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On World Hypertension Day, Dr Shahed Ahmad, National Clinical Director for Cardiovascular Disease Prevention; Helen Williams, National Specialty Advisor for Cardiovascular Disease Prevention; and Dr Sam Finnikin, National Clinical Specialist Advisor in Personalised Care for Cardiovascular Disease, outline why prioritising hypertension management can save lives and reduce health inequalities.

Poor cardiovascular health can lead to a multitude of serious health issues including heart attacks, strokes, heart failure, and the onset of vascular dementia.

In total, cardiovascular disease (CVD) contributes to a quarter of all deaths in the UK. However, CVD doesnt affect everyone equally, for example we know that people from South Asian and Black groups are at higher risk, and CVD also accounts for one-fifth of the life expectancy gap between the most and least deprived communities in England.

CVD also has a significant economic burden with around one million hospital admissions in England in 2019/20, leading to 5.5 million bed days. This costs the health system an estimated 7.4 billion and the wider economy around 15.8 billion every year.

And yet, CVD is largely preventable. This is why the NHS Long Term Plan identified it as the single biggest area where the NHS can save lives, through lifestyle changes and earlier detection and treatment.

Hypertension, or high blood pressure, is a key risk factor for CVD and affects 1 in 4 adults, half of whom are undiagnosed or their blood pressure is not controlled. Acting to lower blood pressure can reduce the risk it poses to health. A 10mmHg reduction in blood pressure results in a reduced risk of coronary heart disease (17%), stroke (27%), heart failure (28%) and all-cause mortality (13%) (Ettehad, 2016).

Understandably, hypertension management was significantly impacted during the COVID-19 pandemic. In March 2020, 67.5% of 18 to 79-year-olds with hypertension had a recorded blood pressure within target, but by March 2021 this had fallen to 46.1%.

The latest data shows recovery is underway, but the national ambition is to ensure 80% of patients with hypertension are treated to target by 2029, with a key objective for systems to increase blood pressure control to 77% by March 2024.

Last year, NHS England set out our approach to CVD prevention recovery detailing four high-impact areas that are driving the detection, monitoring and treatment of high-risk conditions. Some examples of how this has been put into practice include:

We have also seen many examples of teams adopting their own innovative solutions to improve hypertension control. Examples include Bharani Medical Centre in Slough who reaped the benefits of proactively improving their practices control rates, and a project led by two GP practices in Lambeth which had a particular focus to improve control of hypertension among people of black African and black Caribbean descent.

Underpinning all of this is the application of population health management principles to target our resources and taking a personalised care approach that is responsive to our patients needs.

Supported self-management can enable patients to monitor their blood pressure at home and, with support from social prescribers or health and wellbeing coaches, make positive lifestyle changes, such as losing weight or stopping smoking.

Many people struggle to engage with health services which can make identifying and managing people with high blood pressure a challenge. Tackling this involves Making Every Contact Count, engaging with local communities and utilising the existing resources such as peer support and voluntary, community and social enterprise organisations. Bridging the gap to healthcare services could help reduce health inequalities and improve health.

Focusing on CVD prevention is one of the most clinical and cost-effective ways of improving the health of our communities. A lot of great work is already being done in this area, and by applying the data we have, working across the whole of health and social care and engaging with the community, we can go further and realise the improvements that are yet to be made.

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NHS England Under control: why getting to grips with blood ... - NHS England

A phone scam has been targeting the owners of lost pets in San Francisco who post about them on social media, and SF Animal Care & Control wants everyone to be aware of it.

It's pretty standard caller-ID spoofing scam, but one that is targeting people in an emotionally vulnerable state, and SF Animal Care & Control calls it "appalling."

"The scammers are contacting people with lost pet posts on social media from what appears to be the shelters main phone number, 415-554-6364," the agency writes in a Facebook post. "The scammer identifies himself as a staff member of SF Animal Care & Control, tells the pet guardian that the shelter has their pet, then asks for payment via a pay app or a gift card from a retailer."

And the agency wants to make sure everyone knows, "SF Animal Care & Control staff will never ask for service payments to be made over the phone."

Note that, if your pet is lost, it is true that SF Animal Care & Control will charge impound and redemption fees if the animal ends up in their care but they will only charge those fees in person. That fee schedule is here.

