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World's first gonorrhoea vaccination to be rolled out on NHS

World's first gonorrhoea vaccination to be rolled out on NHS

Telegraph21-05-2025

The NHS added that 'efforts should be made to ensure that the vaccine is offered to those at similar risk, including but not limited to transgender women and gender-diverse people assigned male at birth'.
Dr Amanda Doyle, the national director for primary care at NHS England, said it was 'a huge step forward for sexual health' and would 'reduce the rising rates of antibiotic resistance strains of the bacteria'.
The vaccine is an existing jab, known as 4CMenB, that is currently used to protect people against the meningococcal B disease, a serious bacterial infection that can cause meningitis and sepsis.
It is used in the routine childhood programme and given to babies at eight weeks, 16 weeks and one year.
Those eligible will be contacted and able to get the jab through their local sexual health clinic from Aug 1. They will also be offered free jabs for mpox, the human papillomavirus (HPV) and hepatitis A and B, while at the appointment, the NHS said.
Symptoms for gonorrhoea include green or yellow discharge from the vagina or penis, pain when urinating and pain and discomfort in the rectum. For women, it can also cause lower abdominal pain or bleeding between periods.
But for many, especially women, the infection can be symptomless and lie undetected for years.
'Game changer'
The jab contains proteins from neisseria meningitidis, the bacteria that causes meningococcal disease, which is closely genetically related with neisseria gonorrhoeae, the bacteria that causes gonorrhoea.
The vaccine is between 32.7 to 42 per cent effective against gonorrhoea, according to studies, and will not eliminate the infection altogether.
But the joint committee on vaccination and immunisation said it would reduce spread, especially as a previous gonorrhoea infection is thought to offer little protection against future infections.
Richard Angell, the chief executive of Terrence Higgins Trust, described the jab as a 'game changer'.
'This alone could cut 40 per cent of new gonorrhoea cases,' he said.
The programme comes amid warnings that cases of gonorrhoea that are resistant to the antibiotic ceftriaxone – usually the first line of treatment – are on the rise in England.
This means the bacteria that causes the STI has developed the ability to survive and multiply even when exposed to the antibiotic.
Some cases have also been classed as extensively drug resistant (XDR) meaning the infection did not respond to ceftriaxone or the second line of treatment.
In March, UKHSA revealed there were 17 cases of ceftriaxone-resistant gonorrhoea between January 2024 and March 2025.
In the same period, there were nine XDR cases reported, compared to five cases between 2022 and 2023.
Dr Sema Mandal, a consultant epidemiologist and deputy director at UKHSA, said: 'This vaccination programme is a hugely welcome intervention at a time when we're seeing very concerning levels of gonorrhoea, including antibiotic resistant gonorrhoea.'
She added: 'Not only will this roll-out provide much needed protection to those that need it most, but it will make the UK the first country in the world to offer this protection and a world leader in protecting people against gonorrhoea.'

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The ‘golden dose' of Mounjaro that experts warn could be deadly – as slimmers rave about it saving money
The ‘golden dose' of Mounjaro that experts warn could be deadly – as slimmers rave about it saving money

The Sun

time35 minutes ago

  • The Sun

The ‘golden dose' of Mounjaro that experts warn could be deadly – as slimmers rave about it saving money

