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The first rapid corona tests have been approved for use

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For the past few weeks, the UMC Utrecht and Amphia Hospital in Breda have been trialling the use of two types of rapid corona tests in the Netherlands. The two types have passed with flying colours and are expected to be put to use.  

The Minister of Health, Hugo De Jonge, has told NOS that the new rapid tests are expected to be used for personnel that work in health care, education and “other vital professions…or for people who come out positively from the source and contact studies so that you can test them very quickly. Or for users of the corona app.”

The rapid tests take only 15 minutes to yield a result and work similarly to a pregnancy test. A swab is taken in the same way as it would be for the current PRC test, however, the sample is tested on a device similar to a pregnancy test. 

Whereas the current tests (PRC tests) check the sample for how much of the coronavirus is present, the rapid tests simply test whether or not it is present. For this reason, a person with low levels of the virus may test negatively on the rapid test but positively on the PRC test, which takes significantly longer to yield results. 

When to use rapid testing

This is why those who are entering a hospital must receive a PRC test, as it must be certain that they do not have the virus. Researchers will now look into when it is best to use rapid testing over PRC testing. 

“You always have to look carefully at how you can best use such a rapid test as a supplement to the normal tests of the GGD. We will investigate exactly that in the coming weeks and then decide how we will use the tests definitively,” says De Jonge. 

Results are promising 

It is worth noting that the results of the rapid tests proved to be promising for experts. Jan Kluytmans, professor and head of medical microbiology at Amphia Hospital, has described the rapid tests as “a breakthrough in testing policy.”

The testing trials carried out by the UMC and Amphia Hospital found that the rapid tests gave no false positives, meaning that the testing could pick up on those who did not have coronavirus with 100% accuracy.

When compared with positive results given by the PRC tests, the rapid tests proved to have between 72% and 94% accuracy. This is because the rapid tests’ sensitivity to the virus is lower than that of the PRC test. Those who had a very low level of the virus therefore sometimes tested negative on the rapid test.

However, experts point out that those with levels of the virus as low as this were also less likely to spread the virus.

What do you think of rapid testing? Let us know in the comments below!

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Living with a mental illness in the Netherlands: is this where the healthcare system fails?

The Netherlands is generous to its citizens and inhabitants with a welfare system I myself have benefited from. I ask that you not misinterpret this as ingratitude nor dismiss me as yet another expat bitching about the healthcare system when I say this: in my experience, psychiatric care in the Netherlands is to a great extent unavailable and when available often counterproductive. This country can and should do better.

*This article was sent by an anonymous reader.

My personal story with a mental illness in the Netherlands

I was diagnosed with mental illness when I was 16 (I’m twice that age now). I have learned that this is a chronic disease that you need to learn to deal with. Throughout the years and with professional support I have managed to acquire essential coping mechanisms. In particular, I have learned to determine when it is critical that I ask for professional help. This has already saved my life a few times.

I know this might sound trivial but when you have a mental illness it is usually very hard to ask for help: you may wonder whether you’re just being weak, or if your peers or family will perceive you as crazy or a crybaby. Unfortunately, the system here reinforces those fears as it makes it hard to ask for help. The patient must be very persistent and sometimes endure contact with unprepared and/or not at all compassionate personnel.

I have a job in Amsterdam. The company doctor determined a month ago that due to the acute state of my depression I was unable to work and should go home and concentrate on my recovery. Yet, I am failing to find the professional help I need. I am fortunate to be followed by a very caring psychiatrist who saw me struggle at the beginning of the year and recommend additional psychological help. Getting an appointment took nine months, despite several calls and recurrent intervention of my also very caring GP.

READ ALSO | Mental healthcare in the Netherlands: all you need to know for 2020

Inadequately-trained professionals

In the meantime due to my mental illness, I had ups and downs. Once I had an acute episode of anxiety and tried to get a hold of my psychiatrist. Since he wasn’t at the office I talked to his psychiatric assistant. In order to do such a job, it is not required to have a medical degree, and the person I was in contact with proved to have not even Wikipedia-level knowledge of my disease.

Well-meaning as they may be, this lack of knowledge is dangerous! I called this person when my symptoms were starting. They told me they would talk to a psychiatrist at the practice to see what could be done. Throughout the afternoon my symptoms worsened (as expected). Eventually, the assistant called me to say that the other doctor had decided not to interfere with my doctor’s treatment. They recommended I try to breathe into a bag to calm down. Luckily my GP was able to see me almost immediately and prescribed a sedative on the spot.

I was finally very fortunate to find a psychologist who is caring but my symptoms have worsened. She determined I now need daily care instead of weekly appointments. Turns out day hospital spots are scarce and I might be able to get one only in a few months… It seems not even doctors are themselves able to navigate the healthcare system in order to get appropriate urgent care for their patients! Bottom line: the professional help I need now is not available for months, and the medical support I do have has been paused for holidays.

