Meningitis B vaccinations from 1 September

Meningitis B jag to be offered to all babies

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The meningitis B vaccine will be introduced to the routine childhood vaccination programme in Scotland from 1 September, the Scottish Government has announced. 

The vaccination will offer protection against the life-threatening strain of meningitis to all infants. The scheme, which was delayed by cost disputes, is the first national and publicly-funded programme against the deadly infection in the world.

The vaccination will be given in three doses at two, four and 12 months, with all infants in Scotland who are aged two months when the vaccine is introduced being eligible. The Joint Committee on Vaccination and Immunisation (JCVI) has also advised that when the programme starts there should be a one-off, catch-up programme for infants aged three and four months of age who will be attending for their routine vaccinations.

Additionally, in response to an increase in the number of cases of meningitis W, and based on advice from the Joint Committee for Vaccination and Immunisation, a MenACWY vaccine will be introduced to replace the MenC vaccine used in the adolescents and freshers vaccination programmes.

From 1 August that vaccine will be offered to students under the age of 25 attending university for the first time this Autumn, along with a catch-up programme for all 14 to 18 year olds.

Health Secretary Shona Robison said: “These two new vaccination programmes will offer families in Scotland extra peace of mind.

“We’re delighted to be one of the first countries in the world to introduce a nationwide MenB vaccination programme to help tackle the effects of this disease, which can be devastating for children and their families.

“The Scottish Government has been consistent in its support for the introduction of this vaccine and today’s announcement underlines our commitment to ensuring the health and wellbeing of our children.

“Around 1,200 people – mainly babies and children – get meningitis B each year in the UK, and around one in 10 die from the infection.

“I am also very pleased to see the expedited launch of the MenW vaccine prevention programme for teenagers. This vaccine also protects against MenA, MenC and MenY, making sure young people are protected at such an important time in their academic lives.”

Chief Executive of Meningitis Now, Sue Davie said: “We’re delighted to see these vaccination programmes moving forward and offering protection to new babies and young people across Scotland. Today’s announcement is a tribute to the tireless and selfless efforts of our supporters, for many of whom sadly these vaccines come too late. We are ready to support the introductions in any way we can.”

Scotland Manager of Meningitis Research Foundation, Mary Millar said: “On behalf of our Scottish members of Meningitis Research Foundation who have been affected by this deadly disease, we are delighted to welcome the MenB vaccine for babies and MenACWY vaccine for teenagers and students. These two programmes are the culmination of years of research which will spare countless families the trauma of seeing a loved one die or left seriously disabled by meningitis and septicaemia.”

One mum remembers all too well the horror of her baby contracting meningitis, and Gemma Lessells from Inverkeithing has welcomed the announcement of the immunisation programme.

She said: “My son Matthew contracted meningitis B in 2010 when he was 13 months old. He was quiet and had a temperature at 4pm. He started being sick at 6 pm and by 10 pm he was in hospital fighting for his life. He had cannulas everywhere, they were taking his blood pressure every 15 minutes. His heart rate was 210 and his temperature on admission was 40.9.

“We were incredibly lucky – Matthew survived, though has delayed expressive speech and suffered night terrors following his hospital stay. We are also in the process of discussing possible behavioural side effects with his Health Visitor, but other than that we have a gorgeous healthy happy boy with a laugh that lights up a room.

“I would not want any parent or child to go through what we did, and welcome news of the implementation of these two new vaccines in Scotland.”

Not in front of the children: Minister urges ad ban

Ads for alcohol and fatty foods should be adult viewing only

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Alcohol and junk food advertising should be prohibited before the 9pm watershed in order to protect children, Public Health Minister Maureen Watt said yesterday.

Ms Watt has written to UK Government ministers arguing that the move would protect children from exposure to powerful marketing messages and branding. Control over broadcast advertising is currently reserved to Westminster.

Adverts for alcohol and high fat, salt and sugar foods are not permitted during children’s programming. But they are allowed during early evening shows that are watched by large numbers of young people.

Stronger restrictions are supported by the British Heart Foundation (BHF), the British Medical Association (BMA) and Alcohol Focus Scotland.

The latest piece of research commissioned by the British Heart Foundation shows that many parents believe that broadcast advertising for high fat, salt and sugar foods remains a significant barrier which makes it more difficult for their children to adopt a healthy diet. According to their research that figure is highest in Scotland at 43 per cent. Extra restrictions on advertising for these types of food are also supported by Which?.

