Students across Lothian are encouraged to ensure their vaccinations are up to date before heading off to college or university this year.
Infectious diseases such as meningitis, septicaemia (blood poisoning) and measles can spread easily in universities and colleges. Vaccination offers the best protection against these diseases, which is why it’s important to check your vaccines are up to date.
Students are 11 times more likely to develop invasive meningococcal disease, which causes meningitis and septicaemia. The meningitis ACWY (MenACWY) vaccine helps to protect against these very serious diseases. Students who have missed having the vaccine, can get it up to the age of 25 years.
Parts of the UK and other countries in Europe have been seeing an increase in the number of people getting measles, and evidence suggests students are at higher risk. That’s why it’s important to check you’ve had two doses of the MMR vaccine, which protects against measles, mumps and rubella and has saved over 4,500 lives across the UK.
Pat Wynne, Nurse Director for Primary and Community Care, NHS Lothian, said: “These diseases can be severe and, in some cases, life threatening.
“Students are at increased risk due to the large amounts of mixing with new people in enclosed spaces. Increasing cases of measles and meningococcal disease in particular were observed earlier this year.
“Vaccines are the best way to ensure you’re protected and these are offered for free on the NHS in Scotland. These vaccines are offered as part of the routine childhood immunisation schedule however if they’ve been missed, it’s not too late to catch up.
“Ideally, they should be given at least two weeks before the new semester starts.”
There is also still time to get the human papillomavirus (HPV) vaccine. It helps protect against HPV-related cancers including head, neck and cervical cancer and also protects against over 90% of genital wart infections. Most students will have had the HPV vaccine at school if eligible but if not, students may still be able to get it up until the age of 25.
If you are under 25 years and you’ve missed any vaccinations, call the Vaccination Enquiries Line on 0300 790 6296. If you are 25 or over, call your GP practice. They can check your records and arrange a referral if it is required.
International students may be able to get additional vaccines that were not available where they lived before.
There were 792 deaths by probable suicide in Scotland in 2023. This World Suicide Prevention Day reminds us the importance of looking out for one another and seeking help if we need it.
Talking about suicide can be hard, but there is support and advice out there if you or a loved one is having suicidal thoughts.
NHS 24 has a range of services that can help with mental health and mental wellbeing. Please share for awareness!
NHS 24’s Mental Health Hub – Call 111 and select the mental health option for urgent mental health help.
Breathing Space – a free confidential listening service for people over 16 in Scotland who are experiencing low mood, depression or anxiety. Call 0800 83 85 87 or web chat at www.breathingspace.scot
Cabinet Secretary for Health and Social Care Neil Gray has issued a statement identifying racism as a significant public health challenge, and a key cause of health inequalities.
Echoing the First Minister and other Scottish Government ministers’ comments on racism in the wake of recent violence in other parts of the United Kingdom, the Health Secretary has outlined various measures, including asking health boards to develop and deliver their own anti-racism plans.
Mr Gray said: “These changes can’t come fast enough. Racism already has a life-threatening effect on minority ethnic communities across the UK. That has been the case for generations.
“The only way we can make a difference now is to actively work against racism. This work is just one step in the right direction. There is no place in Scotland for hatred or racism of any kind.”
Earlier in the week, the Scottish Government’s 2024/25 Programme for Government included plans to embed anti-racism across the public sector.
Professor Lord Darzi appointed to establish the state of the nation’s health service
Report will provide ‘raw and honest assessment’ of issues facing health service
Work will be led by Rt Hon Professor Lord Darzi, OM, KBE, a lifelong surgeon and innovator, independent peer and former health minister
Findings will feed into government’s 10-year plan to radically reform the nation’s health service
Health and Social Care Secretary, Wes Streeting, has ordered a full and independent investigation into the state of the NHS, to uncover the extent of the issues facing the nation’s health service.
Mr Streeting says he wants a ‘raw and honest’ assessment that will deliver ‘the hard truths’. He has appointed Professor Lord Darzi, a lifelong surgeon and innovator, independent peer and former health minister, to lead the rapid assessment, which will be delivered in September.
Its findings will provide the basis for the government’s 10-year plan to radically reform the NHS and build a health service that is fit for the future.
Health and Social Care Secretary, Wes Streeting, said: “Anyone who works in or uses the NHS can see it is broken. This government will be honest about the challenges facing the health service, and serious about tackling them.
