Conferencia matutina de AMLO, 23 de enero de 2020

Well, we had agreed today to present the report of the secretary of the public service on the investigations to prevent and punish corruption in the government, how are we going about this matter, but also how the protest of parents with children with cancer was presented and the airport needs to inform everyone what is happening. In this case, I take the opportunity to tell people that we have this resistance because there was a lot of corruption in the health sector everywhere, a lot of corruption and we are cleaning up and that is why these very regrettable reactions are not I am blaming no one in the particular case of the parents, much less in the case of the children.

We have the obligation and responsibility to ensure that they do not lack medication. That is the purpose that no one lacks medical attention, the medications and that there is free medication, but this The model is political because it means affecting created interests. Those who do not want to stop stealing pressure think that in this way we are going to go back on this. The decisions we have made not to allow corruption. We take the opportunity to tell them they can continue manipulating, distorting things, but we We are not going to give in. It is zero corruption and we are going to attend to all the demands.

That is why just yesterday the health officials went to the airport and today all day and that is why they are here to inform the citizens of what is really happening. There were companies that They concentrated the sale of medicines and healing materials, large monopolies that did juicy business with medicines for healing materials. There was still complicity with hospital directors. They obtained the recovery fees. They managed and continue to manage what was charged for medical care. In some cases, on a discretionary basis, it is unfortunately happening, but we are moving forward, now we explain what is being done and we are going to provide information on everything you have, these are the companies, the complaints that are being presented and are going to be presented, including the investigations that are being carried out. to open hospitals to review the behavior of directors of public hospitals and not allow corruption, also tell them that there will be no lack of medicines, in the case of children with cancer, there will never be a lack of medicines even if we have them. that buying in other countries in the world will never be lacking and we have enough budget and we have every month so that the supply of medicines is not lacking and of course we are going to advance more and more.

It bothered them a lot not only the fight against corruption is more because touching the purse of these ambitious people who have dedicated themselves to stealing for a long time is a major grievance but also the ideological part, such as the fact that free fees are no longer going to be charged, there is resistance to that and we have to comply with the constitution with the laws and there will be no charge for medicines and there will be medicines and medical care and medicines that is the plan and it will work then after that after they explain to us about the issue of health secretary of the public service will to explain precisely how we are fighting corruption what results there are how we are moving forward we leave it to doctor hugo lópez gatell to introduce thank you sir president very good morning everyone I am going to say briefly what is related to what we had already explained the last Thursday about how these problems of market concentration work and how that can lead directly to pressures due to commercial interest that lead to a shortage of medicines at the point of service due to the direct action of the suppliers.

I explain it this way. Let's go. to focus on cancer and in a special way we are going to address the problem of childhood cancer. Then I will leave it to Dr. Gustavo Reyes Terán, our coordinating commissioner of the National Health Institutes, who will explain these details. Basically, I want us to locate the dimension or size of the problem yesterday in these demonstrations of this group that closed the airport there was talk of hundreds of thousands of cases of childhood cancer per year. Let's specify, we are talking about in Mexico that the incidence of childhood cancer is around 7000 cases per year, half of them are leukemias.

I am referring to childhood cancer, half of them are leukemia and half of the cases of acute leukemia are treated mainly in two seasonal hospitals, which are the National Institute of Pediatrics and the Federico Gómez Children's Hospital of Mexico. The size of the problem is now let's be very Of course, each case is important, each case is an experience of human pain for the patients and their families. This is our total sympathy, respect, support and commitment to the patients and their families, but it is very important when we are talking about this problem. To be clear about the numbers now regarding medicines, there is a global problem that we first have to be very clear about.

In the world, the market for oncology medicines is also extremely concentrated. There are two global companies that produce the active ingredients of several of the anticancer medicines. cancer widely used throughout the world two companies, one in China and the other in India, this for several years the Chinese company suffered problems in its production capacity and half could be said of the world production of some of the oncological drugs main thing we are talking about pink christina of cyclophosphamide and children family how the medicines that suffered from this problem in the world market are no longer produced with the necessary sufficiency to supply the world obviously they became more expensive they concentrated now knowing this and having this crisis arose in this government we take actions then we take responsibility and that is how we have acted to face the problem and look for solutions and here I highlighted and I appreciate the role that the senior officer of the Ministry of Finance and Public Credit has played in helping the health sector find these medicines and I appreciate I also thank Foreign Minister Marcelo Ebrard for his support on the diplomatic side for opening the channels to find the products and I can say with complete peace of mind that since the middle of last year the government managed to supply itself with oncological medications since the methotrexate crisis began and then We decided that it was strategic for the country that we, the government, would buy the medications and that we would not be subject to what last Thursday I called blackmail and pressure from a monopolistic company in Mexico, which is the one that has pharmacy contracts with half of the federal hospitals.

Finally, what happened yesterday, we insisted on expressing our full support and sympathy to the families of children with cancer, was precipitated by a problem that these medications that we bought and that since the beginning of January we warned that lands were available to these hospitals and apparently The families were not informed that the government had solved the problem since August of last year, obviously they reacted with indignation and anxiety and demonstrated. This is what we want to make very clear that I am going to pass the floor with the president's permission to the doctor. Gustavo Reyes Terán to explain some of these details to us, with your permission, President, Good morning, I am going to give a brief review of what happened yesterday in the context that Dr.

