scholarly journals Potential effects of minimum unit pricing at local authority level on alcohol-attributed harms in North West and North East England: a modelling study

2021 ◽  
Vol 9 (4) ◽  
pp. 1-106
Author(s):  
Alan Brennan ◽  
Colin Angus ◽  
Robert Pryce ◽  
Penny Buykx ◽  
Madeleine Henney ◽  
...  
Keyword(s):  
Public Health ◽  
Health Research ◽  
Local Authority ◽  
Alcohol Policy ◽  
Unit Price ◽  
Local Authorities ◽  
North West ◽  
North East ◽  
The North ◽  
Unit Pricing

Background In 2018, Scotland implemented a 50p-per-unit minimum unit price for alcohol. Previous modelling estimated the impact of minimum unit pricing for England, Scotland, Wales and Northern Ireland. Decision-makers want to know the potential effects of minimum unit pricing for local authorities in England; the premise of this study is that estimated effects of minimum unit pricing would vary by locality. Objective The objective was to estimate the potential effects on mortality, hospitalisations and crime of the implementation of minimum unit pricing for alcohol at local authority level in England. Design This was an evidence synthesis, and used computer modelling using the Sheffield Alcohol Policy Model (local authority version 4.0). This study gathered evidence on local consumption of alcohol from the Health Survey for England, and gathered data on local prices paid from the Living Costs and Food Survey and from market research companies’ actual sales data. These data were linked with local harms in terms of both alcohol-attributable mortality (from the Office for National Statistics) and alcohol-attributable hospitalisations (from Hospital Episode Statistics) for 45 conditions defined by the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. These data were examined for eight age–sex groups split by five Index of Multiple Deprivation quintiles. Alcohol-attributable crime data (Office for National Statistics police-recorded crimes and uplifts for unrecorded offences) were also analysed. Setting This study was set in 23 upper-tier local authorities in North West England, 12 upper-tier local authorities in the North East region and nine government office regions, and a national summary was conducted. Participants The participants were the population of England aged ≥ 18 years. Intervention The intervention was setting a local minimum unit price. The base case is 50p per unit of alcohol. Sensitivity analyses were undertaken using minimum unit prices of 30p, 40p, 60p and 70p per unit of alcohol. Main outcome measures The main outcome measures were changes in alcohol-attributable deaths, hospitalisations and crime. Savings in NHS costs, changes in alcohol purchasing and consumption, changes in revenue to off-trade and on-trade retailers and changes in the slope index of inequality between most and least deprived areas were also examined. Results The modelling has proved feasible at the upper-tier local authority level. The resulting estimates suggest that minimum unit pricing for alcohol at local authority level could be effective in reducing alcohol-attributable deaths, hospitalisations, NHS costs and crime. A 50p minimum unit price for alcohol at local authority level is estimated to reduce annual alcohol-related deaths in the North West region by 205, hospitalisations by 5956 (–5.5%) and crimes by 8528 (–2.5%). These estimated reductions are mostly due to the 5% of people drinking at high-risk levels (e.g. men drinking > 25 pints of beer or five bottles of wine per week, women drinking > 17 pints of beer or 3.5 bottles of wine per week, and who spend around £2500 per year currently on alcohol). Model estimates of impact are bigger in the North West and North East regions than nationally because, currently, more cheap alcohol is consumed in these regions and because there are more alcohol-related deaths and hospitalisations in these areas. A 30p minimum unit price has estimated effects that are ≈ 90% lower than those of a 50p minimum unit price, and a 40p minimum unit price has estimated effects that are ≈ 50% lower. Health inequalities are estimated to reduce with greater health gains in the deprived areas, where more cheap alcohol is purchased and where there are higher baseline harms. Limitations The approach requires synthesis of evidence from multiple sources on alcohol consumption; prices paid; and incidence of diseases, mortality and crime. Price elasticities used are from previous UK analysis of price responsiveness rather than specific to local areas. The study has not estimated ‘cross-border effects’, namely travelling to shops outside the region. Conclusions The modelling estimates suggest that minimum unit pricing for alcohol at local authority level would be an effective and well-targeted policy, reducing inequalities. Future work The Sheffield Alcohol Policy Model for Local Authorities framework could be further utilised to examine the local impact of national policies (e.g. tax changes) or local policies (e.g. licensing or identification and brief advice). As evidence emerges from the Scottish minimum unit price implementation, this will further inform estimates of impact in English localities. The methods used to estimate drinking and purchasing patterns in each local authority could also be used for other topics involving unhealthy products affecting public health, for example to estimate local smoking or high-fat, high-salt food consumption patterns. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 9, No. 4. See the NIHR Journals Library website for further project information.

