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 Access to personal protective equipment in healthcare workers during the COVID-19 pandemic in the United Kingdom: results from a nationwide cohort study (UK-REACH)

2021 ◽  
Author(s):  
Christopher A Martin ◽  
Daniel Pan ◽  
Joshua Nazareth ◽  
Avinash Aujayeb ◽  
Luke Bryant ◽  
...  
Keyword(s):  
Cohort Study ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Secondary Analysis ◽  
Protective Equipment ◽  
Primary Analysis ◽  
Questionnaire Response ◽  
The United Kingdom ◽  
The Uk

Abstract Objectives: To determine the prevalence and predictors of self-reported access to appropriate personal protective equipment (aPPE) for healthcare workers (HCWs) in the United Kingdom (UK) during the first UK national COVID-19 lockdown (March 2020) and at the time of questionnaire response (December 2020 - February 2021). Design: Two cross sectional analyses using data from a questionnaire-based cohort study. Setting: Nationwide questionnaire from 4th December 2020 to 28th February 2021. Participants: A representative sample of HCWs or ancillary workers in a UK healthcare setting aged 16 or over, registered with one of seven main UK healthcare regulatory bodies. Main outcome measure: Binary measure of self-reported aPPE (access all of the time vs access most of the time or less frequently) at two timepoints: the first national lockdown in the UK (primary analysis) and at the time of questionnaire response (secondary analysis). Results: 10,508 HCWs were included in the primary analysis, and 12,252 in the secondary analysis. 3702 (35.2%) of HCWs reported aPPE at all times in the primary analysis; 6806 (83.9%) reported aPPE at all times in the secondary analysis. After adjustment (for age, sex, ethnicity, migration status, occupation, aerosol generating procedure exposure, work sector, work region, working hours, night shift frequency and trust in employing organisation), older HCWs (per decade increase in age: aOR 1.2, 95% CI 1.16 - 1.26, p<0.001) and those working in Intensive Care Units (1.61, 1.38 - 1.89, p<0.001) were more likely to report aPPE at all times. Those from Asian ethnic groups compared to White (0.77, 0.67 - 0.89, p<0.001), those in allied health professional (AHPs) and dental roles (vs those in medical roles; AHPs: 0.77, 0.68 - 0.87, p<0.001; dental: 0.63, 0.49 - 0.81, p<0.001), and those who saw a higher number of COVID-19 patients compared to those who saw none (≥21 patients 0.74, 0.61 - 0.90, p=0.003) were less likely to report aPPE at all times in the primary analysis. aPPE at all times was also not uniform across UK regions (reported access being better in South West and North East England than London). Those who trusted their employing organisation to deal with concerns about unsafe clinical practice, compared to those who did not, were twice as likely to report aPPE at all times (2.18, 1.97 - 2.40, p<0.001). With the exception of occupation, these factors were also significantly associated with aPPE at all times in the secondary analysis. Conclusions: We found that only a third of HCWs in the UK reported aPPE at all times during the period of the first lockdown and that aPPE had improved later in the pandemic. We also identified key sociodemographic and occupational determinants of aPPE during the first UK lockdown, the majority of which have persisted since lockdown was eased. These findings have important public health implications for HCWs, particularly as cases of infection and long-COVID continue to rise in the UK.

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 Impact Of COVID-19 On Out-Of-Hours Adult Hospice Care: An Online Survey

2021 ◽  
Author(s):  
Felicity Hasson ◽  
Paul Slater ◽  
Anne Fee ◽  
Tracey McConnell ◽  
Sheila Payne ◽  
...  
Keyword(s):  
Palliative Care ◽  
United Kingdom ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Community Based ◽  
Out Of Hours ◽  
Care Services ◽  
The United Kingdom ◽  
Palliative Care Services ◽  
The Impact

Abstract BackgroundGlobally COVID-19 has had a profound impact on the provision of healthcare, including palliative care. However, there is little evidence about the impact of COVID-19 on delivery of out-of-hours specialist palliative care services in the United Kingdom. The aim of the study is to investigate the impact of the COVID-19 pandemic on the delivery of out-of-hours community-based palliative care services.Methods A national online census survey of managers of adult hospices in the United Kingdom was undertaken. Survey were emailed to managers of adult hospices (n=150) who provided out-of-hours community palliative care services. Fifteen questions related specifically to the impact of COVID-19 and data were analysed thematically.ResultsEighty-one responses to the survey were returned (54% response rate); 59 were complete of which 47 contained COVID-19 data. Findings indicated that COVID-19 impacted on out-of-hours community-based palliative care. To meet increased patient need, hospices reconfigured services; redeployed staff; and introduced new policies and procedures to minimize virus transmission. Lack of integration between charitably and state funded palliative care providers was reported. The interconnected issues of the use and availability of Personal Protective Equipment (n=21) and infection control screening (n=12) resulted in changes in nursing practices due to fear of contagion for patients, carers and staff. Conclusions Survey findings suggest that due to increased demand for community palliative care services, hospices had to rapidly adapt and reconfigure services. Even though this response to the pandemic led to some service improvements, in the main, out-of-hours service reconfiguration resulted in challenges for hospices, including workforce issues, and availability of resources such as Personal Protective Equipment. These challenges were exacerbated by lack of integration with wider healthcare services. More research is required to fully understand the implications of such changes on the quality of care provided.

