Loss of Smell and Taste in 2013 European Patients With Mild to Moderate COVID-19
Study (n=2013) noted 1754 patients (87%) reported loss of smell, whereas 1136 (56%) reported taste dysfunction, of which 573 patients regained sense of smell, 60.9% of them between 5 and 14 days after onset, mean duration of olfactory dysfunction was 8.4 days. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Hospitalization and Mortality among Black Patients and White Patients with Covid-19
In study (n=3481), 76.9% of patients hospitalised with Covid-19 and 70.6% of those who died were black, though only represent 31% of Ochsner Health population. Black race was not linked to higher in-hospital mortality after adjustment for sociodemographic/clinical characteristics (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Impact of cardiovascular disease and cardiac injury on in-hospital mortality in patients with COVID-19: a systematic review and meta-analysis
Analysis of 10 studies found COVID-19 patients with underlying CV comorbidities, including CVD and hypertension, had higher risk of in-hospital mortality (OR 4.85, 95% CI 3.07-7.70 and 3.67; 2.31 to 5.83, respectively). Acute cardiac injury may act as a marker of mortality risk, (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Small droplet aerosols in poorly ventilated spaces and SARS-CoV-2 transmission, The Lancet Respiratory Medicine
Study analysing droplet (DP) production due to coughs/speech by measuring DP size distribution, travel distance and velocity, and airborne time in relation to level of air ventilation (VN), showed better VN of spaces substantially reduces airborne time of respiratory DPs. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Can the UK emulate the South Korean approach to covid-19?, BMJ
According to editorial, UK government's proposed testing and contact tracing strategy does not match the South Korean approach. Capacity is currently insufficient to test all who require testing, and an effective contact tracing system is also lacking. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Cloth Masks May Prevent Transmission of COVID-19: An Evidence-Based, Risk-Based Approach
Viewpoint suggests when principles of evidence-based medicine are applied to public policy, there is high-quality, consistent evidence that many (but not all) cloth masks reduce droplet and aerosol transmission and may be effective in reducing contamination of the environment. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Number of Coronavirus (COVID-19) cases and risk in the UK, DHSC/PHE (updated 28th May 2020)
As of 9am on 28 May, there have been 3,918,079 tests, with 119,587 tests on 27 May. 269,127 people have tested positive. As of 5pm on 27 May, of those tested positive for coronavirus in the UK, 37,837 have died. This new figure includes deaths in all settings, not just in hospitals. The equivalent figure under the old measure would have been 30,391. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 29, 2020 Category: Consumer Health News Source Type: news

Guidance for contacts of people with possible or confirmed coronavirus (COVID-19) infection who do not live with the person, PHE
Guidance for contacts of a person with a positive test result for coronavirus (COVID-19) who do not live with that person. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

COVID-19: guidance for households with possible coronavirus infection, PHE (updated 28th May 2020)
This guidance is intended for: people with symptoms that may be caused by coronavirus, and do not require hospital treatment, who must remain at home until they are well those living in households with someone who shows symptoms that may be caused by coronavirus 28 May 2020 Updated'Stay at home: guidance for households with possible coronavirus (COVID-19) infection'. 18 May 2020 Updated information on symptoms. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Safeguarding adults with dementia during the COVID-19 crisis, SCIE
There are increased concerns that, during the COVID-19 crisis, people may be more vulnerable to abuse or neglect. This quick guide aims to support care providers and staff to safeguard people with dementia during the crisis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Supporting people who are isolated or at risk during the COVID-19 crisis, SCIE (updated 28th May 2020)
This guide shares information, ideas and resources that can be used, especially while working remotely or in isolation, with people who are isolated or vulnerable. Update in this version (published 28th May) - includes updates and new rules from 27th May (England only). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Coronavirus (COVID-19) infection control for care providers, SCIE (updated 28th May 2020)
This guidance for care providers on managing infection control to prevent the spread of coronavirus has been updated to include details of the NHS track and trace system. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

NHS test and trace: how it works
An overview of the NHS test and trace service, including what happens if someone tests positive for coronavirus (COVID-19) or has had close contact with someone who has tested positive. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

