Friday, 28 November 2014

More than 70% of fresh chickens being sold in the UK are contaminated with the Campylobacter bug

Supermarket chickens: 70% affected by food bug

fresh chicken

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More than 70% of fresh chickens being sold in the UK are contaminated with the Campylobacter bug, the Food Standards Agency (FSA) has revealed.
The figure is higher than in previous tests, which suggested a 59% contamination rate.
The highest rate was found in chickens being sold by Asda. Tesco was found to have relatively low rates of contamination.
Asda said it was disappointed, but was working hard to find a solution.
It is the first time that individual retailers have been named by the FSA, in an attempt to improve standards.
The agency said the results showed that there was still "a long way to go" before consumers are protected from the bug.
However, it reassured consumers by saying that Campylobacter is easily killed by thorough cooking.
Campylobacter is the biggest cause of food poisoning in the UK, responsible for 280,000 cases a year, and around 100 deaths.
Poultry is responsible in the majority of these cases.

Consumer advice on chicken

chicken pieces
  • Cover it in the fridge
  • Place it on the bottom shelf
  • Do not wash raw chicken
  • Wash utensils after preparation
source: FSA
Low risk
In its latest study, the FSA tested just under 2,000 fresh chickens.
When measured at the highest levels of contamination, it found that Asda was the worst offender, with 28% of its chickens having a concentration of more than 1,000 colony-forming units per gram.
Marks and Spencer was the next worst, with 22% of its birds contaminated.
Tesco, with an 11% contamination rate, was the only one of the major retailers with a better record than the industry average.
"These results show that the food industry, especially retailers, need to do more to reduce the amount of Campylobacter on fresh chickens," said Steve Wearne, the director of policy at the FSA.
"If chicken is cooked thoroughly and preparation guidelines are properly followed, the risk to the public is extremely low," Mr Wearne added.
Other advice from the FSA includes:
  • Covering raw chicken and storing it at the bottom of the fridge, so juices cannot drip on to other food
  • Not washing raw chicken, which can spread germs through splashing
  • Washing utensils and surfaces used to prepare raw chicken
Some experts believe roasting chicken inside a bag is also useful, as it eliminates skin contact.

Supermarket chickens: rates of contamination

Retailer% samples with Campylobacter% samples with high-level Campylobacter
Asda
78%
28%
Co-op
73%
19%
M&S
67%
22%
Morrison's
69%
21%
Sainsbury's
69%
14%
Tesco
64%
11%
Waitrose
69%
16%
Others
76%
25%
Source: FSA
New technology
Asda said it welcomed the transparency of the FSA's findings, but said it was already working on new technical solutions to reduce contamination.
"We take campylobacter seriously and it goes without saying that we're disappointed with these findings," said an Asda spokesperson.
"There is no 'silver bullet' to tackle this issue, but along with other retailers, we're working hard to find a solution," he added.
Among the new solutions being worked on is SonoSteam, being trialled by Asda across its poultry suppliers.
The technology uses steam to kill bacteria on the surface of the chicken during processing.
Marks and Spencer has developed a five-point plan of interventions along the food chain to tackle the issue.
The British Poultry Council said there was little statistical difference between the retailers, which have "levels in the same range".
Professor Chris Elliott, director of the Institute for Global Food Security, who led a government inquiry into food safety, said he was satisfied that enough was now being done to tackle the issue.
"I'm not aware of any region in the world working harder to find solutions to this problem but in my opinion, having looked at all the evidence, there is no quick fix," he said.
Further tests will now be carried out by the FSA, particularly on chickens sold by smaller retailers and butchers.