Hugo López Gatell has set. The children's hospital has contracted pharmacy and surrogate services. of mixing drugs for the treatment of cancer, particularly the focus has been the treatment of acute lymphoblastic leukemia, the supplier has had inconsistencies in delivery since the end of August 2019, the fact is well known since August and throughout the year there were inconsistencies In the delivery of the medications from Mika's list of medications that are in the contract subrogated by not only the Children's Hospital of Mexico but by several hospitals, six including the National Institutes of Health, the Ministry of Health, this year the Children's Hospital was informed. of Mexico that the oncological medications, including vincristine, would be delivered on January 22, that is, yesterday, the parents of patients announced the demonstration a day before, alleging that they were not informed that it would be delivered yesterday lavín christina defendant, the parents of patients were attended to and informed by of a commission of the health institute for well-being and also of the coordination of the national health institutes and high specialty hospitals of the delivery of the de lavín christina that occurred yesterday to the director of the children's hospital increased their demand more and more until demanding that the president made a public commitment to them, it is important to consider recognizing that two days ago we presented the free proposal to the 26 general directors of the national health institutes, the federal reference hospitals and the regional high specialty discharge hospitals on December 20 21 of them have accepted and adhered to the free proposal towards December 1 of this year as instructed by the president of the republic, however there are four federal institutes and hospitals that have not yet adhered to this proposal of free of charge as we have been instructed is all I have well let's go to the questions sara thank you good morning ask you then it is the director of the hospital or of these two hospitals who do not request the medicines or who do not deliver the medicines on purpose are you suggesting that this is happening this is a hypothesis that they are causing this lack of control the supply of this type of medicines, that is why the secretary of the public service is going to open an investigation into who would be against the hospital directors of this hospital of the four that refuse to provide free child care, I also want to say here because it has just The doctor mentioned that the parents wanted a demonstration, not from the president, about the guarantee of supply.

He expressed it now, at this moment, the president of Mexico is committed to ensuring that there is no shortage of medicines for the children and that the entire government is involved in this case, the health sector. is addressing this problem and responding to the demand of the children. It would be herbal remedies. The director of the hospital would be removed from his position. We have to see it because there is a mechanism that was created from a kind of governing board that comes from a long time ago where this There is a kind of agreement and they have a kind of self-government and we are looking for a way to resolve this matter.

We do not want them to act illegally. We are going to act in accordance with the law. That is why the Secretary of Public Service is going to do the investigation. good morning president good morning officials if you know that these hospital directors are rocking the cradle so that they obviously continue with their businesses at the expense of children's illness why not remove the presidents if they know that there are already indications that they are responsible for that the medicines do not arrive and also, it must also be said, some media outlets such as Cielo Gómez Leyva use a child who should never be messed with and use it to generate ratings and provide evidence that the child is dying from lack of medicines when ciro gómez leyva he does not say that the director of this hospital has interests in not obviously distributing those medicines well two things first we have to do the investigation and we have to act in accordance with legal procedures that is why today decided that the secretariat of the public service should act, that the investigation be opened, that there are already other investigations and even about this company that are already on the verge of defining these investigations.

Now the secretary is going to explain it, but we have to do it responsibly and Without any persecutory spirit, this is so that it is not going to be interpreted that since there is this demonstration, what we do is this go against the fact that the innocent director is not there and that it is an act of arbitrariness, so we are going to investigate it and clarify it. making the media normal, first because it tells us and second because in Mexico during the neoliberal period the way of operating of large companies and influence peddlers increased through control of the media, so there is a close relationship and since it no longer exists on the part of the government, there is this possibility of continuing to feed media with public money for the benefit of created interest groups, that dissatisfaction in some media, just think about it that there has been a considerable reduction in the budget allocated to Before, there was no limit to mentioning the and from now on we no longer have the possibility of paying for this advertising and there are dissatisfied people and there have always been opponents, so it is normal that this is how they use children and they have not been characterized by having moral scruples, that is, of course, they are not all the media nor are they all the journalists, but those who were part of the old regime who were dedicated to maintaining corruption, those who were pimps of the regime of corruption of injustices of privileges, because now they are very upset this The important thing here is to have a clear conscience and be sure that you have to move forward and at the same time guarantee freedoms, but it's good that we have the opportunity to report yesterday that this happened, those responsible for the health sector will talk to you. tomorrow because we informed early before we couldn't do anything else it was just the opinion to saythisnow not now here we are exercising our right of reply presents a second question what is the already explained the undersecretary of the talks of the secret of foreign reference with the laboratories and obviously with the representatives of the countries of China and India what the relationship or the practices that your government has established with those governments so that obviously there is no such stoppage that the medicines could not reach Mexico and how much the government of Mexico is investing to acquire these medical accessories for the care of children we have based on the medicines, however, because of what the doctor said here, there is a worldwide shortage of one of these and supplies, it has already been authorized that the secretary of the navy help us to bring these supplies where they can be obtained and an investment in the particular case of this input for this children's cancer of 60 million pesos we have just resolved it like this but we have because we are anticipating that there will not be a shortage due to the global crisis of this input in particular yes of course it is something that others are suffering countries up to the United States, we have the possibility of obtaining it, this input has already been obtained, we have availability, but we want to make sure moving forward and we are already working on it.

Mexico has very good relations, the current government with all the governments of the world, and today Marcelo Ebrad is going to establish communication and we are going to have and all the supplies that are required, thank you Mr. President, there is something that I would like you to detail a little more about the children, finally, if they are facing the lack of medicine, it is not an invention, that is why the parents' demonstration when they are going to have it the supply of the medication in the hospitals and if they were being treated in the nursery where they are going to receive the medication in the same nursery despite what you call resistance from the director and if the supply that you are going to get is I don't know if it is already If it is being transferred, if it is going to arrive soon or if it is already there, but if it is already there and it is not given to the children, there is some legal criminal responsibility on the part of the director.

I would like you to settle on that, yes, because, as I told you last week, it seems that they are from another planet and that they have no responsibility despite having public resources to have the medicine available and what is happening, Mr. President, how is the lack of medicine that exists for these children who have the medicine going to be corrected? I just said yes, but now we are going to provide the ministers with tones. Now the doctor is going to explain to you how the medication is going to be administered in one way or another, we are going to solve it, that is, without a problem, what I want is for it to be Take into account that we are facing a reaction, I am not talking about the parents and children of a mafia that existed and that they dedicated themselves to stealing and their business ran out and the reaction is what we are facing, that is what I want you to understand.

Let's start because sometimes in the media I don't know how they give background information I don't know why it doesn't explain that no I already imagine it wasn't last night I go to bed early this one but I already imagine it I mean there's no need to see it anymore I'm probably not talking about this company that has This contract talks about the great corruption that has occurred in the health sector and much less is it going to talk about the purpose that the previous rulers whom he protected had of privatizing health, there is no way he can talk about that then, but it's good that We can reply, see, doctor, how they are, but you can explain it.

