Monday 8 October 2012

Carbon emissions target urged by business leaders


Carbon emissions target urged by business leaders

Emissions from a chimney at Eggborough Power Station, near SelbyA recent report by business group the CBI estimates that policy uncertainty over carbon emissions could prove to be costly for the UK's economy

The plea is made in an open letter to Chancellor George Osborne signed by 50 businesses and organisations.
Ministers must set a specific target for restricting carbon emissions from power generation, businesses have said.
They want a target for how emissions should be curbed by 2030, arguing that a failure to show commitment to reducing carbon emissions may harm the economy and their commercial prospects.
Mr Osborne has outlined plans to get energy from gas beyond 2030.
Labour Leader Ed Miliband has backed a 2030 target for the power sector and the Liberal Democrats have supported a target under the Energy Bill, to be included in secondary legislation to allow flexibility.
The government's climate advisers have warned support for future gas plants without technology fitted to cut emissions is not compatible with climate change legislation and is harming investment in low-carbon power such as renewables and nuclear.
Companies and investors have joined with trade unions, environmental groups and industry bodies to warn the chancellor that support for gas power into the 2030s is undermining investment in UK electricity infrastructure.
The introduction of a carbon intensity target for the energy sector would, they say, provide investors with the long term confidence needed to transform the electricity market and promote wider economic growth.Such a target would also be in line with recent recommendations from the independent Committee on Climate Change
The letter was signed by 50 businesses and organisations, including Microsoft, Marks and Spencer, Alliance Boots and Asda.
In it, they warn the Mr Osborne that uncertainty over the government's commitment to low-carbon power generation is harming the development of green businesses.
The letter states: "The government's perceived commitment to the low carbon transition is being undermined by recent statements calling for unabated gas in the power sector beyond 2030 and the absence of a specific carbon intensity target."
It highlights a recent report by business group the CBI, which estimates that while a third of UK growth in 2011/2012 came from green businesses, policy uncertainty could lose the UK £400m in exports in 2014/2015 alone.
"It is essential for government to provide investors with the long-term confidence they need to transform our electricity market and make investments capable of driving wider economic growth," says the letter.
Peter Young, chairman of the Aldersgate Group which co-ordinated the move, called for an end to "any political uncertainty surrounding the UK's energy future".
And Andy Atkins, executive director at Friends of the Earth, which backed the letter, said Mr Osborne's support for gas power was looking "increasingly isolated".
Asda, Aviva, British American Tobacco, EDF, Microsoft, Marks & Spencer, PepsiCo, Philips, Sky and the Co-operative are among the businesses to have signed the letter.

a cocktail containing liquid nitrogen


Teenager's stomach removed after

 drinking cocktail

Chef using liquid nitrogen in New YorkA New York chef demonstrates how to use liquid nitrogen in cooking
A teenager has had emergency surgery to remove her stomach after drinking a cocktail containing liquid nitrogen.
Lancashire Police say the 18-year-old was out with friends in Lancaster on Thursday 4 October when it happened.
The woman is reported to have become breathless and developed severe stomach pain before being taken to Lancaster Royal Infirmary.
Officers say she would have died if doctors had not performed the operation.
The woman, from Heysham in Lancashire, was taken to hospital at 11pm.
She was diagnosed with a perforated, or pierced stomach. The 18-year-old is now in a serious but stable condition.
'Toxic chemical'
Lancashire Police have not named the place where she bought the cocktail, but say it has stopped selling it.
A statement said: "The premises involved have fully co-operated with all agencies and have suspended drinks involving liquid nitrogen.
Alcohol itself is a very dangerous thing if improperly handled and liquid nitrogen is a toxic chemical. It destroys human tissue
John AshtonDirector of public health for Cumbria
"The investigation is still in its early stages and we are still interviewing witnesses to establish the full facts."
The force said they had been warning other bars in the town about what had happened.
Doctor John Ashton, director of public health for Cumbria, said: "This poor girl is the victim of an irresponsible alcohol industry that's now competing on gimmicks.
"Alcohol itself is a very dangerous thing if improperly handled and liquid nitrogen is a toxic chemical. It destroys human tissue."
Other uses
If swallowed, liquid nitrogen can cause cold burns to the mouth, throat and stomach, killing the tissue.
As the frozen vapour hits the stomach it rapidly warms, releasing large volumes of air which can burst the stomach.
Doctors performed emergency surgery to remove the 18-year-old's stomach, an operation known as a total gastrectomy.
During the operation the stomach is cut out and the remaining two tubes to and from the stomach, the oesophagus and the small bowel, are connected.
People who have had a gastrectomy will still be able to lead a normal life and eat and drink regular food but they will need to eat smaller amounts and take vitamin supplements to make sure they get enough nourishment.
Heston Blumenthal has popularised the use of liquid nitrogen in cooking, using it to make ice cream.
It is also used in medicine to remove unwanted skin, warts and pre-cancerous cells, while in industry it can be used as a coolant for things like computers.
Additionally it has been used in cryogenics, where scientists find what happens to materials at very cold temperatures

