Tag: Public Health Scotland

Minimum Unit Pricing ‘reducing alcohol consumption’

Minister welcomes research which concludes measure has cut sales

Minimum Unit Pricing (MUP) “is achieving one of its key aims” according to Ministers after a new report concluded that it has been effective in cutting alcohol consumption.

Looking at the first three years since introduction, new research by Public Health Scotland and Glasgow University has concluded that the policy is reducing overall sales.

The level of minimum unit pricing is currently under review and a consultation on restrictions on the marketing of alcohol to help drive down hazardous consumption is also underway.

Public Health Minister Maree Todd said: “I welcome this report which shows that minimum unit pricing has been effective in creating a 3% net reduction in total alcohol sales in the first three years of implementation.

“This important conclusion takes account of other factors such as the impact of the pandemic on alcohol sales, seasonal variations, existing trends, household income and comparison with England and Wales where MUP was not in place.   

“Minimum unit pricing is achieving what it set out to do – a reduction in sales overall with a focus on the cheap high-strength alcohol, which is often drunk by people drinking at harmful levels. Further studies on MUP, including a final evaluation report, which is due next year, will examine how MUP has impacted on alcohol harms.  

“Our focus is not only on MUP – last week, we launched a consultation on restrictions on the marketing of alcohol to help drive down hazardous consumption, and we are reviewing Scotland’s Alcohol Brief Interventions Programme which aims to motivate people to cut down on drinking.”

Report highlights impact of MUP

Public Health Scotland (PHS) published a report last week which evaluates the price and range of alcohol products in the Scottish off-trade sector in the 12 months following the implementation of Minimum Unit Pricing of alcohol (MUP).

The research shows that the average price of alcoholic drinks in the off-trade increased in Scotland to a greater extent than was seen in England and Wales over the same period. The increase in average prices during the study period was also greater than the rises seen between the two years in Scotland prior to MUP.

Before the implementation of MUP, supermarkets tended to have lower alcohol pricing than convenience stores. In the first 12 months after the introduction of MUP, prices in supermarkets increased more than those in convenience stores, meaning that both had a similar pricing level.

The greatest increases in price were seen in the types of alcoholic drinks that were priced the lowest relative to their alcohol by volume (ABV) prior to MUP, such as some ciders, perries and supermarket own-brand spirits – all of which tended to be priced below £0.50 per unit prior to MUP being implemented.

The products that increased the least in average price, such as some ready-to-drink beverages, or those that decreased in price, such as some fortified wines in convenience stores, appeared most likely to see increased sales.

Changes were seen in sales across different container sizes, including reductions in the amount sold in larger single-item containers, especially for some ciders and own-brand spirits in containers of 1 litre and over. The amount of beer and cider sold in the largest multipacks also declined, while sales in smaller multipacks increased.

Dr Karl Ferguson, Public Health Intelligence Adviser at Public Health Scotland, said: “In the first 12 months after MUP was implemented, we found that, especially for products that were priced below £0.50 per unit of alcohol prior to MUP, prices went up, the amount sold in larger container sizes went down, and sales also declined.

“We also found that, because of the price increase, even in instances where the volume of sales went down, the value (£) of sales remained fairly constant or increased.”

Most data (price outcomes, container size, multipacks, volume and value sales) were derived from weekly off-trade electronic point of sale data covering May 2016 to April 2019, obtained from market research specialist NielsenIQ.

NHS Lothian: Winter Vaccinations

If you are aged 50 to 64 with no additional risk factors, please wait to be contacted about your winter vaccination appointment. The flu and COVID-19 vaccines are being given to those most at risk first.

For more information visit http://nhsinform.scot/wintervaccines

JCVI advises use of additional bivalent vaccine for autumn booster campaign

Following on from the previous advice on which vaccines should be used in this year’s autumn booster programme, the Joint Committee on Vaccination and Immunisation (JCVI) has updated its published advice to include an additional bivalent vaccine now approved by the Medicines and Healthcare products Regulatory Agency (MHRA).

Studies indicate the Pfizer-BioNTech bivalent vaccine produces a marginally higher immune response against some variants than the Pfizer-BioNTech mRNA Original ‘wild-type’ vaccine. The clinical relevance of these small differences is uncertain.

