Monday 22 January 2018

Disabilities caused in babies by epilepsy drug a 'scandal'

Disabilities caused in babies by epilepsy drug a 'scandal'




Media captionBridget Buck was born with severe brain damage and spina bifida

An MP has said the harm caused to children after their mothers were given the epilepsy drug sodium valproate is an "extraordinary scandal".
It is thought about 20,000 children in the UK have been left with disabilities caused by valproate since the 1970s.
Norman Lamb MP said it was also "extraordinarily distressing" new research suggested medical problems could be passed through generations.
Sodium valproate, also known as Epilim, can be prescribed by doctors as a treatment for epilepsy and bipolar disorder.
It carries a risk of causing physical abnormalities, autism, low IQ and learning disabilities if babies are exposed to the drug while in the womb.
The Medicines and Healthcare Products Regulatory Agency (MHRA) said the drug is "kept under constant review", while the Department of Health said it expects the MHRA to take further action if a review finds more can be done to highlight the risks associated with it.
Many parents have claimed they were not made aware of the risks from taking the treatment while pregnant, even after new safety warnings were introduced in 2016.

Sue Jenkinson
Image captionSue Jenkinson took sodium valproate while she was pregnant with her two daughters

Sue Jenkinson, from Liverpool, took the drug while she was pregnant and both of her two daughters developed foetal valproate syndrome.
They have since had their own children and they believe they are showing signs of the condition, despite neither taking valproate during their own pregnancies.
"It's because I took that medication, that's why my kids haven't got a normal life and they struggle every single day of their lives," Ms Jenkinson said.
Her grandson Ryan has medical problems including dyspraxia, learning difficulties and a bowel condition, and is being monitored by Professor of Clinical Neuropsychology Gus Baker.
Prof Baker said he is currently identifying Ryan's "strengths and weaknesses" and "trying to map them on to what we understand about sodium valproate and how it affects children".
"I'll probably be in a good position to provide a formulation of what I think has happened to him and what we might be able to do to ameliorate those difficulties that he is clearly having," he said.

Sue Jenkinson and her family
Image captionSue Jenkinson believes foetal valproate syndrome has been passed through three generations of her family

Mr Lamb, a former minister for care and support, is part of a campaign calling for the government to back compensation claims.
"We are in a good dialogue. The minister, Lord O'Shaughnessy, appears to be completely conscious of the need to stop this scandal continuing," he said.
In France, a charity-led campaign is being supported by the government and Mr Lamb has called for something similar "to happen here without delay".
The drug's maker Sanofi said valproate had been "made available to physicians to treat epileptic patients in the 1970s".
"It was and still is one of the most effective treatments for epilepsy, a serious and complex disease that can be potentially fatal to patients," it added.
The firm said it was "aware of the challenging situations faced by families with children with conditions that may be related to their mother's treatment with antiepileptic drugs".
However, they said the drug "has at all times been supplied in the UK with a warning of the risk of malformations in babies".

The warning which has been on the outside of valproate pill packets since last year in Britain
Image captionThis warning has been on the outside of valproate pill packets since 2016 in Britain

Research from Konkuk University in South Korea involving mice has also suggested disabilities caused by valproate could afflict successive generations within families.
Professor of Pharmacology Chan Young Shin said he found evidence "the compound could cause autism spectrum disorder trans-generationally".
The MHRA has said the study had "many limitations", but some families believe this has happened to them.
Mr Lamb said the research into whether the syndrome can pass between generations showed the consequences of taking valproate during pregnancy must be "extraordinarily distressing for the families affected".

Karen Buck
Image captionKaren Buck has been told her daughter Bridget only has months to live

Any potential help for affected families will probably be too late for Bridget Buck.
The 19-year-old, from Stanmore in north-west London, was born with severe medical problems including brain damage and spina bifida after her mother was prescribed sodium valproate.
"I do all Bridget's overall care. I think for Bridget, I talk for Bridget, I walk for Bridget. I live for Bridget," her mother Karen said.
Yet she has been told the speed her daughter is deteriorating means she will probably only have months to live.
"Mothers shouldn't have to bury their daughter, no mother should do that," she said.
A Department of Health and Social Care spokesperson said: "Patient safety is always our priority. We want to make sure doctors give women the right information when prescribing these drugs — that's why the medicines regulator is already reviewing how effective measures to highlight these risks have been.
"We expect them to take further action if they find that more can be done."