Maureen Watt, Minister for Public Health, said: “In recent years the rate of obesity has been relatively stable, but still unaccepbtably high, and there have been some reductions in alcohol-related harm. But we still, in general, have diets that are far too high in fat, sugar and salt, and levels of alcohol-related harm which are significantly higher than they were just a few decades ago.

“If we are to tackle the significant public health problems we face, we need bold solutions. We need a culture change in the way we think about alcohol and food high in fat, salt and sugar. There is a wealth of research which shows that children seeing these adverts while they are watching their favourite family programmes respond positively towards them and they affect their behaviour. That’s something that needs to be addressed.”

Dr Peter Bennie, Chairman of the BMA Scotland, said: “The regulation of alcohol and junk food advertising in this country is far too weak, largely because these industries have been allowed to regulate themselves. Despite the serious health harms associated with excessive alcohol consumption and obesity in the UK, these industries use marketing to promote consumption of their products.

“The cost of alcohol to our society is significant and inevitably, the NHS picks up the pieces. Obesity rates too are worryingly high, driven by the promotion and availability of unhealthy foods. Obesity brings with it increased risk of a wide range of serious life threatening and chronic diseases. While doctors have a role to play in supporting overweight patients, there is a limit to what they can do.

“The UK Government could take decisive action to change the culture of excess that the junk food and alcohol industry promotes, and tougher regulation of advertising would be a positive first step.”

Barbara O’Donnell, Deputy Chief Executive at Alcohol Focus Scotland, said: “Existing advertising codes fail to prevent under 18s from being exposed to alcohol advertising. Although current rules prohibit alcohol advertising around children’s programmes, alcohol adverts are allowed during early evening family viewing when the largest number of children watch television. As a result, 10 to 15 year olds in the UK see more alcohol adverts on television, per hour of television watched, than adults. Indeed, a survey just published by Alcohol Focus Scotland found that 10 and 11 year olds were more familiar with alcohol brands than leading brands of biscuits, crisps and ice cream.

“The bottom line is that we are failing to protect children and young people from alcohol harm. More effective controls are urgently needed to ensure alcohol marketing messages only reach adult audiences.”

Simon Gillespie, Chief Executive at the BHF, said: “Regulations for TV and online advertising in the UK are too weak, allowing companies to exploit loopholes in the system at the expense of our children’s health. Every day millions of children are being bombarded with sophisticated marketing techniques encouraging unhealthy eating habits.

“Evidence shows that junk food adverts can influence children’s food preferences and consumption hampering parents’ efforts to get their children to eat healthily. In the UK over 30 per cent of children are overweight or obese and dietary surveys show that children are eating too much salt, sugar and saturated fat.

“The Government must act now to ban junk food marketing before the 9pm watershed to help give children a stronger chance of preventing future heart disease.”

Britain leading the fight against dementia

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Britain will expand its efforts to combat dementia over the next 5 years, the Prime Minister David Cameron said today as he set out a new, long-term strategy focused on boosting research, improving care and raising public awareness about the condition.

Britain has emerged as the world leader in fighting dementia since 2010 with investment in research doubled, hundreds of thousands of NHS staff given specialist training and 1 million ‘Dementia Friends’ taking part in awareness sessions across the country.

The Prime Minister wants to build on that momentum both in the UK and worldwide. The Prime Minister’s Challenge on Dementia 2020 is the next phase in the country’s effort to combat the condition and includes:

Over £300m invested in UK research

The UK government will invest over £300 million into UK research and medical innovation, backing the country’s world-leading science and medical sectors to lead the way in discovering the next big breakthrough. Annual investment in UK research is expected to double by 2025. Alongside this effort, an international dementia institute will be established in England within 5 years, helping to make the UK a world leader for research on dementia and medical trials. It is hoped the number of people taking part in dementia research will double in that time and a new online and telephone service to facilitate people taking part in dementia research studies will be launched next week.

New global fund on dementia

A separate multi-million pound fund will be launched within weeks to help establish a large-scale, international investment scheme to discover new drugs and treatment that could slow down the onset of dementia or even deliver a cure by 2025. The fund will see investors from the private, public and philanthropic sectors unite under a single scheme to finance a range of research projects identified by scientists as having the best potential for future success.

One million NHS staff trained

All NHS staff – some 1.3 million people – will now be required to undergo training in dementia so that people have the know-how and understanding to provide the best possible standards in care, from hospital porters to surgeons.

