Tag: public health

Coronavirus: stay informed

First Minister Nicola Sturgeon met with staff supporting Scotland’s public information response to coronavirus (COVID-19) yesterday, following the announcement of two additional positive test results in Scotland.

The UK saw its biggest day-on-day increase in coronavirus cases yesterday, bringing the total number to 87.

During a visit to NHS 24’s contact centre at the Golden Jubilee National Hospital, the First Minister thanked NHS 24 staff, including nurses, call handlers and health information advisors operating the 111 service and a dedicated coronavirus helpline service, for their efforts to keep the public informed.

The helpline has been set up by NHS 24 for people who do not have symptoms and are looking for general information and advice on coronavirus.

More than 400 staff work at NHS 24’s Clydebank call centre, which is one of four main centres located across Scotland.

Monday 2 March was the busiest day to date for the coronavirus helpline with 584 calls recorded, up from 143 on Sunday, when the first positive case in Scotland was identified. On Tuesday there were 430 calls.

NHS Inform’s coronavirus page has registered 264,118 visits as of Tuesday, with 55,000 visits on Monday alone.

The First Minister said: “Our thoughts are with the two patients who have been newly diagnosed with coronavirus and their families, and I wish them all the best for their recovery.

“The Scottish Government and NHS Scotland are well-prepared to deal with a coronavirus outbreak, but the public also have a big role to play in helping us any contain any potential spread of coronavirus in Scotland for as long as possible.

“So I want to thank staff here for all their hard work to answer questions about coronavirus and keep the public informed.

“As the number of positive cases in Scotland increases, it is vital people stay up to date with the latest health and travel advice on NHS Inform, as well as following basic hygiene precautions, such as washing hands frequently, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing.”

NHS 24’s Director of Service Delivery Steph Philips said: “Over the last 10 days we have received more than 3,000 calls on coronavirus to our helpline and those numbers are increasing, with over 500 calls to the 111 service since Friday in addition to the coronavirus helpline, and we saw another significant increase on Monday following the first positive case in Scotland.

“That’s why we’re asking people in Scotland to check NHS Inform online in the first instance, as it’s the quickest and easiest way to get the latest information if they have questions about travel risk or symptoms, as well as our self-help guide tool. NHS Inform is being updated with latest information for the Scottish public on a daily basis.

“In addition to the helpline, we’re also encouraging people to phone their GP during the day or call NHS 24 on 111 out of hours.”

Two further patients in Scotland tested positive for COVID-19 yesterday, bringing the total number of cases to three.

Both patients are currently clinically well and are receiving appropriate clinical care. Due to patient confidentiality, we are unable to give any more details.

One patient is resident in the Grampian area, the second patient is resident in the Ayrshire area. One patient has recently travelled to northern Italy and the other has had contact with a known positive case – this contact was not with the first positive case confirmed in Scotland.

Clinicians have begun contact tracing, the process of gathering details of the places they have visited and the people they have been in contact with.  It is important to note that this tracing process does not involve people the patients may have passed on the street or in a shop – as the risk in these situations is very low.

Close contact involves either face-to-face contact or spending more than 15 minutes within two metres of an infected person. Those at risk of infection will be contacted by health protection teams for further advice. Those who are not contacted are not at risk.

Health Secretary Jeane Freeman said: “Our first thoughts must be with the patients diagnosed with coronavirus, I wish them a full and speedy recovery.

“We expect the number of cases to rise and Scotland is well-prepared for a significant outbreak of coronavirus. There is currently no treatment or vaccine so early detection measures will continue to be vital in helping to prevent the spread of the virus.

“People have a vital role to play in helping us contain any outbreak by following the latest health and travel advice, and following basic hygiene precautions, such as washing hands frequently, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing.” 

Scotland’s Chief Medical Officer Dr Catherine Calderwood said: “Firstly our thoughts are with those who have been diagnosed, and with their families.

“Scotland is well equipped to deal with infections of this kind. We have a proven track record of dealing with challenging health issues, and have been preparing for this possibility since the beginning of the outbreak.

