Councils get public health role

Man drinking beerThe number of people harming their health through alcohol is rising
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Councils are to be put in charge of encouraging healthier lifestyles under new plans to be unveiled by ministers.

Local public health directors will be moved out of the NHS and into local government as part of the shake-up.

The government believes the wider remit of councils in areas such as housing, transport and leisure puts them in a stronger position to tackle smoking, drinking and obesity in England.

A ringfenced pot of NHS money will also be set aside to help.

The protection of the public health budget – the first time this has been done since the 1800s – is considered essential because of the cuts councils are facing following October’s Spending Review.

To support local government, the Department of Health’s public health white paper will also propose creating a new public health service that will provide advice and support on issues such as health protection, nutrition and treatment.

A health inclusion unit will be set up as well to oversee the drive to reduce health inequalities, which have widened over the past decade.

Extra money – dubbed health premiums – will be given to the poorest areas to help tackle some of the most entrenched problems.

But details on how the government aims to tackle individual problems, such as obesity, smoking and drinking, will not be spelt out until the new year.

Both the Association of Directors of Public Health and Local Government Association have welcomed the impending changes.

“Councils have the potential to make a real difference, but it important public health directors are given the power to influence what is happening”

Angela Mawle UK Public Health Association

And Health Secretary Andrew Lansley told the BBC the new system would have a “real impact on improving health”.

He added: “Health is not just about the quality of healthcare. It’s probably at least as much about the quality of people’s lives – the environment, the housing, their education and employment.”

The public health White Paper will say the key to encouraging healthier behaviour lies in creating the right environment and then “nudging” people into making different choices.

Examples of this include schemes such as incentivising children to walk to school and providing more support through nurses and health visitors to encourage new mothers to breastfeed.

Employers will also be told they have an important role in helping and supporting staff as well.

Mr Lansley has in the past been critical of what he has said has been the lecturing tone of previous public health drives.

He has also been keen to stress that the solutions do not necessarily require greater regulation.

In fact, the White Paper is expected to make reference to a “responsibility deal” that could be launched in the new year which will see industry sign up to schemes to encourage healthier behaviour.

Angela Mawle, of the UK Public Health Association, which has members in both local government and the NHS, said: “Councils have the potential to make a real difference, but it important public health directors are given the power to influence what is happening.

“I also don’t think we should turn our back entirely on regulation. It still has a place.”

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Renewable energy plan under fire

Scottish wind farmThe government is counting on a massive growth in wind power to meet its 2020 renewable target.
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A public accounts watchdog has criticised the UK’s “unacceptably slow” progress towards meeting its renewable energy targets.

It also says that there was no clear understanding of the cost and success of some alternative technologies.

The strong criticisms have been made by MPs on the Committee of Public Accounts, chaired by Margaret Hodge.

She said that the Department of Energy and Climate Change needs “a greater sense of urgency and purpose”.

During its hearings, the committee was told that the UK would miss its target to supply 10% of electricity from renewable sources by the end of 2010.

The report, Funding the Development of Renewable Energy Technologies, said the Energy Department and its predecessors had not done enough to address the slow progress.

As a result, the Department did not expect to meet the 10% target until 2012, from a starting position of 2.7% in 2000.

Ms Hodge said: “Given the urgency and importance of the issue, progress in meeting renewable energy targets has been unacceptably slow over the last decade.”

She said that some £180m of the funds allocated to support renewable energy technologies had gone unspent.

The Energy Department seemed unprepared for the future despite signing up to the legally binding EU-target to supply 15% of the UK’s energy from renewable sources by 2020.

The UK agreed to the EU target, the report concludes, despite having no “clear plans, targets for each renewable energy technology, estimates of funding required or understanding how the rate at which planning applications for onshore wind turbines were being rejected might affect progress”.

The report criticised the complex web of organisations that deliver government funding for renewable energy technologies.

The Energy Department does not have direct control over these organisations, and consequently “does not have a clear understanding of how much has been spent or what has been achieved”, the report said.

