Medical, Research, Science

An influenza patch that can replace the annual flu jab

MEDICAL SCIENCE

A PATCH could replace the annual flu jab, research suggests.

In future, the patches could be sent out in the post, enabling people to quickly and easily vaccinate themselves without having to queue at the GPs surgery, experts have said.

A trial of the patch by US scientists at Emory University in Atlanta, Georgia, found it worked as well as a jab and was preferred by patients.

The study, published this week in the Lancet medical journal, also revealed it could be safely stored for a year without a fridge – meaning it could easily be distributed to patients to administer to themselves.

The device, measuring roughly one inch in diameter, contains the same vaccine as is given in conventional flu injections.

But it can be self-administered by simply placing on the wrist for 20 minutes and then removed.

The patch contains 100 tiny ‘microneedles’ which pierce the top layer of the skin.

The needles dissolve while they are in the skin, meaning there is no danger of piercing a second patient and passing on bloodborne diseases – a major safety fear when people inject themselves without professional medical supervision.

Experts said the device could significantly improve uptake of the flu vaccination.

The disease kills 5,000 people in England each year, and the vast majority of victims are elderly or suffer from existing respiratory conditions.

For this reason, the NHS encourages anyone over the age of 65 to have an annual influenza jab.

Younger people who are considered at risk – including all pregnant women, young children aged two, three and four, and anyone with asthma or other conditions – are also offered the vaccine.

However, uptake of the jab is poor, and falling. Only 71 per cent of over-65s had the vaccine in 2015/16, along with just 42 per cent of pregnant women, roughly a third of young children, and less than half of people with existing health conditions.

Experts said alternative ways of delivering the vaccine might improve take-up – particularly among those afraid of needles or too busy to go to the GP.

Researchers tested the patch on 100 people who had chosen not to receive the flu vaccine.

They found that after six months, no serious side effects linked to the vaccine were reported and there were no cases of influenza.

As well as this, participants reported high ‘acceptability’ scores of between 4.5 and 4.8 out of five, with some 70 per cent saying they preferred it to the injection.

Study leader Dr Nadine Rouphael said: ‘Despite the recommendations for adults and children to receive a flu shot, many people remain unvaccinated. The patch could be safely applied by participants themselves, meaning we could envisage vaccination at home, in the work place, or even via mail distribution.

‘These advantages could reduce the cost of the flu vaccine and potentially increase coverage.

‘Our findings now need confirming in larger trials.’

Experts in Britain welcomed the study, saying the patches could be particularly useful for children.

Dr Maria Zambon, director of reference microbiology at Public Health England, said: ‘This is a good early research and we await more tests on these patches to see their effectiveness.

‘Microneedle patches have the potential to be used for vaccination programmes and could help people scared of needles.’

Appendage:

Flu Patch (2)

Standard
Education, Government, Scotland, Society

The importance of libraries and our need to rely on them

LIFELONG LEARNING

Library

Public libraries are places for educational and lifelong learning.

Reading is one of life’s great pleasures. Not much comes near the feeling of being engrossed in the pages of a book, growing to love and loathe the characters and becoming familiar with fictional worlds. Often, the difference between fiction and reality is wafer thin.

For some, reading for pleasure involves non-fiction to learn about people, places and subjects, whether it’s sport, hobbies, history, travel, science or study and business-related material.

There is a unique and idiosyncratic joy that comes from reaching the closing chapter and pages of a great book – and sometimes a momentary sadness that our journey into the world of imagination and learning created by the book’s author has come to an end.

Reading for pleasure is one of our nation’s favourite pastimes, but it also has a very important role to play in educational development and the health and wellbeing of individuals and society.

There is a growing body of evidence that demonstrates the positive impact of reading for pleasure on literacy and attainment, as well as on our emotional wellbeing. Reading also manifests itself by allowing people to experience other cultures and faiths and to develop an understanding, empathy and appreciation of different beliefs and values.