“We practice and prepare our response to disease outbreaks and follow tried and tested procedures, following the highest safety standards possible for the protection of NHS staff, patients and the public.”

NHS 24 is the national provider of digital and telephone based health and care services for Scotland.

Updates on public health advice for coronavirus can be found on the NHS Inform website, and a free helpline has been set up for those who do not have symptoms but are looking for general health advice: 0800 028 2816.

The helpline is open:
• Monday to Friday, 8.00am to 10.00pm
• Saturday and Sunday, 9.00am to 5.00pm

The latest numbers of test results are published at 2pm each day on the Scottish Government website.

Common symptoms of coronavirus can include:
• high temperature or fever
• cough
• shortness of breath

For anyone who is planning to travel abroad, guidance can be found on fitfortravel. Where a COVID-19 risk is identified, country pages will be updated.

 

State of Child Health – it’s not good

The RCPCH has today published State of Child Health 2020, the largest ever compilation of data on the health of babies, children and young people across all four UK nations.
The report shows that for many measures of children’s health and wellbeing, progress has stalled, or is in reverse – something rarely seen in high income countries.

Visit the State of Child Heath website

Across most indicators, health outcomes are worse for children who live in deprived areas. Inequalities in some outcomes have widened since the last State of Child Health report in 2017. Progress has also been seriously affected by deep cuts to local authority budgets – used to finance public health initiatives and community services.

The authors highlight that, even where there have been notable improvements in children’s health, the UK is often lagging far behind other countries.  For example, although there has been a fall in the number of emergency asthma admission rates across all four nations, the UK still has one of the highest mortality rates in Europe for children and young people with asthma.

Dr Ronny Cheung, Clinical Lead for RCPCH and co-author of the report, said: “Two weeks ago, the Marmot Review presented a stark picture about life expectancy in England. Now, our own report shows troubling signs for children and young people across the UK.

“The harsh reality is that, in terms of health and wellbeing, children born in the UK are often worse off than those born in other comparably wealthy countries. This is especially true if the child is from a less well-off background.

“Infant mortality is a globally-recognised sign of how well a country is looking after the health of its citizens. Throughout the world, the number of babies dying in their first year has been steadily falling for decades, as incomes rise and mothers and children receive better healthcare.

“Yet UK infant mortality rates have stalled, and in England they actually got worse between 2016 and 2017. For a high-income nation such as ours that should be a major wake up call.”

State of Child Health 2020 brings together 28 measures of health outcomes, ranging from specific conditions – such as asthma, epilepsy, and mental health problems – to risk factors for poor health such as poverty, low rates of breastfeeding, and obesity.

Community paediatrician and co-author Dr Rakhee Shah, said: “Investment in preventative health services must now be prioritised by the new UK Government.

“England has seen a huge decline in spending on local services and I see the results of that every day of my working life especially for my most disadvantaged patients. The cuts to services also have an impact on our NHS – people have fewer places to go to get advice, support, and stay well.”

The authors make a number of policy recommendations for each nation. These include:

  • Introduce a cross-departmental National Child Health and Wellbeing Strategy to address and monitor child poverty and health inequalities.
  • Restore £1 billion of real-terms cuts to the public health grant for Local Authorities.
  • Ensure future investment in public health provision increases at the same rate as NHS funding and is allocated based on population health needs.
  • Implement in full commitments from the prevention green paper, Advancing our health: Prevention in the 2020s.
  • Implement commitments to provide a Youth Investment Fund, with protection of the committed £500m funding.
  • Provide health-based support for children throughout education, including funding for increased numbers of school nurses and school counsellors.
  • Provide renewed investment in services for children and families, which support the child’s school readiness.
  • Ensure that health visiting services are protected, supported and expanded with clear and secure funding.

President of the RCPCH, Professor Russell Viner, said: “We’ve got a lot of work ahead of us if we’re to get a grip on the state of child health in the UK. This report is the only one of its kind to zoom out and look at the full picture and it’s not a pretty sight. On many vital measures we risk lagging behind other European countries.