“This investigation will uncover hard truths and I’ve asked for nothing to be held back. I trust Lord Darzi will leave no stone unturned and have told him to speak truth to power.
“I want a raw and frank assessment of the state of the NHS. This is the necessary first step on the road to recovery for our National Health Service, so it can be there for us when we need it, once again.”
Professor Lord Darzi said: “As every clinician and every patient knows, the first step to addressing any health problem is a proper diagnosis.
“My work will analyse the evidence to understand where we are today – and how we got to here – so that the health service can move forward.
“This is an important step to re-establishing quality of care as the organising principle of the NHS.”
Amanda Pritchard, NHS Chief Executive, said: “Frontline NHS staff are doing an incredible job, despite the huge pressures they face, to deliver care to over a million people every day, but we know that they face huge struggles and patients are not always getting the timely, high quality care they need.
“We will work closely with the government, independent experts and NHS staff to take a detailed look at the scale of the challenges and set out plans to address them – this comprehensive analysis will be an important step in helping us to build an NHS fit for the future.”
The Health and Social Care Secretary’s promise to fix the broken NHS was backed by action last week when he met with key figures across the health service.
This included meetings with junior doctors to discuss ending the strikes, and talks with the British Dental Association about rebuilding NHS dentistry.
He also visited a GP surgery in north London to see first-hand how the practice is delivering a patient-led service providing continuity of care – a key pillar of the government’s ambition to improve primary care.
Mr Streeting also set out his wider commitment to support the government’s growth mission by improving the health of the nation.
The aims are based on 3 key steps:
cutting waiting times to get people back to work
making the UK a life sciences and medical technology superpower
creating training and job opportunities through the NHS to deliver growth up and down the country.
The British Dental Association Scotland has stressed that there can be no complacency over the future of NHS dentistry, following the first evidence from frontline dentists since the Scottish Government’s reforms rolled out in November last year.
A new poll of high street dentists shows:
While two thirds (66%) of respondents say the new system represents an improvement on the previous model, 9 in 10 (88%) say this cannot be the final destination for NHS dentistry.
Only 22% say the new system enables a move to a preventive model of dentistry. Only 7% believe it will enhance access for NHS patients, and just 5% say it will support a reduction in oral health inequality.
26% feel changes have made their practices more financially sustainable. 31% disagree. Nearly half have not formed an opinion.
34% agreed reforms met the Scottish Government’s goal of increasing clinical freedom, while 38% disagreed. On reducing bureaucracy, respondents were tied for and against on 38%.
Just over a year ago the BDA’s Scottish Dental Practice Committee and the Scottish Government entered formal negotiations on the new fee structure and Payment Reform. This moved at pace within a challenging fiscal environment. The previous funding model was unsustainable, as surging costs had left dental practices delivering some NHS care at a financial loss.
In an open letter to the Scottish Government the BDA stress the Scottish Government must show it is willing to build on these reforms, and to double down on policies to ease the workforce crisis in the NHS.
David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee, said:“Given the critical place dental services were at this verdict is welcome news, but there is absolutely no room for complacency.
“Dentists have seen improvements, but have told us reform falls short on access, inequalities and prevention. Changes might make some practices more sustainable today, but they do not provide the foundations for a 21st century service.
“The Scottish Government has set goals on improving access and sustainability. These promises must be kept.
“Scotland cannot have NHS dentistry without NHS dentists – and this service must be a place which can recruit and retain talent.”
Online survey of Scottish General Dental Practitioners, February-April 2024, 229 respondents:
Please indicate your agreement or disagreement to following statements
1. The new system means the practice I work in is better able to remain financially sustainable
Strongly agree 3%
Agree 23%
Neither agree nor disagree 27%
Disagree 21%
Strongly disagree 10%
Don’t know/not applicable 15%
Net Agree 26%
Net disagree 31%
2. The new system represents an improvement on the previous payment model
Inquiry publishes first report and 10 recommendations focused on pandemic resilience and preparedness
The Chair of the UK Covid-19 Inquiry, Baroness Heather Hallett, is urging the new UK government and the governments of Wales, Scotland and Northern Ireland to implement promptly her 10 key recommendations following publication of the Inquiry’s report of its first investigation into the nation’s resilience and preparedness for the pandemic.
These recommendations, made public on Thursday 18 July 2024, include a major overhaul of how the UK government prepares for civil emergencies such as the Covid-19 pandemic.
