Tag: UKHSA

Monkeypox cases continue to rise

Latest updates on cases of monkeypox identified by the UK Health Security Agency (UKHSA)

UKHSA has published the latest epidemiological overview for the ongoing monkeypox outbreak.

Up to 25 July 2022, there were 2,367 confirmed and 65 highly probable monkeypox cases in the UK: 2,432 in total.

To expand the UK’s capability to detect monkeypox cases, some NHS laboratories are now testing suspected monkeypox samples with an orthopox polymerase chain reaction (PCR) test (orthopox is the group of viruses which monkeypox is part of).

Since 25 July 2022, the monkeypox case definition recognises those who are orthopox-positive as highly probable cases, and those who test positive on a monkeypox PCR test as confirmed cases.

Dr Sophia Makki, National Incident Director at UKHSA, said: “Monkeypox cases continue to rise, with the virus being passed on predominantly in interconnected sexual networks.

“Before you have sex, go to a party or event, check yourself for monkeypox symptoms, including rashes and blisters.

“If you have monkeypox symptoms, take a break from attending events or sex until you’ve called 111 or a sexual health service and been assessed by a clinician.

“Vaccination will further strengthen our monkeypox response and so we urge all those who are eligible for the vaccine to take it up when offered. It will help protect yourself and others you have had close contact with.

“While the infection is mild for many, it can cause severe symptoms and hospitalisation in some.

“Please remember that the vaccine may not provide complete protection against monkeypox, so it is still important to be alert for the symptoms of monkeypox and call 111 or a sexual health clinic if you develop any.”

The NHS will provide the vaccine to those eligible, so please wait until you are contacted.

While anyone can catch monkeypox, the majority of monkeypox cases in the UK continue to be in gay, bisexual and other men who have sex with men (MSM), with the infection being passed on mainly through close contact between people in interconnected sexual networks.

Before you go to a party or event, check yourself for monkeypox symptoms, including rashes and blisters.

If you have monkeypox symptoms, take a break from attending events or sex until you’ve called 111 or a sexual health service and been assessed by a clinician.

It can take up to 3 weeks for symptoms to appear after being in contact with someone with monkeypox, so stay alert for symptoms after you have skin to skin or sexual contact with someone new

TUC: Is it too hot to work?

  • UK Health Security Agency (UKHSA) releases level 3 heat-health alert for parts of UK
  • Forecasters warn temperatures will continue to climb and soar past 30 degrees C in some parts of the country
  • TUC calls on employers to make sure staff are protected from the sun and heat

The TUC has urged employers to make sure their staff are protected from the sun and heat after the UK Health Security Agency (UKHSA) issued a heat-health alert yesterday.

A Level 2 heat-health alert has been issued for the South West, East Midlands, West Midlands, North West and Yorkshire and the Humber regions.

And a Level 3 alert has also been issued for the East of England, South East and London regions.

Both alert levels are in place until 9am on Friday (15 July), with warm weather forecast across the country throughout the course of next week.

Climate change means that the UK will be subject to more frequent and intense heat waves – putting workers at greater risk.

Health warning

Working in hot weather can lead to dehydration, muscle cramps, rashes, fainting, and – in the most extreme cases – loss of consciousness. Outdoor workers are three times more likely to develop skin cancer.

The TUC says employers can help their workers by:

  • Sun protection: Prolonged sun exposure is dangerous for outdoor workers, so employers should provide sunscreen.
  • Allowing flexible working: Giving staff the chance to come in earlier or stay later will let them avoid the stifling and unpleasant conditions of the rush hour commute. Bosses should also consider enabling staff to work from home while it is hot.
  • Keeping workplace buildings cool: Workplaces can be kept cooler and more bearable by taking simple steps such as opening windows, using fans, moving staff away from windows or sources of heat.
  • Climate-proofing workplaces: Preparing our buildings for increasingly hot weather, by installing ventilation, air-cooling and energy efficiency measures.
  • Temporarily relaxing their workplace dress codes: Encouraging staff to work in more casual clothing than normal – leaving the jackets and ties at home – will help them keep cool. 
  • Keeping staff comfortable: Allowing staff to take frequent breaks and providing a supply of cold drinks will all help keep workers cool.
  • Talking and listening to staff and their union: Staff will have their own ideas about how best to cope with the excessive heat.
  • Sensible hours and shaded areas for outdoor workers: Outside tasks should be scheduled for early morning and late afternoon, not between 11am-3pm when UV radiation levels and temperatures are highest. Bosses should provide canopies/shades where possible.

