‘What a skewed sense of values’: Discussing PreP in the British press

Sexualities ◽  
2019 ◽  
Vol 23 (8) ◽  
pp. 1343-1361 ◽  
Author(s):  
Sharif Mowlabocus

In this article I examine the public discussion of pre-exposure prophylaxis (PrEP) in the UK and investigate how this treatment and its key beneficiaries were framed by the British press between 2012 and 2016. Drawing upon an archive of articles published in national newspapers, I identify the discursive transformation that PrEP underwent during this period, as it moved from being a ‘wonder drug’ that benefited the health of the general population, to a ‘promiscuity pill’ that threatened the lives of the most vulnerable. I illustrate how this transformation was accompanied by a shift in the representation of gay men – who were almost universally positioned as the future beneficiaries of PrEP in the UK. Utilizing critical discourse analysis methods, I explore how gay men went from being ‘upstanding citizens’ to ‘dangerous outsiders’, and how the British press mapped older stereotypes of the diseased gay male body onto newer homonormative representations of the ‘good gay’ and the ‘evil queer’. This analysis reveals the precarious status gay men occupy in ‘post-equalities’ Britain – a status that requires adherence to a particular code of sexual and moral conduct, and the disavowal of long-term health inequalities.

Author(s):  
Sarah Dixon Smith ◽  
David Henson ◽  
George Hay ◽  
Andrew S.C. Rice

LAY SUMMARY The First World War created the largest group of amputees in history. There were over 41,000 amputee Veterans in the UK alone. Recent studies estimate that over two thirds of amputees will suffer long-term pain because of their injuries. Medical files for the First World War have recently been released to the public. Despite the century between the First World War and the recent Afghanistan conflict, treatments for injured soldiers and the most common types of injuries have not changed much. A team of historians, doctors, and amputee Veterans have collaborated to investigate what happened next for soldiers injured in the war and how their wounds affected their postwar lives, and hope that looking back at the First World War and seeing which treatments worked and what happened to the amputees as they got older (e.g., if having an amputation put them at risk of other illnesses or injuries) can assist today’s Veterans and medical teams in planning for their future care.


2018 ◽  
Vol 104 (6) ◽  
pp. 559-563 ◽  
Author(s):  
Jenny Retzler ◽  
Nick Hex ◽  
Chris Bartlett ◽  
Anne Webb ◽  
Sharon Wood ◽  
...  

ObjectiveCongenital cytomegalovirus (cCMV) is the most common infectious cause of congenital disability. It can disrupt neurodevelopment, causing lifelong impairments including sensorineural hearing loss and developmental delay. This study aimed, for the first time, to estimate the annual economic burden of managing cCMV and its sequelae in the UK.DesignThe study collated available secondary data to develop a static cost model.SettingThe model aimed to estimate costs of cCMV in the UK for the year 2016.PatientsIndividuals of all ages with cCMV.Main outcome measuresDirect (incurred by the public sector) and indirect (incurred personally or by society) costs associated with management of cCMV and its sequelae.ResultsThe model estimated that the total cost of cCMV to the UK in 2016 was £732 million (lower and upper estimates were between £495 and £942 million). Approximately 40% of the costs were directly incurred by the public sector, with the remaining 60% being indirect costs, including lost productivity. Long-term impairments caused by the virus had a higher financial burden than the acute management of cCMV.ConclusionsThe cost of cCMV is substantial, predominantly stemming from long-term impairments. Costs should be compared against investment in educational strategies and vaccine development programmes that aim to prevent virus transmission, as well as the value of introducing universal screening for cCMV to both increase detection of children who would benefit from treatment, and to build a more robust evidence base for future research.