“There some positive signs – teenage pregnancies have fallen hugely, Scotland is leading the way on reducing youth violence, and we’ve made huge strides in the treatment of conditions like diabetes. These outcomes are invariably the result of good policy, political commitment, and proper funding.

“In many areas of healthcare, we’ve led the rest of the world. But we’re in danger of failing a generation if we don’t turn this situation around. The government has made welcome commitments on childhood obesity and young people’s mental health but we need to see delivery in these and other areas.

“We have the evidence, the experience and the expertise to make real progress in the life of this government. It’s now time to deliver for children and young people.”

KEY HIGHLIGHTS 

Infant mortality

  • The UK is fifth from bottom among 27 European countries for infant (under one year of age) mortality. Infant mortality in England stalled between 2013 and 2018 at 3.9 per 1,000 livebirths, with a slight rise in 2017 to 4.0.
  • In England and Wales infant mortality is more than twice as high in the most deprived areas compared with the least deprived areas.

Healthy weight

  • The prevalence of children aged 4-5 who are overweight or obese has not improved significantly in any of the four countries since 2006-7.
  • Trends among 4-5 year olds are stable across the UK with around 25% of children overweight but this increases to around 34% for 10-11 year olds in England.
  • Childhood obesity is more prevalent in deprived areas. In England, the prevalence of severe obesity among 4-5 year olds was almost four times as high in the most deprived areas (3.8%) than the least deprived areas (1.0%) in 2017/18.

Child poverty (new indicator)

  • A total of 4.1 million children live in relative poverty in the UK (after considering housing costs) – an increase of 500,000 between 2011-12 and 2016-17. From 2016/17 to 2017/18, the numbers in England rose from 30% to 31% of children and in Wales from 28% to 29%
  • Child poverty in Scotland plateaued at 24% and in NI decreased from 26% to 24%.
  • Across the UK, rates of child poverty have increased for all types of working family. Lone parents working part time and households with only one working parent have seen the sharpest increases in poverty over the last three years.
  • Nearly half of children (47%) in working lone parent families live in poverty.

Immunisations

  • In 2018, all four UK nations fell short of the 95% WHO target for the second dose of MMR.
  • In 2018, the uptake rates of two doses of MMR vaccine at 5 years ranged from 86.4% in England, 91.2% in Scotland to 91.8% in Northern Ireland and 92.2% in Wales.

Youth violence (new indicator)

  • While rates of physical violence among young people are broadly similar across the four nations, England is the only country in which rates are increasing – most notably for 20-24 year olds. Between 2012 and 2017, the rate of physical violence among that age group increased from 297.7 to 315.49 per 100,000.
  • In Wales, Scotland and Northern Ireland, physical violence among young people aged 10-24 shows an overall downward or stable trend from 2012-2017.

Long term conditions

  • Emergency admission rates for asthma have fallen since 2003/4 across the UK. However, the UK has among the highest mortality rates in Europe for children and young people with the underlying cause of asthma.
  • Epilepsy had until recently seen similar falling rates of emergency admissions. However, in 2017/18 rates rose slightly in England, Wales and Scotland. In Scotland, children with epilepsy from the most deprived areas were twice as likely to have an emergency admission to hospital than those from the least deprived.
  • There has been continued improvement in blood glucose control among children and young people with Type 1 diabetes across all four nations, and it is encouraging that there have been increases in the completion of key health checks for those with diabetes.

