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Showing results for tags 'Pandemic'.
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Content ArticleThe Chief Medical Officers (CMOs) of the UK and lead Deputy Chief Medical Officers (DCMOs) for vaccines have considered whether, in the light of the very considerable need to speed up vaccination and boosting in response to Omicron variant, the 15-minute wait for some mRNA COVID-19 vaccines should be suspended. Their view, having considered the views of the COVID-19 Vaccine Benefit-Risk Expert Working Group (EWG), NHS planners and others is that with the low rates of anaphylaxis, in the context of the considerable need for people to be boosted or vaccinated, the 15-minute wait after a vaccination with mRNA vaccine will cause more harm than it can avert because it will significantly reduce the number of people who can be vaccinated over a short period of time. The 15-minute wait should therefore be suspended for first, second and homologous or heterologous boost vaccinations with mRNA vaccine given the current situation, with this operationalised in line with the needs in each of the 4 nations.
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Content Article
Vaccinating a Nation: Lessons from Scotland (CIEHF)
Patient Safety Learning posted an article in Guidance
This is the Chartered Institute of Ergonomics and Human Factors (CIEHF)'s second guide in response to issues concerning vaccination and COVID-19. It documents the key learnings gained from the human factors assessment of the vaccination system implemented by NHS Ayrshire & Arran (NHSAA). Its purpose is to share success, recommend design and safety improvements and offer a universal template for future safe and effective rollouts of time-critical vaccination programmes. The guidance will also be useful for the design and delivery of any public health vaccination programmes post COVID-19. Further reading CIEHF: COVID-19 human factor response- Posted
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Content ArticleIn this opinion piece for the BMJ, the authors argue that shortcomings in protection from contracting Covid-19 at work arise from legislation being ignored. They argue that government departments, including the Department of Health and Social Care and the Department for Education, did not adequately emphasise the legal obligations of employers to protect their employees health during the pandemic. The article states that laws dating back to the 1974 Health and Safety at Work Act make it a legal requirement for employers to ensure the health of their employees and of patients, students, and site visitors.
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Content ArticleThis report provides an update on cross-government work to address the disparities highlighted by the Public Health England report 'COVID-19: review of disparities in risks and outcomes', published in June 2020. It sets out how the Government's understanding of and response to the pandemic changed over the lifecycle of this work. The report also includes a summary of progress against recommendations from previous reports, lessons learned from this work and an action plan for addressing some of the longer-term issues identified.
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- Health inequalities
- Health Disparities
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Content ArticleIn this blog, David Buck and Toby Lewis of the King's Fund describe NHS England and NHS Improvement's new 'Core20plus5' approach to tackling health inequalities. They identify risks to the effectiveness of the strategy and highlight the importance of a partnership approach to tackling health inequalities.
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Content ArticleThe WHO Academy’s mobile learning app was developed specifically for health workers and is designed to enable them to expand their life-saving skills to battle COVID-19. It delivers mobile access to a wealth of COVID-19 knowledge resources developed by WHO, including up-to-the-minute guidance, tools, training, and virtual workshops to support health workers in caring for patients infected by COVID-19 and in protecting themselves as they do their critical work. With content in seven languages – Arabic, Chinese, English, French, Portuguese, Russian and Spanish – the app focuses on providing health workers with critical, evidence-based information and tools to respond to the pandemic.
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Content ArticleThe Health System Response Monitor (HSRM) has been designed in response to the COVID-19 outbreak to collect and organise up-to-date information on how countries are responding to the crisis. It focuses primarily on the responses of health systems but also captures wider public health initiatives. This is a joint undertaking of the WHO Regional Office for Europe, the European Commission, and the European Observatory on Health Systems and Policies.
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Content ArticleIn this BMJ paper, Jin-Ling Tang and Li-Ming Li argue that despite the lure of vaccines and new drugs, established public health measures will remain our best tool to control COVID-19 and future epidemics
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- Infection control
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Content ArticleThe launch of Barts Health quality strategy in November 2019 was an important moment for the trust. The 24 page document set out how they would use quality improvement (QI) methodology to become a good and outstanding group of hospitals. Within weeks of the strategy however, the world had changed with COVID-19. How they worked, where they worked and the things they were working on were flipped on their head. Despite this, colleagues across Barts Health have continued to apply the QI skills they had learnt since the WeImprove programme began three years ago. Examples include setting up family liaison hubs for patients in critical care and establishing a network of blood test locations across the boroughs to reduce visits to the hospitals.
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Content ArticleThe emergence of the omicron variant has raised concerns that the pandemic is not yet over. In this BMJ opinion piece, William et al. outline four key lessons that governments need to learn from to protect against future pandemics
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Content ArticleWearing face masks and maintaining social distance are familiar to many people around the world during the ongoing COVID-19 pandemic. Evidence suggests that these are effective ways to reduce the risk of COVID-19 infection. However, it is not clear how exactly the risk of infection is affected by wearing a mask during close personal encounters or by social distancing without a mask. Results from a study by Bagheri et al. show that face masks significantly reduce the risk of COVID-19 infection compared to social distancing. We find a very low risk of infection when everyone wears a face mask, even if it doesn’t fit perfectly on the face.
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Special investigation: The voice of nursing on mute (1 December 2021)
Sam posted an article in Whistle blowing
The Nursing Times has carried out an investigation into nurses’ experiences of speaking out in light of the Covid-19 pandemic, revealing disturbing findings about the current state of openness in the NHS.- Posted
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Content ArticleUsing a number of analytical approaches, this working paper from the World Health Organization (WHO) attempts to estimate the global number of deaths in health and care workers due to Covid-19. It includes a breakdown of deaths by WHO region and country. It demonstrates that data reported to WHO has greatly underestimated the scale of infection and death among health and care workers, and calls for targeted approaches to increasing vaccination uptake in health and care workers worldwide.
