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Hospitals In England Relax Covid Rules To Help Tackle Waiting Lists

Hospitals in England relax Covid rules to help tackle waiting lists

Ministers have ordered a major relaxation of coronavirus infection control measures in England’s hospitals in an effort to make it easier to tackle the backlog.

The move follows a review, led by the chief executive of the UK Health Security Agency, Dr Jenny Harries, into whether the NHS could start to remove some Covid rules and enable medics to see more patients.

Currently, stringent guidelines designed to protect staff, patients and visitors from coronavirus, in place since the early part of last year, also make it harder to treat the rising numbers in need of elective care.

A record 5.6 million people in England are waiting for treatment, according to the latest NHS data.

Three key recommendations for elective care were accepted by Sajid Javid, the health secretary, on Monday. Each comes into force immediately.

They involve cutting social distancing from 2 metres to 1, dropping the need for patients to isolate before operations, and adopting “standard” rather than “advanced” cleaning procedures.

They are likely to prompt concern among some health professionals and scientists, as the virus continues to infect tens of thousands in the UK each day. Trisha Greenhalgh, professor of primary healthcare at the University of Oxford, said on Twitter that the relaxation of rules could “make things worse”.

Dr Simon Clarke, associate professor in cellular microbiology at the University of Reading, said the changes appeared “generally reasonable” and should be implemented where they can to “improve access to healthcare”. However, he warned that false negative test results could mean that “some asymptomatically infected patients will be put on wards with vulnerable patients”.

Clarke also said the new cleaning guidance “smacks of corner-cutting” and “may well lead to transmission of Covid-19 and other infections in our hospitals”.

The changes come hours after it emerged that the UK has joined a handful of countries to have fully vaccinated two-thirds of its population against Covid.

More than 44.7m second doses have been delivered in the UK, government figures show – the equivalent of just over 66.6% of the total population. Other countries to have passed this mark include Belgium, Canada, Chile, Singapore and Spain.

“As ever more people benefit from the protection of our phenomenal vaccination campaign, we can now safely begin to relieve some of the most stringent infection control measures where they are no longer necessary to benefit patients and ease the burden on hardworking NHS staff,” said Javid.

A new analysis by the Health Foundation warned on Monday that the waiting list is likely to “grow significantly”. It suggested that 7.5 million fewer people were sent for hospital care than expected during the pandemic.

While it is not clear whether all those will eventually come forward to seek help, the thinktank warned the waiting list will “continue to grow” over the next few years. Boris Johnson conceded this month that the backlog would “get worse before it gets better”.

Now fresh advice will be issued to hospitals over how they carry out elective care, Harries said, as more of the population is vaccinated and scientists understand more about how the infection is transmitted and how it can be contained.

The review says NHS staff working in areas where Covid control measures have been relaxed should be fully vaccinated, asymptomatic and not be a contact of a positive case.

“We have reviewed the existing Covid-19 evidence-based guidance and made a series of initial pragmatic recommendations on how local providers can start to safely remove some of the interventions that have been in place in elective care specifically for Covid-19,” said Harries. “This is a first step to help the NHS treat more patients more quickly, while ensuring their safety and balancing their different needs for care.”

The guidance will not apply to certain areas, such as emergency departments.

Patients preparing to undergo elective operations, such as hip or knee surgery, will no longer need to have a negative PCR test or isolate for three days before the procedure. Instead, patients in “low-risk” groups who are double vaccinated and asymptomatic will take a lateral flow test on the day.

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Health

Yobe confirms 4 new polio cases

The Yobe Government has confirmed four new cases of polio in three Local Government Areas three years after the state was declared polio-free.

The Executive Secretary of the State Primary Healthcare Board, Dr Babagana Kundi-Machina, made this disclosure while launching a campaign against the disease in Machina, a border LGA with Niger Republic, on Saturday.

He said that the State Government, in collaboration with its partners, had launched a state-wide outbreak response and vaccination exercise to address the situation.

