̽��ֱ�� of Cambridge - Angela Wood

Significant gaps in COVID-19 vaccine uptake may have led to over 7,000 hospitalisations and deaths

cjb250 — Mon, 15 Jan 2024 23:30:03 +0000

̽��ֱ��findings, published today in ̽��ֱ��Lancet, suggest that more than 7,000 hospitalisations and deaths might have been averted in summer 2022 if the UK had had better vaccine coverage.

With COVID-19 cases on the rise and a new variant strain recently identified, this research provides a timely insight into vaccine uptake and hesitancy and could inform policy-makers.

̽��ֱ��research relied on secure access to anonymised health data for everyone in all four nations of the UK, an advance which has only become possible during the pandemic.

Co-author Angela Wood, Professor of Health Data Science at the Victor Phillip Dahdaleh Heart & Lung Research Institute, ̽��ֱ�� of Cambridge and Associate Director of the British Heart Foundation Data Science Centre said: “This is the first epidemiological study to use individual-level anonymised health data covering the entire UK population. We have created a detailed, UK-wide picture of who is under-vaccinated against COVID-19 and the associated risks of under-vaccination.

“These results can be used to help create health policy and public health interventions to improve vaccine uptake. This approach could be extended to many other areas of medicine with great potential for new discoveries in the understanding and treatment of disease.”

Early COVID-19 vaccine rollout began strongly in the UK, with over 90% of the population over the age of 12 vaccinated with at least one dose by January 2022. However, rates of subsequent booster doses across the UK were not fully understood until now.

Scientists from England, Scotland, Northern Ireland and Wales – led by Health Data Research UK (HDR UK) and the ̽��ֱ�� of Edinburgh – studied securely-held, routinely collected NHS data from everyone over five years of age during 1 June to 30 September 2022. All data was de-identified and available only to approved researchers.

Data from across the four countries was then pooled and harmonised, a feat that was not possible until now. People were grouped by vaccine status, with under-vaccination defined as not having had all doses of a vaccine for which that a person was eligible.

̽��ֱ��findings reveal that the proportion of people who were under-vaccinated on 1 June 2022 ranged between one third and one half of the population – 45.7% for England, 49.8% for Northern Ireland, 34.2% for Scotland and 32.8% Wales.

Mathematical modelling indicated that 7,180 hospitalisations and deaths out of around 40,400 severe COVID-19 outcomes during four months in summer 2022 might have been averted, if the UK population was fully vaccinated.

Under-vaccination was related to significantly more hospitalisations and deaths across all age groups studied, with under-vaccinated people over 75 more than twice as likely to have a severe COVID-19 outcome than those who were fully protected.

̽��ֱ��highest rates of under-vaccination were found in younger people, men, people in areas of higher deprivation, and people of non-white ethnicity.

Researchers say the study – the largest ever study carried out in the UK – also ushers in a new era for UK science by overcoming challenges in uniting NHS data that is gathered and stored in different ways between devolved nations.

Professor Cathie Sudlow, Chief Scientist at Health Data Research UK and Director of the British Heart Foundation (BHF) Data Science Centre, said: “ ̽��ֱ��infrastructure now exists to make full use of the potential of routinely collected data in the NHS across the four nations of the UK. We believe that we could and should extend these approaches to many other areas of medicine, such as cancer, heart disease and diabetes to search for better understanding, prevention and treatment of disease."

Professor Sir Aziz Sheikh, Director of the Usher Institute at the ̽��ֱ�� of Edinburgh, HDR UK Research Director and study co-lead, said: “Large-scale data studies have been critical to pandemic management, allowing scientists to make policy-relevant findings at speed. COVID-19 vaccines save lives. As new variants emerge, this study will help to pinpoint groups of our society and areas of the country where public health campaigns should be focused and tailored for those communities.”

Reference
HDR UK COALESCE Consortium. Undervaccination and severe COVID-19 outcomes: meta-analysis of national cohort studies in England, Northern Ireland, Scotland, and Wales. Lancet; 16 Jan 2024; DOI: 10.1016/S0140-6736(23)02467-4

Adapted from a release from HDR-UK

Between a third and a half of the populations of the four UK nations had not had the recommended number of COVID vaccinations and boosters by summer 2022, according to the first research study to look at COVID-19 vaccine coverage of the entire UK population.