Sunday 7 October 2012

Abortion law: David Cameron has 'no plans' for new rules


Abortion law: David Cameron has 'no plans' for new rules


The government has "no plans" to bring in new laws governing when a women can legally have an abortion, Prime Minister David Cameron has said.
The PM spoke after Health Secretary Jeremy Hunt told the Times he personally favoured a move to halve the abortion limit from 24 weeks to 12.
Mr Cameron said Mr Hunt was "entitled to hold an individual view" but insisted it was not government policy.
The 24-week limit applies to England, Wales and Scotland.
Abortion is illegal in Northern Ireland except in exceptional medical circumstances, such as when the mother's health is at risk.
During a visit to the John Radcliffe hospital in Oxford, Mr Cameron said he "personally" favoured a "modest reduction" from the current limit of 24 weeks, "because I think there are some medical arguments for that". But he said he did not agree with the 12-week limit.
'Difficult question'
Mr Hunt told the paper: "My view is that 12 weeks is the right point for it."
The health secretary said he had reached the conclusion after studying the evidence, adding it was his personal view over what remains an "incredibly difficult question".
Responding to his comments, Home Secretary Theresa May told the BBC she "probably" backed a change to a 20-week limit but also said that that was a personal view.
Earlier this week Women's Minister Maria Miller told the Daily Telegraphshe would vote to lower the abortion limit from 24 weeks to 20 weeks.
Tory MP Daniel Kawczynski, who wants the existing law tightened, welcomed Mr Hunt's comments.
"The health secretary coming out in favour of reigniting this debate will galvanise the caucus that exists in Parliament, cross-party, on this issue," he said.
But Anthony Ozimic, from anti-abortion campaigners the Society for the Protection of Unborn Children, said that any new backbench bill on the topic was certain to fail.
"There is a large pro-abortion majority in Parliament which will ensure that any time-limiting amendments are rejected while using the opportunity to push for pro-abortion amendments," he said.
"The real political debate about abortion in the UK should focus... on the right to life of all unborn children and on the way governments bankroll abortion access at home and abroad," Mr Ozimic added.
Shadow home secretary Yvette Cooper, who speaks for Labour on women's issues, said the statements by Mr Hunt "show the health secretary has given no serious consideration to women's health".
She added: "Perhaps the most chilling part of his interview is the claim that 12 weeks is based on evidence when it undoubtedly is not."
Gynaecologist Professor Wendy Savage, a campaigner on women's rights, expressed concern over the possible re-opening of a debate which was defeated the last time it came to Parliament in 2008.
She said: "The number of abortions that take place over 20 weeks is very small. Of those a considerable proportion are of foetuses which have got a congenital abnormality.
"I think the majority of the population think that if somebody has got a foetus that, if born, will have a severe disability they should have the right to choose whether or not to continue with that pregnancy," she said.
Prof Savage added that ministers should be debating whether to decriminalise abortion altogether.
Elsewhere, the British Pregnancy Advisory Service's Clare Murphy said the remarks reflected "a lack of understanding of why women need later services".
There were nearly 190,000 abortions for women in England and Wales last year, 91% of which were carried out before the 13th week of pregnancy, according to Department of Health figures.