‘Bivalent’ vaccines have been developed by global manufacturers since the emergence and dominance of the Omicron variant. These vaccines are targeted against antigens (substances that induce an immune response) from 2 different COVID-19 strains, or variants.

All of the available booster vaccines offer very good protection against severe illness from COVID-19. As more vaccines continue to be developed, the committee will consider their use in the autumn programme.

Professor Wei Shen Lim, Chair of COVID-19 immunisation on the JCVI, said: “It is very encouraging that more vaccines continue to become available and we now have another option to add to the vaccines already advised for the autumn booster campaign.

“Winter is typically the time of greatest threat from respiratory infections. We strongly encourage everyone who is eligible to have their booster vaccine this autumn when it is offered. This is our best defence against becoming severely ill from COVID-19.”

Pfizer/BioNTech bivalent COVID-19 booster approved by UK medicines regulator

A second, “bivalent” vaccine was yesterday approved as a booster by the Medicines and Healthcare products Regulatory Agency (MHRA) after it was found to meet the UK regulator’s standards of safety, quality and effectiveness.

The updated booster vaccine made by Pfizer/BioNTech, targeting two coronavirus variants, has been approved for use in individuals aged 12 years and above. This decision has been endorsed by the Commission on Human Medicines, after a careful review of the evidence.

In each dose of the booster vaccine, ‘Comirnaty bivalent Original/Omicron’, half of the vaccine (15 micrograms) targets the original virus strain and the other half (15 micrograms) targets Omicron (BA.1).

The MHRA’s decision is based on data from a clinical trial which showed that a booster dose with the bivalent Pfizer/BioNTech vaccine triggers a strong immune response against both Omicron and the original strain. Safety monitoring showed that the side effects observed were the same as those seen for the original Pfizer/BioNTech booster dose and were typically mild and self-resolving, and no new serious safety concerns were identified.

Dr June Raine, MHRA Chief Executive said: I am pleased to announce that we now have a second approved vaccine for the UK Autumn booster programme. The clinical trial of the Pfizer/BioNTech bivalent vaccine showed a strong immune response against the Omicron BA.1 variant as well as the original strain.

“Bivalent vaccines are helping us to meet the challenge of an ever-evolving virus, to help protect people against COVID-19 variants.

“We have in place a comprehensive safety surveillance strategy for all UK-approved COVID-19 vaccines, and this will include the updated booster we approved today.”

Professor Sir Munir Pirmohamed, Chair of the Commission on Human Medicines said: “Following an independent review of the safety, quality and effectiveness of the vaccine, the Commission on Human Medicines and its COVID-19 Vaccines Expert Working Group supports the MHRA’s decision.

“As with any medicinal product, including vaccines, it is important to continually monitor effectiveness and safety when it is deployed, and we have the relevant processes and expertise in this country to do that.

“The Joint Committee on Vaccination and Immunisation (JCVI) will advise on how this vaccine should be offered as part of the deployment programme.”

Meningitis Now urges students to ‘look out for your mates’

A sister’s quick thinking saved the life of a student who had fallen ill with meningitis, when she took her straight to A&E on their way home from university.

Ashleigh Denton was 18 and in her first year at the University of the West of England in Bristol when she became ill with a headache and flu-like symptoms on a night out. The following day her sister Sophie drove from Oxfordshire to collect her but, halfway home, went straight to Swindon A&E as Ashleigh’s condition suddenly worsened.

Doctors say her fast response that day saved Ashleigh’s life.

“If my sister had tried to take me to Oxford rather than Swindon – less than an hour down the road – doctors said I would have died,” Ashleigh said. “It would have been too late.”

Now Ashleigh, 29, is telling her story to raise awareness of meningitis and the importance of looking out for your friends and taking quick action if the disease is suspected, as she spearheads charity Meningitis Now’s ‘Look out for your mates’ student campaign, which launches today.

The campaign is timed to coincide with the announcement of A-level results as thousands of young people contemplate their future. Meningitis Now is concerned that the combination of new-found social freedoms, the desire of young people to mix in large groups and a move to campus-based accommodation for students, will present the ideal opportunity for infectious diseases to spread, putting young people at a higher risk of meningitis.

“If you’re at university and you or one of your friends is unwell or acting out of character and you’re not sure if it’s something small or serious, get things checked out,” Ashleigh added. “Don’t be afraid to go to hospital – meningitis can develop so quickly, from just having a headache to being at death’s door.”

