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UK National Screening Committee
The UK National Screening Committee co-ordinates the screening of people for medical conditions within the United Kingdom. Since April 2013 it has been part of Public Health England. The committee was established in 1996, with Sir Kenneth Calman ( Chief Medical Officer for England 1991–1998) as its first chairman. Professor Bob Steele (a specialist in colorectal cancer) has held the post since August 2016. The committee maintains a list of policies in relation to various types of screening, and attempts to balance the risks against the benefits in each case. Some policies say that screening should be provided for everyone or some people, others that screening is not recommended. Each year it publishes a report reviewing its work. In November 2013, the committee were involved in the testing of a new non-invasive prenatal blood test for Down's Syndrome at Great Ormond Street Hospital for Children. Invasive screening methods, either amniocentesis or chorionic villus sampling, res ...
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Screening (medicine)
Screening, in medicine, is a strategy used to look for as-yet-unrecognised conditions or risk markers. This testing can be applied to individuals or to a whole population. The people tested may not exhibit any signs or symptoms of a disease, or they might exhibit only one or two symptoms, which by themselves do not indicate a definitive diagnosis. Screening interventions are designed to identify conditions which could at some future point turn into disease, thus enabling earlier intervention and management in the hope to reduce mortality and suffering from a disease. Although screening may lead to an earlier diagnosis, not all screening tests have been shown to benefit the person being screened; overdiagnosis, misdiagnosis, and creating a false sense of security are some potential adverse effects of screening. Additionally, some screening tests can be inappropriately overused. For these reasons, a test used in a screening program, especially for a disease with low incidence, must ...
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Public Health England
Public Health England (PHE) was an executive agency of the Department of Health and Social Care in England which began operating on 1 April 2013 to protect and improve health and wellbeing and reduce health inequalities. Its formation came as a result of the reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act 2012. It took on the role of the Health Protection Agency, the National Treatment Agency for Substance Misuse and a number of other health bodies. It was an executive agency of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy. On 29 March 2021, the UK Government announced that PHE would be disbanded and that its public health functions would be transferred, in proposals to reform public health structures. From 1 October 2021, PHE's health protection functions were formally transferred into the UK Health Security Agency (UKHSA), while its health improvement functions ...
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Kenneth Calman
Sir Kenneth Charles Calman, HonFAcadMEd (born 25 December 1941) is a doctor and academic who formerly worked as a surgeon, oncologist and cancer researcher and held the position of Chief Medical Officer of Scotland, and then England. He was Warden and Vice-Chancellor of Durham University from 1998 to 2006 before becoming Chancellor of the University of Glasgow. He held the position of Chair of the National Cancer Research Institute from 2008 until 2011. From 2008 to 2009, he was convener of the Calman Commission on Scottish devolution. Early life Kenneth Calman was born on 25 December 1941 to Grace Douglas Don and Arthur McIntosh Calman. He was educated at Allan Glen's School and the University of Glasgow. He began medical training and took an intercalated BSc in biochemistry while studying for his MB ChB, the general medical degree. He undertook a PhD in dermatology and also received an MD with Honours in organ preservation. He became Hall Fellow and Lecturer in Surgery at t ...
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Chief Medical Officers (United Kingdom)
In the United Kingdom, a Chief Medical Officer (CMO) is the most senior government advisor on matter relating to health. There are four CMOs in the United Kingdom who are appointed to advise their respective governments: * His Majesty's Government ''(CMO for England and medical adviser to the United Kingdom government)'' * Scottish Government * Welsh Government * Northern Ireland Executive Each CMO is assisted by one or more Deputy Chief Medical Officers, and complemented by a Chief Nursing Officer. The Chief Medical Officer is a qualified medical doctor whose medical speciality traditionally was public health medicine, and whose work focused on the health of communities rather than health of individuals. More recently, some appointees have been senior clinicians without training in public health medicine. In the UK, the CMO is one of the chief professional officers who advise the government in their respective health and social care disciplines. The CMO has independent sta ...
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Colorectal Cancer
Colorectal cancer (CRC), also known as bowel cancer, colon cancer, or rectal cancer, is the development of cancer from the colon or rectum (parts of the large intestine). Signs and symptoms may include blood in the stool, a change in bowel movements, weight loss, and fatigue. Most colorectal cancers are due to old age and lifestyle factors, with only a small number of cases due to underlying genetic disorders. Risk factors include diet, obesity, smoking, and lack of physical activity. Dietary factors that increase the risk include red meat, processed meat, and alcohol. Another risk factor is inflammatory bowel disease, which includes Crohn's disease and ulcerative colitis. Some of the inherited genetic disorders that can cause colorectal cancer include familial adenomatous polyposis and hereditary non-polyposis colon cancer; however, these represent less than 5% of cases. It typically starts as a benign tumor, often in the form of a polyp, which over time becomes cancerous. ...
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Down's Syndrome
Down syndrome or Down's syndrome, also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is usually associated with physical growth delays, mild to moderate intellectual disability, and characteristic facial features. The average IQ of a young adult with Down syndrome is 50, equivalent to the mental ability of an eight- or nine-year-old child, but this can vary widely. The parents of the affected individual are usually genetically normal. The probability increases from less than 0.1% in 20-year-old mothers to 3% in those of age 45. The extra chromosome is believed to occur by chance, with no known behavioral activity or environmental factor that changes the probability. Down syndrome can be identified during pregnancy by prenatal screening followed by diagnostic testing or after birth by direct observation and genetic testing. Since the introduction of screening, Down syndrome pregnancies are often aborte ...