Thank you, President. The words here are direct and precise. I think it's even clearer than water. Here there is a phenomenon where the government of the Republic and the government of Mexico identified since 2019 from the beginning. 2019, a global problem of shortage of certain medicines for the reasons that I already explained, we did not wait for the crisis to break out, we anticipated and located who could sell us the medicines in case of shortage in Mexico in May, April and we began to identify some flaws in Mexican suppliers here I want to bring to your memory something that is directly connected and that has been forgotten in April at the end of April we had an outbreak of infection by a bacteria associated with total parenteral nutrition perhaps you remember it and the total parenteral nutrition that is this food supplementation that is given intravenously to people who are generally seriously ill, including children with cancer, we discovered, according to the investigation, as appropriate in epidemiology and healthcare, that the factory of these products that are called mixing plants was contaminated, which is where the contamination came from. bacteria in the factory obviously the cofepris the federal commission for the protection against health risks in accordance with what is mandated by the regulations and the law closed 17 of the 7 of the 17 plants that this company has this is closely related after we had the methotrexate crisis of the same corporate group that has a monopoly on the marketing in Mexico of almost all anti-cancer drugs.

The crisis was precipitated because there was a serious fatal case of a child in Puebla who was receiving methotrexate and who died. Cofepris led to the investigation and discovered that the methotrexate factory and that it is the same factory that produces oncological drugs from the same corporate group had not been accredited for years for its good manufacturing practices and closed the plant. It never confiscated 36,000 bottles that existed and that the company could give it in compliance with the contract to the children's hospital in Mexico were there but the company said it was Cofepris' fault and some journalists said that Cofepris was criminal because it was leaving children without chemotherapy no no Cofepris protected the population by closing a plant that did not comply with the good manufacturing practices the company had 36 thousand bottles ready and able to deliver but decided not to deliver them and that was where we said enough is enough, we are going to use the identification of the markets and we are going to buy abroad as indicated by the president if in Mexico there is no or it seems that there is no go outside and we went outside maybe you will remember that we received the methotexate on a Saturday at 3 in the morning and I thank again the Mexican Navy of the Secretary of the Navy for its support in all the logistical coordination since then we bought the rest of oncological medications to have a backup reserve because the question is answered clearly the medicines are there we buy them the government of Mexico I don't know I wait now to deliver it to deliver it what is required is for the store to tell us the treatments this is missing here The inventory is going to run out on that date and we have formally requested it and we are in response.

I have my demand covered and until we are literally days away from the medication running out at the service point where the boys and girls are. with cancer it turns out that it is the fault of the government that did not give them fake and then we all have the medicines, in some cases the medicines and I already said which ones are in particular vincristine and phosphamine cyclophosphamide we continue and will continue to face during

2020

all the countries of the world a supply problem Because the world's active ingredient factories are saturated, however, and here comes Chancellor Marcelo Ebrard and the enormous help he gives us is not only about opening doors in China and India, it is about opening doors in several other countries, France and England, Argentina, where there are plants. products of these medicines and where we are supplying ourselves and we will continue to supply ourselves as long as the supply of medicines in Mexico is not regularized, sorry, Secretary, to say that so that we can stay, my friend, it is very clear to me that there is a medicine available, if the children are there, no.

The building has it but the children do not receive the supply because the hospital director does not request it, the hospital has to say, I am missing this, this, while we are ready, well, the child's health deteriorates over time, what happens in this interface? in this in this process what can be done the child the children can receive care somewhere else so as not to be at the expense what a good question about this legal situation that they were seeing very clearly and it is an excellent question we are all interested in it I hope that in the entire society that children who suffer from cancer or any other disease or adults do not have the health problem is what the national public health system is for and that is why we want it to be free so that there is no barrier to access in this sense in The specific case of yesterday that the parents or a group of parents, I would like to think that one of them has been assumed or they have assumed that they represent all the parents claim that in the hospital where they are possibly admitted their children do not give them the medicine so yesterday what we did just as we announced it to the children's hospital officially from the beginning of January we did them good Wednesday, January 22, there will be this and this and this medicine so yesterday what we did was no We literally trusted that they were going to give them to them, so the group, the commission assigned to the health institute to carry out the task, went and made sure that those medications were physically given at the Federico Gómez Children's Hospital in Mexico.

We know that they were delivered there. We have photos. So the Meganes are there now we appeal and I can say that directly to my parents to my medical colleagues in this country let's have an obviously professional ethical sense our responsibility not to lend ourselves to manipulation or blackmail to mafias as the president has said we have all done a oath and we have to help the children receive the medicine. The medicine is in the children's hospital in Mexico. We know why we deposit it there in our part of our responsibility and what is a medicine?