scholarly journals Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kelly Osezele Elimian ◽  
Anwar Musah ◽  
Somto Mezue ◽  
Oyeronke Oyebanji ◽  
Sebastian Yennan ◽  
...  
Keyword(s):  
Public Health ◽  
Case Fatality ◽  
Northern Region ◽  
Watery Diarrhoea ◽  
Cholera Outbreak ◽  
North West ◽  
Design And Implementation ◽  
North East ◽  
The North ◽  
Outbreak Period

Abstract Background The cholera outbreak in 2018 in Nigeria reaffirms its public health threat to the country. Evidence on the current epidemiology of cholera required for the design and implementation of appropriate interventions towards attaining the global roadmap strategic goals for cholera elimination however seems lacking. Thus, this study aimed at addressing this gap by describing the epidemiology of the 2018 cholera outbreak in Nigeria. Methods This was a retrospective analysis of surveillance data collected between January 1st and November 19th, 2018. A cholera case was defined as an individual aged 2 years or older presenting with acute watery diarrhoea and severe dehydration or dying from acute watery diarrhoea. Descriptive analyses were performed and presented with respect to person, time and place using appropriate statistics. Results There were 43,996 cholera cases and 836 cholera deaths across 20 states in Nigeria during the outbreak period, with an attack rate (AR) of 127.43/100,000 population and a case fatality rate (CFR) of 1.90%. Individuals aged 15 years or older (47.76%) were the most affected age group, but the proportion of affected males and females was about the same (49.00 and 51.00% respectively). The outbreak was characterised by four distinct epidemic waves, with higher number of deaths recorded in the third and fourth waves. States from the north-west and north-east regions of the country recorded the highest ARs while those from the north-central recorded the highest CFRs. Conclusion The severity and wide-geographical distribution of cholera cases and deaths during the 2018 outbreak are indicative of an elevated burden, which was more notable in the northern region of the country. Overall, the findings reaffirm the strategic role of a multi-sectoral approach in the design and implementation of public health interventions aimed at preventing and controlling cholera in Nigeria.

scholarly journals FORMATION AND DEVELOPMENT OF SCIENTIFIC ACTIVITIES IN THE NORTH-WEST PUBLIC HEALTH RESEARCH CENTER OF ROSPOTREBNADZOR (ON THE 95-TH ANNIVERSARY OF INSTITUTION)

2019 ◽  
pp. 4-10
Author(s):  
S.A. Gorbanev
Keyword(s):  
Public Health ◽  
Health Research ◽  
Occupational Diseases ◽  
Public Health Research ◽  
Research Center ◽  
Human Environment ◽  
North West ◽  
The North ◽  
Treatment And Prevention ◽  
History Of

We presented results in major scientific areas being developed in the North-West Public Health Research center throughout the 95-year history of its existence. Leningrad Institute for the Study of Occupational Diseases, which was established in 1924, have developed scientific bases for diagnosis, treatment, and prevention of occupational diseases; created national school of industrial toxicology, developed procedure for hygienic regulation of harmful occupational and environmental factors in human environment. The stages of activity in the field of occupational pathology, occupational hygiene, industrial toxicology are reviewed. Currently, the research is underway to assess occupational and environmental risks to public health from exposure to harmful factors, and to improve measures to minimize them. Priorities for further development of scientific research are identified.

scholarly journals A systems approach to the exploration of research activity and relationships within a local authority

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Judith F. Fynn ◽  
John Jones ◽  
Andy Jones
Keyword(s):  
Public Health ◽  
Health Research ◽  
Local Authority ◽  
Knowledge Exchange ◽  
County Council ◽  
System Level ◽  
Evidence Based ◽  
Research Activity ◽  
Local Authorities ◽  
Research Activities

