Legal and ethical aspects of closing your practice.
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The author focuses the question of hospital infection, analysing the background on which the control committees were created. The hospital infection is discussed under bioethical principles and the Medical Ethics Code, examining the aspects related to the government, the Hospital Directorship, the Committee and the Control Service of Hospital Infection, and the assisting physician. A closer integration between the activities of the Program of Control of Hospital Infections and those of the Medical Ethics Committee is proposed, aiming at the patient and at the community, "targets of total medical attention".
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A historical review of the terms health and sickness in human beings and animals. The terms health and sickness have changed from ancient history to the present day and have also been modified. The notions of what life really is, when it starts and when it ends, have contributed to these changes. Historically, health and sickness have generally been interpreted anthropocentrically in the course of time, rarely has the companionship between man and animal been taken into account. A closer look over the past three millennia as to the science of the dynamics of diseases, the humoral pathology and the solidistic pathology, leads to the conclusion that the terms sickness and health have only been understood in general, not in detail. In the last decades of the 19th century and up to the present day an essential change of the notion of sickness was initiated through cellular pathology by R. Virchow (1821-1902). Eventually, bacteriology, virology, molecular biology and gene technology have established new standards with regard to health and sickness and have paved the way to the present holistic medicine, which is based on science. Sickness is defined as a verifiable divergence from the norm of anatomical, physiological, immunological and psychic conditions of an organism and, accordingly, as a pathological form of being, implying a disturbance of homeostasis. The legal issues such as the federal laws on epidemic diseases of human beings and animals and on insurance are dealt with in conclusion.
The constantly growing world population and the altered consumption pattern have considerably increased the demand for more, and more refined, food, particularly that of animal origin. Altered methods of production, highly concentrated froms of animal husbandry but also the resulting increase of the need for the cheapest possible materials for the mixed feed industry, the more rapid and greater transport facilities, the markedly increased trade in animals and particuarly in products originating fromthese animals, they all involve an increased risk of the import and outbreak of animal disease. The increased use of animal drugs, production-increasing agents and pesticides involve the danger of injurious residues being left in products of animal origin as a result of the comulative factors in animals. Therefore, the entire chain of production, beginning at the earliest possible stage, should be closely supervised. Supervisotry programmes of the Chief Veterinary Inspectorate of the Ministry of Health and of the Veterinary Service are, in a manner of speaking, the search-lights which, thanks to the refined methods of analysis developed by research workers, are able to detect and point out failings and deficiencies. An anticipated amendment of the Livestock Breeding Act, an anticipated replacement of the Antibiotics Act and a regulation forming part of the Statutory Trade Organization are designed to make it possible to respond more promptly to these signals.