The doctors who work in this use it. hospital and any other hospital that requests it, and if not, they go out to demonstrate and they die, I can guarantee that the migrant is there, yes, but not only that, not only that, right now that I am here, I am going to ask the secretary of health, the undersecretary. to the person responsible for the coordination of the hospitals that go to the child's hospital and to check if the medications that are being applied are there and if they are not being applied, that today and an emergency plan has been started so that they do not lack the medications to mine today in other hospitals I would even call on specialized private hospitals to care for children because it is the life of children they always feel here you have stated what you have stated the were undersecretary the issue of the contracts that the hospital so that the medication is supplied by a supplier and I also understand that the problem is that they do not want to violate that contract that they have legally but let me just have this part and if there is any way in which a contract of that type can be terminated type so that this is not a justification to be able to use this, the cinema is a legal matter here the important thing now is that the medications are supplied and that the children have attention and for the rest of us we are going to solve it, that is, look at the background to see with this one please 5 this is the problem these companies concentrated if all the sale of medicines and that company in particular steps on this because it had a monopoly on medicines for childhood cancer care no well since we are talking about what they exercised in purchases in 18 d and health, the east and insurance around 90 billion pesos and 34 companies 4 sold 65,000 million pesos to the government it is criminal there is already an open investigation now I am going to explain it yes but we want to act legally if not imagine this they would have another element more that is to say, an authoritarian attitude can be a great injustice, there are legal procedures, it is already said and they are going to be applied, they are going to be applied but really these are acts of corruption accompanied by a lack of moral scruples because this is all this manipulation and the means are not all If they lend themselves, that is, because they want to maintain a business at the expense of whatever it takes without moral scruples of any kind, then we are going to solve the problem, keep them in the activities of the financial intelligence unit, contemplate insuring their accounts but we do not want to advance anything, we are going to start the investigation to see this imminent that there are suns and about these companies how far do we go if in the internal control body of the sixth of the public service we initiate an investigation file I am a president since August 20, 2019 was concentrated focused This investigation into the head of hematology-oncology at the children's hospital, who is the one who irresponsibly considered the money in the file and generated this alleged shortage to the pizza group, to the pizza corporation, which we have also been under investigation for a long time and we are very advanced to begin the disqualification process corresponding to this company, unfortunately on December 31, 2019, the authorities of the children's hospital extended the distribution contract for the pizza group but only by 20%, so the question of what can be done with the contract has an end date and also evidently due to the investigation we are carrying out there may be a decision of this same assignment to the Pisa group because it is also subject to an investigation we have also already advanced the disqualification of four companies linked to the distribution of medicines in institutions of public health, in particular, we sanctioned specialized drug groups with a two-year disqualification, a compensatory fine of almost one million pesos nine hundred five thousand 880 pesosWe also disqualified the peripheral and outpatient clinics for three years with a fine of more than one million pesos. that they have in front of them all these companies that are part of these these corporations that have monopolized the distribution therefore subject to complicity in the assignment of contracts and the question is that the doctor is here searching or they will search the doctor hugo pointing out that they have been investigated and in this case we are walking with a good step as I told you in the next picture you can see the pharmaceutical companies that are already under investigation and very advanced our table files have four investigation files in the public service in our controversies and sanctions unit and this Pisa group is evidently also with six files, one of which I repeat is about to move to the area of ​​​​assignment of responsibility.

This is what right now I have a president, very good. The important thing, I repeat, is that this will be taken care of. has been serving since yesterday and we are going to avoid any provocation yesterday at the east airport and I also want to take the opportunity here to say that a police woman was attacked in a really bad way and she stoically resisted the attack we are talking about a woman this who does a service and surely that was not spread. I can understand that there is all this indignation because it is about the children who are not taken care of, but the way in which this woman was attacked and no one says anything, so we are going to find a solution by avoiding provocations by What scruples do those who are behind moving the cradle have this? cancer, they decided to leave the country, yes, and because of the president of Mexico, let's see if the article isn't out there, or well, it's a columnist, but it's an excess.

I wasn't even aware of where foreign parents supposedly decide to go to their country. because there is like this the boy or the girl is going to have this medical attention all this well this is the reason it is good that we have differences as you say I did not know also that when I read it because it caught my attention God read the article and tell me if this is ethical professional journalism, these things are not the same as yesterday and we are going to continue facing them only if we have a clear conscience, if one is not involved in business, if there is no collusion, but rather relationships of complicity and if one truly defends one Life doesn't have one, why am I changing anything?

What we have to do is face the problems and move forward now with more strength. Of course, it's going to be free and of course, we're going all out in the fight against corruption. I'm tired of it. yes right now we are going there yes because they are talking about journalistic approaches and corruption and I am reading in, for example, the universal mexico better than one point in ranking of the corruption perception index and it says in accordance with the 2019 ipc that it elaborates transparency international in Mexico improved one point in the ranking among 180 countries and with this stopped a systematic fall that began in 2015 that puts the universal financial Mexico better at 8 places in corruption perception index in the first year of

amlo

and says the recent anti-corruption reform together with the new office of the attorney general of the legally autonomous republic there are positive changes for the country ended with another means the reform persists the level of corruption in Mexico and is almost exactly despite the fact that it improved one point compared to 2018 in Mexico's international transparency corruption perception index continues to be the worst evaluated among OECD countries.

We are talking about corruption. We are talking about three different approaches. In case of reform, the corruption of Mexico is still bad. The reform is this one, he failed to say, we are like in the time of Salinas, but well, this third third point is interesting from the financial point of view, this one improved eight points. Look at how many this one and approaches, how to interpret it, because it is not We asked the secretary to tell us about this particular issue and now now now on the political agenda Jesus is the agenda it is already 35 years old the agenda and anti-neoliberal lasted almost the same time it is not the most recent I hope it was delivered yesterday on corruption, it is very interesting that if indeed today they release the 2019 corruption perception index that is linked to this other index that you know perfectly well also released at the end of last year where the comparison is very logical because is the index this is the Latin barometer the regional issue where Mexico appears as a leader in anti-corruption strategies by the same international organization that today releases the corruption perception index for 2019 say international transparency these official data that like you Remember, they put Mexico with a growth of almost 40 points in reference to the last year of the previous government and the first year of this new government.

