Yamey and Shaffer discuss how Trump and Robert F Kennedy Jr have promoted misinformation.1 Vaccine scepticism in the US is long standing, but recent revisions to the childhood immunisation schedule and other vaccine policy shifts risk intensifying public confusion and reinforcing discredited safety claims.2345Misinformation provided by the government heightens physicians’ responsibility to counter vaccine myths and misunderstandings. Fact based counselling remains vital. But innovative communication strategies are also needed to rebuild trust in routine childhood immunisations to prevent avoidable illness and restore population level immunity.Physicians can reclaim the narrative by pairing rigorous epidemiological data with human stories, translating statistics into tangible outcomes. A de-identified clinical vignette, for example, might describe a young adult with swollen lymph nodes, fatigue, and jaundice whose advanced cirrhosis from chronic hepatitis B necessitates a liver transplant. Timely vaccination could have prevented this condition.Physicians can use visual aids, displaying lifetime risks of vaccine preventable illnesses with...

A Kent hospital has admitted to being too slow to alert the UK Health Security Agency (UKHSA) to a suspected case of meningitis.There is a legal requirement for suspected cases of acute meningitis to be reported to the UKHSA immediately without waiting for laboratory confirmation of the disease.1 However, it has now emerged that this did not happen for the first known case of the Kent outbreak, which eventually included dozens of cases and the deaths of two young people.2The hospital’s delay in reporting meant that the UKHSA did not start investigating a potential outbreak as soon as it could have. It also led to delays in contacting and treating any close contacts of the patient.The Kent outbreak of meningitis B now seems to have passed its peak, with no new cases reported for the past five days. As of 24 March the confirmed number of cases of invasive meningococcal...

The scandal over student loan debt and interest has rightly dominated headlines in the past few weeks.12 The plan from chancellor Rachel Reeves to freeze loan repayment thresholds represents yet another burden placed on a financially beleaguered generation. For doctors, this new hit to our income feels like two steps back in the ongoing struggle for pay restoration. Something needs to change to relieve the financial strain on doctors.Last month I made the brave decision to check my student loan balance. I should have prepared myself more for the shock. Over my six year degree in medicine, I borrowed £44 000 but by my graduation I had accrued an additional £11 000 of interest before I had even started earning. My current balance sits at £63 500 and I’m only now close to paying off as much per month as I’m being charged in interest. I suspect most younger doctors...

The UK government must set out clear national standards to tackle “serious inadequacies” and staff shortages in children’s palliative care services, a group of MPs has urged.The House of Commons Health and Social Care Committee’s report on palliative care in England1 says that people enter a “postcode lottery” of care in their most vulnerable moments at the end of life. This variability is compounded by a workforce declining in numbers, the MPs warned.The report calls for a plan to increase the numbers of specialist doctors, nurses, and other healthcare professionals working across the palliative care sector. It emphasises that action is most urgently needed in children and young people’s palliative care, and it urges the government to include specific standards in its upcoming modern service framework later this year.The charity Together for Short Lives has estimated that 99 000 UK children were seriously ill in 2025.2 The committee’s report says...

Campaigners have criticised a midwifery journal for sending out an “inappropriate” prize survey targeting health professionals that was sponsored by a formula milk company.The survey of midwives and health visitors was shared by the British Journal of Midwifery in February. It is sponsored by SMA infant formula, owned by food and beverage giant Nestlé.Healthcare professionals who completed the survey and provided their personal details were entered into a prize draw for £100 of Amazon gift vouchers.Although the British Journal of Midwifery states at the beginning of the survey they “firmly believe that breastfeeding is always the best option for a baby,” all the questions relate to formula feeding and infant gut health.Victoria Thomas, a consultant paediatrician and co-chair of the Hospital Infant Feeding Network, said the survey reads as “a thinly veiled marketing exercise.”“I do not think it is appropriate for a scientific journal to send out a survey such...

After the creation of Bangladesh in 1971, the entire political, economic, and medical system was in disarray: the UK General Medical Council withdrew its recognition of medical graduates and the country faced a severe shortage of doctors. Ali Ashraf played a pivotal role in restoring standards of medical education, particularly in the surgical specialties. He was one of the prime movers in the establishment of the Bangladesh College of Physicians and Surgeons (BCPS) in 1972, a postgraduate medical institute modelled on the royal colleges in the UK. He held key positions in the BCPS and served as its vice president and president for 10 years.Ashraf and the founding president of Bangladesh, Sheikh Mujibur Rahman, had known each other as students in Calcutta and when Ashraf treated the president’s wife in the early days of the new country he seized the opportunity to highlight the severe shortage of trained doctors.In June...

F. Gordo Vidal
Med Intensiva. 2023;47:191-2

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P. Perelló, J. Gómez, J. Mariné, M.T. Cabas, A. Arasa, Z. Ramos, D. Moya, I. Reynals, M. Bodí, M. Magret
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