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Monday, 3 November 2014

NHS screening advice 'must improve'

NHS screening advice 'must improve'

Mammograms

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The NHS needs to get better at highlighting the dangers of screening for diseases such as cancer, say MPs.
Screening picks up diseases early to improve the odds of survival or improve quality of life.
But the practice also leads to "overdiagnosis" and people having treatment for conditions which would never have caused harm.
The Science and Technology Committee accused the NHS of "poor communication" on the issue.
Breast-cancer screening became hugely controversial in 2012. An independent review was set up to settle a fierce debate about whether the measure did more harm than good.
It showed that for every life saved, three women had treatment for a cancer that would never have proved fatal.
As a result the leaflets given to women offered a mammogram included more information to give them an "informed choice".
'Unnecessary treatment'
However, the Science and Technology Committee argues the lessons have not been learned by those overseeing other screening programmes.
Andrew Miller, the committee chairman, said: "While screening can increase the likelihood of curing, preventing or delaying the progression of disease for some patients, for others it may lead to false results, misdiagnosis and unnecessary treatment.
"More needs to be done to ensure that both the benefits and risks are clearly, and even-handedly, communicated so that people can make an informed choice about whether screening is right for them."
Conditions screened for include:
  • Abdominal aortic aneurysm
  • Diabetic retinopathy
  • Breast cancer
  • Cervical cancer
  • Bowel cancer
There are also newborn screening programmes, including hearing checks, as well as Down's syndrome and foetal anomaly screens during pregnancy.
Breast-cancer screeningBreast-cancer screening guidelines were changed to ensure patients had an informed choice
Mr Miller continued: "Producing accurate, concise and accessible public information on screening will always be challenging, but the UK National Screening Committee must ensure there is standard process across the NHS for achieving this and facilitating informed choice."
There are hopes that screening could be extended to other diseases such as ovarian cancer and eventually prostate cancer.
However, the committee said the barriers to new screening programmes "should remain high" due to the delicate balance of risk and benefits.
'Vitally important'
Prof Kevin Fenton,, director of health and wellbeing at Public Health England, which oversees the NHS screening programmes. said: "We welcome the findings of the Science and Technology Committee's report, which has identified a number of recommendations.
"We will now consider these recommendations in full."
The British Medical Association's Dr Richard Vautrey said: "Many GPs will share the Science and Technology Committee's concerns about health screening. As the BMA has repeatedly warned, it is vitally important that people being invited for screening fully understand the pros and cons of the procedure.
"Patients must also be aware that there is a risk that false positive results could lead to unnecessary and potentially harmful further investigations."
Cancer Research UK was involved in the independent review of breast-cancer screening.
Jessica Kirby, from the charity, said: "It's vitally important that all screening programmes are based on the best possible evidence so people can be confident that screening is only offered where the benefits outweigh the harms.
"The report highlights the importance of ensuring people get the best possible information so they can make the decisions that are right for them."

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genetic risks for autism ?

Study points to new genetic risks for autism

DNA sequenceThe study linked 33 genes to autism.

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A massive international study has started to unpick the "fine details" of why some people develop autism, researchers have said.
They looked at thousands of DNA samples from children with autism and their parents.
The results, in the journal Nature, linked 33 genes to the condition with many involved in brain development.
The National Autistic Society said we were still "a long way" from knowing the cause of autism.
The study suggested a number of different risk factors for the condition, according to the lead author of the paper Prof Joseph Buxbaum, from Icahn School of Medicine at Mount Sinai New York.
"The smoking gun is genetics - but there are quite a lot of different bullets in the gun," said Prof Buxbaum.
DNA analysis
Autism is a life-long disorder that affects people's ability to socialise, and those on the autism spectrum can find it difficult to interact with other people.
The researchers assessed 15,480 DNA samples to determine the impact of mutations to the DNA that are passed from parent to child as well as those that spring up spontaneously.
The study expanded the number of genes linked to autism up to 33.
Seven genes were completely new while 11 had not been classed as true risk genes due to lack of data. Fifteen of the genes were already known to be risky.
It also indicated that small, rare genetic mutations in 107 genes can contribute to the risk of autism.
More than 5% of the autistic people in the study had these non-inherited loss-of-function gene mutations.
'Finer detail'
The study should help to improve understanding of some of the causes of autism, said Prof David Skuse, head of the social communication disorders team at Great Ormond Street Hospital in London, and a contributor to the report.
"Up until now we've really not been able to understand the mechanisms that lead to autism," he said. "This [study] is getting down to much finer detail."
Prof Skuse added that the study could start to help families understand autism.
The National Autistic Society (NAS) said there were many gaps in autism knowledge.
Carol Povey, director of the NAS Centre for Autism, said: "Autism is a highly complex story of genes not only interacting with other genes, but with non-genetic factors too.
"Research like this helps us to understand the genetics involved in certain forms of autism and opens up the possibility of whole families gaining a better understanding of a condition they may share," she said.
"However, we are still a long way from knowing what causes autism. What people with the condition, their families and carers need most of all, is access now to the right kind of support to be able to lead full lives," she added.