This eight-position scale is very clearly reflected in the 2019 corruption perception index, which is a synthesis of different methodologies in this indication this indicator of the corruption perception index that is made known today is evidently taken into account this methodology plus many others because for each region different methodologies are obviously applied there it is explained in the report that today It is made known and it seems to us in the public service that there is obviously good news given three elements that I would like to put for the consideration of the president in the first place and all of you in the first place that we actually rose Mexico rises from place 138 and which it was in 2018 and the 130th place in this sense, the additional point that is actually also recognized in our country is this decreasing trend that during the previous six-year period had been experienced year after year, it undergoes a redirection change and there is a turning point in the first year of this new government towards growth so that additional point in the rating that is given to Mexico is a good sign compared to the CNDH of the previous year but the most important thing in an index of this type in an index of different methodologies of According to the region and in an index that puts us in terms of the place it occupies at a global level, it is much more relevant in this logic because recognizing that we are rising eight positions, then Mexico's international position rises by eight positions. that obviously the qualification is raised in this unit, which is not a small thing in the least, we also believe that we must consider that the methodology that presents international transparency today is important but it does not recognize us that it does not take into account the entire first year of this new government, that is, the measurement was interrupted in August 2019, which means that public policies of the highest importance in our country were no longer taken into consideration, such as the approval of our federal republican austerity law that integrates the three international recommendations for international transparency, the first is to stop conflicts of interest, as you know, the federal republican austerity law already has this one-decade ban period to precisely put an end to that bond of a mother, rather that subordination from the public interest to private interests and then the 10-year ban period that is reflected in the federal republican austerity law is already considered in our law and is not reflected in these already good results of the international measurement, nor is it reflected in these already good results of the international measurement. take into account what we in the government of Mexico from the public service have launched as our programs of internal and external whistleblowers of corruption, which are also recommendations of international transparency and best practices all our programs business integrity and of course the great results that we have had in terms of complaints, the complaints that alert both citizens and countrymen who come to visit us, in short, there are a series of measures of the highest importance in terms of policy anti-corruption in this country and in this new government that are not yet reflected in this ranking of international transparency, so it seems to us that we are at the forefront that there is good news and that the recommendations indicated by these important organizations such as international transparency are already being They had already been taken into account for a long time precisely because of what the president points out, we have a different vision of how to fight corruption, we are fighting corruption in a structural way from a structural corruption approach to corruption, thank you, well, you know, president, good morning, minds of Notimex First, I would like you to explain to us if you can give us a little more detail about what this emergency plan that you are calling would be like, who would be your undersecretaries, what would be, let's say, the reviews that would be carried out in the hospitals and I would also like to ask you, President, in this context of The children that are being talked about about the children, you were invited and asked by the Redim to participate in the meeting of the national system for the protection of children and adolescents and to convene the priority project 26, how is that going, president, if I Could you answer and I have a question for the Secretary of Health, don't look, the plan is to work to establish the free public health system, the new public health system of free medical care and medicines, work, we public servants said it, 24 hours a day, so ending here This and the secretary of health, I already said it, the undersecretary, the person in charge of the hospitals, will go to the children's hospital to make sure that the medications are there and that the children's medications are applied.

If they see that there is no provision that there is some kind of strike In order not to provide the service, we have to immediately take other actions and take measures so that the children who receive care today have the medications in other public hospitals in private hospitals where ching can be sent in all cases in all cases now. This has to be attended to today and tomorrow morning and we will be here again to inform how we are going to let all the people know and we are going to make more progress in terms of and have more information about the company that has the contract about the attitude of the managers of hospitals on research that we also have to give speed in the public service everything but already there is no time it is not eight hours is all that is required of time to attend to this that is the transformation this when there is no transformation because it does not move nothing is already there and that status quo a transformation is a revolution in this case peaceful but revolution above all of consciences is very interesting and that is also why the debate with these journalists who are against us we have always had differences so it is not new what novelty there may be that ideal writes against well yes we have been here since 88 how long is he how old is he 32 years 32 years this different compositions he is in his right and I am in mine in the case of ciro also see the interviews that I I was being an opponent, so this is nothing new, it's not something to tear your clothes off, that's what democracy is like, ladies, if it's about children, if it's about health, if that's first, take care of them, solve the problem and continue with the debate, tomorrow we'll continue, yes, tomorrow we'll go. to report how we are progressing, how we have advanced in that purpose, that is, we are not going to abandon the health plan, we already knew and it is going to generate this resistance, but we are willing that on December 1st of this year it will be established, this is, there was a lack of doctors who We lack specialists so that there is no lack of medicines that improve the facilities, a challenge because we have to face all the resistance but it is possible, yes, please secretary, I like your secretary, sorry, I would like to ask you a few moments ago, the secretary of health of Tamaulipas has just declared that the Koran was not found, the viruses were found in the patient, could you give us a little more detail and also returning to this issue of the impact on children with cancer, these networks of complicity have also been detected among the workers who They took out the medications or it is known that they take out the medications to sell them to the pharmacies and once the medications are out, the federal government buys them, they sell them to the patients' own relatives.

There is an investigation into this, let's say like that little guy. Ant robbery that was being done, please see this in the report this morning and someone made a mention about how much this treatment ended up costing in a public hospital for the fee. In some cases, I don't know if you were a doctor. Yes, about the fees. which is charged, of course, with your permission, we have in the coordination of the national health institutes the federal reference hospital and the highly specialized regional hospitals, which are a total of 26. The federation's expenditure budget for

2020

for the group of hospitals is around 28 thousand 100 million pesos which is recovered with the quotasRecovery in general in the hospital is around 4 thousand 500 million pesos, one would think that to reach gratuity these 32 thousand 600 million pesos would simply be required and the problem would be solved but not the traditionally and inappropriately patients are they charge you so much for hospitalization and you know it perfectly well, they give you prescriptions to buy medicines outside or supplies outside or probes or other devices to treat the sick, including both hospital and scheduled surgery kits where family members get the supplies to arrive with the patient. kit of all the supplies so that the surgery is carried out these this calculation is not yet precise where we have an approximate that we should add to the ember the total of the recovery fees it and the other expense that we call out-of-pocket represents it the outpatient consultation in these high specialty hospitals of the third level of care is not considered is not also an out-of-pocket expense of the patients in the outpatient consultation the doctor attends the consultation and prescribes the patient purchases medicines outside or the supplies or By calculating this total, approximately 7 billion pesos would be required.

It is an approximation so that starting December 1st we will arrive with this free plan. As I mentioned in the presentation, there are 14 national health institutes and federal hospitals. that some have not adhered to the free plan with and pretexts such as the director of the national institute of neurology, for example, that a legal and technical analysis is needed to be able to adhere to the proposal, thanks on board just to briefly complement this point and Regarding the issue of ant robbery, it is also here so that we keep in mind what the vision of this government is and he appealed to the metaphor that the president has used repeatedly: that we clean the stairs from top to bottom and the reasons in the community's thinking.

