vineri, 10 iunie 2011

Pandemic promotion

 
Government advert warning people about pandemic flu Copyright: Department of Health

This advertisement, obtained by the BBC under Freedom of Information, has never been previously broadcast.

For years the UK's health professionals have been preparing for a pandemic flu outbreak that they fear could lead to huge numbers of deaths and seriously disrupt the functioning of the nation.

Above is one of the government advertisements that we would have seen if it had happened by now. Never previously broadcast, it was obtained by the BBC through a freedom of information request.

The ad uses the metaphor of falling dominoes to convey the impression of a menace moving rapidly and almost inexorably across the globe, accompanied by an ominous voiceover.

The counter-measures it recommends, such as hand-washing, appear to present only an isolated obstacle to the perilous progress of the disease.

If it seems pessimistic, it illustrates the kind of scenario that has been deeply worrying the National Health Service and emergency planners in the past few years. It was produced in 2006.

It can be difficult to assess the impact of a publicity message outside its intended context, but it would certainly seem to fit an atmosphere of fear. It shows the extent of anxiety that has existed at times in the Department of Health - and perhaps still should.

This ad is one of several similar executions commissioned by the department, to be deployed in the event of a sufficiently serious situation.

The swine flu outbreak in 2009 was not considered grave enough for this treatment, prompting instead the less fearful 'Catch it, Bin it, Kill it' campaign.

Initially the Department refused to supply the advert to the BBC, on the grounds that they were intended for future publication. But they changed their mind after we appealed, accepting that it is likely to be some time before circumstances arise which could lead to their being broadcast.

In disclosing this material, the department stressed: "The 'Dominoes' creative execution was developed before swine flu, to be broadcast in the event of a severe pandemic. While swine flu was mild, a severe event could still occur at any point, and the department continues to make provision for this in its communications planning.

"We periodically review creative material to ensure continued effectiveness and salience in the same way that we review pandemic preparedness plans as a whole."

So it's possible that we could be seeing a lot more of this symbolism at some point in the future.

From the freedom of information viewpoint, this indicates how the law can provide access to video or audio material held by public authorities as well as the written word.

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/uk-politics-13665149

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joi, 9 iunie 2011

Call to cut 'chemical cosh' drugs

Elderly womanThere are around 750,000 people living with dementia in the UK
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More than 50 health and social care organisations are calling for fresh action to cut the prescription of "chemical cosh" drugs.

Around 180,000 people with dementia are thought to be prescribed antipsychotic drugs in the UK.

But 80% of those prescriptions are said by critics to be inappropriate.

Long-term use of the drugs can make dementia symptoms worse, reduce the ability to talk and walk and increase the risk of stroke and even death.

The Dementia Action Alliance - which includes the Alzheimer's Society, Age UK and the Department of Health - want all prescriptions for antipsychotics to be reviewed by the end of March 2012.

To help patients and carers, the Alliance has published a booklet giving information and advice about how to make sure antipsychotics are not prescribed inappropriately.

Antipsychotics have a powerful sedative effect and are often used when dementia patients become aggressive, agitated or distressed.

“It is unacceptable that 1,800 people with dementia die prematurely every year as a result of antipsychotic medication”

Paul Burstow MP Care Services Minister

They are most commonly given to dementia sufferers in care homes and hospitals.

Guidelines say they should only be used as a last resort and over a short period of time, but the evidence suggests that in some cases they are being prescribed for years.

A study published in January 2009 showed the medication nearly doubled the risk of death for many dementia patients when taken over a prolonged period.

Jeremy Hughes, Chief Executive of the Alzheimer's Society, said it was unacceptable that people with dementia were having their health and quality of life put at risk because of antipsychotics:

"It is essential we bring an end to this chemical cosh and empower people with dementia and carers with the information they need to ensure they are not prescribed these drugs inappropriately. This call to action can do just that.

"It's not just about reducing antipsychotics but also about improving quality care. This means developing alternative treatments and finding better ways to manage pain and other medical conditions."

Following an independent report for the government in November 2009 that found the drugs killed around 1,800 patients a year, ministers announced plans to cut prescribing rates by two-thirds within three years.

But new figures from the NHS Information Centre suggest prescription may have dropped by less than 20% over the past two years.

When in opposition, Paul Burstow, now Care Services Minister, campaigned to cut the use of the 'chemical cosh'.

