scholarly journals Assessment of the Public Health Threats Posed by Vector-Borne Disease in the United Kingdom (UK)

2018 ◽  
Vol 15 (10) ◽  
pp. 2145 ◽  
Author(s):  
Jolyon Medlock ◽  
Kayleigh Hansford ◽  
Alexander Vaux ◽  
Ben Cull ◽  
Emma Gillingham ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Disease Risk ◽  
Surveillance Systems ◽  
Mosquito Vector ◽  
Vector Surveillance ◽  
Vector Borne Disease ◽  
The United Kingdom ◽  
Vector Borne ◽  
The Uk

In recent years, the known distribution of vector-borne diseases in Europe has changed, with much new information also available now on the status of vectors in the United Kingdom (UK). For example, in 2016, the UK reported their first detection of the non-native mosquito Aedes albopictus, which is a known vector for dengue and chikungunya virus. In 2010, Culex modestus, a principal mosquito vector for West Nile virus was detected in large numbers in the Thames estuary. For tick-borne diseases, data on the changing distribution of the Lyme borreliosis tick vector, Ixodes ricinus, has recently been published, at a time when there has been an increase in the numbers of reported human cases of Lyme disease. This paper brings together the latest surveillance data and pertinent research on vector-borne disease in the UK, and its relevance to public health. It highlights the need for continued vector surveillance systems to monitor our native mosquito and tick fauna, as well as the need to expand surveillance for invasive species. It illustrates the importance of maintaining surveillance capacity that is sufficient to ensure accurate and timely disease risk assessment to help mitigate the UK’s changing emerging infectious disease risks, especially in a time of climatic and environmental change and increasing global connectivity.

scholarly journals A unique measles B3 cluster in the United Kingdom and the Netherlands linked to air travel and transit at a large international airport, February to April 2014

2016 ◽  
Vol 21 (13) ◽  
Author(s):  
Laura Nic Lochlainn ◽  
Sema Mandal ◽  
Rita de Sousa ◽  
Karthik Paranthaman ◽  
Rob van Binnendijk ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
The Netherlands ◽  
Virus Strain ◽  
Measles Virus ◽  
The Philippines ◽  
The United Kingdom ◽  
Public Health Officials ◽  
The Uk ◽  
In Transit

This report describes a joint measles outbreak investigation between public health officials in the United Kingdom (UK) and the Netherlands following detection of a measles cluster with a unique measles virus strain. From 1 February to 30 April 2014, 33 measles cases with a unique measles virus strain of genotype B3 were detected in the UK and the Netherlands, of which nine secondary cases were epidemiologically linked to an infectious measles case travelling from the Philippines. Through a combination of epidemiological investigation and sequence analysis, we found that measles transmission occurred in flight, airport and household settings. The secondary measles cases included airport workers, passengers in transit at the same airport or travelling on the same flight as the infectious case and also household contacts. This investigation highlighted the particular importance of measles genotyping in identifying transmission networks and the need to improve vaccination, public health follow-up and management of travellers and airport staff exposed to measles.

scholarly journals The microbiological quality of seven large commercial private water supplies in the United Kingdom

2007 ◽  
Vol 5 (4) ◽  
pp. 523-538 ◽  
Author(s):  
D. Kay ◽  
A. P. Wyn-Jones ◽  
C. M. Stapleton ◽  
L. Fewtrell ◽  
M. D. Wyer ◽  
...  
Keyword(s):  
Public Health ◽  
Water Quality ◽  
United Kingdom ◽  
Food Production ◽  
Potable Water ◽  
Microbiological Quality ◽  
Raw Water ◽  
Water Supplies ◽  
The United Kingdom ◽  
The Uk