Key recommendations include a radical simplification of civil emergency preparedness and resilience systems, holding a UK-wide pandemic response exercise at least every three years and the creation of a single, independent statutory body responsible for whole system preparedness and response.
It is the first of several reports setting out the Inquiry’s recommendations and findings.
Today the Inquiry has published its first report after examining the resilience and preparedness of the United Kingdom to respond to a pandemic. My report recommends fundamental reform of the way in which the UK government and the devolved administrations prepare for whole-system civil emergencies.
If the reforms I recommend are implemented, the nation will be more resilient and better able to avoid the terrible losses and costs to society that the Covid-19 pandemic brought.
I expect all my recommendations to be acted on, with a timetable to be agreed with the respective administrations. I, and my team, will be monitoring this closely.
Baroness Hallett, Chair of the Inquiry
Module 1 examined the state of the UK’s structures and the procedures in place to prepare for and respond to a pandemic.
Hearings for Module 1 were held in London in June and July 2023 and the Chair heard from current and former politicians as well as key scientists, experts, civil servants and bereaved family members.
Following these hearings, the Inquiry’s findings and recommendations are set out in the report published today. The publication of the first report has been welcomed by some of those who lost loved ones during the pandemic. Dr Alan Wightman from North Yorkshire, lost his mother in early-May 2020 to Covid-19 that she had acquired in her care home in Fife, Scotland.
My Mum was an 88-year-old widow, a dementia sufferer and a cancer survivor. She had been settled and looked after in her well-run home for 11 months before Covid got in, despite the best efforts of the staff. A number of the home’s residents were taken by Covid.
I congratulate Baroness Hallett and her Inquiry team for reaching this substantive milestone of issuing findings and recommendations from Module 1. To be at this point a mere 13 months after witnesses started giving evidence in this Module is very impressive. To have achieved that whilst simultaneously completing Module 2 and its three satellite Modules, plus having Module 3 ready to launch within the next three months, is truly exemplary.
Dr Wightman
In her findings, the Chair concludes that the UK’s system of building preparedness for the pandemic suffered from several significant flaws.
These include a flawed approach to risk assessment, a failure to fully learn from past civil emergency exercises and outbreaks of disease, and Ministers not receiving a broad enough range of scientific advice and failing to challenge the advice they did get.
Baroness Hallett acknowledges the pressure on politicians and others to make tough decisions about how resources should be used. However, she also stresses that if the UK had been better prepared, the nation could have avoided some of the significant and long-lasting financial, economic and human costs of the Covid-19 pandemic.
In summary her recommendations are:
A radical simplification of the civil emergency preparedness and resilience systems. This includes rationalising and streamlining the current bureaucracy and providing better, simpler Ministerial and official structures and leadership;
A new approach to risk assessment that provides for a better and more comprehensive evaluation of a wider range of actual risks;
A new UK-wide approach to the development of strategy, which learns lessons from the past and from regular civil emergency exercises and takes proper account of existing inequalities and vulnerabilities; Better systems of data collection and sharing in advance of future pandemics, and the commissioning of a wider range of research projects;
Holding a UK-wide pandemic response exercise at least every three years and publishing the outcome; Bringing in external expertise from outside government and the Civil Service to challenge and guard against the known problem of ‘groupthink’;
Publication of regular reports on the system of civil emergency preparedness and resilience;
Lastly and most importantly, the creation of a single, independent statutory body responsible for whole system preparedness and response. It will consult widely, for example with experts in the field of preparedness and resilience and the voluntary, community and social sector, and provide strategic advice to government and make recommendations.
The Chair believes that all 10 recommendations are reasonable and deliverable and all must be implemented in a timely manner. The Inquiry and the Chair will be monitoring the implementation of the recommendations and will hold those in power to account.
The Chair has today restated her aim to conclude all public hearings by summer 2026, and to publish reports with findings and recommendations as the Inquiry progresses.
The Inquiry’s next report – focusing on Core UK decision-making and political governance – including in Scotland, Wales and Northern Ireland (Modules 2, 2A, 2B and 2C) – is expected to be published in 2025.
Future reports will focus on specific areas, including:
Modules 2, 2A, 2B, 2C: Core UK decision-making and political governance – including Scotland, Wales and Northern Ireland
Module 3: Healthcare systems
Module 4: Vaccines and therapeutics
Module 5: Procurement – procurement and distribution of key equipment and supplies
Module 6: The care sector
Module 7: Test, trace, and isolate programmes
Module 8: Children and young people
Module 9: Economic response to the pandemic
For more details of these modules visit the Inquiry’s website.
