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US diplomats stationed in Germany fall ill with mysterious Havana Syndrome

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US diplomats stationed in Germany fall ill with mysterious Havana Syndrome'

Reference: The Telegraph: Justin Huggler

7 unusual signs of skin cancer to watch for as disease kills 2,500 Brits a year

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7 unusual signs of skin cancer to watch for as disease kills 2,500 Brits a year

Skin cancer kills 2,500 Brits every year – but when diagnosed early enough, it remains extremely treatable. 

While most of us know we should watch out for new or changing moles, some of the more unusual signs might take you by surprise – and save your life.

Melanoma is the deadliest form and can spread to other parts of the body – 16,000 new cases are diagnosed annually. But what early signs should you be looking for?

Unexplained scars

“If you have a scar-like patch of skin which appears entirely out of nowhere and continually grows it could be a sign of basal cell carcinoma (BCC),” explains Dr Ross Perry, medical director of Cosmedics skin clinics (cosmedics.co.uk).

“This is a cancer that grows on parts of your skin that are exposed to a lot of sun.

It might look skin-coloured, waxy, like a scar or a thickened area of skin. Basal cell carcinoma is the most common form of skin cancer and fortunately it’s also the least risky type as long as you get it checked out early.”

a close up of a hand: Adult man's naked foot covered with red raw insect bites

Pearly lesions on the eyelids

Most people don’t realise that eyelids are a common place for skin cancer as it’s an area many of us miss when applying sun lotion.

“Around 85-95 per cent of eyelid cancers in non-Asian countries are basal cell skin cancers,” says Dr Perry. “Malignant (cancerous) growths on the eyelid can appear brown, black, red or flesh-coloured (pearly-looking).

“They may be crusty or sore, itchy and tender and appear shiny and waxy looking.

“It is important to be aware of any changes such as appearance, shape, colour and growth.”

To protect your eyelids from UV exposure, wear sunglasses, ­sunscreen and a wide-brimmed hat, which can block out up to half of the sun’s UV rays from eyes and eyelids.

Black marks under nails

“Subungual melanoma, which can appear under a toenail or fingernail, can easily be mistaken for a bruise,” says Dr Perry.

Most often these appear under the nails of your thumb or big toe and are often caused by repeated injury or trauma to those areas. “Subungual melanoma can spread to other parts of the body if left untreated so it’s important to get checked out as soon as you can,” he warns.

Itchy scalp

Skin cancer on the scalp is more common in men and comes in three forms.

“Basal cell carcinoma can appear on the scalp but are relatively low risk and less rare,” says Dr Perry.

“Squamous cell carcinoma can also be found on the scalp and are more common on those with fair skin who are often exposed to the sun. These can appear as scaly red patches, open sores, rough, thickened or wart-like skin, or raised growths with a central depression that may itch or bleed.

“Melanoma, which is the deadliest form of skin cancer, can also be found on the scalp and will appear as a mole or skin growth.

"It’s perfectly normal to have moles on the scalp but if you notice it changing shape, texture or colour it needs to be looked at. If you notice any unusual patches of skin on your scalp, see your GP or dermatologist immediately.”

A sore that won’t heal

If you’ve noticed you have a sore that hasn’t got better within four weeks and seems to be getting worse, then get it checked out by your GP.

“A sore that doesn’t heal can appear as lumpy, dry and scaly and it could well be a basal cell carcinoma,” warns Dr Perry.

“The sore may also be itchy, bleed and look crusty in appearance with scabs that form.

“Again the best thing to do is get it looked at early.”

Insect bites that don’t go away

Being ravaged by mozzies is hardly uncommon during the warmer months, but sometimes those little red bumps can be something more serious.

“You might think you’ve been bitten but insect bites tend to go away within a couple of weeks or gradually fade and get smaller,” explains Dr Perry.

“If something isn’t disappearing and resembles a bite, it could be entirely harmless but it could also be a sign of skin cancer. So if it’s persistent and causing discomfort, see a doctor.”

A pale patch of skin on the head or neck

“A BCC can appear as a pale patch of smooth or pearly/white skin on the head or neck,” says Dr Perry.

“It tends to occur on skin which is frequently exposed to the sun, so most often appears on the face, head and neck. I’d recommend that if you notice anything unusual on the skin that shows no sign of going away after four weeks then book an appointment with your GP or dermatologist.

“It can be helpful to take photos to monitor changes. It can be more difficult to notice changes on darker skin so get a friend or family member to help do your checks.” 

