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UKHSA confirm Crimean-Congo haemorrhagic fever is now in the UK – symptoms

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Transmitted by ticks and livestock animals, one patient was diagnosed with Crimean-Congo haemorrhagic fever at Cambridge University Hospitals NHS Foundation Trust. The patient is now receiving specialist care at the Royal Free Hospital in London. Dr Susan Hopkins, Chief Medical Advisor at UKHSA, said: “We are working with NHS EI to contact the individuals who have had close contact with the case prior to confirmation of their infection, to assess them as necessary and provide advice.”

Before this case, there have been two cases of Crimean-Congo haemorrhagic fever in the UK – one in 2012, and the other in 2014.

What is Crimean-Congo haemorrhagic fever?

The World Health Organisation (WHO) said the viral infection is passed on via infected ticks who bite humans.

The incubation period, before symptoms appear, can take a maximum of nine days.

Considered an “endemic” status in all of Africa, the Balkans, the Middle East and in Asia, outbreaks “constitute a threat to public health”.

READ MORE: Vaccinated aspiring model, 21, has both legs amputated after traumatic Covid complications

The onset of symptoms is “sudden”, with the development of fever, muscle aches, dizziness, neck pain, backache, headache, and sore eyes.

“There may be nausea, vomiting, diarrhoea, abdominal pain and sore throat early on,” the WHO added.

This can be followed by “sharp mood swings and confusion”, as well as: sleepiness, depression and lassitude (lethargy).

The infection can lead to hospitalisation and has a “high case fatality ratio” of up to 40 percent.

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While treatment can be successful with the antiviral drug ribavirin, there is no vaccine to reduce the infection in people.

Dr Hopkins added: “It’s important to be aware that Crimean-Congo haemorrhagic fever is usually spread by tick bites in countries where the disease is endemic.

“It does not spread easily between people and the overall risk to the [British] public is very low.”

Dr Hopkins assured: “UKHSA and the NHS have well established and robust infection control procedures for dealing with cases of imported infectious disease and these will be strictly followed.”

Public Health England (PHE) stated that the principal carriers of Crimean-Congo haemorrhagic fever are Hyalomma ticks.

Hyalomma ticks “are not established in the UK” and the “virus has never been detected here in a tick”.

People who are travelling to an endemic area, such as Asia or Africa, should protect themselves against ticks.

To do so, you will need to use tick repellents in addition to avoiding areas where ticks are abundant and active.

The European Centre for Disease Prevention and Control (ECDC) stated these ticks are “characteristically found in steppe, savannah and scrubland”.

The Centres for Disease Control and Prevention (CDC) clarified that ticks live in “grassy, brushy, or wooded areas”.

While Hyalomma ticks have not been identified in the UK, Britons are still at risk of catching Lyme disease from an infected tick in England.

Ticks are “most active” during the warmer months, from April to September.



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Ruud van Nistelrooy makes next job decision as Man Utd plan coaching appointment

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That decision failed to pay off, however, with the Red Devils sacking Moyes after just 10 months in charge.

After the current West Ham boss came Van Gaal, who arrived with big things expected due to his past success at the likes of Barcelona and Ajax.

Giggs was hoping to get the Red Devils job himself, which was why he stayed, but both ended up leaving nearly six years ago.

When Jose Mourinho took over, he opted to maintain his close relationship with Rui Faria – who had previously worked under him at clubs such as Real Madrid and Chelsea.

Fair departed in the summer of 2018, though, with Michael Carrick then given a place on Mourinho’s bench.

Carrick stayed to work under Ole Gunnar Solskjaer, with the Norwegian also regularly picking up the thoughts of Phelan and Kieran McKenna throughout his spell in the dugout.

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High cholesterol: Blood pressure drug linked to significant reduction in good cholesterol

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“Though they’re commonly used to treat different forms of heart disease, beta-blockers can significantly reduce HDL levels.”

Among the beta-blockers that cause this are Corgard (nadolol), Inderal (propranolol), Tenormin (atenolol), Zebeta (bisoprolol).

These drugs are widely used in the treatment of angina, heart failure, atrial fibrillation, heart attack and high blood pressure.

But despite concerns about their effect on cholesterol, scientists stress that the benefits of beta-blockers far outweigh the risks.

VeryWell Health adds: “If your beta-blocker affects your cholesterol significantly, your doctor may lower your dose or switch you to a different medication.”



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Max Verstappen and Sergio Perez not on same page over Saudi Arabia GP after missile attack

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However, after a four-hour meeting between race officials and the teams, it was confirmed the race would go ahead despite the attack. It had been reported that a number of the competing drivers were concerned for their safety following the nearby explosion.

Despite this, an agreement was finally reached to race at 2:30am local time, after team chiefs left the lengthy meeting to confirm: “We will be racing.” A statement from Formula 1 confirmed Sunday’s race would go ahead as planned. It read: “Formula 1 has been in close contact with the relevant authorities following the situation that took place today. The authorities have confirmed that the event can continue as planned and we will remain in close contact with them and all the teams and closely monitor the situation.”

Unsurprisingly, there were a number of mixed views on whether the race should go ahead, and this is clearly apparent in the Red Bull setup. This comes after advisor Helmut Marko revealed that drivers Verstappen and Perez are not on the same page when it comes to racing.

JUST IN: F1 drivers ‘had concerns’ about Saudi Arabia GP as new details emerge after missile attack

On the issue, Marko told Sky Germany: “Max is a bit more relaxed about it. Perez is a little bit scared, but when you live in Mexico City there’s not much more security. We have the pandemic, we have the war in Europe and now we have a missile attack 20 kilometres away. This is no longer normal or pleasant.”

Ahead of tomorrow’s race though, the Austrian advisor is firmly on the side of Verstappen and the race officials, supporting the idea of the race taking place. He commented: “I really think it’s the right thing to do. As I said, these drone attacks are common, I think. They have a very good defence system. Why this one didn’t work remains to be seen. It’s not the first drone, after all. But it’s the first one to strike on such a scale.”

The attack took place during Friday’s first practice session, and it was Red Bull’s star man Verstappen who was one of the first to realise something was wrong after reporting on his team radio that he could ‘smell burning’. Initially, the Dutchman thought the smell was coming from either his or one of his rival’s cars, however it then became clear that an explosion had taken place just a few miles from the track.

Giving an insight into Verstappen’s initial worries, Marko said: “Max radioed us, he thought his car had caught fire because there was an intense burning smell. We were informed a drone had been sent from Yemen. The Saudis have a defence system and for some reason the drone was not intercepted.”



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