Best casinos in Australia for players

Best casinos in Australia for players

Curious about best casinos in australia? In this article we explore top picks, what sets them apart, who should try them and what to expect. If you’re seeking fair games, safe payment options and standout experiences, this guide will help. Those uninterested in gaming may skip it.

Australia’s Top Casino Choices Today

1 7Bit Play in AUD: 75% Match to $600 & 30 Free Spins

4.8
★★★★★
7Bit

Play in AUD: 75% Match to $600 & 30 Free Spins

2 BetMGM Mobile First Deposit: 200% to $100 & 150 FS

4.7
★★★★★
BetMGM

Mobile First Deposit: 200% to $100 & 150 FS

3 Caesars 250 Free Rounds on Top Pokies - Join Now

4.6
★★★★★
Caesars

250 Free Rounds on Top Pokies – Join Now

4 Casinoly Fast Payouts: 125% Bonus Up to $300 + 30 Free Spins

4.6
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Casinoly

Fast Payouts: 125% Bonus Up to $300 + 30 Free Spins

5 Crown Midweek Reload: 15% Bonus Up to $200 & 150 FS

4.5
★★★★★
Crown

Midweek Reload: 15% Bonus Up to $200 & 150 FS

6 Gets Bet Buffalo King Lovers: Get 120% to $300 + 25 Free Spins

4.5
★★★★★
Gets Bet

Buffalo King Lovers: Get 120% to $300 + 25 Free Spins

7 Grand Ivy Intro Offer: 80% Bonus Up to $400 & 60 Free Spins

4.4
★★★★★
Grand Ivy

Intro Offer: 80% Bonus Up to $400 & 60 Free Spins

8 High5 Exclusive Launch: 200% Bonus Up to $5000 & 40 FS

4.4
★★★★★
High5

Exclusive Launch: 200% Bonus Up to $5000 & 40 FS

9 Jackpot City Just Register: $25 Free + 50 FS - No Deposit at All

4.4
★★★★★
Jackpot City

Just Register: $25 Free + 50 FS – No Deposit at All

10 Mummys Gold 150 Free Spins on Sugar Rush - No Deposit Bonus

4.4
★★★★★
7Bit

150 Free Spins on Sugar Rush – No Deposit Bonus

11 PlayCroco Budget-Friendly: 250% Bonus to $300 + 50 Free Spins

4.3
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PlayCroco

Budget-Friendly: 250% Bonus to $300 + 50 Free Spins

12 Red Dog Lucky Aussie Offer: 50% to $3000 + 25 Free Spins

4.3
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Red Dog

Lucky Aussie Offer: 50% to $3000 + 25 Free Spins

13 Royal Ace Play Blackjack: 250% Match Up to $400 + 250 FS

4.3
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Royal Ace

Play Blackjack: 250% Match Up to $400 + 250 FS

14 SlotoCash VIP Welcome Package: 200% Up to $1000 + 100 FS

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SlotoCash

VIP Welcome Package: 200% Up to $1000 + 100 FS

15 SlottyWay Exclusive VIP Offer: 300% Up to $2000 + 25 FS

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SlottyWay

Exclusive VIP Offer: 300% Up to $2000 + 25 FS

16 Sportingbet Fast Payouts: 100% Bonus Up to $100 + 120 Free Spins

4.2
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Sportingbet

Fast Payouts: 100% Bonus Up to $100 + 120 Free Spins

17 Super Slots Top Aussie Pokies: 120% Bonus Up to $750 + 20 FS

4.2
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Super Slots

Top Aussie Pokies: 120% Bonus Up to $750 + 20 FS

18 Wazamba Exclusive Wild West Gold Offer: 60 Free Spins + $5000 Bonus

4.1
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Wazamba

Exclusive Wild West Gold Offer: 60 Free Spins + $5000 Bonus

19 WooCasino Slots Bonanza: 250% Up to $100 + 200 Free Spins

4.1
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WooCasino

Slots Bonanza: 250% Up to $100 + 200 Free Spins

20 Wild Fortune Free Play: $5 Bonus + 30 Spins Without a Deposit

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Wild Fortune

Free Play: $5 Bonus + 30 Spins Without a Deposit

Looking for detailed insights on the best Australian slot bonuses, free spins, and fast payouts? Check out our up-to-date SlottyWay Australia review for exclusive player offers in this region on SlottyWay Australia bonuses, free spins and payouts to boost your gaming journey.

New and popular slots on best casinos in australia

Online pokies and slots are digital versions of classic machines but offer more convenience and bigger jackpots. Players can access a wide range of themes and features. Try your pick below and start playing quickly, as most games load on any device with great odds and smooth gameplay.

Feature Games and Casino Services

Licensed casinos in Australia offer services such as live dealer tables, pokies, blackjack, roulette, sports betting and secure digital payments. Many best casinos in australia support flexible play, responsible gaming tools and round-the-clock support for all players.

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Contents:

Australia’s Top Casino Choices Today

Best casinos in AustraliaAustralia has a range of reputable casino brands both online and offline. Crown Melbourne, Star Sydney and Adelaide Casino lead for in-person experience. Among top online names are PlayAmo Casino, Joe Fortune, King Johnnie, Fair Go and CasinoChan. These brands offer secure platforms, wide game selections and player-friendly conditions. Choice depends on individual preference for game variety, bonus policy and support.

Key Features of Top Australian Casinos

  • Licensed and regulated operations
  • Pay-outs processed within days
  • Local and international payment support
  • Loyalty reward programs
  • Round-the-clock support in English
  • Responsible gambling resources
  • Mobile compatibility

Feature Games and Casino Services

Australian casino service overviewAustralian casinos provide a massive range of games and services including classic table games like roulette, blackjack, baccarat, as well as live dealer tables, lotteries, bingo and sports betting. Fast support and tailored bonuses are standard. Secure payment and fair play tech ensure a safe player experience.

Customer Service and Support

All major casinos in Australia offer chat, email and sometimes phone support. Response times vary but are generally fast and staff are trained for local laws and needs.

Popular Pokies and Slot Titles

Popular Australian online slotsThe pokies scene in Australia is famous. Most best casinos in australia host mega hits like Big Bass Bonanza, Wolf Treasure, Lightning Link, Dolphin Treasure, Queen of the Nile, and more. These games are optimised for fair odds and all budgets. Live pokies tournaments also attract regular players.

  • Big Bass Bonanza
  • Queen of the Nile
  • Buffalo Blitz
  • Lightning Link
  • Moon Princess
  • Starburst
  • Major Millions

Mobile Pokies on App and Browser

Each leading brand optimises pokie games for mobile, allowing Australians to spin real money reels from phones or tablets, wherever legislation allows.

Bonuses Offered by Casinos

Most best casinos in australia provide welcome packages, deposit match bonuses, free spins, loyalty cashbacks and exclusive VIP schemes. Some casinos run no-deposit trials. Always check terms, expiry and playthrough.

