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Inside Health

Air Pollution; Infectious Disease and Healthcare Staff; Hymenoplasty

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 18 February 2020

⏱️ 28 minutes

🧾️ Download transcript

Summary

Evidence is building about the impact of air pollution on health, but the relationship between the cocktail of chemicals, gases and particles in the air we breathe and the direct effect on an individual's health is a tricky one to prove. Dr Farrah Jarral cycles to Kings College London to hear about a new study by researcher in respiratory toxicology, Dr Ian Mudway, which revealed, to the surprise of Ian and his colleagues, that particles from brake dust had the same damaging impact on our lung immune system as that familiar culprit, diesel exhaust. It's a result that demonstrates that the toxic risk to our health doesn't just come out of the exhaust pipe and suggests the concept of a zero emissions vehicle might need further work.

COPD or Chronic Obstructive Pulmonary Disease is an umbrella term for a range of respiratory conditions that used to be known by names like emphysema or chronic bronchitis. COPD flare ups or exacerbations are the second largest cause of emergency hospital admissions in the UK. Dr Jennifer Quint, consultant physician in respiratory medicine at the Royal Brompton Hospital tells Dr Farrah Jarral about a world-first study where the individual air pollution exposure of COPD patients was tracked in real time to find out how toxic air can make their condition worse.

What's it like for healthcare professionals working on the front line of infectious disease outbreaks? Dr Michael Kiuber, a consultant in emergency medicine at University Hospital Southampton NHS Foundation Trust, volunteered to treat patients with the deadly infection, Ebola, in Sierra Leone and he describes the challenges to Farrah of caring for very sick adults and children while taking every safety step to avoid contracting the Ebola virus himself. And Inside Health regular contributor, Dr Margaret McCartney outlines the challenges for the NHS in planning how to protect staff as the UK grapples with the global outbreak of Covid-19.

There's a growing trade in female cosmetic genital surgery including hymenoplasty, which claims to the restore the hymen to its virginal state. Scores of private clinics in the UK are offering the procedure with advertising claims like "Get your virginity back!" and "Restore your innocence within one hour!". Dr Leila Frodsham, consultant gynaecologist, specialist in psychosexual medicine and spokesperson for the Royal College of Obstetricians and Gynaecologists discusses the ethics of the procedure.

Producer: Fiona Hill

Transcript

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0:00.0

Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down.

0:23.0

And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Rihalina.

0:26.9

I'm excited.

0:27.6

You're dead to me.

0:28.5

The comedy podcast that takes history seriously.

0:30.9

Listen first on BBC Sounds.

0:34.4

BBC Sounds. Music, radio, podcasts. Hello, on today's program, I'll be taking a look through the microscope at what exactly is in air pollution.

0:44.8

I'll be finding out more about so-called re-vergenisation procedures on offer in the UK

0:49.7

and meeting a doctor who volunteered in the Ebola epidemic to hear what it's like for frontline

0:55.4

healthcare workers in an infectious outbreak. Margaret McCartney will give us a more local perspective

1:00.9

in the light of novel coronavirus. But first, I love riding around London on my bike. It makes my

1:07.6

commute a joy. But what I don't like is inhaling lungfuls of exhaust fumes.

1:13.3

Nearly 95% of Londoners experience levels of air pollution

1:16.8

50% higher than the World Health Organisation's recommended upper limit.

1:21.2

And nearly all major cities in the UK are at or over this limit as well.

1:26.3

I wonder what it's doing to me and as a GP to my patients.

1:31.8

Dr Jenny Quint, consultant physician in respiratory medicine at the Royal Brompton Hospital,

1:36.5

researches the health effects of air pollution.

1:39.1

Over the past few years, there's been a growing body of evidence that air pollution is not good for our health.

1:45.0

So be that cardiovascular disease or respiratory disease, for example, and even some newest studies

1:50.3

looking at things like dementia and a link with air pollution. What's very, very difficult,

1:55.4

though, is actually proving causality. So being able to show that there's a real cause and effect

...

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