The Chair is also examining the best way to fulfil her Terms of Reference and investigate the impact of the pandemic on the population of the UK. This will cover a wide range of those affected and include the impact on mental health.
TUC: Covid Inquiry Report is a “moment of truth for the country” as report confirms impact of austerity on UK preparedness and resilience
Report confirms that public services were under huge strain even before Covid struck
Baroness Hallett says public health, NHS and social care sector’s capacity to respond to pandemic was “constrained” by funding and negatively impacted by “severe staff shortages” and infrastructure “not fit for purpose”
Report warns that not investing “in systems of protection” will impact on the UK’s “preparedness and resilience” in a future pandemic
Responding to the UK Covid-19 Inquiry Module 1 report today (Thursday), TUC General Secretary Paul Nowak said: “This is a moment of truth and reflection for the country.
“Baroness Hallett’s report confirms that austerity left the UK underprepared for the pandemic.
“Faced with the biggest crisis since the Second World War our defences were down as a result of severe spending cuts.
“We owe it to those who lost their lives – and to those workers who put their lives at risk – to make sure this never happens again.
“Strong public services – and a properly supported workforce – are vital for the nation’s health. As Baroness Hallett rightly points out the cost of investing in ‘systems for our protection’ is ‘vastly outweighed’ by the cost of not doing so.”
Commenting on the report’s finding that inequality put certain communities at disproportionate risk during the pandemic, Paul added:
“This report lays bare how inequality fuelled the spread of Covid-19. Low-income, disabled and BME people were far more likely to be infected and die from the virus. As Baroness Hallett warns inequality is a huge risk to the whole of the UK.”
Impact of austerity
Baroness Hallett writes on page 2 of her report:‘Public services, particularly health and social care, were running close to, if not beyond, capacity in normal times.
[…] in the area of preparedness and resilience, money spent on systems for our protection is vital and will be vastly outweighed by the cost of not doing so.’
Baroness Hallett writes on page 122 of her report:‘The Inquiry also heard that there were severe staff shortages and that a significant amount of the hospital infrastructure was not fit for purpose. England’s social care sector faced similar issues. This combination of factors had a directly negative impact on infection control measures and on the ability of the NHS and the care sector to ‘surge up’ during a pandemic.’
Baroness Hallett writes on page 123 of her report:‘Issues of funding are political decisions that properly fall to elected politicians. However, it remains the case that the surge capacity of the four nations’ public health and healthcare systems to respond to the pandemic was constrained by their funding.’
Baroness Hallett writes on page 127 of her report:‘Some witnesses to the Inquiry described the prioritisation and reprioritisation of limited resources as a cause of inaction. This is a widely recurring theme in the evidence.’
Impact of inequality
Baroness Hallett writes on page 70 of her report:‘Resilience depends on having a resilient population. The existence and persistence of vulnerability in the population is a long-term risk to the UK.’
‘[…] as the UK entered the Covid-19 pandemic, there were “substantial systematic health inequalities by socio-economic status, ethnicity, area-level deprivation, region, social excluded minority groups and inclusion health groups.”’
Baroness Hallett writes on page 71 of her report:‘Covid-19 was not an ‘equality opportunity virus’. It resulted in a higher a likelihood of sickness and death for people who are most vulnerable in society. It was the views of Professors Bambra and Marmot that:
“In short, the UK entered the pandemic with its public services depleted, health improvement stalled, health inequalities increased and health among the poorest people in a state of decline.”’
The UK is the first country in the world to offer a national vaccination programme that uses the same vaccine to protect both infants and older adults from RSV
The vaccine will protect infants and older adults, easing winter pressures on the NHS
Eligible people urged to take up offer when rollout begins in September
The UK will become the first country in the world to have a national programme that uses the same vaccine to protect both newborns and older adults against Respiratory Syncytial Virus (RSV).
The rollout, which will start from 1 September in England, includes both a vaccine for pregnant women over 28 weeks to help protect their newborn babies, a routine programme for those over 75, and a one-off campaign for people aged 75 to 79.
Scotland will begin its rollout first, from 12 August, while Wales and Northern Ireland will also start their schemes in September.
Despite infecting around 90% of children within the first two years of life, RSV is relatively unknown among the public. It typically causes mild, cold-like symptoms. However, it can lead to severe lung infections like pneumonia and infant bronchiolitis and is a leading cause of infant mortality globally.