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the Ebola crisis

Ebola appeal poster
A public appeal to help people affected by the Ebola crisis in West Africa has received £4 million in donations in its first two days, organisers have said.
The Disasters Emergency Committee (DEC) said it had been "overwhelmed" by the "extraordinary generosity" of the UK public since the appeal was launched.
The UK government is to match the first £5 million of donations made.
Ebola has killed almost 5,000 people and infected more than 13,000 in West Africa since the start of the year.
On Friday, the World Health Organisation said 4,951 people had died during the current outbreak, with 13,567 reported cases up to 29 October.
Protective clothing
Donations have been made after appeals were aired by the main UK broadcasters on Thursday.
It is the first time the DEC has sought funds in response to a disease outbreak.
"We are extremely grateful to the UK government for the aid match funding which is a significant boost to the appeal," chief executive of DEC Saleh Saeed said.
Donations help pay for nurses and doctors on the ground, says Save the Children's Justin Forsyth
"The UK government will match a further £1 million raised, so we encourage the UK public to donate as soon as possible to double the amount of their donation.
"Our member agencies have already achieved so much - providing protective clothing, educating communities and supporting safe and dignified burials - but there is so much more to do."
Agencies have been increasing their aid efforts in West Africa, where they have already helped more than 2.5 million people affected by the Ebola crisis, a DEC spokesman said.
They included people in some in the worst-affected and most remote areas of Sierra Leone and Liberia, the spokesman added.
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Deaths from Ebola
Graph of death tolls from Ebola since April showing Liberia and Sierra Leone as the worst affected countries
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Justin Forsyth, chief executive of the charity Save the Children, said donations would make "a massive difference" by helping to pay for nurses and doctors on the ground.
Speaking to the BBC from Sierra Leone, he said officials needed additional staff and equipment and called on more governments around the world to offer financial support.
"It is getting worse, not better, on the ground here; we are not yet ahead of the curve, we are in a race against time and we need to urgently act on the ground - and money if very, very important," he said.
It comes after Canada announced it was to suspend visa applications from residents and passport-holders from West African countries affected by the Ebola outbreak.
The decision follows a similar decision by Australia, which drew criticism from the World Health Organization (WHO).
The ban would apply to countries with "widespread and persistent-intense transmission", Canada said.
line
Other Disasters Emergency Committee (DEC) appeals:
  • A total of £71m was raised by the Pakistan Floods Appeal which affected more than 18 million people. The floods swept across the country in July and August of 2010
  • The UK public donated £95m for the Philippines Typhoon Appeal which has to date helped more than 900,000 people. The appeal was launched in November 2013
  • The Syria Crisis Appeal opened in March 2013 and has raised about £25m
  • An appeal for people affected by the fighting in Gaza was launched in January 2009 and raised £8.3m
  • A total of £107m was raised for people adversely affected by the earthquake in Haiti

Tuesday, 14 October 2014

Thousands of health workers, including nurses, midwives and ambulance staff, have taken part in the first strike over pay


Picket line at Royal Berkshire HospitalThe strikes were the first by NHS staff over pay in more than 30 years

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for more than 30 years.
But disruption was minimised after unions agreed staff would make sure emergency care was covered.
Workers from seven trade unions took part from 07:00 to 11:00 BST in England, while two unions were involved in Northern Ireland.
The strike is being followed by four-days of work-to-rule from Tuesday.
This is expected to involve staff refusing to do overtime without extra pay and insisting on taking their breaks.
The full picture has yet to emerge about how much disruption was caused by Monday's walkout - although no major incidents have been reported.
In advance, unions and managers had met to ensure essential services were maintained.
Military personnel and police were also on hand to help ambulance services where needed.
As the walkouts progressed, reports emerged of ambulance services developing backlogs - but bosses said life-threatening cases were prioritised.

