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Statins can reduce sepsis deaths, study suggests

Statins can reduce sepsis deaths, study suggests

BreakingNews.ie06-06-2025
People who are critically ill with sepsis may be more likely to survive if they are given statins, a new study suggests.
Researchers wanted to explore whether the cholesterol-busting drugs may bring additional benefits for patients.
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The new study examined information on sepsis patients who received statins during a stint in intensive care and compared it with patients in a similar situation who did not receive statins.
Some 14.3 per cent of 6,000 sepsis patients who were given statins died within 28 days.
This is compared with 23.4 per cent of 6,000 patients who did not receive statin therapy.
The research team from China said that this equates to a 39 per cent reduced risk of death within a month.
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The research, based on data from thousands of patients at a hospital in Israel between 2008 and 2019, also found that 7.4 per cent of statin patients died while in the intensive care unit compared with 13.6 per cent of those who did not receive statins.
And during their overall hospital stay, some 11.5 per cent of sepsis patients who were given statins died, compared with 19.1 per cent of sepsis patients who did not take statins.
However, it appeared that those who were not prescribed statins had a slightly shorter hospital stay compared with those who did receive them – an average of eight days compared with almost 10 days.
'We found that statin users exhibited decreased 28-day all-cause mortality,' the authors wrote in the journal Frontiers in Immunology.
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Sepsis is a life-threatening reaction to an infection that occurs when the immune system overreacts and starts to damage the body's tissues and organs.
In Ireland, about
12,000
people are affected by sepsis every year, according to the HSE.
Sepsis experts said that 'anything which might reduce the burden of a condition which claims one in five lives worldwide needs to be rigorously explored' as they called for larger trials to confirm the findings.
Statins are known as cholesterol-busting drugs because they can help lower the level of low-density lipoprotein (LDL) cholesterol in the blood.
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But experts said that they also have other benefits, including reducing inflammation and antibacterial effects.
The research team called for larger trials to confirm their findings.
'Our large, matched cohort study found that treatment with statins was associated with a 39 per cent lower death rate for critically ill patients with sepsis, when measured over 28 days after hospital admission,' said Dr Caifeng Li, the study's corresponding author and an associate professor at Tianjin Medical University General Hospital in China.
'These results strongly suggest that statins may provide a protective effect and improve clinical outcomes for patients with sepsis.'
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Commenting on the study, Dr Ron Daniels, founder and chief executive of the Sepsis Trust, said: 'It has been known for some time that the anti-inflammatory properties of statins confer a survival benefit on those who take them if they develop sepsis.
'Whilst previous studies have failed to show a similar survival benefit in treating people with sepsis with statins, this new study supports calls for a large, multi-country, randomised control trial.
'Anything which might reduce the burden of a condition which claims one in five lives worldwide needs to be rigorously explored.'
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Rising number of doctors among hundreds of medical staff detained in Gaza, say rights groups
Rising number of doctors among hundreds of medical staff detained in Gaza, say rights groups

The Guardian

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  • The Guardian

Rising number of doctors among hundreds of medical staff detained in Gaza, say rights groups