Casino Bonus Limits
Joe Fortune Up to $5000 100x Wager
King Johnnie 200 Free Spins 30x Wager
Fair Go 150% Match 35x Wager
PlayAmo 100% Match + 150 Spins 50x Wager

Safety and Trust in Aussie Casinos

Australian laws require strict licensing for casinos. It ensures game randomness, secure payments, age checks and player support against risk. Reputable brands undergo regular audits. Never play at unlicensed sites.

  • Check for an Australian license
  • Investigate independent audits
  • Study privacy and payment policies
  • Research casino reputation
  • Start with low-risk bets

Payment Methods in Australia

Players access a wide array of cash-in and cash-out methods. This includes POLi, bank transfer, credit/debit cards, prepaid cards, crypto wallets and e-wallets like Skrill or Neteller. Some casinos support instant withdrawals, others may take 2-3 days.

Crypto and Digital Wallet Options

Growing numbers of online brands in Australia now support Bitcoin, Ethereum and other digital currencies. This enables fast, secure and often anonymous withdrawals.

Mobile Casino Play

Australian casino mobile playModern best casinos in australia provide in-browser gaming, downloadable apps and responsive sites for iOS and Android. Most pokies, tables and support features work from any device, so you aren’t limited by location or time.

Leading Australian casinos explore virtual reality, blockchain fairness, and gamification. Social tournaments and live stream hosts are increasingly common, creating an engaging and transparent gaming environment.

Frequently Asked Questions

What defines the best casinos in australia?

A mix of licences, fair games, responsible play, broad pokie choice and reliable payouts.

Are winnings taxable in Australia?

No, casino winnings for casual players are not taxed under most circumstances.

Is online gambling legal in Australia?

Online casino gaming is legal if the provider holds the right licences and follows state rules.

How do bonuses work at Australian casinos?

Bonuses often require deposit and must be played through specific times before withdrawal.

Which payment options are safest?

Payments via trusted e-wallets and regulated banks are reputable. Crypto offers privacy but check site credentials.

Online Casino Brands in Australia 2024

Aussie players today have more options than ever when it comes to trusted casino brands. Let’s explore what top platforms offer in 2024, their features, and what makes each one popular across Australia.

7Bit Casino Australia

7Bit Casino Australia slots

7Bit Casino is a hit among crypto casino fans in Australia, providing a vast range of pokies, instant transactions with Bitcoin, and regular slot tournaments. The retro design and loyalty perks make it a top pick for those wanting something modern yet fun, and the support is available 24/7.

BetMGM in Australia

BetMGM Australia online casino

While BetMGM is synonymous with major sports and casino gaming globally, its online casino services are currently limited for Aussie players due to local licensing laws. However, BetMGM remains recognised for its secure sports betting and professional approach.

Caesars Casino for Aussies

Caesars online casino Australia

Caesars is an iconic name worldwide. In Australia, you might come across games carrying the brand or themed slots based on Caesars properties. While the dedicated online casino isn’t locally licensed, Aussie users favour the luxury and style the brand offers through social and virtual games.

Casinoly Casino Australia

Casinoly Casino review Australia

Casinoly stands out with gamified features, bonus tournaments, and thousands of pokies. It welcomes Aussie players with fast payouts, an intuitive interface, and both fiat and crypto banking. Regular promotions and diverse software providers keep gameplay fresh.

Crown Casino Australia

Crown Casino Australia Melbourne

Crown is Australia’s best-known land-based casino, especially in Melbourne and Perth. Although no Crown Casino online exists, the brand’s reputation for live poker, luxury resorts, and spectacular entertainment continues to set industry standards locally.

Gets Bet Casino Australia

GetsBet Australia online casino

Gets Bet provides a broad range of betting options for Aussies, including casino games and sports. Players enjoy regular promotions, secure banking, and a well-designed mobile interface. Their focus on fast withdrawals makes them popular with real money fans.

Grand Ivy Casino for Aussies

Grand Ivy Casino Australia

The Grand Ivy combines elegance and grand prize draws, offering a premium experience for Australian users. A vast pokies lobby, progressive jackpots, and a loyalty club attract both new and experienced players.

High5 Casino Australia

High5 Casino Australia slots

High5 Casino is famed for its social casino model, bringing free slots and competitions to players. There’s no real money gambling, but the extensive pokies range and regular events appeal to those seeking a Vegas vibe for free.

Jackpot City Casino Australia

Jackpot City Casino Australia online

One of the longest-running online casinos for Aussies, Jackpot City boasts over 500 pokies, safe payments, and regular jackpot rewards. Mobile compatibility and streamlined registration make it a favourite choice for both high rollers and casual players.

Mummys Gold Casino Australia

Mummys Gold Casino online Australia

Mummys Gold brings Egyptian-themed slots alongside a reputable gaming platform. Aussie users enjoy dedicated customer support, secure transactions, and flexible bonuses on one of the most trusted casino sites for years.

PlayCroco for Australian Players

PlayCroco Casino Australia pokies

Exclusive to Australian players, PlayCroco promises fast payouts, hundreds of pokie machines, and fun daily promotions. Their laid-back Aussie theme and local support make it a homegrown hit for real money and free game fans alike.

Red Dog Casino Australia

Red Dog Casino Australia review

Red Dog Casino delivers reliable service to Aussies, with an excellent mobile platform, diverse pokies, and flexible payment options. Fair play and fast customer service are standout features for local players.

Royal Ace Casino Australia

Royal Ace Casino Australia bonus

Royal Ace offers a classic Vegas feel to Australian players. It’s known for generous bonuses, a wide pokie selection, and quick responses from support agents, making it a favourite among Aussie casino enthusiasts.

SlotoCash Casino Australia

SlotoCash Casino Australia real money

With a reputation for fair play and efficient withdrawals, SlotoCash is a trusted name in Aussie online casino circles. Their consistent bonuses and reliable software ensure a top-notch gaming experience.

SlottyWay Casino Australia

SlottyWay Casino Australia slots

SlottyWay attracts Australians with a huge pokies selection, exclusive bonuses, and a user-friendly platform that works great on all devices. Security and player privacy are also prioritised for Aussie users.

Sportingbet Australia

Sportingbet Australia site

Sportingbet remains a favourite for Australian sports fans who like to mix wagering on live sports with casino options. Their odds, live betting, and payment speed are especially praised by local punters.

Super Slots Australia

Super Slots Casino Australia

Super Slots enables Aussies to access a gigantic pokies library, generous cashback, and a flexible VIP system. Responsive mobile design and transparent terms help Super Slots stand out in Australia.

Wazamba Casino for Australians

Wazamba Casino Australia online

Wazamba delivers a colourful, gamified experience perfect for Aussie pokie lovers. Bonuses, frequent slot tournaments, and local payment options attract casual and regular players alike.

