Health
AI projects to tackle racial inequality in UK healthcare, says Javid
AI projects to tackle racial inequality in UK healthcare, says Javid
Artificial intelligence is to be used to tackle racial inequalities in the NHS under government plans to “level up” healthcare.
It is hoped that millions of black, Asian and minority ethnic Britons will benefit from revolutionary computer techniques designed to transform care and speed up diagnoses of potentially deadly conditions.
Sajid Javid, the health secretary, has given the green light to a series of hi-tech initiatives aimed at tackling health disparities in the UK. It comes amid mounting concern over the issue among senior ministers.
New projects include drawing up fresh standards for health data inclusivity amid fears that the datasets at the moment fail to adequately represent people from ethnic minority backgrounds.
Another project will use computer algorithms to investigate factors behind adverse maternity incidents involving BAME mothers. The results could lead to recommended changes, which could include new training for midwives and nurses. Black women are five times more likely to die in the UK due to complications during pregnancy compared with white women.
Javid said he was committed to “removing barriers” in the NHS so that “every one of us, no matter our background, can live healthier, longer lives”.
Experts have warned for years that some people from BAME communities have poorer health than the overall population. More recently, the pandemic took a disproportionate toll on these groups.
Evidence also suggests that structural racism can lead to BAME patients suffering poorer health outcomes. Reports have found “deep differences” in the prevalence and outcome of some health conditions between and within ethnic groups in the UK.
Javid said: “As the first health and social care secretary from an ethnic minority background, I care deeply about tackling the disparities which exist within the healthcare system. As we recover from the pandemic we have an opportunity for change, to level up, and ensure our NHS is meeting the needs of everyone.
“Technology, particularly AI, can be an incredible force for good. It can save valuable clinician time and help provide faster, more accurate diagnosis, so patients can access the care they need as quickly as possible. It can also help us better understand racial differences so we can train our workforce to look for different symptoms or complicating factors, diagnose faster, and tailor treatments.”
Javid expressed personal dismay at the racial inequalities in healthcare. “It is unacceptable that black women in England are five times more likely to die from complications during childbirth than their white counterparts. AI could help us to better understand why this is the case and ensure black mothers have an equal chance for a healthy life with their newborn.”
The drive to tackle racial inequalities using AI will be led by NHSX. Its AI Ethics Initiative aims to support research and practical interventions using AI-driven technologies in health and care, with a focus on countering health inequalities.
Another project being funded involves an AI-powered chatbot to raise the uptake of screening for STIs/HIV among minority ethnic communities.
A fourth involves improved computer screening to detect diabetic retinopathy. Recent analysis suggests performance varies significantly between different ethnic groups because people from ethnic minority groups have higher levels of retinal pigmentation which can influence image quality.
Javid said one of the most important new AI initiatives would be updating UK health data to more accurately reflect the population.
“If we only train our AI using mostly data from white patients it cannot help our population as a whole. We need to make sure the data we collect is representative of our nation. This new funding will support the development of a much-needed set of standards to make sure datasets for training and testing AI systems are diverse and inclusive so no one is disadvantaged because of their race,” he said.
Josh Keith, a senior fellow at the Health Foundation, a thinktank involved in the initiatives, said: “Data-driven technology is having a profound impact on our health and health care system, but we need to focus on making sure the impacts are positive so that everyone’s health and care benefits.
“We hope the projects being supported through this partnership can make an important contribution to this – helping to ensure the advancement of AI-driven technologies improves health outcomes for minority ethnic populations in the UK.”
Brhmie Balaram, head of AI research and ethics at NHSX, said: “Artificial intelligence has the potential to revolutionise care for patients, and we are committed to ensuring that this potential is realised for all patients by accounting for the health needs of diverse communities.”
Health
No new COVID-19 variant in Nigeria- FG
The Federal Government has clarified that the newly detected XEC COVID-19 variant, identified in Australia and some other countries in Europe, is not in Nigeria.
Ministry of Health and Social Welfare, Kachollum Daju confirmed that a recently leaked letter addressed to the Committee of Chief Medical Directors and Medical Directors was precautionary and not intended to cause panic.
Speaking further, Daju noted that the XEC COVID-19 variant has been detected in 29 countries, and due to the festive season, when travellers arrive from various parts of the world, it is crucial for hospitals to implement measures to ensure the country is not caught off guard.
In a letter dated December 5, 2024, the Federal Ministry of Health and Social Welfare, had urged health authorities to activate heightened alert systems across hospitals and maintain a high index of suspicion for patients with COVID-like symptoms.
The letter Signed by the Head of the Teaching Hospital Division, Dr O.N. Anuma, on behalf of the Permanent Secretary, the letter called for collaboration with relevant stakeholders to share critical data regarding the variant and implement enhanced monitoring protocols.
“I am directed to inform you of a newly detected XEC COVID-19 variant, which has been reported in Australia and has already spread to 29 countries globally.
“You may wish to know that this variant has shown a growth advantage over other circulating strains, raising concerns about its potential impact on public health,” the letter read.