Sometimes people blame those who are at the bottom and think that ant theft is a problem and they begin to prejudice certain workers in the health sector. I give you a very specific case to illustrate it. In December, our Secretary of Health, Dr. Alcocer, did some visits to health centers and found that a health center did not have medicines and here we have recorded that the medicines had already been sent to that one, not only were they health centers for everyone and immediately the idea came out that it is the government's fault. The president's fault is that it is the secretary of health's fault that the workers he gave him had not recognized him and that he was making the visit, he made calls that he detected that the central administrator, not the one at the health center, of administrators in the central centers, has a relative who has pharmacies. private companies coincidentally close to the health centers, all the medicines arrived but they were in warehouses so because I say this because I am also interested in speaking to the community, the population, the nurses in particular and various other workers, particularly the women in the national health system and the population we need you to report it we need you to say it to alert you and not get carried away by this campaign of smear and misinformation that blames everything on the national government the president the federal officials there are many problems and it has to do with what I said here The companion of this last section, there are the medicines, here is the patient because they do not get together because there is someone who is interested in not getting together now about coronavirus, as we said yesterday in an extensive two-hour press conference, we want to specify that the emerging situations of public health, we need to work rigorously on the technical issue and that includes social communication.

We do not want to mix the pulse of health on Tuesdays or the opportunities that the president gives us to come here with the technical issue so that things are not confused. We will continue working on the technical issue. The designated spokesperson of the federal government is Dr. José Luís Alomia, General Director of Epidemiology, who is the responsible technical official, so that is clear from now on and we have committed that every 24 hours we will be releasing A press release that explains the details of the last 24 hours with a technical element is already coming out at this time, today's statement but regarding the question, the Secretary of Health of Tamaulipas, Dr.

Gloria Molina, has already announced that yesterday in In the afternoon we found a negative result for the suspected case that was in Tamaulipas. The professor of molecular biology of the National Polytechnic Institute who had been in uan china and tested negative for the new coronavirus 2019 also tested negative for several other viruses such as reyno virus and virus. of influenza then he has an infection by one of the hundreds of viruses the most serious thing is that he recovers soon and we wish the professor a good recovery any message to the population undersecretary so as not to fall into some crisis but not a general message so that he did not have the opportunity to listen to the messages that we saw yesterday the summary is this new coronavirus 2019 as designated by the world health organization, it is a new virus that was discovered in China at the beginning of the year since January 9, the Mexican government took actions it was one One of the first countries in the American region to take action with a structured response plan to this type of emerging phenomena.

This includes selective detection at international airports that have flights related to China. Only at the Tijuana airport do we have direct flights at 5 other airports. They have indirect flights from China, that is, there are stopovers at other international airports between China and Mexico. The second message is that this coronavirus produces a disease that is medically indistinguishable or for the person indistinguishable from any other respiratory disease. What happens in this cold season? The symptoms look similar. to those of moderate influenza to those of the common cold to those of many other respiratory infections a very small proportion of what is known at this time of people can become complicated and indeed eventually this virus can cause deaths however we have insisted that for being a new virus there are still many doubts many unknowns world science health science is still investigating and that includes the participation of countries including Mexico is providing information on how this virus behaves but even the indications at this moment suggest that it is The problem is much smaller compared to other coronaviruses such as Sars 2002 or Sars 2011, but we are waiting for today they will come out with a press conference at approximately 2 in the afternoon of the deliberations of the emergency committee of the world health organization where the World scientists will be analyzing whether or not it is formally a public health emergency of international interest and what recommendations there are finally recommendations for the population first it is important to identify the symptoms cough fever sore throat nasal congestion general malaise as you can see are the symptoms that have the most respiratory infections of the season now certain populations that are the same ones that are vulnerable to influenza that have the risk of complications from influenza have to be especially careful those who are over 65 years old under 5 years old pregnant women pregnant women and people who have certain chronic diseases that weaken the immune system the body's defense system diabetes obesity heart disease lung disease and of course cancer and other causes of immunosuppression may be more careful if these people present symptoms but begin to have For example, difficulty breathing, chest pain, numbness or a state of confusion, you should go to medical attention as soon as possible.

There is no specific treatment for this virus, as there is not for the vast majority of viral infections, and I close with a message about influenza. Don't forget that we are in the middle of the flu season, which begins in October and ends in March or April. You have to get vaccinated against the flu. About 40 percent of the vaccines are missing and, as we have said, the people who should be vaccinated are the people who have mentioned that young, healthy people who are not pregnant women are more likely to have complications from influenza, they do not need to be vaccinated against influenza and leave the vaccine to those who do need it in an important way. there is back to back thank you president good morning esteban durán group Public Mexico and Jalisco publishes a daily question for the Secretary of Public Service about the investigation that was carried out against Dr.

Carlos Lomelí, former candidate for governor of Jalisco and former delegate of social programs in the same state, what are the conclusions of this investigation? And on the other hand, there is great concern in Guerrero about the bloody events that have happened there in Chilapa about the armed communities that are even denouncing that there are armed children who are there, also about the group that are police officers from the communities there. investigation that is still believed to be official that they were dismembered, there is great concern among the population that even though they have been displaced from their place of origin and that they have demonstrated in front of the national palace without obtaining any answer, what should be said to the Regarding the latter, President, well, about the latter, we have already given information that we are addressing the causes that we have to confront with violence, and of course we must give options to children and young people, keep them away from weapons, keep them away from violence, and that is what is being done.

Everywhere, of course, it is a process to address the causes. This option does not have this option, completely canceling the option of violence and it is even mentioned that the armed group called two squirrels that are controlling that area for the transfer of drugs has already been identified and they even say that there is no presence of the national guard that there is no coordination between the federal and state governments to avoid these types of acts, there is violence everywhere, it is a process, I insist that we are going to move forward, there are those who maintain from the security group of the security cabinet that they It is making it difficult for organizations to get hitmen and they are recruiting more and more young children.

Why is there competition? Social programs are giving many young people a choice and this leads to desperation and wanting to strengthen their ranks with children with young people is not going to be easy because we are not going to stop caring for children and young people. I would tell you that that is the bottom line of the matter, that we take away from young people, that we give young people alternative work study options and that is what What is said but we have to wait in the warrior is the state where self-defense is legalized and from there those who are not authentic self-defense members of the communities have taken hold to arm themselves in general so that is what the only constitution is dealing with legally and that should be review what the organization of citizen groups for defense allows is that of Tamaulipas and in current times what was done in Guerrero so we have to see what it is about well not to get ahead of ourselves but what is interesting what I consider important transcendent is that we are addressing the causes if you are giving options to the children I give you a piece of information for example that this helps in some way and the last cycle to this cycle 20 percent more young people enrolled in the upper secondary level this will never happen passing at the high school level is the high school level, 20 percent more than that attributed, among other things, to the scholarship because the universal scholarship was applied at the high school level because it is the level of schooling with the most dropouts of all and it is the school level that coincides with adolescence and very clearly the purpose is to keep young people in school and that program continues as that of young people building the future and has to do with a different approach because we were even questioned, even criticized, it is still done as a week at the airport a lady told me, hey, why are you giving money if the young people are in the youth program, building the future, those who are being trained, those who have been working as apprentices, it is a similar thought.