Reference: Mirror: Natasha Holt 

Pharmacist faces 120 years in prison for allegedly selling Covid-19 vaccine cards on eBay

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Pharmacist faces 120 years in prison for allegedly selling Covid-19 vaccine cards on eBay 

A Chicago pharmacist was arrested and accused of selling hundreds of authentic Centers for Disease Control and Prevention (CDC) COVID-19 vaccine cards on eBay, the U.S. Department of Justice said in a statement this week.

Tangtang Zhao, a 34-year-old licensed pharmacist in Illinois, allegedly took vaccine record cards from his former place of employment to sell online, according to court documents . The pharmaceutical company, which is solely referred to as “Company 1,” distributes and ministers that COVID-19 vaccines, and in accordance with CDC protocol, provides vaccination record cards to each recipient. Zhao is accused of obtaining said cards while at work, and later listing them on Ebay for $10 each. Zhao reportedly sold a total of 126 cards to 12 customers in March and April of 2021 and earned over $1,000 for the transactions.

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Zhao been arrested and charged with 12 counts of theft of government property, facing up to 10 years in prison per count, the indictment says. Zhao could serve a sentence of 120 years if found guilty on all 12.

“We take seriously, and will vigorously investigate, any criminal offense that contributes to the distrust around vaccines and vaccination status,” Assistant Attorney General Kenneth A. Polite Jr. of the Justice Department’s Criminal Division, said. “The Department of Justice and its law enforcement partners are committed to protecting the American people from these offenses during this national emergency.”   

table: A screenshot of the Indictment against Tangtang Zhao. (Credit: United States District Court Northern District of Illinois Eastern Division)

© Provided by Indy 100 A screenshot of the Indictment against Tangtang Zhao. (Credit: United States District Court Northern District of Illinois Eastern Division)

“Knowingly selling Covid vaccination cards to unvaccinated individuals puts millions of Americans at risk of serious injury or death,” Special Agent in Charge Emmerson Buie Jr. of the FBI’s Chicago Field Office, added. “To put such a small price on the safety of our nation is not only an insult to those who are doing their part in the fight to stop COVID-19, but a federal crime with serious consequences.”

“Stealing and selling Covid-19 vaccination cards is inexcusable and will not be tolerated,” Special Agent in Charge Lamont Pugh III of the U.S. Department of Health & Human Services, Office of Inspector General (HHS-OIG) – Chicago Region, concurred. “Fraudsters who engage in such unlawful conduct undermine efforts to address the pandemic and profit at the public’s expense. The health and safety of the public is our top priority, and we encourage people to obtain vaccination cards from their administering medical providers.”

Zhao’s case, which is currently being investigated by the FBI and HHS-OIG, is ongoing. 

Reference: Indy 100: Danielle Sinay

NHS could issue tougher ventilator guidance after Nightingale deaths

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NHS could issue tougher ventilator guidance after Nightingale deaths

NHS trusts in England could be issued with tougher ventilator guidance after three Covid patients died following a mix-up with breathing tubes, MailOnline can reveal.

In all three cases, filters which prevent the build-up of fluid were not attached to the machines, resulting in dangerous blockages.

The deaths occurred at London's makeshift Nightingale Hospital at the height of the first wave last spring.

A coroner who probed two of the fatalities — Kishorkumar Patel, 58, and Kofi Aning, 66 — has asked watchdogs to take urgent action 'to prevent future deaths'.  

The report said that there was too much variability between machines, which amounted to an 'extremely confusing situation' for medics trying to operate them.  

It warned that the issue was likely widespread through the NHS, and not just at the hastily-built Nightingales designed to ease Covid pressure on regular hospitals.

a group of people posing for the camera: MailOnline logo

The coroner's report has given watchdogs until September 1 to issue updated guidance to intensive care doctors and nurses about ventilators.

It calls for a standarised layout and colour coding across all ventilators, so staff trained to operate one specific model can use all different versions.

Experts speaking to MailOnline today backed the report but said the issue was likely 'specific' to the Nightingale due to the 'extraordinary circumstances' at the time.

A total of ten patients were affected by the ventilator filter mix-up at the Nightingale hospital in the ExCel Centre last April, MailOnline revealed yesterday.

A serious incident report at the time found staff failed to attach the heat and moisture exchange (HME) filters, which prevent the build-up of mucus.  

WHAT WAS THE VENTILATOR ERROR?

A total of ten patients were affected by the ventilator filter mix-up at the Nightingale hospital in the ExCel Centre last April.

Three were fatal — in the cases of Kishorkumar Patel, 58, Kofi Aning, 66, and a third unnamed patient.

