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Recent trends in vision impairment certifications in England and Wales.

BACKGROUND: The Certificate of Visual Impairment (CVI) provides essential data for preventable sight loss indicators as part of the Public Health Outcomes Framework (PHOF) published annually by the Department of Health. Trends in CVI certification rates can provide information on the effectiveness of current services and treatments and may be used to guide allocation of resources, and is the only such indicator within ophthalmology. This study aimed to compare recent trends in new vision impairment certifications in 2017/18 against prior baseline data in England and document trends in new cert…

Preparing for PrEP; the cost of delaying universal access in England.

OBJECTIVES: Pre-exposure prophylaxis (PrEP) is not commissioned within National Health Service (NHS) England. Individuals can access it privately online or by enrolment into a clinical trial. We established a list of individuals not enrolled in trials, awaiting PrEP. In response to the observation that patients awaiting PrEP trials were being referred with newly diagnosed HIV, we aimed to measure attendance, incident HIV, STI acquisition and missed opportunities for prevention. METHODS: The search was conducted for patients on the list from November 2017 to November 2019. We examined the elec…

Association Between Atopic Eczema and Cancer in England and Denmark.

IMPORTANCE: Associations between atopic eczema and cancer are unclear, with competing theories that increased immune surveillance decreases cancer risk and that immune stimulation increases cancer risk. Establishing baseline cancer risk in people with atopic eczema is important before exploring the association between new biologic drugs for atopic eczema and cancer risk. OBJECTIVE: To investigate whether atopic eczema is associated with cancer. DESIGN, SETTING, AND PARTICIPANTS: Matched cohort studies were conducted from January 2, 1998, to March 31, 2016, in England and from January 1, 1982…

Human foodborne listeriosis in England and Wales, 1981 to 2015.

Almost all cases of human listeriosis are foodborne, however the proportion where specific exposures are identified is small. Between 1981 and 2015, 5252 human listeriosis cases were reported in England and Wales. The purpose of this study was to summarise data where consumption of specific foods was identified with transmission and these comprised 11 sporadic cases and 17 outbreaks. There was a single outbreak in the community of 378 cases (7% of the total) which was associated with pâté consumption and 112 cases (2% of the total) attributed to specific foods in all the other incidents. The p…

The Epidemiology of Amputation Inequality Extends Beyond Diabetes in England.

The excess risk of amputation in the diabetic population is well documented. However, approximately half of all amputations in England are in people that do not have diabetes - the remainder being mainly peripheral arterial disease. Whilst the prevalence of foot ulcers in the population without diabetes is significantly lower than their diabetic counterparts, the actual number of people with ulcers, and, therefore, the burden on services, is, the same. In addition to this inequality, the prevalence of amputation is greater in men than women and in the North of England compared with the South. …

NHS commissioning in probation in England - Still on a wing and a prayer.

Policy reforms in England and Wales mean that all individuals released from prison will have some contact with probation services, either serving a community sentence, or being on licence post-release. Despite often having complex health needs, including a higher prevalence of mental health problems, substance misuse problems and physical health problems than the general population, this socially excluded group of people often do not access healthcare until crisis point. This is partly due to service-level barriers such as a lack of appropriate and accessible healthcare provision. We conducted…

Prevalence of active Charcot disease in the East Midlands of England.

AIMS: To undertake a prospective point prevalence study of the prevalence of active Charcot neuro-inflammatory osteoarthropathy (Charcot disease) in a circumscribed part of England and to audit the time elapsing between disease onset and first diagnosis. METHODS: The prevalence of active Charcot disease of the foot during a single month was assessed by specialist foot care teams at seven secondary care services in the East Midlands region of England. RESULTS: A total of 90 cases were identified, representing 4.3 per 10 000 of the 205 033 total diabetes population of the region. The time elap…

Perspectives on Hypertension in the New England Cape Verdean Community.

This study characterizes patient understanding of hypertension and its management in a Cape Verdean immigrant community. We conducted 20 semi-structured interviews with Cape Verdean Creole-speaking adults about their beliefs and behaviors regarding hypertension. Fourteen women and six men ages 35-87 were interviewed. The majority of the participants believed hypertension is symptomatic, with headache being the most common symptom. Many reported taking anti-hypertensive medication, though some took medication only when they felt symptoms. The majority were unfamiliar with a normal blood pressur

Burden of child and adolescent obesity on health services in England.

OBJECTIVE: To assess the numbers of obese children and young people (CYP) eligible for assessment and management at each stage of the childhood obesity pathway in England. DESIGN: Pathway modelling study, operationalising the UK National Institute for Health and Care Excellence guidance on childhood obesity management against national survey data. SETTING: Data on CYP aged 2-18 years from the Health Survey for England 2006 to 2013. MAIN OUTCOME MEASURES: Clinical obesity (body mass index (BMI) >98th centile), extreme obesity (BMI ≥99.86th centile); family history of cardiovascular disease o…

A multilevel study of the environmental determinants of swine ascariasis in England.

Ascariasis is considered a common parasitosis of swine worldwide. The disease causes significant economic losses due to its effect on feed conversion ratio and liver condemnations at slaughter (liver milk spots). This study aimed to characterise the between-farm and spatial variance in porcine ascariasis in England and to assess the association between the percentage of infected animals and potential environmental risk factors, including production system, socioeconomic deprivation, soil characteristics (pH, topsoil bulk density, topsoil organic matter, topsoil texture class, soil water regime…

Эпидемиологическая лихорадка Q в Англии и Уэльсе, 2000-2015 годы.