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Content ArticleThis analysis uses data from the Office for National Statistics UK Coronavirus (Covid-19) Infection Survey data to estimate the prevalence of self-reported Long Covid in the UK.
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Content ArticleThis is the second of a short series of blogs in which we take a look back at our work in five areas of patient safety during 2021. In this blog, we look at our work to highlight key patient and staff safety issues resulting from the ongoing Covid-19 pandemic. Through our work, Patient Safety Learning seeks to harness the knowledge, insights, enthusiasm and commitment of health and social care organisations, professionals and patients for system-wide change and the reduction of avoidable harm. We believe patient safety is not just another priority; it is a core purpose of health and social care. Patient safety should not be negotiable.
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Content ArticleThe People’s Covid Inquiry, chaired by the human rights lawyer Michael Mansfield QC, began in January 2021 to learn lessons quickly after the government rejected calls for a public inquiry. The Government was informed of the inquiry on 23 February 2021 and invited to take part. No response was received. The first session of the People’s Covid Inquiry began on 24 February and convened in live sessions fortnightly until 16 June 2021. The Inquiry took evidence over nine sessions from over 40 witnesses including international and UK experts, frontline workers, bereaved families, trade union leaders, and representatives of disabled people’s and pensioners’ organisations.
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- Investigation
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Content ArticleOn 1 February the UK Health Security Agency warned that coverage of the measles, mumps, and rubella (MMR) vaccine’s first dose had dropped below 90% in 2 year olds. By age 5, uptake of two doses had dropped to 85.5%—well below the World Health Organization’s 95% target needed for elimination of measles. The latest quarterly vaccination figures show very small drops in uptake in England from July to September 2020, and uptake continued to decline over the next year. And it’s not just MMR: small decreases have been seen in coverage of other childhood vaccines including the combined diphtheria, hepatitis B, Hib, polio, tetanus, and whooping cough vaccine, as well as those for rotavirus and meningitis B. But MMR is the one that public health officials worry about most because of historically lower uptake and the risks of outbreaks. With uptake of the MMR vaccine falling in the UK, Emma Wilkinson examines whether anti-vaccination sentiment around Covid-19 has played a part.
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Content ArticleDuring the rapid rise in COVID-19 illnesses and deaths globally, and notwithstanding recommended precautions, questions are voiced about routes of transmission for this pandemic disease. Inhaling small airborne droplets is probable as a third route of infection, in addition to more widely recognised transmission via larger respiratory droplets and direct contact with infected people or contaminated surfaces. While uncertainties remain regarding the relative contributions of the different transmission pathways, Morawska et al. argue that existing evidence is sufficiently strong to warrant engineering controls targeting airborne transmission as part of an overall strategy to limit infection risk indoors. Appropriate building engineering controls include sufficient and effective ventilation, possibly enhanced by particle filtration and air disinfection, avoiding air recirculation and avoiding overcrowding. Often, such measures can be easily implemented and without much cost, but if only they are recognised as significant in contributing to infection control goals. The authors believe that the use of engineering controls in public buildings, including hospitals, shops, offices, schools, kindergartens, libraries, restaurants, cruise ships, elevators, conference rooms or public transport, in parallel with effective application of other controls (including isolation and quarantine, social distancing and hand hygiene), would be an additional important measure globally to reduce the likelihood of transmission and thereby protect healthcare workers, patients and the general public.
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Content ArticleAs public health teams respond to the Covid-19 pandemic, containment and understanding of the modes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission is of utmost importance for policy making. During this time, governmental agencies have been instructing the community on handwashing and physical distancing measures. However, there is no agreement on the role of aerosol transmission for SARS-CoV-2. Tang et al. aimed to review the evidence of aerosol transmission of SARS-CoV-2. Several studies support that aerosol transmission of SARS-CoV-2 is plausible, and the plausibility score (weight of combined evidence) is 8 out of 9. Precautionary control strategies should consider aerosol transmission for effective mitigation of SARS-CoV-2.
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- Transmission
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Content ArticleAn author turned junior doctor’s account of the chaos at work and anguish at home as Covid-19 arrived in the UK.
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- GP
- Staff support
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Content ArticleIn this article for the Maternity & Midwifery Forum, Kirstin Webster, NMPA Neonatal Clinical Fellow, describes the role of the National Maternity and Perinatal Audit. She presents results from research using the audit’s data on births during the major period of the pandemic, and the recent audit report of the effects of ethnicity and socio-economic deprivation on maternity and perinatal care. She highlights inequalities in outcomes and joins the call to investigate the causes of these disparities.
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Content ArticleThis analysis by The British Medical Association (BMA) highlights that the health service has a shortage of hospital beds, and that occupancy rates consistently exceed safe levels. It states that bed capacity will be a critical limiting factor in the NHS recovery from the Covid-19 pandemic. The analysis looks at: NHS bed data compared to other countries. bed stocks over time. the impact of Covid-19. safety breaches. intensive care capacity.
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- Secondary impact
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Content ArticleThe UK has fewer acute hospital beds relative to its population than many comparable health systems, and the Covid-19 pandemic has had a significant impact on their availability and use. This article by The King's Fund illustrates long-term trends in hospital beds, using 2019-20 data from before the pandemic as the most recent comparator. However, where data is available for 2020/21, the authors have included this for information and to show the impact of the pandemic.
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- Equipment shortages
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Content ArticleEarly-years, primary and secondary education services have been severely affected by the global Covid-19 pandemic. As a result, school healthcare services have also been affected in terms of accessibility and the flow of services. In this blog, Dr Ahmed Khalafalla looks at the effects of this disruption to education-based health services.