The law

There’s no law on maximum working temperatures. However, during working hours the temperature in all indoor workplaces must be ‘reasonable’.

Employers have a duty to keep the temperature at a comfortable level and provide clean and fresh air.

The TUC would like to see a change in the law so that employers must attempt to reduce temperatures if they get above 24 degrees C and workers feel uncomfortable. And employers should be obliged to provide sun protection and water.

The TUC would also like ministers to introduce a new absolute maximum indoor temperature, set at 30 degrees C (or 27 degrees C for those doing strenuous jobs), to indicate when work should stop.

With climate change bringing higher temperatures to the UK, the government needs a plan on how to adapt and keep workers safe.

TUC General Secretary Frances O’Grady said: “We all love it when the sun comes out. But working in sweltering conditions in a baking shop or stifling office can be unbearable and dangerous.

“Indoor workplaces should be kept cool, with relaxed dress codes and flexible working to make use of the coolest hours of the day.

“And bosses must make sure outdoor workers are protected with regular breaks, lots of fluids, plenty of sunscreen and the right protective clothing.”

The UKHSA health-heat alerts are in place until Friday (15 July). More information is available at:https://www.gov.uk/government/news/heat-health-alert-issued-by-the-uk-health-security-agency

– The TUC is providing resources to workers on how to adjust workplaces to cope with extreme heat: Too hot, too cold – Too hot, too cold (tuceducation.org.uk)

UKHSA urges those with new or multiple sexual partners to be vigilant as monkeypox outbreak grows

Outbreak continues to grow and cases remain primarily in gay, bisexual, or men who have sex with men (GBMSM), within interconnected sexual networks.

The UK Health Security Agency (UKHSA) has published its second technical briefing on the ongoing monkeypox outbreak. The briefing shares UKHSA analyses with public health investigators and academic partners.

The latest epidemiological data, findings from interviews with patients and preliminary analyses are included to understand how the outbreak is evolving and to inform timely and effective public health interventions.

Investigations and modelling continue to show that the outbreak is growing and cases remain primarily in gay, bisexual, or men who have sex with men (GBMSM), within interconnected sexual networks.

UKHSA continues to work with partners including the Terrence Higgins Trust, Stonewall and the GBMSM community to raise awareness of the signs and symptoms of monkeypox. The LGBT Consortium and Pride organisers across the UK have been encouraged to help share public health messaging during Pride month.

79% of England cases are known to be London residents and 99% of all confirmed cases are male, with 5 confirmed female cases. The median age of confirmed cases in the UK was 37 years old.

Of the 813 cases identified in England up to 22 June, 321 (39.5%) had enhanced surveillance questionnaires. The majority (96%) of cases were GBMSM, with further data to indicate transmission is occurring in some sexual networks both internationally and domestically.

Cases frequently reported history of a sexually transmitted infection (STI) in the last year (54.2%) and 10 or more sexual partners in the last 3 months (31.8%). Existing links between cases and sexual health services will be used to identify those at highest risk who are eligible for pre-exposure vaccination.

Dr Meera Chand, Director of Clinical and Emerging Infections, UKHSA said: “If you’ve recently had new or multiple sexual partners, please be vigilant to the symptoms of monkeypox. Currently the majority of cases have been in men who are gay, bisexual or have sex with men. However, anyone who has had close contact with an individual with symptoms is also at increased risk.

“If you are concerned that you may have monkeypox, don’t go to events, meet with friends or have sexual contact. Instead, stay at home and contact 111 or your local sexual health service for advice. Please contact the clinic ahead of your visit and avoid close contact with others until you’ve been reviewed by a clinician.

“To assist with our contact tracing, we encourage everyone to ensure they exchange contact details with sexual partners, to help us  limit further transmission where cases occur.

“We are grateful to all those who have come forward for testing and who help us understand the outbreak through participating in studies and investigations.”

UKHSA will continue to publish regular technical briefings as the response to the outbreak continues.

