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Get Mouthy About Cancer

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THE HEAD and Neck Cancer Foundation (HNCF) is calling all Brits to ask their dentists to conduct mouth cancer screens at their next appointment. This should be routinely included within the price of a dental check-up and should take no more than one minute.

Consumer research conducted by HNCF in partnership with YouGov – as part of its Get Mouthy About Cancer campaign – shows that we could all be doing more to specifically drive early diagnosis of mouth cancers.

Early detection is paramount to improving patient outcomes – as these types of cancers can be extremely aggressive, disfiguring and life-limiting.

HNCF’s research asked people in Wales how often they have routine dental check-ups and if they are receiving mouth cancer screening.

6% of people in Wales admit to never going to the dentist for a check-up and a further 3% said they do not recall the last time they went to the dentist

Only half of the Welsh population visit the dentist every six months for a routine check-up.

Shockingly, over half (51%) of those in Wales stated that they were not sure if their dentist had carried out a mouth cancer check at their last check-up

When looking nationally at overall awareness of mouth cancer screening – nearly three-quarters of all Brits stated their dentist does not do a regular mouth cancer screen, or they are unaware of it being done during their last check-up. Which means the vast majority of us are missing out on this simple routine and potentially life-saving screen.

Michelle Vickers, CEO at The Head and Neck Cancer Foundation commented on the findings: “As a nation, we are regrettably unaware that our dentists can play a huge role in oral cancer detection and be routinely screening for signs of mouth cancer during check-ups. Dentists are taught to do this as part of their standard oral check-up process. If people were screened they would know – as the tongue is held to either side of the mouth and the dentist is likely to follow the gums for signs of abnormal growth. We are asking everyone to ask their dentist for a routine screen the next time they visit – it’s really that simple.

“We’ve introduced our Get Mouthy About Cancer campaign because we all hear so often (and know how) to check our boobs or balls – but I bet the majority of people are unaware of what they’re looking for in their mouth! 31 people are diagnosed with head and neck cancers each day in the UK – so it’s time to get talking about what to look for. We brush our teeth daily – just an extra 30-60 seconds to check oral health could save your life!”

To find out how to check please watch HNCF’s video: http://bit.ly/HNCFWales. Once you’ve seen this video you will know whether your dentist is checking your mouth, or not, and how to check yourself at home.

Professor Mark McGurk, world-renowned surgeon and founder of HNCF added: “We want everyone to be having a conversation about mouth cancers. By bringing routine mouth checks front-of-mind and putting it on the agenda – we will raise awareness, raise the number of early detections and reduce the number of people facing stage two and three mouth cancers.”

For those patients who do detect mouth cancer early, technological and medical innovation means that treatment can now be offered in a much less invasive manner, by using the Sentinel Node Biopsy technique (SNB). SNB is an alternative and significantly less invasive treatment for dealing with head and neck cancers. The fluorescent camera and technology locates the nodes in the neck that will contain migrating cancer cells so that these can be targeted and removed – this saves over 70% of patients with early disease from a neck dissection. It spares vital glands and helps patients get back to a normal life more quickly, compared to traditional neck dissection techniques.

SNB has been endorsed by the National Institute for Health and Care Excellence (NICE), is fully adopted in Denmark and the Netherlands, and is growing in deployment across Europe and the US. This practice, pioneered by Professor Mark McGurk, is the result of 15 years’ development and is based on the findings of nearly 500 cases.

HNCF works to educate and train both surgeons and nurses around the UK on this treatment and state-of-the-art technology, to bring a better outcome and time-saving treatment to oral cancer patients.

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Health

Health inspectors praise for local field hospitals

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TWO of the field hospitals across Hywel Dda University Health Board have been highly praised by Health Inspectorate Wales in a recently published report.

The two extra capacity sites – Ysbyty Enfys Carreg Las at the Bluestone resort near Canaston Bridge in Pembrokeshire, and Ysbyty Enfys Selwyn Samuel in Llanelli – were visited by a team in late October and was the first time HIW has inspected such settings.

The inspection examined how the risks to patients’ health, safety and well-being are being managed in these temporary sites. Inspectors found appropriate processes were in place to provide safe and effective care to patients.

The report’s summary stated: ‘We found evidence of extensive planning by the service in preparation for the provision of safe and effective care to patients within unique environments. The transformation of both sites into clinical wards was well considered. We saw evidence of good leadership and staff who were engaged and passionate in their roles.’

Dr Meinir Jones, Hywel Dda UHB’s Associate Medical Director & Clinical Lead for the field Hospitals, said: “This is excellent news and more importantly, a testament to the incredible work of our team. I’m very proud of what has been achieved at both sites, which are receiving patients to help relieve pressure on the acute hospitals. The field hospitals give us the flexibility to move patients out of hospitals after they have been assessed as no longer needing medical input, but still require some care before being discharged home or to a community care facility.”

HIW’s Interim Chief Executive, Alun Jones said: “During the COVID-19 pandemic we have adapted our approach to inspection and assurance in recognition of the pressure that healthcare settings have working under and the administrative burden that inspection can place on a settings that is being inspected. I’m pleased that we have been able to safely inspect two field hospitals ahead of the winter period and quickly provide reflections on what we found to those managing these settings.”

