- Venomous Animal Envenomation and Studies
- Rabies epidemiology and control
- Marine Invertebrate Physiology and Ecology
- Travel-related health issues
- COVID-19 epidemiological studies
- Yersinia bacterium, plague, ectoparasites research
- Amphibian and Reptile Biology
- Infection Control and Ventilation
- Global Health Care Issues
- Frailty in Older Adults
- Viral Infections and Vectors
- Aging and Gerontology Research
- Healthcare and Venom Research
Liverpool School of Tropical Medicine
2021-2025
UK Health Security Agency
2024
Public Health England
2022
Newcastle University
2014
Abstract A subset of events within the UK Government Events Research Programme (ERP), developed to examine risk transmission COVID-19 from attendance at events, was examined explore public health impact holding mass sporting events. We used contact tracing data routinely collected through telephone interviews and online questionnaires, describe potential large cultural on incidence COVID-19. Data EURO 2020 matches hosted Wembley identified very high numbers individuals who tested positive...
A considerable number of patients present to hospitals in Eswatini each year following bites by venomous snakes. Effectively diagnosing and treating with snakebite envenoming requires healthcare workers have a variety generic snakebite-specific medical skills. In several countries, however, been found limited skills managing patients. We used the Delphi method adapt Hennessy-Hicks training needs analysis questionnaire context subsequently adapted assess self-perceived 90 from ten Eswatini....
In sub-Saharan Africa (SSA), a rapidly aging population is presenting challenges to health care systems. Doctors need specialized knowledge be prepared for the increase in age-related medical conditions. This study aims investigate current provision of geriatrics education (GE) SSA schools and discover some barriers faced its implementation. Questionnaires were sent list SSA, supplied by African Medical Schools Study. Responses received from 25/135 institutions (19%), representing 11...
Introduction Snakebite is an important public health concern, especially in tropical areas, but the true burden remains unclear due to sub-optimal reporting and over-reliance on facility-based data. Methods A community-based cross-sectional survey was conducted Samburu County, Kenya from December 2019 March 2020. Geospatial techniques were used create a sampling frame of all households County multistage cluster strategy select recruit study participants. Five year prevalence mortality rates...
Key aims of the WHO Strategy to halve snakebite morbidity and mortality include health system strengthening training workers. This requires knowledge local needs capacity, worker needs, factors influencing decision-making in management. study explored experiences perceptions management, both individually context their system. We used a qualitative design with semi-structured interviews (n = 14) focus group discussions 4). employed combination sampling strategies aiming achieve maximum...
Introduction Human-snake interactions are common in tropical regions where subsistence-farming and livestock-herding activities predominate alongside proliferation of snakes. Local beliefs perceptions about snakes snakebites influence human behaviour. Understanding these can inform the development resources to drive behaviour change minimise risk injury both humans This qualitative study, conducted between May July 2019, sought explore regarding snakebites, methods prevention management...
Introduction Envenoming by Echis spp. (carpet or saw-scaled vipers) causes haemorrhage and coagulopathy represents a significant proportion of snakebites in the savannah regions West Africa. Early diagnosis envenoming is crucial management these patients there limited evidence on utility 20-minute whole blood clotting test (20WBCT) diagnosing venom-induced consumptive (VICC) following ocellatus . Methods A prospective observational cohort study was conducted at Kaltungo General Hospital...
Abstract Background In 2021, whilst societies were emerging from major social restrictions during the SARS-CoV-2 pandemic, UK government instigated an Events Research Programme to examine risk of COVID-19 transmission attendance at cultural events and explore ways enable people attend a range minimising transmission. We aimed measure any impact on held or close commercially viable capacity using routinely collected data. Methods Data obtained attendees Phase 3 events, for which some...
Introduction Research on snakebite has mostly been conducted settled populations and current risk factors potential interventions are therefore most suited for these populations. There is limited epidemiological data mobile nomadic populations, who may have a higher of snakebite. Methods results We scoping review to gather evidence survey methods used in compared them with contemporary research. Only 16 (10.5%) 154 articles reportedly pastoralist actually involved pastoralists. All...
Background Adverse reactions to antivenom considerably complicate the clinical management of snakebite envenomed patients because it necessitates a temporary suspension life-saving antivenom, increases costs and can compromise patient outcomes. This study sought explore association between cattle-herding occupation ethnic group occurrence early adverse antivenom. Methods cross-sectional was conducted 25th April 11th July 2011 at Kaltungo General Hospital in north east Nigeria. The exposure...