Some 1% of the UK population derives their potable water from 140,000 private water supplies (PWSs) regulated by Local Authorities. The overwhelming majority of these are very small domestic supplies serving a single property or a small number of properties. Treatment for such supplies is rudimentary or non-existent and their microbiological quality has been shown to be poor in every published study to date. Private water supplies serving commercial enterprises such as hotels, restaurants, food production premises and factories are more frequently treated and subject to closer regulation in the United Kingdom. As a result, it has been assumed that these larger commercial supplies are less likely to experience elevated faecal indicator and pathogen concentrations at the consumer tap which have been observed at small domestic supplies. This paper reports on intensive monitoring at seven commercial private water supplies (six of which were treated) spread throughout the UK serving hotels, holiday parks and food production enterprises. Daily sampling of ‘potable’ water, both at the consumer tap and using large volume filtration for Giardia and Cryptosporidium spp. was conducted over two six week periods in the spring and autumn of 2000. This allowed the effects of short term episodic peaks in faecal indicator and pathogen concentration to be quantified. All the supplies experienced intermittent pathogen presence and only one, a chlorinated deep borehole supply, fully complied with UK water quality regulations during both periods of sampling. Poor microbiological water quality typically followed periods of heavy rainfall. This suggests that the design and installation of such systems should be undertaken only after the likely range of raw water quality has been characterised, which requires a thorough understanding of the effects of flow and seasonality on raw water quality. There is no reason to suspect that the monitored sites are uncharacteristic of other commercial supplies and the results reinforce public health concerns related to domestic supplies. Furthermore, the pattern of contamination is highly episodic, commonly lasting only a few days. Thus, the relatively infrequent regulatory monitoring of such supplies would be unlikely to identify the poor water quality episodes and does not provide the data necessary for public health protection. Although some statistical relationship was found between faecal indicator organisms and the presence of pathogens, the use of FIOs in assessments of regulatory compliance may not always provide a reliable measure of public health risk, i.e. indicator absence does not preclude pathogen presence. The results of this study suggest that a risk assessment system similar to the WHO ‘Water Safety Planning’ approach might offer a more appropriate regulatory paradigm for private water supplies.

scholarly journals Mapping, Assessing and Improving Legal Preparedness for Pandemic Flu in the United Kingdom

2009 ◽  
Vol 10 (2) ◽  
pp. 101-137 ◽  
Author(s):  
Graeme T. Laurie ◽  
Kathryn G. Hunter
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Essential Feature ◽  
Legal Framework ◽  
The United Kingdom ◽  
Legal Provisions ◽  
The Face ◽  
International Obligations ◽  
Pandemic Flu ◽  
The Uk

This article assesses the legal framework within which responses are deployed in the United Kingdom in the face of a pandemic such as the current H1N1 crisis or some other public health emergency. It begins with an account of the importance of legal preparedness as an essential feature of public health preparedness. It moves to an outline of the key legal provisions and parameters which provide the architecture for the existing framework in the UK, both domestically and internationally; thereafter, it identifies relevant factors that can be used to assess the efficacy of current legal preparedness, drawing on comparative experiences. Finally, it offers recommendations on how legal preparedness could be improved within the United Kingdom and in line with international obligations.

scholarly journals Preliminary insight into horse owners’ perceptions of, and attitudes towards, exotic diseases in the United Kingdom

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Kelsey L. Spence ◽  
Jacqueline M. Cardwell ◽  
Josh Slater ◽  
Sarah M. Rosanowski
Keyword(s):  
United Kingdom ◽  
Disease Prevention ◽  
Disease Risk ◽  
Qualitative Content Analysis ◽  
Disease Spread ◽  
Prevention Measures ◽  
The United Kingdom ◽  
Need Support ◽  
The Uk ◽  
Horse Owners

Abstract Background The potential for an exotic disease incursion is a significant concern for the United Kingdom (UK) equine industry. Horse owners’ perceptions of, and attitudes towards, exotic diseases can influence decisions to adopt disease preparedness strategies. The objectives of this study were to describe horse owners’ 1) perceptions of the term ‘exotic disease’, and 2) attitudes towards their risk of being affected by an exotic disease. In order to address these objectives, qualitative content analysis was undertaken on data collected using two open-ended survey questions. Results Horse owners (n = 423) perceived exotic diseases as 1) belonging somewhere else, and 2) a dangerous threat to their horse(s). The term ‘exotic’ was associated with being foreign, non-native, and out-of-place in the UK. Attitudes towards exotic disease risk were summarised into four categories: 1) responsible horse owners prevent disease, 2) horse owners need support to stop disease spread, 3) risk depends on proximity to the ‘risky’ horse, and 4) some risk is inevitable. A ‘responsible’ owner was aware of health hazards and took actions to protect their horse from disease. Reliance on others, including stakeholders, to uphold disease prevention in the community led to feeling vulnerable to disease threats. When evaluating risk, horse owners considered which horses were the ‘riskiest’ to their horse’s health (horses that travelled, participated in competitions, or were simply unfamiliar) and avoided situations where they could interact. Despite undertaking disease prevention measures, the perceived uncontrollable nature of exotic diseases led some owners to feel an incursion was inevitable. Conclusions Without accounting for horse owners’ perceptions of, and attitudes towards, exotic diseases, recommendations to increase preparedness may be ineffective. Improved communication among stakeholders in the industry may assist in clarifying expectations for exotic disease-specific prevention measures. A collaborative approach among horse owners and stakeholders is recommended to improve disease preparedness within the industry.

