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Inside Health

Epipens & Autoinjectors; Meningitis B Bedside Test; Age Related Macular Degeneration

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 23 October 2018

⏱️ 28 minutes

🧾️ Download transcript

Summary

Adrenaline auto injectors are used to treat life-threatening allergies, anaphylaxis, but there are severe supply issues with the brand leader, epipen, particularly with junior epipen and many parents are reporting problems when their children's devices need replacing. It's an anxious time for those caring for severely allergic children and Dr Margaret McCartney reviews the reasons for the shortage and the latest advice for worried parents. At the same time, epipen has come under fire from a UK coroner, who concluded during an inquest into the death of 15 year old Natasha Ednan-Laperouse, that epipens aren't fit for purpose because they don't contain enough adrenaline or have a long enough needle to deliver it properly. Consultant paediatric allergist at St Mary's Hospital, London and a researcher in children's allergies at Imperial College, Dr Robert Boyle, tells Mark there is widespread belief that the companies behind adrenaline auto injectors need to innovate and better designs are needed.

Meningitis is every parent's nightmare. It can strike anyone at any age but around half of those with the most serious form, Meningitis B, are toddlers and young children. Two years ago, Ezra, who is now three and a half, contracted the disease. His parents, Cosmin and Serena from Carrick Fergus in Northern Ireland, tell Inside Health how this devastating illness spread so rapidly. Ezra's life was saved but septicaemia meant both of his legs, below the knee, were amputated, followed by the fingers on one of his hands. One of the paediatricians who looked after Ezra at the Royal Belfast Hospital for Sick Children was paediatrician Dr Thomas Waterfield. Inspired by Ezra, Tom worked with colleagues at Queen's University in Belfast to develop a rapid bedside test for Meningitis B. The LAMP test - Loop Mediated Isothermal Amplification test - takes just an hour to identify the Meningococcal DNA and it doesn't need specialists to use it. The current lab test for the disease takes a minimum of 48 hours.

Age related macular degeneration, AMD, is the leading cause of blindness around the world, with at least half a million people living with this condition in the UK alone. Treatment has hugely improved in recent decades, with regular injections helping to prevent progressive loss of vision. But intensive monitoring is necessary with monthly trips to hospital for patients for vision tests. Researchers at the Centre for Public Health at Queen's University, Belfast, are trialling ways to avoid these regular hospital visits - saving patients the journey and saving the NHS money. The Monarch Study will assess different ways that patients can monitor their own vision at home, using paper tests or more sophisticated ipad-style eye tests. Mark meets Patricia, who has wet AMD in one eye and dry AMD in the other, who's agreed to be part of the trial and talks to research optometrist Lesley Doyle and Chief Investigator, Dr Ruth Hogg, about the study.

Producer: Fiona Hill

Transcript

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0:00.0

Hello, you're about to listen to a BBC podcast, and I'm Ed Gamble, host of another BBC podcast,

0:05.4

The Traitors Uncloaked. But my show is available only on BBC Sounds, just like Ellis and John's

0:10.6

Saturday bonus episodes, the Pop Top Ten podcast with Scott Mills and Ryland, and comedy specials

0:16.2

from the likes of Harriet Kemsley, Susie Ruffel and Rommas Shranger Nathan. However, and maybe I'm biased, it's really all about the traitors uncloked.

0:24.3

So for a whole bunch of exclusive scoops and podcasts, listen only on BBC Sounds.

0:30.5

BBC Sounds, music, radio podcasts.

0:34.4

Hello, meningitis, every parent's nightmare. It can strike anyone at any age, but around half

0:41.1

of those with the most serious form meningitis B are toddlers and young children. And the effects

0:47.6

can be devastating. This is me, Edra. So this is Ezra.

0:54.5

He's three years and nine months.

0:58.7

And he has lost his lower limbs below the knee.

1:05.6

And he's missing four digits onto his right hand.

1:09.0

I visit a busy pediatric emergency department in Belfast to see a new bedside test for meningitis B

1:15.6

that should help children get the right treatment and get it faster.

1:20.6

And I meet the team behind new research into the benefits of do-it-yourself monitoring

1:25.6

for one of the most common causes of blindness.

1:29.0

But first, life-threatening allergy or anaphylaxis and a shortage of devices used to treat it.

1:35.4

Inside Health listener Elizabeth has two children under 10, both with severe allergies.

1:41.0

Her daughter is allergic to eggs, her son to sesame and eggs. They both have adrenaline

1:46.3

auto-injectors, EpiPen Juniors, to use in emergencies. But when they approach their expiry

1:53.1

date and Elizabeth tried to get replacements, she was told week after week that none were

1:58.6

available. My anxiety levels are sky high because there are none in stock and no news about when they

...

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