WooCasino in Australia

WooCasino Australia pokies

WooCasino offers instant-play pokies with a vast selection, daily reload bonuses, and regular slot races. Local payment methods and 24/7 customer support make it ideal for Australians who want full control over their gaming adventure.

Wild Fortune Casino Australia

Wild Fortune Casino Australia

Wild Fortune lures Aussie users with generous cashback, thousands of pokies, and an easy-to-navigate site. Strong security and a fast verification process help ensure worry-free gaming for Australians.
Remember, play responsibly and always stick to your limits. Australian law encourages safe participation in online gaming, so always choose secure, reputable sites and know when to stop.

bestonline
casinos

Independent ranking of top Australian casinos.

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best casinos in australia


E wallet casino login explained

E wallet casino login explained

Let’s break down e wallet casino login in Australia. Learn if it makes sense for your gaming or you can skip it. Find out how to register, common mistakes to avoid, and which Australian casinos support fast e wallet casino login. End up ready to use or choose another option.

Best e wallet casino login options for Australians

1 7Bit $10 Deposit Bonus: 110% Up to $50 + 100 Free Spins

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7Bit

$10 Deposit Bonus: 110% Up to $50 + 100 Free Spins

2 Bizzo Crypto Casino: 200% Up to $500 + 150 FS - Bitcoin Accepted

4.7
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Bizzo

Crypto Casino: 200% Up to $500 + 150 FS – Bitcoin Accepted

3 BoVegas Free $100 + 75 Spins on Registration - No Deposit

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BoVegas

Free $100 + 75 Spins on Registration – No Deposit

4 CasinoChan Step Into the Live Casino: 200% Up to $300 + 30 Spins

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CasinoChan

Step Into the Live Casino: 200% Up to $300 + 30 Spins

5 Casoola Reload Bonus: 20% Up to $200 + 120 Free Spins

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Casoola

Reload Bonus: 20% Up to $200 + 120 Free Spins

6 Fair Go Texas Hold'em Deal: 250% Up to $2000 & 60 FS

4.5
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Fair Go

Texas Hold’em Deal: 250% Up to $2000 & 60 FS

7 Greenspin Roulette Welcome: 125% Match to $1000 + 75 FS

4.4
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Greenspin

Roulette Welcome: 125% Match to $1000 + 75 FS

8 High Roller Real Dealers, Real Cash: 80% Up to $400

4.4
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High Roller

Real Dealers, Real Cash: 80% Up to $400

9 Irish Luck Slots Bonanza: 250% Up to $100 + 200 Free Spins

4.4
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Irish Luck

Slots Bonanza: 250% Up to $100 + 200 Free Spins

10 Neon54 Deposit $10, Play with $30: 120% Match + 200 Spins

4.4
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7Bit

Deposit $10, Play with $30: 120% Match + 200 Spins

11 Planet7Casino Unlimited 5% Cashback Up to $150 Per Week

4.3
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Planet7Casino

Unlimited 5% Cashback Up to $150 Per Week

12 Pokiez New Here? Get 120% Up to $300 + 40 Free Spins

4.3
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Pokiez

New Here? Get 120% Up to $300 + 40 Free Spins

13 Silver Oak Pokies Madness: Grab 250% Up to $5000 & 200 FS

4.3
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Silver Oak

Pokies Madness: Grab 250% Up to $5000 & 200 FS

14 SkyCrown Neosurf Welcome: 175% Up to $150 + 175 Spins

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SkyCrown

Neosurf Welcome: 175% Up to $150 + 175 Spins

15 SpaceCasino Fast PayID Withdrawals + 120% Welcome Up to $300

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SpaceCasino

Fast PayID Withdrawals + 120% Welcome Up to $300

16 SpinBit Try Before You Buy: $20 Free + 30 Spins No Deposit

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SpinBit

Try Before You Buy: $20 Free + 30 Spins No Deposit

17 Springbok Ripper Bonus: 200% Match Up to $100 + 40 Spins

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Springbok

Ripper Bonus: 200% Match Up to $100 + 40 Spins

18 True Fortune Weekend Cashback: 50% to $300 - No Wagering

4.1
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True Fortune

Weekend Cashback: 50% to $300 – No Wagering

19 WPT Aussie Welcome: 150% Match Up to $800 + 30 FS

4.1
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WPT

Aussie Welcome: 150% Match Up to $800 + 30 FS

20 Wild Fortune Spring into Wins: 150% to $600 & 60 FS

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Wild Fortune

Spring into Wins: 150% to $600 & 60 FS

If you want the latest on casino bonuses and fast payouts in Australia, check out this exclusive SkyCrown Australia bonuses and fast payouts update.

Popular classic slots on e wallet casino login

Online pokies and slot machines let Australians try a huge variety of games with fun bonus features and colourful themes. Below, browse recommended top slots and pokies for both free and real-money play. Just use your favourite e wallet casino login to get started instantly when ready.

e wallet casino login for popular online games

Licensed online casinos in Australia with e wallet casino login provide secure access to pokies, virtual blackjack, roulette, live dealer tables, bingo, keno, poker tournaments, and even sports betting options.

Classic Roulette online e wallet casino login
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Best e wallet casino login options for Australians

Australia’s regulated online casinos are embracing fast e wallet casino login technology. Here’s a list of popular, trusted names:

  • Star Casino Online
  • Crown Sydney Digital
  • National Casino AU
  • Fair Go Casino
  • WooCasino AU
  • King Johnnie Casino

e wallet casino login

e wallet casino login for popular online games

With a verified e wallet casino login, these licensed sites offer diversified games and betting:

  • Real-money pokies
  • Virtual and live blackjack
  • Roulette
  • Live dealer tables
  • Poker rooms
  • Keno, bingo
  • Instant win cards

Virtual and fantasy sports betting

Bet on virtual NRL, AFL, racing and more.

Massive jackpot games

Weekly tournaments and progressive jackpots for pokies and roulette, fast pay-outs via smart e wallet casino login.

Loyalty points through e wallets

Earn comps automatically by funding with e wallets.Australian online casino games

Security and safety for e wallet access

Australian online casinos are required to implement strong protections:

  • Two-factor login (2FA/SMS/email verification)
  • End-to-end SSL encryption
  • Transactions only processed to verified e wallet addresses
  • Full compliance with Australian AML/CTF (anti-money laundering) law
  • Dedicated support for compromised logins

Security for e wallet users in casino AU

What makes a good e wallet casino login?

