Public health
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At the time of undertaking the audit, the uptake of diabetic retinopathy screening in Derbyshire was 73%, below the national standard of 80%. To assess equity of access to diabetic retinopathy screening in a geographically and ethnically diverse population and determine predictors for poor uptake that will inform service improvements. ⋯ Ensuring that primary care and other health care and third sector organisations convey the importance of diabetic retinopathy screening with patients and improving patients' understanding of the screening programme may improve uptake. Interventions to increase uptake should be targeted to younger people, especially those with type 1 diabetes and people living in more deprived areas.
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Review
Civil society organizations and adaptation to the health effects of climate change in Canada.
Adaptation will be necessary to cope with the impacts of climate change on the health of Canadians. Civil society organizations (CSOs) have an important role in health adaptation, but it is unknown what actions they are undertaking. ⋯ The results indicate a deficit in terms of what needs to be done for health adaptation and what is being done; part of a broader adaptation deficit in Canada. Coordinated adaptation planning at federal and provincial level is needed, involving collaboration between CSOs and public health bodies.
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To establish the possible sources and routes of transmission of a multidrug-resistant Acinetobacter baumannii outbreak involving 22 patients. ⋯ The results suggest that this epidemic spread through cross-transmission involving healthcare workers.