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Diabetes’ effect on mental health explored

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NEW research from Diabetes UK has found that seven out of ten people feel overwhelmed by the demands of living with diabetes, significantly affecting their mental and physical health.

The survey of more than 2,000 adults with Type 1, Type 2 and other types of diabetes from across the UK shows that the majority (three quarters) of those who feel overwhelmed say that this affects how well they can manage the condition.

In order to explore the links between mental health and diabetes, the charity collected extensive insights from people affected by the condition and healthcare professionals from across the UK.

The findings, published in the report “Too often missing: Making emotional and psychological support routine in diabetes care”, show that diabetes is much more than a physical condition.

Management of physical symptoms 24/7 – for example checking blood glucose levels, or managing diet – alongside the continual need to make decisions and take actions in order to reduce the likelihood of short and long-term complications, can affect every aspect of day-to-day life.

The research revealed that the relentless nature of diabetes can impact people’s emotional, mental and psychological wellbeing and health, from day-to-day frustration and low mood, to specific psychological and mental health difficulties such as clinical depression and anxiety.

Three-quarters of those needing specialist mental health support to help manage the condition, such as from a counsellor or psychologist, could not access it. Seven out of ten people with diabetes also reported that they are not helped to talk about their emotional wellbeing by their diabetes teams.

Healthcare professionals surveyed also revealed that there was more to be done in this area. Specifically, 40 per cent of GPs say they are not likely to ask about emotional wellbeing and mental health in routine diabetes appointments, while only 30 per cent feel there is enough emotional and psychological support for people living with diabetes when needed.

The report marks the launch of a Diabetes UK campaign to make the emotional and psychological demands of living with diabetes recognised and provide the right support to everyone who needs it.

Diabetes UK Cymru is marking the launch with an event on Wednesday 22 May at the Norwegian Church in Cardiff Bay from 12 pm to 2 pm.

The charity is urgently calling on each of the four nations’ health services to create national standards for diabetes emotional and mental healthservices. These should ensure that everyone is asked how they are feeling as part of every diabetes appointment and that a mental healthprofessional with knowledge of diabetes is part of every diabetes care team.

Dai Williams, National Director, Diabetes UK Cymru, said: “The day-to-day demands of managing diabetes can be a constant struggle, affecting people’s emotional wellbeing and mental health. In turn, people tell us that struggling emotionally can make it even more difficult to keep on top of self-management. And when diabetes cannot be well managed, the risk of dangerous complications, such as amputations, kidney failure and stroke increases.

“Diabetes services that include emotional and psychological support can help people improve both their physical and mental health, reduce pressure on services, and save money.

“Mental health and physical health go hand in hand, but services for people with diabetes don’t always reflect this. We need to bridge the divide between physical and mental health services to ensure those with emotional and psychological difficulties related to their condition do not have their needs overlooked. It is critical that all diabetes care sees and supports the whole person, and explores what matters most to them.”

Diabetes UK is launching a petition to call for national standards for diabetes mental health support and services.

To find out more about the campaign and sign the petition go to www.diabetes.org.uk/missing

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Health

New Covid vaccine arrives first in West Wales

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THE FIRST person in the UK to receive the Moderna vaccine against Covid-19 got their jab at 8:30 in the morning of Wednesday, April 7, at West Wales General Hospital.
The recipient was Elle Taylor, aged 24. Ms Taylor is an unpaid carer from Ammanford.
Speaking after receiving the vaccine, the 24-year-old, who works at a further education college, said: “I’m very excited and very happy.
“I’m an unpaid carer for my grandmother, so it is very important to me that I get it, so I can care for her properly and safely.
“My grandmother has had her first dose and she is going for her second dose on Saturday.”
Miss Taylor said she only found out on Tuesday evening that she was to be the first in the UK to receive the jab by Moderna, an American company.