Each year in the UK, RSV accounts for around 30,000 hospitalisations in children aged under five and is responsible for 20 to 30 infant deaths. It also causes around 9,000 hospital admissions in those aged over 75. The RSV programme could free up thousands of hospital bed days and help to avoid hundreds of deaths each year.
Minister for Public Health and Prevention, Andrew Gwynne, said: “As someone who has seen the devastating effects of RSV firsthand. I am thrilled to see the UK leading in the way in tackling this devastating disease.
“My own grandson contracted RSV when he was just days old, leading to weeks in intensive care, and a lifelong impact on his health. I don’t want anyone to go through what he went through.
“Not only will this vaccine save lives and protect the most vulnerable, it will help ease pressure on our broken NHS, freeing up thousands of hospital beds as we head into winter.”
People aged 75-79 years old on 1 September 2024 will be invited to receive their RSV vaccination with their GP, and those turning 75 after this date will also receive an invitation from their GP once eligible.
Women that are at least 28 weeks pregnant should speak to their maternity service or GP surgery to get the vaccine to protect their baby.
These vaccination programmes will save lives and significantly reduce the burden on the NHS during the challenging winter months.
Steve Russell, NHS national director for vaccinations and screening, said: “RSV is a very serious illness, infecting up to 90% of children by the age of two and causing thousands of babies and older people to spend time in hospital over winter – so this rollout is a huge step forward and will undoubtedly save the lives of many of those most at risk.
“We strongly encourage those aged 75 to 79 to come forward for their vaccine when they are invited from September and for women who are 28 or more weeks pregnant to speak to their maternity service or GP surgery to ensure their baby is protected.”
Professor Jenny Harries, UKHSA Chief Executive, said: “This new vaccine offers huge opportunities to prevent severe illness in those most vulnerable to RSV, helping to protect lives and ease winter pressures for the NHS. UKHSA has provided critical scientific information to evidence the benefits of a national RSV immunisation programme and so the rollout of the vaccine is a truly positive moment for the public’s health.
“Having successfully procured an effective vaccine and designed a programme to protect both babies and older people, we are already working rapidly with our NHS and Local Authority colleagues to be ready to provide vaccinations from September – please do come forward if you are eligible.”
Edinburgh resident John Rowan (68) has had to go private for hearing aids after waiting over a year for his regular hearing aid check, despite the Scottish Government setting a waiting time target of 18 weeks.
Mr Rowan’s hearing loss originated from contracting measles as a child and the legacy of contracting measles is now affecting his hearing in later life.
Despite being retired, Mr Rowan is heavily involved in the charity sector and until recently, sat on the board of a Scottish-wide charity and he volunteers with several others.
In May 2023, Mr Rowan self-referred himself for a new hearing test and was added to the waiting list. Despite assurances his appointment would be in May 2024, he was not invited to an appointment.
The further deterioration in his hearing has left him struggling to hear basic conversations.
Due to this, Mr Rowan took the decision to go private to receive hearing aids.
Labour MSP for Lothian, Sarah Boyack, has been pursuing this issue on Mr Rowan’s behalf.
However, the NHS confirmed to Ms Boyack in May 2024, that due to pressure there was no confirmation for when Mr Rowan would receive his appointment.
Only after Mr Rowan had paid out of pocket for his hearing aids did the NHS get back in touch to confirm an appointment for August 2024.
Mr Rowan said: “My hearing test was due in May, however, unfortunately it was pushed back with no date given to me for when I might be tested.
“Due to the ongoing delay, I had to resort to going private to ensure I got the hearing aids I desperately needed.
“My loss of hearing affects me in day-to-day life, as I struggle to listen to conversations which I need to hear in the roles that I do with the voluntary sector.
“I am incredibly concerned if more is not done to tackle these waiting times then my hearing will only deteriorate further.”
Sarah Boyack MSP added: “Mr Rowan’s case illustrates the dire state that the Scottish Government have left NHS Lothian in.
“These delays and missed targets dramatically affect patients’ lives.
“It is unacceptable that Mr Rowan is facing further deterioration of his hearing due to delays.
“The Scottish Government must address the crisis in NHS Lothian as an immediate priority.
“No one should be having to pay out of pocket simply to be able to hear conversations with friends and family.
“If they don’t I fear cases such as Mr Rowan’s will only become more common.”
