The UK government failed to adequately prepare the NHS for the COVID-19 pandemic. NHS workers report a lack of personal protective equipment and unclear guidelines, creating unsafe conditions. In late January, experts warned that COVID-19 could become a global epidemic and advised preparing supply chains and resources, but UK officials did not expand testing or ensure PPE distribution. As a result, the NHS is unprepared for the surge of patients, and both patients and NHS staff will unnecessarily die due to this failure to act on early warnings.
The UK, Italy and France surely have lessons to learn from Germany and South Korea. The aim here is to understand, not judge, criticise or blame
I will share a serialised version of the overall slideshow which records facts that merit attention in the UK
- UK plans
- UK response
- Conclusions
- Numbers
- Political and moral dilemmas
Enjoy!
UK Response to Covid-19 (20 april 2020)Salim Sheikh
A personal view and insights gathered from various sources up to 20 April 2020.
Purpose is not to be biased or pass judgment but rather to invite reflection -- we live in unique and challenging times.
--------------------------
Extract from Page 1
--------------------------
The UK, Italy and France surely have lessons to learn from Germany and South Korea.
The aim here is to understand, not judge, criticise or blame
This slide show records facts that merit attention in the UK
- UK plans
- UK response
- Conclusions
- Numbers
- Political and moral dilemmas
The UK, Italy and France surely have lessons to learn from Germany and South Korea. The aim here is to understand, not judge, criticise or blame
I will share a serialised version of the overall slideshow which records facts that merit attention in the UK
- UK plans
- UK response
- Conclusions
- Numbers
- Political and moral dilemmas
Enjoy!
UK Response to Covid-19 (20 april 2020)Salim Sheikh
A personal view and insights gathered from various sources up to 20 April 2020.
Purpose is not to be biased or pass judgment but rather to invite reflection -- we live in unique and challenging times.
--------------------------
Extract from Page 1
--------------------------
The UK, Italy and France surely have lessons to learn from Germany and South Korea.
The aim here is to understand, not judge, criticise or blame
This slide show records facts that merit attention in the UK
- UK plans
- UK response
- Conclusions
- Numbers
- Political and moral dilemmas
The UK, Italy and France surely have lessons to learn from Germany and South Korea. The aim here is to understand, not judge, criticise or blame
I will share a serialised version of the overall slideshow which records facts that merit attention in the UK
- UK plans
- UK response
- Conclusions
- Numbers
- Political and moral dilemmas
Enjoy!
Resilience strategy in emergency medicine during the Covid-19 pandemic in ParisOceane MINKA
This study describe the organizational impact of the Covid-19 pandemic in Emergency Medicine. Published in JEUREA : https://doi.org/10.1016/j.jeurea.2021.04.001
Policy briefing launch: Ready to rollout – Improving uptake of routine immuni...ILC- UK
We launched our policy briefing, commissioned by MSD, on improving uptake for routine immunisation across the life course in a post-pandemic UK.
This event was chaired by Shirley Cramer, former CEO of Royal Society for Public Health (RSPH)
Speakers included:
Rt Hon Dr Lisa Cameron MP, Chair of the APPG on Health
Joanne Yarwood, National Immunisation Programme Manager, Public Health England
Dr George Kassianos, National Immunisation Lead, Royal Society of General Practitioners
Rehana Ahmed, Immunisation Commissioning Manager, NHS England
Liam Hanson, Communications and Engagement Officer at ILC and author of the briefing
In many respects, the UK is an international example of best practice when it comes to immunisation, with good vaccine uptake rates and relatively low vaccine hesitancy. In particular, the UK’s COVID-19 vaccination programme has received a very high uptake rate of over 86.6% for the first dose among over-18s as of July 2021.
But we cannot afford to get complacent. The pandemic has further exposed inequalities in immunisation uptake in the UK. For example, uptake of the COVID-19 vaccine is 26% and 15% lower among those who identify as Black Caribbean and Pakistani respectively compared to those identifying as White British. There is also growing concern that routine immunisations will be missed or given less attention post-COVID.