2020 ◽  
Vol 30 (5) ◽  
pp. 543-556
Author(s):  
Michael J Donnelly ◽  
Md Mujahedul Islam ◽  
Justin Savoie

A main avenue for influencing public policy available to unions and business is public opinion campaigning. As groups with substantial credibility in the minds of the public, unions and employers have the potential to move immigration attitudes and, thereby, have a long-term indirect influence on immigration policy. The article asks, first, who is (not) convinced by arguments from business or labour leaders and second, what messages are most convincing. We present the results of a survey experiment in three very different immigration regimes and interest group environments (Canada, the UK and Germany). The results suggest that the net effects of public arguments are small, but vary widely across demographic groups.


2006 ◽  
Vol 197 ◽  
pp. 80-92 ◽  
Author(s):  
Philip Andrew Stevens ◽  
Lucy Stokes ◽  
Mary O'Mahony

The setting and use of targets in the public sector has generated a growing amount of interest in the UK. This has occurred at a time when more analysts and policymakers are grasping the nettle of measuring performance in and of the public sector. We outline a typology of performance indicators and a set of desiderata. We compare the outcome of a performance management system — star ratings for acute hospital trusts in England — with a productivity measure analogous to those used in the analysis of the private sector. We find that the two are almost entirely unrelated. Although this may be the case for entirely proper reasons, it does raise questions as to the appropriateness of such indicators of performance, particularly over the long term.


2001 ◽  
Vol 35 (3/4) ◽  
pp. 387-413 ◽  
Author(s):  
Roger Bennett ◽  
Helen Gabriel

Presents the results of an empirical investigation into whether the attribution by members of the public of an unfavourable reputational trait (e.g. dishonesty) to a company covaries with other traits ascribed to the same enterprise. Additionally it examines whether people aggregate successive pieces of unfavourable information received about a business to form a continuously worsening impression of it; or whether they mentally average bad news, so that successive adverse items can actually improve the overall impression – provided the later messages are not as damaging as the earlier ones. The study is based on the UK pensions mis‐selling scandal, which generated severe, long‐term media criticism of the large UK insurance companies. Hence it analyses a unique reputational management situation in that the firms involved are subject to continuous and intense scrutiny, protracted and hostile media coverage, periodic public censure by regulatory authorities, and interference in day‐to‐day management by government agencies. The proposition that pensions are an “avoidance product” is also explored.


2000 ◽  
Vol 45 (5) ◽  
pp. 147-149
Author(s):  
D. Stone ◽  
R. Muir ◽  
J. Logan ◽  
D. Gorman

In children and young adults, injury overshadows other causes of death and is a major contributor to acute and long-term disability. Yet injury is more amenable to prevention than most other causes of ill health. The purpose of this paper is to present the case for the development and implementation of a national injury prevention strategy for Scotland. Systematic reviews of the evidence have identified a series of specific interventions that have been shown to reduce injury incidence, mortality or morbidity. Research suggests that over half of all traumatic deaths are avoidable in children. In addition to the responsibilities of individuals, parents, carers, schools and employers to prevent or to reduce the probability of injury, responsibility for injury prevention and the protection of the public from injury hazards lies with a range of national and local agencies in the UK. These vary across the country and are unco-ordinated. To reduce the number of deaths and disorders resulting from injury, and the costs associated with treating and caring for injured people and their families, we contend that the most pressing current need is to develop a national strategy for Scotland.


2015 ◽  
Vol 22 (2) ◽  
pp. 219-227
Author(s):  
Kwabena Frimpong

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.


