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Newsletter 02/2012 14thJune 2012 european umbrella organisation for psoriasis movements The Dear member of EUROPSO, As you can see the new infoletter of EUROPSO has a different format, this format is in line with our new website and leaflets. You will all be aware that the IFPA congress in Stockholm is getting close and of course EUROPSO will be present. We will also have a booth at the exhibition area with information about the latest EUROPSO projects. We hope that we will be able to meet some of you in Stockholm! Best wishes, The Executive Board of EUROPSO Professor Günter Schäfer It is with deep regret that the EUROPSO board has to inform you about the death of Professor Günter Schäfer. Günter Schäfer was one of the founders of EUROPSO and a former president of our organisation. He was also the pioneer for Fumarate. Professor Günter Schäfer was 88 years old. Prof. Günter Schäfer Situation Poland Seeing as all eyes are directed at Poland and the Ukraine for the European Football championship, we thought it was time for an update about the situation in Poland for psoriasis patients. Poland is the only EU country that does not reimburse the biological drug therapy for patients with the most severe forms of psoriasis in a manner allowing full access to all patients in need of such treatment. This therapy is the chance for a complete remission and stopping the further formation of skin which means stopping the progression of the disease. These drugs by stopping the illness allow the most seriously ill patients to simultaneous normal life. Currently, in Poland, a small group of patients are in use of this therapy but the treatment does not proceed on the basis of the therapeutic program, although it had to be implemented and everything was prepared in December 2011 (see repeated promises of the Minister of Health Ewa Kopacz and Deputy Minister Andrzej Wlodarczyk) Until now, patients with psoriasis do not have access to drug programs which supposed to replace the therapeutic programs. Biological treatment which is theoretically available from hospital services does not provide treatment to all patients in need. It is estimated that in Poland there are between 800 thousand to 1.2 million people suffering from psoriasis. Availability to provide biological drugs improve the health of only around 1-2 thousand patients. Contracts with the NFZ for dermatology are very low priced. As a result of undercutting dermatology contracts: Many dermatological sites are closed or heavily reduced. Fotodermotherapy, very important basic treatment, minimally invasive method of treatment of many diseases including psoriasis brings providers financial losses and is offered in a few centers. The introduction of biological treatment in a hospital under standard contracts puts dermatologists in the position to decide whether to treat most severe patients and have empty hospital beds or give treatment to less sick patients with traditional methods. Therefore selecting the first of these possibilities results in a reduction of the number of beds in hospital by the hospital management and ultimately reduces the availability of hospital treatment of skin diseases. There is a lack of psychological support for patients (both in hospitals and in clinics), which is standard in other countries. There is no possibility and availability of more accurate diagnostic tests. It is now known that psoriasis is often associated with other diseases which mean there is a serious threat to patient’s life. Treatment of psoriasis should be associated with the diagnosis of the full body to detect provocative factors of psoriasis, also detection and treatment of associated illnesses. There is improper functioning of referral systems to sanatoriums after hospital treatment. Referral received after staying in hospital for several months is not a continuation of treatment. What more it can shorten the duration of remission and cause a rapid return to the hospital which means increased costs of treatment of the patient. Psoriasis is not included in the National Health Program for 2007-2015 Introduction of a therapeutic program for LZS in December 2011 revealed a very serious problem. The difficulties with getting to the program have patients who have previously received biological drugs based on other terms for example through hospital services or through research programs and drugs have helped them. Because of that currently these patients do not have severe enough symptoms of the disease to qualify for the biological treatment program that is; paradoxically they have to wait for the disease symptoms to come back and are breaking current treatment of the disease. In a letter given to the minister of health and the President of the National Health Fund the problems as described above were pointed out and questions about these problems have been asked. In addition, under the guidance of prof. A. Kaszuba, National Coordinator for Dermatology there is an action conducted for „1000 signatures for thousands of patients” It‘s about gathering thousands of signatures from dermatology doctors who support the introduction of biological treatment program for patients with psoriasis. Fashion show Ireland On the 3rd of May last a new support group was formed in Ireland‘s second city Cork. To mark this there was a fashion show held. The title of the fashion show was “Dare to Reveal” in which all the models on the night shared one thing in common; they all suffered from