When picking a casino or payment provider in Australia, check:

  1. Government licence (state/territory, global or offshore)
  2. Choice of e wallets: PayPal, Skrill, Neteller, Apple Pay, Google Pay, AstroPay
  3. Ability to set spending/time limits
  4. Clear policy for fast withdrawals and deposits
  5. Mobile-friendly login, no need to type long passwords every time
  6. Zero/low fees for transactions
  7. Responsive helpdesk for login issues
  8. Strong reviews from other Australians

e wallet options in AU casinos

Choose slot and pokies with e wallet casino login

Pokies and online slots are the biggest draw for e wallet users in Australia. Explore top options with free spins and progressive jackpots:

  • Big Bass Bonanza
  • Wolf Gold
  • Lightning Link
  • Buffalo Blitz
  • Fruits Gone Wild
  • Starburst
  • Queen of the Nile
  • Ocean Fortune

Popular Australia slots online

How to start: e wallet casino login for beginners

  1. Choose a licensed AU or offshore casino
  2. Register and pick «e wallet login»
  3. Link your e wallet (PayPal, Skrill, etc)
  4. Set and verify 2FA login if available
  5. Deposit and verify account by ID
  6. Check bonus terms for e wallet deposits
  7. Start playing

Deposit, withdrawal speed and daily limits

Provider Processing time Limits AUD/DAY Fee
PayPal Instant 10-5000 0% – 2%
Skrill Within 10min 20-8000 0% – 2.5%
Neteller Instant 15-5000 1.5%
AstroPay Up to 1hr 10-7000 Free
Apple Pay Instant 5-1000 Free

Risks, problems and how to avoid them

Account lockout risks

Repeated failed logins can lock your casino or e wallet for 24 hours.

Bonuses not eligible via some e wallets

Some welcome offers exclude deposits via Skrill or Neteller.

Privacy and card data protection

Casino can never see your card number or financial info with e wallet casino login.

Unexpected fees and unverified payments

Verify wallet and casino ID to avoid limits or hidden charges.Safe login for AU casinos

e wallet casino login FAQ

Is e wallet casino login legal in Australia?

Yes, e wallet use is legal at licensed domestic and offshore casinos that accept Australians.

Can I get a bonus on e wallet deposit?

Some casinos exclude PayPal, Skrill or Neteller from welcome offers. Always check T&C first.

How fast are casino withdrawals with e wallet?

Usually instant to a few hours, much faster than bank transfers or cards.

Do I need extra documents to use e wallets?

You must verify identity with both casino and wallet provider, but usually no paperwork for each withdrawal.

What if I lose e wallet access?

Contact both your wallet service and casino security team to restore or unlink your payment method safely.

Online Casino Landscape in Australia 2024

Australia’s online casino scene has become increasingly popular, offering local players an exciting mix of games, bonuses and secure payment options. Let’s take a closer look at some of the most popular casino brands that Aussie players trust and enjoy today.

7Bit Casino Overview

7Bit Casino Australia slots

7Bit Casino is a crypto-friendly platform widely used by Australian punters who prefer diverse pokies, modern provably fair games, and fast crypto transactions. The site regularly updates its promotions and runs weekly race tournaments to keep things exciting.

Bizzo Casino Insights

Bizzo Casino Australia bonuses

Bizzo Casino stands out for Australians especially because of its fast withdrawal times and a rich catalogue of pokies from top-tier software providers. Their loyalty program is especially rewarding for dedicated regulars.

BoVegas Casino Appeal

BoVegas Casino Australia

BoVegas Casino remains a classic choice for Australian casino enthusiasts thanks to generous welcome packages and a simple, user-friendly layout. Support is available around the clock, which is appreciated by local players in different time zones.

CasinoChan for Pokies Fans

CasinoChan Australia pokies offer

CasinoChan is packed with pokies and live dealer options that attract both new and experienced Australian players. Its straightforward registration process and regular slot tournaments are major highlights.

Casoola: Colourful Themes and Large Jackpots

Casoola Casino Australia jackpots

Casoola’s playful design and excellent jackpot selection set it apart in the Australian market. With vibrant visuals and smooth mobile accessibility, everything appeals to today’s on-the-go players.

Fair Go Casino: Tailored for Aussies

Fair Go Casino Australia review

With a kangaroo mascot and frequent promotions, Fair Go Casino is truly an Australian casino through and through. It offers local payment solutions like Neosurf and works closely with local player preferences to ensure a smooth experience.

Greenspin: Eco-Friendly Gaming

Greenspin Australia casino eco

Greenspin goes a step further by promoting eco-friendly policies and sustainable practices, which resonates with environmentally conscious Australian players. Their green loyalty program gives back with every wager.

High Roller Casino VIP Experience

High Roller Casino Australia VIP bonuses

True to its name, High Roller Casino caters to Australian big spenders with exclusive VIP deals, personal account managers and high table limits. A great fit for those seeking tailored treatment and higher stakes.

Irish Luck Casino Magic

Irish Luck Casino Australia pokies

Irish Luck brings a bit of charm down under, offering free spins and unique themed pokies with Irish flair. Aussies who love dynamic interfaces and fun bonus rounds often make Irish Luck their go-to.

Neon54’s Modern Appeal

Neon54 Casino Australia online

Neon54’s pop-culture branding, cashback promotions and mobile-first website keeps it on the trend radar for younger Australian casino audiences.

Planet 7 Casino Features

Planet 7 Casino Australia slots

Aussies love the wide variety of RTG pokies at Planet 7 Casino, plus regular deposit match deals and fair play policies.

Pokiez: Purely Australian Spirit

Pokiez Casino Australia pokies bonus

Pokiez has tailored its offering for Australian players by highlighting everyone’s favourite slot games, exclusive bonuses and localised customer care.

Silver Oak Casino Stable Gaming

Silver Oak Casino Australia review

Silver Oak Casino delivers reliable, steady performance, plenty of bonuses and 24/7 customer support for its devoted Aussie community.

SkyCrown: Bonuses and Fast Payments

SkyCrown Casino Australia bonuses and fast payouts

SkyCrown combines an ever-growing pokies library with some of the fastest withdrawal times in the Australian market.

SpaceCasino: Out-of-this-World Gaming

SpaceCasino Australia pokie games

SpaceCasino is ideal for explorers aiming for generous bonuses and frequent slot tournaments set against a cosmic backdrop.

SpinBit Casino Technology

SpinBit Casino Australia slots

SpinBit uses advanced gamification, fast-loading slots and a loyalty program that benefits regular Australian players specifically.

Springbok: South African Original, Australian Favourite

Springbok Casino popular in Australia

Though South African in origin, Springbok has become a staple for Aussie slot lovers, winning players with tailored offers and instant deposit options.

True Fortune: Fast Payouts, Trusted Brand

True Fortune Casino Australia payouts

True Fortune’s reputation among Australians is built on verified fast payouts and friendly around-the-clock service.

WPT: Poker Excellence for Pros

WPT Poker online Australia

The World Poker Tour allows competitive Australian card players to test their skills and qualify for global events right from their living rooms.

