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SNP accused of ignoring ‘substantial number’ of Scottish Brexiteers in BBC Newsnight row
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THE gap between Scotland’s public spending and tax revenue widened to £ billion last year even before the worst impact of the Covid.
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The declaration leaves Pakistan and neighbouring Afghanistan as the only countries thought to still have the virus, with vaccination efforts against the highly infectious, water-borne disease complicated by insecurity and attacks on health workers. The announcement by the African Regional Certification Commission for Polio Eradication comes after no cases have been reported for four years.
Polio once paralysed some 75, children a year across Africa. This is an incredible achievement, and a much-needed cause for celebration. The World Health Organisation WHO says it is just the second time a virus has been eradicated in Africa, after the elimination of smallpox four decades ago. But sometimes patchy surveillance across the vast continent of 1.
The final push to combat wild polio focused largely on northern Nigeria, where the Boko Haram Islamic extremist group has carried out a deadly insurgency for more than a decade. Health workers at times carried out vaccinations on the margins of the insecurity, putting their lives at risk. The country had been removed from the global list of polio-endemic nations a year earlier, a step towards being declared polio-free, but new cases were then reported in children in the north — a stark example of the difficulties in combating the disease.
This new declaration does not mean Africa is polio-free. Cases remain of the so-called vaccine-derived polio virus, which is a rare mutated form of the weakened but live virus contained in the oral polio vaccine. Health authorities have warned that the coronavirus pandemic has disrupted vaccination work in many countries across Africa, leaving more children vulnerable to infection. In April, the WHO and its partners reluctantly recommended a temporary halt to mass polio immunisation campaigns, recognising the move could lead to a resurgence of the disease.
In May, they reported that 46 campaigns to vaccinate children against polio had been suspended in 38 countries, mostly in Africa, as a result of the coronavirus pandemic.
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The period coincided with the restrictions imposed on the NHS earlier this year while it prioritised its resources to focus on coping with an anticipated surge in patients infected with COVID While the findings reflect the experiences of only one centre in the UK, they are nevertheless consistent with other research on the health consequences of lockdown measures. In line with government guidelines, cardiology services adopted virtual outpatient clinics, redeployed staff to acute medical services and rescheduled non-urgent procedures, while also dealing with the cardiac complications of COVID, such as myocarditis inflammation of the heart muscle , heart attack and heart failure.
How this might have directly and indirectly affected cardiology services and clinical activity hasn’t been measured to date. The researchers therefore analysed key performance indicators in cardiology services in a district general hospital Dumfries and Galloway Royal Infirmary, Dumfries and a supporting tertiary service Golden Jubilee National Hospital, Glasgow before and after lockdown. They compared four time intervals – each one month long – from January through to May of this year to identify any changes in cardiology service provision and clinical activity.
Overall, there were significant reductions in every area of service provision, including outpatient clinics, investigations, procedures and specialist community services, such as heart failure and cardiac rehabilitation. Even though these reductions improved during the second month of lockdown, they were still below pre-lockdown levels of activity, suggesting an ongoing fall in the overall number of patients presenting to cardiology services, say the researchers.
During lockdown, clinicians at the Dumfries hospital adopted phone and video consultations to minimise infection risks to patients and staff while new and return clinic appointments were triaged into virtual or face-to-face clinics. There were various reasons for these changes, such as the restructuring and prioritisation of NHS services, reduced access to primary care, and patients’ reluctance to seek medical help due to fear of catching the virus, suggest the researchers.