Health & fitness
Girl, 9, with ‘Rapunzel syndrome’ rushed to A&E after ‘tummy ache’ found to be hairball ‘eating through her stomach’
A YOUNG girl with ‘Rapunzel syndrome’ had to undergo a four-hour operation to remove a huge hairball that was “eating through her stomach”.
Sophia Goss began pulling out her hair and chewing on it when she was 18 months old as a “soothing” technique to help her fall asleep.
Mum Megan Sayce, 32, thought she had got her daughter to break her habit in just eight weeks by putting olive oil on the youngster’s locks.
However, Sophia, now nine, was rushed to hospital after passing out from the pain in her stomach.
She spent four hours in surgery and a further 10 days in hospital after medics removed a hairball “the size of her belly” that had created a hole in her stomach.
She was found to be battling Rapunzel syndrome – an extremely rare medical condition where the hair a person has eaten becomes tangled and trapped in their stomach.
READ MORE ON RAPUNZEL SYNDROME
Megan, from Lenwade, Norfolk, said: “It was scary. The hairball filled her whole stomach and had worn away the lining which meant her stomach contents were leaking into her body.
“She wasn’t allowed to eat or drink for seven days and was in the high dependency unit for seven of the 10 days she was in hospital.
“Six weeks before she had the operation, we had taken her to the doctors with stomach pain and they said it was her diet without examining her too much.
“They didn’t seem to have much awareness of what it could have been.”
Sophia began pulling out her hair when she was just a tot and had removed half of it before her parents could teach her to stop.
Emma, a shift manager at McDonald’s, said: “She would do it as she was falling asleep.
“She’d pull tufts out all the time, but the GP and health visitor didn’t really have any advice.
“I Googled it and managed to get her to stop in eight weeks.
“I put olive oil in her hair and got her some gloves for when she slept so she couldn’t pull it.
“Then when she was four years old she was very ill and threw up a hairball.
“We took her to a doctor but they didn’t really know what could stop it. She wasn’t pulling her hair as far as we could see.
“She eventually got better, wasn’t eating her hair and it was growing out nicely, so we didn’t think much of it.”
I’ve never heard my daughter scream in such pain. She said she felt like she was going to die
Emma
On New Year’s Eve 2018, Sophia was taken to A&E by her parents as they thought she had a stomach bug – until she cough up a hairball.
They were advised she had thrown it all up and there was nothing to worry about.
However, on December 12, 2023, Sophia woke up in tears, saying she felt like she was “going to die”.
Megan said: “I woke up at 4am and heard her crying – she said she felt like she was going to die, was throwing up and passed out.
“I’ve never heard her scream in such pain so we called the GP when they opened but they couldn’t fit her in until 5pm.
“We spoke to 111 and they said they’d send an ambulance.
“I went to work and when I came home at 10am because she was still so ill, they called back and said they wouldn’t be sending one.
“They told us not to take her to hospital as it would be too busy but we rushed her to the hospital ourselves. I was worried it was appendicitis.
“It turned out she had a hairball the size of her belly, which was causing ulcers and creating a hole in her stomach.”
After the four-and-a-half hour gastric perforation surgery, Sophie spent 10 days at the Norfolk and Norwich University Hospital and is now recovered.
Megan said: “It scared her. She used to chew on the ends but because there was no bald patch, we didn’t think that was what it was.
“She doesn’t do it anymore.”
WARNING TO PARENTS
Megan and Sophia want to raise awareness of Rapunzel syndrome as they believe opportunities to identify the problem were likely missed.
The mum said: “There isn’t much help or knowledge about Rapunzel syndrome because the act, which causes it, seems quite harmless.
“But we got lucky with Sophia. If we hadn’t taken her to hospital she would’ve got sepsis and then who knows what might have happened.
“Just chewing or sucking on the hair can cause the problems.
“Parents should keep an eye on your children, go to the doctors and push them for answers.
“If they’ve got a belly ache and they’re bloated, get answers and help break the habit.”
The main symptoms of Rapunzel syndrome include abdominal pain, nausea and vomiting, bloated stomach, reduced appetite, weight loss and constipation or diarrhoea.
Other cases of Rapunzel syndrome
RAPUNZEL syndrome is a condition that results from ingesting hair.
It occurs when a large hairball, also called trichobezoar, gets lodged in the stomach and extends into the small intestine.