National COVID-19 surveillance reports, PHE (updated 28th May 2020)
Update in this version (published 28th May) - added week 22 report and infographic. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Coronavirus (COVID-19): getting tested, DHSC (updated 28th May 2020)
Guidance on coronavirus testing, including who is eligible for a test and how to get tested. Updated: 28 May 2020 Updated to reflect that essential worker testing is available in Wales, and that testing for 5-year-olds with symptoms of coronavirus and living with an essential worker is available in England only. 28 May 2020 Added that children under 5 years old in England and Wales who have symptoms of coronavirus and live with an essential worker can now be tested. 19 May 2020 Added a link to book a drive-through test appointment if you have a verification code. 18 May 2020 Added...
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Understanding the provision of occupational health and work-related musculoskeletal services, DHSC
This research maps the existing provision of occupational health across the UK and NHS musculoskeletal services available across England. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

COVID-19 coagulopathy: an evolving story, The Lancet Haematology
Commentary details the increased incidence of thrombotic complications with COVID-19, and how it can resemble other systemic coagulopathies. It concludes that there is still much to be learned, but the fast and ongoing collaboration worldwide makes for a hopeful outcome. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Support for the bereaved, Cabinet Office (updated 28th May 2020)
Information to help bereaved families, friends or next of kin make important decisions. Updated 28 May 2020 Addition of printable pdf,'What to do when someone dies during the COVID-19 pandemic'. 23 April 2020 First published. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Early access to medicines scheme (EAMS) scientific opinion: Remdesivir in the treatment of patients hospitalised with suspected or laboratory-confirmed SARS-CoV-2 infection who meet the clinical criteria, MHRA
MHRA has given the first positive scientific opinion under the EAMS for use of Gilead's remdesivir. The scientific opinion includes a public assessment report& treatment protocols for healthcare professionals, patients and pharmacovigilance system. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

The COVID-19 Pandemic, Financial Inequality and Mental Health
This briefing discusses the mental health effects of financial inequalities in the context of the covid-19 pandemic, drawing evidence from a UK-wide long-term study led by the Mental Health Foundation, of how the pandemic is affecting people's mental health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Guidance for contacts of people with possible or confirmed coronavirus (COVID-19) infection who do not live with the person, PHE
This guidance is for people who have been notified by NHS Test and Trace that they are a contact of a person who has had a positive test result for coronavirus (COVID-19). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

COVID-19: guidance for households with possible coronavirus infection, PHE (updated 28th May 2020)
Stay-at-home guidance for households with possible coronavirus (COVID-19) infection. Update in this version (published 28th May) - updated'Stay at home: guidance for households with possible coronavirus (COVID-19) infection'. Update in version published 18th May - updated information on symptoms. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Number of coronavirus (COVID-19) cases and risk in the UK, DHSC/PHE (updated 27th May 2020)
As of 9am on 27 May, there have been 3,798,490 tests, with 117,013 tests on 26 May. 1,126,208 people have been tested, of which 267,240 tested positive. As of 5pm on 26 May, of those tested positive for coronavirus in the UK, 37,460 have died. This new figure includes deaths in all settings, not just in hospitals. The equivalent figure under the old measure would have been 30,177. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 28, 2020 Category: Consumer Health News Source Type: news

Tobacco smoking and COVID-19 infection
During the coronavirus disease (COVID-19) pandemic, the issue of tobacco smoking and risk for acute respiratory infection is again topical. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Latest COVID 19 guidance updates, NHS Employers (updated 27th May 2020)
The following updates have been made to the COVID-19 guidance for workforce leaders in the past few days: (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

COVID-19: background information, PHE (updated 27th May 2020)
Information on COVID-19 including epidemiology, virology and clinical features. Update in this version (published 27th May) - updated global case numbers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

