Category Archives: Health

Hospitals without walls: the future of digital healthcare

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In the wake of Covid, doctors and designers are radically adapting their thinking about what a hospital can be and what it should deliver

St Mary’s hospital was slated for a £1bn redevelopment before the pandemic struck, with work due to start in 2027. The main emergency and specialist hospital serving north-west London will still get its upgrade, but it might look quite different now. “Covid-19 has dramatically changed things,” says James Kinross, a surgeon who works at St Mary’s and sits on its redevelopment planning committee.

Before the pandemic, Kinross says, the committee’s goal was to improve the efficiency of existing care pathways; now it’s to rethink those pathways entirely. St Mary’s is a test case, but the shape of healthcare is being reconsidered everywhere and that has major implications for the way hospitals will look in future.

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England health officials defend contingency plan to mix Covid vaccines

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PHE says it is reasonable to mix the two approved vaccines in exceptional circumstances

Officials have defended England’s vaccine regimen after details of a contingency plan to mix the two approved jabs in a small number of cases emerged.

Public Health England’s Covid “green book” recommends that “it is reasonable to offer one dose of the locally available product to complete the schedule” if the same vaccine used for the first dose is not available. But it adds: “There is no evidence on the interchangeability of the Covid-19 vaccines although studies are under way.”

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‘I’d sunk, lost all confidence’: the charity helping young people into work

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Georgina George and Jamil Mungul credit UK Youth-supported programmes with helping them find a new direction

  • Please donate to our appeal here

Georgina George had a tough time at school and struggled for years afterwards to work out what she wanted to do with her life.

Then just before the pandemic hit, it all came together: she discovered a passion for aviation engineering and found a job in the sector that she loved. Shaking off the problems from her past, the 23-year-old began to forge ahead.

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NSW makes face masks mandatory as state records seven new Covid cases

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Gladys Berejiklian announces new measures for greater Sydney and $200 on-the-spot fines, as Victoria’s hard border takes effect

The New South Wales premier, Gladys Berejiklian, said she does not want to “restrict business activity, jobs or economic activity”, announcing new restrictions including mandatory masks, as seven new cases of community transmission of coronavirus were announced on Saturday.

Meanwhile Victoria’s hard border blocking travel from NSW took effect, with the Victorian health minister, Martin Foley, saying he would not apologise for taking tough measures to prevent virus spread. The ACT health department also announced non-ACT residents travelling from affected areas of NSW would now need an exemption.

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What difference will Oxford/AstraZeneca vaccine make in UK?

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We look at how the introduction of a new vaccine in the fight against Covid will work

The Oxford/AstraZeneca vaccine is central to the government’s plans for ending social distancing in the UK and returning to some sort of normality. It has invested in seven different vaccines, but the biggest order is for 100m doses of the AstraZeneca jab, most of which will be manufactured in the UK. While the prime minister was jubilant that the UK was first in the world to approve the Pfizer/BioNTech vaccine, he is now able to claim a British triumph. More to the point is the ease of use of the AstraZeneca vaccine. Unlike Pfizer’s, it does not have to be kept in the long term at -70C. Pfizer’s vaccine can be stored in a fridge for five days, but AstraZeneca’s can be kept for months at fridge temperature, which is 2-8C and will be easy to take to care homes to administer to residents, the first priority group for vaccination.

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Avoid using wood burning stoves if possible, warn health experts

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Charity calls for people to use alternative, less polluting heating and cooking options if they can

Campaigners and health experts are calling on people who have alternative heating not to use their wood burning stoves this winter amid growing concern about their impact on public health.

The Guardian recently reported that wood burners triple the level of harmful particulates inside the home as well as creating dangerous levels of pollution in the surrounding neighbourhood.

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Robin Williams’s widow: ‘There were so many misunderstandings about what had happened to him’

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Susan Schneider Williams watched her husband suffer with undiagnosed Lewy body dementia before he killed himself in 2014. Her new film tries to educate others about the condition – and put to rest assumptions about his death

After Robin Williams died in August 2014, aged 63, a lot of people had a lot of things to say about him. There was the predictable speculation about why a hugely beloved and seemingly healthy Hollywood star would end his own life, with some confidently stating that he was depressed or had succumbed to old addictions.

Others talked, with more evidence, about Williams as a comic genius (Mork & Mindy, Mrs Doubtfire, The Birdcage, Aladdin); a brilliant dramatic actor (Dead Poets Society, Awakenings, Good Will Hunting, One Hour Photo); and both (Good Morning, Vietnam; The Fisher King). One thing everyone agreed on was that he had an extraordinary mind. Comedians spoke about how no one thought faster on stage than Williams; those who made movies with him said he never did the same take twice, always ad-libbing and getting funnier each time.

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Australia coronavirus news live: Tighter restrictions in force for NYE as Sydney’s Croydon cluster causes concern and Victoria announces new cases

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People urged to stay home as investigation continues into source of Croydon cluster in Sydney and cases in Melbourne. Follow all the latest news and updates, live

Let’s return to those comments from NSW police regarding Tony Abbott’s exercise in the northern zone of the northern beaches.