Over the course of this year, ILC have been speaking to experts in immunisation from government and local authorities as well as healthcare professionals to discuss how the delivery of immunisation in the UK could be optimised, in particular through taking a life course approach; utilising data effectively; and getting commissioning right.
At this webinar, we launced a policy briefing with recommendations based on these discussions for the UK healthcare system to improve the uptake of routine immunisation post-pandemic.
Coronavirus Unmasked - Biosecurity and Medical FascismAndrew Johnson
In this presentation, we will go through the evidence relating to the history and planning of the alleged COVID-19 Pandemic and how it fits in with a wider, more longstanding globalist agenda. We will look at how the UK Govt. has lied and committed crimes in relation to the measures it has implemented.
Slide 004 - Andrew’s Activities re COVID-19
https://cvpandemicinvestigation.com/
https://cvpandemicinvestigation.com/covid-19-investigation-report-challenging-the-narrative-pandemic/
https://cvpandemicinvestigation.com/2020/09/covid-19-evidence-of-fraud-medical-malpractice-acts-of-domestic-terrorism-and-breaches-of-human-rights/
Slide 006 - Swine Flu (2009) – Looking at Evidence
https://vimeo.com/25624580
Slide 018 - WHO Advisory Checklist - 1
https://www.who.int/csr/resources/publications/influenza/WHO_CDS_CSR_GIP_2005_4/en/
Slide 020 - Swine Flu – Retrospective Review
https://www.telegraph.co.uk/news/health/swine-flu/7865796/Swine-flu-killed-457-people-and-cost-1.24-billion-official-figures-show.html
Slide 021 - Swine Flu Vaccine?
https://www.bmj.com/content/362/bmj.k3948
Slide 024 - WHO Dunnit…
https://www.detroitnews.com/story/news/world/2020/03/11/declares-virus-crisis-now-pandemic/111415246/
https://www.bbc.co.uk/news/world-africa-51720184
https://www.opride.com/2017/05/11/case-director-general-candidate-tedros-adhanom/
https://www.theburningplatform.com/2020/04/04/the-crimes-of-tedros-adhanom/
Slide 025 - Who Planned it…??
https://hub.jhu.edu/2019/11/06/event-201-health-security/
https://www.youtube.com/watch?v=AoLw-Q8X174
http://www.centerforhealthsecurity.org/event201/about
https://www.bloomberg.com/features/2020-china-wuhan-pollution/
Slide 026 - Someone is worried about Dissent…
https://ec.europa.eu/info/live-work-travel-eu/health/coronavirus-response/fighting-disinformation/identifying-conspiracy-theories_en
Slide 028 - Dr Neil Ferguson’s “Scare” Model
https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-Europe-estimates-and-NPI-impact-30-03-2020.pdf
https://www.ecdc.europa.eu/en/covid-19/data-collection
https://www.washingtonexaminer.com/news/imperial-college-scientist-who-predicted-500k-coronavirus-deaths-in-uk-revises-to-20k-or-less
https://lockdownsceptics.org/code-review-of-fergusons-model/
https://twitter.com/neil_ferguson/status/1241835454707699713
https://www.vaccineimpact.org/resources/VIMC_orgchart_2017.pdf
https://www.mirror.co.uk/news/politics/professor-behind-coronavirus-lockdown-plan-21979710
Slide 030 - UK – COVID-19 is NOT an HCID…
https://cvpandemicinvestigation.com/wp-content/uploads/2020/08/Letter-JVT-March13th_Open_Government_Status-.pdf
Slide 031 - UK Government Posts Statement
https://www.gov.uk/guidance/high-consequence-infectious-diseases-hcid
Sorry - no more space!
A presentation on my life in public health and vaccinations- from measles in the West Midlands of England, 1983-2014 to COVID-19 in Europe, 2020-now, implications for the public health community and vaccines manufactures including the vaccine TRIPS waiver. Presentation to a Spanish public health and vaccines forum, October 18th 2021 211018 middleton spanish vaccines and industry presentation 1 version recorded
The role of healthcare professionals is to: intervene/prevent migration of diseases. Injury and other health conditions around the world.