Rapunzel syndrome is named after the fairy tale character, who was known for her long hair.
Symptoms usually include stomach pain, bloating, weight loss, nausea and vomiting.
It is considered “extremely rare”, though exactly how many people experience it is unclear.
Doctors in India previously removed a 15lb hairball from the stomach of a 17-year-old girl, Sweety Kumari.
She is thought to have built up the hairball while eating her own hair over a period of years.
A similar incident occurred in Russia, when an unnamed teenager, 16, was found to be carrying a giant hairball.
And in 2017, doctors removed a 3lb hairball from a woman’s bowel shortly after giving birth.
Rapunzel syndrome can be fatal. Also in 2017, 16-year-old Jasmine Beever died after a hairball in her stomach became infected.
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Womens Workouts
IRON Series 30 Min Leg Workout – Dumbbell Leg Day | 1
Day 1 in The IRON Series and we begin with a complete leg day workout involving some of the main dumbbell movements to recruit as much muscle as possible within each rep.
Being able to perform a movement through its full range of movement with control should be the aim. Of course we all have slightly different ways of performing the same movement including depth, foot position or range of movement available so it is important to always tweak to suit you such as toes pointed out slightly during squat if better or lower to knees and not beyond during RDLs.
Even during this workout, you could consider it as ‘dynamic stretching’ as you are moving the joint through the range available.
And use it as practice! Every workout I do is a practice session! I am forever thinking during each rep… rather than moving the weight from A to B, think about lifting ‘with’ the muscle too. Mind muscle connection can be powerful and hopefully we will see more research coming in future relating to the potential benefits of this in hypertrophy.
If you think about a bent over row… rather than allowing yourself to draw elbows up to move the weight, actually think about the muscles in your back contracting to lift the weight. This can be applied to nearly all movement patterns. Overtime, you become even more susceptible to this coming more naturally when you lift.
Every workout I share is unedited. One take and it’s my entire workout so you will see me struggle for sure! And hopefully be able to see also the focus.
I am constantly thinking as I lift and sometimes I may be thinking about one aspect when I then notice my foot isn’t perfectly inline with thigh or I could improve my neck being inline with my spine…I am saying this to remind you the importance of focus, especially when lifting. And that we all are improving continuously!
Have fun lifting and use the next 6 weeks to improve even more!
The dumbbells I am using for your reference are 15kg each!
The timer will be on for 60 seconds per exercise with 30 seconds rest inbetween!
SUITCASE SQUAT
SUITCASE SQUAT
STATIC LUNGE
SWITCH SIDE!
SWITCH SIDE!
SWITCH SIDE!
RDL
RDL
RDL
REAR STEP LUNGE
SWITCH SIDE!
SWITCH SIDE!
SWITCH SIDE!
PAUSE AT BOTTOM GOBLET SQUAT
PAUSE AT BOTTOM GOBLET SQUAT
LATERAL LUNGE
SWITCH SIDE!
SWITCH SIDE!
SWITCH SIDE!
FINISHER:
30/30/30/60
1/2 REP GOBLET SQUAT
FULL RANGE!
1/2 REP!
BODYWEIGHT FULL RANGE!
Let’s lift, let’s go!
Cx
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Useful Links
Don’t forget to Subscribe and turn on notifications so that you don’t miss any Workouts, Community Updates or Surprises: https://youtube.com/c/carolinegirvan/?sub_confirmation=1
Optional Add-ons
5 Minute Warm Up: https://youtu.be/c0VxUFHdYzs (Always warm up before any workout)
Today’s Optional Add-on Workout: https://youtu.be/uVwNVEQS_uo
20 Minute Stretch and Relax: https://youtu.be/y87vSUoIMGU
IRON Series Playlist: https://www.youtube.com/playlist?list=PLhu1QCKrfgPWmStsg7imo5EQ0zmkxymJ2
IRON Series Calendar: https://carolinegirvan.com/IRON-Series-Calendar.pdf (Printable)
My Website: https://carolinegirvan.com
Caroline Girvan Community: https://facebook.com/groups/carolinegirvan
Instagram: https://instagram.com/carolinegirvan
Business Enquiries Email: info@carolinegirvan.com
Ab Workouts: https://www.youtube.com/playlist?list=PLhu1QCKrfgPX_3_Fir25lT1zjLvmjifl7
Cardio Workouts: https://www.youtube.com/playlist?list=PLhu1QCKrfgPVj9hpw_O3t1LoUcqUWpJio
HIIT Workouts: https://www.youtube.com/playlist?list=PLhu1QCKrfgPXHHqpj3cBJkNSRwF3P3h2k
Here is the link to my favourite cardio workout just for your reference!