2020 indicators

  • Mortality – Infant mortality; Child mortality (1-9 years); Young people’s mortality (10-19 years)
  • Maternal and perinatal health – Smoking during pregnancy; Breastfeeding
    Prevention of ill health – Immunisations / vaccinations; Healthy weight; Oral health
  • Injury prevention – Accidental injury; Road traffic accidents; Youth violence (new indicator)
  • Healthy behaviours – Smoking in young people; Alcohol and drug use in young people; Conceptions in young people
  • Mental health – Prevalence of mental health (new indicator); Mental health services (new indicator); Suicide
  • Family and social environment – Child poverty; Education – not in education, employment or training (NEET) (new indicator); Young carers (new indicator); Children in the child protection system; Looked After Children (new indicator)
  • Long term conditions – Asthma; Epilepsy; Diabetes; Cancer; Disability and additional learning needs
  • Workforce – Child health workforce (new indicator)

SOCH-SCOTLAND2-03.03.20

Coronavirus: Business as Usual … for now

CORONAVIRUS ACTION PLAN PUBLISHED

The Scottish Government, Welsh Government, Northern Ireland Executive, and the UK Government have today jointly published an Action Plan setting out a collective approach to the ongoing outbreak of coronavirus (COVID-19).

The Scottish Government has also published additional Scotland-specific guidance on its resilience and response arrangements, which provides further detail on how the response will be delivered and coordinated if there is a sustained epidemic.

First Minister Nicola Sturgeon said: “The Scottish Government and NHS Scotland are well-prepared to deal with a coronavirus outbreak. As well as the four nations’ Action Plan published today, we have also published tailored guidance for Scotland’s unique landscape.

“The Action Plan and the detail of our additional resilience arrangements for Scotland set out very clearly what we know so far about coronavirus, the different phases of managing an infection of this nature, what each phase means and the actions that have been or could potentially be taken at each stage.

“Much of this planning is based on reasonable worst case scenarios which will be refined as our understanding of the virus develops, but it is vital that we are well equipped to deal with all possibilities as this outbreak grows globally.

“We will continue to work closely with the UK Government, Welsh Government and the Northern Ireland Executive as part of a coordinated response to this virus.”

Health Secretary Jeane Freeman said: “Scotland is well equipped to deal with infections of this kind and health boards and social care services plan and prepare for a range of emergencies in order to minimise disruption as far as possible.

“We have a proven track record of dealing with challenging health issues and follow the highest safety standard possible to protect health and social care staff, patients and the public.

“The NHS has been specifically preparing for the possibility of further spread of coronavirus since it was first detected in Wuhan and today’s planning information outlines the processes and protections in place to ensure a coordinated response to this outbreak.”

Scottish Conservative shadow health spokesman Miles Briggs MSP said: “Understandably many people in Lothian are deeply concerned about whether the Scottish NHS will be able to cope with the extreme demands that the Coronavirus will place on it.

“Over the last six years we have seen a significant reduction in hospital beds with the loss of hundreds of acute hospital beds over a six year period.

“The worst case scenario outlined by SNP Ministers and the Chief Medical Officer suggests a high number of vulnerable patients will require hospitalisation. The SNP must therefore consider the worst case scenario and recommission NHS beds across the hospital estate urgently.

“It is the responsibility of all of us regardless of politics to make sure that guidance is followed to help protect individuals and families and to provide advice and assistance especially to the most vulnerable in our society.”

Prime Minister Boris Johnson told the press this morning: 

Good morning and thank you for coming along, and I am very glad to be joined this morning by the government’s Chief Medical Officer and Chief Scientific Advisor.

Today we have published the Coronavirus Action Plan setting out how all four parts of the UK will take all necessary and reasonable steps to tackle this outbreak.

The plan has four strands. Containing the virus, delaying its spread, researching its origins and cure, and finally mitigating the impact should the virus become more widespread. That is, contain, delay, research, mitigate.

And let me be absolutely clear that for the overwhelming majority of people who contract the virus, this will be a mild disease from which they will speedily and fully recover as we’ve already seen.

But I fully understand public concern, your concern, about the global spread of this virus. And it is highly likely that we will see a growing number of UK cases.

And that’s why keeping the country safe is the government’s overriding priority. And our plan means we’re committed to doing everything possible based on the advice of our world leading scientific experts to prepare for all eventualities.

Let’s not forget – we already have a fantastic NHS, fantastic testing systems and fantastic surveillance of the spread of disease.

We will make sure the NHS gets all the support it needs to continue their brilliant response to the virus so far.

The plan does not set out what the government will do, it sets out the steps we could take at the right time along the basis of the scientific advice.