If you have lost a pet in San Francisco, the agency has a number of tips for steps you can take to conduct your own search in your neighborhood, and it includes putting a pet bed or personal item outside by a door so that they can find their scent again, and driving slowly through the neighborhood dogs sometimes recognize the sound of their guardians' cars.

They also recommend conducting searches at night or in early morning or whenever things are quietest.

Top image: One of the lost or abandoned kittens currently at SF Animal Care & Control's shelter.

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Scammers Pretending to Be SF Animal Control Are Calling ... - SFist

News brief:

Several environmental and wild horse advocacy groups are suing the federal government over a wild horse management plan in Wyoming. The controversy comes as more roundups are being scheduled this year across the Mountain West.

The Bureau of Land Management has proposed reducing the wild horse population across some 2.8 million acres in southern Wyoming from between 1,481 and 2,065 animals to between 464 and 836 a reduction of roughly 60 percent. The agency has removed more than 3,500 from the area already over the past few years, in part to reduce conflicts with livestock and meet a legal agreement with the Rock Springs Grazing Association.

A group of wild horse advocates, conservationists and academics argue that these plans are cruel, unnecessary and illegal. Erik Molvar, executive director of the Western Watersheds Project, said the populations in the area arent damaging the local ecosystem and are a tourism driver for Wyomings Red Desert region.

The agency's desire to drive down the populations is out of step with the legal requirements, he said. They're supposed to be managing wild horses in order to meet these ecological thresholds, not just because of some political preference by some profit-seeking interest group.

Molvar said entire sections of the Red Desert will be devoid of wild horse populations as a result of these roundups. Gathers could begin as soon as this fall if the plans remain in effect, according to the BLM.

Much of the issue stems from the checkerboard pattern of land ownership that exists in this part of Wyoming where private and public parcels are intermingled with each other with ranchers permitted to graze some of the same federal lands that wild horses roam. Livestock groups have sued in the past over herd levels in the Rock Springs area, but Molvar believes wild horses at their current numbers have a place in the Red Desert.

It is really strange for the Bureau of Land Management to go about radically changing the wild horse policy in this area that's already such an ecological gemstone, he said.

Wild horse management in the West remains controversial. The BLM is also planning gathers this year in Colorado, Utah, Idaho, Nevada and Montana. The agency estimates that there are about 83,000 wild horses and burros on its lands about three times what it says is sustainable for the land and the herds. Recent roundups and birth control measures have West-wide population numbers beginning to dip.

After horses are rounded up, theyre usually offered up in sale or adoption programs. Colorado lawmakers recently passed a bill to establish programs to benefit the species and better support fostering.

This story was produced by the Mountain West News Bureau, a collaboration between Wyoming Public Media, Nevada Public Radio, Boise State Public Radio in Idaho, KUNR in Nevada, the O'Connor Center for the Rocky Mountain West in Montana, KUNC in Colorado, KUNM in New Mexico, with support from affiliate stations across the region. Funding for the Mountain West News Bureau is provided in part by the Corporation for Public Broadcasting.

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Coalition sues BLM over Wyoming wild horse management as ... - Wyoming Public Media

Did you know that throughout our history, more service members have died from infectious diseases, including those transmitted by bugs, than from bombs or bullets? Buzz through time to learn about the fascinating history of entomology in the Military Health System.

A timeline tracking the history of entomology in the Military Health System.

1898 Clara Maass

Clara Maass gave her life - literally - to the field of entomology. Maass was a U.S. Army contract nurse during the Spanish-American War. After serving in Florida, Georgia, and Santiago, Cuba, she volunteered to serve in the Philippines, and tended to soldiers suffering from yellow fever. In 1900, Maass answered a call from Las Animas Hospital in Cuba for more nurses to serve in the hospitals inoculation station. There, she volunteered for experimental inoculations (that used yellow fever-infected mosquitoes to induce mild disease among susceptible individuals) to control yellow fever. She survived five experimental bites over three months. Sadly, she died on Aug. 24, 1901, after a sixth inoculation, and experiments on yellow fever with human subjects soon ended. Maass contributions to entomology as an experimental volunteer advanced guidelines for patient treatments and allowed further study of mosquito infections related to yellow fever.