Three million more ‘Dementia Friends’

A world-leading call to action on dementia will see 3 million more trained to understand about dementia and how to best support people who may have the condition. Members of the public will be able to take part in free sessions in schools, church halls or their own work places. By 2020 the majority of people in England will be living in towns and cities that have been transformed into dementia-friendly communities , making shops, transport and other public places accessible to people with dementia. Business will play its part, with M&S, Asda, Argos, Homebase and Lloyd’s banking group training staff to become Dementia Friends.

Faster assessments, better care for all

Nationally, initial dementia assessments will take place in an average of 6 weeks, followed by better support post-diagnosis. GP diagnosis rates have increased from 42% to 59% in just 3 years but too many people are waiting up to 6 months for a full assessment, causing worry and uncertainty for people and their families. This will no longer be tolerated. There will also be a greater focus on the support given to people following their diagnosis such as giving people with dementia better information about the services available locally, as well as advice and support for carers.

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Announcing the plan, the Prime Minister, David Cameron, said:

“Dementia is one of the greatest challenges of our lifetime, and I am proud that we are leading the world in fighting it.

“Because of the growing strength of our economy, we can invest in research and drug-development, as well as public understanding, so we defeat this terrible condition and offer more hope and dignity for those who suffer.

“That way, we can help make Britain a country that offers security in retirement for all.”

Dementia is a growing problem. In 10 years it is expected there will be one million people living with dementia in the UK.

The Prime Minister has made it a key priority to overhaul the UK’s approach to dementia, launching the Prime Minister’s Challenge on Dementia in 2012, and hosting the first-ever dedicated G8 event on dementia in 2013 to secure greater global cooperation between leading nations.

Significant progress has been made in improving health and care for people with dementia and carers, creating dementia friendly communities, and boosting dementia research.

This includes:

  • introducing the first-ever World Dementia Envoy, spearheading a global approach to the fight against dementia, driven through the G8 dementia summit in 2013
  • over 437,920 NHS staff have already received dementia training and more than 100,000 social care workers have received dementia awareness training, more than any other country worldwide
  • there are now 1 million dementia friends and 82 areas across England have signed up become dementia-friendly communities
  • diagnosis rates in the UK are the highest in the world, increased from 42% to 59% and on track to reach two thirds, ensuring more people than ever before get the care and support they need.
  • the UK has doubled research funding since 2009 to over £66m in 2015. This investment includes major research on issues that matter to people with dementia and their carers, such as the world’s largest – £20 million – social science research programme on dementia. It also includes Dementias Platform UK (DPUK), a 5-year £53 million public private partnership led by the Medical Research Council, the world’s largest dementia population study.
  • we have achieved a world-leading 52% fall in the level of prescribing of antipsychotic medication to people with dementia.

The number of people living with dementia worldwide today is estimated at 44 million people, set to almost double by 2030.

The cost to healthcare is huge, with dementia now one of the greatest pressures on healthcare systems around the world. It costs an incredible estimated £370 billion (US $604 billion) – about 1% of the world’s GDP. And, without urgent action this is set to rise.

However, global spending on dementia is at 5 times below research on cancer, with only 3 new drugs making it onto the market in the last 15 years.

The World Dementia Envoy, Dennis Gillings, said: “We have momentum. Awareness of dementia is increasing and action is being taken, and that will ensure the condition is managed far better in our society. More treatments are on the horizon but we must continue to invest in research and drug development. David Cameron’s outstanding leadership is having huge effect.”

Simon Lovestone, Professor of Translational Neuroscience, University of Oxford, said: “Dementia is the biggest single problem facing health services today. Worldwide, it poses an enormous challenge and demands an urgent and substantial response from governments and from the research community.

“In the UK we are rising to this challenge and with the Alzheimer’s Research UK Drug Discovery Alliance, launched this week, with the Dementias Platform UK launched at the beginning of the year and with the network of Biomedical Research Centres and Units for dementia funded by the NIHR, together with this commitment for substantial increased in funding for research and innovation, we are in a good position to lead, collaboratively across Europe, North America and beyond, a substantial fight against this terrible disease.

“The opportunity, which I think we have a realistic chance of delivering on, is novel therapies for dementia that will slow down, and perhaps even prevent Alzheimer’s and similar diseases.”