Our country remains extremely well prepared, as it has been since the outbreak began in Wuhan several months ago.

Finally, crucially, we must not forget what we can all do to fight this virus, which is to wash our hands, you knew I was going to say this, but wash our hands with soap and water. And forgive me for repeating this but there will be people who will be tuning into this for the first time: wash your hands with soap and hot water for the length of time it takes to sing Happy Birthday twice.

It’s simple advice but it’s the single most important thing we can do, as I think our experts would attest.

But at this stage, and with the exception of all of the points I have just mentioned, I want to stress that for the vast majority of the people of this country, we should be going about our business as usual.

Coronavirus_action_plan_-_a_guide_to_what_you_can_expect_across_the_UK

Coronavirus: Scottish case ‘likely’

Preparations for a coronavirus (COVID-19) outbreak in Scotland have been accelerated, as the virus continues to spread beyond China.

Several European countries have announced their first coronavirus cases. The cases in Austria, Croatia and Switzerland all  appear to be linked to the growing outbreak in Italy, where there are now more than 300 cases with eleven deaths.

The first positive virus test has also been recorded in South America, where a Brazilian resident just returned from Italy.

The Scottish rugby team played a Six Nations international match in Italy on Saturday but the corresponding Women’s game was postponed.

First Minister Nicola Sturgeon chaired a Scottish Government Resilience meeting (SGoRR) to discuss preparedness in Scotland yesterday. 

Health Secretary Jeane Freeman, who also attended the meeting, said: “Though the risk to individuals remain low, and all test results have come back negative so far, the Chief Medical Officer has advised that it is highly likely that we will see a positive case in Scotland as coronavirus continues to spread.

“We are expecting an outbreak and are working hard to ensure we have plans in place to contain it as best we can. The NHS and Health Protection Scotland have an established plan to respond to anyone who becomes unwell.

“Scotland is well-prepared for a significant outbreak of coronavirus but there is currently no treatment or vaccine. Therefore, preventing the spread of any outbreak will be vital, and the Scottish Government is working closely with NHS Scotland and Health Protection Scotland to ensure this.

“We have a proven track record of dealing with challenging health issues and have public health and infectious disease experts working intensively on these issues.

“The public also has a vital role to play in helping us contain any outbreak by following the latest health and travel advice, and following basic hygiene precautions, such as washing hands and covering their nose and mouth with a tissue when coughing or sneezing.”

Preparations in Scotland to date include:

  • the establishment of two testing laboratories in Glasgow and Edinburgh to speed up identification of confirmed cases
  • Supplying GP surgeries with face masks and ensuring hospitals are fully stocked with personal protective equipment
  • Updating of public health legislation to make coronavirus a notifiable disease

The latest numbers of test results are published at 2pm each day on the Scottish Government website.

Updates on public health advice for coronavirus can be found on the NHS Inform website, and a free helpline has also been set up for those who do not have symptoms but are looking for general health advice: 0800 028 2816.

For the general public who are planning to travel abroad, guidance can be found on fitfortravel. Where a COVID-19 risk is identified then country pages will be updated.

Anyone who has arrived in the UK from the areas listed below since 19 February is advised to stay indoors and avoid contact with other people, even if they do not have symptoms. Those who have returned from these areas and display or develop symptoms should  phone their GP or NHS24 on 111 out of hours:

  • Iran
  • specific lockdown areas in Northern Italy as designated by the Government of Italy
  • special care zones in South Korea as designated by the Government of the Republic of Korea
  • the Hubei province in China

For South Korea, anyone who visited the two cities at the centre of the outbreak, Daegu and Cheongdo, is advised to self-isolate for 14 days, even if they do not have symptoms.

For Iran, all returning travellers are requested to self-isolate, even if they do not have symptoms.

For northern Italy, all travellers returning from specific lockdown areas identified by the Italian Government are advised to self-isolate, even if they do not have symptoms.

Any other travellers returning from parts of Italy north of Pisa, Florence and Rimini in the past week are asked to monitor their health, and self-isolate if they develop symptoms.

