scholarly journals The risk of introducing SARS-CoV-2 to the UK via international travel in August 2020

2020 ◽  
Author(s):  
Rachel Taylor ◽  
Catherine A McCarthy ◽  
Virag Patel ◽  
Ruth Moir ◽  
Louise Kelly ◽  
...  
Keyword(s):  
International Travel ◽  
Control Measures ◽  
Rt Pcr ◽  
Additional Test ◽  
Disease Occurrence ◽  
Alternative Measures ◽  
Travel Policy ◽  
The Uk ◽  
The Impact

International travel poses substantial risks for continued introduction of SARS-CoV-2. As of the 17th August 2020, travellers from 12 of the top 25 countries flying into the UK are required to self-isolate for 14 days. We estimate that 895 (CI: 834-958) infectious travellers arrive in a single week, of which 87% (779, CI: 722-837) originate from countries on the UK quarantine list. We compare alternative measures to the 14 day self-isolation (78.0% effective CI: 74.4-81.6) which could be more feasible long-term. A single RT-PCR taken upon arrival at the airport is 39.6% (CI: 35.2-43.7) effective, or equivalently, it would only detect 2 in 5 infectious passengers. Alternatively, testing four days after arrival is 64.3% (CI: 60.0-68.3) effective whereas a test at the airport plus additional test four days later is 68.9% (CI: 64.9-73.0) effective. Rapidly implementing control measures for travellers from risky countries is vital to protect public health; this methodology can be quickly updated to assess the impact of any further changes to international travel policy or disease occurrence.

scholarly journals Understanding contributors to quality of care in long-term care and changes under COVID-19

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 960-960
Author(s):  
Sara Luck ◽  
Katie Aubrecht
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
The United States ◽  
Control Measures ◽  
Qualitative Description ◽  
Care Staff ◽  
Term Care ◽  
The Impact

Abstract Nursing home facilities are responsible for providing care for some of the most vulnerable groups in society, including the elderly and those with chronic medical conditions. In times of crisis, such as COVID-19 or other pandemics, the delivery of ‘regular’ care can be significantly impacted. In relation to COVID-19, there is an insufficient supply of personal protective equipment (PPE) to care for residents, as PPE not only protects care staff but also residents. Nursing homes across the United States and Canada have also taken protective measures to maximize the safety of residents by banning visitors, stopping all group activities, and increasing infection control measures. This presentation shares a research protocol and early findings from a study investigating the impact of COVID-19 on quality of care in residential long-term care (LTC) in the Canadian province of New Brunswick. This study used a qualitative description design to explore what contributes to quality of care for residents living in long-term care, and how this could change in times of crisis from the perspective of long-term care staff. Interviews were conducted with a broad range of staff at one LTC home. A semi-structured interview guide and approach to thematic analysis was framed by a social ecological perspective, making it possible to include the individual and proximal social influences as well as community, organizations, and policy influencers. Insights gained will improve the understanding of quality of care, as well as potential barriers and facilitators to care during times of crisis.

A case study of noise pollution levels during the restrictions period due to COVID-19.

2021 ◽  
Vol 263 (6) ◽  
pp. 206-214
Author(s):  
David Montes-González ◽  
Juan Miguel Barrigón-Morillas ◽  
Ana Cristina Bejarano-Quintas ◽  
Manuel Parejo-Pizarro ◽  
Guillermo Rey-Gozalo ◽  
...  
Keyword(s):  
Noise Pollution ◽  
Urban Environments ◽  
Control Measures ◽  
Acoustic Measurements ◽  
Pollution Levels ◽  
The World ◽  
The Impact ◽  
The City

The pandemic of coronavirus disease (COVID-19) led to the need for drastic control measures around the world to reduce the impact on the health of the population. The confinement of people in their homes resulted in a significant reduction in human activity at every level (economic, social, industrial, etc.), which was reflected in a decrease in environmental pollution levels. Studying the evolution of parameters, such as the level of environmental noise caused by vehicle traffic in urban environments, makes it possible to assess the impact of this type of measure. This paper presents a case study of the acoustic situation in Cáceres (Spain) during the restriction period by means of long-term acoustic measurements at various points of the city.