UKHSA is working with partners to investigate a Shiga toxin-producing E. coli (STEC) outbreak
As of 3 July, there have been a further 13 cases associated with the recent outbreak of STEC O145 since the last update on 27 June. This brings the total number of confirmed cases to 288 in the UK.
All currently confirmed cases had symptom onset dates before 10 June.
Although case reporting rates are continuing to decline, we expect to see an additional small number of cases linked to this outbreak as further samples are referred to us from NHS laboratories and whole genome sequencing is conducted.
Confirmed case totals:
191 in England
62 in Scotland
31 in Wales
4 in Northern Ireland (evidence suggests that they acquired their infection in England)
Based on information from 263 cases to date, 49% were admitted to hospital.
Amy Douglas, Incident Director at UKHSA, said: “It’s encouraging that reported cases are continuing to decline, however we still expect to see a few more cases linked to this outbreak as further samples are referred to us for testing.
“Symptoms of infections with STEC include severe and sometimes bloody diarrhoea, stomach cramps, vomiting and fever. While diarrhoea and vomiting can have a range of causes, there are simple steps you can take to reduce your risk and the risk of infecting others.
“Washing your hands with soap and warm water and using disinfectants to clean surfaces will help stop any further spread of infection. If you are unwell, you should not prepare food for others while unwell and avoid visiting people in hospitals or care homes to avoid passing on the infection in these settings.
“Do not return to work, school or nursery until 48 hours after your symptoms have stopped. If you are concerned about your symptoms, follow NHS.UK guidance on when to seek help and the steps you can take to avoid further spread to family and friends.”
Darren Whitby, Head of Incidents at the Food Standards Agency, said: “The food chain investigation into this outbreak will continue to take account of any new information as it becomes available.
“We will continue to work with the relevant businesses, local authorities and agencies involved to ensure the necessary steps are in place to protect consumers.!
As cases linked to this outbreak are now low and continue to decline, this week’s update (5 July) will be the final weekly report on case numbers unless there is a significant change.
UKHSA is working with partners to investigate a Shiga toxin-producing E. coli (STEC) outbreak
As of 25 June, there have been a further 19 cases associated with the recent outbreak of STEC O145 since the last update a week ago, bringing the total number of confirmed cases to 275 in the UK.
All currently confirmed cases had symptom onset dates before 4 June. Although case reporting rates are declining, we expect to see more cases linked to this outbreak as further samples are referred to us from NHS laboratories and whole genome sequencing is conducted.
Confirmed case totals:
182 in England
58 in Scotland
31 in Wales
4 in Northern Ireland (evidence suggests that they acquired their infection in England)
Based on information from 249 cases to date, 49% were admitted to hospital.
Through surveillance, UKHSA has identified 2 individuals in England who died within 28 days of infection with the STEC outbreak strain.
Based on the information available from health service clinicians one of these deaths is likely linked to their STEC infection. Both individuals had underlying medical conditions. The deaths occurred in May.
Amy Douglas, Incident Director at UKHSA, said: “We’re pleased that fewer cases have been reported, however we still expect to see a few more cases linked to this outbreak as further samples are referred to us for testing.
“Symptoms of infections with STEC include severe and sometimes bloody diarrhoea, stomach cramps, vomiting and fever. While diarrhoea and vomiting can have a range of causes, there are simple steps you can take to reduce your risk and the risk of infecting others.
“Washing your hands with soap and warm water and using disinfectants to clean surfaces will help stop any further spread of infection. If you are unwell, you should not prepare food for others while unwell and avoid visiting people in hospitals or care homes to avoid passing on the infection in these settings. Do not return to work, school or nursery until 48 hours after your symptoms have stopped.
“If you are concerned about your symptoms, follow NHS.UK guidance on when to seek help and the steps you can take to avoid further spread to family and friends.”
Darren Whitby, Head of Incidents at the FSA said: “Earlier this month, we confirmed that several sandwich manufacturers had taken precautionary action to withdraw and recall various sandwiches, wraps, subs and rolls after food chain and epidemiological links enabled us to narrow down a wide range of foods to a type of lettuce used in sandwich products as the likely cause of the outbreak.
“This remains a complex investigation and we continue to work with the relevant businesses and the local authorities to ensure necessary steps are being taken to protect consumers.
“Although we are confident in the likely source of the outbreak being linked to lettuce, work continues to confirm this and identify the root cause of the outbreak with the growers, suppliers and manufacturers so that actions can be taken to prevent a re-occurrence.”