Wild Fortune: Adventure Awaits

Wild Fortune Casino Australia bonuses

Wild Fortune embraces an adventure-driven theme, offering Australian players a wide range of themed tournaments and entertaining slot quests.

Responsible Gambling in Australia

Always set limits and remember online gaming should be for entertainment. Australians are encouraged to use casino self-exclusion tools, stick to regulated brands, and seek help if gambling stops being fun.

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Detailed review of AU e wallet casino login.

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e wallet casino login


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Imperial





Volume 27(4) Decembro 2021

Portada

Editorial

Susana Aldecoa Landesa. Presidenta AGAMFEC

Editorial científica

Syndemia due to Covid 2019. Other measures are necessary to stop the spread of viruses.

Ana Arceo Túñez. Coordinadora do grupo de traballo de Inequidades da AGAMFEC

Orixinais

Smallpox and Covid: narratives and anti-vaccine beliefs

Roberto Fernández Álvarez, Marina Nogueiras Fernández, Carlos Menéndez Villalva.

 

Lifestyle and preventive activities in colorectal cancer screening

Martin Menéndez Rodríguez, Natalia García Morales, Beatriz López Gómez, Nerea Garcia Verdugo, Teresa Seone Pillado, Carlos Menéndez Villalva, Joaquín Cubiella Fernández.

 

Analysis of the diagnostic utility of different anthropometric indices to measure body composition in infancy

Fernando Isidro Lago Deibe, Laura Fernández Astray, Mª Cristina Herves Beloso, Alexandra Sanmarfull Schwarz, Sonia Blanco Sio, Gabriel Romero de Avila Cabezon, Zara Fernández Saa, Raquel Bazarra Carou, Helena Conde Novoa, Mª Teresa Ferreiro Losada, Sabela Couso Viana, Martín Miguel María Victoria.

 

Eficacia de la venopunción guiada por ultrasonido en Atención Primaria. Ensayo aleatorizado en pacientes en los que se necesita un segundo intento

Efficacy of ultrasound-guided venipuncture in Primary Care. Randomized trial in patients in whom a second attempt is needed

Carres Esteve L, Gonzalez Moneo MJ, Alcaraz Puertas S,Alsina Lligadas A, Garcia Casanovas S, Sanz Miralles T.

 

Para saber máis

Use of antimicrobials and vaccines in pregnancy Uso de antimicrobianos e vacinas no embarazo

Aurelysmar P. Grimán de Collantes

 

What’s New in Pain: The basics of 2021

Gabriel Romero de Ávila Cabezón, M.ª Ángeles González Sabajanes

Número completo en PDF

Qué hay de nuevo en dolor: Lo fundamental de 2021

Gabriel Romero de Ávila Cabezón, M.ª Ángeles González Sabajanes

INTRODUCCIÓN

Tanto a nivel científico como social, 2021 ha sido el año de la progresiva recuperación de una normalidad que todos estábamos deseando. La vacunación masiva contra el coronavirus se ha destacado como una de las principales actuaciones de Salud Pública de nuestra generación y ha permitido que muchos estudios científicos y publicaciones vuelvan a su ritmo habitual. Así, en estos últimos meses nos han llegado nuevas guías de actuación y se han puesto en marcha algunas investigaciones acerca de las consecuencias que ha tenido la pandemia, en este caso en el ámbito del dolor.

Las cifras que muestra la literatura no son buenas. Los pacientes afectados de dolor crónico han visto empeorada su calidad de vida por culpa de las restricciones a su movilidad y por un acceso más difícil a la atención sanitaria. Las listas de espera para consultas de revisión, terapias de rehabilitación, tratamientos invasivos o cirugías se han alargado como nunca e incluso sin fecha, provocando, de paso, una situación de angustia y desconcierto que aumenta la percepción del dolor.

Reconducir a estos pacientes será complicado, más aún en un sistema sanitario colapsado y sin personal suficiente, pero ya existen algunas estrategias para ello.

Veamos cuáles han sido las publicaciones más interesantes del año en cuanto a la atención al dolor, todas ellas de acceso libre.

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Uso de antimicrobianos y vacunas en el embarazo

Aurelysmar P. Grimán de Collantes

INTRODUCCIÓN

Pautar un tratamiento farmacológico a una mujer embarazada, en edad reproductiva o durante la lactancia, representa un reto al que deben enfrentarse diariamente los médicos de familia. De igual forma, tomar la decisión de mantener o modificar el tratamiento farmacológico de una patología crónica en esta etapa, puede generar dudas por las consecuencias que éstos pueden tener tanto en el feto como en la madre.

Pretender que los médicos conozcan la seguridad en el embarazo de todos los fármacos y sus posibles efectos adversos, tanto para el feto como para la madre, es poco pertinente, principalmente porque la falta de evidencia científica, y la incapacidad de realizar ensayos clínicos en mujeres embarazadas, evita establecer la seguridad de muchos de ellos.

Es por ello que diversas comunidades y organizaciones científicas se han dedicado a establecer un sistema de clasificación que agrupe los fármacos disponibles en la actualidad según su seguridad o posibilidad de causar efectos adversos, todo ello basándose en la evidencia científica disponible, principalmente, estudios retrospectivos.

Según un estudio llevado a cabo por la Organización Mundial de la Salud (OMS), al rededor del 86% de las mujeres embarazadas consumen algún tipo de medicamento durante esta etapa. Otro estudio llevado a cabo en España demostró que esta cifra ascendía al 92,4%, especialmente en el primer trimestre.

Entre las condiciones y/o patologías más frecuentes en las mujeres embarazadas se encuentran las infecciones, especialmente las del tracto respiratorio y la vía genitourinaria, lo que explica porque los antimicrobianos se encuentran entre los fármacos más utilizados en ésta etapa. En concreto se considera que las infecciones del tracto genitourinario, incluyendo la bacteriuria asintomática, son las patologías agudas que requieren tratamiento farmacológico con mayor frecuencia en esta etapa.

Según algunos autores, alrededor del 3% de las anomalías congénitas en los recién nacidos (RN) se deben al uso de antibióticos y/u otros antimicrobianos durante el embarazo. Sin embargo, es necesario acotar que, en algunos casos, el riesgo de que el recién nacido desarrolle malformaciones o anomalías congénitas es mayor si la infección no es tratada de forma adecuada que por el uso de fármacos antimicrobianos per se. Es por ello que en cada paciente debemos valorar el riesgo-beneficio, explicar la situación de forma clara y asertiva y respetar la decisión de la pareja/paciente.

Al llevar a cabo la revisión bibliográfica, se pudo determinar que uno de los sistemas de clasificación que ha sido más utilizado y conocido hasta ahora es el sugerido por la Food and Drugs Administration (FDA), que categoriza cada fármaco en 5 grupos (A, B, C, D, y X) según los efectos que éstos causan en el feto4. Sin embargo, en las últimas décadas, se han sugerido nuevas clasificaciones, como las normas de etiquetado Pregnancy and Lactation Labeling Rule (PLLR), en las cuales se elimina la clasificación por letras del sistema anterior para incluir más información sobre cada fármaco, incluyendo el registro de exposiciones durante el embarazo, resumen de riesgos, consideraciones clínicas y datos científicos, así como los efectos en el puerperio y la lactancia.