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Saturday 6 October 2012

Glasgow Crimean-Congo Viral Haemorrhagic Fever: Passengers monitored


Glasgow Crimean-Congo Viral Haemorrhagic Fever: Passengers monitored

C130 Hercules aircraftThe 38-year-old patient was transferred to hospital in London on a special RAF isolation plane

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Two passengers who sat near a man who has Crimean-Congo Viral Haemorrhagic Fever (CCVHF) on a flight to Glasgow are being monitored as a precaution.
The 38-year-old man was earlier transferred to hospital in London in a special RAF isolation plane.
He had been in Kabul, Afghanistan, and was diagnosed hours after returning to Glasgow on Emirates flight EK027 from Dubai on Tuesday.
Two other passengers contacted do not require follow-up.
The man was transferred from the specialist Brownlee unit at Gartnavel Hospital in Glasgow to the Royal Free Hospital in London on Friday morning.
NHS Greater Glasgow and Clyde (GGC) initially said it wanted to contact three passengers thought to have sat near the man on the flight from Dubai.
The health board said a fourth passenger had now been identified as a possible contact of the patient and would be followed up on a daily basis, for two weeks, to monitor for any developments of relative symptoms.
One of the original three passengers is also being followed-up with daily monitoring. The other two do not require follow-up surveillance.

THE DISEASE

  • Crimean-Congo Haemorrhagic fever is a viral fever transmitted from animals to humans by tick-bites or through direct contact with blood or infected tissues from livestock, particularly cattle, sheep, goats, and hares.
  • It kills between 10-40% of people infected.
  • It is rare - but incidence has risen over the past decade.
  • It is present in more than 30 countries in Eurasia and Africa, including northwestern China, central Asia, southern and eastern Europe, Africa, and the Middle East.
  • Initial symptoms include headache, high fever, back pain, joint pain, stomach pain and vomiting. Rarer signs include jaundice, severe bruising and uncontrolled bleeding.
  • An anti-viral drug called ribavirin is the most common treatment. There is no safe vaccine.
  • It was first described in the Crimea in 1944 and was found to be responsible for an illness in a human in Congo in 1956.
Public health consultant, Dr Syed Ahmed, who is coordinating the investigations into this case, said: "The risk of person to person transmission of Crimean Congo Viral Haemorrhagic Fever is very low as it can only be transmitted by direct contact with infected blood and body fluids.
"It is not a virus which is transmitted through the air.
"The monitoring of these two passengers is purely precautionary and is in line the national guidance for the management of cases such as this."
The health authority said the risk to all other passengers was "extremely low" and advised anyone with concerns to contact NHS 24.
This is the first case of CCVHF in the UK.
The man was stabilised overnight before being moved in specialist isolation facilities by air with the support of the Scottish Ambulance Service and the RAF.
The NHS 24 helpline number for anyone on flight number EK027 to call if they have concerns is 08000 85 85 31.
The helpline will be available between 08:00 and 22:00 seven days a week.
CCVHF is a zoonosis - a disease found in animals that can infect humans.
Outbreaks are usually linked to contact with blood or body fluids from infected animals or people.
Onset is sudden, with initial symptoms including high fever, joint pain, stomach pain, and vomiting.
Red eyes, a flushed face and red spots in the throat are also common.
As the illness progresses, patients can develop large areas of severe bruising, severe nosebleeds, and uncontrolled bleeding.

