Andrew Lee

Flu vaccine providing important protection despite new subclade UKHSA’s early season data shows vaccination remains best defence alongside good respiratory hygiene as flu activity rises.

#Flu circulating in UK earlier than previous years. Links to #H3N2 subtype with speculation of a "bad" flu season ahead. Still early days & some uncertainty, but initial analysis by #UKHSA shows reassuring vaccine effectiveness vs severe disease for this year's vaccine. www.gov.uk/government/n...

Significant association between chemsex &
- syphilis (pooled OR: 1.741)
- gonorrhea (pooled OR: 1.784)
- chlamydia (pooled OR: 1.429)

Interventions needed to address chemsex behaviors, including harm reduction strategies, STI prevention programs & culturally competent healthcare services.

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Association of chemsex and risk of chlamydia, gonorrhoea, and syphilis infections: a systematic review and meta-analysis Chemsex, the use of psychoactive substances to enhance sexual experiences, is increasingly recognized as a public health concern, particularly among m…

Association of #chemsex and risk of #chlamydia, #gonorrhoea, and #syphilis infections: a systematic review and meta-analysis.

Latest article in #PublicHealth journal by Satapathy P et al.
www.sciencedirect.com/science/arti...

@rsph.bsky.social
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📰News!📰Great to see our collaborative research shared by
GOV.UK!
Thousands with undiagnosed hepatitis and HIV found in A&E testing.
Read more ➡️ tinyurl.com/y7h3d926 @jhorwood.bsky.social @nhsengland.bsky.social @ukhsa.bsky.social

Quite like the AI generated comic that summarises an old paper of mine on the access barriers to health care for chronic #HepatitisB in #migrant #Chinese communities in Western countries. Might make reading academic papers much more attractive!
onlinelibrary.wiley.com/doi/epdf/10....

... and in the UK as well.

The research authors note
- difficulties communicating urgency of adolescent mental health (AMH) at national level
- inconsistent intersectoral collaboration
- & lack of clear leadership for AMH.
Need for expansion of advocacy networks beyond government & cultivation of strong leadership
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Political priority of adolescent mental health in Mexico: An exploratory mixed-methods study Despite suicide being the third leading cause of death among individuals aged 15–24 in Mexico, mental health services are neglected. This study examin…

Despite #suicide being the 3rd leading cause of death among adolescents in #Mexico, #mentalhealth services are neglected.

This study examines challenges encountered by key stakeholders for the prioritization of adolescent mental health.
www.sciencedirect.com/science/arti...
@rsph.bsky.social
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The research authors conclude:
- Policies that rely on individual agency are less effective. - There is a need to develop effective policies to protect children from #foodmarketing and #socialmedia exposure which may increase the risk of both obesity and eating disorders.
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Children's and adolescents' responses to public health obesity policies and weight monitoring in England: A qualitative study There is a lack of understanding of the benefits and potential inadvertent harms associated with public health obesity policies. The aim of this study…

What do kids think of England's public health #obesity policies & weight monitoring?
👉They perceive no real benefits, pay little attention to them, but note potential negative impacts.

Read more in this qualitative study in #PublicHealth @rsph.bsky.social
www.sciencedirect.com/science/arti...
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Evidence for the effectiveness of health impact assessment in spatial planning on health outcomes: A systematic review and stakeholder involvement from a UK perspective Health Impact Assessment (HIA) is a decision support method used for evaluating the impact of actual or planned developments on health and wellbeing, …

What is the evidence for #HealthImpactAssessments in spatial planning?
Ideally HIAs should be a key part of planning processes but it's challenging to get stakeholders to engage.
Read this systematic review in #PublicHealth journal @rsph.bsky.social
www.sciencedirect.com/science/arti...

Targeting health equity through complex health interventions: Which evaluation methods and designs are used? A scoping review Health inequalities (HI) are systematic and avoidable disparities. While many public health interventions target HI reduction, their impact is not alw…

While many #publichealth interventions target health #inequalities reduction, one review found evaluations often fail to measure this impact explicitly. Highlights the need for systematic inclusion of economic indicators in evaluations of interventions.
www.sciencedirect.com/science/arti...

This week in my MPH disaster management class, we discussed conflict & public health, the drivers of conflict, & how division & grievance can be manufactured. Not a new lecture but feels depressingly apt in our troubled times.

Huntington's disease successfully treated for first time One of the most devastating diseases finally has a treatment that can slow its progression and transform lives, tearful doctors tell BBC.

This is such a good news story!
I recall being taught at med school (a few decades ago!) just how grim this disease is.
BBC News - Huntington's disease successfully treated for first time - BBC News
www.bbc.co.uk/news/article...

Paracetamol and pregnancy - reminder that taking paracetamol during pregnancy remains safe Patients should be reminded and reassured that there is no evidence that taking paracetamol during pregnancy causes autism in children. Paracetamol is recommended as the first-choice pain reliever for...

MHRA Drug Safety Update - #Paracetamol and #pregnancy - reminder that taking paracetamol during pregnancy remains safe.
www.gov.uk/drug-safety-...