HEALTH BOARD ‘DELIGHTED’

The Medicines and Healthcare Products Regulatory Agency (MHRA) authorised the Moderna vaccine as safe and effective in January 2021 following rigorous clinical trials.
Moderna is the third Covid-19 vaccine distributed in the UK.
Two other vaccines, the Pfizer vaccine and the Astra Zeneca vaccine, are already in use across the UK. 31 million people across the UK have received their first shot of one of those vaccines since the inoculation programme began in December last year.
Supplies arrived in Wales on Tuesday, April 6.
5,000 doses were delivered to vaccination centres in the Hywel Dda University Health Board area.
The Moderna vaccine is a two-dose vaccine given at an interval of between four and twelve weeks.
Ros Jervis, Director of Public Health for Hywel Dda University Health Board, added: “We’re delighted to be able to use the Moderna vaccine for deployment across west Wales.
“We will be using this new vaccine, alongside Oxford Astra-Zeneca, to continue the immunisation’s roll out to our communities in Carmarthenshire, Ceredigion and Pembrokeshire.
“We are incredibly lucky to have a third vaccine in Wales, with a long shelf life and the ability to be easily transported, to help deliver the vaccination programme to small clinics across our rural communities.”

THE MODERNA VACCINE EXPLAINED

The Moderna vaccine does not contain the virus to produce immunity.
It cannot give you COVID-19.
The injection stimulates the body’s natural defences (immune system). It works by making the body produce its own protection (antibodies) against the virus that causes the COVID-19 infection.
The vaccine delivers the ‘instructions’ that cells in the body can use to make antibodies to fight the virus that causes COVID-19.
As with any vaccine, Moderna may not fully protect all those who receive it. Those who get it may not be fully protected until two weeks after the vaccine’s second dose.
In trials, the vaccine was 94.1% effective in preventing Covid-19 infection in patients with no prior history of the disease. It was 100% effective in preventing patients from developing the severe Covid-19 symptoms that lead to hospitalisation.
Although the Moderna vaccine is the priciest of the vaccines yet rolled out, it has an advantage over the Pfizer vaccine. It can be stored in a regular fridge for up to fourteen days after its delivery to a vaccination centre.
It contains no ingredient derived from animals.

A KEY MILESTONE

Health Minister Vaughan Gething said: “This is another key milestone in our fight against the COVID-19 pandemic. The third vaccine for use in Wales significantly adds to our defences in the face of coronavirus. It will help to protect our most vulnerable.
“Every vaccine given to someone in Wales is a small victory against the virus, and we would encourage everyone to go for their vaccine when invited.
“If people cannot attend their appointment, we ask them to let the health board know via the contact details provided in their invitation as this vaccination slot can be offered to someone else rather than be wasted.
“Once you have been vaccinated, you should continue to follow guidance, staying two metres apart, washing your hands and wearing a face covering to protect those around you.
“I want to thank all those who have been working tirelessly to deliver the vaccine across Wales and help us meet our second milestone of offering a vaccine to all phase one priority groups. I also want to thank the 1.5 million people in Wales that have already come forward for their vaccine and done their bit in this national effort.”
Welsh Conservative deputy health spokesperson and candidate for Ceredigion and Mid and West Wales, Amanda Jenner, said: “The Conservative UK Government’s decision to go it alone has been fully vindicated with the phenomenal results of the British vaccination programme.
“The roll-out of the Moderna vaccine, administered by our outstanding NHS and volunteers, will boost our ability to protect Welsh people and restore our freedoms.”

VACCINE SUPPLIES

Starting from the middle of last year, the UK Government secured a deliberate oversupply of vaccine to ensure continuity of supply.
As part of that strategy, the Department of Health placed provisional orders – pending approval by the medicines’ regulator – of seven different vaccines in different stages of development.
The UK has ordered 40 million doses of Pfizer’s vaccine, 100 million doses of the Oxford vaccine, and 17 million doses from Moderna.
A further four vaccines are either in clinical trials or awaiting MHRA approval:  Novavax (60 million doses, Janssen (30 million doses), Valneva (60 million doses),  GlaskoSmithKline (60 million doses).
The number of Covid-19 vaccine doses on order is enough to fully inoculate the UK’s entire population twice.

