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Local News Exeter

Higher excess COVID-19 death risk in middle-aged people with type 2 diabetes raises vaccine prioritisation questions

A largescale analysis led by the University of Exeter and funded by Diabetes UK, has found a disproportionately higher COVID-19 death risk in middle-aged people with type 2 diabetes, raising questions over vaccination strategies across Europe. The study, accepted for publication in Diabetologia, found that compared to people of a similar age without type 2 diabetes, the additional COVID-19 mortality risk from having type 2 diabetes increases the younger someone is. Although the risk is low in absolute terms, the increase has a significant potential to impact middle-aged people particularly, as it elevates their existing age-related risk of COVID-19. For example, a person aged 50 with type 2 diabetes has the equivalent COVID-19 mortality risk of a 66-year-old person without diabetes: an additional risk of 16 years. This difference reduces with increasing age, so that the COVID-19 mortality risk of a person aged 70 with diabetes is similar to that of someone without diabetes aged 78: an additional risk of eight years. While some countries such as the UK and Germany already prioritise people with type 2 diabetes for vaccines, this is not being consistently applied across comparable countries including many in Europe. Dr Andrew McGovern, of the University of Exeter Medical School, who led the research, said: “It’s important to remember the risk to middle-aged people with diabetes of dying from COVID-19 is very low in absolute terms compared with the elderly. However, vaccine roll-out across Europe should be done in order of risk. Strategies to define priority groups for vaccination must consider the disproportionate relative risk of COVID-19 mortality in middle-aged people with type 2 diabetes whose COVID-19 risk is already elevated by their age. We recommend that anyone with diabetes takes up the vaccine as soon as it’s available to them.” The research team also involved the University of Warwick, the Alan Turing Institute, and University College London. The team accessed published data from three UK studies, including tens of millions of people in the community and in hospital across the country. They looked at differences in the risk of dying from COVID-19 by both age and whether or not a person has diabetes – which was predominately type 2 diabetes. Dr John Dennis, of the University of Exeter Medical School, said: “Type 2 diabetes is one of the most common health conditions. This means providing accurate information on age-specific COVID-19 risk for people with…


NHS sets out how to access the coronavirus vaccination in Devon

The NHS in Devon is giving details on the different ways local people can access the life-saving coronavirus (COVID-19) vaccination in the county, as thousands of people are vaccinated every day. Like other areas, the vaccination programme in Devon is focussed on vaccinating people in priority groups 1-4, as determined nationally by the Joint Committee on Vaccination and Immunisation and in line with the Government ambition of vaccinating these groups by mid-February. These four groups are All residents in a care home for older adults and their carers All those 80 years of age and over and frontline health and social care workers All those 75 years of age and over All those 70 years of age and over and clinically extremely vulnerable individuals
Darryn Allcorn, Lead Chief Nurse for Devon and Chief Nurse at Devon Clinical Commissioning Group (CCG) said: “Vaccination is the way out of lockdown and the pandemic. An effective vaccine is the best way to protect people from coronavirus and we have a clear vaccine delivery plan.” How people are accessing the vaccination Local hospital services – All four of the county’s main hospitals in Plymouth, Exeter, Torquay and Barnstaple are giving the vaccination by appointment to priority groups in line with national guidance. Arrangements at the hospitals vary. Local GP services – GP practices are working together to contact and offer the vaccine to their patients. Across Devon, 20 GP-led centres are now in operation, serving all 123 of Devon’s GP practices. Patients may be called to a different practice than their usual surgery, or to a venue set up specially to deliver vaccines.
Practices are also visiting people in priority groups 1-4 who cannot leave their home, to deliver the vaccination. Practices are at different stages in vaccinating the priority groups they serve for a number of reasons, including: they started vaccinating at different times, some have a higher proportion of older people on their lists than others, and capacity varies between sites due to vaccine supply, the size of the site and the number of staff available As the practices complete the first four groups, they will start to progress with the next ones, and people in these groups will be contacted when that time comes. In a limited number of cases, GPs are holding day clinics at additional practice sites to help make access…


National Association of Building Contractors: James Hopkins

Talking to construction firm owners struggling to grow and market themselves effectively the serial entrepreneur decided to help them make things ‘easier’. Name: James HopkinsCompany Name: National Association of Building ContractorsLocation: LondonDate Launched: November 2016Facebook: https://www.facebook.com/thenabc Website: https://nabc.org.uk/Number of Employees: 8 Tell us what your business does: https://nabc.org.uk/ Is a trade association in the general sense but we are slightly different as we focus on support with growth, there is no one in construction teaching a successful business strategy to the general builder that allows them to expand what they are good at so we help build a successful company and brand at the same time.  We scaled from a home office business to a National Company within 5 years with 8 employees and growing fast. Where did the idea for your business come from? The inspiration behind https://nabc.org.uk/ came after I went to a talk given by young entrepreneurs. There was one specific individual that really hit the nail on the head when discussing the construction industry; she said, “Nobody is ever going to talk as passionately about your business as you do.” This led me to believe that by building a business to drive enquires and help growth to these construction firms could really help take them to the next level. Many people have had negative experiences of spending lots of money on joining trade associations, without the results they expected. My philosophy is simple – give people the tools and support you promise and deliver on them. How did you know there was a market for it? 150,000, new construction companies are founded worldwide every year. Of those 10% will make it past the first year which would leave us with 135.000 new businesses every year as potential clients to help mentor and grow. Essentially it came down to understanding how to promote themselves. Every business owner (with the exception of two) I spoke to immediately said that this would be a solution they would not only want but would also pay for. What were you doing before starting up? I previously worked in education for over a decade, working in 36 different countries across the world, building brand and business ventures in the respective regions for various educational institutions through the utilisation of various B2B channels. I also have a web development and marketing agency that has been highly successful running in the background…


When it’s the Right Time to Hire a Family Lawyer

Family or marriages are often faced with a lot of challenges. In the United States, there are over a million divorce cases filed yearly. Most marriages break because of domestic abuse, infidelity, and conflict. Apart from divorce, families face other challenges that only an experienced military divorce attorney can help them sort out amicably. Sometimes couples are forced to take their issues to court for peaceful resolutions. That means hiring an attorney with proper qualifications in family law. Here we give you the reasons why you should look forward to hiring a family lawyer. 1. Planning for marriage  If you are preparing for marriage, it is essential to consult a family lawyer for guidance. You can always avoid mistakes when making that decision to walk down the aisle if only you consult a reputable family lawyer.  A qualified family lawyer will advise and guide you on the legal requirements for marriage in your state. He will also help you navigate all marriage issues you may not understand and explain to you all your legal rights in the union. 2. When forming a domestic partnership  A domestic partnership or civil union involves two people who are living together but not married yet. They often resemble marriages but are not legally recognized as such. After the legalization of same-sex marriages in most states, a domestic partnership has become popular. If you are looking forward to forming a civil union, you need a family lawyer to take you through the process. 3. Settling child custody disputes  Having sole physical custody of a child is a significant issue in most divorce cases. If you want to remain in the custody of your child even after a successful divorce, a family lawyer can help you convince the court. The attorney will work in your best interest and prove to the family court that you deserve the right to sole guardianship. Although legal custody of a child may be sole or mutual, family courts permit shared custody. It is only possible to have sole custody of your child if your family lawyer can prove to the family court that your ex-spouse is abusive, mentally ill, and has some sort of drug addiction. 4. Child support  Another reason you should hire a family lawyer is to ensure your ex-spouse remains committed to child support. Denial or skipping child…



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