“It is so important to have your symptoms checked as soon as possible if you are concerned.”

Ashleigh, from Bicester in Oxfordshire, initially thought she was getting a cold. “I started to get a headache, but I wasn’t worried, so I went out with my friends as planned.

“Within a couple of hours my behaviour had changed – I was agitated and emotional – and this is one of the biggest things I tell people. It’s not the physical symptoms that I remember the most, but my behaviour.”

Ashleigh left the club and two girls who were going to the same place as her shared a taxi home. “They noticed I was unwell and even offered for me to stay at theirs, but I declined as I just wanted my bed,” she said.

“The next day I woke up, still with a headache, and assumed I was just hungover. As the day went on I really didn’t feel right. I phoned my mum to tell her and that I was going to sleep for a bit, but I was crying and she knew something wasn’t right.

“She spoke to my sister, who phoned me and asked if I wanted her to pick me up and take me home. I initially said ‘no’ but eventually agreed and she came from Oxford to Bristol to get me.

“In the car home my symptoms got worse very quickly. My head was so sore, I couldn’t open my eyes, my neck stiffened, I was retching, and I just knew something was seriously wrong.

“Just at the right time my sister saw a sign for the hospital in Swindon and took me straight there.

“In A&E I remember struggling to breathe, so I just stopped as it felt like the easier option. My sister shook me and I came to and started breathing again, but it wasn’t long before I stopped. My sister pressed the panic button and within seconds a team rushed in and carried me to resus.

“I am told I became aggressive, so I was sedated and admitted to ITU.

“During this time I was given a CT scan and a lumbar puncture, which confirmed I had Group B meningococcal meningitis and septicaemia.

“I had developed a rash but not until I got to hospital. What most people don’t realise is that the rash is not an early symptom and if you have one, you are in the advanced stages of meningitis.”

Ashleigh’s family was told there was a one in three chance that she would wake up blind, deaf or brain damaged.

“But fortunately I woke up two days after arriving at hospital and the first thing I said was ‘I want my breakfast’. Somehow, before I was even told, I knew I had meningitis.

“I was in hospital for a week and unable to walk or get out of bed by myself for the first few days. What I didn’t realise at the time was that my brain was muddled as a result of the infection and would be for a few months. I just had no awareness of this until a family member asked my mum if I was making any sense a few weeks after I’d got home.”

Fortunately, despite not being her usual self for three months and struggling with fatigue, Ashleigh went on to make a good recovery, even returning to university for her exams in August, five months after she first became ill.

“I am forever thankful for my family, and the doctors and nurses at Great Western Hospital in Swindon, for saving my life.”

Ryan Bresnahan wasn’t so lucky, His mum, Michelle, who set up the Bristol-based charity, a Life for a Cure, following Ryan’s death from meningitis in 2010, has been campaigning tirelessly to raise awareness of the symptoms of the disease and funds for research.

Ryan was a fit and healthy 16-year-old when he was tragically struck down by Meningitis B within an hour of first feeling ill.

Michelle said: “I know only too well how devastating this disease can be and have seen the worst it can do, destroying young lives and tearing apart those who remain.

“No-one should be left counting the cost of making the wrong assumption – meningitis can affect anyone at any time but we need to highlight that teenagers and young people are the second most at risk group of contracting the disease, after babies and toddlers.”

Meningitis Now chief executive, Dr Tom Nutt, said: “Research has shown that up to a quarter of 15 to 24-year-olds carry the bacteria that cause meningococcal meningitis and septicaemia in the back of their throats compared to one in 10 of the general population.

“Whilst many young people will have been vaccinated against MenACWY, which protects against four strains of meningococcal meningitis, at school, we estimate that up to half a million under-25s may have missed this important vaccination. If that’s you – contact your GP and see if you can get up to date with your vaccinations.

“And very few young people will have been vaccinated against MenB, which is the strain Ashleigh and Ryan had and that causes the most cases of bacterial meningitis in the UK.

“Common complaints such as a hangover and Freshers’ Flu are often given as reasons for a person not feeling too well – but we are asking young people not to simply assume this is the case. A headache and fever are also common signs of meningitis, which is why it is so important that young people should learn the signs and symptoms of the disease, look out for themselves and their mates and seek medical help straight away if they feel unwell.”