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Taking drugs for a living

TabletsDrugs need to undergo extensive testing in animal and human trials before approval
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In the current climate, many people are thinking about new or additional means to make ends meet, so they could entertain the idea of going to a clinic to be fed as-yet-unapproved drugs.

Clinical trials on humans take place to enable pharmaceutical companies to see whether or not they have any nasty side-effects from the drugs under development.

Depending on the type of product and the stage of its development, companies enrol healthy volunteers into pilot studies.

There are, however, some people who volunteer to be human guinea pigs as a full-time living.

The development of a new drug involves computer simulation and in vitro tests, followed by testing the drug on animals, mainly rodents, for toxicity.

The drug then has to be officially cleared for human testing.

“People are paid to assess the safety of a drug – not if it works, but safe to be consumed”

Roberto Abadie US anthropologist

During the initial clinical trial, researchers are often testing a treatment which may be in the earliest stages of its development.

Between 10 and 30 people are usually recruited for each trial.

Information gathered provides data on how the medicine is tolerated, how the body absorbs it, breaks it down and eliminates the drug, and whether any side effects have been experienced by those taking part in the trial.

The second stage of any trial involves testing the drugs on people who have a disease or condition which needs to be treated.

“People are paid to assess the safety of a drug – not if the drug works, but if it is safe to be consumed,” explains anthropologist Roberto Abadie, who has been studying this career path in the US.

The industry says it has guidelines and follows regulations when it comes to professional guinea pigs.

But Mr Abadie is concerned because he doubts whether the companies are aware that some people take part in numerous trials.

Statement from the Pharmaceutical Research and Manufacturers of America

Patients who volunteer to participate in clinical trials for new medicines are protected by multiple layers of supervision to help ensure that the risk to research is reasonable and related to the anticipated benefits. It is important to remember that participation in a clinical study is strictly voluntary and that participants may withdraw from a clinical trial at any time for any reason.

“There is no central register for people who do these trials, so I’m not sure they are aware of the professionalisation,” he says.

“I don’t know if they know or if they care that some people do 100 trials,” he adds.

Many of those who participate in drug trials are poor African Americans and poor Latinos.

“There are probably only a few thousand guinea pigs but the bulk of trials are run with these people, who derive their income from such trials,” Mr Abadie says.

Individuals can earn $20,000 (£13,000) a year doing eight or 10 trials.

One trial usually lasts for about one month from the screening to the time they finish.

Former professional guinea pig Robert Helms says: “I probably never made more than $20-25,000 a year, but I knew people who were making a lot more than that. I called them workaholics.”

“In the US the pharmaceutical industry owns the place, they are not going to change anything any time soon”

Robert Helms Former guinea pig

According to Mr Abadie, some people have been known to do two trials at the same time.

“It is more than they can earn working at McDonalds, which is a reference for a low-paying job,” he says.

Mr Abadie is worried about the large doses of chemicals people have in their bodies.

“Nobody knows what effect this will have when they interact with each other over 20-30 years,” he says.

Mr Abadie believes the pharmaceutical industry should have concerns as well.

In 2006, a drug trial in London went badly wrong, leaving one volunteer in a coma.

“There is a big issue about liabilities if it is proven down the line that the industry had suspicions that something could go wrong, but didn’t do anything because they needed the professional guinea pigs to keep coming to the trials so they could keep producing the drugs,” he says.

Tablets being taken out of a drawerThe pharmaceutical sector in Bangladesh and India has grown significantly in recent years

The pharmaceutical companies stress that they take every precaution possible when it comes to the human stages of drug trials.

Mr Helms can only recall one incident when things went wrong.

“One friend back in 1996 had a very difficult time. He was very delusional, he thought the movie 12 Monkeys was actually about him,” he says.

In the UK and Europe there has been new regulation over the previous few years, but not in the US.

Mr Helms wonders if enough is being done there.

“In the US the pharmaceutical industry owns the place, they are not going to change anything any time soon,” he says.

“They have more political clout than they know what to do with. It is a bad situation and I don’t believe it is going to change.”

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Japanese export orders contract

Honda hydrogen fuel-cell car in productionJapan’s export orders are contracting while the unemployment rate is rising
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Japanese manufacturing activity shrank for a third consecutive month in November as a strong yen hit exports.

