Smoking vs Covid-19; non-urgent treatments; loneliness surveys; Southampton update, covid and the law.
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 28 April 2020
⏱️ 28 minutes
🧾️ Download transcript
Summary
It's well established that the best thing smokers can do for their health is to quit. Smoking contributes to many of the underlying conditions that undermine recovery from coronavirus and it is pretty clear that a coronavirus patient who smokes will likely have a worse outcome than one who doesn't. The FDA in the US recently went so far as to suggest smoking might increase the risk of contracting the virus at all. Nevertheless, existing data coming from various studies of patients around the world appear to show smaller numbers of smokers amongst the hospitalized cases than might be expected from local smoking populations. There are fewer smokers than there should be in the data. But why?
As the University of Edinburgh and CRUK's Prof Linda Bauld tells Claudia, there may be several simple reasons for this, such as data gathering - that patients' smoking status is going unrecorded or unverified. But a study last week from France goes so far as to suggest that nicotine itself, know to disrupt some of the receptors viruses use to enter cells, may be conferring some kind of a protection. It is just a hypothesis, but while the dangers of smoking tobacco still stand, studies on Covid-19 patients using nicotine patches might be worthwhile. And if you are trying to quit, nicotine replacement therapy might be an even better idea just now than was thought.
Inside Health's resident GP Dr Margaret McCartney talks of her concerns for NHS non-urgent treatments being side-lined under the current virus squeeze, and some of her hopes for the future. Professor Pamela Qualter and Dr Margarita Panayioutou describe why lockdown is an important time to do more psychological research into the effects of loneliness and other responses while we have the chance.
And in this week's update from Southampton General, where Inside Science's Erika Wright has been speaking to frontline health workers every week, Mr Robert Wheeler, a surgeon and clinical law expert muses on some of the legal aspects of our coronavirus response.
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. |
| 0:34.0 | Hi there, I'm Claudia Hammond. |
| 0:35.5 | Welcome to Inside Health, the virus from the BBC, recorded on |
| 0:39.0 | Tuesday the 28th of April. How are you getting on? There are quite a few psychologists who'd like to know. |
| 0:45.0 | With the launch of lots of new studies on how we're all coping in these uncertain times, we'll hear |
| 0:49.9 | from two psychologists who'd like to know whether there are positives as well as negatives. |
| 0:54.7 | And could hospitals face legal challenges from staff that can't get the personal protective |
| 0:59.2 | equipment they need, or from patients whose treatment was postponed? |
| 1:03.2 | We begin with smoking and the sometimes contradictory stories out there about its relationship |
| 1:08.6 | with COVID-19. In the US, the FDA warned that if you were |
| 1:12.5 | a smoker and contracted the virus, you might become sicker than non-smokers. Then last week, they |
| 1:18.2 | even added, in response to a question from Bloomberg News, that people who smoke cigarettes may |
| 1:23.3 | also be at an increased risk of becoming infected with the virus in the first place. |
| 1:28.6 | But meanwhile, a new French study suggested that smokers were less likely to get the virus |
| 1:33.8 | and that nicotine might even protect them from it, which all leaves smokers in a tricky |
| 1:39.0 | position. Should they be worried? Should they still be trying to give up or not? In search of clarity, I spoke to Linda |
| 1:45.6 | Bold, who's Professor of Public Health at the University of Edinburgh and Chair in Behavioural |
... |
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