The early signs and symptoms of meningitis and septicaemia can be similar to ‘flu, tummy bug or a hangover and include fever, headache, nausea, vomiting, diarrhoea, muscle pain, stomach cramps and fever with cold hands and feet.

More specific signs and symptoms include fever with cold hands and feet, drowsiness, confusion, pale blotchy skin, stiff neck, dislike of bright lights and a rash which doesn’t fade under pressure.

Meningitis Now has free information for parents and students, including leaflets, signs and symptoms cards and fridge magnets – all of which contain lifesaving information.

Find out more at www.MeningitisNow.org

Scottish Government announces extra support for mental health at work

Employers given tools to understand and improve mental health of workers

Businesses now have access to a free online platform offering practical ways to boost mental health in the workplace.

Face-to-face training opportunities, clear guidance on the legal duties of businesses, and specialist third-party contacts will be in one place for the first time – making it easier than ever for employers to access the means of creating a culture of support and wellbeing at work.

This initiative comes as research shows the pandemic has had a detrimental impact on the mental health of people up and down the country. As more people continue to return to the workplace, the Scottish Government is encouraging employers to support the mental wellbeing of staff so that businesses can continue to recover from COVID-19.

Recent research shows poor mental health costs Scottish employers over £2 billion every year and that, for every £1 spent on mental health interventions, employers get back £5 in reduced sick days and increased productivity.

Mental Wellbeing Minister Kevin Stewart said: “Happier workforces create successful businesses – it’s a win-win for all involved.

“The pandemic has impacted the mental health of us all and employers need the tools to protect and support the mental health of their staff.

“This platform makes it easier than ever to achieve this, and I encourage companies across Scotland to get involved for the benefit of their staff and productivity.”

Chief Executive of Public Health Scotland Angela Leitch said: “These last few years have been difficult for many people across Scotland and has had an impact on the mental health of many. 

“Returning to our workplaces could also be a further challenge because of changes in personal circumstances. It is widely recognised that being amongst colleagues can be beneficial to our mental health and being back in the workplace can also be a more positive and productive experience.

“This toolkit will therefore be of considerable benefit to employers and to their staff as we move out of the restrictions we’ve lived with for two years.” 

It comes as See Me –Scotland’s national programme to end mental health stigma and discrimination – has launched a complementary digital portal that gives employers access to a one-size-fits-all framework for workplaces. This will help companies make continuous improvements to directly tackle mental health stigma and discrimination.

Wendy Halliday, director of See Me, Scotland’s programme to end mental health stigma and discrimination, said: “Mental health stigma and discrimination in the workplace often comes from a lack of knowledge. People can find that genuine problems are either belittled, or not believed in the first place.

“We’re calling on organisations to be real leaders in creating positive change, making their workplaces the best they can be, by joining the See Me in Work programme.

“The new digital portal supports employers to take action to tackle mental health stigma and discrimination at work and create workplaces that are open in talking about mental health and where discriminatory behaviour is challenged.”

Supporting a mentally healthy workplace is the new online platform.

LGBT+ communities face significant health equalities, says new report

LGBT+ people across Scotland are continuing to face health inequalities across every measure of wellbeing, according to a major new report by NHS Greater Glasgow and Clyde, NHS Lothian and Public Health Scotland.

The findings of the Health Needs Assessment, commissioned by the Boards, found that the COVID pandemic has exacerbated issues, with significant numbers experiencing loneliness and isolation, while almost a half of LGBT+ people in the survey said they had experienced discrimination in the previous year – with trans and non-binary communities experiencing higher levels of abuse.

The assessment also revealed significantly high levels of mental ill-health, with more than half of all respondents reporting issues such as depression, anxiety and stress, with the highest rates experienced by trans and non-binary individuals.

The comprehensive assessment was undertaken to better address gaps in knowledge about the health and wellbeing of LGBT+ patient groups, to better inform approaches to public health for LGBT+ people, across seven groups: lesbian and gay women, gay men, bisexual women, bisexual men, trans women, trans men (trans masculine) and non-binary people across the Greater Glasgow & Clyde and Lothian areas.

Nicky Coia, Health Improvement Manager at NHSGGC said: “This report should serve as a wake-up call for everyone involved in the health and wellbeing of LGBT+ communities.