Twenty-eight doctors from Gaza are being held inside Israeli prisons, eight of whom are senior consultants in surgery, orthopaedics, intensive care, cardiology and paediatrics, according to data from Healthcare Workers Watch (HWW), a Palestinian medical organisation. Twenty-one of those detained have been held for more than 400 days. HWW said none had been charged with any crimes by the Israeli authorities. Three healthcare workers have been detained since the start of July. On Monday, the Gaza Health Ministry said an Israeli undercover force detained Dr Marwan al-Hams, head of Abu Youssef al-Najjar hospital in Rafah, outside the field hospital of the International Committee of the Red Cross in the southern Gaza Strip. His whereabouts are unknown, and the Israeli authorities have yet to publish a statement on his detention. On Tuesday, the World Health Organization (WHO) confirmed that two of its workers were taken into detention from a facility sheltering staff and their families in Dier al-Balah; one remains in Israeli custody. According to the WHO, Israel has arrested and detained more than 300 healthcare workers since the the war between Hamas and Israel began in October 2023. HWW puts this figure higher, at over 400. Muath Alser, director of HWW, said: 'Many of the health workers were arrested at their work sites, and they remain held for months – often without communication, being denied medical care when needed, and suffering from terrible detention conditions. We urge people in power to pressure Israel to release those health workers still under unlawful detention.' Overwhelmed hospitals are already struggling to function, while increasing hunger among medical staff in Gaza has left many too weak to provide urgent medical care to malnourished and injured civilians, doctors have told the Guardian and the Arabic Reporters for Investigative Journalism. In February, the Guardian published detailed accounts from senior Palestinian doctors held and then released from Israeli detention who reported being tortured, beaten and humiliated during their time in prison. Those still being held by the Israeli authorities include Dr Hussam Abu Safiya, the director of the Kamal Adwan hospital in northern Gaza, who has been detained at Israel's Ofer prison since December 2024. Earlier this week his lawyer told Sky News his health was deteriorating and that he was being beaten and tortured. In a statement to the Guardian, the Israel Defense Forces (IDF) accused medical staff in Gaza, including doctors, of involvement in Hamas terror activity. It did not provide any evidence to substantiate the claim. 'In the context of IDF activity in combat zones, individuals suspected of involvement in terror activity are arrested and investigated. Those found not to be involved in terror activity are released. 'A regrettable outcome of Hamas' exploitation of hospitals is the involvement of medical staff, including doctors, directly in Hamas' terror activity. Put plainly, the IDF is not interested in medical staff vis a vis their roles as medical professionals, but due to their potential involvement in Hamas terror,' said the statement. Two senior doctors are known to have died in Israeli detention: Dr Iyad al-Rantisi, a consultant obstetrician and gynaecologist at Kamal Adwan hospital, died at Shikma prison; Dr Adnan al-Bursh, head of the orthopaedic department at al-Shifa hospital, died shortly after being transferred to Ofer prison in April 2024. Former detainees claim he died from torture and had suffered severe sexual violence in the hours before his death. Their bodies have not yet been returned to their families. The detention of medical staff from Gaza in Israeli prisons has been condemned by the WHO and the UN who have called for their immediate release. Reports of torture, violence and psychological abuse of healthcare workers while in detention have been verified by the UN and published in reports by organisations such as HWW, Human Rights Watch and Physicians for Human Rights Israel.

At least 25 people killed by Israeli gunshots and strikes in Gaza, some while seeking aid
At least 25 people killed by Israeli gunshots and strikes in Gaza, some while seeking aid

The Independent

time6 hours ago

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At least 25 people killed by Israeli gunshots and strikes in Gaza, some while seeking aid

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Israel's food points are not just death traps – they're an alibi for the starvation of Gaza
Israel's food points are not just death traps – they're an alibi for the starvation of Gaza

The Guardian

time7 hours ago

  • The Guardian

Israel's food points are not just death traps – they're an alibi for the starvation of Gaza