READ ALSO | Women’s healthcare in the Netherlands: the complete guide

Why write about it now?

I’m writing this because I think the availability and quality of psychiatric care in the Netherlands needs discussing. I wish mine were simply a terrible isolated example but I am sorry to say I have heard about other cases and witnessed yet another. I once took a friend in deep anguish to an emergency service where they were told by the doctor that they would love to help but their hands were tied. My friend would have to see a psychiatrist.

You see, we’d tried that before, but the psychiatrist we found had told my friend they were simply overwhelmed and should “try harder”‘ (this friend had been diagnosed in another country with a mental illness for which they were taking medication). Months before arriving at the emergency room we had tried to get an appointment with a psychologist but this was over the summer. The doctors who weren’t on holiday discussed intakes only during an hour on Fridays and they were swamped. Maybe next year will be the lucky year they call back with an appointment?

My question is then, try WHAT harder? I guess you’re left with helpful advice.

Have you had experience with the mental healthcare system in the Netherlands? We welcome you to share about it in the comments below.

Editor’s note: This article was originally published in January 2018 but was fully updated in October 2020 for your reading pleasure.

CoronaMelder app approved by Senate, goes nationwide October 10

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After much anticipation, the Dutch CoronaMelder contact tracing app can finally be implemented nationally. On Saturday, October 10, the app will be fully operational throughout the country.

Widespread use of the app has been held up in Parliament since August, due to the Netherlands’ privacy laws. Today, the Second Chamber and the Senate have finally approved a new law, which regulates the use of the app.

Over two-thirds of the Senate voted in favour of the law — 51 senators supported it while 19 voted against it. Those in favour believe that the law provides security against the misuse of the app. Senators in opposition, however, are concerned that citizen data will be traced and privacy rules will be violated.

How it works

When the app is downloaded, every time your phone is near another phone with the app installed, the phones exchange a random code, which is stored in both phones. If someone becomes infected, those whom they have come into contact with can be easily traced and notified.

People who have come into contact with someone infected with the coronavirus will receive a notification and will be required to quarantine for 10 days, whether or not they have symptoms. This poses a potential problem with testing capacity, which Minister De Jonge expects to address quickly.

Use of the app is voluntary. Health Minister Hugo de Jonge has emphasised that no one should be pressured to download the app. Employers, for example, cannot ask their employees to install the app.

The CoronaMelder app has undergone testing in five regions of the Netherlands over the last couple of months. So far around 1.3 million people have already download the app.

Do you intend to use the CoronaMelder app? Why or why not? Let us know in the comments below.

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Corona update: New infections nearly 30,000 in the Netherlands, one of the worst regions of Europe

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Numbers shot up again this week with about a 50% increase of infections from last week’s numbers. The Netherlands continues to perform embarrassingly compared to our neighbouring countries.

This week saw 27,485 new positive coronavirus cases, up from 19,326 last week.

Hospitalizations have increased too, with 803 admissions to nursing wards (up from 501 last week) and 122 admitted to intensive care unites (100 last week).

The good news is that this week saw fewer deaths than last week, dropping from 102 to 89.

But compared to our neighbours, we are not performing well at all. Italy will now be testing all travelers from the Netherlands upon arrival.

Urgent mouth mask advice

Since the start of the pandemic, the Dutch government have avoided any regulations around mouth masks. But last Tuesday, following the increasingly high infection numbers of the second wave, Prime Minister Rutte urgently advised the nation to wear masks in public indoor spaces immediately.

However, the advice cannot be enforced in any way since it comes only as advice and not a duty. This has caused criticism as 71% of the Dutch adults want mouth masks to become mandatory in public spaces.

Elderly and vulnerable hours at grocery stores

Hours reserved for the elderly and vulnerable at grocery stores have once again been implemented. Between 7am and 8am every weekday, all stores will have this in place. A second hour in the day will also be in effect, but each store is free to choose which hour this will be. However, those who do not fit into these categories are unlikely to be turned away, as medical fitness cannot be questioned for privacy reasons.

Heart problems linked to coronavirus

This week, a Dutch study revealed that almost 12% of hospitalized corona patients develop heart problems. This includes heart rhythm disorders, heart failure, and cardiac arrest. However, some of the study participants had pre-existing heart conditions and those who developed heart issues after being infected with corona tended to be those who were in intensive care units. More research needs to be done on the potential long-term effects of the coronavirus.

Dutch university students won’t be urged to wear face masks

Despite the urgent advice issued to wear masks last Tuesday, the Dutch Minister of Education Ingrid van Engelshoven has announced that this will not apply to university students. She believes that the 1.5 metre distance requirement is enough. However, she faces criticism from education trade unions who argue that it does not make sense to wear a mask to the grocery story but not to school.