Friday 5 October 2012

Crimean Congo Haemorrhagic Fever


Deadly 'Congo fever' kills three in India

A rare deadly virus has killed three people in India for the first time ever, health officials said.
The National Institute of Virology (NIV) confirmed the deaths were caused by the Crimean Congo Haemorrhagic Fever, also known as the 'Congo fever'.
The dead included a woman who was infected with the virus, and the doctor and the nurse who treated her at a hospital in the western Ahmedabad city.
Two relatives of the dead woman have also been admitted to hospital.
"This is a very deadly virus, but there is no need to panic," Gujarat state Health Minister Jayanarayan Vyas said.
Two more cases - the husband and brother of the dead woman Amina Momin - are in hospital, Mr Vyas said.
"They are being treated and their condition is stable," he added.
Twenty teams of health officials have been fanned out within 5km area from the Kolat village in Gujarat state and are officials say no fresh cases have come to light.
"We are not leaving any thing to chance. We are confident that with the measures taken we will be able to contain the disease," Mr Vyas said.
Congo Crimea Haemorrhagic Fever is a viral haemorrhagic fever transmitted by ticks and causes bleeding from the skin, mouth and nose.
The virus can also transmit from animals to humans.

Crimean-Congo Viral Haemorrhagic Fever case in Glasgow


Crimean-Congo Viral Haemorrhagic Fever case in Glasgow

GartnavelThe patient is being treated at the specialist Brownlee unit at Gartnavel General Hospital

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A man is being treated in complete isolation in Glasgow after being confirmed as having Crimean-Congo Viral Haemorrhagic Fever.
The 38-year-old man is said to be in a critical condition in the city's specialist Brownlee unit.
He was admitted to hospital less than three hours after returning to Glasgow on Emirates flight EK027 from Dubai.
The tick-borne tropical disease, which is rare in Western Europe, is fatal in up to 30% of cases.
The Brownlee unit at Glasgow's Gartnavel General Hospital specialises in infectious diseases.
NHS Greater Glasgow and Clyde said the risk of person-to-person transmission of the virus is extremely low.
However, as a precautionary measure those who have been in close contact with the patient are being contacted to ensure that there has been no transmission.

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We are confident that his close contacts subsequently within the city were minimal”
NHS Greater Glasgow and Clyde
This includes tracing three of his fellow passengers on the flight from Dubai to Glasgow which arrived at 12:35 on Tuesday.
They were seated in close proximity to him on the flight. The three passengers are being contacted directly as a precaution to ensure that there has been no transmission.
The risk to all other passengers on the flight is said to be very low, but if they have any concerns they should contact NHS24 on 08000 85 85 31for advice.
A spokesman for the health board said: "Given the fact that this man went into the care of the NHS within three hours of his flight arrival in Glasgow and travelled directly home via private transport from the airport we are confident that his close contacts subsequently within the city were minimal.
"We have also identified all NHS staff, airport and airline staff who have had contact with the patient and any necessary follow-up action will be taken."
Dr Syed Ahmed, the board's Consultant in Public Health, said the virus can only be transmitted by direct contact with infected blood or body fluids. It is not transmitted through the air.
He added: "Crimean Congo Viral Haemorrhagic Fever (CCHF) is a widespread tick-borne viral disease.
"It is not common in Western Europe but is endemic in parts of eastern and southern Europe, central Asia, Africa, the Middle East and the Indian subcontinent.
"As soon as laboratory sampling confirmed that the patient was suffering from this virus all the appropriate agencies were informed."
Body fluids
CCHF is a widespread tick-borne viral disease, a zoonosis of domestic animals and wild animals, that may affect humans.
Outbreaks of illness are usually attributable to contact with blood or body fluids from infected animals or people.
The onset of CCHF is sudden, with initial signs and symptoms including headache, high fever, back pain, joint pain, stomach pain, and vomiting.
Red eyes, a flushed face, a red throat, and petechiae (red spots) on the palate are common.
Symptoms may also include jaundice, and in severe cases, changes in mood and sensory perception.
As the illness progresses, large areas of severe bruising, severe nosebleeds, and uncontrolled bleeding at injection sites can be seen, beginning on about the fourth day of illness and lasting for about two weeks.
Crimean-Congo hemorrhagic fever is found in Eastern Europe, particularly in the former Soviet Union.
It is also distributed throughout the Mediterranean, in northwestern China, central Asia, southern Europe, Africa, the Middle East, and the Indian subcontinent.

