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HEALTH

‘Burn-out’ is an ‘occupational phenomenon’ not disease: WHO

UPDATE: The World Health Organization said on Tuesday that "burn-out" remains an "occupational phenomenon" that could lead someone to seek care but it is not considered a medical condition.

'Burn-out' is an 'occupational phenomenon' not disease: WHO
Participants at the World Health Assembly in Geneva on May 20th. Photo: AFP

The clarification came a day after the WHO mistakenly said it had listed burn-out in its International Classification of Diseases (ICD) for the first time.

The World Health Assembly, WHO's main annual meeting which wraps up on Tuesday, approved at the weekend the latest catalogue of diseases and injuries, collectively known as the ICD-11. for diagnosis and health insurers.

While burn-out was listed in the previous version, the ICD-10, its definition has been changed in the latest edition of the text.

“The definition has been modified based on existing research,” a WHO spokesperson said in an email. 

WHO has now defined burn-out as “a syndrome conceptualised as resulting from chronic workplace stress that has not been successfully managed”.

It said the syndrome was characterised by: “1) feelings of energy depletion or exhaustion; 2) increased mental distance from one's job, or feelings of negativism or cynicism related to one's job; and 3) reduced professional efficacy.”

“Burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life,” according to the definition.

The updated ICD list was drafted last year following recommendations from health experts around the world. 

The ICD-11, which is to take effect in January 2022, contains several other additions, including classification of “compulsive sexual behaviour” as a mental disorder, although it stops short of lumping the condition together with addictive behaviours.

It does however for the first time recognise video gaming as an addiction, listing it alongside gambling and drugs like cocaine.

The updated list removes transgenderism from its list of mental disorders, listing it instead under the chapter on “conditions related to sexual health”.  

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HEALTH INSURANCE

Could glasses and contact lenses soon be covered by Swiss health insurance?

The Swiss health system is ranked among the best in the world, but some essentials, like glasses, aren't automatically covered by health insurance. That could soon change, however

Could glasses and contact lenses soon be covered by Swiss health insurance?

Green Party Federal Councillor Katharina Prelicz-Huber revealed in an interview with newspaper 20 Minuten this week that the Federal Parliament had tabled a motion to include prescription glasses and contact lenses in Switzerland’s mandatory health insurance scheme. 

Prelicz-Huber stated: “The purpose of compulsory health insurance is to provide the services you need to get or stay healthy,”

The motion forms part of the legislation that will be voted on during the 2024 summer session of the Federal Council. 

Proposed changes 

According to Switzerland’s peak optician body, 4 in 5 Swiss wear glasses or contact lenses at some point. 

It’s no surprise that statistics repository, Statista, projects the Swiss eyewear industry to be worth €1.37 billion by 2028. 

Currently, glasses and contact lenses are covered for up to 180 francs for children until age eighteen, if they are proscribed by a doctor.

Adults can also claim money back for glasses and contact lenses – however, they must be suffering from one of a short list of specific conditions such as keratoconus – where the cornea is distorted – or severe myopia, otherwise known as near-sightedness.

They must also have been specifically prescribed them by a doctor or optometrist. 

Otherwise, supplemental optical insurance must be purchased in Switzerland to ensure you can recoup the cost. 

Under the Green Party proposal, glasses, contact lenses, and other visual aids would be covered, regardless of age. 

Rising premiums prompt opposition 

Not everybody agrees with the proposal. 

The right-wing SVP has already spoken out against it, with Federal Councillor Diana Gutjahr arguing: “If we seriously want to slow down the burdensome and constantly rising health costs for the benefit of the population, we [must] show the political will not to constantly expand the benefits of compulsory health insurance.”

A spokesman for the the health insurance advocacy group Santesuisse, Matthias Müller, echoed Gutjahr, claiming that insurance constitutes “financing for extraordinary events such as illness.”

“If almost everyone benefits from a certain service, it is no longer an insurance benefit.”

A date for the vote has yet to be announced. 

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