Abbott’s most recent declaration to parliament (before his defeat in 2019) showed he lived in Forestville, which is classed as being in the southern zone of the northern beaches.

The New South Wales Labor leader, Jodi McKay, has called on Gladys Berejiklian to stop crowds from attending the cricket Test at the SCG, and urged her to make masks mandatory in certain settings:

Why are we now progressing with a crowd at the cricket? ... It just doesn’t make sense to me.

I’m urging the premier to make sure the cricket goes ahead ... but there is a general feeling there should not be people at the cricket.

I think it’s important that if masks can reduce the risk of transmission, that we’re doing everything we can.

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Questions hang over UK’s rollout of Oxford/AstraZeneca jab

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Analysis: regulator surprises by approving 12-week gap between first and second shots of vaccine as well as Pfizer/BioNTech shot

It’s a pragmatic solution to an incredibly urgent problem – how to immunise very large numbers of people at risk from a rampaging variant of Covid-19 in the shortest possible time. The answer that government advisers have come up with is to give them all – more than 20 million of them – a single shot of the Oxford/AstraZeneca vaccine so that they have some protection and postpone the second dose to three months afterwards, when hopefully there will be plenty of vaccine available for boosters.

Related: How well does the Oxford vaccine work? What we know so far

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‘Vaccine diplomacy’ sees Egypt roll out Chinese coronavirus jab

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A lack of trial data transparency from China has raised concerns, but the country is confidently pushing ahead

When Egypt’s health ministry sent out an invitation to doctors to be vaccinated against Covid-19, they neglected to make clear it was a clinical trial.

Instead, it assured them that two Covid-19 vaccines developed by China’s National Biotec Group, part of a state-owned conglomerate known as Sinopharm, had no side-effects and that “the minister of health was vaccinated today, and orders were issued to vaccinate all doctors and workers who wish to be vaccinated”.

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Australia news live: NSW records 18 new Covid cases as premier announces New Year’s Eve restrictions for Sydney

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Gladys Berejiklian says households will be limited to five visitors as new cases spread to Blue Mountains, Wollongong and Sydney’s inner west. All the latest news and updates, live

The NSW opposition leader has weighed in on the debate around the Sydney Test.

You can go to the cricket but not congregate to view the fireworks. Both are outdoor events, yet different rules apply.

The cricket should be in NSW but with no spectators. Let’s watch both the fireworks and cricket on TV.

NSW Health has released a lit of new venues that have been visited by confirmed cases of Covid-19. This includes a Santa Claus Photo Booth at Westfield Burwood Shopping Centre.

Their statement is below.

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Science matters. The remarkable response to Covid has reminded us | Gideon Meyerowitz-Katz

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While there have been setbacks, in Australia at least it would be hard to find many people distrusting of scientists

Being an epidemiologist in 2020 has been a very odd experience. This time last year, when I told people my job title, more than half the time I’d be met with a blank look and then the tentative question: “Is that … like a skin doctor?”.

Explaining that it was more like a spreadsheet doctor rarely went down that well.

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Biden criticizes Trump’s Covid vaccine rollout as Harris gets inoculation

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At a coronavirus briefing, the president-elect warned distribution ‘is falling far behind’ and vowed to ramp up vaccination efforts

Joe Biden has lambasted the Trump administration’s vaccine rollout, warning that distribution “is falling behind, far behind”, hours after Kamala Harris received her first dose of Moderna’s coronavirus vaccine live on television as part of officials’ ongoing efforts to show the public that the vaccinations are safe.

“A few weeks ago the Trump administration suggested that 20 million Americans could be vaccinated by the end of December,” Biden said, at a Covid-19 briefing in Wilmington, Delaware on Tuesday. “With only a few days left in December, we have only vaccinated a few million so far.”

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Australia’s first case of South African virus variant detected in Queensland – as it happened

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More contagious variant identified in returned traveller; three shops in Sydney CBD and two supermarkets in eastern suburbs visited by people who tested positive. This blog is now closed

  • Queensland detects case of South African variant
  • NSW records three new coronavirus cases
  • Sydney New Year’s Eve restrictions explainer
  • Covid hotspots NSW
  • Australia border restrictions
  • Follow our global coronavirus live blog

    • And with that, we’ll wrap up the blog. Here’s a summary of everything that happened today:

    Fairfield City has taken the decision to cancel New Year’s Eve celebrations, due both to the pandemic and the weather.

    Mayor Frank Carbone says in a statement he knows people will be disappointed by the decision, but it is the right decision.

    Council has been closely monitoring the escalating Covid situation in Sydney. The decision was made due to the increasing number of unlinked cases announced in the last few days outside of the northern beaches, which potentially means the virus has not been contained.