It should go without saying, but literacy is a fundamental and lifelong skill. The nation always needs a population that is ably literate and educated. The ability to read improves chances of employment and leads to better health and higher levels of wellbeing. It also helps people to comprehend and ask questions that otherwise would be missing.

But, for reading to become a lifelong habit, it must be encouraged from a young age and promoted as an enjoyable activity.

Libraries, of course, are not alone in promoting literacy, but they do have a distinct role as a local space where people of all ages and backgrounds can come to explore, learn and discover.

In Scotland, the Scottish Government is currently developing a cultural strategy, with core themes emerging around access, equality and excellence. The library sector will have a significant contribution to make to this discussion for the role libraries play in supporting lifelong learning, skills and appreciation of culture. Libraries across Scotland promote a range of reading displays – with often new books on offer – and the importance of reading for pleasure is recognised at a national level too.

Libraries are also running the Tesco Bank Summer Reading Challenge Scotland. Coordinated by The Reading Agency, the initiative encourages children aged 4-11 to read at least six books over the summer holiday period. Book Week Scotland, an annual celebration of books and reading for readers of all ages, encourages adults and children alike to enjoy the pleasure of reading through library, school, community and workplace events.

In 2016, more than 17 million books were loaned from Scotland’s public libraries, more than six million of these borrowed by children.

Standard
Arts, Books, Britain, History

Book Review – ‘Collecting The World: The Life And Curiosity of Hans Sloane’

HANS SLOANE’S CURIOUS LIFE

Collecting The World

Collecting The World is published by Allen Lane for £25.

Intro: Hans Sloane was a medical doctor to royalty and collector supreme who created Britain’s first public museums. But he couldn’t have cared less that his treasures were tainted by the blood of slaves.

‘Admission Free’ . . . When you next read those words at the entrance to one of our national museums, thank Hans Sloane (1660 – 1753), whose collection, built up over his lifetime, formed the core of the British Museum.

In those days of endemic British snobbery, when collections of antiquities and curiosities were normally viewed only by gentleman scholars by appointment in private houses, Sloane’s concept of creating a museum to all was ground-breaking.

In his Last Will of Testament he stipulated: ‘I do hereby declare that it is my desire and intention that my said musaeum (sic) … be visited and seen by all persons desirous of seeing and viewing the same.’

This led to the passing of the British Museum Act in 1753, which stated that Sloane’s collection was ‘not only for the inspection and entertainment of the learned and curious, but for the general use and benefit of the publick (sic)’.

Some trustees were not happy with this arrangement, worrying that the dirty common people would wreck the furniture and gardens ‘and put the whole economy of the museum into disorder’.

Hans Sloane

Hans Sloane, Museum pioneer. Picture: National Portrait Gallery

THIS BOOK tells the story of Hans Sloane’s life. Having read it, I’m sure I will never look at my old Sloane Ranger Handbook again without thinking of the original Mr Sloane – or Sir Hans, as he became. A visit to Sloane Square, too, might take on a different perspective than one would otherwise have had.

Whether the blue-blooded Sloane Rangers would quite approve of him, given that he was a bit of an arriviste, is an open question.

Born the child of servants to aristocracy in Ulster, he came to London aged 19 and made it his business to climb the social ladder, achieving the first rung by learning medicine and becoming the personal physician to the Duke of Albemarie, whom he accompanied to Jamaica in 1687 to visit the Duke’s slave plantations.

When reading any book about the wealthy British in the 17th and 18th centuries, it’s never long before one’s nose is rubbed in the dark story of what helped make everyone so rich. Here, though, we get a first-hand glimpse into how the slavery system worked, and what life was like for slaves in Jamaica.

As soon as the Duke and Sloane disembarked, the Duke acquired 69 slaves, which was totally normal for a Thursday afternoon.

In the last quarter of the 17th century, the British transported 77,000 Africans to Jamaica; the crossings took three months and the mortality rate was 30 per cent.

What is striking is that Sloane, a Protestant who believed all nature was created by a benign God, had absolutely no interest in slaves as human beings.