NIHR Alert: Largest ever trial into a rare cancer of the urinary system shows clear benefits of chemotherapy after surgery, NIHR Evidence
The largest trial ever conducted into the disease found that giving chemotherapy halves the risk of the cancer coming back after surgery. The results provide clear evidence for this approach to become the new standard of care for patients whose disease has not spread to other parts of the body. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Group A streptococcal infections: activity during the 2019 to 2020 season, PHE (updated 27th May 2020)
Notifications of scarlet fever disease in England and data from invasive Group A streptococci (iGAS) surveillance. 27 May 2020 Added Health Protection Report (HPR) 14 (10) third seasonal report. 25 March 2020 Added Health Protection Report (HPR) 14(6) second seasonal report. 12 February 2020 Updated document with revised case numbers (in line with newly published NOIDS data). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Measles: guidance, data and analysis, PHE (updated 27th May 2020)
The symptoms, diagnosis, management, surveillance and epidemiology of measles. Measles is a 2 External 0 0 0 notifiable disease false https://www.gov.uk/government/collections/notifications-of-infectious-diseases-noids true false%> in England and Wales. Health professionals must inform local health protection teams of suspected cases. 27 May 2020 Added Health Protection Reports for 2020. 16 March 2020 Added health protection reports from 2014 to 2019. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Face coverings for the lay public: an alternative view, CEBM
Several people have written to ask about the review on the Covid-19 Evidence website' 2 External 0 0 0 Masks on or off false https://www.cebm.net/covid-19/covid-19-masks-on-or-off/ true false%>' . In that review, Carl Heneghan and Tom Jefferson summarised the findings from a systematic review initially published in 2011 and updated this year. That review was mostly focused on medical masks for healthcare workers but also looked at randomised controlled trials of masks and face coverings for the lay public. Heneghan and Jefferson's interpretation of that evidence was that there is insufficient evidence to support mask-we...
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

What explains the high rate of SARS-CoV-2 transmission in meat and poultry facilities?, CEBM
Question: What explains the high rate of Sars-CoV-2 transmission in meat and poultry facilities? Brief answer: The working environment in these facilities is favourable to SARS-CoV-2 persistence (metallic surfaces, low temperatures and relative humidity). The working environment may help SARS-CoV-2 transmission (crowded working places, shared transportation, production of aerosols, d roplets, fomites). A vulnerable, low-paid workforce may be under pressure to keep working despite having symptoms of COVID-19. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Covid-19 and the role of oxygen in palliative care at home, CEBM
If I were to come down with severe Covid-19 and choose to stay at home rather than go into hospital, would I benefit from receiving oxygen? Among the many questions surrounding palliative care at home, that's the one that persistently nags at me. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Cancer and COVID-19: between a rock and a hard place, CEBM
Between a rock and a hard place, is an idiom referring to being faced with two equally undesirable alternatives and the dilemma of being stuck in a difficult situation where one needs to make a hard decision. This pretty much portrays the position of dealing with cancer amidst the COVID-19 pandemic. Both, together, seem to have a synergistic effect on inferior health outcomes, where the damage caused by the existing conditions combined would be greater than each of them individually. A multicentre study during the COVID-19 outbreak found that cancer patients appear more vulnerable to COVID-19 and are at higher risk for all...
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

In My Own Bed Please: Staying at home with Covid-19, CEBM
In My Own Bed Please is an independent group of medical practitioners and researchers campaigning on behalf of those who would choose to stay in their own homes, rather than go into hospital, should they develop severe Covid-19 disease. The group also includes laymen who represent the point of view of patients. We are particularly concerned about the availability of palliative care for our elderly relatives who have expressed their considered wish to stay at home. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

The role of nicotine in COVID-19 infection, CEBM
There are biologically plausible pathways through which nicotine may impact SARS-CoV-2, but the clinical significance of these is entirely unclear. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Leadership in COVID-19: The dangers of groupthink in crisis leadership, CEBM
In a previous blog, we discussed the importance of governments building trust with the public in response to managing the current pandemic. Over the last few days, we potentially have seen the opposite happen, with the story of the senior government advisor, Dominic Cummings, perceivably breaking lockdown rules to travel around the UK. Several public figures have condoned these actions calling for repentance to avoid losing public trust. A number of the government's members have also criticised Cumming's activities, in some cases calling for resignation. In contrast, those closest to Cumming's work within the cabinet, incl...
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