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Great Ormond Street Hospital For Children
Great Ormond Street Hospital (informally GOSH or Great Ormond Street, formerly the Hospital for Sick Children) is a children's hospital located in the Bloomsbury area of the London Borough of Camden, and a part of Great Ormond Street Hospital for Children NHS Foundation Trust. The hospital is the largest centre for child heart surgery in the UK and one of the largest centres for heart transplantation in the world. In 1962 they developed the first heart and lung bypass machine for children. With children's book author Roald Dahl, they developed an improved shunt valve for children with hydrocephalus, and non-invasive (percutaneous) heart valve replacements. They did the first UK clinical trials of the rubella vaccine, and the first bone marrow transplant and gene therapy for severe combined immunodeficiency.Breakthroughs It is closely associated with University College London (UCL) and in partnership with the UCL Great Ormond Street Institute of Child Health, which is adjace ...
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Amniocentesis
Amniocentesis is a medical procedure used primarily in the prenatal diagnosis of genetic conditions. It has other uses such as in the assessment of infection and fetal lung maturity. Prenatal diagnostic testing, which includes amniocentesis, is necessary to conclusively diagnose the majority of genetic disorders, with amniocentesis being the gold-standard procedure after 15 weeks' gestation. In this procedure, a thin needle is inserted into the abdomen of the pregnant woman. The needle punctures the amnion, which is the membrane that surrounds the developing fetus. The fluid within the amnion is called amniotic fluid, and because this fluid surrounds the developing fetus, it contains fetal cells. The amniotic fluid is sampled and analyzed via methods such as karyotyping and DNA analysis technology for genetic abnormalities. An amniocentesis is typically performed in the second trimester between the 15th and 20th week of gestation. Women who choose to have this test are prima ...
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Chorionic Villus Sampling
Chorionic villus sampling (CVS), sometimes called "chorionic ''villous'' sampling" (as "villous" is the adjectival form of the word "villus"), is a form of prenatal diagnosis done to determine chromosomal or genetic disorders in the fetus. It entails sampling of the chorionic villus (placental tissue) and testing it for chromosomal abnormalities, usually with FISH or PCR. CVS usually takes place at 10–12 weeks' gestation, earlier than amniocentesis or percutaneous umbilical cord blood sampling. It is the preferred technique before 15 weeks. CVS was performed for the first time in Milan by Italian biologist Giuseppe Simoni, scientific director of Biocell Center, in 1983. Use as early as eight weeks in special circumstances has been described. It can be performed in a transcervical or transabdominal manner. Although this procedure is mostly associated with testing for Down syndrome, overall, CVS can detect more than 200 disorders. Indications Poss ...
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Harry Burns (doctor)
Sir Henry Burns (born 1951), known generally as Harry Burns, is the professor of global public health, University of Strathclyde, having been the Chief Medical Officer for Scotland from September 2005 to April 2014. He has become known for his work to address health inequalities. He is a member of the Council of Economic Advisers in Scotland. Early life Henry Burns was born in Barrhead, East Renfrewshire in 1951 and was educated at St. Aloysius College, a private school in Glasgow. In 1974 he graduated in medicine from the University of Glasgow. Career Burns initially pursued a career in general surgery, and for five years he was a consultant surgeon at the Glasgow Royal Infirmary. He took up a managerial role as the medical director of the Glasgow Royal Infirmary. He completed a master's degree in Public Health in 1990. He worked as deputy director of planning and contracts at Greater Glasgow in 1992, becoming the director of public health for Greater Glasgow the following year ...
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NHS Health Check
The NHS Health Check is a preventive healthcare programme offered by Public Health England. The programme invites adults aged between 40 and 74 in England for a health check-up every five years to screen for key conditions including heart disease, diabetes, kidney disease, and stroke. Local authorities are responsible for the commissioning of the programme, with GPs being the most common provider, followed by community outreach and pharmacy providers. Creation and criticism In January 2008, UK Prime Minister Gordon Brown announced that preventive healthcare was planned to be offered throughout England to "monitor for heart disease, strokes, diabetes and kidney disease–conditions which affect the lives of 6.2 million people, cause 200,000 deaths each year and account for a fifth of all hospital admissions." Some, such as the Glasgow GP Margaret McCartney, have criticised the programme of health checks as being without evidence of effectiveness. However, the head of health and w ...
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1996 Establishments In The United Kingdom
File:1996 Events Collage.png, From left, clockwise: A bomb explodes at Centennial Olympic Park in Atlanta, set off by a radical anti-abortionist; The center fuel tank explodes on TWA Flight 800, causing the plane to crash and killing everyone on board; Eight people die in a blizzard on Mount Everest; Dolly the Sheep becomes the first mammal to have been cloned from an adult somatic cell; The Port Arthur Massacre occurs on Tasmania, and leads to major changes in Australia's gun laws; Macarena, sung by Los del Río and remixed by The Bayside Boys, becomes a major dance craze and cultural phenomenon; Ethiopian Airlines Flight 961 crash-ditches off of the Comoros Islands after the plane was hijacked; the 1996 Summer Olympics are held in Atlanta, marking the Centennial (100th Anniversary) of the modern Olympic Games., 300x300px, thumb rect 0 0 200 200 Centennial Olympic Park bombing rect 200 0 400 200 TWA FLight 800 rect 400 0 600 200 1996 Mount Everest disaster rect 0 200 300 400 ...
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