|María José Moya, head of the SISS and a severe MCS sufferer|
(photographer: Nekane Lazkano)
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24 septiembre 2014
SPAIN OFFICIALLY RECOGNISES MULTIPLE CHEMICAL SENSITIVITY, the condition of the “bubble people” - official press release. English version
Sufferers cannot tolerate many of the chemicals that are used in our everyday lives
Spain officially recognises Multiple Chemical Sensitivity, the condition of the “bubble people”
• MCS didn’t “exist” before from an administrative point of view, which involved a “complete defencelessness situation” for the sufferers.
• The addition of the condition to the healthcare system has been carried out in accordance with the WHO approved guidelines which other countries had already adopted for this disease.
MADRID. SEPTEMBER 24, 2014
Spain has officially recognized Multiple Chemical Sensitivity (MCS), including it in its International Classification of Diseases (ICD), the diagnostic tool used by the Healthcare System to classify and codify diseases. This way is authorised by the World Health Organisation (WHO) so that governments can make official – always conforming to specific guidelines – certain diseases and disorders which have not been classified yet at an international level by the WHO.
Spain is thus the latest addition to the list of countries which officially recognise MCS as a valid diagnosis, like Germany (2000), Austria (2001), Japan (2009), Switzerland (2010) or Denmark (2012).
The process was carried out through a non-legislative act submitted by MP Maria del Carmen Quintanilla (Popular Party) who received a request from the Fund for the Protection of the Environmental Health (Fodesam) together with the Multiple Chemical Sensitivity and Environmental Health Information Service (SISS).
A long-awaited recognition
Recognition had been an old claim by the ever growing number of people suffering from this condition. who live a daily perennial torment because, as the MP explains, “many of the everyday chemical products that we use can cause them multiple reactions like difficulty to breath, palpitations, nausea, skin rashes or recurring headaches. For that reason, MCS changes completely the life of those who suffer from it, and often forces them to adopt countless prevention measures not to get in touch physically nor indirectly through the air with those products”. So for these individuals, simply going out or into a shop can turn into a virtually impossible task.
Aside from this suffering, there is the inappropriate treatment that many of these patients receive from the healthcare system, a situation that will hopefully change slowly with the recognition of the disease.
Although the main and most important change that the addition of MCS in the ICD will bring is the most essential aspect for an MCS sufferer: that its health and legal existence is recognised. Since what does not appear in the ICD is left in administrative “limbo”, the consequence is that patients are “totally defenceless”, as stated in the initiative Explanatory Memorandum, “because as well as suffering the painful side effects, they cannot be assisted appropriately by the state health system.”
Accordingly, the non-legislative act points out that its purpose is “to offer recognition of this physical disorder associated to the exposure to toxic chemicals and thus to provide and facilitate its clinical and legal management” so that the people affected “can enjoy basic rights in terms of healthcare and assistance and other rights associated stated in the Universal Declaration of Human Rights and in every democratic country constitution.”
“It is a matter of justice”, the popular MP puts forward. “The best present solution so that the sufferers can get out of their current state of defencelessness”.
A perennial torment
Carlos de Prada, Fodesam executive director, says “these people’s lives are incredibly difficult. As María del Carmen Quintanilla has pointed out, their lack of tolerance to synthetic substances commonly used in nowadays society, even at extraordinarily low levels of exposure which are apparently “acceptable” for other people, makes their daily lives extremely complicated since they are often forced to live shut away inside their house, almost like “bubble people”, and to wear a mask the very few times they can get out, in the midst of a general lack of understanding.”
MCS affects the central nervous system, but it may also cause malfunctions in other systems such as respiratory, gastrointestinal or heart problems. As stated in the non-legislative act, it is a “chronic, emerging, toxicant-induced and environmental” condition that causes a “physiological reaction to multiple environmental chemicals” which can be found in air fresheners, perfumes, personal hygiene products, cleaning products, food, tap water, clothes, cosmetics, cigarettes, etc. Consequently, the management of the situation is complicated because, apart from the different degrees of severity and the fact that symptoms can vary depending on the specific health parameters and the “chemical” environment of the patient, as it happens with other illnesses, “sufferers quality of life is greatly affected”, according to the non-legislative act.
“The European Parliament includes MCS on the growing list of conditions linked to environmental factors”, says the act. María José Moya, head of the SISS and a severe MCS sufferer, warns that “after all, we live with a daily overabundance of synthetic substances, each with a different level of certainty or uncertainty about their effects on human health, both individually and in synergy. It was only a matter of time before MCS appeared.”
Timeline of the process leading up to MCS recognition
From Fodesam and the SISS they explain: “the initial situation has been complicated. On the one hand, Spain is currently in the process of drafting the new Spanish ICD-10-CM classification (the updated version which will replace the 15-year-old ICD-9-CM), and on the other hand, the national health system allows diagnosis according to two versions (ICD-9-CM and ICD-10, depending on the region and the type of health centre).
Given the complexity of the situation, the application to make MCS official was submitted to the Chamber of Deputies (lower chamber of Spanish Parliament), where it was processed as a non-legislative proposal in April 2013 thanks to MP María del Carmen Quintanilla. The processing started on November 6 2013 before the Committee on Health Care.
After a year and a half, the procedure final result has been inclusive. While the Ministry of Health put forward what the non-legislative act demanded during the processing (that is, including MCS in the current ICD-CM), the Chamber of Deputies has urged the Government in its final non-legislative act draft to include MCS in the coming ICD-CM. This proposal was passed unanimously on June 11 by all present Committee parties: PP, PSOE, IU, CiU and UPyD.
Finally, the Ministry of Health received in July a comprehensive report on MCS drafted by the SISS to support with documents the current open execution process, together with an update that has followed in September after the institutional summer vacation period.
“Once MCS is recognised, a close monitoring must be put in place to foster its comprehensive and correct implementation in the healthcare system and by all health professionals”, say Fodesam and the SISS. “In this sense, the report handed in to the Ministry provides a preliminary set of recommendations”.
As indicated by its author, María José Moya, “in addition to this, the report offers unpublished information and varied documentation on MCS regarding the countries where it is recognised, the European Union, the WHO, Spain, etc., and mentions over a hundred quality research studies (“peer-reviewed”) carried out until 2014.
So far, no other similar project had been developed, and we will spread it among professionals and all those showing an interest in it, since we believe it will facilitate a good understanding of the illness and how the healthcare system must tackle it”.
[Translator from Spanish: Olga Aguinaga. English teacher, severe MCS sufferer]
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