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Disclaimer: If you are new to exercise or planning on embarking on a new fitness programme, you should consult your physician. This video may offer health, fitness or nutritional information and is meant for educational purposes only. This information is not meant as an alternative to seeking professional medical advice or suggested treatment. Please know that performing any exercise or programme is solely at your own risk.
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Health & fitness
Brain-swelling ‘sloth’ fever could be caught via SEX as cases detected in Europe for first time
DEBILITATING ‘sloth’ fever could be passed on via sex, experts fear, after the virus was detected in sperm.
The little-known disease, officially called Oropouche virus, was found in Europe this summer for the first time after it started spreading rapidly in Latin America.
The bug typically circulates between primates, including sloths – hence the nickname – before it is occasionally passed to humans by midges and mosquitoes.
Until now, experts didn’t think the virus could spread from person to person.
But a new study found “live” Oropouche virus in the semen of a 42-year-old Italian man 16 days after he initially developed symptoms, sparking concerns about possible sexual transmission.
The findings, published in Emerging Infectious Diseases, could also impact sperm donation and fertility treatments.
“Pending further evidence we recommend use of barrier protection when engaging in sexual intercourse if OROV is confirmed or suspected,” the Italian researchers said.
Most Oropouche infections are mild, with symptoms similar to Dengue, including a headache, body pains, nausea, a rash and sensitivity to light.
Some individuals may also experience gastrointestinal symptoms, like sickness and diarrhoea.
In severe cases, the virus can also attack the brain leading to meningitis or encephalitis, which can be fatal.
To make matters worse, the disease is currently incurable.
It has been circulating in Latin America and the Caribbean for decades.
A surge in cases of the bug, which is endemic in the Amazon Rainforest, has been recorded in Brazil this year – 7,284, up from 832 in 2023.
And many infections have been recorded in areas that have not previously seen the virus, including Cuba.
Last month, Brazil reported the world’s first deaths from the bug after two women in their early twenties passed away in Bahia state in the northeast of the country,
The two women, aged 21 and 24, suffered severe bleeding and hypotension and were reported dead on July 25.
At least 19 cases of Oropouche were reported in Europe for the first time in June and July, according to the European Centre for Disease Prevention and Control (ECDC) – with 12 in Spain, five in Italy and two in Germany.
But these cases were imported into Europe – 18 of the people infected had just travelled back from Cuba and one of them from Brazil.
Oropouche virus: Everything you need to know
Oropouche fever is a disease caused by Oropouche virus
It is spread through the bites of infected midges (small flies) and mosquitoes.
Symptoms of Oropouche fever are similar to dengue and include headache, fever, muscle aches, stiff joints, nausea, vomiting, chills, or sensitivity to light.
Severe cases may result in brain diseases such as meningitis.
Symptoms typically start 4–8 days after being bitten and last 3–6 days.
Most people recover without long-term effects.
There are no specific medications or vaccines are available.
Precautions
Travellers heading to affected areas should take steps to avoid bug bites.
The virus is endemic in many South American countries, in both rural and urban communities.
Outbreaks are periodically reported in Brazil, Bolivia, Colombia, Ecuador, French Guiana, Panama, Peru, and Trinidad and Tobago.
Wear tops with long sleeves and long trousers, apply insect repellent regularly, and sleep under a mosquito net if you are not in enclosed, air-conditioned accommodation.
Source: US Centre for Disease Control and Prevention
Health & fitness
The 8 subtle symptoms of Lyme disease – and why so many celebrities seem to get the debilitating bacterial infection
MIRANDA Hart is the latest in a string of famous people to be diagnosed with Lyme disease.
The bug has previously struck the likes of model Bella Hadid and her mum Yolanda, singers Justin Bieber and Avril Lavigne, and actor Ben Stiller to name a few.
Lyme disease is a bacterial infection carried by ticks which spreads when they bite humans.
There are around 3,000 cases in England and Wales every year.
It can cause flu-like symptoms, including fatigue, headache, swollen joints and a fever, which can last for a few weeks.
