Duncan Selbie’s Friday Message – 24 July 2020

Expensive everybody

Preparing for flu

The annual flu vaccination programme is crucial to our winter planning and we’re working with DHSC and NHS England to roll out the most important marketing campaign in UK historical past to guard extra individuals than ever this coming season.  For the primary time, the programme is being expanded to incorporate all Yr 7 kids, individuals aged 50 – 64 and family contacts of individuals which were on the shielding listing, along with the annual push to vaccinate as many well being and social care workers as doable.

Key to lowering group transmission of flu is our college vaccination programme and uptake has elevated yearly amongst college kids because the starting of the programme in 2013. We now have revealed a briefing for headteachers to elucidate the programme to them and ask for his or her assist in supporting the vaccination periods in class, particularly as they adapt to challenges posed by the COVID-19 pandemic.

Weight problems and COVID-19

PHE has produced a abstract of the insights and proof from what we all know to date in regards to the results of being obese and COVID-19 optimistic. One examine discovered that for individuals with a BMI of 30-35, danger of loss of life from COVID-19 will increase by 40% and with a BMI over 40 by 90%, in comparison with those that had been a more healthy weight. Different information discovered that in intensive care items 7.9% of critically sick sufferers with COVID-19 had a BMI over 40 in contrast with 2.9% of the overall inhabitants. The Prime Minister has been clear in latest weeks about his private dedication to addressing this together with launching a brand new PHE marketing campaign and a powerful evidence-based coverage agenda. Actions shall be targeted on each serving to stop extra weight achieve and supporting individuals dwelling with weight problems to make more healthy meals and more healthy exercise the best selection. Authorities motion on this can be a nice instance of public well being professionals by no means giving up, gathering the proof, making the case and finally successful the argument.

Reporting COVID-19 mortality

How we measure deaths which might be COVID-19 associated is necessary. The World Well being Group advises in opposition to a set time restrict between testing optimistic and loss of life when deciding whether or not a loss of life is more likely to be as a consequence of COVID-19.  International locations have adopted completely different approaches to counting such deaths for statistical functions, together with throughout the nations of the UK.  Because the pandemic goes on, assessing the reason for loss of life following a optimistic check turns into extra advanced.  We goal to seize as many COVID-19 related deaths as doable, but in addition recognise that as time passes following a optimistic check different underlying causes of loss of life grow to be progressively extra doubtless.  The tactic utilized in England was agreed in April when the larger concern was that solely hospital associated deaths had been being reported.  We at all times deliberate to evaluation the strategy in July, have now achieved so, and shall be publishing a revised methodology very shortly.

Loss of life certification identifies deaths for which scientific judgement on the time of loss of life was that the loss of life was as a consequence of COVID-19. The Workplace of Nationwide Statistics (ONS) have been publishing these numbers weekly for a while they usually have been persistently larger than numbers of deaths following a optimistic check, revealed by PHE.  It’s because ONS numbers embody deaths judged to be as a consequence of COVID-19 however and not using a optimistic check.  One other strategy is to estimate extra mortality. The ONS has achieved this for England and Wales and PHE is now additionally publishing weekly a report of extra mortality for England for all causes and for all individuals, but in addition individually by age group, intercourse, trigger, area, place of loss of life, ethnic group and deprivation quintiles. You could find that right here.

Intelligence-led testing

It has been nice to listen to in regards to the work throughout South Yorkshire to drive down charges of COVID-19. The PHE North East and Yorkshire crew, working with the South Yorkshire Administrators of Public Well being, revised their testing technique to adapt to a small however persistent rise in circumstances. Taking a focused strategy, they ensured that extra testing alternatives had been accessible in areas the place there had been a restricted take-up of testing regardless of the prevalence of circumstances. Intelligence-led testing and agile determination making has enabled a discount in circumstances throughout South Yorkshire total, because of the distinctive work from our colleagues and the Administrators of Public Well being: Greg Fell (Sheffield), Julia Burrows (Barnsley), Rupert Suckling (Doncaster), Teresa Roche (Rotherham) and their groups, the South Yorkshire Native Resilience Discussion board and the Built-in Care System.

Eid al-Adha

And at last, Eid al-Adha, the Muslim pageant marking the end result of the annual pilgrimage to Mecca and commemorating the sacrifice of Abraham, begins subsequent Thursday after sundown for 3 days and is a particular celebration that brings households, buddies and communities collectively. Regardless of restrictions on the numbers of people that can safely congregate in locations of worship and a two-household restrict on indoor gatherings, non secular festivals can nonetheless be noticed. Thanks to everybody who’s doing their greatest to adapt and be versatile at this troublesome time and religion leaders will be capable of advise on one of the best strategy domestically. Colleagues will be capable of entry a toolkit, which shall be accessible later as we speak, containing print-ready and digital belongings to assist promote a protected Eid, and now we have additionally revealed this weblog. For these celebrating I want you an Eid Mubarak.

Finest needs

Duncan

 

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