Hilary Evans, Charity Director, Alzheimer’s Research UK, said: “Over the past three years we’ve seen the Prime Minister’s Challenge play a pivotal role in creating a heightened focus on dementia and boosting the case for more research. Alzheimer’s Research UK is proud to have spearheaded the research challenge and successfully launched a number of pioneering global initiatives that will bring us ever closer to finding a cure.

“Since 2012, we’ve launched a £100 million fundraising campaign which, in addition to our existing research projects, will see a pioneering new Stem Cell Research Centre, a powerful network of world-class Drug Discovery Institutes to fast-track new treatments and a Global Clinical Trials Fund to allow new treatments to reach people sooner.

“Today represents an opportunity to reflect on the progress made so far, but we owe it to the 850,000 people in the UK with dementia to build on this work with even bolder commitments. It is vital that we continue to energise a movement across society to improve the lives of people with dementia and that research into the condition continues to be a priority.”

Jeremy Hughes, Chief Executive of Alzheimer’s Society, said: “Our researchers, staff and volunteers who are delivering support to people with dementia nationwide now sit as part of a national movement more than a million strong.

Dementia Friends is truly changing attitudes and capturing the public’s attention. Together we are transforming lives today and reaching out for preventative treatments and a cure tomorrow. This government has rightly prioritised dementia. We would all acknowledge the work that remains to be done, but the PM deserves credit for the phenomenal achievement in getting dementia on the national and global agenda and this has resulted in significant progress.”

 

Western General patient’s Ebola test clear

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Tests for Ebola on a Fife woman who recently returned from west Africa have proved NEGATIVE.

The woman was admitted to the Western General Hospital yesterday after developing a fever and she is now being treated in an isolation unit at the hospital’s Regional Infectious Diseases Unit (RIDU).

Melanie Johnson, Director of Unscheduled Care at NHS Lothian, said last night: “A patient who recently returned to Scotland from west Africa has been admitted to our  at the Western General Hospital after they reported a raised temperature.

“As a precautionary measure, and in line with agreed procedures, the patient will be screened for possible infections and will be kept in isolation. We have robust systems in place to manage patients with suspected infectious diseases and follow agreed and tested national guidelines.”

It has since been confirmed that the patient, who lives in Fife, does NOT have the Ebola virus.

Ebola: it’s here

Public health risk ‘extremely low’

_79979990_2f30d225-515b-4aef-a692-8675ec2f718fA health worker who was diagnosed with Ebola after returning to Scotland from Sierra Leone is now being treated an isolation unit in London’s specialist Royal Free Hospital. Her condition is described as ‘stable’.

The health worker travelled back to Glasgow via Casablanca and London Heathrow. Passengers on those flights are now being traced but public health officials say the risk to the public is ‘very low’.

When the confirmed case of Ebola was diagnosed in Glasgow last night, NHS Scotland infectious diseases procedures were put into effect – the patient was isolated and received treatment in the specialist Brownlee Unit for Infectious Diseases at Gartnavel Hospital before her transfer to London early this morning.

The patient is a health care worker who was helping to combat the disease in west Africa. She returned to Scotland from Sierra Leone late on Sunday night. She left Sierra Leone on 28 December and was a passenger on flight AT596 from Freetown to Casablanca, flight AT0800 from Casablanca to London, and transferred at Heathrow to flight BA1478 for onward travel to Glasgow.

The patient was admitted to hospital early yesterday morning after feeling unwell and was placed into isolation at 7.50am. All possible contacts with the patient are now being investigated and anyone deemed to be at risk will be contacted and closely monitored. However, having been diagnosed in the very early stages of the illness, the risk to others is considered extremely low.

First Minister Nicola Sturgeon chaired a meeting of the Scottish Government Resilience Committee (SGoRR) last night to ensure all necessary steps are being taken, and also spoke to Prime Minister David Cameron – according to UK and Scottish protocol for anyone diagnosed with Ebola, the patient will be transferred to the high level isolation unit in the Royal Free hospital, London, as soon as possible. This is where the facilities, staff and systems are in place to ensure the best quality and safest care.

While public health experts have emphasised that the risks are negligible, a telephone helpline has been set up for anyone who was on the Heathrow to Glasgow flight on Sunday.

The number is: 08000 858531

First Minister Nicola Sturgeon told a press conference last night: “Our first thoughts at this time must be with the patient diagnosed with Ebola and their friends and family. I wish them a speedy recovery.

