Metrics for the trade offs between infection impacts and care/daily life impacts is so important. Yes infections have unpredictable, non-linear trajectory. But we know *a lot* about what is good in #socialcare. Time to bring it into #pandemic planning and practice
@ajlamesa@rwjdingwall@AmmTowers@CMO_England#COVID technical report has a chapter on care homes, notes that information on resident experience, and on trade-offs is lacking. But the tools do exist to understand #socialcare outcomes - but not well known in health, the dominant culture https://t.co/oe2vAMz7di
By me in @ConversationUK: 'Scabies outbreak in UK and Europe – what you need to know' (https://t.co/PEVs3WJcHD).
Amidst rising cases & harmful myths, I have written this for a public audience & answer:
* What is scabies & how do people catch it?
* Are scabies cases rising, & if so why?
* Who is most at risk of catching scabies?
* Is scabies caused by poor personal hygiene?
* What are the symptoms?
* How contagious is scabies & how long can mites survive off the body?
* Why does scabies treatment sometimes fail or seem not to work?
* Why was an oral medication recently introduced?
* Is scabies becoming resistant to medicated cream?
* What are the emotional & mental health effects of scabies on patients and families?
* Why do shame and embarrassment make scabies harder to control?
* What should people do if they think they have scabies?
Based on my ongoing @NIHRARCs supported #PublicHealth research at @ARC_KSS + @BSMSMedSchool (a collaboration between @SussexUni, @uniofbrighton, & @UHSussex).
Interview with me in @MetroUK on the need to @ControlScabies in schools, care homes, & other crowded institutions. Online today, in print edition later this week.
Our @BSMSMedSchool@ARC_KSS research enabled UK licensing of oral #ivermectin treatments, and I continue to support teams managing outbreaks nationwide (and evaluate outcomes).
For practical guidance and disease dynamics see @SpringerNature book chapter by myself, @jackiecassell & Steve Walker:
'Scabies Management in Institutions' https://t.co/jgDQNkc6sI Free to read version:
https://t.co/eG5LxJSNJ0
@Docstockk It's worth recalling the context of David Steel's original Abortion bill. Not primarily an argument about rights in the public eye. A key driver was the horror of sepsis, infertility and death through backstreet abortion complications after payday. This has almost disappeared
This, which I learned from Lucy, is something all of us in health and #healthprotectipn should know. Just like viral load and antibody graphs by pathogen. #DisasterRecoveryCurve
@BoinksJar@jasonryanmd@keithnewton That is true. But sometimes it just happens in public, approach of the senior is of course important but the face plant reflects an important professional instinct, to be acknowledged not necessarily minimised
@bencooper@Docstockk I know. However there are (many) people whose lives are constantly blighted by mockery for being stupid or thick. Which is why it's important to make these points in a more precise way.
@bencooper@Docstockk Hmm. Can't read/learning disability = "thick". Voted Brexit = "stupid". The last acceptable generic insult, and I don't think it joints the world in any useful way here. Blinkered, maybe? I *really* dislike stupid as an insult.
@LucyGoBag I'd be interested in your thoughts on best practice in naming of exercises (including use of Latin names and words like Cygnus)? Interesting journey we went through on the naming of storms...
@ShazzBakes Gratin. Slice thinly, few onion slices, layer and sprinkle a little flour, perhaps some sardines or other tinned fish for protein, black pepper and whatever herbs you like, cover (just) with milk, maybe sprinkle grated cheese. Cook 70 mins at 160, you have a meal. Lettuce side