"It is unacceptable that 1,800 people with dementia die prematurely every year as a result of antipsychotic medication. That is why I'm backing this campaign," he said.

"Reducing the use of antipsychotic medication is one of the Coalition Government's four key priorities for dementia. With the right support, people can live well with dementia and continue to do the things they enjoy for years after diagnosis."

The campaign is also being supported by Dr Clare Gerada, Chair of Royal College of General Practitioners.

"Dealing with very agitated or aggressive patients can be distressing, and it can be difficult knowing what to do for the best of the patient, but antipsychotics should in most cases only be used as a last resort, and for the short term.

"Antipsychotics have potential to do real harm to patients, including an increased risk of stroke. There are viable alternatives - including behavioural therapies - that we should encourage wherever possible to ensure the care our patients receive is appropriate, in their best interests and does not cause them harm."

Rebecca Wood, Chief Executive of Alzheimer's Research UK, the UK's leading dementia research charity, said:

"Action to reduce the prescription of these drugs and develop alternative treatments has lacked urgency.

"This campaign should renew that urgency and drive home the need to invest in more research so that safer, more effective treatments can be found."

Martin Green of the English Community Care Association, a body that represents care homes, said: "ECCA really welcomes the commitment by the Department of Health to reduce anti-psychotic prescribing and we want to see all sections of the system - primary care, acute hospitals, pharmacists and care homes - working in partnership to reduce inappropriate anti-psychotic prescribing".

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/health-13698487

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miercuri, 8 iunie 2011

UUP to reform candidacy selection

Tom ElliottTom Elliott criticised members of the party who want to 'pursue their own agenda'
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Ulster Unionist leader Tom Elliott has pledged to change the mechanism for selecting the party's election candidates.

Mr Elliott said the current system of candidates being chosen by constituency associations, needed to be reformed.

He was speaking at the party's annual general meeting in Belfast.

He promised new mechanisms, which could see candidates selected by the leadership if it is unhappy with the decisions made at a local level.

"We must again look at this process to ensure that rules will allow us to deliver the best winnable candidates," said Mr Elliott.

The leader admitted that he was disappointed at the UUP's election performance last month. It lost two seats in the Assembly and secured just 100 council seats.

He said his nine months at the helm of the party had been "long and difficult".

Mr Elliott also admitted there were divisions with the UUP and stressed it was important that the party put on a united front.

He criticised members who want to "pursue their own agenda" and said those who do not agree with the party's policies should "consider their positions".

Mr Elliott said the divisions in the party needed to be resolved if it was to win more votes in next round of elections.

"Once we have taken a decision - and let's not forget that we reach decisions by a vote of the majority - then every single member of the party has a duty to stand behind that decision," he said.

"How can we criticise the lack of collective responsibility in the Northern Ireland Executive if we don't even have a culture of collective responsibility within our own ranks?

"So let me make something quite clear. I will hold to account any member of this party, be it an elected representative or an ordinary grassroots member, who thinks that they have the right to pursue their own agenda and damage the party."

The party has lost several members in recent months, including East Londonderry MLA David McClarty who went on to secure an Assembly seat as an Independent.

Mr McClarty had strongly criticised the party for having "no central control".

Mr Elliott told the conference it was important to take "criticism on the chin", particularly from the media.

He urged the party to "rebuild and reconnect".

"We have a tough job ahead of us. And that job will only be completed if we tackle it together," he added.

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/uk-northern-ireland-13653426

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luni, 6 iunie 2011

Major delays to Waterloo journeys

Thousands of passengers are facing disruption to their journeys to and from London Waterloo due to signalling problems.

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/uk-england-london-13674059

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duminică, 5 iunie 2011

Fire service faces hefty pay cost

Fire engineThe service has warned that it will have to use financial reserves to meet the compensation pay
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Dumfries and Galloway Fire and Rescue Service is facing a bill of up to £160,000 to meet compensation payments to its retained staff.

It follows a ruling by an employment tribunal on the terms and conditions of part-time firefighters.

The compensation payments were set on the back of two test cases lodged in England more than a decade ago.

DGFRS has warned it has no budget to meet the costs and will have to dip into its financial reserves.

The Fire Brigades Union argued that part-time staff were receiving less favourable terms and conditions than their full-time colleagues despite doing the same duties.

