Health Policy InsightThousands died because of this summer’s extreme hot weather – caused by the climate crisis. Anita Bazell, taken to hospital during June’s heatwave with a body temperature of 41.2C, was one of them
Anita Bazell had never coped with the heat very well, her family said. So they were worried about her when temperatures across the UK soared to record highs of 35C (95F) in May, and then again in June.
She was living in a nursing home in Southampton near her family, who had struggled to care for her at home due to her declining mobility. Although there were air conditioning units in the communal rooms, there was not one in Anita’s room, which was on the third floor.
Continue reading...Sarah Jones tells MPs ‘those responsible should expect to face the consequences’
Healey says Andy Burnham set out in his statement to MPs last week what he thought had gone wrong
The fundamentals of our economy [were] hollowed out through a series of past policy decisions, political power was centralised, weakening the relationships between the people, the businesses and the institutions who can make things happen beyond Whitehall. The economic enablers were privatised and outsourced, leaving accountability to a thicket of arm’s length bodies and regulators, too often without the predictability or the pace that underpins a thriving market economy. And our country was deindustrialised as the cost to make anything, to build anything here soared, and our dependence on unreliable sources grew, including in areas critical to our national security and sovereignty.
Let me be clear, I recognise that the costs of business, its energy bills, regulation, burdens, planning constraints, labour costs, have grown since Covid and I want to draw the line.
And whether it is the cost of business or the cost of living, the only way we deal with these in the long term is growth.
Continue reading...With melanoma cases rising, the UK must learn from public health campaigns elsewhere
New climate risks bring with them new health risks. An exceptionally warm and dry summer in Europe meant that outdoor workers, and those who choose to spend leisure time in the sun, were confronted more directly than usual by the need to protect their skin from ultraviolet (UV) radiation, as well as avoid dehydration and overheating. In the UK, the annual total of new melanoma cases was reported to have risen above 20,000 for the first time earlier this year (the two most common forms of skin cancer, basal cell and squamous cell carcinoma, are less dangerous).
As with other cancers, the increase in cases reflects an ageing and a growing population. A third of those diagnosed with cancer in the UK are over 75. But with the NHS struggling to cope with the number of those seeking treatment, and melanoma the fifth most common cancer – after prostate, breast, lung and bowel (and excluding other skin cancers) – there are growing calls for behaviour change aligned to stronger public health measures. In May, a group of MPs proposed a ban on advertising sunbeds, which – along with sunburn and tanning – are linked with a raised risk of skin cancer. Last year, a group of experts advocated banning their commercial use altogether, as in Australia and Brazil.
Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here.
Continue reading...Tackling social and economic conditions must come first, writes Dr Louise Lawson. Plus letters from James Hibberd, Bob Forster and Dr Giles Youngs
Devi Sridhar is right to welcome free cholesterol testing on the NHS in England and blood pressure checks in pharmacies. Such measures can help identify health risks earlier. However, I would take issue with her suggestion that a “health MOT” is “precisely what prevention is all about” (Free cholesterol tests on the NHS are great – but here’s the five-point health MOT I’d really like to see, 2 September).
Sridhar’s proposed five-point health MOT is undoubtedly valuable, but it is better understood as identifying risk rather than preventing disease. Prevention is what comes next: enabling people to make changes that improve health and reduce that risk. Public health has long distinguished between upstream factors, such as poverty, housing, employment, access to affordable healthy food and safe green spaces, and downstream interventions focused on individuals. Screening and health checks sit much closer to the downstream end of that spectrum.
Continue reading...