Abstract Background Organizations with responsibilities for public health are increasingly required to use evidence-based practice to inform programme delivery, requiring research to generate relevant evidence, and dissemination and use of evidence to inform decisions and practices. Understanding how relationships between organizational structures, systems and processes influence evidence-based practices is critical to improving practice at both an institutional and system level, yet how these relationships should best operate is not well understood. Understanding how to better support research within local authorities, the elected administrative bodies responsible for services including public health at a regional level in the United Kingdom, is a priority for the National Institute for Health Research (NIHR) Public Health Research. This study is based on Norfolk County Council, a local authority in the east of England. We aimed to apply a systems perspective to develop a better understanding of the structures, systems and processes that support a local authority in becoming research-active, identifying gaps in understanding and recommendations for action to address them. Methods Taking a participatory action research approach, we applied qualitative methods to explore research activity and relationships in Norfolk County Council. We surveyed employees and used network analysis to map individuals, departments and external partners involved in research activities and the connections between them. We then applied participatory approaches to conduct a series of focus groups and semi-structured interviews to explore stakeholders’ experiences and perceptions of being involved in research at, or with, the authority, and their ideas for recommendations for future actions. Results A range of research activity is undertaken at the local authority, with an emphasis on applied work to improve service delivery. We identified several examples of effective practice and models of research collaboration in some departments. Challenges such as limitations in resources, capacity and knowledge exchange were evident, yet there was a readiness amongst key stakeholders to develop and implement actions that may better support the authority in becoming more research-active. Conclusion In large complex organizations, a key challenge is how to share learning across teams and implement good practice at an organizational and system level. Our findings highlight the potential for developing improved collaborative partnership models and systems to support sustainable processes and practices for research and knowledge exchange at an institutional and interorganizational level. The insights gained and shared will support other local authorities and similar large, multilevel organizations with responsibilities for evidence-based public health to explore their own setting and implement change where needed, and provide stimulus for further research into system-level change.

scholarly journals The Scottish case: minimum unit pricing for alcohol

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Hilton ◽  
S V Katikireddi
Keyword(s):  
Public Health ◽  
Alcohol Consumption ◽  
Public Health Intervention ◽  
Alcohol Policy ◽  
Unit Price ◽  
Policy Network ◽  
Pricing Policy ◽  
Licensed Premises ◽  
Vested Interests ◽  
Unit Pricing

Abstract There have been longstanding social and public health concerns about the levels of harmful alcohol consumption in Scotland. The Alcohol (Minimum Pricing) (Scotland) Act 2012 targets all alcohol sold through licensed premises in Scotland by ensuring it cannot be sold below a set minimum unit price. The pricing policy is currently set at 50p per unit of alcohol. Following a legal challenge and a vote in the Scottish Parliament, minimum unit pricing was implemented in Scotland on 1 May 2018. The aim of the Scottish alcohol policy has been to reduce the adverse public health consequences of alcohol consumption. It has also been identified as a potential measure for reducing health inequalities since alcohol-related harms are strongly socially patterned. The Scottish alcohol policy is important case to consider for a number of reasons. First, the nature of the policy differs. Rather than the introduction of a variable floor price, which may encourage switching in consumption from one product to another to maintain alcohol intake, minimum unit pricing introduces a price threshold that is uniform across all alcohol products. Second, minimum unit pricing is being introduced into a competitive commercial environment with strong vested interests, rather than a government-controlled monopoly. Third, the policy has been framed as a public health intervention, rather than primarily for revenue-raising reasons. Research on its development and evaluation will be considered to inform broader discussions on policy advocacy. Here we show a visualisation of the minimum unit pricing policy network to highlight how the public health community could work in more coordinated manner to support alcohol policy interventions.

scholarly journals THE SUBSTANTIATION OF THE VOLUME OF INVESTIGATIONS OF PHYSICAL FACTORS AT THE CONSTRUCTION SITE IN TERMS OF HYGIENIC REGULATION

2019 ◽  
Vol 96 (7) ◽  
pp. 651-656 ◽  
Author(s):  
Elena B. Kuznetsova ◽  
I. D. Bulavina
Keyword(s):  
Public Health ◽  
Health Research ◽  
Physical Factor ◽  
Public Health Research ◽  
Research Center ◽  
Physical Factors ◽  
State Budget ◽  
North West ◽  
The North ◽  
Capital Construction

