Category: Infection Control

Public Health

Current Awareness Updates

Suspected acute viral respiratory infections: managing outbreaks in schools. UK Health Security Agency (UKHSA); 2022.
(Guidance for local UKHSA centre health protection teams about assessing and managing outbreaks of suspected acute viral respiratory infections in schools.)

COVID-19: testing during periods of low prevalence.
UK Health Security Agency (UKHSA); 2022.
(Explains the purpose of ongoing testing and sets out who is currently eligible for access to testing and when tests should be used.)

Moderate alcohol consumption linked with higher iron levels and poorer thinking skills Alzheimer’s Research UK (July 2022)

(UK researchers have found moderate alcohol consumption is linked with higher iron levels in a region of the brain and was associated with poorer thinking skills. Above seven units weekly was associated with higher iron levels in a part of the brain called the basal ganglia, which is responsible for movement.)

NHS to roll out variant busting booster jab from September ahead of winter (NHS England; August 2022)

(The NHS will become the first healthcare system in the world to use the next generation, bivalent COVID vaccine when it kickstarts the autumn booster rollout in early September.)


Public Health

Current awareness updates

The problem with ‘My Five Moments for Hand Hygiene’.[Abstract]
Gould D. BMJ Quality & Safety 2022;31(4):322-326.
[“We propose four solutions to promote hand hygiene. The COVID-19 pandemic has brought rapid change to health services delivery, including all aspects of infection prevention, and could be the catalyst to update hand hygiene programmes incorporating these solutions.”]

‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy. [Editorial][Abstract]
Allegranzi B. BMJ Quality & Safety 2022;31(4):259-262.
[Conclusions: The Five Moments approach is being constantly tailored to meet the challenges of care locations outside the traditional hospital setting, as well as across all countries and resource levels. The main thrust of the approach remains targeted at patient and health worker safety at the point of care where the risk of acquiring infection can be at its highest. Further work to help meet the Five Moments objectives through its adaptation and adoption worldwide is to be welcomed.]

Obesity statistics.
House of Commons Library; 2022.
[28% of adults in England are obese and a further 36% are overweight. This briefing provides statistics on the obesity among adults and children in the UK, along with data on bariatric surgery and international comparisons.]

Pressure redistributing static chairs for preventing pressure ulcers.[Abstract]
Stephens M. Cochrane Database of Systematic Reviews 2022;2:CD013644.[OBJECTIVES: To assess the effects of pressure redistributing static chairs on the prevention of pressure ulcers in health, rehabilitation and social care settings, and places of residence in which people may spend their day.]

Culturally adapting internet- and mobile-based health promotion interventions might not be worth the effort: a systematic review and meta-analysis.
Balci S. npj Digital Medicine 2022;5:34.
[Adapting health promotion IMI to the cultural context of different cultural populations seems not yet to be recommendable given the substantial adaption efforts necessary and the mostly non-significant findings. However, these findings need to be seen as preliminary given the limited number of included trials with varying methodological rigor and the partly substantial between-trial heterogeneity pointing in the direction of potentially useful culturally adapted IMI.]

Association of Music Interventions With Health-Related Quality of Life: A Systematic Review and Meta-analysis.
JAMA Network Open; 2022.
[This systematic review and meta-analysis of 26 studies comprising 779 individuals found that music interventions were associated with statistically and clinically significant changes in mental HRQOL, both preintervention to postintervention as well as when music interventions were added to treatment as usual vs treatment as usual control groups.]

Covid 19

Current awareness updates

Original Research

Factors influencing self-harm thoughts and behaviours over the first year of the COVID-19 pandemic in the UK: Longitudinal analysis of 49 324 adults.
Paul E. British Journal of Psychiatry 2022;220(1):31-37.
[Conclusions: Findings suggest that a significant portion of UK adults may be at increased risk for self-harm thoughts and behaviours during the pandemic. Given the likelihood that the economic and social consequences of the pandemic will accumulate, policy makers can begin adapting evidence-based suicide prevention strategies and other social policies to help mitigate its consequences.]