Utterly dispassionately he describes the punishments meted out to them: ‘After they are whip’t (sic) till they are raw, some put on their skins pepper and salt to make them smart . . . they put iron rings of great weight on their ankles . . . these punishments are sometimes merited by the blacks, who are a very perverse generation of people’.

He did take an interest in slaves’ physiognomies, but this was purely commercial, gauging the degree to which different Africans made good slaves.

Sloane’s life as an obsessive collector of curiosities began in Jamaica. He started accumulating specimens of the plants and animals on the island with the help of slaves, who knew their way around and were useful for climbing trees.

Purely in passing, he gives glimpses of how the slaves lived, describing ‘the stench of a ship in from Guinea loaded with blacks to sell’.

He visited the slaves’ enclosures where they were allowed to grow a few crops to supplement the rotting carcasses they were fed by their owners. Some had managed to conceal a grain or two of rice in their hair before being hounded on to ships in Africa, and these were planted to sustain their families.

Sloane collected samples from these grounds that remain immaculately preserved in the Sloane Herbarium (now at the Natural History Museum). He also obtained an example of African music, taken down at his request by one of the ‘negroes’ – it’s the earliest sample of African music in the Americas. Proudly, Sloane noted: ‘I desired Mr Baptiste, the best Musician, to take the words they sung and set them to Musick (sic).’

For the modern reader, to look at the illustration of that snatch of music is to witness a fleeting glimpse of the deep yearnings of slaves for their homeland. For Sloane, it was an amazing souvenir.

The Duke died of drink and his corpse was embalmed and brought back to England – but not before Sloane had met Elizabeth Rose, the daughter of a wealthy planter, whom he would marry, bringing him a one-third share of the net profits from her father’s vast plantations.

Back in London, he built up his reputation as a great physician, living in fashionable Bloomsbury where his patients included Samuel Pepys, Robert Walpole, Queen Anne and two King Georges.

‘I’m almost wishing myself sick, that I might have a pretence to invite you for an hour or two,’ Pepys wrote to him – Sloane was clearly good company.

He became President of the Royal College of Physicians and aimed to bring medicine away from magic and quackery and into the new world of science.

He inoculated Queen Caroline’s children against small pox, but not before trying out the inoculation on prisoners in Newgate and then on charity children – just in case.

But it was a collector of objects from all over the world that Sloane became famous. He moved to Chelsea Manor and bought the house next door, which he filled with his burgeoning collection of natural specimens and man-made curiosities: he was at the helm of a new mania for treasure-hunting.

 

SOME people (including William Hogarth) mocked him for being a shallow collector of nonsense, ‘a mere trafficker of baubles’. But there was no stopping him.

Raking in money from Jamaica (on a single day in 1723 his books record proceeds from sugar shipments of more than £20,000 in today’s money), and with a genius for making contact with travellers to China, Japan and the South Seas, he could never resist a new offering, and seemed to collect everything.

His treasures ranged from ‘a long worm drawn piece meal from a Guinea negro’s legs and other muscular parts’ to drums, shoes, scientific instruments, thousands of medals, coins, birds’ eggs, fossils, sea urchins, human skeletons and an Egyptian mummy.

He collected other collectors’ collections in a way the author describes as ‘cannibalistic’. Visitors marvelled at ‘God’s power to create and Sloane’s power to collect.’

He was canny enough to choreograph his own legacy, appointing 63 trustees to ensure the creation of the ‘musaeum’ in which his collections would be preserved.

From the day of its opening in what was Montagu House, before the new Parthenon-like structure replaced it in the 1850s, the British Museum was a showroom for celebrating the global reach of British power.

This book succeeds in paying tribute to the man who was a living embodiment of that global reach, but it never shirks from exposing the dark side of his story: his unashamed acceptance of slavery as the engine of his wealth.

–     Collecting The World: The Life And Curiosity of Hans Sloane by James Delbourgo is published by Allen Lane for £25.

Standard