1901 Walter Reed

Maj. Walter Reed was a U.S. Army physician. In 1901, he led the team that supported and confirmed the theory that yellow fever is transmitted by mosquitoes rather than through human contact. This discovery resulted in new prevention strategies to protect American service members, which ushered in the new sciences of epidemiology and biomedicine. In Panama, Col. William Gorgas used the results from Reeds ground-breaking experiments and integrated pest management efforts to control yellow fever and other vector-borne diseases, which allowed the Panama Canal to be completed in 1914. Yellow fever had devastated previous international efforts to link the Atlantic and Pacific oceans. Gorgas and his public health team were an integral piece of this incredible engineering feat.

1942 Entomologists added to Navy Epidemiology Units

Navy Epidemiology Units were deployed to fat, a strategic stronghold in the South Pacific, in 1942 to support a battalion of Marines on the island. Each Marine division was provided an NEU manned with three officers (including one entomologist) and 12 enlisted sailors. By 1944, there were approximately 150 NEUs, with 900 personnel and 200 entomologists. The malaria case rate declined to nearly zero in the Pacific. Among the entomologists was Ensign Kenneth L. Knight, the first Navy entomologist to work in a combat zone.

1942 Malaria Control in War Areas

In the early 1940s, the Japanese were poised to challenge the United States and its allies in the Pacific. The U.S. committed troops to remote locations where a bloodthirsty enemy was waiting: the small, but deadly, malaria-carrying Anopheles mosquito. Responding to this threat required an effective medical and public health force including entomologists. The U.S. Public Health Service and state health departments established the Malaria Control in War Areas in March 1942. The MCWA was a joint effort to reduce the dangers of malaria transmission in military zones and around essential war industries. At the time, there were just 14 entomologists in the Organized Reserve, and all were ordered to active duty. Their mission was to control mosquitoes within a one-mile perimeter of any military establishment. World War II was the first major conflict the U.S was involved in that included uniformed entomologists. Since then, military entomologists have been a part of every major operation and contingency in which the U.S. military has been involved.

1944 The Sanitary Corps

The Army Medical Department was expanding, due in part to officers who were becoming experts in emerging technologies and sciences. These officers scientific specialties proved invaluable to the health of warfighters. One of those specialties was entomology. By 1945, there were 239 entomologists serving as Sanitary Corps officers. Entomologists proved themselves essential members of the collective preventive medicine team that fought diseases transmitted by insect vectors. Entomologists missions in the East and Southeast Asia reduced the malaria casualty rate and was deemed an historic achievement.

1947 Malariology and Pest Control Unit

The Malariology and Pest Control Unit was established at Naval Air Station Jacksonville, Florida, and commissioned the Malaria and Mosquito Control Unit No. 1 in 1949. Its mission was to better protect deployed forces from blood-feeding insects that transmit human diseases. The Malariology and Pest Control Unit advanced force health protection through disease vector surveillance, control, and training to enhance Navy and Marine Corps mission readiness. Lt. Cmdr. John M. Hirst (Navy entomologist) was assigned as the first Officer in Charge. In 1952, the Unit was renamed Preventive Medicine Unit No. 1. In /1978, PMU-1 was further renamed to the Navy Entomology Center of Excellence, the name which it retains today.

1950 Air Force Medical Entomology

The Korean War was the U.S. Air Forces first conflict as an independent service. The fledgling USAF realized that it needed its own entomology force, with aerial spraying capability. Hundreds of cases of Japanese encephalitis and malaria were diagnosed in the Allied forces. A program for aerial spraying had already been proposed by the 5th Air Force, and in 1951, C-46 aircraft began flying operational spray missions over a series of targets on a 21-day treatment interval. These missions were considered highly successful and helped to firmly establish the entomology program in the Air Force.

1950 The Catastrophe Aid Bill

A portion of the Catastrophe Aid Bill (humanitarian and disaster relief) was allocated for insect population control, which is absolutely necessary following a natural disaster. A Vector Control Team was established to provide quick responses during natural disasters. During the great Kansas City flood of 1951, the first Navy unit provided insect control support. Six enlisted sailors trained in the Malaria and Mosquito Control Unit at Naval Air Station Jacksonville, Florida. Those six and an assistant were ordered into the disaster district on request of the Kansas City office of the U.S. Public Health Service. Armed with four large fogging units and four power spray units mounted on 1 12-ton trucks, teams of naval and civilian personnel sprayed the worst sections each day with 1,000 gallons of chlordane, a pesticide. By the end of six weeks of spraying, the massive outbreaks in fly production over heavily flooded areas were all but eradicated.