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    Covid vaccine uptake high despite concerns over hesitancy

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    Experts fear misinformation and development worries could undermine efforts to control pandemic

    Uptake of the Covid-19 vaccine has been high among those offered it, doctors say, despite fears that vaccine hesitancy could undermine efforts to control the pandemic.

    Experts have feared mass uptake of the jab could be jeopardised by widespread misinformation, concerns among the public about the speed at which the vaccine has been developed and approved, and lack of trust in vaccines and the pharmaceutical companies and governments calling for it.

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    Giving birth seemed to spell disaster for my mental health. Were my anxieties unfounded?

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    I feared isolation, sleep deprivation and an end to the activities that had been keeping me well. I never expected to be filled with such love and wonder

    I hadn’t expected to have a baby. But when I turned out to be wrong about that, I found myself expecting the whole thing to be a disaster. It wasn’t just that people tend to be rather negative about what early parenthood entails, focusing on the sleepless nights and endless nappy changes. It was also because I had a mental illness that I thought would make it impossible for me to cope at all, let alone enjoy motherhood. Neither had I expected to be giving birth in the middle of a pandemic, in which I would be cut off from much of my support network.

    In the three years since I was diagnosed with post-traumatic stress disorder, as a result of a serious trauma in my personal life, I had spent a great deal of time trying to work out how to manage my illness. I planned my weeks around activities that research told me would help mend my mind a little. I knew that cold-water swimming, for instance, appears to help us control the fight-or-flight instinct that often goes so awry in mental illness. I knew that running could encourage the body to produce chemicals that lift the mood. I had discovered that birdwatching and looking for wild flowers were much more effective for me than mindfulness apps, with their calls to sit in silence in a room. I had just written a book about the healing power of outdoor pursuits and was starting to feel mildly in control of my life.

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    Australia news live: race on to solve Sydney’s mystery Covid cases; NSW police fine North Bondi partygoers

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    Contract tracers work to find source of five coronavirus cases as more hotspots named outside northern beaches. Follow all the latest news and updates, live

    Good morning, and welcome to the Australia news live blog for 28 December. I’m Elias Visontay. Here’s what’s making news this morning.

    -Health authorities in New South Wales are racing to uncover the source behind a mystery case they hope will shine light on the initial northern beaches outbreak, as further cases with unknown transmission threaten Sydney’s new year’s eve. Five of the nine locally-acquired cases in NSW under investigation are people who live outside the northern beaches.

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    Coronavirus live news: British tourists flee Swiss ski resort quarantine; inoculation in EU begins

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    Latest updates: first vaccine doses administered across Europe; Germany rollout delayed after potential irregularities in cooling of Pfizer shot

    Dr Anthony Fauci, the head of the US coronavirus taskforce said that he believes the Covid-19 variant detected in the UK must be taken “very seriously” but is not likely to cause more serious illness or be resistant to vaccines.

    He said: “Does it make someone more ill? Is it [a] more serious virus in the sense of virulence? And the answer is, it doesn’t appear to be that way.”

    The UK’s coronavirus vaccination programme will resume on Monday, after a pause on Christmas Day and the weekend.

    The latest figures show that a total of 70,572 people in the UK have died from Covid-19. The number is likely to rise further on Tuesday, as authorities in both Scotland and Northern Ireland have not released data over the festive period.

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    Covid poses ‘greatest threat to mental health since second world war’

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    UK’s leading psychiatrist predicts impact will be felt for years after pandemic ends

    The coronavirus crisis poses the greatest threat to mental health since the second world war, with the impact to be felt for years after the virus has been brought under control, the country’s leading psychiatrist has said.

    Dr Adrian James, the president of the Royal College of Psychiatrists, said a combination of the disease, its social consequences and the economic fallout were having a profound effect on mental health that would continue long after the epidemic is reined in.

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    I’m a consultant in infectious diseases. ‘Long Covid’ is anything but a mild illness | Joanna Herman

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    Nine months on from the virus, I am seriously debilitated. This is how the new NHS clinics need to help thousands of us

    With the excitement of the Covid vaccine’s arrival, it may be easy to forget and ignore those of us with “long Covid”, who are struggling to reclaim our previous, pre-viral lives and continue to live with debilitating symptoms. Even when the NHS has managed the herculean task of vaccinating the nation, Covid-19 and the new mutant variants of the virus will continue to circulate, leaving more people at risk of long Covid. Data from a King’s College London study in September suggested as many as 60,000 people in the UK could be affected, but the latest statistics from the Office for National Statistics suggest it could be much higher.

    I was acutely ill in March, though – like many people with long Covid – mine was defined as a “mild” case not requiring admission to hospital. Nine months on, I am seriously debilitated, with crashing post-exertional fatigue, often associated with chest pains. On bad days, my brain feels like it doesn’t want to function, even a conversation can be too much. I have no risk factors, I’m in my 50s, and have always been fit, but remain too unwell to work – ironically as a consultant in infectious diseases. Watching the pandemic unfold from the sidelines when I should have been working in the thick of it has only added to the frustration of my protracted illness.

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