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 How did the UK government face the global COVID-19 pandemic?

2021 ◽  
Vol 55 (1) ◽  
pp. 72-83 ◽  
Author(s):  
Tamiris Cristhina Resende ◽  
Marco Antonio Catussi Paschoalotto ◽  
Stephen Peckham ◽  
Claudia Souza Passador ◽  
João Luiz Passador
Keyword(s):  
United Kingdom ◽  
Action Plan ◽  
World Health Organisation ◽  
World Health ◽  
Prevention Measures ◽  
The United Kingdom ◽  
First Case ◽  
The World ◽  
Uk Government ◽  
The Uk

Abstract This paper aims to analyse the coordination and cooperation in Primary Health Care (PHC) measures adopted by the British government against the spread of the COVID-19. PHC is clearly part of the solution founded by governments across the world to fight against the spread of the virus. Data analysis was performed based on coordination, cooperation, and PHC literature crossed with documentary analysis of the situation reports released by the World Health Organisation and documents, guides, speeches and action plans on the official UK government website. The measures adopted by the United Kingdom were analysed in four periods, which helps to explain the courses of action during the pandemic: pre-first case (January 22- January 31, 2020), developing prevention measures (February 1 -February 29, 2020), first Action Plan (March 1- March 23, 2020) and lockdown (March 24-May 6, 2020). Despite the lack of consensus in essential matters such as Brexit, the nations in the United Kingdom are working together with a high level of cooperation and coordination in decision-making during the COVID-19 pandemic.

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 Disaster, uncertainty, opportunity or risk? Key messages from the television coverage of the IPCC’s 2013/2014 reports

2016 ◽  
pp. 81
Author(s):  
James Painter
Keyword(s):  
Climate Change ◽  
Risk Management ◽  
United Kingdom ◽  
European Countries ◽  
Management Approach ◽  
Four Frames ◽  
The United Kingdom ◽  
Working Groups ◽  
The Uk ◽  
Television Coverage

This article examines the television coverage of the three 2013 and 2014 reports by the Working Groups of the IPCC in five European countries: Germany, Norway, Poland, Spain and the United Kingdom. The presence, salience and dominance of four frames (disaster, uncertainty, explicit risk and opportunity) were examined in each of the bulletins monitored. The «disaster» frame was the strongest of all the frames, measured by all three metrics. «Opportunity» was the next most present, followed by «uncertainty». Although the IPCC put considerable emphasis on a risk management approach to tackling climate change in its communication of the WG2 report, the «explicit risk» frame was hardly present. The UK stood out for including some coverage of sceptical viewpoints.

United Kingdom

2019 ◽  
pp. 455-493
Author(s):  
Andrew Boutros
Keyword(s):  
United Kingdom ◽  
Economic Cooperation ◽  
Public Office ◽  
Aggressive Approach ◽  
The United Kingdom ◽  
The World ◽  
Commercial Bribery ◽  
Legislative Framework ◽  
The Uk

The United Kingdom was one of the first countries in the world to have explicit statutory provisions outlawing bribery, and has had a long-standing legislative framework prohibiting fraud and misconduct in public office. Nevertheless, historically, these laws were rarely used. Following recommendations by the Organisation for Economic Cooperation and Development (OECD), the UK adopted its first comprehensive anti-corruption legislation in the form of the Bribery Act 2010 (“Bribery Act”), which went into force in July 2011. The Bribery Act is now considered arguably one of the most stringent anti-corruption statutes in the world, criminalizing both public and commercial bribery. In recent years, the Serious Fraud Office (SFO) has demonstrated an increased willingness to take a more aggressive approach to enforcing the Bribery Act, as illustrated by the SFO’s deferred prosecution agreement with Rolls Royce Plc in January 2017, which resulted in a record-breaking £497 million settlement.

Brains on the asphalt: Three punk expressions of crisis

2021 ◽  
Author(s):  
Franko Burolo
Keyword(s):  
United Kingdom ◽  
Comparative Analysis ◽  
European Countries ◽  
Modern History ◽  
Avant Garde ◽  
The United Kingdom ◽  
The World ◽  
Edoardo Sanguineti ◽  
Libertarian Socialism

Since its crisis-marked beginnings, punk’s relationship with anarchism could be described as ‘complicated’. In spite of the wide use of the word and the circled ‘A’ symbol, not every artist considered anarchy in its political meaning of radical egalitarianism and libertarian socialism. This article explores the ‘impulse of anarchy’ in punk, as considered by Edoardo Sanguineti, as a more-than-political aesthetic phenomenon present in all avant-garde poetry (and arts in general) in modern history, consciously or not, whose ultimate goal is to change life and modify the world. Through this perspective, the article presents a comparative analysis of three expressions of crisis by three different punk groups from three different European countries, in three different languages: ‘Možgani na asfaltu’ (‘Brains on the Asphalt’) in Slovene by Berlinski zid from (then) Yugoslavia, ‘Lasciateci sentire ora’ (‘Let Us Hear Now’) in Italian by Franti from Italy and ‘Crisis’ in English by Poison Girls from the United Kingdom. The article will thus try to contribute to the understanding of anarchist and anarchic influences in coping with crisis under international capitalism and bourgeois hegemony.

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