The striking unions

NameStaff groupsNumber of members
Unison
Nurses, healthcare assistants, ambulance staff and porters
250,000 in England
GMB
Nurses, healthcare assistants, ambulance staff, porters, admin workers and cleaners
22,000 in England and Northern Ireland
Unite
Nurses, healthcare assistants, ambulance staff, porters and admin
92,000 in England and Northern Ireland
Royal College of Midwives
Midwives
22,000 in England
UCATT
Maintenance staff
480 in England
British Association of Occupational Therapists
Occupational therapists
24,000 in England
Managers in Partnership (part of Unison)
Mostly middle-grade managers
4,000 in England
Meanwhile, hospital staff were seen leaving the picket lines to deal with patients in some places.
Union leaders had always said their members will be providing "life and limb" cover during the strike.
The expectation was that 999 calls would be answered and A&E units would remain open and that seems to have been the case, according to reports.
Striking NHS staff at Royal Liverpool HospitalThe picket line at Royal Liverpool Hospital was one of many across the country
A member of military driving a London ambulanceThe military was drafted in to help ambulance services
Picket lineUnison has the largest number of NHS members of the unions involved
However, hospital outpatient appointments, community clinics and some routine operations seem to have been affected.
The Royal College of Midwives, which is taking action for the first time in its history, said in advance services for women giving birth were going to be unaffected. Instead, its members targeted antenatal and postnatal care.
Doctors and dentists were not involved. NHS sources said about 5% of staff who were expected in work did not turn up, although unions had always maintained the numbers not working would not reflect the strength of support across the workforce.
Rehana Azam, national officer of the GMB union, said: "Reports from across the country are that the strike action was rock solid. Members are determined to get government to listen to them."
Pay dispute
Unison said the action - the first strike by NHS staff over pay in more than 30 years - would send a "clear message" to the government.
Health Secretary Jeremy Hunt says a 1% pay rise for all NHS staff, could lead to job losses
As well as the RCM, there were another six unions involved in the strike in England - Unison, Unite, GMB, UCATT, the British Association of Occupational Therapists and Managers in Partnership. Between them they have over 400,000 members, including porters, cleaners and administration staff.
In Northern Ireland, members of Unite and the GMB staged a walkout from 11:00 to 15:00 BST.
Pay v inflation chart
Ministers in England have awarded NHS staff a 1% increase, but only for those without automatic progression-in-the-job rises.
These, designed to reward professional development, are given to about half of staff, and are worth 3% a year on average.
An independent pay review board had said the 1% increase should be across the board.
It was implemented in full in Scotland. Northern Ireland has yet to make a decision on pay, while Wales did the same as England but did give extra to the lowest paid. Some unions are balloting their Welsh members about action there.
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From the picket line: Dominic Hughes, BBC News
A boisterous, noisy picket outside the Edwardian facade of the old Manchester Royal Infirmary has been made up of nursing assistants, porters, paramedics and for the first time in their history midwives.
Plenty of cars are tooting their support as they pass on Manchester's busy Oxford Road.
Inside the hospital some services will be affected, and a number of midwives have already left the picket to go to staff a ward that was short on numbers.
So this is a symbolic strike but one that displays the real anger of health workers over pay.
line
Health Secretary Jeremy Hunt said that hospitals would be forced to lay off staff if the recommended pay award was met in full.
"We have had very clear analysis that if we did that, hospital chief executives would lay off around 4,000 nurses this year and around 10,000 nurses next year," he said.
"The NHS has just come through a terrible tragedy with Mid Staffordshire when we discovered the most appalling care happening there and indeed some other hospitals as well.
"We have turned the corner on that by recruiting in hospital wards around 5,000 extra nurses in the last year alone. We don't want to turn the clock back on that."
Workers in Newcastle, London and Manchester support the strike
Christina McAnea, head of health at Unison, said the offer in England was a "disgrace".
"The fact that so many unions representing a range of NHS workers are taking action or preparing to join future actions should send a clear message to the government," she said.
RCM chief executive Cathy Warwick added: "At a time when MPs are set for a 10% pay hike, we're told that midwives don't deserve even a below-inflation 1% rise. And politicians wonder why the public does not afford them more respect.
"It feels to a great many people, including midwives, that there is one rule for them and another rule for everybody else."

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