Done Through:
Surveillance of cases. Promotion of healthy behaviors in communities and environments.
his report will first examine the socioeconomic and political dimensions of tackling TB and then look at policy and progress in the areas of prevention, diagnosis and treatment.
Download Whitepaper
Review of "A Manifesto: Healing a Violent World," RF Mollica, et al.Université de Montréal
V Di Nicola. Review of A Manifesto: Healing a Violent World, RF Mollica, et al. Global Mental Health & Psychiatry Review, Autumn 2020, 1(3): 6-7.
his beautifully crafted volume, published in 2018, announces a manifesto for healing a violent world. It is in fact, not one but three manifestos – “Healing a Violent World,” “Healing the Healer,” and “Healing Power of Justice.” Each one is followed by a poem by Marjorie Agosin, ably translated from the Spanish by Celeste Kostopulos-Cooperman. The heart of the matter is these three manifestos which create a humanistic tapestry, compassionately stated, and deeply informed by the science and art of psychiatric medicine, while the tapestry is embroidered with original artwork by Nisha Sajnani and framed by the richly allusive poetry of Marjorie Agosin with a lovely Afterword.
Mollica touches on the themes that have animated his career: the trauma story and the wounded healer which were the core of his previous volumes, Healing Invisible Wounds (2006) and Textbook of Global Mental Health: Trauma and Recovery (2012). Each manifesto is rich and nuanced and carries a core message. “Manifesto I” recognizes the trauma around us and the need to heal a violent world. Key notions include the trauma story, the wounded healer, and the need for personal healing or self-care. This Manifesto’s most stirring phrase in my reading is: “Except in beauty, there is no healing. Beauty is the salve and ointment that creates our healing space and healing relationships.” (P.5). “Manifesto II” asserts hope to deal with the enormity of the world’s crises. The key words here are hope and empathy, along with gratitude to the wounded healer. It’s deepest affirmation is this: “Empathy is a biological miracle uniting all living creatures and the planet earth itself.” (P. 14). Manifesto III embraces the healing power of justice. The key here is the foundation of justice in beauty: “Justice is beautiful as it creates harmony and symmetry in the world that resonates with all animals, plants, and people. Injustice is ugly ...” (P. 28). The accompanying essays enrich Mollica’s core message of beauty and caring for others in the healing context of relationships.
This is a volume to read slowly, aloud if possible, inspired as it is by poetry and sacred texts; a volume that instructs as it heals; a volume to cherish. It sums up the masterful life and career of a healer, synthesizing the compassionate mission of psychiatric medicine with a paean to justice and beauty. It should not surprise that Mollica has a Master’s degree in Religious Arts from Yale. With its humanistic message and call for healing, Mollica’s Manifesto joins the corpus of devotional literature resonant with Teresa d’Ávila’s The Interior Castle and Ignatius Loyola's Spiritual Exercises.
HAI are a significant cause of increased morbidity and mortality in hospitalized patients. In addition, HAI lead to prolonged hospital stay, are inconvenient for the patients, and constitute huge economic burden on health care system. Studies have shown that HAI prevalence varies from 3.8% to 19.6% depending on the population surveyed with a pooled global prevalence of 10.1%.