That stance was eventually upheld by an employment tribunal after a lengthy legal process which at one point reached the House of Lords.

A negotiated settlement between the employers and the union has now been agreed.

It will see compensation payments - backdated to July 2000 - made to all eligible retained staff.

In Dumfries and Galloway, it is estimated it will cost the fire and rescue service about £160,000.

However, a report to councillors said the brigade did not have the resources available to meet the costs.

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/uk-scotland-south-scotland-13632382

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joi, 2 iunie 2011

New president elected in Latvia

Andris Berzins, Latvia's president electLatvia's president elect, Andris Berzins, is a banker turned politician
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The challenger Andris Berzins has won the presidential election in the Baltic state of Latvia, in a second round of voting.

Mr Berzins defeated incumbent Valdis Zatlers, winning the support of 53 MPs out of 100 in a parliamentary ballot.

The outgoing president had called for radical reforms to curb the corrupting influence of oligarchs.

Mr Berzins, 66, is a former banker turned politician in the Greens and Farmers' Union.

President Zatlers, 56, had been widely expected to win the vote, until he accused lawmakers last Saturday of being soft on corruption and called a referendum on the dissolution of parliament.

His outburst came after parliament stopped the country's anti-corruption bureau from searching the home of a powerful local politician who has been engulfed in scandal.

The confrontation plunged Latvia into political turmoil just as the country was recovering from a near economic collapse.

Latvia is struggling to meet the conditions of a massive loan from the International Monetary Fund and European Union.

Outgoing Latvian president, Valdis ZatlersPresident Valdis Zatlers caused a political crisis last weekend, shortly before the election

In Latvia, it is parliament that chooses the president.

To win, a candidate must secure an outright majority of the vote.

The election had been scheduled for July, when President Zatlers' term ended.

"Thank you for the honour you have shown me," Mr Berzins told parliament after the vote.

Andris Berzins was active in politics after Latvia regained independence from the former Soviet Union in 1991.

Later he ran a leading bank until 2004, and then became head of the country's chamber of commerce.

He returned to parliament just last year, in October.

The outgoing president, Mr Zatlers, is an orthopaedic surgeon by training. He became president in July 2007.

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/world-europe-13628945

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Calls for Strep B tests for women

Strep B campaign leaflet

A woman who lost her unborn baby as a result of the Strep B infection has called for routine testing to detect the presence of the bacteria.

Group B streptococcus is a bacteria that can be passed between the mother and child during a natural birth.

It is the most common cause of blood infections and meningitis in newborns and often causes the death of the baby.

Gillian Boyd said her pregnancy had been perfectly normal up until her baby was stillborn at full-term.

She said when midwives told her they could not detect her baby's heart-beat "my world was falling apart, but I still didn't want to believe them.

"After an actual scan a doctor then confirmed there was no heart-beat and that Erin had already died.

"After that they gave me some gas and air and I knew at that stage that I had to deliver a baby who wasn't going to cry."

“For the families involved it would be a very sensible and worthwhile investment. I happen to personally feel that women should be tested”

Alasdair McDonnell MP and doctor

It was only after a post mortem examination that she found out her baby had died due an infection caused by Group B streptococcus.

"I know that if this bacteria is detected in a pregnant woman, that it can be easily prevented," Gillian said.

"They could prevent more if a test was done."

Health Minister Edwin Poots said it was understandable that people were calling for screening after such tragedies.

"However, the UK National Screening Committee, the expert body which advises the four UK health departments on screening programmes, has kept under review the evidence for screening for Group B Streptococcal (GBS) infection, and following the most recent review in 2009 the NSC reaffirmed its advice that screening for GBS should not be offered.

"I will continue to keep this situation under close review."

South Belfast MP Dr Alasdair McDonnell said testing would be expensive, but worthwhile for families affected.

"It's one of these balancing acts that we've got into in the health service," he said.

"It makes perfect sense to test, but you're in a situation where there's something like 75 babies a year are affected yet it would cost probably something in the region of millions of pounds to do the test.

"But for the families involved it would be a very sensible and worthwhile investment. I happen to personally feel that women should be tested."

This article is from the BBC News website. � British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Source: http://www.bbc.co.uk/go/rss/int/news/-/news/uk-northern-ireland-13618476

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