MedVetAcarology @MedVetAcarology@qoto.org

My #introduction : Research Fellow in #PrimaryCare and #PublicHealth at Brighton and Sussex Medical School.

Co-founder of SURFACES PNG, which is supporting #indigenous #conservation of 150km2 of #rainforest in #PapuaNewGuinea whilist providing in-community #medical care.

Interests: #epidemiology, #ntds, #conservationbiology, #parasitology, #diseaseecology, #lymedisease, #scabies, #medicalanthropology, #planetaryhealth.

I'm quoted in a great WIRED article on surging #scabies cases in Britain (particularly in care homes & universities), & my research on the need to up supply of oral #ivermectin for outbreak control & sexual health clinics. https://www.wired.com/story/scabies-outbreak-uk-europe-treatment-shortages-drug-resistance-permethrin-ivermectin/

#scabies #publichealth #parasitology #outbreakcontrol #medicine #dermatology

I was quoted in The Mail on Sunday yesterday after they interviewed me about the ongoing UK scabies surge & need to up #ivermectin supplies for it (not COVID19!): https://dailymail.co.uk/health/article-12959997/NHS-horse-dewormer-Scabies-ivermectin.html. My related @TheLancet piece: https://thelancet.com/journals/lancet/article/PIIS0140-6736(19)32619-4/fulltext

#scabies #publichealth #parasitology #outbreakcontrol #medicine

This afternoon I shared with local authority public health leads and practioners across Kent, Surrey & Sussex *UK) the outputs & recommendations from our
#scabies work. Looking forward to working with them on next steps. Recent outputs:

Middleton, Cassell, Walker. 2023. Scabies Management in Institutions. In Fischer & Chosidow (eds.) Scabies. Berlin: Springer Nature. ISBN 978-3-031-26069-8. https://link.springer.com/chapter/10.1007/978-3-031-26070-4_29

Richardson… Middleton. 2023. Scabies outbreak management in refugee/migrant camps across Europe 2014-17: a retrospective qualitative interview study of healthcare staff experiences and perspectives. BMJ Open. https://bmjopen.bmj.com/content/13/11/e075103

Great to see Brighton & Sussex Medical School website highlight #scabies work by myself & friends. Our work to control scabies
in institutions spans #refugee camps to #carehomes. To learn more about this & other impact case studies & emerging impact see: https://bsms.ac.uk/research/impact-case-studies-2021.aspx

#publichealth #parasites #microbiology #outbreakcontrol #epidemiology #dermatology

📕 Chuffed to pick up hardcopy of new @springernature Scabies book. Includes my chapter on managing institutional #scabies outbreaks from care homes to refugee camps: https://link.springer.com/chapter/10.1007/978-3-031-26070-4_29. Abstract + more info➡️

Middleton et al. Scabies Management in Institutions

Abstract
Scabies is a particular problem in semi-closed institutions such as residential settings for elderly people, children and those with learning disabilities; refugee camps and other settings for displaced persons; prisons; schools; hospitals and hostels. What many of these diverse places have in common is a range of transmission drivers which enable scabies to reach very high prevalence including: high densities of potential hosts, social behaviours involving prolonged contact, bed and clothes sharing, manual handling, reduced access to laundry facilities and immunocompromise. We describe the epidemiology of institutional scabies outbreaks across settings, and based primarily on recent and longstanding evidence from adult health care, we draw out general strategic priorities for case management and outbreak control. The tools and information necessary to carry out an epidemiological assessment of an institutional scabies outbreak are provided, along with guidance on control measures. A summary checklist of the key steps to take in responding to an institutional outbreak concludes the chapter.

Thank you to @nihrresearch for funding support.