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Eficacia da venopunción ecoguiada en Atención Primaria. Ensaio aleatorizado en pacientes que requiran un segundo intento

Carres Esteve L, Gonzalez Moneo MJ, Alcaraz Puertas S,Alsina Lligadas A, Garcia Casanovas S, Sanz Miralles T

SUMMARY

Objective: To compare the use of ultrasound-guided venipuncture with blood draw by an expert nurse in patients who need a second try.

Design: randomized clinical trial

Setting: Primary care center San Martí in Barcelona that serves 45,000 people.

Participants: of the 3791 patients with extraction on Monday from April to October 2017, we selected the 94 failures on the first attempt. Methods: The second venipuncture was done either by an expert nurse, or guided by ultrasound. We collected barely palpable veins, self-perception of “bad veins”, fear of extraction, and ultrasound characteristics of the vessels. Pain and patient satisfaction were assessed using a Likert scale, side effects the next day.

Results: Obese patients were overrepresented in the intervention group (61.9% vs 36.2% p = 0.015). No differences were found in the median(IQR) of attempts 2 (2-3) vs 2 (2-2) p = 0.127), pain or satisfaction with both procedures (p = 0.122). There were fewer bruises in the intervention group (16.67% versus 25.53%, p = 0.531).

Conclusion: In primary care, the use of ultrasound did not affect the number of venipuncture attempts compared to the usual technique performed by an expert nurse. There were no differences in patient satisfaction or complications.

Keywords: Peripheral, Injections, Intravenous, Nursing practice, Ultrasonography, Venipuncture, Randomized control trials

RESUMO

Obxectivo: comparar o uso da venopunción guiada por ultrasóns coa recollida de sangue por parte dunha enfermeira experta en pacientes que precisan un segundo intento.

Deseño: ensaio clínico aleatorizado

Entorno: Centro de atención primaria San Martí de Barcelona que atende a 45.000 persoas.

Participantes: dos 3791 pacientes con extracción do luns de abril a outubro de 2017, seleccionamos os 94 fallos no primeiro intento.

Métodos: a segunda venopunción foi realizada por unha enfermeira experta ou ben guiada por ecografía. Recollemos veas apenas palpables, autopercepción de “malas veas”, medo á extracción e características de ultrasóns dos vasos. A dor, a satisfacción do paciente avaliáronse mediante a escala Likert e os efectos secundarios ao día seguinte.

Resultados: os pacientes obesos estaban sobrerrepresentados no grupo de intervención (61,9% vs 36,2% p = 0,015). Non se atoparon diferenzas na mediana (IQR) dos intentos 2 (2-3) vs 2 (2-2) p = 0,127), dor ou satisfacción con ambos os procedementos (p = 0,122). Houbo menos hematomas no grupo de intervención (16,67% fronte a 25,53%, p = 0,531).

Conclusión: na atención primaria, o uso da ecografía non afectou o número de intentos de venopunción en comparación coa técnica habitual realizada por unha enfermeira experta. Non houbo diferenzas na satisfacción do paciente nin nas complicacións.

Palabras chave: Periférico, Inxeccións, Intravenosa, Práctica de enfermaría, Ultrasonografía, Venopunción, Ensaios controlados aleatorios

RESUMEN

Objetivo: Comparar el uso de la venopunción guiada por ecografía con la extracción de sangre por una enfermera experta en pacientes que necesitan un segundo intento.

Diseño: ensayo clínico aleatorizado

Entorno: Centro de atención primaria San Martí en Barcelona que atiende a 45.000 personas.

Participantes: de los 3791 pacientes con extracción en lunes de abril a octubre de 2017, seleccionamos los 94 fallos al primer intento.

Métodos: La segunda venopunción se hizo o bien por una enfermera experta, o bien guiada por ecografía. Recogimos venas apenas palpables, autopercepción de “venas malas”, miedo a la extracción, y características ecográficas de los vasos. Se evaluó el dolor, la satisfacción del paciente mediante escala Likert y al día siguiente los efectos secundarios.

Resultados: los pacientes obesos estaban sobrerrepresentados en el grupo intervención (61, 9% frente a 36, 2% p = 0,015). No se encontraron diferencias en la mediana (RIQ) de los intentos 2 (2-3) vs 2 (2-2) p = 0,127), dolor o satisfacción con ambos procedimientos (p = 0,122). Hubo menos hematomas en el grupo intervención (16, 67% versus 25, 53%, p = 0,531).

Conclusión: en atención primaria, el uso de la ecografía no afectó el número de intentos de venopunción en comparación con la técnica habitual realizada por una enfermera experta. No hubo diferencias en la satisfacción o las complicaciones del paciente.

Palabras clave: periférico, inyecciones, intravenoso, práctica de enfermería, ecografía, punción venosa, ensayos controlados aleatorizados.

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Análisis de la utilidad diagnóstica de diferentes índices antropométricos para medir composición corporal en la infancia

Fernando Isidro Lago Deibe, Laura Fernández Astray, Mª Cristina Herves Beloso, Alexandra Sanmarfull Schwarz, Sonia Blanco Sio, Gabriel Romero de Avila Cabezon, Zara Fernández Saa, Raquel Bazarra Carou, Helena Conde Novoa, Mª Teresa Ferreiro Losada, Sabela Couso Viana, Martín Miguel María Victoria

RESUMEN

Introducción: Este trabajo realiza un estudio antropométrico en la ciudad de Vigo, en escolares de la primera etapa de la adolescencia, para identificar riesgo de obesidad comparando diferentes índices.

Métodos: Estudio de prevalencia en mayo-junio de 2009 en alumnos de 1º a 4º curso (12-16 años) de Enseñanza Secundaria Obligatoria(ESO) de Vigo. Se realizó un muestreo estratificado por tipo de centro y curso y se aleatorizó por conglomerados (centro educativo). Variables: edad(años), sexo(hombre y mujer), país de origen, altura(cm), perímetro de cintura(cm), perímetro de cadera(cm), el porcentaje de grasa, agua y masa magra por impedanciometría, índice de masa corporal(IMC), índice cintura-altura(ICA), índice cintura-cadera(ICC). Se realizó un análisis descriptivo, bivariante (chi-cuadrado y t-Student o Anova) y de clasificación con curvas ROC (ICC, ICA, IMC con impedanciometría). Los análisis se realizaron con R-studio.