The Nomura/JMMA Japan Manufacturing Purchasing Managers Index (PMI) stayed below the 50 threshold that separates contraction from growth.

The index for new export orders fell to 46.9 from 48.4 in the previous month, showing that export orders contracted at their fastest pace in 19 months.

Also, new figures showed Japan’s jobless rate rose to 5.1% in October

“Real exports in gross domestic product statistics were already showing a slowdown in July-September,” said Kohei Okazaki, an economist at Nomura Securities.

“This trend appears to have persisted in October to November,” he said.

Meanwhile, Japan’s national unemployment rate rose to 5.1% in October, from 5% in September.

While the rate is still far below some other industrialised nations, it is relatively high for Japan.

Last week, the Japanese parliament passed a new $61bn stimulus package aimed at creating jobs and reviving the country’s faltering economic recovery.

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US court sentences Somali pirate

Pirate skiff after attack on USS Ashland in Gulf of Aden, 10/04The skiff used by the pirates was burnt-out after the attack on the USS Ashland
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A US court has sentenced a Somali man to 30 years in jail for attacking a US warship off the coast of Somalia.

Jama Idle Ibrahim was caught after an attack on a US naval flotilla which the pirates had apparently mistaken for merchant ships.

He pleaded guilty as part of an agreement which may see him return to court to testify against five other Somalis facing piracy charges.

He still faces other charges connected to an attack in 2008 on a Danish ship.

Monday’s sentence was handed down at a federal court in Norfolk, Virginia.

Last week, a Norfolk jury convicted five Somalis of acts of piracy for attacking the USS Nicholas frigate, also in April. They face life in prison at a hearing set for March.

“Today marks the first sentencing in Norfolk for acts of piracy in more than 150 years,” US Attorney Neil MacBride said in a statement.

“Piracy is a growing threat throughout the world, and today’s sentence, along with last week’s convictions, demonstrates that the United States will hold modern-day pirates accountable in US courtrooms.”

At a hearing in Norfolk in August, Ibrahim pleaded guilty to attacking to plunder a vessel, engaging in an act of violence against people on a vessel, and using a firearm during a crime of violence. Both Ibrahim and the authorities had agreed to the 30-year jail term.

A judge had earlier dismissed a charge of piracy – which carries a mandatory life sentence – against Ibrahim and his five alleged accomplices because the group had not robbed, boarded or taken control of the US ship.

The gang had chased the USS Ashland in a skiff in the Gulf of Aden on 10 April, opening fire on it.

US Navy personnel returned fire, killing one Somali and wrecking the skiff.

Somalia has been ravaged by internal conflict for two decades, and pirates have flourished amid the US court sentences Somali piratelawlessness.

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Markets down after Irish bail-out

A money changer employee changes Euro and US Dollars on an exchange kiosk The euro fell against the dollar before rebounding

The euro was steady against the dollar as markets opened a day after European ministers agreed a bail-out for the Irish Republic.

Ministers have reached an agreement over a bail-out worth about 85bn euros ($113bn; £72bn).

The deal will see 35bn euros go towards propping up the Irish banking system, with the remaining 50bn euros to help the government’s day-to-day spending.

In early trade on Monday the euro was ahead by 0.40% at $1.3241.

It had earlier slipped to $1.3181, its lowest level since 21 September, before rebounding.

Meanwhile, European Central Bank policymaker Christian Noyer sought to bolster market confidence in the eurozone’s rescue for the Republic.

Mr Noyer is the first member of the ECB’s policy council to speak after eurozone ministers sealed the deal for Dublin on Sunday.

“Mr Osborne hopes the eurosceptics in his own party will be reassured that Britain won’t participate in eurozone bail-outs after 2013”

Peston: What the UK is putting in Irish Republic bail-out agreed

He said he was confident the deal would bring down Dublin’s borrowing costs to more normal levels.

“There is no reason to doubt the recovery plans of the two countries,” Mr Noyer said in a speech in Tokyo, referring to Ireland and Greece.