When mass starvation grips a community, something rare and terrible occurs. Starvation is not only the biological phenomenon of the body wasting away. It's also the death rattle of society. Famine is the sight of people scavenging for food in a garbage heap. It's a woman cooking in secret, hiding food from her starving cousins. It's a family selling its grandmother's jewellery for a single meal, their faces blank and emotionless, their eyes glazed. This is the degradation, the humiliation, the shame – and, yes, the dehumanisation – that happens when human beings scrabble for food like animals. This is a reality that no statistics can capture. And the methods for measuring food emergencies and assigning them grades – 'famine' being the worst – break down when society breaks down in this way. But just as an experienced physician can diagnose a fever without having to send blood samples to the laboratory, veteran humanitarian workers, who witnessed the depths of human suffering in Biafra in 1969 or in Ethiopia in 1984, recognise these symptoms when they see them. And they see it in Gaza today. Turn to the statements of the Gaza Humanitarian Foundation – the US and Israel-backed organisation that began operating in May – and you enter a different world. The GHF presents itself as a professional, compassionate operation designed for the 21st century. You will see images of order and efficiency, and a proud announcement that it delivered more than 2m meals yesterday from its four 'secure distribution sites'. And alongside the pictures of those starving children, of women collapsing from hunger, there are also pictures of healthy young men. In contrast to the footage, filmed by Palestinian journalists, of the desperate scramble for the little aid still provided through the UN, the GHF has images of orderly distributions, of its own workers holding the hands of Palestinian children. Israeli spokespeople insist that the United Nations has hundreds of trucks of food inside the Gaza perimeter that it refuses to distribute. But that rosy picture doesn't stand even the simplest scrutiny. There are four reasons why it's at best an improvisation by amateurs and at worst a cover for the crime of ongoing mass starvation. First, the numbers just don't add up. In April, the Food and Agriculture Organization of the UN calculated the food stocks remaining in Gaza, after 18 months of siege and war, and two months of total Israeli blockade. It estimated that food availability would fall to only half what's needed to sustain life at some point between May and July. That means that the aid effort needs to cover the entirety of Gaza's food needs. Two million meals a day is less than half of what's needed. The GHF rations may have slowed the march of starvation, but not by much. Second, you can't relieve famine by numbers alone. The GHF system is like standing at the edge of a big pond and feeding the fish by throwing breadcrumbs. Who gets to eat its rations? Starvation strikes the vulnerable minority. The metric used by the UN for determining when acute food insecurity is at famine levels is when 20% of families are facing extreme food shortage. Starvation strikes the weakest, not the strongest. Over the decades, humanitarian programmes have worked out how best to target the poorest, such as women without their husbands, looking after several children and perhaps elderly parents as well. It's the last mile of aid delivery that counts. The GHF runs four ration stations. Three are in the far south of Gaza in the ruins of Rafah, one in central Gaza. They're all in military zones. They open for short periods and short notice. To get these rations, people must camp out in the rubble – ready to rush to the gates at a moment's notice, and running the gauntlet of the Israel Defense Forces' military posts. They know that the only means IDF soldiers have for crowd control is firing live ammunition – even when they're not shooting to kill. When the GHF speaks of 'secure distribution sites', it's referring to how it controls its packages up to the point of handing them over, not to how it safely delivers them to the neediest. Dozens of aid seekers are killed each day trying to reach these sites. How will the overstressed mother of hungry children, or elderly or disabled people, join this stampede? How would they run the gauntlet not only of those military posts but also of the gangsters keen to steal the most valuable foodstuffs for themselves, or to sell in the market? The GHF has no idea who is eating the rations. Theirs isn't a formula for feeding the poorest. It's the law of the jungle. Third, the assistance must be designed for what people really need. Top of the list are specialised foods to care for malnourished children who cannot consume regular meals, such as Plumpy'Nut, a ready-to-use therapeutic food. The GHF ration box typically contains flour, pasta, tahini, cooking oil, rice and chickpeas or lentils. No baby food. No Plumpy'Nut. And it has no trained nurses or nutritionists in the community to actually provide therapeutic care to starving children. Consider the desperate mother who's literally at the end of the food chain: how will she cook the rations she gets? How does she find clean water? Israel has reduced water availability to a small fraction of need, and is bombing the remaining desalination plants. What can she use to make a fire? Without electricity or cooking gas, she may burn garbage to heat food. And last and most tellingly, a truly humanitarian operation supports the afflicted people, respecting the dignity of those in need, working with the communities. The GHF, essentially, does the opposite: it humiliates and undermines. The social breakdown that we are witnessing, the degrading of human beings, is not a byproduct of the harm that Israel is inflicting. That's the central element of the crime: destroying Palestinian society. The government of Israel shows no indication that it cares in the slightest whether Palestinians live or die. It wants to avoid the stigma of being accused of starvation and genocide, and the GHF is its current alibi. Let's not be fooled. Alex de Waal is executive director of the World Peace Foundation at Tufts University in Massachusetts. He has been a humanitarian worker and written on famine and related issues for 40 years

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