Guides and Practices

Improving medical pathways for acute care: As the COVID-19 pandemic continues, the public must be confident that they will receive the urgent and emergency care they require in a safe environment. The Royal College of Emergency Medicine (RCEM), Royal College of General Practitioners (RCGP), Royal College of Physicians (RCP) and the Society for Acute Medicine (SAM) believe that a transformation of the urgent and emergency care pathway is needed now to alleviate negative consequences. The group lists recommendations that include changes that can be made locally among practitioners.

Data and Tools

Wider impacts of COVID-19 on health monitoring tool: This data monitoring tool collates metrics across a range of wider impacts of COVID-19 on health. This enables stakeholders to monitor changes over time, make informed decisions, and intervene early to mitigate against poor outcomes. This tool is updated weekly either with updates to data or the addition of new metrics.

Reports

Hungry for change: fixing the failures in food: The House of Lords Select Committee on Food, Poverty, Health and the Environment have released their report which is a culmination of their inquiry into the links between inequality, public health and food sustainability. The report provides evidence of how hard it is for many families across the UK to live healthy lives. Unhealthy food is around three times cheaper than healthier food with advertisements across TV and social media tending to show less of the food that is good for us, with unhealthy takeaways clustering in more deprived areas. The report also provides key recommendations that the committee wants the government to implement.

Adverse childhood experiences: What we know, what we don't know, and what should happen next: This report by the Early Intervention Foundation (EIF) explores the evidence relating to the prevalence, impact and the treatment of adverse childhood experiences (ACEs). It also explores the extent to which ACEs should provide the basis for frontline practice and service design. Moreover, it investigates the known level of effectiveness and the value of ACE-related approaches, such as routine enquiry and trauma-informed care. By tackling these questions, the report provides a follow-up to the 2018 House of Commons science and technology committee inquiry on evidence-based early intervention, found here.

Research

Incidence of Meningococcal Disease Before and After Implementation of Quadrivalent Meningococcal Conjugate Vaccine in the United States: Published in JAMA Paediatrics, The investigators of this research explored the association between the quadrivalent meningococcal conjugate vaccination program in adolescents and incidence of meningococcal disease in the United States. The findings of the study showed that while the incidence of meningococcal disease was declining prior to introduction of the vaccine, in this cohort group, the rates of decline in incidence of meningococcal disease due to serogroups C, W, and Y accelerated nearly 2-fold to 3-fold in vaccinated age groups, with greater rates of decline in states with high vaccine coverage.

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