The necessity of carrying out field observation of physical factor parameters (noise, infrasound, vibration) in the process of engineering-and-environmental exploration on the areas allotted for capital construction is regulated by current sanitary-hygienic documents and standards related to the construction. Capital construction objects cover industrial and nonproduction buildings and facilities, as well as linear objects: highways, railways, underground lines, pipelines. Requirements for a scope and a list of measured indices of the effect of physical factors with taking into account the purpose of projected buildings and facilities are not established in the available documents. While realizing expert activities by the inspection body at the North-West Public Health Research Center, studies of parameters of physical factor in certain fields were executed on construction allotted areas to be redundant and often useless (that is, inapplicable for further use). As regards the problem under consideration, requirements according to current sanitary-hygienic and construction regulations were analyzed. A short record of sheet review of explorations made by North-West Public Health Research Center and those undergone expert examination by the inspection body at the North-West Public Health Research Center within the period of 2014-2016 is given. A list and a scope of indices of physical factors (noise, infrasound, vibration) which should be measured in field conditions during environmental investigations of the areas allotted for construction with taking into account function and specific character of the projected object. The reported study resulted in grounding the necessity to develop “Guidelines on assessment and measurement of physical fields on the areas of engineering-and-environmental surveys” which can enhance the effectiveness of accomplished studies, to optimize the scope and to eliminate excessive requirements in designing and expert examination, and in the long run will help in saving funds invested into construction, including state budget ones.

A new volcanic province: evidence from glacial erratics in western North Greenland

2000 ◽  
pp. 35-41 ◽  
Author(s):  
Peter R. Dawes ◽  
Bjørn Thomassen ◽  
T.I. Hauge Andersson
Keyword(s):  
Volcanic Rocks ◽  
Iron Formation ◽  
Banded Iron Formation ◽  
Common Component ◽  
Volcanic Province ◽  
North West ◽  
North East ◽  
The North ◽  
Surficial Deposits ◽  
North Greenland

NOTE: This article was published in a former series of GEUS Bulletin. Please use the original series name when citing this article, for example: Dawes, P. R., Thomassen, B., & Andersson, T. H. (2000). A new volcanic province: evidence from glacial erratics in western North Greenland. Geology of Greenland Survey Bulletin, 186, 35-41. https://doi.org/10.34194/ggub.v186.5213 _______________ Mapping and regional geological studies in northern Greenland were carried out during the project Kane Basin 1999 (see Dawes et al. 2000, this volume). During ore geological studies in Washington Land by one of us (B.T.), finds of erratics of banded iron formation (BIF) directed special attention to the till, glaciofluvial and fluvial sediments. This led to the discovery that in certain parts of Daugaard-Jensen Land and Washington Land volcanic rocks form a common component of the surficial deposits, with particularly colourful, red porphyries catching the eye. The presence of BIF is interesting but not altogether unexpected since BIF erratics have been reported from southern Hall Land just to the north-east (Kelly & Bennike 1992) and such rocks crop out in the Precambrian shield of North-West Greenland to the south (Fig. 1; Dawes 1991). On the other hand, the presence of volcanic erratics was unexpected and stimulated the work reported on here.

Excavations at Fishbourne, 1963. Third Interim Report

1964 ◽  
Vol 44 (1) ◽  
pp. 1-8
Keyword(s):  
Interim Report ◽  
The West ◽  
Civic Society ◽  
North West ◽  
The Third ◽  
North East ◽  
The North ◽  
The Future ◽  
Set Up

Early in 1963 much of the land occupied by the Roman building at Fishbourne was purchased by Mr. I. D. Margary, M.A., F.S.A., and was given to the Sussex Archaeological Trust. The Fishbourne Committee of the trust was set up to administer the future of the site. The third season's excavation, carried out at the desire of this committee, was again organized by the Chichester Civic Society.1 About fifty volunteers a day were employed from 24th July to 3rd September. Excavation concentrated upon three main areas; the orchard south of the east wing excavated in 1962, the west end of the north wing, and the west wing. In addition, trial trenches were dug at the north-east and north-west extremities of the building and in the area to the north of the north wing. The work of supervision was carried out by Miss F. Pierce, M.A., Mr. B. Morley, Mr. A. B. Norton, B.A., and Mr. J. P. Wild, B.A. Photography was organized by Mr. D. B. Baker and Mrs. F. A. Cunliffe took charge of the pottery and finds.