BOARD STATEMENT ON VACCINATION PROGRAMME
194,057 people in our three counties have now received their first dose of the vaccine, and 47,087 people are fully vaccinated having received both doses.
We will have offered a first dose of the vaccine to all those in priority groups 5-9 by Sunday 18 April.
To ensure no one is left behind, this week the health board has launched an appeal asking people in groups 1 to 9 who have not been contacted to get in touch to arrange their first vaccine dose.
If one or more of the following applies to you and you have not received your first vaccine appointment, please contact the health board on 0300 303 8322 or by email COVIDenquiries.hdd@wales.nhs.uk by Friday 16 April:

  • are aged 50 or over
  • are aged 16 to 64 and have underlying health conditions that put you at increased risk of COVID-19 mortality
  • work in a care home or in health and social care in Carmarthenshire, Ceredigion or Pembrokeshire
  • are the primary unpaid carer of an elderly or disabled adult who is at increased risk of COVID-19 mortality, or a child with severe neuro-disabilities
Please be patient if you haven’t been contacted about your vaccine yet and we politely ask that you do not contact the health board or your GP to ask about your vaccine. You will be contacted when it is your turn.

THE SECOND DOSE

Second doses are essential for longer-term protection, so it’s important that everyone comes forward for their full course when called.
When you will be contacted for your second vaccine dose depends on which vaccine you have received.
We are asking anyone who received the Pfizer vaccine and has not received a second vaccine appointment yet, to get in touch as soon as possible on 0300 303 8322. Please note our phone lines get very busy at times and you may have to wait for the call to be answered. You can also contact us by emailing your name and contact phone number to COVIDenquiries.hdd@wales.nhs.uk
The health board aims to complete all second Pfizer vaccine doses by week commencing Monday 12 April.
To check which vaccine you received, look at the card given to you when you received your first vaccine. It will say if you received either the Pfizer BioNtech vaccine or the Oxford AstraZeneca vaccine.
If you received a first vaccine dose of the Oxford AstraZeneca vaccine, we politely ask that you do not contact your GP practice or health board at this time to ask about a second vaccine appointment. You will be contacted when it is your turn for a second dose – we are calling those who received a Pfizer first dose at this time.
Care home residents, people aged over 80 and all other priority groups who have received the Oxford AstraZeneca vaccine at the GP surgery will be contacted between 11 to 12 weeks following their first vaccine with an appointment time.
Confidence is building around the effectiveness of the vaccines.

Emerging evidence is clear on the impact of the vaccine in preventing severe disease and hospitalisation. That is now playing out in admissions to our hospitals, and thankfully, numbers of deaths from coronavirus being reported.
UK and EU regulators have also been very clear about the safety of the vaccines. The benefits of vaccination far outweigh any possible risks.
All three vaccines are safe and effective.
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Police and drugs advice service issue warning over ‘deadly batch’ of heroin

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POLICE have asked the media to issue a warning over a batch of heroin.

The drug circulating in west Wales, first detected in Llanelli, is particularly dangerous, it has been confirmed.

“We are warning drug users to take extra care following reports of a particularly harmful batch of heroin circulating in the Llanelli area” said a Dyfed-Powys Police spokesperson.

“We have reasons to believe some drugs being distributed and used in the Carmarthenshire area at present have been contaminated with other substances and could be extremely dangerous for anyone taking them.

“We would also appeal to drug users to seek medical attention immediately if they become unwell.

“Please share this information with anyone you believe could come into contact with these drugs.

”In an emergency or if you think someone’s life is at risk always dial 999.”

Earlier this week Barod, the drug and alcohol abuse service reported a dangerous and toxic heroin circulating in Pembroke Dock which a spokesperson described as being ‘potentially deadly’.

To comes as Public Health England issued a formal alert about the risks of heroin containing fentanyl or carfentanyl.

The warning reads: “There is significant evidence from a small number of post-mortem results of recent drug user deaths and from police seizures that some heroin may contain fentanyl or carfentanyl added by dealers.