COVID-19: stepdown of infection control precautions and discharging patients to home settings.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19, as well as clarification of isolation period for severely immunocompromised patients.]

COVID-19: management of staff and exposed patients and residents in health and social care settings.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19 and includes new changes to self-isolation periods for staff in health and care settings.]

COVID-19: infection prevention and control (IPC)
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19.]

Preventing and controlling outbreaks of COVID-19 in prisons and places of detention.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated information on: ending self-isolation for prisoners/detainees and staff who test positive for COVID-19; testing information for staff and prisoners/detainees who are identified as a contact; return to work criteria for staff who test positive for COVID-19 or who are identified as a contact; visitors to prisons.]

Daily Insight: Vax to the future.
HSJ: Health Service Journal (Daily Insight) 2022;:7031723.
[The expiry date on some batches of the Pfizer covid vaccine supplies has been extended to 45 days, following concerns that large quantities would be wasted. Also: LSE research finds no significant relationship between the number of managers or the amount spent on management and the quality of NHS hospital services. 18 January.]





Public Health

Current awareness updates

Campaigning to eliminate drink spiking.
Stamp Out Spiking UK; 2022.
[This campaign offers anti-drink spiking resources and solutions that help people to stay safe, with a mission to raise awareness and promote personal safety issues, by providing people with information and a practical means of protecting themselves, and ultimately, to stamp out drink spiking.]

Delivering safe, face-to-face adult day care.
Social Care Institute for Excellence (SCIE); 2022.
[Supporting care managers, social workers, commissioners and providers, with activities. The latest updates to the guidance include: Infection control and testing; vaccination information; and changes to restrictions due to Omicron.]

Recent increase in group B meningococcal disease among teenagers and young adults.
UK Health Security Agency (UKHSA); 2022.
[Teenagers and young adults are urged to look out for symptoms and check that they have received all routine vaccinations. Recent data and analysis shows that in autumn 2021 there was an increase in the number of cases of meningococcal disease in teenagers and young adults, mainly caused by group B meningococcal disease (MenB) – with the majority among university students.]

Focusing on men’s health: it’s time for a national strategy.
Baker P. British Journal of Nursing 2022;31(1):50-51.
[It is surely time for a men’s health strategy in the UK. Or, rather, a strategy for each of the UK’s nations. Seven other countries—including our nearest neighbour, Ireland—already have men’s health strategies or policies. The UK Government has also signed up to World Health Organization (WHO) Europe’s regional men’s health strategy (WHO Regional Office for Europe, 2018). A Women’s Health Plan for Scotland was published in August and a women’s health strategy for England is being developed.]

Stop Abuse Together.
Cabinet Office; 2022.
[Tool to help parents, carers, teachers or other professionals working with children, to spot the potential signs of child sexual abuse and where to go for support. This website brings together advice and resources to help you keep the children in your life safe.]

Covid 19

Current awareness updates

COVID-19 lockdowns and school closures: what’s the impact on youth mental health?
The Mental Elf; 2021.
[Douglas Badenoch appraises a recent cross-sectional survey study, which looks at COVID-19 partial school closures and mental health problems.]

Investigation of SARS-CoV-2 variants of concern: variant risk assessments.
UK Health Security Agency (UKHSA); 2021.
[Risk assessment dated 09 December for Omicron variant added.]

Consensus statements on COVID-19.
UK Health Security Agency (UKHSA); 2021.
[Updated 10 December 2021: UKHSA has added the EMRG’s consensus statement for 24 November 2021 to its website.]

Resilience and recovery following COVID-19.
McIntosh B. British Journal of Healthcare Management 2021;27(11):263-264.
[The healthcare sector has a crucial role to play in the wider economic and social recovery of society following COVID-19. Events since March 2020 have highlighted the need to see health and public services as a crucial investment, not an afterthought.]

An evaluation of a virtual COVID-19 ward to accelerate the supported discharge of patients from an acute hospital setting.
Swift J. British Journal of Healthcare Management 2021;27(12):1-9.
[The virtual ward appeared to assist with earlier discharges, had a low rate of clinically necessary re-admissions, and seemed to reduce costs without compromising patient safety. The authors believe that this intervention could be applied across other NHS trusts facing similar capacity issues as a result of COVID-19.]