And French Finance Minister Christine Lagarde said the bail-out was “sufficient” and that “irrational” markets were not correctly pricing the sovereign debt situation in Europe.

“The amount [of the bail-out] is sufficient because that will keep Ireland afloat for three years,” she told RTL radio.

France and Germany have also said the Republic of Ireland bail-out should draw a line under its debt crisis.

And they have expressed confidence in Portugal’s ability to correct its finances and avoid needing outside help.

An average interest rate of 5.8% will be payable on the loans, above the 5.2% paid by Greece for its bail-out.

Irish Prime Minister Brian Cowen said it was the “best available deal for Ireland”.

It provides “vital time and space to successfully and conclusively address the problems we’ve been dealing with since the financial crisis began”, he said.

The Irish government has also said that interest payments on all state debt will account for more than 20% of tax revenues in 2014.

The deal does not require the Republic to change its low 12.5% corporation tax.

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Snow closes hundreds of schools

People stand in the snow on Calton Hill in EdinburghThe snow is expected to head south later in the week
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Siberian winds are set to cause further disruption during the UK’s “big freeze” by blowing snow back into cleared areas, forecasters warn.

Parts of eastern England and Scotland already under thick snow could see up to 25cm (10in) more overnight.

BBC meteorologist Philip Avery said it was likely the strong winds would cause significant drifting.

Meanwhile, the Local Government Association said councils had increased stockpiles of salt and grit this year.

Mr Avery warned that plummeting temperatures overnight on Monday were likely to lead to icy roads in many places, while the strengthening winds will make it feel even colder.

The UK has been experiencing the earliest widespread snowfall since 1993.

Met Office severe weather warnings for heavy snow and icy roads are in place for central and eastern Scotland, including the Borders, and north east England down to the east Midlands.

There are early warnings of more to come on Monday and Tuesday, with eastern counties again the most at risk.

Mr Avery said the worst weather would be in central and eastern Scotland and north eastern England but added: “There is a likelihood of wind in the northern half of the British Isles picking up in strength leading to more significant drifting.”

But for some regions, Monday’s forecast is for a nicer day, he said.

“For many areas, for example, the western end of Cornwall, west Devon and the western side of Wales, it will be dry, fine and sunny.”

But, he warned the biting winds would have an impact and make it feel colder than it was.

The Greater London area and Kent are at risk of snowfall from Tuesday, with the Met Office warning that drifting snow could cause disruption to road and rail networks towards the end of the week.

David Sparks from the Local Government Association said councils are prepared this year to cope with the winter weather.

David Sparks

Councils boost salt and grit stockpile in big freeze

He told the BBC: “Local authorities this year have made unprecedented preparations for the winter.

“We’ve got well over a third more salt and grit in our stocks than we had last year and over a half of local authorities have invested in new gritting lorries.”

He added that individuals also had to make their own preparations and added: “What everyone needs to realise is that you cannot control or battle with the weather if it is unprecedented. You need to try to mitigate the effects.”

But motoring organisations the AA and the RAC warned commuters to continue to take great care, even on major roads that have been gritted.

AA spokesman Gavin Hill-Smith said the organisation had experienced “virtually unheard of” numbers of call-outs on Sunday and patrols were expecting even more on Monday morning.

“A lot of cars haven’t been used over the weekend, but when people come to go to work or school on Monday they’ll find the battery is flat or they can’t get out of the drive,” he said.

He warned people to take extra care: “The main concern is always ice. People must not get complacent – even on major roads that have been treated patches of ice can still develop.

The enhanced content on this page requires Javascript and Flash Player 9

UK forecast for 29/11/2010

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“They also need to leave themselves extra time in the morning – for the drive itself and to make sure the car is completely clear of snow and ice before they set off.”

A number of airports, including Edinburgh, Glasgow, Derry, Newcastle and Durham-Tees Valley, were affected over the weekend and disruption is likely to continue on Monday.

Rail and bus services in parts of Scotland and north-east England are also likely to face further problems.

On Saturday night temperatures in Wales and Northern Ireland fell to the lowest on record for November, reaching -18C (0F) and -9.5C (15F) respectively.