Because free medicine is clearly a conservative thought, I remember that when this was made known, it was like a campaign by very identified people, I am not going to mention their names, they were their children saying, now is the last straw, they are being given jobs. They are giving money to the NEETs without understanding, it is double how they did not understand that it was better to have young people studying than to have them on the streets during the entire neoliberal period and that this had to improve the quality of teaching and the coverage did not matter. different conceptions but in the case of security I am sure, returning to the redundancy that we are going to improve things because the bottom line is being taken care of: it is the children, it is the young people who have special attention, but immediately what is going to be done to What if this is done immediately so that the number of child hitmen no longer increases and I know that this is done immediately because precisely what you are proposing was what was always said because it was not considered an option and the bottom line and it was always said yes yes yes yes yes all that is very good but immediately it is going to be immediately this is this is a different conception immediately they know that it is for the conservatives to send an operation is the kill them hot this is the immediate wellIt is not like that, now we must immediately address the causes that give rise to the violence that takes us in time, yes, but and it is getting to the bottom of the matter.

It does not mean that the national guard will not arrive, the national guard will arrive and everything, but it substantial main number is to address the causes that prevent the disintegration of families that are strengthened in values ​​that there is material well-being that young people are cared for that no one is left without the opportunity to study that the right to work at a fair salary is guaranteed That there is well-being that is the main thing and it is the immediate thing and it is what we are doing and we are not going to change in other countries and also when they governed with a different mentality because this was not important, they never talked about this what was important was and that too in a way simulated the use of force, they don't remember how they did it, they stood in front of the television and said, "My hand is not going to shake, whoever falls, the law is the law, this is not solved that way, the problem of the insecurity of violence in other countries have a different conception than the governments and they apply what they consider, we are working in a different way, this does not mean that it will be easy, but we are going to move forward, we are going to continue moving forward in the results, former presidents, the results of the investigation of the former candidate for governor is a super delegate in Jalisco of Carlos Lomelí, what are the questions to answer about that?

I also know how to answer all the investigations so as not to personalize because that also brings thanks and living thanks, president, we are actually doing a process, as you know. carried out seven lines of investigation, some to companies linked to the former public official function, in this case he is a delegate, we completed two of these investigations concerning public procurement and companies linked or possibly linked to the former delegate with disqualifications, we disqualified him in the company called whatever medical cb and another linked also who is Sol Frank laboratory I understand that Frank is is a participant is a shareholder of the medical or vice versa I am clear about it here but there is a direct link between the two the two are enabled one of them has already requested protection in terms a suspension of this disqualification is being studied, we have given absolute respect to due process and the former official has been notified in a timely manner and he has been allowed to make all the necessary defense allegations and indeed if we find that there are elements without staining and without attacking the presumption of innocence elements of possible assignment of an administrative offense in this case it would be a serious administrative offense and therefore the federal court of administrative justice would also have to substantiate and resolve according to the application of what the application of the law tells us. general of responsibilities that now already has in its aegis the assignment of the serious responsibilities then the federal court of administrative justice who in due course will resolve and effectively within this investigation of this specific case in this case is inserted within a series of investigations that we have in the secretariat of the public service not only against the good new thing, not against but investigating not only the wrongly called super delegates or delegates of this new government but also delegates and former delegates of the previous administration in the first sheet that I have there they are basically the seat we have 102 complaints that have been and have reached us to the public service presented against former welfare delegates and delegates and in this case what they can form is that 24 of these investigations have already been concluded without fail of elements without this possibility of continuing the but 8 are already in processes of responsibilities effectively within these eight are that both the media commotion has called later in these it is still seen that these complaints to welfare delegates are inserted within the universe of our complaints in the public service where we have more than 34 thousand complaints received but the 'top ten' or rather let's say the top top wars the 10 institutions that receive the most complaints are these that you have there and are not found and That is something positive in terms of the assessment of the work of the delegates and the secretary of welfare.

The secretary of welfare is not one of the agencies that is receiving the most complaints, the complaints that are concentrated above all in the health area. That is so relevant, all this work that the president heads together with the secretaries and undersecretaries of health is in the links in the list and definitely in all these agencies that have daily interaction with citizens such as the sep the sat migration profeco in foreign relations etcetera, the ones you have there, that is what the perfect popular insurance could say, no, in this case, as you see, there in a department that I have not indicated, but in that list we have investigations into alleged irregularities in public contracts for more than 12 billion pesos this is an example that only in one dependency in terms of social security but later in what follows we see the issue of popular insurance as the president says where the striking fact here is that we are investigating during the period of 2007 2016 more than 700 of 7,800 million pesos not verified and exercised within this popular insurance project, here we are already working with the elevens of the Ministry of Health and Linz Abi to prepare criminal complaints for the property damage so so so strong that These were 7,800 million pesos.

We also discovered that in 2018, the last year of the government of the previous six-year term, more than 6,200 million pesos were improperly used in non-accredited medical units within this legal figure of popular insurance and also this process. This administrative investigation procedure has its criminal aspect and we are already in the process of judicialization. Today, this judicialization. In the administrative area, we are also already defining the responsibilities. In particular, we must remember to remove the sixth who passed on 'Alejandro Farnesio' the responsibility of his son who became a cardinal, what is your statement on nepotism in the federal public administration and if there are cases of nepotism, how would you rule on the matter and also, Mr.