From contract disputes to Covid-19: tales from a junior doctor, The King's Fund
A podcast about big ideas in health and care. What's it like for clinicians working through the Covid-19 pandemic? And what really happened during the junior doctor dispute in 2015? Anna Charles talks with Dr Jeeves Wijesuriya, GP trainee and former chair of the BMA Junior Doctors Committee. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Care homes in London and the North worse hit by COVID-19 than other areas of England New Health Foundation analysis of regional variations in care home deaths, The Health Foundation
New analysis from the Health Foundation reveals significant regional variation in the impact of COVID-19 on care homes across England, with London and the North of England the hardest hit in terms of the proportion of deaths among residents. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Inequalities and deaths involving COVID-19 What the links between inequalities tell us, The Health Foundation
In this blog the Health Foundation examine the data on socioeconomic deprivation, gender and COVID-19 mortality, to show how acting on only one aspect of possible inequality can prevent us observing and tackling the intersection with others. Doing so will help national and local government, public health teams, the health service, and the scientific community, develop strategies and act on some of the steepest inequalities we see, as part of our public health response. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Early insight into the impacts of COVID-19 on care for people with long-term conditions, The Health Foundation
To examine the impact of COVID-19 on access to and use of health care services for people with pre-existing health conditions, the Health Foundation supported an online YouGov survey* of members of the public, designed by the Resolution Foundation. 6,005 UK citizens responded to the survey between 6 and 11 May.1 (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

COVID-19: GP wellbeing, RCGP (updated 27th May 2020)
Part of RCGP Learning's COVID-19 Resource Hub, this provides support for GPs during this challenging time, including wellbeing, resilience and mental health resources. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Remote consultation and triaging, RCGP (updated 27th May 2020)
Part of RCGP Learning's COVID-19 Resource Hub, this provides advice on adapting to changing consultation formats, including best practice for online and telephone triage appointments. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Specialist issues with COVID-19, RCGP (updated 27th May 2020)
Part of RCGP Learning's COVID-19 Resource Hub, this provides information on dealing with specific patient groups throughout the COVID-19 period. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Cleansing and PPE waste at a healthcare waste management facility: RPS C1, Environment Agency (updated 27th May 2020)
When you can store or treat coronavirus (COVID-19) cleansing and used PPE waste without having codes 15 02 02* or 15 02 03 in your permit. Updated 27 May 2020 We have extended the expiry date to 30 September 2020. 22 May 2020 This COVID-19 RPS has been updated to include separately collected personal protective equipment (PPE) waste, coded 15 02 03. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Scope, quality, and inclusivity of clinical guidelines produced early in the covid-19 pandemic: rapid review, BMJ
Review (42 guidelines) found guidelines available early in the covid-19 pandemic had methodological weaknesses and neglected vulnerable groups such as older people. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Loneliness, social isolation and COVID-19: practical advice, LGA/ADPH
This is practical advice for Directors of Public Health and others leading the response to the loneliness and social isolation issues arising from the COVID-19 pandemic. Intervening early to tackle loneliness and social isolation during the COVID-19 pandemic and beyond will help to prevent more costly health and care needs from developing, as well as aiding community resilience and recovery. It is recommended that action should be taken at the local level through partnerships between the council, voluntary and community sector, councillors, primary care networks and relevant others. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Coronavirus (Covid-19): antibody tests, DHSC
The government has announced the start of a major new national antibody testing programme, with plans to provide antibody tests to NHS and care staff in England from the end of May. This guidance gives information on the programme. An accompanying infographic shows the differences between coronavirus tests. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 26, 2020 Category: Consumer Health News Source Type: news

COVID-19 Support Pack 2.0, Mind Tools
Collection of articles on self-care and mental health, strategy, planning and decision making, working with others, leading and managing a team, and new ways of thinking and working. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 26, 2020 Category: Consumer Health News Source Type: news

Aerosol generating procedures, dysphagia assessment and COVID-19, RCSLT
Dysphagia assessment should be considered an aerosol generating procedure (AGP), a new report from an expert RCSLT advisory group concludes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 26, 2020 Category: Consumer Health News Source Type: news

COVID-19 rapid guideline: children and young people who are immunocompromised [NG174], NICE (updated 21st May 2020)
The purpose of this guideline is to maximise the safety of children and young people who are immunocompromised during the COVID-19 pandemic. It also aims to protect staff from infection and enable services to make the best use of NHS resources. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 26, 2020 Category: Consumer Health News Source Type: news