A GROWING number of slimmers are trying to squeeze extra jabs out of empty Mounjaro pens in a risky bid to cut costs. The weight-loss injections, which can cost hundreds of pounds a month, are designed to deliver a fixed weekly dose. But online users claim there's still a small amount of drug left after the final shot. They say it can be drawn out with a syringe for a bonus jab, dubbed the 'golden dose'. One TikTok user claimed the trick saved her a fortune. By getting five jabs from a four-dose pen, users reckon they can claw back £615 a year. The reports come after NHS England said only a small number of people will be able to get Mounjaro from their GP. It means most people will still have to pay for it privately - which can cost hundreds of pounds a month. 'The drugs are expensive but weight loss is strongly desired, so as a commodity, these drugs are hotly sought-after,' said Professor Naveed Sattar, a cardiologist and obesity expert at the University of Glasgow, said. 'It's no surprise people are going to such extraordinary lengths," she told the inews. Medics say the DIY hack is dangerous and could lead to infection, overdose or death. "People are reading these tips on online forums and being tempted to use them to save money," said Professor Penny Ward, a pharmaceutical expert at King's College London. Women taking fat jabs need 'effective contraception' - as health chiefs warn of serious harm to unborn babies "But they're risking serious side effects from overdosing by doing this - as well as the potential to develop a life-threatening infection. "The potential to develop a life-threatening infection. It's not a good idea at all," she told MailOnline. Talk of the so-called 'golden dose' is also spreading on Reddit weight-loss forums. In one thread with more than 50 comments, a user wrote: "After four pumps of your uk injection pen they tell you to throw it away. "But there is an extra dose or thereabouts in the pen you can self inject with an insulin needle." Another replied saying: "Known much more on here as the fifth dose." 2 Slimmers have also taken to TikTok to rave about the 'discovery'. In one video, a nurse demonstrates how to use a needle to extract leftover medicine from the pen. She wrote: "I do not condone or encourage anybody to take their golden dose this is just what I am doing." Huge risks Professor Penny warned that this practice can be dangerous for "several" reasons. "These injections contain a slight overfill to ensure the full recommended dose is delivered each time," she said. "But by drawing this out with a separate syringe and using it as a so-called fifth dose, you're exposing yourself to serious risk of infection.' Once the pen has been used, it's no longer sterile, meaning any leftover liquid could be contaminated with harmful bacteria. Injecting it could lead to abscesses or, in extreme cases, life-threatening sepsis. There's also the danger of taking too much. 'If you're using your own syringe, it's difficult to measure the correct amount - you may end up taking more than intended,' she warned. Overdosing on the jab can trigger nasty side effects like vomiting and diarrhoea, or in rare cases, pancreatitis - a serious and painful condition that may need hospital treatment. Around one in five cases result in serious complications, with up to 30 per cent proving fatal. The risk rises sharply with higher doses, as the drug can trigger digestive enzymes that begin attacking the pancreas itself. Symptoms include sudden, severe tummy pain, often spreading to the back, along with fever, nausea and a racing heartbeat. "The bigger the dose, the bigger the risk of pancreatitis," Professor Ward warned. Everything you need to know about fat jabs Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases. Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK. Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market. Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year. How do they work? The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight. They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists. They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high. Can I get them? NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics. Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure. GPs generally do not prescribe the drugs for weight loss. Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk. Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health. Are there any risks? Yes – side effects are common but most are relatively mild. Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea. Dr Sarah Jarvis, GP and clinical consultant at said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.' Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia. Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health. Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines. Mounjaro - dubbed the "King Kong" of weight loss jabs - works by mimicking hormones released by the body when you're full. This makes people feel fuller for longer and therefore less hungry. It appears to be to be more potent than Wegovy - another popular weight loss jab - causing about 20 per cent weight loss after a year's use, compared with Wegovy's 15 per cent. Mounjaro's active ingredient is tirzepatide, a lab-made compound that mimics two gut hormones - GLP-1 and GIP - which help control blood sugar and appetite. This is why it was initially approved to treat diabetes type 2, which happens when people can't control their blood sugar. But in December 2024, it was also cleared for use on the NHS for weight loss in people with a BMI of over 30, or over 27 plus one weight-related condition. 'Excess solution' should be 'discarded' If you notice there is a considerable amount of medication left in your pen after the last dose, Professor Penny added, it may mean that you're not using the injection properly. "Speak to your pharmacist about your technique, or check that you definitely have the right size syringe, as this can impact the amount of medication left over," she said. A spokesperson for Lilly - the drug's manufacturer - said users should not do this, as the remaining liquid may not be a full dose. 'It is important to note that there will be a residual amount of medicine left after the fourth dose," they said. "This does not correspond to a full dose." 'Any excess solution in the pen after use should be discarded.' Dr Alison Cave, chief safety officer of the Medicines and Healthcare products Regulatory Agency, added: "Medicines are approved according to strict dosage guidelines. "Failure to adhere with these guidelines, such as tampering with pre-dosed injection pens, could harm your health or cause personal injury. "People should follow the dosing directions provided by their healthcare provider when prescribed weight-loss medicines and use as directed in the patient information leaflet." What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea: This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting: Can occur, often in conjunction with nausea. Diarrhea: Some people experience gastrointestinal upset. Constipation: Some individuals may also experience constipation. Stomach pain or discomfort: Some people may experience abdominal pain or discomfort. Reduced appetite: This is often a desired effect for people using Ozempic for weight loss. Indigestion: Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis: In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems: There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors: There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems: Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar): Especially if used with other medications like sulfonylureas or insulin.

Labour pledges to lower A&E waiting times and end NHS ‘corridor care'
Labour pledges to lower A&E waiting times and end NHS ‘corridor care'

The Independent

time41 minutes ago

  • The Independent

Labour pledges to lower A&E waiting times and end NHS ‘corridor care'

