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Seanad Éireann debate -
Thursday, 27 Sep 2012

Vol. 217 No. 5

Adjournment Matters

Health Services

I welcome the Minister of State, Deputy Perry, to the House to deputise for the Minister for Health on this important issue. My question pertains to sufferers of narcolepsy that is a direct result of a vaccine against swine flu that was not only provided by the State but sponsored by it through GPs and schools in 2009 and 2010. Unfortunately for many parents this has turned into their worst nightmare.

In the last fortnight I became a grandfather myself for the first time and everyone knows families hold their children dear to their hearts, not wishing for anything untoward to happen to them, wanting to protect their health and well-being, and to ensure good life experience and opportunities. In this case, however, as a result of this vaccine it is accepted there has been a 13-fold increase in incidences of narcolepsy. The parents and families have waited patiently for two years for any meaningful and strategic policy response and their requests are not unreasonable. I call on the Department of Health to stop dragging its heels on the matter in order that the parents and their children can have their circumstances clarified and the necessary lifelong supports for this terrible condition, which strikes the children and young people down with debilitating symptoms that affect their ability to study, work and get on with their normal routine.

I thank the Senator for raising this important issue. As Senators are aware, the H1N1 influenza pandemic alert was issued by the World Health Organization in 2009. As part of the response two pandemic vaccines were provided in Ireland, Pandemrix and Celvapan. There are 32 children and young adults who are known to have developed narcolepsy after receiving the H1N1 influenza vaccine and I would like to update Senators on the developments since this issue was raised in this House last March.

The report of the national narcolepsy steering committee was published on 19 April and is available on the Department of Health website. The study found an increased risk of developing narcolepsy in people aged between five and 19 who had received the Pandemrix vaccine compared with those who had not received that vaccine. As Senators may be aware, the Minister for Health has met SOUND, Sufferers Of Unique Narcolepsy Disorder, on a number of occasions, the most recent being in July. A grant aid agreement under section 39 of the Health Act 2004 was put in place and funding of €9,500 has been made available to them.

A number of supports have been put in place since last March by the health and educational services, on which I would like to update Senators. The incident management team chaired by the director of advocacy is co-ordinating the work carried out in the HSE and liaising with the Departments of Health and Education and Skills to ensure that necessary supports are being provided. The advocacy unit is also liaising with SOUND on an ongoing basis. Four regional narcolepsy co-ordinators were designated to liaise with children and their families at local level. The HSE has begun a multidisciplinary needs assessment of the children and young adults affected. The multi-disciplinary assessments will allow appropriate health and educational supports to be put in place for them. Occupational therapy, psychology assessments and counselling have been made available to children diagnosed with narcolepsy. Family counselling has also been made available. So far, 22 discretionary medical cards have been issued to those affected by narcolepsy and 28 claims for the reimbursement of medical expenses have processed to date. Special educational needs organisers are working with parents to ensure additional supports required in school are made available following assessment of need.

One of the initial priorities was to provide appropriate supports for those doing State exams. Accommodation was made by the Department of Education and Skills for any children with narcolepsy who were sitting exams, with extra time being allowed and home tuition provided in the lead up to exams. The Department of Health will consider all other possible supports which may need to be put in place for those affected. The Minister is preparing a memorandum for Government which will set out the full response to this issue. It is intended to submit it as soon as practicable.

I thank the Senator for raising this issue and assure him that the Minister is treating it as a matter or priority.

I thank the Minister of State for a comprehensive answer and do not doubt his bona fides in the matter. However, we would not have raised this matter on the Adjournment today if the measures set out by the Minister of State were in place.

Based on information I received from parents of children affected in the narcolepsy support group, that is the range of responses they seek but the required assistance is not in place on the ground. If it is, it is only available on a piecemeal or ad hoc basis. We require a strategic policy response.

I strenuously dispute that only 32 children are affected. The State does not know how many children are affected. There is a need for a public information campaign. Lifelong supports are required in conjunction with basic supports such as the provision of a special medical card. The condition cannot be cured and those who suffer will be afflicted for the rest of their lives.

We must also examine international best practice in the area and see what we can learn from that. In some cases, undue hardship is caused for families and there is a need for supports for students. It has happened in some instances that one or other of the parents have to become de facto full-time carers of their children. Such circumstances must be taken into account. We cannot just have a piecemeal response. A policy must be formulated in order that parents know where they stand. If the State does not live up to its responsibility in this matter families will be forced to go to court to vindicate their rights. They do not want to go down that road. Litigation is a costly process for families and it will be more costly on the State in the long run if we do not honour our medical and moral responsibilities in the matter.

I listened carefully to the Senator. He stated clearly that four regional narcolepsy co-ordinators were designated. It is important that the actions introduced by the Government to deal with the issue are implemented on the ground. The concerns raised by the Senator will be brought to the attention of the Minister for Health, Deputy Reilly. What is required is straight talk, action and results around the region and that a public campaign would be undertaken to ascertain the number of children affected.

The case raised by the Senator is valid. I have no doubt note will be taken of his observations of where the current provision is lacking. I suggest the Senator speak again to the Minister. The Senator perceives there is a level of uncertainty on the matter and a failure to deliver what was outlined in the response. It is important that the situation be examined to clearly identify the problem. I will speak directly to the Minister about the matter.

I am very grateful to the Minister of State.

The Seanad adjourned at 1.15 p.m. until 2.30 p.m. on Tuesday, 2 October 2012.
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