“These are highly potent synthetic opioids and very small amounts can cause severe or even fatal toxicity.

“Those of you in contact with heroin users should be alert to the increased possibility of overdose arising from heroin cut with these synthetic opioids, be able to recognise possible symptoms of overdose and respond appropriately.”

The fentanyls are a group of synthetic opioids; some have legitimate uses while others are illicit drugs.

Fentanyl is about 100 times more potent than morphine and is a licensed medicine used to treat severe and terminal pain. Carfentanyl is 4,000 – 10,000 times more potent than morphine and principally used as an animal tranquilliser.

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Covid-19 restriction relaxations in Wales brought forward

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THE WELSH GOVERNMENT will be accelerating elements of its programme to relax Covid-19 restrictions as cases of new infections continue to fall across Wales, the First Minister today announced.

People will be able to form an extended household, visit the gym or take part in organised outdoor activities a week earlier than planned, as the public health situation – and vaccination rates – continue to improve.

The First Minister last week set out a detailed timetable for moving Wales firmly into alert level three. But some of these measures will now be introduced sooner than planned as cases have fallen markedly from 37 cases per 100,000 people to fewer than 21 per 100,000 this week.

The pressure on hospitals also continues to ease. Confirmed cases in hospital beds continue to reduce, and now stands at 89. This is 26% lower than last Thursday and is the lowest position since 22 September 2020.

The planned opening date for organised outdoor activities and outdoor wedding receptions will be moved forward to Monday 26 April from 3 May.

And, from Monday 3 May, a week earlier than previously signalled, gyms, leisure centres and fitness facilities will be able to reopen for individual or one-to-one training. Extended households will also be allowed again, enabling two households to meet and have contact indoors.

First Minister, Mark Drakeford said:

“The public health situation in Wales continues to improve thanks to everything you are doing to help us control this awful virus. Cases of the virus are falling and our incredible vaccination programme continues to go from strength to strength.

“Last week, we set out our programme to further re-open the economy and relax the restrictions we have lived with for so long, as part of our careful, step-by-step approach to keeping everyone safe. This week, because of the improvements we continue to see, we can bring forward some of our plans.

“This is only possible because of the efforts everyone is making to protect themselves and their loved ones.”

From Monday 12 April, the following relaxations will go ahead:

  • The full return of children to schools for face-to-face education, all post-16 learners will return to further education and training centres, and university campus’ will be able to open for blended face-to-face/online learning for all students;
  • All remaining shops will reopen, completing the phased reopening of non-essential retail;
  • All remaining close contact services will open, including mobile services;
  • Travel restrictions on traveling into and out of Wales will be lifted. However, restrictions on travel to countries outside the Common Travel Area without a reasonable excuse, remain in place. The Common Travel Area means the United Kingdom, the Channel Islands, the Isle of Man and the Republic of Ireland;
  • Wedding ‘show-arounds’ by appointment are allowed;
  • Restrictions on political canvassing are removed, subject to canvassers doing so safely.
  • Further easements to restrictions in the coming weeks will be subject to the public health situation remaining favourable. These will be confirmed at the next three-weekly review of the coronavirus regulations on 22 April.

On Monday 26 April:

  • Outdoor attractions, including funfairs and theme parks, would be allowed to reopen;
  • Outdoor hospitality can resume, including at cafes, pubs and restaurants. Indoor hospitality will remain closed except for takeaways;
  • Organised outdoor activities for up to 30 people can again take place (previously Monday 3 May);
  • Weddings receptions can take place outdoors for up to 30 people (previously Monday 3 May).

On Monday 3 May (previously Monday 10 May):

  • Gyms, leisure centres and fitness facilities can reopen. This will include individual or one-to-one training but not exercise classes;
    Extended household will again allow two households to meet and have contact indoors.
  • As set out in the revised Coronavirus Control Plan, a small number of outdoor pilot events of between 200 and 1,000 people are also being planned.
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