Resultados: Se analizaron 577 alumnos, 48,7% niñas y 51,3% niños; el 56,7% iban a colegios públicos. El 93,9% eran españoles y casi todos tenían entre 11 y 15 años(90,7%). La distribución entre cursos no mostró diferencias significativas. La prevalencia de estar en riesgo de sobrepeso fue del 29,0% (47,8% mujeres y 11,3% hombres). El área bajo la curva (AUC) fue de 84,6% para el IMC y de 78,12% para el ICA con respecto al porcentaje de grasa por impedanciometría, y 56.6% para ICC.

Conclusiones: Las cifras de prevalencia son considerables y probablemente hayan aumentado, como apuntan estudios posteriores. El IMC y el ICA son métodos sencillos y fiables para identificar sobrepeso en personas de entre 12 y 16 años.

Palabras clave: Test diagnósticos, obesidad, niños, antropometría.

ABSTRACT

Introduction: Anthropometric study in the city of Vigo, in schoolchildren of the first stage of adolescence, to identify the risk of obesity by comparing different indices.

Methods: Prevalence study in May-June 2009 in students from 1st to 4th year (12-16 years) of Compulsory Secondary Education (ESO) in Vigo. A stratified sampling was carried out by type of center and course and it was randomized by clusters (educational center). Variables: age (years), sex (man and woman), country of origin, height (cm), waist circumference (cm), hip circumference (cm), percentage of fat, water and lean mass by impedance, body mass index (BMI), waist-height index (ICA), waist-hip index (ICC). A descriptive, bivariate analysis (chi-square and t-Student or Anova) and classification with ROC curves (ICC, ICA, BMI with impedance) was performed. The analysis were carried out with R-studio.

Results: 577 students  were analyzed, 48.7% girls and 51.3% boys; 56.7% went to public schools. 93.9% were Spanish and almost all were between 11 and 15 years old (90.7%). The distribution between courses did not show significant differences. The prevalence of being at risk of being overweight was 29.0% (47.8% women and 11.3% men). The area under the curve (AUC) was 84.6% for BMI and 78.12% for ICA with respect to the percentage of fat by impedance, and 56.6% for ICC.

Conclusions: The prevalence figures are considerable and have probably increased, as indicated by later studies. The BMI and ICA are simple and reliable methods to identify overweight in people between 12 and 16 years of age.

Key words: Search: diagnostic tests [MeSH], obesity [MeSH], children[MeSH], anthropometry[Mesh]

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Estilo de vida y actividades preventivas en el cribado de cancer colorrectal

Martin Menéndez Rodríguez, Natalia García Morales, Beatriz López Gómez, Nerea Garcia Verdugo, Teresa Seone Pillado, Carlos Menéndez Villalva, Joaquín Cubiella Fernández

RESUMEN

Introducción: en España están implantados diferentes programas de cribado de cáncer colorrectal (CCR), la participación es clave en la efectividad de esta estrategia preventiva. El objetivo de este estudio es analizar qué factores relacionados con el estilo de vida se asocian a la participación en un programa poblacional de cribado de CCR.

Métodos: estudio multicéntrico de casos (n =237 ) y controles (n = 171). Se analizó el efecto de las variables sociodemográficas, antecedentes de neoplasias, frecuentación de las consultas, características del médico de familia y participación en otras estrategias preventivas.

Resultados: la edad media fue de 59,3±5,2 años; el 52,4% eran mujeres. El 20,0% tenían antecedentes familiares de CCR. Participaron en la campaña de vacunación antigripal el 32,4%, un 95,9% de las mujeres realizaron mamografías. Respecto al análisis bivariado, destacamos que los individuos que participaron en el cribado de CCR fueron significativamente de mayor edad ( OR=1,07; IC95%:1,02-1,11), tenían pareja (OR=2.13, IC95%: 1.37-3.30) y estudios superiores (OR=1.55, IC95%: 1.04-2.31). También participaron más en las campañas de vacunación antigripal (OR=2,23, IC95%:1,43-3,46). En el análisis multivariado, las variables que se asocian de forma significativa a la participación en el cribado de CCR son : el tener pareja (OR=2,00; IC 95%: 1.21-3.27) y participar en la campaña de vacunación antigripal (OR=2,20; IC 95%: 1.32-3.65); una mayor edad (OR=1,04; IC95%:(0,99-1,09) está próxima a la significación estadística.

Conclusiones: la participación en el programa poblacional de cribado de CCR se asocia con tener pareja, una mayor edad y con la participación en otras estrategias preventivas. Palabras clave: Colorectal cancer, cancer screening, life style, primary care.

ABSTRACT:

Introduction: different colorectal cancer screening programs are implemented in Spain. Participation is key in the effectivity of this preventive strategy. The objective of this study is to identify lifestyle factors that are associated with participation in a population-based colorectal cancer screening program.

Methods: multicentric study of cases (n =237) and controls (n = 171). We analyzed the effect of sociodemographic variables, personal history of cancer, frequentation of consultation, general practitioner characteristics and participation in other preventive strategies. We conducted a descriptive analysis, a bivariant analyses and a multivariate logistic regression model.

Results: mean age was 59,3±5,2 years; 52,4% were women and 72,2% had a partner. Regarding to clinical variables, 20,0% had family history of colorectal. The participation in flu vaccination campaign was 32,4% and, in the case of women, 95,9% participated in breast cancer screening. With regard to bivariant analysis, individuals that participated in colorectal cancer screening were significantly older (OR=1,07; CI95%:1,02-1,11), had a partner (OR=2.13, CI95%: 1.37-3.30) and higher education (OR=1.55, CI95%: 1.04-2.31). They also participated more in flu vaccination campaigns (OR=2,23, CI95%:1,43- 3,46). In multivariant analysis, variables significantly associated to the participation in colorectal cancer screening were having a partner (OR=2,00; CI 95%: 1.21-3.27) and participating in flu vaccination campaign (OR=2,20; CI 95%: 1.32-3.65); meanwhile older age’s tended to statistically significance (OR=1,04; CI95%:(0,99-1,09).

Conclusions: participation in population-based colorectal cancer screening program is associated with having a partner, being older, and participating in other preventive strategies. Keywords: Colorectal cancer, cancer screening, life style, primary care.

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Viruela y Covid: narrativas y creencias antivacunas

Roberto Fernández Álvarez, Marina Nogueiras Fernández, Carlos Menéndez Villalva

RESUMEN

Objetivo: Estudiar el contenido de las narrativas anti-vacunas SARS-CoV-2 y compararlo con las narrativas contra la vacuna de la viruela, que se dieron en el pasado.

Diseño: Revisión histórica de narrativas contra la vacuna de la viruela. Por otro lado, estudio cualitativo de narrativas anti-vacunas SARS-CoV-2 presentes en Internet.

Método: Para la revisión histórica se consultaron documentos digitalizados del siglo XIX y XX en idioma castellano y temática centrada el rechazo de la vacuna de la viruela. Para el estudio cualitativo se hizo un muestreo intencional de narrativas antivacunas presentes en Internet, con transcripción de las mismas y análisis temático. La saturación de los discursos se alcanzó precozmente.