Friday 12 January 2018

suggests it could be the worst flu season for seven years.

Woman in bed with thermometer (Posed by model)Image copyrighHospitals in England are now seeing very high rates of patients with flu, according to Public Health England figures.
A sharp rise in cases seen by GPs in the past week - 
up 78% on the week before - suggests it could be the worst flu season for seven years.
But PHE said the current levels of flu were "not unprecedented".
Deaths from flu remained static with 27 in the past seven days.
Around 5,000 people were admitted to hospital with flu in the first week of January, based on PHE figures for 22 out of 137 trusts.
Prof Paul Cosford, medical director from Public Health England, said: "The levels of flu being seen are high and of course that is contributing to the pressures in the NHS, but they are not unprecedented levels."
He also suggested the coverage of the so-called Aussie flu outbreak was a little misleading, saying that while it was circulating at "significant" levels there were two other strains that were also causing problems.
These strains are an unknown type of influenza A and influenza B - which is normally a milder strain - but appears to be affecting older people in care homes.
The H3N2 strain - an influenza A virus - has been dubbed 'Aussie flu' because it is the same strain that recently caused big problems for Australia during their winter.
Bethany WalkerImage copyright
Image caption18-year-old Bethany Walker died after contracting the flu and developing pneumonia
This year's flu vaccine is designed to protect against this strain and some other ones.
Figures in Scotland show a doubling of flu cases in the past week but mortality rates related to the virus were still said to be low.
In Wales, a large rise in flu cases has prompted advice to stay away from some hospitals.
Graph showing flu hospitalisation rate
The rate of hospital admissions in England rose by over 50% in the first week of January to 7.38 per 100,000.
In the same week, the GP consultation rate was 37.3 per 100,000 compared to 21 per 100,000 the week before.
Nearly 22,000 patients went to see their GP with flu in the first week of 2018, the Royal College of GPs said, and there was also a rise in people seen with the common cold, acute bronchitis, respiratory system diseases and asthma.

Flu rates in England

GP consultation rates per 100,000 for flu-like illness. Tap or click for more details.
Legend for interactive map
Source: Public Health England
Map produced by Carto

What is flu?

Flu symptoms can come on very quickly and can last for a week or more.
Symptoms include a fever (temperature above 38C), aches, headache, tiredness, a chesty cough, tummy pain and loss of appetite.
Children can also get pain in their ears and appear lacking in energy.
Flu can be particularly unpleasant for certain people, such as the over-65s, pregnant women and those with other serious health conditions.
Health officials say getting the vaccine every year is the best way to protect against flu.

Wednesday 27 December 2017

hazardous conditions



Snow on the M1Image copyrightNORTHANTS RAPT

Police are warning drivers of hazardous conditions on roads after snow fell in parts of the UK overnight.
The M1 southbound was blocked at junction 19 after a lorry accident, but this is expected to clear by 07:30 GMT.
The Met Office has issued warnings for ice for northern Scotland, Northern Ireland and north-east England and snow for Wales and parts of England.
Meanwhile, there are 14,000 properties without power in the Midlands, south-west England and parts of Wales.
Western Power Distribution said "a small band" of homes in Worcester, Gloucester and Coventry were affected.
The firm said the cuts were all snow-related and extra staff - who had been on standby for poor weather - had been called in to work to reconnect properties.
Lorry driver Simon Talbot told BBC News he had been stuck on the A14 in Northamptonshire for three hours.
"I've been stationary since about 02:20 GMT westbound on the A14, there is approximately 5ins (12cm) of snow we've had and I'm just stationary."