President, regarding groups such as specialized drugs, a former governor of Chihuahua, a former director of the INSS, them? And the Secretary of Public Service should know that they are the ones who caused specialized drug groups and the international distributor of medicines to deliver practically 62 percent of their purchases. Enlist and the IMMS, but this morning, Mr. President, your statement regarding nepotism, you spoke in Izúcar. from Matamoros with in your campaign as a candidate for the 2018 against nepotism, you do not agree with that practice and if it were the case of any official of that administration who practiced it, they would be in a position to denounce it and this last issue of group or drugs specialized we would like an answer Mr.

President well in the case of this the monopolies and those who controlled the sale of medicines are already proceeding legally it is part of the disagreement that exists but that is already in process even my aunt memorandum from last year to The fact that the investigation was opened against these companies is already underway and the secretary has just informed of disqualifications and fines for these cases and where appropriate a judicial complaint is already advanced, the case of nepotism is already advanced, neither nepotism nor cronyism nor influence is allowed, much less corruption. none of those scourges of politics in the event that these facts are presented that demonstrate that there is nepotism, they are removed from the official, there is a definition of what nepotism is from a legal point of view, if these facts exist, there is evidence, action is taken immediately.

I'm going to remind you of all the nepotism, a memorandum that I also sent last year to see if I can get it present on the microphone, this is very interesting and that the discipline does not relax, it's not going to happen, but that was last year and in the 20 is something else and 21 is no longer there, it has been completely relaxed, this is in force, the secretaries of the federal government, the directors of companies, parastatal organizations, public servants in general, I address you with the clear and precise instruction not to allow under no circumstances is corruption, influence, cronyism, nepotism, none of those scourges of the politics of the old regime, the old regime that ended as a government in November 2018, we are all obliged to honor our word and fulfill the commitment not to lie, no. steal and not betray the trust of Mexicans.

Consequently, I reiterate that I do not accept under any circumstances that members of my family make arrangements or carry out business with the government for their benefit or in favor of those they recommend in quotes, this includes my wife, children. brothers, sisters, cousins, uncles, brothers-in-law, and other members of my close or distant family, you do not have the obligation, I tell public servants, they do not have the obligation to listen to indecorous proposals from anyone, that is, whoever is going to propose something that Send him to something indecent, tell him not so loudly, respectfully, please leave me, leave my office, you have no obligation to listen to indecorous proposals from anyone, and in the case of my relatives, not even to receive them in their offices or answer the phone, nothing at all.

It was one of my brothers to be a management of I don't know what type, as he had already given when he learned about this from the convent of the government of Chihuahua, he told the state official, "No, I don't have to receive it and neither do you. All that remains for me is to tell them that if it is not fulfilled This recommendation could fall into acts of dishonesty and in the sphere of criminal law, so that's how things are, brother, I'm not going to detail that, but I don't know, the government didn't tell me, 'come on, the governor wanted an interview or a government official but let this be clear, that is, we fought for a long time against the corrupt regime, which is the regime that destroyed a good measure that advanced the destruction of Mexico in its values ​​in its integrity in its principles, so we fought for a long time for that, yes You read my first book that I wrote and you find this same thing and I wanted to do it for more than 30 years and they all deal with the same thing so we didn't come here to do the same thing that those who went further did.

I have already told you what neoliberalism is. neoporfirism and that the privatization they carried out is synonymous with corruption since there is no doubt that they are very corrupt, what we have about protests now has to do with that, they do not want to stop stealing, that is, it is a health problem, it is alienation, this They were imposing it, fortunately, there are so many values ​​in our town that the black cloud of individualism of greed could not end up overshadowing everything, but if they tried, that is, the one who does not succeed does not advance, morality is a tree that bears blackberries and It's only useful for something that I'm not going to mention, so don't be stupid and the aspiration ism having computers and looking at medicines, medical devices, we have surveillance cameras, he built roads, he drilled oil wells, it was just a matter of having handles, influence and media and they became companies dedicated to other activities or companies that bought media to have influence that is to say this and so you are going to give me the contract you have to give it to me because yes no there I go yes yes thank you very much Mr.

President very Good morning Ángel Juárez Cervantes from Sinaloa I tell you the story in the state of Sinaloa there are 1,200 families that have been frauds and I want to expose it to you so that you can help those families considering that you are precisely seeking the protection of those most in need. that these families through an NGO called human sustainability civil association and integrate a resource approximately a little more than 31 million pesos that is a non-governmental organization human sustainability civil society yes well this sustainability organization arrives in search of bringing resources through from an alleged trust manager reaches Mr.

Mario Sosa Gómez the horizon here in Mexico City this man has dedicated himself to lying to stealing everything is already in a process president is in a process and we want you to help us that you Look in the representation that you have as an institutional figure to give the instructions so that this process is as soon as possible, and that money is also reimbursed to the families. The president is that there are 1,200 families that have been frauds and we need you to help us, but That is a savings bank that was a president organization that brings together families and that looks for a way to send a house that agenda if a house looks for Horizon Mario Sosa Gómez and well, unfortunately they have been frauds to two well, great benefit, let's go to attend to this, yes, but he also took advantage of this to draw attention to these cases.

It was very common that if there were savings banks, people received a higher interest before the banks that delivered the banks, which by the way is very little, but well, these gave More interest in this and the humble people, many deposited their savings there and then the savings bank failed, it disappeared, this was a lot of the housing thing, even the request for d and money to deliver money to acquire land to carry out the housing construction procedures, all of that this and people should no longer be allowed to approach in a cautious mannerDon't let yourself be fooled by these scammers and let's go and act.

The most serious thing that occurred in the last six-year term regarding these frauds against many people was the dispossession of the apartments and houses of Infonavit, this massive dispossession and it is already being attended to and He is punishing those responsible and there is no longer any dispossession, so that people know, there is no sale of portfolio of overdue loans to offices to coyotes to companies that were dedicated to dispossessing people to dispossessing workers very good president many Thank you for your attention, just in seeing it. Yes, to reaffirm, President, I hope that those 1,200 families could be served by your government, regardless of whether that money is returned to them as soon as possible and that this fraudster and thief, as you said a moment ago, Mario sosa gómez from the horizon company to defraud in the end because if there is the process president this is the process already fortunately in the prosecutor's office yes I understand it selling but there it is already and the evidence is being demonstrated please help us if they are going to have dinner here now, the session Irma Eréndira was going to talk to you thank you very much thank you very much