Church service welcomes hundreds of visitors

Meanwhile, this week a church in Staphorst hosted over 600 people during their services, and have received widespread criticism for it. Since religious gatherings are exempt from the maximum 30 people gathering rule, the church was technically not breaking coronavirus measures. The church claims that members disinfected their hands before entering the building, and the 1.5 metre distancing was kept. However, masks were not required and singing took place as usual.

While the mayor of Staphorst sees no reason to intervene, MPs are not pleased with the large church services. They have called the gatherings “totally impossible to explain” and “really irresponsible”.

What do you think about the current coronavirus measures? Let us know in the comments below.

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Weather report: yup, looks like it’s still raining

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2020 is coming to an end so please bear with us while we continue to deliver bad news. It’s still raining. And it will continue to rain for the next week. 

To elaborate, following the 50mm of rain that fell in the northwest yesterday, there will be further showers today. This is the case for the northwest where further strong showers will fall and there will be a risk of thunderstorms.

The rest of the country won’t be feeling left out however, with scattered showers afflicting most of the country today. Temperatures will remain at around 14 degrees.

There will also be moderate to strong south-westerly winds so as to ensure that we feel a nip in the air. It’s the Netherlands, you can’t have rain without a bit of wind to take out your umbrella!

The sun will remain nonchalant, as Buienradar puts it, “only now and then is the sun involved.”

Rain for the week

The rest of the week will be uncreative, copying Monday and Tuesday’s weather to a tee. There will be scattered showers and a risk of thunderstorms throughout the week.

Temperatures will sit mostly at that ever-present 14 degrees, however, on Friday we may experience a balmy temperature of 17 degrees. So you may look forward to the sensation of being both damp and sweaty as a special end-of-week treat.

Will you be bothering to step outside your doors this week? Let us know in the comments below!

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17 donor children linked to Zwolle gynaecologist’s own sperm

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A gynaecologist from Zwolle, a city in the northeastern Netherlands, has been found to have inseminated intended parents with his own sperm, without the parents’ knowledge. At least 17 donor children conceived in the ‘80s and ‘90s have been linked to him through DNA research in a commercial database. 

The late Gynaecologist Jan Wildschut worked with KID (Artificial Insemination Donor Sperm) between 1981 and 1993, using his own semen for inseminations in an unknown number of women. The parents believed the sperm was coming from anonymous donors. 

Discovering the DNA link

The relationship was discovered after one donor child matched with Wildschut’s niece through a DNA database. From there, the person was linked to 16 other donor children. The connections were confirmed through further DNA testing with the help of one of Wildschut’s legal children. The donor children have regular contact and a good relationship with the family of the gynaecologist.

The hospital’s response

Wildschut worked at the former Sophia Hospital’s fertility clinic, now Isala Hospital. The hospital confirms this report in a joint statement with Wildschut’s donor children and legal children. They have not yet been able to find whether any other donor children can be linked to the gynaecologist. The Isala Hospital’s stance is that the actions are morally unacceptable, and they had been unaware of the doctor’s actions.

The donor children and Wildschut’s family worked together to establish the virtual donor profile of the gynaecologist in Fiom’s KID DNA database (for parentage questions). Any donor children who want to know whether Wildschut may be their biological father can have their DNA compared to his in the database. Those who are a match can request a personal meeting with the hospital.

What do you think of this doctor’s behaviour? Let us know in the comments below.

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Coronavirus hospital admissions to reach 1000 this week as cases inch towards the 5000 mark

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Coronavirus hospital admissions are expected to reach 1000 this week, according to Ernst Kuipers of the National Acute Care Network.

This prediction is made based on the steady increase in coronavirus figures throughout the Netherlands. Yesterday alone saw 4,581 new coronavirus cases in 24 hours.

“Based on the infection figures, we expect that the number of hospital admissions will increase further in the coming days,” Kuipers told NU.nl on Sunday.

Current hospitalisations

The number of coronavirus patients currently in hospital wards stands at 715. In addition to this number, 177 patients are in intensive care units, of which 68 were brought into the unit between Sunday and Monday.

This brings hospitalizations due to the virus to 892 people, 59 of which were hospitalized yesterday.

It is also reported that seven more people died from the virus between Sunday and Monday.

Cases continue to increase

Sunday was the first day in which cases exceeded more than 4,000 and with Monday’s figures at 4,581, it seems that Kuipers prediction will be easily reached.

It is also important to note that there is usually a delay in getting figures to reach the RIVM, especially over the weekend. Today’s release of weekly figures is therefore expected to be high.

Follow DutchReview on Facebook for the latest news and updates. 

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Mask advice not enough: 71% want national mask duty

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The vast majority of Dutch people do not believe the current ‘urgent advice’ to wear masks in public places is enough. 71% of the population want it to be a duty, and 40% want this to apply to the streets as well.