scholarly journals On tho proportions of the prevailing winds, the mean temperature, and depth of rain in the climate of London, computed through a cycle of Eighteen Years, or periods of the Moon’s declination

1843 ◽  
Vol 4 ◽  
pp. 300-300
Keyword(s):  
The Moon ◽  
Fair Weather ◽  
North West ◽  
West Wind ◽  
North East ◽  
East Wind ◽  
The North ◽  
The Common ◽  
The Mean ◽  
Solar Influence

In this paper the author investigates the periodical variations of the winds, rain and temperature, corresponding to the conditions of the moon’s declination, in a manner similar to that he has already followed in the case of the barometrical variations, on a period of years extending from 1815 to 1832 inclusive. In each case he gives tables of the average quantities for each week, at the middle of which the moon is in the equator, or else has either attained its maximum north or south declination. He thus finds that a north-east wind is most promoted by the constant solar influence which causes it, when the moon is about the equator, going from north to south; that a south-east wind, in like manner, prevails most when the moon is proceeding to acquire a southern declination ; that winds from the south and west blow more when the moon is in her mean degrees of declination, going either way, than with a full north or south declination ; and that a north-west wind, the common summer and fair weather wind of the climate, affects, in like manner, the mean declination, in either direction, in preference to the north or south, and most when the moon is coming north. He finds the average annual depth of rain, falling in the neighbourhood of London, is 25’17 inches.

scholarly journals Psychiatry in Ireland

2009 ◽  
Vol 6 (2) ◽  
pp. 36-38 ◽  
Author(s):  
Zahid Latif
Keyword(s):  
Northern Ireland ◽  
European Economic Community ◽  
Total Population ◽  
Economic Community ◽  
Republic Of Ireland ◽  
North West ◽  
North East ◽  
The North ◽  
The United Kingdom ◽  
The Republic

Ireland is the third largest island in Europe and the twentieth largest island in the world, with an area of 86 576 km2; it has a total population of slightly under 6 million. It lies to the north-west of continental Europe and to the west of Great Britain. The Republic of Ireland covers five-sixths of the island; Northern Ireland, which is part of the United Kingdom, is in the north-east. Twenty-six of the 32 counties are in the Republic of Ireland, which has a population of 4.2 million, and its capital is Dublin. The other six counties are in Northern Ireland, which has a population of 1.75 million, and its capital is Belfast. In 1973 both parts of Ireland joined the European Economic Community. This article looks at psychiatry in the Republic of Ireland.

Part VI. The Cyclopean Terrace Building and the Deposit of Pottery beneath It

1954 ◽  
Vol 49 ◽  
pp. 267-291
Author(s):  
Elizabeth B. Wace
Keyword(s):  
Contour Line ◽  
The South ◽  
Main Road ◽  
North West ◽  
North East ◽  
The North ◽  
South West

The Cyclopean Terrace Building lies to the north-west of the Lion Gate on the northern end of the Panagia Ridge and faces almost due west across the valley of the Kephissos and modern main road from Corinth to Argos. It lies just below the 200 m. contour line, and one terrace below the houses excavated in 1950–51 by Dr. Papadimitriou and Mr. Petsas to the east at the same end of the ridge. The area contains a complex of buildings, both successive and contemporary, and in view of the discovery of structures both to the south-west and, by the Greek Archaeological Service, to the north-east it is likely that this whole slope was covered by a portion of the outer town of Mycenae. This report will deal only with the structure to which the name Cyclopean Terrace Building was originally given, the so-called ‘North Megaron’, supported by the heavy main terrace wall.The excavation of this structure was begun in 1923. The main terrace wall was cleared and two L.H. IIIC burials discovered in the top of the fill in the south room. In 1950 it was decided to attempt to clear this building entirely in an endeavour to find out its date and purpose. The clearing was not, however, substantially completed until the close of the 1953 excavation season, and this report presents the available evidence for the date as determined by the pottery found beneath the building; the purpose is still a matter for study, though various tentative conclusions can be put forward.

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