1956 Armed Forces Pest Management Board

Originally chartered as the Armed Forces Pest Control Board, the Armed Forces Pest Management Board was established by DOD Directive in 1956. Vector-borne disease, particularly malaria, resulted in far more casualties among U.S. forces in the South Pacific during World War II than did combat. In response, the Army formed Mosquito Survey Units, and the Navy formed Malaria Control Units. The Navy units would unofficially be known as the Skeeter Beaters. Their success resulted in the services permanently establishing pest and vector surveillance and control capabilities. The AFPMB coordinates pest management activities, develops guidance, and recommends pest management policy across the DOD.

1950 The Korean Conflict

North Korea invaded South Korea on June 25, 1950, marking the official start of the Korean War. Malaria, louse-born typhus, and relapsing fever were prevalent, and resulting vector-borne diseases was responsible for many casualties. Six military entomologists served duty in Korea from 1950-1955. Lt. William B. Hull was the first Navy entomologist assigned to Korea, serving with Fleet Epidemic Disease Control Unit, 1st Marine Division. Lt. Cmdr. H. S. Hurlbut was the first Navy entomologist assigned to sea duty, serving aboard the laboratory ship LSI(L)-1091 with Fleet Epidemic Disease Control Unit #1, tasked with supporting combat operations.

1966 Operation FLYSWATTER

Despite extensive experience with mosquito-borne diseases that crippled U.S. forces during World War II and during the Korean War, the United States military was unprepared for Anopheles mosquitoes in South Vietnam. Malaria was ravaging U.S. forces. The solution? Operation FLYSWATTER. Modified UC-123 transport planes were modified to spray insecticide concentrate. The spray missions were treetop-level flights that lasted up to two very treacherous hours. The 'mosquito war' required more than 1,300 missions, dispensing approximately 1.76 million liters of malathion concentrate. Operation FLYSWATTER was a significant part of the United States' preventive medicine program to reduce the number of man-days lost in ground forces due to malaria.

1981 Operational Entomology Training

The DOD developed a two-week Operational Entomology Training course in support of disaster relief, combat, and other contingency operations. OET was developed as advanced training for active duty and reserve preventive medicine personnel functioning in applied vector-borne disease control. OET was first offered at the Disease Vector Education Control Center in Jacksonville, Florida. The following year, OET was given at the DVECC in Alameda, California. Today, OET is taught twice a year at the Navy Entomology Center of Excellence and has reached hundreds of preventive medicine professionals of all services.

1982 Mobile Medical Augmentation Readiness Teams

From 1982 to 1984, Navy entomologists were called upon to support U.S. peacekeeping forces in Beirut, Lebanon, as members of Mobile Medical Augmentation Readiness Teams. In 1983, a suicide bomber detonated a truck filled with explosives in front of a barracks building; 243 Marines and sailors lost their lives in the blast. As a result of that devastating attack, the Navy developed readily deployable MMART blocks of equipment and supplies that could be task-organized, loaded, and shipped anywhere in the world at a moment's notice

2003 Operations Enduring Freedom & Iraqi Freedom

During Operation Enduring Freedom (and eventually Operation Iraqi Freedom) in early 2003, Navy entomologists were deployed to Bahrain, Kuwait, and Iraq to provide preventive medicine/disease vector surveillance and control for U.S. and coalition forces. The first Navy vector control team arrived at Camp Viper, Jalibah, Iraq as part of the Navys highly mobile and task organized Forward Deployable Preventive Medicine Unit supporting the 1st Marine Expeditionary Force. Since then, Navy entomologists have provided disease vector control/preventive medicine support to DOD operations throughout the world, including Afghanistan, Kuwait, Iraq, Indonesia, Pakistan, and Haiti.

2003 Humanitarian Assistance to the Republic of Palau

In 2003, the Republic of Palau, in the western Pacific Ocean, requested U.S. entomological assistance. Specifically, help was needed to conduct surveillance for Aedes aegypti, a vector of dengue viruses plaguing the Republic. A team of 12 U.S. military public health personnel, including two entomologists, spent two weeks conducting an extensive survey for A. aegypti throughout the islands of Palau. The team provided in-depth mosquito surveillance and control training for the Republics environmental health personnel. The team also provided surveillance and control equipment. This effort enhanced the Republics ability to conduct future mosquito surveillance and control operations.