In last week’s press conference, Prime Minister Rutte announced the urgent advice to wear face masks in all indoor public spaces. However, this was not made a duty because the cabinet claims this is legally difficult, meaning that those not wearing masks cannot be fined. There is currently no majority in the House of Representatives to make masks mandatory, reports RTL Nieuws.

Demographics demanding the duty

The Dutch population are pretty much on the same page when it comes to this issue, as people of all ages are calling for the mask obligation. Of those between 18 and 34 years old, 67% are in favour of mandatory masks. A massive 81% of Dutch people over 65 want them too. The difference between men and women is a meagre 2%. This is according to a study by DVJ Insights commissioned by RTL Nieuws.

Vague rules and regulations

Many of the study’s respondents believe the advice around mouth masks is incredibly vague (79%). Regarding how many people can be together, 51% of respondents said the rules were confusing and unclear.

The 1.5-metre distance rule and hygene recommendations are better understood, but around 30% find the rule about staying at home if you have complaints unclear. Many admitted that they do not adhere to the 1.5-metre distance rule at all (42%) and others said they do not follow the advice about wearing mouth masks (38%).

Most Dutch people do not want separate rules for different age groups, as only 37% want the elderly to have stricter rules.

Vaccines

If a vaccine were to become available, 66% of the study’s participants said they would take it. But it seems the older the respondents, the more willing they were to take a vaccine. Of those over 65 years old, 79% want to be vaccinated. Between the ages of 50 and 65, 71% would take a vaccine. 62% of 35 to 49-year-olds want the vaccine. But of those between 18 and 34, only 53% were interested in taking a vaccine. Just under half of all participants think that making the vaccine a requirement is a good idea.

Do you think that mouth masks should be an obligation in public spaces? Let us know in the comments below.

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Elderly and vulnerable hours at supermarkets starting today across the Netherlands

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Two hours of every weekday will now be dedicated to the elderly and vulnerable at supermarkets. This is in line with the latest national coronavirus measures announced on October 5th and will kick in today.

The first hour dedicated to the vulnerable will be from 7 am to 8 am nationwide, whilst the second hour will be determined by the supermarkets, reports Trouw. But people who do not fit into this category are unlikely to be turned away, as medical fitness cannot be questioned for private reasons.

This measure was recommended back in March when many people were hoarding products like toilet paper and preserved food. Grocery stores implemented this in order to make sure the elderly could safely buy food and supplies. The measure was slowly discontinued around July when the coronavirus situation in the Netherlands began to calm down. But of course, as the second wave has broken previous Dutch records, these measures have been deemed necessary once again.

Impacts for supermarkets

The Central Bureau for Food Trade (CBL) believes the cabinet’s decision to enforce opening hours for the vulnerable was a hasty one. It argues that this is not needed in every store, as some locations see hardly any elderly customers. The organisation further highlights that customers cannot be turned away and the decision could have severe impacts for supermarkets.

What do you think of the elderly and vulnerable hours in supermarkets? Share your thoughts in the comments below.

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Church services welcomed up to 600 visitors as new daily coronavirus infections surpass 4,000

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As new daily coronavirus cases have surpassed 4,000 over the weekend, MPs criticise church services with over 600 people attending. 

On Sunday, church services in the Restored Reformed Congregation in Staphorst, a city in eastern Netherlands, held three separate services welcoming up to 600 visitors. The region is known as the country’s ‘bible belt’,  with a large conservative Christian population. Officially, they did not break any rules, though the church has received widespread criticism for setting a poor example. 

Religious gatherings have been exempt from the government’s limitation on groups over 30 people, provided visitors have a reservation and health check upon entry. Churchgoers have not been required to wear a mask and singing can take place as usual.

According to a church secretary, “We have good ventilation here and everyone is really at a good distance,” reports the local newspaper, De Senator. “We see to it that everyone disinfects their hands upon arrival and we guide people to their places.” 

Gerrit Jan Kok, mayor of Staphorst, sees no reason to intervene as he believes that “everything at churches goes well and people follow the rules.” He says, “It is not without reason that we have the separation between church and state.”

Members of Parliament disapprove

However, MPs have not been pleased with the large church services. SP party chairman Marijnissen says it’s “totally impossible to explain,” reports NOS. “Theaters and catering industry must adhere to the rule of a maximum of 30 people per room. This is irresponsible, especially towards the employees in the care sector.” 

Lodewijk Asscher of the PvdA agrees that exceptions regarding group size should not be made for religious organisations. “It is really irresponsible that hundreds of people in Staphorst come together in a church, while other Dutch people are asked not to stand by the line and their children’s football match.”

What do you think about the exemptions from maximum group size for religious organisations? Let us know in the comments below.

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