The inspection report for the two field hospitals is available here: www.hiw.org.uk/hywel-dda-university-health-board

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Schools to remain open for now as Wales moves to ‘delay’ phase

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SCHOOLS will remain open as Wales moves into the “delay” phase in containing the coronavirus, the Welsh Government has announced.

The advice will change from today (Mar 13), with people who become unwell being asked to self-isolate for seven days.

Chief medical officer Dr Frank Atherton said the trajectory of the virus was now “quite clear” and the challenge remained preparing for a significant number of cases in Wales.

Dr Atherton said: “Wales was now really in the delay phase of the virus and it would lead to some inconvenience for people not going to work or school.

“We need to reduce the demand on the health and social care system so it can prepare for peak which may be May or June.”

SCHOOLS OPEN FOR NOW

Health Minister Vaughan Gething said closing schools was not an appropriate option for now.

He told a press conference at 3.30pm Thursday (Mar 112): “Ministers have had clear advice that closing schools now is not an appropriate step to take. For now, the advice and guidance is very clear. Schools should stay open.  

“To be effective measure schools would have to be closed for a significant amount of time.

“If we close schools, what impact does that have on parents?  Parents could be nurses, doctors or the police. We need to keep key workers in work.

“Another point is, if parents can’t look after them then it’s likely that older members of the family or grandparents will be. Older people are the people we want to protect now and in the future.

“Furthermore, in the Easter break, lots of children will be with each other anyway. The value in closing schools is low.

“Ministers are making choices guided by the best possible evidence and scientific advice.

“Members of governments around the UK need to take a responsible approach and take steps where there is no medical advice to do so within the four nations of the UK.”

LATEST FIGURES

Six new cases of coronavirus have been identified in Wales, bringing the total to 25 at the time of going to press. (7pm, March 12)

785 people in Wales have been tested for Novel Coronavirus (COVID-19).  760 results were negative, and 25 results were positive.

CONCERT CANCELLED

Milford Haven School postponed the concert due to take place yesterday (Mar 12). The school stated on social media: “We have regrettably made the decision to cancel the scheduled Milford Haven Cluster Welsh Concert here at Milford Haven School tonight.

“The decision is owing to us taking a proactive approach to prioritising the health and safety of not only our own pupils, but also their families and the wider community. Please note, this is not due to any specific health concern within the school. We will announce rescheduling of this event in due course.”

ROBUST MEASURES IN PLACE

Dr Robin Howe, Incident Director for the Novel Coronavirus (COVID-19) outbreak response at Public Health Wales told The Herald that he was certain that “robust infection control measures in place.”

“The public can be assured that Wales and the whole of the UK is prepared for these types of incidents.  Working with our partners in Wales and the UK, we have implemented our planned response, with robust infection control measures in place to protect the health of the public.

“We would encourage people to check the advice for returning travellers, which includes guidance for those returning from Italy, China, Thailand, Japan, South Korea, Hong Kong, Taiwan, Singapore, Malaysia, Macau, Vietnam, Cambodia, Laos, Myanmar, and Iran.

“Members of the public can help protect themselves and others by always carrying tissues, and using them to catch coughs or sneezes.  They should bin the tissue, and to kill the germs, wash their hands with soap and water, or use a sanitiser gel.  This is the best way to slow the spread of most germs, including Novel Coronavirus (COVID-19).

“Public Health Wales’ trained scientists are now conducting the Novel Coronavirus (COVID-19) diagnostic test in Wales.  Over 90 per cent of the individuals who have been tested in Wales have been offered testing in their own home, making it as convenient as possible for them, as well as protecting our ambulance and hospital resources for those who need it most.  We are not able to comment on individual cases for reasons of patient confidentiality.”

Official updates on the virus in Wales will now be given at 11:00 daily.

There are now 596 confirmed cases in the UK, up from 456 on Wednesday, and two more deaths, of people with underlying health conditions in London and Essex, taking the total to 10.

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Wales confirms second positive case of Coronavirus (COVID-19)

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THE CHIEF Medical Officer, Dr Frank Atherton, has confirmed that a second patient in Wales has tested positive for Coronavirus (COVID-19).

The patient is a resident in the Cardiff local authority area and has recently returned from Northern Italy, where the virus was contracted. The patient is being treated in a clinically appropriate setting.

Dr Atherton said: “I can confirm that a second patient in Wales has tested positive for coronavirus (COVID-19).

“All appropriate measures to provide care for the individual and to reduce the risk of transmission to others are being taken.

“I can also confirm that like the first case in Wales, this patient had travelled back to Wales from Northern Italy, where the virus was contracted.

“I’d like to take this opportunity to assure the public that Wales and the whole of the UK is well prepared for these types of incidents. Working with our partners in Wales and the UK, we have implemented our planned response, with robust infection control measures in place to protect the health of the public.”

To protect patient confidentiality, no further details regarding the individual will be released.

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