scholarly journals Domestic and international mobility trends in the United Kingdom during the COVID-19 pandemic: an analysis of facebook data

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Harry E. R. Shepherd ◽  
Florence S. Atherden ◽  
Ho Man Theophilus Chan ◽  
Alexandra Loveridge ◽  
Andrew J. Tatem
Keyword(s):  
United Kingdom ◽  
Spatial Scales ◽  
International Travel ◽  
Population Mobility ◽  
International Mobility ◽  
Mobility Patterns ◽  
Social Distancing ◽  
The United Kingdom ◽  
The Uk ◽  
The Impact

Abstract Background Since early March 2020, the COVID-19 epidemic across the United Kingdom has led to a range of social distancing policies, which resulted in changes to mobility across different regions. An understanding of how these policies impacted travel patterns over time and at different spatial scales is important for designing effective strategies, future pandemic planning and in providing broader insights on the population geography of the country. Crowd level data on mobile phone usage can be used as a proxy for population mobility patterns and provide a way of quantifying in near-real time the impact of social distancing measures on changes in mobility. Methods Here we explore patterns of change in densities, domestic and international flows and co-location of Facebook users in the UK from March 2020 to March 2021. Results We find substantial heterogeneities across time and region, with large changes observed compared to pre-pademic patterns. The impacts of periods of lockdown on distances travelled and flow volumes are evident, with each showing variations, but some significant reductions in co-location rates. Clear differences in multiple metrics of mobility are seen in central London compared to the rest of the UK, with each of Scotland, Wales and Northern Ireland showing significant deviations from England at times. Moreover, the impacts of rapid changes in rules on international travel to and from the UK are seen in substantial fluctuations in traveller volumes by destination. Conclusions While questions remain about the representativeness of the Facebook data, previous studies have shown strong correspondence with census-based data and alternative mobility measures, suggesting that findings here are valuable for guiding strategies.

Conclusion

2018 ◽  
pp. 222-234
Author(s):  
Stuart Aveyard ◽  
Paul Corthorn ◽  
Sean O’Connell
Keyword(s):  
Twentieth Century ◽  
Consumer Credit ◽  
Political Ideologies ◽  
European Consumer ◽  
Late Twentieth ◽  
Post War ◽  
The Uk ◽  
The Impact ◽  
Late Twentieth Century

The long-term perspective taken by The Politics of Consumer Credit in the UK affords fresh evidence on a number of significant historical debates. It indicates that Britain’s departure from pathways followed in other European consumer credit markets was not simply a by-product of neo-liberalism’s influence on late-twentieth-century governments. It has also allowed us to offer important contributions on questions such as the impact of political ideologies over policymaking, the validity of a right–left framework for analysing politics, the extent to which a post-war consensus existed (and was broken after 1979), and the question of how adept British political parties were in exploiting the emergence of a more affluent electorate....

scholarly journals Modelling the Evolution of COVID-19 in High-Incidence European Countries and Regions: Estimated Number of Infections and Impact of Past and Future Intervention Measures

2020 ◽  
Vol 9 (6) ◽  
pp. 1825 ◽  
Author(s):  
Juan Fernández-Recio
Keyword(s):  
Reproduction Number ◽  
Mechanistic Model ◽  
Control Measures ◽  
European Countries ◽  
Intervention Measures ◽  
High Incidence ◽  
Future Outcomes ◽  
Long Term Impact ◽  
The Impact

A previously developed mechanistic model of COVID-19 transmission has been adapted and applied here to study the evolution of the disease and the effect of intervention measures in some European countries and territories where the disease has had a major impact. A clear impact of the major intervention measures on the reproduction number (Rt) has been found in all studied countries and territories, as already suggested by the drop in the number of deaths over time. Interestingly, the impact of such major intervention measures seems to be the same in most of these countries. The model has also provided realistic estimates of the total number of infections, active cases and future outcomes. While the predictive capabilities of the model are much more uncertain before the peak of the outbreak, we could still reliably predict the evolution of the disease after a major intervention by assuming the subsequent reproduction number from the current study. A greater challenge is to foresee the long-term impact of softer intervention measures, but this model can estimate the outcome of different scenarios and help to plan changes for the implementation of control measures in a given country or region.