Anyone who has travelled to the UK from Cambodia, Laos, Myanmar and Vietnam is also now advised to monitor their health, and self-isolate if they develop symptoms.

Public health advice to reduce the risk of acquiring and spreading respiratory infections by practising good respiratory hygiene, includes:

  • avoiding direct hand contact with your eyes, nose and mouth
  • maintaining good hand hygiene – washing hands with soap and water or alcohol hand sanitiser, after coughing or sneezing, after going to the toilet, and prior to eating and drinking
  • wherever possible avoid direct contact with people that have a respiratory illness and avoid using their personal items such as their mobile phone
  • when coughing or sneezing cover your nose and mouth with disposable tissues and dispose of them in the nearest waste bin after use

Social social media messaging can lead to significant health benefits for young people, research finds

A new study led by a research team from Queen’s University Belfast, in partnership with University of Southern California, has found social media messaging, such as Facebook posts and sponsored ads, have a significant positive effect on a range of teenage health behaviors. Continue reading Social social media messaging can lead to significant health benefits for young people, research finds

Alcohol and Drug Partnership waiting times must improve, says Briggs

Lothian MSP Miles Briggs has raised concerns with SNP Ministers about waiting times for Alcohol and Drug Partnerships in Lothian, following latest ISD figures for the quarter ending 31st March 2019. Continue reading Alcohol and Drug Partnership waiting times must improve, says Briggs

Halfway there: organ donor registrations hit new high

51.7% of Scotland’s population are now on the register.

More people than ever are signed up to the Organ Donor Register in Scotland, latest figures show. In 2018, there were 148,000 new registrations from people willing to be organ donors.

And the new registrations mean that the total number of people registered in Scotland has risen to a record high of almost 2.8 million – or 51.7% of Scotland’s population.

Meanwhile, in the last year 829 people in Scotland received a transplant. However there are currently more than 550 people in Scotland waiting for an organ transplant which could save or transform their lives.

The Scottish Government is working on a package of measures to further increase the number of potential donors. This includes legislation introduced to the Scottish Parliament to move to a soft opt-out system for organ and tissue donation. A public consultation in 2017 showed 82% of respondents supporting this move.

Public Health Minister Joe FitzPatrick (above) said: “It’s great to have a record number of people on the Organ Donor Register. This increases the chance of a potentially life-saving and life-changing gift for someone this year.

“However, with more than 550 people still waiting for a transplant, I would encourage people to consider making it their New Year’s resolution and join the Organ Donor Register. One donor can save up to nine lives and transform even more by donating tissue.

“Thanks to the generosity of donors and their families and the work of the NHS, we’ve seen great progress on organ donation over the last few years. We are working on a number of measures to increase donor numbers and save the lives of more people in Scotland.

“The move to a soft opt-out scheme aims to further increase the number of donors, while honouring the donation decision that a person has made in life.”

The figures and data below are from NHSBT:

The number of opt-in registrations (148,488) in Scotland between 4 December 2017 and 3 December 2018. The total may increase as registrations are processed.

In 2017/18, 829 people in Scotland received an organ or cornea/sclera transplant.

As of 4 December, 563 people are waiting for a transplant.

On 4 December 2018, there were 2,796,456 people residing in Scotland on the UK Organ Donor Register (area defined by the ONS NHS Postcode Directory). This is 51.7% of the Scottish population. This is based on 5,404,700 of the Scottish population, figure taken from the mid 2016 population estimates from the Office of National Statistics.

The Human Tissue (Authorisation) (Scotland) Bill will change organ and tissue donation from the current ‘opt-in’ system to a soft ‘opt-out’ system. Under the proposed system, if someone has not stated a decision about donation, they may be deemed as having authorised it. This would mean that, in addition to ‘opting in’  donation could also proceed where a person had not opted-out. There would also be safeguards to minimise the risk of a person becoming a donor if they would not have wished to donate.

People in Scotland can register to become an organ donor through the Organ Donation Scotland