Our rapid review just published in Journal of #PublicHealth on the causes of diagnostic and treatment delays for #tuberculosis in low-burden countries:
👇https://academic.oup.com/jpubhealth/article/doi/10.1093/pubmed/fdaf106/8252890

Collaboration of @fohsheffield.bsky.social clinicians & academics.

Efficacy of influenza vaccines and its relationship with immunological surrogate endpoints: a systematic review and meta-analysis of RCT Vaccine efficacy may vary due to influenza strain types, their similarity, and vaccine type. The relationship between immunological surrogate endpoints and vaccine efficacy remains unclear, requiring ...

Efficacy of #influenza #vaccines & relationship with immunological surrogate endpoints: systematic review & meta-analysis of RCTs. Clin Microbiol Infect www.clinicalmicrobiologyandinfection.org/article/S119...
Flu vaccines give mod protection while Inactivated flu vaccines show higher efficacy.

Is England's 10 year health plan fit for the future?

Is England's 10 year health plan fit for the future?

#PopulationHealth isn't & can't be delivered alone by the healthcare system. To be truly transformational, health system reform needs to be public health led.

Editorial in Public Health:
www.sciencedirect.com/science/arti...

@rsph.bsky.social

The RSPH journal Public Health has a call for papers for a special issue on #IntegratedCare and #PublicHealth.
www.sciencedirect.com/special-issu...
Do share & consider writing for publication with us!
@rsph.bsky.social

The effectiveness of co-created lifestyle interventions in improving health behaviour, physical and mental health in adults with non-communicable diseases: A systematic review with meta-analysis This systematic review aimed to evaluate the effectiveness of co-created lifestyle interventions in modifying health behaviour, and mental/physical he…

A systematic review on #cocreation of lifestyle interventions for people with #NCDs reports that when we co-create interventions with people we are more likely to see improvements in health behaviours, physical & mental health.
RSPH #PublicHealth journal.
lnkd.in/eapB-9bs
@rsph.bsky.social

Sovereignty, equity, solidarity: progress on the Global Health Emergency Corps Five years after the start of the COVID-19 pandemic, pushback against global health initiatives is common amidst declining health spending and growing nationalism. 1 2 But the threat of future pandemics, such as that posed by the widening mammalian transmission of influenza A (H5N1), underscores the need for strengthened collaboration. The new Global Health Emergency Corps (GHEC) is a body of experts in ministries and agencies in every country who work on health emergencies and the global ecosystem through which they coordinate. The GHEC framework3 aims to support the development of consistent workforce capacity across the core health emergency components,4 complemented by surge teams that can be deployed as needed through pre-agreed governmental mechanisms, and emergency leaders who are embedded within the highest level of health security coordination in the government.

"Sovereignty, equity, solidarity: progress on the Global Health Emergency Corps".
Aspiring to a regional & global ecosystem of coordinated response to emergencies. Our commentary with partners from WHO, IANPHI & others now published: gh.bmj.com/content/10/8...
#GHEC #globalhealthemergencycorps

Measles: Child dies at Alder Hey Children's hospital as cases surge Seventeen children have been treated at the Liverpool hospital for the virus since June.

This death is really tragic and sadly avoidable. We have a safe and effective vaccine. High vaccination coverage protects not just the vaccinated but also the vulnerable in our communities. www.bbc.co.uk/news/article...

The review finds the medicalisation of public health limits systemic reforms by sidelining the social determinants of health & exacerbates inequities by marginalising community-led public health models. With major health system reforms in England underway, public health is needed now more than ever.

Medicalisation of public health: a narrative review To critically examine the medicalisation of public health and its implications for addressing upstream social, environmental, and structural determina…

Article of the month in @rsph.bsky.social journal #PublicHealth: Medicalisation of Public Health by @draraquelnunes.bsky.social
Well worth a read
www.sciencedirect.com/science/arti...
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Rabies case confirmed following contact with an animal abroad An individual from the UK has sadly died after becoming infected with rabies, following contact with a stray dog during a visit to Morocco. The individual was diagnosed in Yorkshire and the Humber. There is no risk to the wider public in relation to this case as there is no documented evidence of rabies passing between people.

A person from the UK has sadly died after becoming infected with rabies, following contact with a dog abroad. There is no risk to the wider public in relation to this case.
📰🔗 www.gov.uk/government/n...

Congratulations @doctorshaib.bsky.social!

An amazing (and concerning) factoid. Deprivation kills.

Thanks for the book recommendation. Sadly, there are inequalities in people's access to nature.

I'm running an online short course on the Essentials of Health Protection Practice - just a few places left!

Day 1: Monday 2nd June 2025, 9.30am - 4pm (BST)
Day 2: Friday 13th June 2025, 9.30am - 4pm (BST)

If interested, more info here: www.sheffield.ac.uk/smph/cpd/sho...
#healthprotection

Cost-effectiveness of tuberculosis infection screening at first reception into English prisons: a model-based analysis The World Health Organization recommends systematic screening for tuberculosis in incarcerated populations, which are consistently at high risk of tub…

www.sciencedirect.com/science/arti...