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Human Challenge Trials – Inside Health 2nd March 21

Government press release https://www.gov.uk/government/news/worlds-first-coronavirus-human-challenge-study-receives-ethics-approval-in-the-uk Ethical issues https://www.thelancet.com/journals/laninf/article/PIIS1473-30992030438-2/fulltext Pfizer study – the numbers! https://www.nejm.org/doi/full/10.1056/NEJMoa2034577 Nuremberg trials and code https://www.nejm.org/doi/full/10.1056/nejm199711133372006 ethical frameworks https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5926904/ https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30518-X/fulltext other types human challenge trials hookworm, – https://academic.oup.com/ofid/article/5/5/ofy083/4976553 malaria https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3195259/ but also RSV – many trials of deliberately infecting humans https://clinicaltrials.gov/ct2/show/NCT02755948 Click to access 77021661.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3904492/ Helicobacter story https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2661189/ Click to access en_v31n3a02.pdf […]

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Inside Health 23/2/21

Government consultation on ‘minipill’ – POP https://www.gov.uk/government/news/views-sought-on-making-the-oral-contraceptive-pill-desogestrel-available-from-pharmacies recommendations of extended use of implant and (some!) coils https://www.fsrh.org/documents/fsrh-ceu-recommendation-on-extended-use-of-the-etonogestrel/ service standards for family planning+sexual health during covid-19https://www.fsrh.org/documents/fsrh-guidance-essential-srh-services–third-covid-19-lockdown/ and https://www.fsrh.org/documents/fsrh-update-provision-of-contraception-during-covid19/

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Screening for covid-19

conclusion: this needs tested, may do more harm than good,  and cannot be assumed to ‘work’ Government announcement https://www.gov.uk/government/news/asymptomatic-testing-to-be-rolled-out-across-the-country-starting-this-week including “With the expansion of asymptomatic testing for those unable to work from home, added to our comprehensive COVID-Secure guidance, we can keep our economy on the move while giving individuals in key sectors complete confidence […]

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Vitamin D and Covid-19

initial publications https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa733/5934827 UK biobank Our findings do not support a potential link between vitamin D concentrations and risk of COVID-19 infection, nor that vitamin D concentration may explain ethnic differences in COVID-19 infection. https://pubmed.ncbi.nlm.nih.gov/32413819/ Lancet https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30268-0/fulltext systematic review on vitamin D supplementation and preventing acute resp infections BMJ 2017 https://www.bmj.com/content/356/bmj.i6583 Meta-analysis of IPD from […]

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2021 ‘trends’ – which do not equal evidence

https://www.cochrane.org/CD003048/INFECTN_do-probiotics-help-treat-acute-infectious-diarrhoea https://gutscharity.org.uk/advice-and-information/health-and-lifestyle/gut-microbiome-poo-testing/#section-5 https://www.bsg.org.uk/strategic-areas/research/gut-microbiota-for-health-expert-panel/ https://pubmed.ncbi.nlm.nih.gov/23439798/ https://www.nature.com/articles/s41591-020-0934-0 https://clevrblends.com/pages/faq https://academic.oup.com/cdn/article/4/Supplement_2/1547/5844467 https://academic.oup.com/cdn/article/4/Supplement_2/1518/5845874 https://www.cell.com/cell/fulltext/S0092-8674(15)01481-6#fig5 https://www.cell.com/cell/fulltext/S0092-8674(15)01481-6#secsectitle0035 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991026/

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Inside Health 13/10/20 – non drug interventions, Test and trace

BESSI collaboration :https://www.bessi-collab.net/about-us SAGE on non drug interventions https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/925854/S0769_Summary_of_effectiveness_and_harms_of_NPIs.pdf rates of covid-19 testing https://coronavirus.data.gov.uk/?_ga=2.54504936.1326017125.1602531867-289927355.1585336355

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Inside Health 14/7/20

mesh and device regulation Useful links BMJ series on mesh – this on conflicts of interest https://www.bmj.com/content/363/bmj.k4164#ref-2 and https://www.bmj.com/content/363/bmj.k4137?ijkey=32cd6095d62352451d2fca5bd0244c337314ea38&keytype2=tf_ipsecsha Europe’s device regulation https://www.bmj.com/content/363/bmj.k4205 complication rates https://www.nature.com/articles/s41598-017-11821-w systematic review https://pubmed.ncbi.nlm.nih.gov/21424785/ device testing https://ora.ox.ac.uk/objects/uuid:11925495-37a8-46c0-a39c-851ffafb88a6/download_file?file_format=pdf&safe_filename=Mahtani%2Bet%2Bal%252C%2BTransvaginal%2Bmesh%2Bfailure%2B-%2Blessons%2Bfor%2Bregulation%2Bof%2Bimplantable%2Bdevices.pdf&type_of_work=Journal+article FDA report https://www.fda.gov/media/81123/download

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RCGP council – virtual – 20/6/20

This council was held online and was shorter than usual. Please note that there is no point in repeating what someone else has said; it was a shorter meeting than usual so this was especially important. This is just a record of what I said . 1) motion from North East London Faculty in support […]

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Inside Health – death certification

https://www.bma.org.uk/advice-and-support/covid-19/practical-guidance/covid-19-death-certification-and-cremation Click to access chief-medical-officer-in-scotland-letter-about-death-certification-during-covid-19-pandemic-march-2020.pdf https://www.gov.scot/publications/death-certification-during-an-influenza-pandemic-chief-medical-officer-guidance/ Click to access COVID-19-act-excess-death-provisions-info-and-guidance-31-march.pdf https://www.themdu.com/guidance-and-advice/latest-updates-and-advice/certifying-deaths-during-covid-19-outbreak Click to access revised-guidance-for-registered-medical-practitioners-on-the-notification-of-deaths-regulations.pdf Click to access Mr-Nigel-Parsley-letter-18-March-2020.pdf

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Inside Health – coronavirus – 14/4/20

Covid-19 studies https://www.recoverytrial.net https://www.phctrials.ox.ac.uk/principle-trial https://www.remapcap.org/ Belgian study on aerodynamics preprint http://www.urbanphysics.net/COVID19_Aero_Paper.pdf Q+A http://www.urbanphysics.net/Questions_and_Answers.pdf studies of note on transmission and implications for distancing https://jamanetwork.com/journals/jama/fullarticle/2763852 https://wwwnc.cdc.gov/eid/article/26/7/20-0885_article https://www.nejm.org/doi/10.1056/NEJMc2004973 original paper on distancing – 6 foot in 1970! https://www.osha.gov/Publications/influenza_pandemic.html#maintain_operations

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