В период с 2000 по 2015 год в Англии и Уэльсе было зарегистрировано 904 случая острой лихорадки Q. Соотношение мужчин и женщин составляет 2,5:1, а средний возраст - 45 лет. За этот период были выявлены две вспышки, причем наиболее частые случаи были зарегистрированы на юго-западе Англии и Уэльса. В системе наблюдения за лихорадкой Q имеются ограничения, включая возможные географические различия в отчетности и ограниченный сбор эпидемиологических данных. Необходимо укрепить систему наблюдения в целях повышения качества и полноты набора эпидемиологических данных. Авторы завершают свое выступлени

Совпадение в аннотации оригинала
Between 2000 and 2015, 904 cases of acute Q fever were reported in England and Wales. The case dataset had a male to female ratio of 2.5:1, and a median age of 45 years. Two outbreaks were recognised during this time period, and the incidence of sporadic cases was highest across the southwest of England, and Wales. There are limitations in the surveillance s…

Effects of urbanization on mercury deposition and accumulation in New England.

We compare total mercury (HgT) loading and methylmercury (MeHg) accumulation in streams and lakes from an urbanized area (Boston, Massachusetts) to rural regions of southern New Hampshire and Maine. The maximum HgT loading, as indicated by HgT atmospheric deposition, HgT emissions, and sediment HgT concentrations, did not coincide with maximum MeHg concentrations in fish. Urbanized ecosystems were areas of high HgT loading but had low MeHg concentrations in fish. Controls on MeHg production and accumulation appeared to be related primarily to HgT loading in undeveloped areas, while ecosystem s

Enhanced surveillance for toxoplasmosis in England and Wales, 2008-2012.

A report on Toxoplasma gondii by the UK Advisory Committee on the Microbiological Safety of Food recommended that more accurate figures on the burden of disease in the UK are needed. We present the first 5 years of data from an enhanced surveillance scheme for toxoplasmosis in England and Wales. Between 2008 and 2012, 1824 cases were reported, with an average of 365 each year. There were 1109 immunocompetent cases, the majority presenting with lymphadenopathy, and 364 immunosuppressed cases, with central nervous system and systemic symptoms most frequently reported. There were also 190 pregnan…

Ethnicity in relation to incidence of oesophageal and gastric cancer in England.

BACKGROUND: This study investigated the variation in incidence of all, and six subgroups of, oesophageal and gastric cancer between ethnic groups. METHODS: Data on all oesophageal and gastric cancer patients diagnosed between 2001 and 2007 in England were analysed. Self-assigned ethnicity from the Hospital Episode Statistics dataset was used. Male and female age-standardised incidence rate ratios (IRRs) were calculated for each ethnic group, using White groups as the references. RESULTS: Ethnicity information was available for 83% of patients (76 130/92 205). White men had a higher incidence…

Socioeconomic inequalities in health in older adults in Brazil and England.

OBJECTIVES: We examined socioeconomic inequalities in health among older adults in England and Brazil. METHODS: We analyzed nationally representative samples of residents aged 50 years and older in 2008 data from the Brazilian National Household Survey (n = 75,527) and the English Longitudinal Study of Ageing (n = 9589). We estimated prevalence ratios for self-rated health, functional limitations, and reported chronic diseases, by education level and household income tertiles. RESULTS: Brazilians reported worse health than did English respondents. Country-specific differences were higher amo…

Quality of prescribing in care homes and the community in England and Wales.

BACKGROUND: Care home residents are vulnerable to the adverse effects of prescribing but there is limited monitoring in the UK. AIM: To compare prescribing quality in care homes in England and Wales with the community and with US nursing homes. DESIGN AND SETTING: Cross-sectional analysis of a UK primary care database and comparison with the US National Nursing Home Survey including 326 general practices in 2008-2009 in England and Wales, with 10 387 care home and 403 259 community residents aged 65 to 104 years. METHOD: Comparison of age- and sex-standardised use of 'concern' and common dr…

Borrelia burgdorferi serosurvey in wild deer in England and Wales.

Lyme disease is the most common vector-borne disease in the United Kingdom and its incidence has been increasing in recent years. However, limited information is available on its epidemiology and dynamics in the U.K. A survey in wild deer to investigate the presence of antibodies reactive to Borrellia burgdorferi was conducted to obtain initial information on the distribution pattern of the spirochete in England and Wales. Samples from roe deer (n=604) and red deer (n=80) were collected in eight different locations. An ELISA protocol was developed to identify antibodies reactive to B. burgdorf…

Relationship of UV exposure to prevalence of multiple sclerosis in England.

OBJECTIVE: To assess the potential relationship of ultraviolet B radiation (UVB) and Epstein-Barr virus (EBV) exposure in explaining the period prevalence of multiple sclerosis (MS) in England. METHODS: English national Hospital Episode Statistics covering all admissions to National Health Service hospitals in England in the 7 years from 1998 to 2005 were used to obtain the period prevalences of MS and infectious mononucleosis (IM) in England. The United States National Aeronautics and Space Administration's data on UVB intensity for England from the Nimbus 7 satellite was collected. The rela…