Assessment of Package Performance During Long-Term Storage of Intermediate-Level Radioactive Waste

2003 ◽  
Author(s):  
A. V. Chambers ◽  
W. R. Rodwell ◽  
M. Kelly ◽  
A. R. Hoch ◽  
A. J. Baker
Keyword(s):  
Extended Period ◽  
Intermediate Level ◽  
Passive Safety ◽  
Long Term Storage ◽  
Waste Storage ◽  
Disposal Option ◽  
Intermediate Level Radioactive Waste ◽  
The Uk ◽  
The Impact

In the UK, the need for the long-term management of intermediate-level radioactive wastes arises from the absence of an established deep disposal option. As a consequence there is a requirement to demonstrate the ‘passive safety’ of waste packages in stores over a necessarily lengthy period (perhaps 150 years or more). ‘Passive safety’ is taken here to imply that the waste packages themselves would remain safe without intervention; it is assumed however, that the store building and associated infrastructure would need to be actively maintained and that the store may need to be ventilated. Importantly, methods for waste storage also need to ensure that possible future options for disposal are not foreclosed. An extended period of storage suggests that emphasis will need to be placed by waste producers on understanding a number of issues such as: • the impact of corrosion on container integrity; • the assessment of container vents and other features as a pathway for the release of radioactivity; • the extent to which wastes are conditioned for storage and the selection of appropriate methods; • the generation and behaviour of toxic or flammable gases in the storage facility; and the mitigating steps that might be needed to address adverse impacts (e.g. the type of ventilation that the store requires). In this paper, we review the requirements and current state of knowledge relevant to the assessment of operational releases of radioactive, flammable and toxic gases from wastes in long-term interim storage.

Depression in heart failure

2019 ◽  
Vol 14 (6) ◽  
pp. 1-11 ◽  
Author(s):  
John Sharp ◽  
Monica McCowat
Keyword(s):  
Heart Failure ◽  
Epidemiological Studies ◽  
Life Outcomes ◽  
Cardiac Health ◽  
Prevalence Of Depression ◽  
The Uk ◽  
The Impact ◽  
The Relationship

Heart failure is one of the most prevalent long-term physical health conditions. It is suggested that up to 26 million people are living with it worldwide including approximately 920 000 people in the UK. Evidence has consistently demonstrated the links between cardiac health and mental health; therefore, this article will explain depression and its presentation in heart failure, as these two conditions have been strongly and consistently linked. The prevalence of depression in heart failure will be reviewed from epidemiological studies and an overview of the impact of comorbid depression in heart failure will be provided, with a particular focus on mortality, morbidity and quality of life outcomes. The relationship between depression and heart failure will be discussed by examining pathophysiological and behavioural mechanisms, as well as evidence regarding the appropriate identification and subsequent management of heart failure depression will be reviewed.

scholarly journals The price of a drink: the potential of alcohol minimum unit pricing as a public health measure in the UK

2012 ◽  
Vol 201 (3) ◽  
pp. 169-171 ◽  
Author(s):  
Peter Rice ◽  
Colin Drummond
Keyword(s):  
Control Measures ◽  
The Past ◽  
Alcohol Control ◽  
Health Measure ◽  
Alcohol Taxation ◽  
Unit Pricing ◽  
The Uk ◽  
The Impact ◽  
Alcohol Related Harm ◽  
Related Harm

SummaryThe UK has seen a dramatic increase in alcohol consumption and alcohol-related harm over the past 30 years. Alcohol taxation has long been considered a key method of controlling alcohol-related harm but a combination of factors has recently led to consideration of methods which affect the price of the cheapest alcohol as a means of improved targeting of alcohol control measures to curb the consumption of the heaviest drinkers. Although much of the evidence in favour of setting a minimum price of a unit of alcohol is based on complex econometric models rather than empirical data, all jurisdictions within the UK now intend to make selling alcohol below a set price illegal, which will provide a naturalistic experiment allowing assessment of the impact of minimum pricing.