The unusual weather is being caused by high pressure over Greenland and low pressure in the Baltic states, forcing cold winds from the north-east across Europe.

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UK recovery is on track – Osborne

George OsborneGeorge Osborne has changed the format of the autumn statement
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Chancellor George Osborne will update MPs on the health of the UK economy when he delivers his autumn statement later.

Mr Osborne will respond to the Office for Budget Responsibility’s (OBR) updated growth forecasts.

His comments will be eagerly followed by financial markets looking to see how well the coalition’s deficit reduction plan is coming along.

Mr Osborne has already announced the next Budget will be on 23 March 2011.

The chancellor has amended the nature of the autumn statement, so that it serves as a response to the OBR’s forecasts.

Under Labour it became a mini-Budget, in which draft tax and spending decisions were outlined.

Initial estimates published last month suggest the economy grew by 0.8% between July and September – twice the rate expected by many analysts.

The OBR – formed in May to make an independent assessment of the public finances ahead of each Budget – is likely to increase its GDP growth estimate for the whole year from the 1.2% predicted in June to nearer 1.7%, the Ernst and Young ITEM Club forecasting group said.

Tax revenues are also expected to exceed forecasts by £10bn, it added.

However, the OBR could lower projections for public sector job cuts by nearly a fifth, the ITEM Club said.

Mr Osborne is expected to deliver his statement to the House of Commons at 1530 GMT.

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UK ‘will lose fewer public jobs’

Watch Now

News conference by Robert Chote of the Office for Budget Responsibility

The independent Office for Budget Responsibility (OBR) says public sector job losses will not be as high as previously thought.

The OBR now expects 330,000 public sector workers to lose their jobs over the next four years, far fewer than the 490,000 it forecast in its June report.

At the same time, it raised its estimate for economic growth this year, from 1.2% to 1.8%.

But it lowered its growth estimates for the next two years.

The body says economic performance next year will be growth of 2.1% – down from its previous 2.3% forecast; and 2.6% in 2012, down from the 2.8% previously pencilled in.

There were further relatively positive predictions on jobs, with a forecast that, after a peak of just over 8% unemployment in 2011, the rate would fall steadily to just over 6% by 2015, by which time the OBR expects one million private sector jobs will have been created.

Its forecasts precede the government’s annual Autumn budget statement.

That will be given to Parliament by the Chancellor, George Osborne, later this afternoon.

Analysis

The biggest news is the big reduction in the job losses forecast in the public sector between now and 2014-15. The OBR now thinks the public sector workforce will shrink by 330,000 over that period, not 490,000, though they expect another 80,000 to lose their jobs in 2015-16.

Mr Osborne will be pleased by the very modest change in the borrowing forecasts, though the OBR expects tax revenues to be £2.4 bn lower than forecast by 2015-16, and it now thinks that he will only save £9.6bn from the extra welfare cuts in the Spending Review, about £1bn less than he hoped.

Bad news for homeowners. The OBR thinks house prices will fall by 3.1% in 2011. Previously it had expected a small rise.

The OBR said the impact of government measures to cut the deficit, which include an increase in VAT from the current 17.5% to 20% and the £81bn of planned spending cuts would lead to “sluggish growth” in the medium term.

A statement from the body said: “The economy will continue to recover from recession, but at a slower pace than in the recoveries of the 1970s, 1980s and 1990s.”

The OBR’s chairman, Robert Chote, said the government’s planned consolidation plans were consistent with sustaining an – albeit slow – economic recovery, although he warned such predictions were never assured.

He said: “There is considerable uncertainty around any economic forecasts”.

Mr Chote stressed the independence of the OBR’s views, saying: “We have not come under any pressure from ministers or their advisers to change any of [our forecasts]”.

Mr Osborne will respond to the OBR’s updated forecasts, rather than setting out draft tax and spending plans as happened under Labour’s Autumn budget statement.

He has already announced the next Budget will be on 23 March 2011.

The OBR was formed by the coalition government in May and is intended to make an independent assessment of the public finances ahead of each Budget.

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