2015 ◽  
Vol 17 (2) ◽  
pp. 54 ◽  
Author(s):  
Bianca Florentina Cheregi

<p>This paper looks at how the media – particularly the British press and television – frames the issue of Romanian immigrants in Great Britain, in the context of the freedom of movement for workers in the European Union. The study focuses on the frames employed by the British journalists in constructing anti-immigration discourses in the digital and the TV sphere, comparatively. This study analyzes the stereotypes about Romanian people used in two British media formats and the way in which they affect Romania’s country image overseas. Using a mixed research approach, combining framing analysis (Entman, 1993) with critical discourse analysis (Van Dijk, 1993), and dispositif analysis (Charaudeau, 2005) this article investigates 271 news items from three of the most read newspapers in the UK (The Guardian, Daily Mail and The Independent), published online during January 2013 – March 2014. Also, the paper analyzes three film documentaries from BBC (Panorama – The Romanians are Coming? – BBC1, The Truth About Immigration – BBC2 and The Great Big Romanian invasion – BBC World News). The analysis shows that the British press and television use both similar and different frames to coverage Romanian migrants. The media also infer the polarization between “Us” (the British media) and “Them” (the Romanian citizens).</p>


Author(s):  
Jenny Watson ◽  
John Dalton

In 1997 Nirex failed to obtain planning permission to build an underground laboratory (Rock Characterisation Facility) near the Sellafield nuclear site in Cumbria, North-West England. This stopped the UK’s deep disposal programme. Since then there has been much discussion on how the UK should take the issue of long-term radioactive waste management forward. As part of its contribution to the ongoing debate, Nirex needed to reassess how its role in finding a long-term solution could be better played given its history. It has been suggested that the processes required to deal with such a contentious issue, the conduct of individuals and the structural relationships between organisations, all need to change if any progress is to be made. Specifically, one of the difficulties of the past was the lack of a mechanism to allow all stakeholders and the public to clearly see what had been decided and for what reasons. It is suggested that central to these changes needs to be a strong ethical framework based on transparency. This paper will provide an overview of the Nirex Transparency Policy, its operation and some observations of putting it into practice. As a method of ensuring that Nirex does not get complacent about this important aspect of their work, it established an Independent Transparency Review Panel. As part of this panel’s remit they conduct an annual review of the operation of Nirex’s Transparency Policy. Some conclusions and recommendations of operating such a policy will be discussed as will the implications of forthcoming legislation.


Author(s):  
Brendan Breen ◽  
Elizabeth Atherton ◽  
Steve Barlow

United Kingdom Nirex Limited (Nirex) is responsible for providing the UK with environmentally-sound and publicly-acceptable options for the long-term management of radioactive materials generated by the Nation’s commercial, medical, research and defence activities. An important part of Nirex’s responsibilities in developing these options is to build acceptance of its concepts through effective dialogue and engagement with a wide range of stakeholders. One of the options developed by Nirex for the long-term isolation of intermediate-level and some low-level from the accessible environment is to place these wastes in a deep underground repository, excavated in stable rock formations. The repository would remain accessible to allow future generations to have the choice of continuing to store the waste, or to dispose of the wastes by sealing and closing the repository. In conducting the scientific and technical research on this phased disposal concept, Nirex wanted its work programmes to take account of any public concerns with regard to radioactive waste and its management and proposed to develop its understanding of such concerns through public engagement. In October 2001, Nirex engaged an independent organisation to conduct a series of focus group discussions. Focus group meetings were arranged in 4 locations across the UK, selecting varying groups in terms of age, lifestage and socio-economic circumstances in order to engage a broad cross-section of the UK population. Each group attended two, 2-hour sessions on successive evenings. The first session was a general discussion of the issues of nuclear energy and radioactive waste. The second session focused on the more specific detail of the Nirex Phased Disposal Concept. Explanatory material was given to participants at each session. The work has provided some very useful information on issues, which the focus groups considered significant. The groups were able, in the short time available, to grasp many important issues and to provide their views across a range of technical areas. This work has helped Nirex to better understand ways of engaging the public in technical issues and to appreciate some of the key areas and concerns on the more technical areas associated with phased disposal. Several technical queries were identified, which the facilitators were unable to answer during the focus group discussions — Nirex has subsequently provided answers to these questions and made these available on the Nirex Bibliography. This paper describes the approach taken for the focus groups and outlines key findings from the work and some implications for Nirex in communicating technical issues to the public.


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