Revival of an old problem: an increase in Salmonella enterica serovar Typhimurium definitive phage type 8 infections in 2010 in England and Northern Ireland linked to duck eggs

2011 ◽  
Vol 140 (1) ◽  
pp. 146-149 ◽  
Author(s):  
D. J. NOBLE ◽  
C. LANE ◽  
C. L. LITTLE ◽  
R. DAVIES ◽  
E. De PINNA ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Salmonella Enterica ◽  
Salmonella Enterica Serovar Typhimurium ◽  
Strong Association ◽  
Phage Type ◽  
Control Measures ◽  
Serovar Typhimurium ◽  
Duck Egg ◽  
The Uk ◽  
The Impact

SUMMARYSalmonella enterica serovar Typhimurium definitive phage type (DT) 8 is uncommon in humans in the UK. In July 2010, the Health Protection Agency reported an excess isolation rate of pan-susceptible S. Typhimurium DT8 in England and Northern Ireland. By the end of October, this amounted to 81 laboratory-confirmed human cases for all regions of England and Northern Ireland in 2010, an increase of 26% and 41% on 2009 and 2008, respectively. Descriptive epidemiological investigation found a strong association with infection and consumption of duck eggs. Duck eggs contaminated with S. Typhimurium DT8 were collected from a patient's home and also at farms in the duck-egg supply chain. Although duck eggs form a small part of total UK eggs sales, there has been significant growth in sales in recent years. This is the first known outbreak of salmonellosis linked to duck eggs in the UK since 1949 and highlighted the impact of a changing food source and market on the re-emergence of salmonellosis linked to duck eggs. Control measures by the duck-egg industry should be improved along with a continued need to remind the public and commercial caterers of the potential high risks of contracting salmonellosis from duck eggs.

Back to basics: fighting fraud and austerity

2015 ◽  
Vol 22 (2) ◽  
pp. 219-227
Author(s):  
Kwabena Frimpong
Keyword(s):  
Public Sector ◽  
Financial Crime ◽  
Content Type ◽  
The Public ◽  
Reference Guide ◽  
Secondary Sources ◽  
The Uk ◽  
The Impact ◽  
Resource Capacity

Purpose – This article aims to focus on the impact of the current austerity measures on UK public sector anti-fraud and financial crime investigative resource capacity building initiative developed over the years to tackle fraud against the public purse. Design/methodology/approach – The article draws on secondary sources of data and available literature on fraud and financial crime. Findings – Fraud is a challenge in the UK public sector but the cut-back on anti-fraud and financial crime investigative resources, given the scale of public sector fraud, the growing emphasis on accountability and the time of austerity with public money more exposed to fraud is arguably a back-door/u-turn policy on zero-tolerance approach in tackling public sector fraud and financial crime. There is the potential of this encouraging more fraud and financial crime against the public sector in the long term if measures are not taken to devise strategies for enhancing anti-fraud and financial crime investigative resource capacity. Research limitations/implications – The research implication for this article is that it opens an avenue for future studies to examine post austerity strategies for strengthening public sector anti-fraud and financial crime investigative resource strategies to deal with emerging fraud threats to UK public sector. Practical implications – This article acts as a reference guide for policymakers to reflect on the long-term adverse impact of the austerity on anti-fraud and financial crime investigative resource capacity and capability in tackling fraud public sector fraud. Originality/value – The paper attempts to present an alternative lens to examining the scale of UK public sector fraud problem rather than relying on headline story of declining fraud in UK.

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