'Hazardous conditions'

He added: "I'm on an incline and there are lorries and vans in front that are unable to get up the hill because of the snow. So it is just a waiting game at the moment."
Referring to the incident on the M1, Leicestershire Police tweeted: "There has been an accident involving a lorry.
"Unfortunately, all lanes are currently blocked. Police and Highways are aware and are currently dealing. Please make alternative travel arrangements."
It added: "Please be aware that snow is falling across the county and in some cases it is settling, causing hazardous conditions for drivers. Please take care and take the necessary precautions."
Northamptonshire Roads and Armed Policing Team (RAPT) tweeted: "Heavy snow has started. The M1 has quickly become treacherous. RAPT on scene at a single vehicle RTC (road traffic collision)."
Air travellers have been warned that there may be disruptions at some airports. Birmingham Airport closed for a short time late on Tuesday to allow for slush and snow to be cleared from the runway.
And Luton Airport, which said it was expecting snow this morning, advised passengers to check with their airline for the status of their flight.

Thursday 7 December 2017

"stark" increase

Overweight child by a swimming poolImage copyrightGETTY IMAGES


There is a "stark" increase between the ages of seven and 11 in the proportion of children in the UK who are overweight or obese, new data suggests.
The study of nearly 12,000 children found 25% were overweight or obese at age seven, rising to 35% at 11.
Between 11 and 14, there was little change, however, which researchers say may be because children of this age are making more of their own food choices.
Campaigners are calling for more action on weight issues in younger children.

Mothers' education

Researchers from the Centre for Longitudinal Studies (CLS) at the UCL Institute of Education analysed information on nearly 12,000 of the children taking part in the Millennium Cohort Study, who were born in 2000 and 2001 and have had their weight and height measured at the ages of three, five, seven, 11 and 14.
Rates of excess weight varied by nation, with nearly 40% of young people in Northern Ireland obese or overweight compared with 38% in Wales and 35% in both Scotland and England.
The levels showed little change up to the age of seven, but then made a big jump in the next four years.
At the age of seven, 25.5% of the boys were overweight or obese - but this proportion rose to 36.7% four years later.
With the girls, 23.7% were carrying excess weight at seven - but 33.9% were overweight or obese at 11.
However, at 14 the boys' proportion had dropped to 34.1%, while the girls' had risen slightly to 36.3%.

Bar chart of levels of overweight/obese children

The data, which was collected between January 2014 and March 2015, also revealed a link between young people's weight and their mothers' level of education.
Nearly 40% of 14-year-olds whose mothers had no qualifications above GCSE level were overweight or obese, while the proportion was 26% among those whose mum had a degree or higher qualifications.
Also, children who were breastfed as infants, and those whose parents owned their own home, had lower odds of carrying excess weight at 14.
Dr Benedetta Pongiglione, co-author of the study, told the BBC that while it did not investigate the reasons for the levelling off in rising obesity in 11- to 14-year-olds, trends suggested why this had occurred.
"We know that that age of early to mid adolescence is a time where children start to make more decisions on their own, which can imply different... physical activity, diet and other choices," she said.
"Peer pressure also plays a bigger role in their lives.
"From what we observe, maybe the time between seven and 11 is when parents take most of the decisions."
Prof Mary Fewtrell, nutrition lead at the Royal College of Paediatrics and Child Health, and Caroline Cerny, from the Obesity Health Alliance, both called for restrictions or a 21:00 watershed on junk-food advertising.
Prof Fewtrell said a range of measures should be considered, including "statutory school-based health education in all schools and robust evaluation of the soft drinks and sugar reduction programme".
Ms Cerny said it had to be made "easier for families to make healthier choices".
She added: "Children can see up to nine junk-food adverts in just 30 minutes while watching their favourite shows, and we know this influences their food choices and how much they eat."
Prof Emla Fitzsimons, another co-author of the study, said: "Children who are overweight or obese face an increased risk of many health problems later in life, including cardiovascular disease and type-2 diabetes.
"There is still a worryingly high proportion of young people in this generation who are an unhealthy weight."
The government has plans to try to cut childhood obesity, with a tax on sugary drinks coming into force on 1 April 2018.
Independent think tank the Centre for Social Justice has suggested it follows the example of Amsterdam, which is the only European city to have lowered obesity rates in the past five years with a variety of programmes - mainly through schools.
Childhood obesity rates have also fallen in New York after a poster campaign on the subway system.

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