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Dáil Éireann debate -
Tuesday, 12 Oct 1999

Vol. 509 No. 1

Written Answers. - Medical Treatment.

Jim O'Keeffe

Question:

214 Mr. J. O'Keeffe asked the Minister for Health and Children the number of people estimated to suffer from asthma; and if he will make available to them free or subsidised medical treatment and drugs. [19634/99]

As asthma is not a notifiable disease, there are no precise statistics available on the number of people with the condition. For the most serious asthmatic reactions requiring hospitalisation, data is available from the hospital in-patient inquiry – HIPE – system. The data available in respect of males and females for 1998 is set out on the attached table. These figures are based on principal diagnosis and include day cases and in-patients. It should be noted that information is not available from private hospitals and that a person attending hospital several times in a given year is counted separately in the statistics for each visit.

The drug cost subsidisation and drug refund schemes were merged into one new drug payment scheme with a threshold of £42 per month per individual or family unit on 1 July 1999. The primary aim of the new drug payment scheme is to bring about important improvements in the existing schemes and the scheme is designed to be more streamlined, user friendly and significantly improve the cash flow situation for families and individuals incurring ongoing expenditure on medicines.

Persons who are unable, without undue hardship, to arrange for the provision of medical services for themselves and their dependants may be entitled to a medical card. In determining eligibility, the local health board will have regard to the financial circumstances and medical needs of the applicant. In this regard, income guidelines are used by health boards to assist in determining a person's eligibility. These guidelines are not statutorily binding and even though a person's income exceeds the guidelines, the person may still be awarded a medical card if the chief executive officer considers that the person's medical needs or other circumstances would justify this. Medical cards may also be issued to individual family members on this basis. Eligibility for a medical card is solely a matter for the chief executive officer of the relevant health board to decide.

I am satisfied that appropriate and comprehensive support is being provided by the State to those with ongoing medical expenses such as people with asthma.

Daycases

Inpatients

Total

Grand Total

Male

Female

Male

Female

Male

Female

Total M+F

Aged 0-9

Cases

14

4

1670

898

1684

902

2586

Aged 10-19

Cases

21

16

522

563

543

579

1122

Aged 20-29

Cases

23

20

198

298

221

318

539

Aged 30-39

Cases

15

18

150

213

165

231

396

Aged 40-49

Cases

17

18

171

350

188

368

556

Aged 50-59

Cases

10

12

181

308

191

320

511

Aged 60-69

Cases

13

16

183

307

196

323

519

Aged 70-79

Cases

5

3

197

262

202

265

467

Aged 80+

Cases

0

3

62

96

62

99

161

Total

118

110

3334

3295

3452

3405

6857

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