COVID-19 variants: latest updates

Latest updates on SARS-CoV-2 variants detected in the UK

The UK Health Security Agency (UKHSA) is reminding people to ensure their COVID-19 vaccinations are up to date and to continue following COVID-safe behaviours, as latest technical data indicates BA.4 and BA.5 have become dominant in the UK and are driving the recent increase in infections.

The UKHSA’s COVID-19 variant technical briefing 43, published today, includes epidemiological analysis that shows that Omicron BA.4 and BA.5 now make up more than half of new COVID-19 cases in England, accounting for approximately 22% and 39% of cases, respectively.

Omicron BA.4 and Omicron BA.5 were designated as variants of concern on 18 May on the basis of an apparent growth advantage over the previously-dominant Omicron BA.2 variant.

UKHSA’s latest analysis suggests that Omicron BA.5 is growing 35.1% faster than Omicron BA.2, while Omicron BA.4 is growing approximately 19.1% faster. This suggests that BA.5 is likely to become the dominant COVID-19 variant in the UK.

The increasing prevalence of Omicron BA.4 and BA.5 is likely to be a factor in the recent increase in cases seen in the UK and elsewhere, though there is currently no evidence that Omicron BA.4 and BA.5 cause more severe illness than previous variants.

So far, vaccination means that the rise in cases is not translating to a rise in severe illness and deaths. UKHSA scientists are urging anyone who has not had all the vaccines they are eligible for to make sure that they get them as soon as possible.

COVID-19 HAS NOT GONE AWAY, so it is also vitally important that people continue to follow the guidance. Stay at home if you have any respiratory symptoms or a fever and limit contact with others until you are feeling better, particularly if they are likely to be at greater risk if they contract COVID-19.

Professor Susan Hopkins, Chief Medical Advisor at UKHSA said: “It is clear that the increasing prevalence of Omicron BA.4 and BA.5 are significantly increasing the case numbers we have observed in recent weeks. We have seen a rise in hospital admissions in line with community infections but vaccinations are continuing to keep ICU admissions and deaths at low levels.

“As prevalence increases, it’s more important than ever that we all remain alert, take precautions, and ensure that we’re up to date with COVID-19 vaccinations, which remain our best form of defence against the virus. It’s not too late to catch up if you’ve missed boosters, or even first doses so please take your recommended vaccines.

“Our data also show that 17.5 per cent of people aged 75 years and over have not had a vaccine within the past six months, putting them more at risk of severe disease. We 2urge these people in particular to get up-to-date.

“If you have any symptoms of a respiratory infection, and a high temperature or feel unwell, try to stay at home or away from others – especially those who are elderly or vulnerable. Face coverings in crowded indoor spaces and hand washing will help to reduce transmission of infection and are especially important if you have any respiratory symptoms.”

UKHSA encourage everyone to continue to follow the most up-to date guidance.

As we learn to live safely with COVID-19, there are actions we can all take to help reduce the risk of catching COVID-19 and passing it on to others.

The risk of catching or passing on COVID-19 is greatest when someone who is infected is physically close to, or sharing an enclosed or poorly ventilated space with, other people.

You will not always know whether someone you come into contact with is at higher risk of becoming seriously ill from respiratory infections, including COVID-19. They could be strangers (for example people you sit next to on public transport) or people you may have regular contact with (for example friends and work colleagues).

There are simple things you can do in your daily life that will help reduce the spread of COVID-19 and other respiratory infections and protect those at highest risk.

Things you can choose to do are:

  • Get vaccinated
  • Let fresh air in if meeting others indoors
  • Practise good hygiene:
  • wash your hands
  • cover your coughs and sneezes
  • clean your surroundings frequently
  • Wear a face covering or a face mask, particularly if you are in crowded and enclosed spaces.

Scotland saw the largest increase in Covid cases in the UK last week, according to the Office for National Statistics (ONS).

It estimates about 250,700 people – one in 20 – had the virus in the week ending 17 June – an increase on the previous week when about 176,900, or one in 30 people, had Covid.

Meanwhile, NHS Lothian said a fifth of its nursing staff were off work as a result of the virus. With a 50% rise in hospital inpatients testing positive in the last week, NHS Lothian says its services are coming under increasing pressure.

Two more cases of monkeypox

The UK Health Security Agency (UKHSA) has detected 2 additional cases of monkeypox, one in London and one in the South East of England.