scholarly journals Redeployment of ophthalmologists in the United Kingdom during the Coronavirus Disease Pandemic

2020 ◽  
pp. 112067212095333 ◽  
Author(s):  
Christina Lim ◽  
Ian De Silva ◽  
George Moussa ◽  
Tahir Islam ◽  
Lina Osman ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
National Health Service ◽  
Health Service ◽  
Personal Protection ◽  
Prior Training ◽  
Personal Protection Equipment ◽  
The United Kingdom ◽  
The Uk ◽  
Good Support

Background: During the current coronavirus (COVID-19) pandemic, some ophthalmologists across the United Kingdom (UK) have been redeployed to areas of need across the National Health Service (NHS). This survey was performed to assess aspects of this process including training & education, tasks expected, availability of personal protection equipment (PPE) used and the overall anxiety of ophthalmologists around their redeployment. Method: Online anonymous survey around the existing guidance on safe redeployment of secondary care NHS staff and PPE use by NHS England and Public Health England respectively. The survey was open to all ophthalmologists across the UK irrespective of their redeployment status. Findings: 145 surveys were completed and returned during a 2-week period between 17th April 2020 and 1st May 2020, when 52% of ophthalmologists were redeployed. The majority of this group consisted of ophthalmologists in training (79%). 81% of those redeployed were assigned to areas of the hospital where patients with confirmed Coronavirus disease were being treated as inpatients. There was a statistically significant improvement in anxiety level following redeployment which was mainly attributed to the support received by staff within the redeployed area. 71% of the redeployed group were found to have sufficient PPE was provided for the area they worked in. Interpretation: This is the first national survey performed on redeployment of ophthalmologists in the UK. The study showed that ophthalmologists across all grades were able to contribute in most aspects of patient care. Anxiety of redeployment was reduced by prior training and good support in the redeployment area.

scholarly journals PMMB COVID-19 Bulletin: United Kingdom (22nd April 2020)

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Loh Teng-Hern Tan ◽  
Vengadesh Letchumanan ◽  
Hooi-Leng Ser ◽  
Jodi Woan-Fei Law ◽  
Nurul-Syakima Ab Mutalib ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
European Countries ◽  
Protective Equipment ◽  
Health Threat ◽  
The United Kingdom ◽  
The World ◽  
Public Health Threat ◽  
The Uk

COVID-19 has greatly impacted the world and posed an enormous public health threat. The United Kingdom is hit harder by the COVID-19 crisis than any other European countries, besides Italy, Spain and France. The UK government has come under heavy criticism for its response to COVID-19, with lack of preparedness, shortages of personal protective equipment and COVID-19 testing. Despite the lockdown is in place to slow the spread of COVID-19, UK death toll continues to surge. As of 21st April 2020, more than 120,000 confirmed COVID-19 cases and 16,000 deaths had been recorded in UK.

scholarly journals Exploring Vector-Borne Disease Surveillance and Response Systems in Beijing, China: A Qualitative Study from the Health System Perspective

2020 ◽  
Vol 17 (22) ◽  
pp. 8512
Author(s):  
Jerome Lock-Wah-Hoon ◽  
Yang Zheng ◽  
Marieta Braks ◽  
Liselotte van Asten ◽  
Qiyong Liu ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Disease Surveillance ◽  
Disease Risk ◽  
Current Approach ◽  
Vector Surveillance ◽  
System Perspective ◽  
Vector Borne Diseases ◽  
Vector Borne Disease ◽  
Surveillance And Response ◽  
Vector Borne

