hernia, the doctors of the General Surgery Center held a consultation chaired by Associate Professor, Dr. Pham Duy Hien, Deputy Director of the National Children's Hospital and Dr. To Manh Tuan, Head of the Department of Thoracic Surgery, agreeing on the diagnosis and surgery to return the herniated organs to the abdomen and reconstruct the left diaphragm, while preparing the means for active resuscitation before, during and after surgery for the child.

During surgery, because the herniated organs have existed in the chest for a long time, along with the large size of the child's chest, the injury is adhesive and bleeding.

In particular, during the surgery, the surgical team discovered an abnormality accompanied by an isolated lung with a direct arterial supply from the thoracic aorta and a vein draining into the ectopic left renal vein.

After 3 hours, the surgery was successful, the child's abnormal isolated lung mass was removed without damaging the left renal vein, the herniated organs (including the ectopic left kidney) were returned to the abdomen, the left diaphragm was reconstructed and returned to its normal anatomical position.

Postoperative CT scan also showed that the herniated organs had returned to their original anatomical position, the diaphragm had healed well, and the left lung had expanded completely. Evaluation of blood circulation and left kidney function after returning to the abdomen showed no abnormalities.

The patient was treated post-operatively and was discharged 7 days after surgery to the joy and happiness of the family and medical team. After discharge, the child was re-examined after surgery and found to be stable, the surgical wound was clean and dry, and a chest X-ray showed that the left diaphragm was healed and in the correct anatomical position.

Diaphragmatic hernia with ectopic kidney in the thorax is a rare lesion (accounting for 0.25% of all cases of diaphragmatic hernia). In the world medical literature, this lesion has only been reported with individual clinical cases.

In addition, the lesion in Tr.QD's case was accompanied by a congenital malformation of the lower respiratory tract (an isolated lung mass) that was vascularly related to the ectopic kidney, which was not observed on preoperative imaging.

Over the years, the Department of Thoracic Surgery, General Surgery Center, National Children's Hospital, in collaboration with related units in the Hospital, has successfully treated hundreds of children with congenital diaphragmatic hernia.

This is one of the complex congenital malformations with high mortality rate, requiring expertise and coordination between many clinical groups of different specialties.

Mastering the resuscitation and surgery process for congenital diaphragmatic hernia has opened up much hope for babies who are unfortunately born with this congenital defect.

Doctors also said that with the development of prenatal diagnostic methods, diaphragmatic hernia can be diagnosed early in pregnancy, helping to predict fetal development and best prepare for resuscitation, significantly increasing the ability to save the patient's life.

Hanoi pilots pre-marital health check model

The Hanoi Department of Population has just coordinated with the Bac Tu Liem District Medical Center to organize a conference to pilot a model of providing pre-marital health examination and counseling services in 2024.

Speaking at the Conference, Mr. Vu Duy Hung, Head of the Hanoi Population Department, said that the quality of the capital's population has been gradually improved, with significant contributions from pre-marital health consultation and examination activities.

In particular, the rate of young men and women receiving pre-marital health consultation and examination increases every year. If in 2022, this rate was only 31.9%, by 2023 it increased to 53.7% and in the first 6 months of 2024 it reached 63%.

However, according to Mr. Vu Duy Hung, currently in the city there is no connection between people who need pre-marital health check-ups and medical facilities. Many people are advised and promoted to have pre-marital health check-ups but do not know where to go for check-ups or what to check. Some people even go for regular health check-ups and think they have had a pre-marital health check-up.

Since 2022, the Hanoi People's Committee has issued a decision approving the project to expand screening, diagnosis, and treatment of some prenatal and neonatal diseases and disabilities by 2030, in which the project's target is that the rate of young men and women receiving pre-marital health consultation and examination by 2025 will reach at least 85% and by 2030 will reach at least 95%.

To implement the assigned project targets, the Hanoi Department of Health has planned to deploy a pilot model on this work in 2024.

Under the direction of the Department of Health, the Hanoi Population Department has selected Bac Tu Liem district to pilot a model of providing pre-marital health examination and consultation services.

Since April 2024, the Bac Tu Liem District Medical Center has coordinated with relevant units to deploy this pilot model. Up to now, after 5 months of implementation, Bac Tu Liem District has focused on the following tasks: Developing and implementing detailed plans, arranging and decorating consulting rooms, communication materials... ensuring professional regulations, meeting the right to access information, the right to be provided with services, the right to privacy, the right to keep personal information confidential and some other basic rights.

In addition, at the consulting room of Bac Tu Liem District Medical Center, 64 people were directly consulted and 156 people were consulted by phone. The subjects of consultation were between the ages of 16 and 30, mostly couples preparing to have children and students.

The pre-marital health examination and consultation room is deployed in Bac Tu Liem district and is maintained daily and weekly. Here, there are medical staff on duty to promptly meet the needs of health examination and consultation of young men and women in the district.

“The purpose of this model is to improve the effectiveness of pre-marital health examination and counseling services. From the pilot model, it will be expanded throughout the city to contribute to ensuring sustainable marriages and improving the quality of the capital’s population,” Mr. Vu Duy Hung emphasized.

Source: https://baodautu.vn/tin-moi-y-te-ngay-168-gia-han-cap-moi-them-gan-900-loai-thuoc-thi-diem-mo-hinh-kham-suc-khoe-truoc-khi-ket-hon-d222538.html