The Life After COVID-19: A Frontliner's Perspective.MaMonicaRivera
These slides are uploaded for information and as partial requirement of Philippine Women's University in Master of Nursing (MAN); Subject: Nursing Practicum
By: Ma. Monica Rivera, BSN, RN
Similar to Offline COVID-19 and the NHS " a national scandal" (20)
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
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AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
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the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Anti ulcer drugs and their Advance pharmacology ||
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
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Offline COVID-19 and the NHS " a national scandal"
1. Comment
1022 www.thelancet.com Vol 395 March 28, 2020
OllieMillington/GettyImagesIanVogler/Pool/AFP/GettyImagesTolgaAkmen/AFP/GettyImages
“When this is all over, the NHS England board should
resign in their entirety.” So wrote one National Health
Service (NHS) health worker last weekend. The scale
of anger and frustration is unprecedented, and
coronavirus disease 2019 (COVID-19) is the cause. The
UK Government’s Contain–Delay–Mitigate–Research
strategy failed. It failed, in part, because ministers didn’t
follow WHO’s advice to “test, test, test” every suspected
case. They didn’t isolate and quarantine. They didn’t
contact trace. These basic principles of public health
and infectious disease control were ignored, for reasons
that remain opaque. The UK now has a new plan—
Suppress–Shield–Treat–Palliate. But this plan, agreed
far too late in the course of the outbreak, has left the
NHS wholly unprepared for the surge of severely and
critically ill patients that will soon come. I asked NHS
workers to contact me with their experiences. Their
messages have been as distressing as they have been
horrifying. “It’s terrifying for staff at the moment. Still
no access to personal protective equipment [PPE] or
testing.” “Rigid command structures make decision
making impossible.” “There’s been no guidelines, it’s
chaos.” “I don’t feel safe. I don’t feel protected.” “We are
literally making it up as we go along.” “It feels as if we
are actively harming patients.” “We need protection and
prevention.” “Total carnage.” “NHSTrusts continueto fail
miserably.” “Humanitarian crisis.” “Forget lockdown—we
are going into meltdown.” “When I was country director
in many conflict zones, we had better preparedness.”
“The hospitals in London are overwhelmed.” “The public
and media are not aware that today we no longer live in
a city with a properly functioning western health-care
system.” “How will we protect our patients and staff...I
am speechless. It is utterly unconscionable. How can we
do this? It is criminal...NHS England was not prepared...
We feel completely helpless.”
*
England’s DeputyChief MedicalOfficer, Jenny Harries, said
on March 20, 2020: “The country has a perfectly adequate
supply of PPE.” She claimed that supply pressures had
now been “completely resolved”. I am sure Dr Harries
believedwhat she said. But shewaswrong and she should
apologise to the thousands of health workers who still
have no access to WHO-standard PPE. I receive examples
daily of doctors having to assess patients with respiratory
symptoms but who do so without the necessary PPE to
complete their jobs safely. Health workers are challenged
if they ask for face masks. Even where there is PPE, there
may be no training. WHO standards are not being met.
Proper testing of masks is being omitted. Stickers with
new expiry dates are being put on PPE that expired in
2016. Doctors have been forced to go to hardware stores
to buy their own face masks. Patients with suspected
COVID-19 are mixing with non-COVID-19 patients. The
situation is sodirethat staff are frequently breakingdown
in tears. As one physician wrote, “The utter failure of
sound clinical leadershipwill leadto an absolute explosion
of nosocomial COVID-19 infection.” Front-line staff are
already contracting and dying fromthe disease.
*
The NHS has been wholly unprepared for this pandemic.
It’s impossible to understand why. Based on their
modelling of the Wuhan outbreak of COVID-19,
Joseph Wu and his colleagues wrote in The Lancet on
Jan 31, 2020: “On the present trajectory, 2019-nCoV
could be about to become a global epidemic...for
health protection within China and internationally...
preparedness plans should be readied for deployment
at short notice, including securing supply chains of
pharmaceuticals, personal protective equipment, hospital
supplies, and the necessary human resources to deal with
the consequencesof a globaloutbreakofthis magnitude.”
This warning wasn’t made lightly. It should have been
read by the Chief Medical Officer, the Chief Executive
Officer of the NHS in England, and the Chief Scientific
Adviser.They had a duty to immediately put the NHS and
British public on high alert. February should have been
used to expand coronavirus testing capacity, ensure the
distribution ofWHO-approved PPE, and establishtraining
programmes and guidelines to protect NHS staff. They
didn’ttake any ofthose actions.The result has been chaos
and panic across the NHS. Patients will die unnecessarily.
NHS staff will die unnecessarily. It is, indeed, as one health
worker wrote last week, “a national scandal”. The gravity
ofthat scandal hasyetto be understood.
RichardHorton
richard.horton@lancet.com
Offline:COVID-19 andthe NHS—“a national scandal”