The government has pledged to drastically reduce the number of patients facing long waits in A&E, with plans also set out to end "corridor care". According to the Department of Health and NHS England, almost £450 million will be invested in creating better care and more facilities, with an emphasis on caring for people closer to their homes. The new Urgent and Emergency Care Plan for England states that more needs to be done to drive down long waits, cut delayed discharges, and improve care for patients. An earlier version of the document said NHS trusts would need to show how, by this winter, systems will "improve flow through hospitals, with a particular focus on patients waiting over 12 hours, and eliminate corridor care". The later version does not commit to a timescale for ending corridor care, instead stating that systems must "improve flow through hospitals, with a particular focus on reducing patients waiting over 12 hours and making progress on eliminating corridor care". Ministers have also set an ambition for a minimum of 78% of patients who attend A&E to be admitted, transferred, or discharged within four hours, up from the current 75%, meaning "over 800,000 people a month will receive more timely care". There will also be a focus on seeing more children. The Government wants to slash the number of patients waiting more than 12 hours for a hospital bed – or to be discharged from A&E – so this occurs 'less than 10% of the time', according to the new document. Around 1.7 million attendances at A&E every year currently exceed this time frame. Further measures in the plan are intended to drive down delayed discharges from hospital, which occur when people are medically fit to leave but care in their homes or community has not yet been put in place. Local performance targets will be set to improve patient discharge times, and 'eliminate internal discharge delays of more than 48 hours in all settings', the plan said. Experts said A&E 'league tables' will be published to drive up performance. Those patients who need an overnight emergency admission will also have their overall stay reduced where appropriate – the average is 'currently nearly a day longer than in 2019'. The plan further sets out how ambulance waiting times for category 2 patients – such as those suffering stroke, heart attack, sepsis or major trauma – will be cut by more than 14%, from 35 to 30 minutes. A previous target of 18 minutes has been repeatedly missed. In the document, there is an aim to 'eradicate' last winter's lengthy ambulance handover delays by meeting a maximum 45-minute target for patients to be handed over to A&E. This should help 'get 550,000 more ambulances back on the road for patients', it says. According to the document, around 40 new same day emergency care and urgent treatment centres will also be established to treat and discharge patients the same day, avoiding unnecessary admissions to hospital. Almost 500 new ambulances will also be rolled out across the country by March 2026. The plan details 15 mental health crisis assessment centres, which are designed to ensure mentally ill people do not have to wait in A&E for hours for care. It comes after the NHS experienced a crisis over winter, with patients waiting hours for beds and regularly being treated in corridors – so-called corridor care. A&E waiting time targets have not been met for more than a decade, while the 18-minute target for category 2 ambulance calls has never been hit outside the pandemic. Health Secretary Wes Streeting said: 'No patient should ever be left waiting for hours in hospital corridors or for an ambulance which ought to arrive in minutes. 'We can't fix more than a decade of underinvestment and neglect overnight. 'But through the measures we're setting out today, we will deliver faster and more convenient care for patients in emergencies. 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The Liberal Democrats claimed the Government had listened to their calls to end corridor care, but called on ministers to follow through on their promises. Lib Dem health spokesperson Helen Morgan MP said: 'Patients have heard these kinds of promises before only to be led up the garden path. 'We can't bear any more of the shameful neglect and failed delivery that we saw for a decade under the Conservatives. 'It's good to see ministers finally listen to Liberal Democrat demands to end corridor care but the misery in our A&Es will only be prolonged if they continue to move at a snail's pace on social care. 'Until they grasp this nettle, millions are at risk of dangerously long waits in A&E. 'They must see sense and conclude their review into social care by the end of this year.'

Gonorrhoea vaccinations to start in Northern Ireland in August
Gonorrhoea vaccinations to start in Northern Ireland in August

BBC News

timean hour ago

  • BBC News

Gonorrhoea vaccinations to start in Northern Ireland in August

The Department of Health has said a targeted vaccination programme against gonorrhoea has been approved across Northern Ireland. Eligible patients will be offered the vaccine from August 2025, the department said. Those eligible include gay and bisexual men who have a recent history of multiple sexual partners or have recently had a sexually transmitted infection (STI). Gonorrhoea is now the most prevalent STI diagnosed in sexual health clinics in Northern Ireland, according to the Public Health Agency (PHA). England will also begin its vaccination roll out in August this vaccine roll out will also focus mainly on gay and bisexual men with a history of multiple sexual partners or an was given by the Joint Committee on Vaccination and Immunisation (JCVI) in November 2023, which recommended roll out of the vaccine following an upsurge in gonorrhoea Minister Mike Nesbitt said the launch of the vaccine programme is "important and very timely for Northern Ireland's public health". He added that by targeting those "most at risk", there is an "opportunity to curb the spread and reduce transmission rates". The vaccine is an existing one for meningococcal B disease, called 4CMenB. The UK Health Security Agency (UKHSA) research shows that those who receive the jab could be protected from the STI by up to 40% and it could help tackle levels of antibiotic-resistant strains of the disease. Record number of gonorrhoea cases PHA figures for Northern Ireland show that between 2021 and 2022 the number of cases jumped from 652 to 1,606 - the highest number recorded by the were 951 cases in 2019, but that dropped to 455 in 2020, likely due to changes in behaviour and healthcare associated with the Covid 2023, there were 1,561 new cases, accounting for almost a third (28%) of all new STI diagnoses in Northern Ireland. Of those diagnosed, 75% were males and of those 67% were gay, bisexual and men who have sex with does not always have symptoms, but they can include pain, unusual discharge, inflammation of the genitals and infertility. The chief medical officer said the vaccine roll-out will have "significant public health benefits for both those who receive the vaccine, and the wider population".Sir Michael McBride said the programme has "the potential to result in less patients presenting with more complex cases and clusters of gonorrhoea".He encouraged all those eligible to take up the vaccine when offered. What is gonorrhoea? Gonorrhoea is easily passed from person to person through unprotected one in 10 infected men and almost half of infected women do not experience any infection can be passed from a pregnant woman to her baby, and without treatment, can cause permanent blindness for a newborn is not spread by non-sexual contact like is not transmitted through surfaces and materials like toilet seats, towels, cups or you have had successful treatment for gonorrhoea before, you can still catch it NHS.

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