These results can be used to help create health policy and public health interventions to improve vaccine uptake

Angela Wood

KoldoyChris (Getty Images)

Girl being injected with COVID-19 vaccine

̽��ֱ��text in this work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Images, including our videos, are Copyright © ̽��ֱ�� of Cambridge and licensors/contributors as identified. All rights reserved. We make our image and video content available in a number of ways – on our main website under its Terms and conditions, and on a range of channels including social media that permit your use and sharing of our content under their respective Terms.

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Drinking more than five pints a week could shorten your life, study finds

cjb250 — Fri, 13 Apr 2018 08:44:59 +0000

̽��ֱ��authors say their findings challenge the widely held belief that moderate drinking is beneficial to cardiovascular health, and support the UK’s recently lowered guidelines.

̽��ֱ��study compared the health and drinking habits of over 600,000 people in 19 countries worldwide and controlled for age, smoking, history of diabetes, level of education and occupation.

̽��ֱ��upper safe limit of drinking was about five drinks per week (100g of pure alcohol, 12.5 units or just over five pints of 4% ABV beer or five 175ml glasses of 13% ABV wine). However, drinking above this limit was linked with lower life expectancy. For example, having 10 or more drinks per week was linked with one to two years shorter life expectancy. Having 18 drinks or more per week was linked with four to five years shorter life expectancy.

̽��ֱ��research, published today in the Lancet, supports the UK’s recently lowered guidelines, which since 2016 recommend both men and women should drink no more than 14 units of alcohol each week. This equates to around six pints of beer or six glasses of wine a week.

However, the worldwide study carries implications for countries across the world, where alcohol guidelines vary substantially.

̽��ֱ��researchers also looked at the association between alcohol consumption and different types of cardiovascular disease. Alcohol consumption was associated with a higher risk of stroke, heart failure, fatal aortic aneurysms, fatal hypertensive disease and heart failure and there were no clear thresholds where drinking less did not have a benefit.

By contrast, alcohol consumption was associated with a slightly lower risk of non-fatal heart attacks.

̽��ֱ��authors note that the different relationships between alcohol intake and various types of cardiovascular disease may relate to alcohol’s elevating effects on blood pressure and on factors related to elevated high-density lipoprotein cholesterol (HDL-C) (also known as ‘good’ cholesterol). They stress that the lower risk of non-fatal heart attack must be considered in the context of the increased risk of several other serious and often fatal cardiovascular diseases.

̽��ֱ��study focused on current drinkers to reduce the risk of bias caused by those who abstain from alcohol due to poor health. However, the study used self-reported alcohol consumption and relied on observational data, so no firm conclusions can me made about cause and effect. ̽��ֱ��study did not look at the effect of alcohol consumption over the life-course or account for people who may have reduced their consumption due to health complications.

Dr Angela Wood, from the ̽��ֱ�� of Cambridge, lead author of the study said: “If you already drink alcohol, drinking less may help you live longer and lower your risk of several cardiovascular conditions.

“Alcohol consumption is associated with a slightly lower risk of non-fatal heart attacks but this must be balanced against the higher risk associated with other serious – and potentially fatal – cardiovascular diseases.”

Victoria Taylor, Senior dietician at the British Heart Foundation, which part-funded the study, said: “This powerful study may make sobering reading for countries that have set their recommendations at higher levels than the UK, but this does seem to broadly reinforce government guidelines for the UK.

“This doesn’t mean we should rest on our laurels, many people in the UK regularly drink over what’s recommended. We should always remember that alcohol guidelines should act as a limit, not a target, and try to drink well below this threshold.”

̽��ֱ��study was funded by the UK Medical Research Council, British Heart Foundation, National Institute for Health Research, European Union Framework 7, and European Research Council.

Reference
Wood, AM et al. Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies. Lancet; 14 April 2018; DOI: 10.1016/S0140-6736(18)30134-X

Adapted from a press release by British Heart Foundation.

Regularly drinking more than the recommended UK guidelines for alcohol could take years off your life, according to new research from the ̽��ֱ�� of Cambridge. Part-funded by the British Heart Foundation, the study shows that drinking more alcohol is associated with a higher risk of stroke, fatal aneurysm, heart failure and death.

If you already drink alcohol, drinking less may help you live longer and lower your risk of several cardiovascular conditions

Angela Wood

Radovan

Glass of IPA

̽��ֱ��text in this work is licensed under a Creative Commons Attribution 4.0 International License. For image use please see separate credits above.

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