Resultados: Tanto las actuales narrativas anti-vacunas como las del pasado dirigen el discurso al pensamiento intuitivo y al racional de su audiencia. Apelan al miedo a la muerte, enfermedades, infertilidad o degeneración genética. En la esfera racional, aprovechan los vacíos de evidencia de las vacunas, que rellenan con conjeturas fisiopatológicas, emiten información sesgada de apariencia científica, y desacreditan argumentos contrarios.

Conclusión: La esencia de la narrativa anti-vacunas apenas ha evolucionado; es la misma que ya erró sus fatídicas predicciones en el pasado. Ello nos permite reforzar a los usuarios la idea de que el discurso anti-vacunas no es un instrumento fiable para predecir problemas con las vacunas y no es útil para ayudar a resolver dudas respecto a la decisión de vacunarse.

Palabras clave: Vacuna COVID-19, indecisión ante la vacuna, rechazo a la vacunación, vacuna de la viruela, confianza en la vacuna

ABSTRACT

Objective: To study the content of the anti-SARS-CoV-2 vaccine narratives and compare it with the narratives against the smallpox vaccine, which occurred in the past.

Design: Historical review of narratives against the smallpox vaccine. On the other hand, qualitative study of anti-SARSCoV- 2 vaccine narratives available the Internet.

Method: For the historical review, digitized documents from the 19th and 20th centuries were consulted in Spanish and thematic focused on the rejection of the smallpox vaccine. For the qualitative study, an intentional sampling of anti-vaccine narratives present on the Internet was made, with their transcription and thematic analysis. The saturation of the speeches was reached early. Results: Both the current anti-vaccine narratives and those of the past direct the discourse to the intuitive and rational thinking of their audience. They appeal to the fear of death, disease, infertility or genetic degeneration. In the rational sphere, they take advantage of the evidence gaps in vaccines, which fill in pathophysiological conjectures, emit biased information that appears scientific, and disparage contrary arguments.

Conclusion: The essence of the anti-vaccine narrative has barely evolved; it is the same one that has already failed its fateful predictions in the past. This allows us to reinforce to users the idea that anti-vaccine discourse is not a reliable instrument to predict problems with vaccines and is not useful to help resolve doubts regarding the decision to vaccinate.

Keywords: COVID-19 vaccine; vaccine hesitancy; vaccination refusal; small-pox vaccine; vaccine confidence

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Editorial científica. Sindemia por COVID19

INTRODUCIÓN

A maioría das medidas adoptadas para loitar contra a pandemia por Covid-19 céntranse en tratar a enfermidade como unha patoloxía infecciosa e en cortar as vías de propagación do virus. Porén, algúns expertos van máis alá da pandemia e falan que estamos ante unha sindemia e que, para afrontala, a medicina non chega.
O termo “sindemia” nace nos anos 90, cando o antropólogo médico Merrill Singer observou que nos pacientes con VIH coexistían tres ameazas interconectadas: o abuso de substancias, a violencia e a sida. Nese momento propuxo que estas variables sociais debíanse ter en conta para facer fronte á enfermidade

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Editorial. Vixiantes e esixentes

A Atención Primaria (AP) está enferma de gravidade. Moi obvio, rematando o 2021. Non parecía tan obvio fai tres anos, en decembro de 2018, cando os xefes de servizo de Vigo dimitiron para denunciar a situación de deterioración da AP. Daquela a AGAMFEC fixo un exercicio de anamnese coa enquisa que chamamos Tempos Modernos, na que participaron un alto número de profesionais de diferentes categorías. Coas respostas fíxose un diagnóstico e expúxose un plan terapéutico, nun documento chamado “Tempos Modernos, cambios radicais en Atención Primaria”.

Desafortunadamente o tempo deunos a razón, e agora a enfermidade da nosa Primaria está na fala da xente. Estao porque xa é moi evidente a caquexia. Disimulouse porque a profesionalidade levounos a dar máis do xustificable, porque a covid destorceuno todo, pero cando o país empezou a arrincar e os pacientes quixeron recuperar a atención presencial, atopáronse a Primaria afogada.

A AGAMFEC continuou debatendo o modelo este ano participando no Foro de AP, e xa recuperada a presencialidade, nas xornadas de residentes e titores de Santiago, nas xornadas AGAMFEC de Pontevedra e nas xornadas de medicina rural SEMFYC de Ourense.

A Constitución garante o dereito á saúde, e a Lei Xeral de Sanidade, o dereito a unha atención sanitaria de calidade en condicións de igualdade. Que está a ocorrer? Primaria xa non ten capacidade de ofrecer tal atención sanitaria. Calquera cidadán que precise hoxe atención pode observar a crúa realidade; que os atributos que definen a AP, accesibilidade, lonxitudinalidade, integralidade, e coordinación, non están garantidos. Esta perda leva á rápida privatización, non temos máis que ver a publicidade masiva de mutuas e centros privados. Consecuencia: pérdese a equidade e a universalidade, e con iso, o sistema sanitario que coñecemos.

É evidente que a cidadanía non vai renunciar tan fácilmente. Primaria ocupa titulares e mensaxes políticas. O custo desta perda é alto para calquera gobernante.

Empezan a chegar noticias de cambios, chegan conclusións de grupos de traballo, plans dunha nova AP, intentos de creación de novas categorías profesionais, pilotaxes para as áreas administrativas, propostas de aumento de prazas de MIR, novas definicións de competencias profesionais, unha nova Dirección Xeral de Planificación e Reforma Sanitaria… cambios demasiado lentos que van ir acompañados de novas normativas e de condicións laborais e profesionais que non se dan. Están en trámite o Decreto de Ordenación do Sistema de Formación Sanitaria Especializada, o novo Decreto de Ordenación Sanitaria de Galicia.

Toca estar vixiantes, moi vixiantes porque a AP, e polo tanto o Sistema Sanitario, ten que redefinirse, tras o colapso, e de todos depende como se faga.

A Xunta Directiva da AGAMFEC este ano que termina traballou en varias liñas: na presenza na universidade (ver editorial do mes de xullo), clave para que a AP vertebre realmente o sistema sanitario; nunha nova proposta de ordenación dispoñible na web, enviada a socios, sociedades, sindicatos e partidos; presentado alegacións ás propostas de decretos, propoñendo ferramentas de atención continuada como a revista AMF para os profesionais, e a integración da Guía Terapéutica de SEMFYC na historia clínica e outras moitas accións.

Pero unha e outra vez chegamos ao punto clave no que non temos as noticias que necesitamos, o financiamento. A AP segue sen un financiamento completo, suficiente, independente e autoxestionado. Seguiremos vixiantes e esixentes.

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