“Alert systems should be immediately activated throughout our hospitals for high index of suspicion in patients with COVID-like symptoms.
“Timely information sharing among relevant stakeholders, including the Federal Ministry of Health, will be vital for effective response strategies.”
The Permanent Secretary stressed the importance of preventive measures during this period to prevent any potential spread of the variant into Nigeria.
Health
Oyo confirms 4 deaths in suspected Lassa fever outbreak
The Oyo State Rapid Response Team, on Thursday, confirmed four deaths linked to a suspected Lassa fever outbreak in the Saki West Local Government Area of the state.
A statement by the Commissioner for Information and Orientation, Dotun Oyelade, in Ibadan, the state capital, quoted his counterpart from the Ministry of Health, Oluwaserimi Ajetunmobi, saying the fatalities consisted three males and one 32-year-old female who was preparing for her marriage.
The report was that an owner of a hospital, alongside three others, died in the town mysteriously.
Following numerous calls reporting deaths in the town, the commissioner tasked the team to Saki to investigate.
“The background information gathered that one of the apprentices at the hospital who had returned from Iwajowa and fell ill about two weeks before the incident was suspected to have introduced the infection.
“She likely transmitted it to her co-workers and the hospital owner.
“Three of the deceased exhibited typical symptoms of Lassa fever, including craniofacial bleeding, while the hospital owner showed fatigue and self-medicated with antimalarials and antibiotics.
“His condition only prompted hospital admission when his self-treatment failed,” the statement read.
It added, “Extensive contact tracing was conducted, with particular focus on high-risk contacts who had been involved in the bathing and burial of the deceased.
“The hospital where all the deceased were associated was closed down for decontamination.
“The hospital that admitted the deceased health facility owner, without being informed of the deaths from an ‘unknown’ illness, was also shut down for decontamination, and the doctor was placed under surveillance.
“Public awareness campaigns were held to educate the community about Lassa fever, its transmission, symptoms, and preventive measures.
“The RRT provided on-the-job training to health workers in the affected areas to reinforce Infection Prevention Control protocols and prevent further spread of the disease.
“Sample collection was also carried out on a person exhibiting symptoms, pending laboratory confirmation. The line listing of contacts is still in progress, focusing on individuals at high risk”.
The government team also conducted an advocacy visit to the palace of the Okere of Saki, who was represented by his second-in-command, and was briefed on the outbreak and the necessary containment measures.
“Local government authorities within Saki West were equally informed and aligned with the efforts to manage the situation”, the statement added.
Investigation, according to the commissioner, also revealed that the outbreak initially involved the council, but had extended to Iwajowa and Kajola local government areas.
He said the State Disease Notification Officer in the respective areas had been instructed to begin preliminary containment efforts while awaiting the full deployment of the State RRT.
The team, comprising the Director of Public Health, the State Epidemiologist, DSNOs, State Laboratory Focal Persons, representatives from the World Health Organisation and Red Cross, as well as the PHC Coordinator of Saki West and the LGA DSNO, embarked on a comprehensive investigation to the scene of the incidence.
Health
NCDC issues public advisory on Lassa Fever, warns of increased spread
The Nigeria Centre for Disease Control and Prevention, NCDC has issued a public health advisory on Lassa fever warning of increased case detection and spread of the viral infection.
The Director General of the NCDC, Dr Jide Idris, raised the concerns following increased reporting of the outbreak by its surveillance teams across the country.
At a press briefing in Abuja, Dr Idris said the death toll from Lassa Fever in Nigeria has risen to 174 out of 1,035 confirmed cases across 28 states and 129 LGAs as of October 13, 2024.
”Lassa fever outbreaks are highly virulent and the loss of human lives resulting from disease are not just statistics but represent the death of beloved family members, spouses and parents.
”In 2022, Nigeria reported 1,067 confirmed cases across 27 states and 112 LGAs. In 2023, 28 states and 114 LGAs reported confirmed cases, with 9,155 suspected cases, 1,270 confirmed cases, and 227 deaths.
”While we continue to intensify efforts using an all-of-society approach, the public is hereby advised to note that the virus spreads through direct contact with urine, faeces, saliva, or blood of infected rats. Contact with objects, household items, and surfaces contaminated with the urine, faeces, saliva, or blood of infected rats.
”Consuming food or water contaminated with the urine, faeces, saliva, or blood of infected rats or person-to-person transmission through body fluids of an infected person.
Dr Idris also warned health care professionals to be alert as Lassa fever presents like other common illnesses accompanied by fever, headache, general body weakness, cough, nausea, vomiting,
While noting that early diagnosis and treatment of the disease greatly increase the chances of patient survival, Dr Idris highlighted the economic cost of Lassa Fever to communities and the healthcare system.
”The disease is also associated with significant loss of livelihood in the communities it ravages. Heads of households are unable to work when exposed to Lassa fever and when other household members are infected, the cost of care and treatment of the disease strains existing household income pushing households toward poverty.
”Healthcare workers are also vulnerable and the loss of experienced medical personnel due to infection further strains the country’s limited healthcare workforce.”
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