“Too many continue to suffer from discrimination and abuse, are experiencing social isolation and loneliness and suffering the impacts of poor mental health. This, combined with the poor socio-economic situations many find themselves in, contributes to a substantial health inequalities on every measure of wellbeing.

“While there are positives to be taken in terms of how LGBT+ experience healthcare, particularly from the GPs, there is still work to be done to improve access to, and experience of, person-centred healthcare, that treats the individual, no matter their gender identity or sexual orientation.”

Dona Milne, Director of Public Health and Health Policy at NHS Lothian, said: “We interviewed more than 200 people and over 2,500 people took part in the online survey as part of this research. Their experience is in stark contrast to the progress that many of us may feel has been made in achieving equality in Scotland.

“I want to thank everyone who took part and express our shared desire to highlight this as a key public health issue and deliver real improvements in health and wellbeing for LGBT+ communities.”

Some of the key findings include:

·       Nearly three in four (73%) survey respondents said they ever felt isolated from family and friends and nearly two in five (38%) had felt lonely all of the time or often in the previous two weeks.  Trans and non-binary people showed the highest levels of isolation and loneliness.

·       The survey showed that overall more than half (54%) of respondents said they had mental health problems e.g. depression/anxiety/stress, but this was higher for trans masculine (75%), non-binary people (72%) and bisexual women (61%).  Only one in four (25%) survey respondents rated their general mental and emotional wellbeing positively – but this was lowest for non-binary (9%) and trans masculine (12%). 

·       Of those who answered the question in the survey, nearly one in three (31%) said that they had ever made an attempt to end their life.  Although the prevalence of suicide attempts was high across all LGBT+ groups, it was highest among trans masculine and non-binary people, with nearly half of respondents in these groups saying they had made a suicide attempt.

·       Overall, nearly half (44%) of LGBT+ people in the survey said they had been discriminated against in the last year, but this was highest for non-binary (65%), trans masculine (62%) and trans women (55%).

·       The survey findings show that 37% of LGBT+ respondents had ever experienced an abusive relationship; identity groups with the highest proportion reporting abusive relationships were trans masculine (48%), non-binary (45%), bisexual women (43%) and trans women (38%). 

·       only 59% overall rated their general health positively.  Gay men and gay/lesbian women were the most likely to rate their health positively, while trans masculine and non-binary people were the least likely. A third (33%) of LGBT+ people had a long-term condition or illness that substantially interferes with their day to day activities. 

·       Most (88%) survey respondent had financial worries at least some of the time. One in six (18%) had experienced food insecurity in the previous 12 months.  One in eight (13%) had ever been homeless.

The report’s authors have made 41 recommendations, including an immediate request that all Scottish local authorities should provide or fund at least some, community-led groups or activities for LGBT+ people, with provision for cultural, sport and physical activity and social interest groups, as well as targeting specific identity groups.

Other recommendations call for improvements in LGBT+ education in schools, improved LGBT+ training and awareness for health and other staff, improvements in mental health and gender identity clinics and more visibility of LGBT+ inclusive services.

Professor Nicola Steedman, Deputy Chief Medical Officer at the Scottish Government, said: “The assessment lays bare the fact that too many LGBT+ people are subject to significant inequalities which impact every aspect of their lives. I’m grateful to everyone who took part in the research and NHS Greater Glasgow and Clyde and NHS Lothian for carrying out this important work.

“The Scottish Government is committed to reducing inequality – in all its forms – and we welcome the report. We will continue to work with, and across our partners, to improve the health and wellbeing of our LGBT+ communities.”

Mark Kelvin, Chief Executive of LGBT Health and Wellbeing, said: “This report highlights what many of our community members experience in their daily lives.

“Whilst many people believe that LGBTQ+ people have achieved equality, this report reminds us that there is still a lot of work to do. Scotland is celebrated as being a welcoming and inclusive country and whilst that is true, almost half of LGBTQ+ respondents experienced discrimination in the past year.

“The report also highlights the health inequalities that still exist for many of us and provides very useful and realistic recommendations that will help LGBTQ+ people to live well.

Speaking specifically on how COVID-19 has impacted the LGBTQ+ community, Mark pointed out the dependency on LGBT nightlife for socialisation. He added: “Whilst the closure of pubs and clubs can be seen by many as an inconvenience, for LGBTQ+ people queer-friendly spaces provide an important place of safety and belonging.