psoriasis. There are approximately 10,000-15,000 sufferers in the Cork city and county region alone. Special guest on the night was the runner up in the presidential campaign and successful business man, Mr. Sean Gallagher who is also a psoriasis suffer. Also present were Mrs Caroline Irwin, from the Psoriasis Association of Ireland and Mr. Ronan Farrelly of Europso. It was estimated that almost 250 people turned up on the night with many others buying tickets although not being able to attend. A big congratulations must go out to the organising committee Theresa Tierney Bugler, Lisa O Connor and Siobhan Hurley, who over the previous number of weeks brought the show from a concept to reality. From the left: Theresa Tierney, Sean Gallagher, Trish Gallagher, Lisa O Connor & Caroline Irwin 30 Years Psoriasis League Flanders In this year, 2012, the psoriasis patient organisation of Flanders, Psoriasis League Flanders, is celebrating its 30 year existence. This will officially be celebrated on the 20th of October at Elzenveld in Antwerpen. The motto of that day will be: “Happy Pso day”. Apart from several secondary activities there will be four panel discussions: 1. Young and active people with psoriasis 2. Older people 3. People with psoriasis arthritis 4. Happiness brought by Leo Bormans, the author of the book “Happiness”. This performance will take more than one hour. The first three panels will be presented by Andrea Croonenberghs, a well know actress from the popular Belgium police series “Flikken”. In the context of the 30 year existence of the organisation the president of Psoriasis League Flanders, Paul De Corte, wrote the following article: “Soon we will be able to treat our psoriasis online”. With that thought I woke up on a freezing morning. The medical developments are going at a phenomenal rate and everything that is new can immediately be found on the internet. “This way we will soon be our own doctor”, I fancied on. But better informed than before, we now want to have our own say at the doctor. We want to determine how and which treatment we wish. And just maybe a tailored treatment is not as far away. Because both patient and doctor have their contribution; the doctor gets his wisdom from medical data and practice, the patient tells about his own experience in coping with a skin disease and the treatment of that. What the patient contributes is definitely not of less im-portance, often it is about the quality of life. The pharmacy has understood that. Whether or not people are being treated in a comfortable way determines, in a large part, the quality of life for the patient. How easier and more effective the treatment, the more faithful to the treatment, the bigger the quality of life! And let us be honest: scientist and pharmacies, they really do their best for us. But despite the beautiful perspectives and great medical developments, I am worried. We are at the point of losing sight of each other. Everybody is fighting their own battle. ‘If only I can find something that will help me’ is becoming the new device. Thirty years of psoriasis association can not end in ‘every man for himself’. Can it? And still it looks like the patient in the 21st century is only concerned with his disease/his health and looses track of the bigger picture. We do get better informed thru the internet but we still need each others support and experience. We need each other with our disease. To ‘know’ more is very important but it does not necessary lead to more happiness. You must be able to share happiness! I don’t get really happy when someone says: “When my psoriasis staid away, I left the association and now that my psoriasis is back I rejoin the club.” Or that young person who only wanted to help if it would get him in Israel for financially great conditions. He wasn’t interested in the rest. Or those countless callers and emailers who try everything to get information without having to become a member. It brings us to the questions of the sense and nonsense of our psoriasis association. What do people with the same disease gain from a self help group? The most important thing, I think, is that people realize that they are not alone with their disease! Several researches show that psoriasis patients are defensive. We often lead an ‘armored’ existence because our skin disease doesn’t look good and can never be fully tucked away or cured. In that respect is the effect of contact between partners in misfortune is of great value. Fellow sufferers realize better than anyone else that in the heat of the battle others experience the same as they do. Psoriasis has a waving, unpredictable and erratic progress and at certain times people need others. Our psychological capacity is not always the same. A fortifying word at the right time can do wonders. Apart from passing on information, our association also has the job of representing the psoriasis patients, a bit like the unions do for their colleague employee. The bigger the solidarity the more one achieves. What an individual cannot achieve can maybe be realized with the power of the number. This year, 2012, our association exists 30 years. In 1982 psoriasis was seen as a dirty, shadowy skin disease, about which you would better keep quiet. Nowadays nobody with psoriasis has to hide. And you have to come from outer space to not have heard about the disease. Contact Information EUROPSO Secretary André Cats Kimwierde 420 NL 1353 EZ Almere Tel (0)031 365 313 052 Mobil (0)031 621 560 918 [email protected] www.europso.eu