2004 Deployed War Fighter Protection Program

Deployed War-Fighter Protection is a DOD-sponsored research program administered by the Armed Forces Pest Management Board. The DWFP solicits proposals to develop and test pest management tools to support deployed warfighters. This research initiative provided $3 million per year to collaborate with the U.S. Department of Agriculture's Agricultural Research Service laboratories and $2 million per year to military entomologists and academia.

2005 Navy Entomology Center of Excellence

The Navy Entomology Center of Excellence was established to replace the Disease Vector Education Control Center in Jacksonville, Florida. As the only command of its kind in the DOD, NECE not only provides operational support and training, but is also responsible for testing and evaluating novel pesticide application technology and techniques for efficacy and military applicability. To accomplish this mission, NECE has cultivated collaborative relationships with a variety of civilian and government agencies, including the Centers for Disease Control and Prevention, the USDAs Agricultural Research Service laboratories in Gainesville, Florida and College Station, Texas, and universities.

2005 Air Force Spraying Missions in the Aftermath of Hurricanes

The U.S. Air Force has a long history of aerial applications of pesticides to fulfill a variety of missions during wartime. But these spray missions also include humanitarian relief after natural disasters, where harmful and pest insects breed, infest, and infect. In 2005, pilots, navigators, spray operators/ loadmasters, and military entomologists conducted such an aerial spray mission in the aftermath of Hurricanes Katrina and Rita. The Air Forces 910th Airlift Wing from Youngstown Air Reserve Station, Ohio, treated 2,880,662 acres over Louisiana and Texas to control mosquitoes and filth flies after the hurricanes. That mission is the largest aerial spray mission ever conducted under Air Force Reserve Command.

2018 MHS Inaugural Bug Week Campaign

We bug out every year! In 2018, the Military Health System hosted its first Bug Week campaign. Bug Week educates our audiences in a fun and creative way about the role of bugs in their health and safety, including prevention of bug-borne illnesses and treatment options. Through several events, articles, and fun social media content, Bug Week is an opportunity to engage with all MHS beneficiaries and stakeholders!

2019 Inaugural Bugapalooza Celebration

Inspired by the Military Health Systems inaugural Bug Week Campaign, the National Museum of Health and Medicine hosted its first Bugapalooza. Bugapalooza is a family-friendly event that helps raise awareness of the research dedicated to the prevention and treatment of bug-borne illness, as well as showcase the benefits and dangers of certain bugs. During the event, the museum hosts educational partners who engage audiences with stations that focus on bug species and safety, and topics related to entomological research. And now, Bug Week begins each year with Bugapalooza!

The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.

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Last Updated: May 19, 2023

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An Entomological Flight Through the Military Health System - Health.mil

Nevertheless, in 2007, the Blackstone Group bought Mr. Zells firm then known as Equity Office Properties Trust for $39 billion. His own fortune was estimated at nearly $5 billion, and with holdings in residential properties, drug and department stores, and energy and electronics companies a lifetime of acquisitions that made him one of the nations wealthiest men he might have retired comfortably in his mid-60s.

But seeing yet another inefficient market, he plunged into the unfamiliar world of newspapers, winning a bidding war for one of the nations premier media companies, the 160-year-old Tribune empire. Besides the Chicago and Los Angeles newspapers, it included The Baltimore Sun, Newsday, The Hartford Courant, 23 television and radio stations, the Chicago Cubs and Wrigley Field.

Like many newspapers, the Tribune properties were hemorrhaging advertising revenues and readers to the internet. The company had been on the auction block for months when Mr. Zell insisting that his interests were purely economic, not editorial offered $34 a share in a complex transaction to take the company private under an employee stock-ownership plan.

He acquired control in December 2007 in an $8.2 billion deal whose financing required him to put up only $315 million, but that saddled the employee-owners with more than $13 billion in debt, including $5 billion in existing Tribune obligations. In that highly leveraged buyout, the debt was to be paid off almost entirely by cash generated by the companys continuing operations.

The new corporation was exempt from federal income taxes, and the debt was reduced by the sale of Newsday, the Cubs and Wrigley Field. But employees, who had no say in the deal, assumed a crushing burden and stood to gain only if the company survived, while Mr. Zell, for a relatively modest investment, became chairman and secured an option to buy 40 percent of the company for $500 million if it prospered.

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Sam Zell, 81, Tycoon Whose Big Newspaper Venture Went Bust, Dies - The New York Times