“Scotland has been preparing for this possibility from the beginning of the outbreak in West Africa and I am confident that we are well prepared.

“We have the robust procedures in place to identify cases rapidly. Our health service also has the expertise and facilities to ensure that confirmed Ebola cases such as this are contained and isolated effectively minimising any potential spread of the disease.

“Scotland’s NHS has proved it is well able to cope with infectious diseases in the past, such as swine flu, and I am confident we will be able to respond effectively again.”

The risk of infection to other passengers on the flights is considered extremely low. However, as a precaution, Public Health England is arranging for all passengers and crew on the flight from Casablanca to Heathrow to be provided with health information and will be contacting and following up those passengers who were sitting near the affected passenger on these flights. Health Protection Scotland is carrying out a similar exercise for the passengers on the Heathrow to Glasgow flight.

Ebola is transmitted by direct contact with the bodily fluids, such as blood, vomit or faeces, of an infected person while they are symptomatic. Therefore, the risk of Ebola being passed from an individual before they developed symptoms is extremely low.

As before, the advice is that if anyone is worried about symptoms (such as fever, chills, muscle aches, headache, nausea, vomiting, diarrhoea, sore throat or rash) within 21 days of coming back from Guinea, Liberia or Sierra Leone, they should stay at home and immediately telephone 111 or 999 and explain they believe they have come into contact with someone with Ebola.

Professor Dame Sally Davies, England’s Chief Medical Officer, said: “Our thoughts are with this individual who, along with other NHS and public health colleagues, has been doing a fantastic job saving lives.

“The UK and Scottish governments and English and Scottish health authorities are working together to make sure that this individual receives the best possible care. UK hospitals have a proven track record of dealing with imported infectious diseases.

“It is important to be reassured that although a case has been identified, the overall the risk to the public continues to be low.

We have robust, well-developed and well-tested NHS systems for managing unusual infectious diseases when they arise, supported by a wide range of experts. The UK system was prepared, and reacted as planned, when this case of Ebola was identified.

Professor Paul Cosford, Director for Health Protection and Medical Director at PHE, said: “For Ebola to be transmitted from one person to another contact with blood or other body fluids is needed. The individual involved did not experience any symptoms consistent with the transmission of Ebola, and as such, the risk that this infection will have been passed from the affected individual to others is extremely unlikely.

“However as a precaution, PHE is following up all those in the vicinity of the passenger on the flight to the UK to ensure anyone who feels unwell undergoes a medical assessment rapidly. Our colleagues at Health Protection Scotland are carrying out a similar exercise for the passengers on the Heathrow to Glasgow flight.

Professor Sir Bruce Keogh, NHS England’s Medical Director, said:

“The NHS is prepared. The Royal Free hospital has an international standard infectious diseases team with experience treating dangerous diseases including Ebola. Staff who treat these patients have volunteered in the same way as those working in West Africa – testament to their dedication and professionalism.”

City clubbers urged to ‘speak up, speak out’ over abuse

clubbers3A public protection campaign against abuse is to target city night-clubbers on what is said to be the worst night of the year for violent behaviour.

Leaflets highlighting the multi-agency Speak Up Speak Out campaign will be handed out in clubs tonight (19 December). The last Friday before Christmas typically sees a rise in violence, including domestic abuse.

Speak up Speak Out was launched in August 2013 by the City of Edinburgh Council, NHS Lothian and Police Scotland to encourage those who are affected by abuse to come forward and find out about the wide range of support that is available to them.

The Council is also supporting Police Scotland’s annual festive domestic abuse campaign, which was launched this week.

Domestic abuse can be carried out by partners or ex-partners and can be physical, sexual, psychological or emotional.

Councillor Ricky Henderson, Convener of Health, Social Care and Housing, said: “We want to make sure that everyone has a good time this festive season and I urge revellers enjoying the last weekend before Christmas to think about their behaviour and how it can affect their loved ones.

“Nobody should have to suffer domestic abuse, whatever form it takes. We are reaching out to the people who are affected by domestic abuse, or anyone who has concerns about others who are being harmed in this way, urging them to Speak Up and Speak Out.

“Agencies will continue to work together on this ongoing campaign over the next year to make sure that families affected by abuse will be protected from harm.”

clubbers4Superintendent Liz McAinsh said: “Tackling domestic abuse is a priority for Police Scotland and in Edinburgh officers will continue to pursue those responsible for crimes of this nature.