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Wednesday 3 October 2012

expert consultant surgeon,Dr Syed Naqvi

Expert tells probe into surgeon’s treatment of mum-of-13 ‘straightforward operation went wrong’
AN expert consultant surgeon told an inquiry probing the treatment of a mother-of-13 who died that she had been booked in for a "straightforward" operation which "went wrong".By Louise Hogan 

Syed Naqvi is facing 11 allegations of professional misconduct and/ or poor professional performance


Wednesday October 03 2012
Dr Syed Naqvi, who was a consultant surgeon at the Mid West Regional Hospital in Ennis, has been called before a Medical Council fitness to practise hearing on 11 allegations in relation to the care of Tina Sherlock (39).
Mrs Sherlock was 17 weeks pregnant with her 14th child when she visited the emergency department of the hospital on June 22, 2008, complaining of pain in her right side. Medical staff considered she may be suffering from an inflamed gall bladder – it was not until November, almost five-months later, that she was diagnosed with appendicitis following CT scan results.
She lost the baby girl in July. Mrs Sherlock died from multi-organ failure due to sepsis on December 10, 2008 – this followed three operations at the hospital.
The expert witness for the Medical Council, UK consultant surgeon Anthony Peel, was critical of numerous aspects of the operations.
Mr Peel said the first operation carried out by Mr Naqvi at the hospital on November 22, 2008 “should have been a straightforward procedure” but something “went wrong”. Mr Naqvi operated to remove the ‘mass’ in the appendix shown in the CT scan, and a part of her upper bowel was removed. The inquiry heard there was leaking of bowel contents from the wound following the surgery.
Mr Peel said there were two reasons for the leaking to occure either “poor technique” in the operation or “disease in the bowel itself”, and he pointed out there were no signs of bowel disease.
The expert witness said a CT scan should have carried out to try and identify the problem or source of the leak before two follow-on operations.
The inquiry heard the patient would have had to be transferred for the CT scan of her stomach area to the Mid Western Regional Hospital, Dooradoyle, Limerick as there was no CT scan at the Ennis hospital.
Mr Peel said he believed the failure to arrange the CT scan to identify the problem before the second operation on December 3, 2008, amounted to professional misconduct.
Eileen Barrington, SC for Mr Naqvi, said consultants at Ennis had been complaining about the lack of a CT facility at the hospital for a number of years and it was a “lengthy process” to obtain a CT scan from Limerick.
Ms Barrington said Mrs Sherlock’s symptoms had indicated a “wound infection” and the surgeon was operating on that basis. However, Mr Peel argued the vomiting, pain and level of leaking from the wound may have indicated there was a “more serious problem” and a CT scan should have been obtained.
The inquiry heard that prior to their retirement two of Mr Naqvi’s consultant colleagues had written to the Minister for Health and Medical Council seeking advice about the lack of consultant staff and inadequate facilities.
In September 2009, the A&E at Ennis was closed following a probe by HiQA.
The inquiry heard Mr Naqvi would be defending all the allegations of professional misconduct and/or poor professional performance.
The inquiry continues.
- Louise Hoga

Martina Sherlock, Childers Road, Ennis, died on 10 December, 2008, after three operations.
Ennis consultant surgeon Syed Naqvi is facing 11 allegations of professional misconduct and/ or poor professional performance.
The surgeon, who qualified in Pakistan, has worked in Ireland since 1985.
Ms Sherlock was 17 weeks pregnant when she first attended the Mid-Western Regional Hospital, Ennis, complaining of abdominal pain on her right side.
The inquiry has heard she was wrongly diagnosed with an inflamed gallbladder.
She had a miscarriage on 15 June due to septicaemia, after transfer to the Mid-Western Regional Maternity Hospital, Limerick.
It was not until 18 November following a CT scan organised at the Mid-Western Regional Hospital, Dooradoyle, that appendicitis was diagnosed.
Ms Sherlock underwent three operations under Dr Naqvi at Ennis on 21 November, 3 December and 8 December.
It is alleged that the surgeon performed an inappropriate operation on 8 December, that he failed to arrange CT scans, failed to make provision for a transfusion, failed to ensure Ms Sherlock was adequately resuscitated after the last operation, and failed to arrange for her transfer to Limerick regional in good time.
Senior counsel for Dr Naqvi, Eileen Barrington told the inquiry that doctors at Ennis hospital have written to the Council to say safety was at risk due to the absence of a CT scanner and other equipment.
Doctors had to send patients to Limerick regional for such scans.
Giving expert evidence today for the Medical Council, London surgeon Anthony Peel said what should have been a straightforward procedure on 21 November went wrong.
Mr Peel said that after the first operation on 21 November, Dr Naqvi should have organised a CT scan for Mrs Sherlock.
He said doctors have to battle hard to get what patients need and a CT scan in this case was mandatory.
Following an investigation by the Health Information & Quality Authority in late 2008, the hospital was found to be unsafe for acute emergency care and the Emergency Department was closed.
This is the second day of the inquiry, which is scheduled for three days.