Nudging healthcare professionals to improve treatment of COVID-19: a narrative review.[Abstract]
Vilhelmsson A. BMJ Open Quality 2021;10(4):doi: 10.1136/bmjoq-2021-001522.
[Conclusion: Evidence suggests that different nudging techniques can be used in clinical settings as simple, cost-effective strategies to fight COVID-19, reduce complications for intubated patients, improve hand hygiene, increase vaccination rates and avoid unnecessary antibiotic prescriptions. These strategies could be important in the continued handling of the pandemic, which will not be over until the whole world reaches herd immunity from vaccination…]

COVID-19 rapid guideline: managing COVID-19 NICE guideline.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In December, NICE added new recommendations on COVID-19-associated pulmonary aspergillosis. NICE revised their statement about the Omicron variant in the recommendation on casirivimab and imdevimab.]

COVID-19 vaccination: resources for schools and parents.
UK Health Security Agency (UKHSA); 2021.
[17 December 2021: Added version 3 of the guidance for schools and guidance for parents.]

COVID-19: guidance for first responders.
UK Health Security Agency (UKHSA); 2021.
[Updated advice for first responders (as defined by the Civil Contingencies Act) and others where close contact may be required as part of their normal duties.]

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[17 December 2021: Added UK IPC Cell consensus statement in response to the emergence of the Omicron variant of SARS-CoV-2. Added paragraph to main IPC guidance on risk assessment and use of RPE in response to Omicron variant.]

Covid 19

Current awareness updates

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[November 2021 Updates: 1) Guidance broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed; section on the hierarchy of controls added; physical distancing advice updated. 2) Updated to clarify text on aerosol generating procedures. 3) Dental appendix broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed and replaced with respiratory and non-respiratory pathways.]

COVID-19 rapid guideline: managing COVID-19
National Institute for Health and Care Excellence (NICE); 2021.
[In November, NICE added a new recommendation on ivermectin.]

Daily Insight: Another test for NHS staff.
HSJ: Health Service Journal (Daily Insight) 2021;:7031436.
[A letter sent by Chris Whitty, Ruth May and Susan Hopkins has strengthened expectations on NHS staff who have just returned from abroad. NHS workers returning from any non red-list country must have a negative PCR test before returning to work. Also: New guidance has recommended that trusts relax the segregation of patients according to covid-19 risk. There is likely to be a developing picture on infection control guidance over the next few weeks in light of the Omicron variant. 30 November.]

Frequently asked questions: Demonstrating Covid-19 and vaccination status.
House of Commons Library; 2021.
[This briefing paper provides answers to frequently asked questions about demonstrating Covid-19 status (otherwise called Covid-19 status certification) and use of the NHS Covid Pass in England.]

Covid-19 status certification.
House of Commons Library; 2021.
[Covid-19 status certification (also referred to as a “vaccine passport”) has been proposed as a means of reducing the risk of transmitting the Covid-19 virus in a number of settings. This briefing explores the Government’s policy on certification. It also provides discussion on the scientific evidence and other issues associated with the use of certification.]

Responding to violence against women and children during COVID-19: impact on service provision, strategies and actions in the WHO European Region (2021).
World Health Organization (WHO); 2021.
[A new report published by WHO/Europe shows that helplines providing support to women and children experiencing violence saw a spike in calls during the first 9 months of the COVID-19 pandemic. The data in the new report was collected between January and September 2020, a time in which millions of people in the WHO European Region were confined to their homes because of lockdowns or other restrictive measures.]

UK vaccine response to the Omicron variant: JCVI advice.
Department of Health and Social Care (DHSC); 2021.
[Advice from the Joint Committee on Vaccination and Immunisation (JCVI) in response to the emergence of the Omicron variant. This statement sets out the JCVI’s advice on extending the UK COVID-19 vaccination programme to offer booster doses to adults aged 18 to 39 years, and second doses to children and young people aged 12 to 15 years.]