“We are also committed to providing victims of domestic abuse with all the necessary assistance and support they require.”

Extensive work by the Council is ongoing to ensure that children and adults who have been affected by domestic abuse feel safe, have access to appropriate support and advice networks and feel confident in reporting issues.

Recent developments include a clear pathway from initial reporting to the police, to support for the victim, including a comprehensive risk assessment and the provision of multi-agency services. Edinburgh has also seen a welcome roll-out of the pilot domestic abuse court to the whole city.

One of the key messages of Speak Up Speak Out is that anyone can suffer from abuse, regardless of their age, gender or the colour of their skin. It can happen anywhere and be caused by friends, relatives, colleagues or strangers. By encouraging people to be open about their concerns and talk to care professionals, it is hoped that more adults and children can be protected from harm.

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Out of mind: attitudes to mental health must change

‘The best way to start to deal with a mental health problem is to talk about it’ – Michael Matheson, Minister for Public Health

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More than a quarter of people have experienced a mental health problem and nearly half of those interviewed would not want other people to know if they had a mental health condition, according to new research.

These  findings are revealed in the Scottish Social Attitudes Survey, commissioned by the Scottish Government to find out how attitudes are changing over time. The survey, published today, was carried out by ScotCen Social Research, and builds on previous surveys, the last one being in 2008.

Of the 1,500 people surveyed, 26 per cent said they had personally experienced a mental health problem at some point, with depression being the most common. This is similar to previous surveys.

A total of 47 per cent said that they wouldn’t want anyone to know if they were suffering from mental health problems, a slight increase from 44 per cent in the previous survey in 2008. However, of people who have actually experienced a problem, 85 per cent have talked to someone about it, slightly down on 88 per cent in the last survey.

Other findings include:

• 85 per cent of people with a mental health condition have told someone about their condition. Usually this is a friend or family member (80 per cent). Much smaller proportions (less than 20 per cent) had told someone at work.
• 37 per cent have experienced negative social impact as a result of their mental health – an increase from 23 per cent in 2008.
• 65 per cent of people said they knew someone who had a mental health problem, a similar level to 2008.
• 22 per cent have avoided a social event because of how they feared they would be treated, and 13 per cent have been discouraged from attending by someone else.
• 22 per cent of people said they were not willing to interact with a person with schizophrenia

The Scottish Government is tackling mental health discrimination and stigma by funding the campaign group See Me. See Me have held 22 events around Scotland since April 2014, reaching more than 1,200 people, and have supported 24 projects around the country.

Michael Matheson, Minister for Public Health, said: “This survey gives us some invaluable information about attitudes towards mental health, which helps us to better tackle the prejudices and misconceptions which still exist.

“It shows us that unfortunately there is still some stigma surrounding mental health. For that reason it’s all the more important that the Scottish Government continues our work to reduce the stigma suffered by people with mental health conditions. We fund See Me, which has just launched an anti-stigma campaign called ‘People like you will end mental health stigma and discrimination’.

“The best way to start to deal with a mental health problem is to talk about it. Also, if more people talk about their problems this will help to spread greater understanding and tolerance. This could be talking it through with a friend or family member, or going to your GP. There are treatments available that will help you to deal with your problems.”

Attitudes to Mental Health in Scotland: Scottish Social Attitudes Survey 2013 can be viewed read:http://www.scotland.gov.uk/Publications/Recent

Ebola: ‘lifeline of care’ delivered to Sierra Leone

Britain’s latest Ebola aid flight – delivering beds, personal protection suits, tents and vehicles – landed in Sierra Leone capital Freetown yesterday, International Development Secretary Justine Greening has confirmed.

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Aid flights from the UK to Sierra Leone have delivered personnel and vital supplies for the construction and operation of the 92 bed treatment facility in Kerry Town – the first of at least five that the UK is building in the country from scratch.

A team of British military personnel – including logisticians, planners and engineers – are currently on the ground to oversee the construction of the treatment centre.

International Development Secretary Justine Greening said: “The UK continues to deliver essential supplies to control and defeat the Ebola outbreak in Sierra Leone.

“This aid will go towards getting the UK’s treatment facility up and running as soon as possible. It will also ensure that heroic health workers working on the front line have the very best protection equipment available to tackle this terrible disease.

“Construction of our treatment centre is now well underway and the first phase will be operational soon. This will provide a lifeline of care to Ebola patients in Sierra Leone.”