“This meant that during the months of closures, people were shut-off from contact with others like them. I’m hopeful that this report can restart conversations with local authorities and other interested parties to open LGBTQ+ Community Centres, where people of all ages can access a place of safety, information, support, and importantly connection.”

Mhairi Crawford, from LGBT Youth Scotland, said: “LGBT Youth Scotland notes the publication of the health needs assessment of LGBT research findings report. We know from our own recently published research that health care remains a significant issue for LGBTI young people in Scotland.

“In particular, we welcome the recommendations for healthcare providers and other public bodies to undergo training, which is a key part of our LGBT Charter, in which we also support organisations to undertake reviews of policies and practice to ensure that they are as welcoming as possible for the LGBTI community, whether they are staff, clients, pupils or wider stakeholders.

“We know that alcohol free spaces are highly valued by young people we work with in our youth spaces – so we welcome the recommendation for more LGBT spaces that don’t have alcohol.

“Finally, we also welcome the recommendation that schools should undertake the LGBT Charter as we know this can have a massive impact on daily lives of LGBTI young people.”

Men’s Health Week: AAA screening

For #menshealthweek, we are highlighting screening.

Today: AAA screening. All men 65 or over are offered an ultrasound scan to check for Abdominal Aortic Aneurysms (AAA) and will receive an invitation the year they turn 65.

Learn more: http://nhsinform.scot/aaascreening

#ScotsScreening

Men aged 65 are invited for a one-off simple ultrasound of the abdomen (tummy) to detect a AAA. Treating a AAA early greatly reduces the chance of it causing serious problems.

It could save your life.

For more information: www.nhsinform.scot/aaascreening

#menshealthweek

#ScotsScreening

Diagnostic test waiting times: cancer patients waiting too long, says charity

Cancer Research UK’s has responded to the latest diagnostic test waiting times statistics published by Public Health Scotland. Eight tests are considered in the report, including several that are relevant to the diagnosis of cancer. 

These latest figures show that more than 155,000 patients in Scotland were waiting for a key diagnostic test at the end of March 2022. This is a 10% increase compared with the previous quarter and a 74% increase compared with pre-pandemic levels. 

The report also tells us that, of those people waiting, 50% had been waiting more than six weeks for their test at the end of March 2022.

This is similar to the proportion waiting at the end of the previous quarter and more than three times the proportion pre-pandemic, which was 16% at the end of March 2019. The figures also show around 5,400 (3.5%) patients waiting for a test had been waiting over a year, with almost all of these patients waiting for an endoscopy test. 

The Scottish Government standard that no one should be waiting more than six weeks for a diagnostic test hasn’t been met since June 2010. 

David Ferguson, public affairs manager for Cancer Research UK in Scotland, said: “It is unacceptable that people in Scotland are waiting too long for a test to determine whether they have cancer. Early diagnosis followed by swift access to the most effective treatment can save lives.  

“Despite the best efforts of NHS staff, the delays are due to Scotland’s chronic staff shortages in the areas key to diagnosing and treating cancer. These shortages have hampered progress for years – well before the pandemic.

“The Scottish Government must set out long-term, properly funded plans to address workforce shortages and improve cancer services so patients get the care they need and deserve.”

Monkeypox: First case in Scotland

Monkeypox has been confirmed in an individual in Scotland. The individual is receiving care and treatment appropriate to their condition and contact tracing is underway.

Monkeypox is a viral infection usually found in West and Central Africa. The West African strain that has been recently detected in the UK is generally a mild self-limiting illness, spread by very close contact with someone already infected and with symptoms of monkeypox. Most people recover within a few weeks.

Public Health Scotland (PHS) is working with the UK Health Security Agency (UKHSA), Public Health Wales and Northern Ireland HSC Health Protection Agency to monitor and respond to potential and confirmed cases of monkeypox in the UK.

As of Friday 20 May, the UKHSA has identified 20 cases in England but more are expected.

Dr Nick Phin, Director of Public Health Science and Medical Director, PHS explains: “Public Health Scotland is aware of an individual in Scotland who is confirmed to have monkeypox. The affected individual is being managed and treated in line with nationally agreed protocols and guidance.