Background: Climate change may contribute to higher incidence and wider geographic spread of vector borne diseases (VBDs). Effective monitoring and surveillance of VBDs is of paramount importance for the prevention of and timely response to outbreaks. Although international regulations exist to support this, barriers and operational challenges within countries hamper efficient monitoring. As a first step to optimise VBD surveillance and monitoring, it is important to gain a deeper understanding of system characteristics and experiences in to date non-endemic regions at risk of becoming endemic in the future. Therefore, this study qualitatively analyses the nature and flexibility of VBD surveillance and response in Beijing. Methods: In this qualitative study, eleven experts working in Beijing’s vector-borne diseases surveillance and response system were interviewed about vector-borne disease surveillance, early warning, response, and strengths and weaknesses of the current approach. Results: Vector-borne disease surveillance occurs using passive syndromic surveillance and separate vector surveillance. Public health authorities use internet reporting networks to determine vector-borne disease risk across Beijing. Response toward a vector-borne disease outbreak is uncommon in this setting due to the currently low occurrence of outbreaks. Conclusions: A robust network of centralised institutions provides the continuity and flexibility needed to adapt and manage possible vector-borne disease threats. Opportunities exist for population-based health promotion and the integration of environment and climate monitoring in vector-borne disease surveillance.

scholarly journals Coronavirus legislative responses in the UK: regression to panic and disdain of constitutionalism

2021 ◽  
Vol 72 (S1) ◽  
pp. 1-36
Author(s):  
Rebecca Moosavian ◽  
Clive Walker ◽  
Andrew Blick
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Health Risks ◽  
Individual Rights ◽  
Health Control ◽  
Public Health Risks ◽  
The United Kingdom ◽  
Wide Range ◽  
The Uk ◽  
Selection Of

The United Kingdom has considerable prowess in handling emergencies, not just in counterterrorism but also in a wide range of other real or imagined disasters, including public health risks. Core legislation has been installed, including the all-encompassing Civil Contingencies Act (CCA) 2004 and the more specialist Public Health (Control of Disease) Act (PHA) 1984. Despite these finely honed models, the UK state regressed to panic mode when faced with the COVID-19 pandemic. Rather than turning to the laws already in place, Parliament fast-tracked the Coronavirus Act 2020, with scant debate of its shabbily drafted contents. In addition, the UK Government has relied heavily, with minimal scrutiny, on regulations under the PHA 1984. The article analyses the competing legal codes and how they have been deployed to deal with COVID-19. It then draws out the strengths and weaknesses of the choices in terms of the key themes of: the choice of sectoral versus general emergency legislation; levels of oversight and accountability; effectiveness; and the protection of individual rights. Following this survey, it will be suggested that the selection of legal instruments and the design of their contents has been ill-judged. In short, the emergency code which is the most suitably engineered for the purpose, the CCA 2004, has been the least used for reasons which should not be tolerated.

scholarly journals Three cases of imported eyeworm infection in dogs: a new threat for the United Kingdom

2017 ◽  
Vol 181 (13) ◽  
pp. 346-346 ◽  
Author(s):  
John Graham-Brown ◽  
Paul Gilmore ◽  
Vito Colella ◽  
Lyndsay Moss ◽  
Chris Dixon ◽  
...  
Keyword(s):  
Public Health ◽  
United Kingdom ◽  
Sequence Analysis ◽  
Disease Control ◽  
Initial Diagnosis ◽  
Recent History ◽  
Thelazia Callipaeda ◽  
The United Kingdom ◽  
History Of ◽  
The Uk

In July 2016 we described the first known case of canine ocular thelaziosis in the UK in a dog recently imported from Romania. Here we confirm our initial diagnosis using PCR followed by sequence analysis, and we report a further two clinical cases in dogs with recent history of travel to Italy and France. In view of the presence in the UK of the vector forThelazia callipaeda, namelyPhorticaspp, we discuss the significance of these three cases in the context of the UK government’s pet travel scheme, disease control and both animal and public health in the UK.

Sign in / Sign up

Export Citation Format

Share Document