The latest cases bring the total number of monkeypox cases confirmed in England since 6 May to nine, with recent cases predominantly in gay, bisexual or men who have sex with men (MSM).

The 2 latest cases have no travel links to a country where monkeypox is endemic, so it is possible they acquired the infection through community transmission.

The virus spreads through close contact and UKHSA is advising individuals, particularly those who are gay, bisexual or MSM, to be alert to any unusual rashes or lesions on any part of their body, especially their genitalia, and to contact a sexual health service if they have concerns.

Monkeypox has not previously been described as a sexually transmitted infection, though it can be passed on by direct contact during sex. It can also be passed on through other close contact with a person who has monkeypox or contact with clothing or linens used by a person who has monkeypox.

The 2 new cases do not have known connections with previous confirmed cases announced on 16, 14 and 7 May.

UKHSA is working closely with the NHS and other stakeholders to urgently investigate where and how recent confirmed monkeypox cases were acquired, including how they may be linked to each other.

The virus does not usually spread easily between people. The risk to the UK population remains low.

Anyone with concerns that they could be infected with monkeypox is advised to contact NHS 111 or a sexual health clinic. People should notify clinics ahead of their visit. We can assure them their call or discussion will be treated sensitively and confidentially.

Monkeypox is a viral infection usually associated with travel to West Africa. It is usually a mild self-limiting illness, spread by very close contact with someone with monkeypox and most people recover within a few weeks.

Dr Susan Hopkins, Chief Medical Adviser, UKHSA, said: “These latest cases, together with reports of cases in countries across Europe, confirms our initial concerns that there could be spread of monkeypox within our communities.

“UKHSA has quickly identified cases so far and we continue to rapidly investigate the source of these infections and raise awareness among healthcare professionals.

“We are particularly urging men who are gay and bisexual to be aware of any unusual rashes or lesions and to contact a sexual health service without delay if they have concerns. Please contact clinics ahead of your visit.

“We are contacting any identified close contacts of the cases to provide health information and advice.

“Clinicians should be alert to individuals presenting with rashes without a clear alternative diagnosis and should contact specialist services for advice.”

Symptoms

Initial symptoms of monkeypox include fever, headache, muscle aches, backache, swollen lymph nodes, chills and exhaustion. A rash can develop, often beginning on the face, then spreading to other parts of the body including the genitals.

The rash changes and goes through different stages, and can look like chickenpox or syphilis, before finally forming a scab, which later falls off.

No need for second booster at this time, say health experts

Boosters continue to provide high levels of protection against severe disease from Omicron in older adults

Latest data from UKHSA shows booster doses are continuing to provide high levels of protection against severe disease from the Omicron variant among older adults.

Figures show that around 3 months after they received the third jab, protection against hospitalisation among those aged 65 and over remains at about 90%.

With just 2 vaccine doses, protection against severe disease drops to around 70% after 3 months and to 50% after 6 months.

The Joint Committee on Vaccination and Immunisation (JCVI) has taken this latest evidence into account in their ongoing review of the booster programme.

The Committee advises that at this present time:

  • there is no immediate need to introduce a second booster dose, or fourth jab, to the most vulnerable (care home residents and those aged over 80) – the timing and need for further booster doses will continue to be reviewed as the data evolves
  • priority should continue to be given to rolling out first booster doses to all age groups
  • unvaccinated individuals should come forward for their first 2 doses as soon as possible

Professor Wei Shen Lim, the JCVI’s chair of COVID-19 immunisation, said: “The current data shows the booster dose is continuing to provide high levels of protection against severe disease, even for the most vulnerable older age groups.

“For this reason, the committee has concluded there is no immediate need to introduce a second booster dose, though this will continue to be reviewed.

“The data is highly encouraging and emphasises the value of a booster jab. With Omicron continuing to spread widely, I encourage everyone to come forward for their booster dose, or if unvaccinated, for their first 2 doses, to increase their protection against serious illness.”

The latest study looked at booster doses in those aged over 65, who were among the first to be eligible when the booster rollout began in mid-September.

Whilst with a booster dose, the duration of protection against severe disease remains high, protection against mild symptomatic infection is more short-lived and drops to around 30% by about 3 months.