Aid supplies delivered so far include: 20 vehicles including ambulances; 75 water tanks; 3 incinerators for disposing of clothing and other materials; 12 generators; personal protection equipment; radio equipment; lighting sets; chlorine for sanitation; latrine slabs; temporary warehouse tents; 14 air conditioning units and isolator equipment.

The vehicles will be used to move blood samples and patients from local communities to the treatment centre. Further aid supplies will be deployed from the Department for International Development’s emergency warehouse in Kemble, Gloucestershire.

The UK has pledged £125 million to support the global effort to contain, control and defeat the disease in Sierra Leone. This includes support for 700 Ebola treatment beds which will provide direct medical care up to 8,800 patients over six months and help to shore up the country’s stretched public health services as they battle to contain the disease. This includes vital supplies such as chlorine and protective clothing for thousands of health workers.

Ebola in Scotland: risk ‘relatively low’ but health chief urges vigilance

Ebola_virus_virionThe Scottish Government Resilience Committee (SGoRR) met last night to discuss preparedness related to the Ebola situation in West Africa. The meeting was chaired by First Minister Alex Salmond.

The First Minister said: “It is crucial our health service is geared up to deal with any potential confirmed cases of Ebola in Scotland.

“That was the basis of the meeting and I am confident our NHS is ready to respond. But we must not only asses our preparedness in Scotland, we must also ensure we are doing all we can to support the efforts to contain the spread of Ebola in West Africa. I have asked for an urgent assessment of what we can do to build on the £500,000 we have already provided to the World Health Organisation and Scotland will do whatever we can to assist.”

Health Secretary Alex Neil was also part of the meeting, along with experts in infectious diseases from Health Protection Scotland and acting Chief Medical Officer (CMO) Aileen Keel.

Mr Neil said: “Our public health experts, including those at Health Protection Scotland, have been monitoring the position very closely since the outbreak began and putting in place the awareness and advice to ensure our health service is as well prepared as possible to respond.

“While the risk remains relatively low, we are ensuring that we have the robust procedures in place to identify cases rapidly. Our health service also has the expertise and facilities to ensure that confirmed Ebola cases would be contained and isolated effectively minimising any potential spread of the disease.

“Indeed, the CMO has written to clinicians across our NHS today to reinforce the need to be vigilant and take the appropriate steps in any suspected or high risk cases.

“Scotland’s NHS has proved it is well able to cope with infectious diseases in the past, such as swine flu, and I am confident we will be able to respond effectively again.

“We will go on monitoring the situation and maintain a high state of vigilance across our health system. SGoRR will meet again in the coming days to continue to closely monitor developments and ensure robust resilience arrangements are in place.”

Earlier yesterday the Prime Minister chaired a COBR meeting on plans to protect the UK against the Ebola virus and combat the disease in West Africa.

A Number 10 spokesperson said:

“The Prime Minister chaired a COBR meeting on Ebola this afternoon. The attendees included the Chancellor, Home Secretary, Defence Secretary, Health Secretary, Transport Secretary, International Development Secretary, Public Health Minister, Chief Medical Officer, Chief Scientist and Dr Paul Cosford from Public Health England. The Foreign Secretary in the US and UK team in Sierra Leone joined via a video link.

“The meeting covered both the UK preparedness for potential cases of Ebola in this country and the UK’s efforts to combat the disease in West Africa.

“There was a detailed discussion about plans for protecting the UK against Ebola. The Chief Medical Officer, Dame Sally Davies, and Dr Paul Cosford set out that the UK had some of the best public health protection systems in the world and the risk to the UK remained low. The Chief Medical Officer detailed the procedures in place for dealing with any Ebola case in the UK, and the training and preparation that had already taken place with key organisations and staff, including ambulance medics, hospitals, NHS 111, GPs and other key public health workers.

“The case of Will Pooley had demonstrated the UK’s ability to deal with an identified case without wider infection, with a world-leading specialist unit at The Royal Free. Contingency planning would continue and will include a national exercise and wider resilience training to ensure the UK is fully prepared. The Chief Medical Officer has now issued further advice to medical professionals across the country and would continue to do so in the coming weeks. Information posters for passengers would be put up in UK airports.

“The Prime Minister was updated on the situation on the ground by the UK team in Sierra Leone, where the number of cases continues to rise. The UK was already taking a leading role in the efforts to support the government to deal with the outbreak. Using British expertise and local building contractors, the UK has committed to build at least 5 new Ebola Treatment Facilities with a total of 700 beds near urban centres including Port Loko, Freetown and Makeni.