Public Health

Current awareness updates

Are we Improving Access to Psychological Treatment for everyone?
The Mental Elf; 2021.
[Bibire Baykeens reviews a general population cohort study which suggests that recent migrants are less likely to use the Improving Access to Psychological Treatment programme.]

Flu in prisons and secure settings.
UK Health Security Agency; 2021.
[This guidance, updated for 2021/22, details how to respond to cases of seasonal flu in prisons and other secure settings (e.g. immigration removal centres; secure training centres), including vaccination, treatment and managing outbreaks.]

Flu in the children and young people’s secure estate.
UK Health Security Agency; 2021.
[This guidance, updated for 2021/22, details how to respond to cases of seasonal flu in the children and young people’s secure estate (e.g. young offender institutions, secure training centres, secure children’s homes), including vaccination, treatment and managing outbreaks.]

Flu vaccination in schools.
Department of Health and Social Care (DHSC); 2021.
[Flu vaccination guidance and resources for schools.]

Cold weather plan: action cards for cold weather alert service.
Department of Health and Social Care (DHSC); 2021.
[These action cards summarise advice on how different organisations need to respond to cold weather alert levels 0 through 4.]

Access to palliative care: the primacy of public health partnerships and community participation.
Mills J. The Lancet Public Health 2021;:doi.org/10.1016/S2468-2667(21)00213-9.
[This viewpoint highlights that palliative care is a public-health concern and the need to promote equity in access to palliative care through public-health partnerships that prioritise community development and participation in end of life care.]

Forthcoming UK asthma guidelines: an opportunity to improve asthma outcomes.
Bush A. The Lancet 2021;:doi.org/10.1016/S0140-6736(21)02244-3.
[Comment proposes the guideline committees set SMART objectives, e.g. reporting of patients who access less than 80% of their inhaled corticosteroid requirements, suggesting adoption of their proposed strategies could help the guidelines group rise to the challenge of improving asthma outcomes.]

A public health approach to estimating the need for long COVID services.
Journal of Public Health; 2021.
[This paper illustrates how a public health approach was used to influence and inform the development of post-COVID services across two Integrated Care Systems (ICSs). The findings have been valuable in informing early service developments, engaging with managers and clinicians, and supporting applications for funding at a local level.]

Self-Care Readiness Index.
Global Self Care Federation; 2021.
[The Self-Care Readiness Index (SCRI) is a research and policy initiative by the Global Self Care Federation and supported by the World Health Organisation (WHO). It explores enablers of self care across the health systems of 10 countries, including the UK.]

Online services in general practice: patterns of use and barriers to uptake.
Public Health England (PHE); 2021.
[This project is in line with the national ambition to support the adoption of a range of technology initiatives in general practice. The aims were to understand the needs of the population relating to the effectiveness of online services to support general practice, and identifying groups and exploring barriers and enablers to the use of GP online services. The report is mainly intended for commissioners and providers of GP services.]

Voluntary, Community and Social Enterprise (VCSE) Health and Wellbeing Programme: An evaluation.
Department of Health and Social Care (DHSC); 2021.
[An independent evaluation of the Voluntary, Community and Social Enterprise (VCSE) Health and Wellbeing Programme.]

Best foot forward: exploring the barriers and enablers to active travel among 50–70 year olds.
Centre for Ageing Better; 2021.
[This report finds that too many people in their 50s and 60s will remain physically inactive unless we redesign our neighbourhoods to encourage walking and cycling. The report, which looked at the barriers people in this age group face to walking and cycling, says that action is needed from national and local government, service providers and health systems to get people moving.]

Adult social care in England, monthly statistics: October 2021.
Department of Health and Social Care (DHSC); 2021.
[Experimental statistics on a range of topics including infection control measures, coronavirus (COVID-19) vaccinations and testing for COVID-19 in adult social care settings.]

Transport initiatives to increase uptake of breast screening programmes.
Carried out by Frankie Marcelline from Brighton and Sussex on 12/10/2021
[The evidence search report covers studies on the links between breast cancer screening uptake and ease of transport to appointments. In Tower Hamlets an initiative for encouraging uptake of breast cancer screening appointments includes transport-related support.]