A serious incident report from the NHS at the time found staff failed to attach the heat and moisture exchange (HME) filters, which prevent the build-up of mucus.

It led to the breathing tubes becoming blocked and saw all patients 'suffer harm'. They all required re-intubation. 

Inquests into the deaths are scheduled for October.

Inquests into the deaths are scheduled for October.

In three cases it led to the breathing tubes becoming blocked and saw all patients 'suffer harm' and require re-intubation. All three patients eventually passed away.  

It has not been determined whether the filter incidents contributed to the deaths of Mr Patel, Mr Aning and the third unnamed patient. Inquests into the deaths are scheduled for October.

Coroner Nadia Persaud said the 'confusing' way in which the machines vary model to model could lead to future deaths.

She ruled the classification and colour coding was 'worthy of review, simplification, and standardisation'. 

The original coroner's report, released last month, was sent to the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine.

It read: 'In my opinion, the non-standardised colour coding used by manufacturers of these filters, the number of different types of filters with different names, the variable optimal position of the filters, and whether a wet or a dry breathing system is being used, results in an extremely confusing situation.'

The report added: 'In my opinion there is a risk that future deaths could occur unless action is taken.

'The concerns raised by the independent expert are not confined to the Nightingale, emergency provision hospitals, but relate equally to all intensive care settings, particularly when the intensive care provision has to be extended to other areas of the hospital.'

The coroner's report: Key findings and critical actions - Recommendations

Neither body has yet to officially respond to the Ms Persaud's request, which gave them a deadline of September 1. Both declined to comment when approached by MailOnline today. 

Experts have said the tragic cases were the result of an 'extraordinary' set of circumstances borne out of the pandemic, rather than a widespread issue. 

Professor Hugh Montgomery, an intensivist at University College London who was speaking in a personal capacity, told MailOnline today: 'I've not heard of this being an issue anywhere else, nor have I ever seen it on an ICU on which I have worked.

'The cases all occurred at the Nightingale Hospital, which was set up as an extraordinary one-off structure, and generally not staffed in the same manner as ordinary "on site" ICUs, nor by "teams that routinely work together" as in such existing ICUs.

'My instinct is thus that this was a rare event, the likelihood of which occurring was increased by the extraordinary circumstances pertaining at the time and specific to that location.' 

Dr Ron Daniels, an intensive care doctor and chief executive of Sepsis UK, backed calls for ventilators used in the UK to be standardised.

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He told MailOnline: 'It's entirely logical and appropriate to remove any opportunity for user error. Standardisation is vital and hugely important for that.

But he revealed he had never heard of a ventilator mix-up in his time on the front lines in intensive care.

Dr Daniels said that Nightingale staff were 'treating more patients' than they would have been used to and under intense pressure, which he described as 'circumstances which allow error to creep in'. 

He accepted that the problem could occur in other ICUs, where 'agency staff might be moving from one intensive care unit to another'.

'If they are using equipment they are unfamiliar with, then there's an increased opportunity for human error.'

The Nightingale Hospital in London, which was opened by Prince Charles on April 3, was one of seven temporary hospitals opened to great fanfare at the start of the pandemic last year, along with centres in Birmingham, Manchester, Exeter, Harrogate in North Yorkshire, Bristol and Washington in Tyne and Wear.

Prior to its opening, images from inside the field hospital showed military personnel erecting cubicles and carrying equipment into the transformed centre- which was set to hold up to 4,000 Covid-19 patients.

The centre was hastily put up in less than two weeks in March, amid fears the capital's hospitals could be overwhelmed by spiralling Covid-19 admissions.

However by May 6, 2020, the Government dashboard showed only five patients remained at the facility and just six weeks later the hospital was moved to 'standby' and closed its doors on May 15.

Figures later showed the temporary hospital only treated a total of 54 patients.

Efforts were then launched to re-construct a 'scaled-down' version of the mothballed hospital and the facility was reopened in January this year to admit non-Covid patients in order to ease the pressure in the critical care wards across the capital.

In March, medical staff at the Nightingale Hospital defended the creation of facility but admitted the complexity of coronavirus led to issues.

In a paper in the medical journal Intensive Care Medicine, the doctors disclosed 54 patients were treated for Covid between April 7 and May 7 and all those admitted were invasively ventilated at the time of admission.

In their paper the staff said that it 'remains moot' whether the facility was the best way of treating patients.

Connor Boyd Assistant Health Editor For Mailonline and Bhvishya Patel For Mailonline 

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