“The package will help up to nearly 8,800 patients over a 6 month period. The UK was also supporting infection training for workers and support to ensure burial sites, and the Department for International Development is undertaking a rapid trial of 10 local community care units to isolate Ebola cases more quickly, with clinics providing swift and accurate diagnosis and appropriate care.

It was agreed that the UK will increase the level of support further. This will include more training capacity, new treatment centres and helicopter support.

“750 Ministry of Defence personnel will be deployed in total to help with the establishment of Ebola Treatment Centres and an Ebola Training Academy. This will include:

  • the deployment of RFA Argus to take and support 3 Merlin helicopters, aircrew and engineers in the region to provide crucial transport support to medical teams and aid experts. This will involve around 250 personnel.
  • over 200 military staff will be deployed to run and staff World Health Organisation-led Ebola training facility that will assist in the training of healthcare workers, logisticians and hygiene specialists who are needed to staff treatment units
  • 300 military personnel making up the existing UK taskforce plans focussed on delivering support to the Sierra Leone government.”

Ebola: should we be alarmed?

The Department of Health confirmed yesterday that a British national residing in Sierra Leone has tested positive for Ebola virus infection. Should we be concerned?

s300_Ebola_virus_virionThe simple answer is no, there is no immediate cause for alarm – but the health authorities remain vigilant.

‘the risk of any traveller to West Africa contracting Ebola is very low without direct contact with the blood or body fluids of an infected person.’

 

Professor John Watson, Deputy Chief Medical Officer, said: “The overall risk to the public in the UK continues to be very low. Medical experts are currently assessing the situation in Sierra Leone to ensure that appropriate care is provided. We have robust, well-developed and well-tested NHS systems for managing unusual infectious diseases when they arise, supported by a wide range of experts.”

Ebola haemorrhagic fever is a rare but severe disease caused by the Ebola virus. Ebola is highly transmissible by direct contact with organs or bodily fluids of living or dead infected persons and animals.

An Ebola outbreak was first confirmed in Guinea back in February and quickly spread to Liberia and Sierra Leone. The outbreak is the world’s deadliest to date.

Ebola kills up to 90% of those infected but patients have a better chance of survival if they receive early treatment. The latest outbreak has caused more than 700 deaths since February.

The UK government is closely monitoring the Ebola outbreak – the largest outbreak of the virus in recent times – but said in a statement:

‘This is not an issue that affects the UK directly. We have experienced scientists and doctors including at the Royal Free Infectious Disease Unit, the Liverpool School of Tropical Medicine and the London School of Hygiene and Tropical Medicine. We also have a lot of experience of dealing with dangerous diseases. The risk of this disease spreading fast in the UK is much lower because of that.

‘The UK government is taking precautionary measures and looking at capability but is confident that the UK has experienced people who are ready to deal with anything if it were to arrive here.’

Following a meeting of government committee COBR, Foreign Secretary Philip Hammond said: “We’ve looked at how we are co-ordinating with our French and American colleagues under the World Health Organisation, we’ve considered what additional measures the UK could take to help control the outbreak in West Africa and we’ve also looked at what measures we need to put in place on a precautionary basis in case any UK nationals in West Africa should become affected by the disease.

We do not, at the moment, think this is an issue that affects the UK directly.”

Guidance has been issued to front line Border Force staff on how to identify and safely deal with suspected cases of Ebola – it makes clear what steps need to be taken should a passenger arrive at the border unwell.

If a person is identified at the border as being a potential carrier they will be immediately referred by a Border Force officer to a specialist medical care provider and reported to public health authorities.

There was a local scare earlier this month when an athlete from Sierra Leone fell ill during the Commonwealth Games in Glasgow, but he tested negative for Ebola. Dr Colin Ramsay, of Health Protection Scotland, said then: “There’s been no programme of actively screening athletes simply because of the Commonwealth Games.

“The situation is that if someone presents with symptoms suggestive of the possibility of Ebola virus infection and who has come from a country affected by the current outbreak – and that’s Sierra Leone and Guinea and Liberia – they would be investigated accordingly and that would involve managing them with a set of standard precautions. People in this sort of situation would be investigated for a number of conditions, not just Ebola.”

No cases of imported Ebola have ever been reported in the UK.

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