“It is unfortunate that after three years of being certified polio-free, we have recorded a circulating polio virus outbreak in Bursari, Machina, and Yusufari LGAs,” Kundi-Machina said.

The State Coordinator of the World Health Organisation, WHO, Dr Hamisu Alhassan, pledged the organisation’s support to the state toward curbing the outbreak.

He called on the public to adopt preventive measures, including personal and environmental hygiene, hand washing, and immunisation to boost immunity and promote good health, especially among women and children.

On his part, the Emir of Machina, Alhaji Bashir Machinama, urged his people to cooperate with the government by accepting the vaccine.

Machinama thanked the State Government for its prompt response and pledged to sensitise his community to take relevant steps to contain the disease.

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Health

Cholera kills 11 in Ebonyi

A cholera outbreak in Ndibokote village, located in the Ezza Inyimagu area of Izzi Local Government, has claimed the lives of 10 people, including a nursing mother who leaves behind a nine-month-old baby.

The outbreak, confirmed by Ebonyi State Health Commissioner Dr. Moses Ekuma through a statement issued by ministry spokesperson Lucy Anyim, has affected approximately 20 others who are currently receiving treatment. Health officials are working diligently to contain the disease and prevent further spread in the community.

Dr. Ekuma noted that Governor Francis Nwifuru has approved the procurement of essential medical supplies to manage the crisis.

Additionally, three treatment centers have been established in the affected area, including Iziogo Health Centre, Sudan Mission Onuenyim, and a facility in Ndibokote village.

Open defecation and poor hygiene practices, along with reliance on stream water for drinking, are believed to be contributing factors to the outbreak.

Residents have been urged to follow precautionary measures to reduce the risk of further infections. Health authorities are on high alert to ensure the situation remains under control.

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Health

Fubara approves employment of 2,000 Medical personnel

Governor Siminalayi Fubara of Rivers State has approved the recruitment of 2,000 medical personnel and the payment of three years’ outstanding scholarship entitlements for medical students.

A press statement issued by Nelson Chukwudi, Chief Press Secretary to the Governor, highlighted Fubara’s dedication to reversing the decline in academic standards in the state.

The Governor noted that in previous years, Rivers children were highly regarded for their academic excellence, a reputation that has since diminished due to the growing reward for mediocrity. Fubara vowed to restore this legacy.

Upon assuming office, Fubara said he was confronted with unpaid scholarship entitlements for medical students at the Rivers State University and that without hesitation, he authorized the release of funds, ensuring that students could continue their studies without frustration.

The Governor made these remarks during a courtesy visit by the accreditation panel of the Medical and Dental Council of Nigeria (MDCN), led by its Registrar, Dr. Fatima Kyari, at the Government House in Port Harcourt.

The delegation also included key officials from Rivers State University and the State Commissioner for Health, Dr. Adaeze Chidinma Oreh.

Fubara emphasized the importance of infrastructure and support for academic growth, aiming to restore Rivers State’s status as a hub for educational excellence.

He expressed his disappointment in the current societal trend of valuing cultism over intellectual achievement but reaffirmed his administration’s resolve to change this narrative.

During the meeting, Fubara also noted that 1,000 medical personnel would be employed through the Rivers State Health Management Board, while the remaining 1,000 would be engaged by the Rivers State University Teaching Hospital (RSUTH).

He reiterated his commitment to promoting quality medical training and explained that his administration understands the financial challenges associated with medical education.

Dr. Fatima Kyari, speaking on behalf of MDCN, lauded the state’s commitment to infrastructure and training, emphasizing the importance of maintaining a high standard of medical education. She encouraged the state to further develop research opportunities to compete on a global scale.

Prof. Nlerum Okogbule, Vice Chancellor of Rivers State University, expressed gratitude to Governor Fubara for his unprecedented support, stating that the university is now a top choice in Nigeria and that the College of Medical Sciences has significantly boosted its national and international reputation.

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