Dáil debates

Thursday, 23 January 2014

Topical Issue Debate

Vaccination Programme

4:40 pm

Photo of James ReillyJames Reilly (Dublin North, Fine Gael) | Oireachtas source

I thank Deputy O'Mahony for raising this sensitive Topical Issue, as it provides me with an opportunity to update the House on this matter. First, I acknowledge the impact of this on those diagnosed with narcolepsy following administration of Pandemrix influenza vaccine, as well as the impact it has had their families. I have heard directly from the families and the parents regarding their personal experiences.

I note with optimism that the earliest indications from scientific and medical research into this condition suggest that the prognosis for children may be better than previously indicated and that they should be able, with appropriate medication and supports, to reach their potential. It is important that these children continue to receive effective treatment and supports. Second, I commend the dedication and commitment of the officials in the HSE advocacy unit and the regional co-ordinators in providing those affected and their families with tailored services and supports to address their specific individual needs.

As Deputies are aware, a number of families have recently initiated legal action alleging personal injury in which they are claiming the development of narcolepsy resulted from the administration of the pandemic vaccine. It is inappropriate for me to comment further on these cases, but I support their absolute right to do so. Following the receipt of letters from solicitors representing a number of individuals indicating their intention to initiate legal proceedings, legal advices were obtained by my Department. The advices obtained recommended delegation of the management of these cases and, any subsequent similar cases, to the State Claims Agency. I approved this course of action in June 2013.

A Government decision was required to give effect to this approach. The Government decision was obtained in October and allowed the Taoiseach to sign the National Treasury Management Agency (Delegation of Claims Management Functions)(Amendment) Order 2013 on 15 October. The management of the cases was transferred to the State Claims Agency upon the order coming into effect.

Public and media confusion around the provision of health services and supports, including the provision of discretionary medical cards, arose from communications by the HSE. The HSE has apologised for any distress or upset caused and has clarified the situation with the families involved. I understand that regarding individuals who have initiated legal proceedings, the HSE has advised that all expenses associated with narcolepsy will continue to be reimbursed on an ex gratiabasis until the litigation process is finalised. My priority, and that of the Government and the HSE, has been always to ensure that individuals affected by narcolepsy following pandemic vaccination receive the health care and support they specifically need, regardless of whether they choose to take legal action.

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