This is part of the first comprehensive book on scabies, written by experts from across the world. You can order the full 31 chapter ebook and hardback for your uni/clinical library here: https://link.springer.com/book/10.1007/978-3-031-26070-4

#NTDs #Scabies #Refugeehealth #carehomes #outbreakcontrol #epidemiology #publichealth #medicalacarology #acarology #prisonhealth #parisitology #globalhealth #parasites

In #PapuaNewGuinea's #rainforest we co-planned & established health services with an #indigenous people protecting their #forest home. In my new @bmj_company Open paper my friends & I at Brighton and Sussex Medical & beyond report how we did it + what we learned.
https://bmjopen.bmj.com/content/13/10/e075946

#planetaryhealth #biodiversity #conservation #publichealth #NTDs #medicine #science #nature #dermatology #malaria #fungal #oceania #newguinea #anthropology #health

Presented at Royal Sussex County Hospital on my (Brighton and Sussex Medical School) work with forest communities in #papuanewguinea co-planning & introducing health services into indigenous-led conservation collaborations: https://link.springer.com/article/10.1007/s11625-020-00805-x. The tool-kit we developed for combined clinical and rapid anthropological assessments with parallel treatment of urgent cases is available free for wider use ( https://bmjopen.bmj.com/content/10/10/e041784) & I am always happy to chat with people who may find the methodologies we developed helpful in their own work.

Thanks go out to my amazing group of interdisciplinary co-investigators from institutions in the UK, PNG, & Czech Republic: Jackie Cassell, Gavin Colthart, Francesca Dem, James Fairhead, Michael Head, Dr Moses Laman, Hayley MacGregor, Vojtech Novotny, Mika Peck, Willie Pomuat, João Inácio, Steve Walker, & Alan J Stewart.

#epidemiology #planetaryhealth #remotemedicine #biodiversityconservation #globalhealth #primarycare #tropicalmedicine #rainforests #indigenoushealth #medicalanthropology

Our research poster from Harvard Medical School last month (PDF: https://drive.google.com/file/d/1z3ehnrVvfZG5e_uu8i0Y4HS86Tw_vI8Q/view?usp=sharing) with key findings about 43 projects that have integrated #medical provision & #biodiversity #conservation. #planetaryhealth mapping.

#Planetaryhealth approaches that integrate #medicine & #conservation can improve #health outcomes and protection of #biodiversity, and such projects are more widespread than literature suggests. 5min summary of my talk at @harvardmed earlier this month (funder Darwin DEFRA). #onehealth

https://youtu.be/99Pjye1hYnw

Delighted earlier this week to do joint Q&A following screening of experimental #scabies documentaries (including an #opera) at Towner Art Gallery in #Eastbourne with #Sussex Uni and Brighton and Sussex Medical School colleagues from UK & #Ethiopia. Local newspaper report: https://www.sussexexpress.co.uk/news/people/a-neglected-infectious-disease-that-still-affects-our-town-eastbourne-film-event-3914316 #ntds #dermatology #skindisease

Just joined, so thought some links to my recent work can help folk see what I am about. First up, a piece from me back in May in #TheLancet Regional Health Western #Pacific: 'Can #ivermectin mass drug administrations to control #scabies also reduce skin & soft tissue #infections ? Hospitalizations and #primarycare presentations lower after a large-scale trial in #Fiji'. #scabies #NTDs #dermatology #tropicalmedicine #globalhealth https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065(22)00069-4/fulltext

My #introduction : Research Fellow in #PrimaryCare and #PublicHealth at Brighton and Sussex Medical School.

Co-founder of SURFACES PNG, which is supporting #indigenous #conservation of 150km2 of #rainforest in #PapuaNewGuinea whilist providing in-community #medical care.

Interests: #epidemiology, #ntds, #conservationbiology, #parasitology, #diseaseecology, #lymedisease, #scabies, #medicalanthropology, #planetaryhealth.

15 min talk by me on integrating climate action, healthcare, & biodiversity, inc our #planetaryhealth project in #PapuaNewGuinea. At conference:
Evidence For Action- Aligning #Climate & #SDG Agendas 7/21. https://vimeo.com/581364302

Planning #epidemiology in a medically neglected community? If so, you can use this free-to-use #mixedmethods health needs assessment toolkit. Developed as part of our Brighton and Sussex Medical School #planetaryhealth work in #Papua New Gyinea. Published #OpenAccess in BMJ OPEN: https://bmjopen.bmj.com/content/10/10/e041784