Monday 1 October 2012

new deadly Salmonella


Monday, 1 October 2012

new deadly Salmonella


HIV 'made' new deadly Salmonella - study


SalmonellaA new strain of deadly Salmonella may have emerged in the wake of HIV

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An epidemic of a deadly strain of Salmonella has swept across the whole of Africa by "taking advantage" of the spread of HIV, according to an international team of researchers.
Their study, published in Nature Genetics, is the first to identify the separate cases as a single epidemic.
One in four people in Africa infected with the strain died.
It is thought to be the first time a single strain of an infection has spread so widely in the wake of HIV.
Cases of this form of invasive non-typhoidal Salmonella have been recognised in Africa for more than a decade. It causes fever, headaches, respiratory problems and sometimes death.

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It quite clearly parallels the emergence of HIV in Africa”
Prof Gordon DouganSanger Institute
The research team analysed the genetic code of 179 batches of Salmonella from different parts of Africa and the rest of the globe. Using techniques similar to a large-scale DNA paternity test, they were able to construct the strain's "family tree" and then how it spread.
It happened in two waves. The first started in south-eastern Africa about 52 years ago and the second wave started 35 years ago from the Congo Basin.
Prof Gordon Dougan, from the Sanger Institute in Cambridge in the UK, told the BBC: "It quite clearly parallels the emergence of HIV in Africa."
HIV attacks the immune system and leaves people more vulnerable to other infections. It is thought the strain of Salmonella Typhimurium took advantage of this weakness and spread. The research team said the bacterium was given the chance to "enter, adapt, circulate and thrive".
There is poor monitoring data for the disease across the whole of the continent, but Prof Dougan said it was affecting "thousands and thousands" of people and that 98% of adult cases were in people with HIV.

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It's actually quite a huge problem and it seems to be getting worse because there are many susceptible people, it's got a grip in Africa”
Prof Brendan WrenLondon School of Hygiene and Tropical Medicine
He said this spread of Salmonella Typhimurium had been different to that of other infections commonly associated with HIV, as it had been a single epidemic "people were completely unaware" of and there "were not really any other examples" of that happening.
Dr Melita Gordon, a gastro-enterologist at the University of Liverpool, said: "It's the first time this has been described right across a continent in such an obvious way."
She added: "The highest mortality associated with the disease is 80%. What's happened over the years is mortality has fallen down and down and down to between 20% and 25% as doctors inside Africa recognise it."
The genetic analysis also showed the strain was resistant to the first choice antibiotic, chloramphenicol, which means more expensive drugs would be needed to treat the infection.
It is thought that improving HIV treatment across Africa could reduce the prevalence of the Salmonella infection, as it would reduce the number of people with vulnerable immune systems. However, the researchers urged "vigilance" in case the Salmonella strain mutated again to become able to infect people with healthy immune systems.
Commenting on the study, Prof Brendan Wren, from the London School of Hygiene and Tropical Medicine, told the BBC: "It's actually quite a huge problem and it seems to be getting worse because there are many susceptible people, it's got a grip in Africa.
"HIV, I think it's fair to say, provided a springboard for it to take off."
However, he thought the disease was "near its peak" as HIV was more controlled in other continents giving it little room to spread.

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