“We have well established and robust infection control procedures for dealing with such cases of infectious disease and these will be strictly followed.

“We are working with NHS Boards and wider partners in Scotland and the UK to investigate the source of this infection. Close contacts of the case are being identified and provided with health information and advice. This may include the offer of vaccination.

“The overall risk to the general public is low.

“Anyone with an unusual blister-like rash or small number of blister-like sores on any part of their body, including their genital area, should avoid close contact with others and seek medical advice if they have any concerns.”

Symptoms

Initial symptoms of monkey pox include fever or high temperature, headache, muscle aches, backache, swollen lymph nodes, chills and exhaustion.

A blister-like rash or small number of blister-like sores can develop, often beginning on the face, then spreading to other parts of the body, including the genital area.

The rash changes and goes through different stages, before finally forming a scab, which typically falls off over the course of a couple of weeks. Individuals are infectious from the point symptoms start until all the scabs fall off. During this time close contact with others must be avoided.

UKHSA identifies thirty-six more cases of monkeypox in England

The UK Health Security Agency (UKHSA) has detected 36 additional cases of monkeypox in England.

The latest cases bring the total number of monkeypox cases confirmed in England since 7 May to 56.

The virus does not usually spread easily between people, but it can be passed on through close person-to-person contact or contact with items used by a person who has monkeypox, such as clothes, bedding or utensils. Monkeypox is usually a self-limiting illness and most people recover within a few weeks.

While the current outbreak is significant and concerning, the risk to the UK population remains low.

Anyone with unusual rashes or lesions on any part of their body, especially their genitalia, should immediately contact NHS 111 or their local sexual health service.

A notable proportion of cases detected have been in gay and bisexual men, so UKHSA continues to urge this community to be alert to monkeypox symptoms.

People should notify clinics ahead of their visit and can be assured their call or discussion will be treated sensitively and confidentially.

Dr Susan Hopkins, Chief Medical Adviser, UKHSA, said: Alongside reports of further cases being identified in other countries globally, we continue to identify additional cases in the UK. Thank you to everyone who has come forward for testing already and supported our contact tracing efforts – you are helping us limit the spread of this infection in the UK.

“Because the virus spreads through close contact, we are urging everyone to be aware of any unusual rashes or lesions and to contact a sexual health service if they have any symptoms.

“A notable proportion of recent cases in the UK and Europe have been found in gay and bisexual men so we are particularly encouraging these men to be alert to the symptoms.”

UKHSA health protection teams are contacting people considered to be high-risk contacts of confirmed cases and are advising those who have been risk assessed and remain well to isolate at home for up to 21 days.

In addition, UKHSA has purchased supplies of a safe smallpox vaccine (called Imvanex) and this is being offered to identified close contacts of someone diagnosed with monkeypox to reduce the risk of symptomatic infection and severe illness.

We continue to engage with partners across the sector to ensure people are aware of the signs and symptoms and what action to take.

The vaccination of high-risk contacts of cases is underway. As of 10am on 23 May 2022, over 1,000 doses of Imvanex have been issued, or are in the process of being issued, to NHS Trusts. There remain over 3,500 doses of Imvanex in the UK.

HPV: Get Protected!

NHS Lothian’s Community Vaccination Team has administered an incredible 5,200 HPV vaccinations in schools across Edinburgh and the Lothians this past month, even with a break over the Easter holidays.

Cervical cancer is the most common cancer in women under 35 and HPV is the main cause. A 2018 Scottish study showed that the vaccine has reduced pre-cancerous cervical disease in 20-year-old women by up to 71%.

The prevalence of certain HPV types in 16- to 18-year-old women in England, who were offered vaccination at 12 to 13, was found to have reduced from 15% before the vaccination programme to less than 2% in 2018.

The vaccination also provides vital protection against genital warts and anogenital cancers in both boys and girls. Consent forms were provided to schools earlier this year. Consent is provided for the vaccination course and, once given, covers your child for both doses.

The team began vaccinating at the beginning of April and this year’s programme runs until the end of June. If your child’s form was misplaced or lost, you can contact the school’s office to get another.

If your child has any questions or concerns, they are encouraged to speak to our vaccinators.

More info can also be found here 👉http://ow.ly/t3VW50Iy0bu

nhs-hpv-campaign-sept2021-englishDownload