In some cases, patients can suffer from side effects for years.
Read more on Lyme disease
This is what happened to the Call The Midwife actor, for whom it took 33 years to get a Lyme disease diagnosis, after initially mistaking her symptoms for agoraphobia, an anxiety disorder.
The comedian has now opened up about the health battle she faced behind closed doors during an appearance on Radio 4’s Today programme while discussing her new book.
“I was basically bed-bound – and housebound,” the 51-year-old said.
“There’d be times where I’d look at a glass of water, and think, ‘I don’t know how to pick that up’.
“All anyone wants is to be heard, accepted, loved and seen… and when you’re not – particularly in a medical situation – it’s the worst.”
So why does it seem like so many famous faces are being diagnosed with it?
Professor Paul Hunter, an expert in infectious diseases from the University of East Anglia, said there could be some factors that make celebrities more vulnerable.
“But it’s more likely that we’re more interested in hearing about celebrities, so we don’t hear about normal people,” he told The Sun.
Stars’ increased leisure time and access to the wilderness where ticks live could put them at greater risk, he added.
“If there is a rich and famous or class bias in this, it’s probably because they spend more time walking around in wooded parkland, more money to go out to those areas, or have big homes with these sorts of places,” Prof Paul said.
“As you’re walking along, the ticks jump on your legs and crawl their way up, then have a blood feast and give you Lyme disease,” he previously told MailOnline.
Celebs also have access to better healthcare, so may be more likely to get a diagnosis – though it can still take some time.
When Miranda finally received her diagnosis, she was able to trace the condition back to her teenage years.
“Probably when I was about 14 or 15, I got a tick-borne illness and that’s when my symptoms started,” she recalled.
“It was such a relief. I mean, being misunderstood and misjudged is one of the hardest things about this kind of condition. For sure.”
Most celebs who have spoken about their Lyme disease diagnosis happen to live in the US – where there are over 300,000 cases per year.
Alexis, 41, who is married to tennis legend Serena Williams, detailed his diagnosis in a series of posts on X (formally Twitter) earlier this year.
“Doing a full battery of health scans, tests, etc, and found out I have Lyme disease,” he said.
“Wild. No symptoms, thankfully, but gonna treat.”
Other celebs diagnosed with Lyme disease
These stars have spoken candidly about their battle with the tick-borne disease:
- Yolanda Hadid
- Bella Hadid
- Anwar Hadid
- Riley Keough
- Amy Schumer
- Justin Bieber
- Avril Lavigne
- Shania Twain
- Ben Stiller
- Alec Baldwin
- Kelly Osbourne
- Miranda Hart
TV star Yolanda Hadid revealed she had suffered depression amid a pileup of symptoms for the better part of a decade, which she attributed to chronic Lyme.
“I can’t begin to describe the darkness, the pain and the hell I lived through every day,” the 60-year-old socialite told British Vogue in February 2021.
“This disease brought me to my knees.”
Her daughter, Bella – now 28 – also last year described how she had undergone 100 days of treatment amid a battle with the condition.
The supermodel shared snaps of her medical records, which revealed the extent of her health problems spanning over a decade.
According to the documents, she suffered from extreme fatigue, memory disturbances, depression, sleep disorders, headaches, muscle weakness and joint aches as a teenager.
She also experienced night sweats, heart palpitations, cold hands and feet, numbness, ADHD, ringing in her eyes and chest pain.
Singer Justin Bieber said, in January 2020, that doctors had diagnosed him with Lyme disease after receiving nasty remarks about his appearance.
“While a lot of people kept saying, “Justin Bieber looks like s***, on meth” etc. they failed to realise I’ve been recently diagnosed with Lyme disease,” the 30-year-old artist wrote on Instagram.
“Not only that but I had a serious case of chronic mono which affected my skin, brain function, energy, and overall health,” he added.
Actor Ben Stiller told The Hollywood Reporter in 2011 that he’d been diagnosed with the bug in 2010.
“I got it in Nantucket, Massachusetts, a couple of years ago,” he said.
I had no idea a bug bite could do this – I was bedridden for five months
Avril Lavigne
“My knee became inflamed and they couldn’t figure out what it was, then they found out it was Lyme.
“I’m symptom-free now, but Lyme doesn’t ever leave your system. It’s a really tough thing.”
In September 2020, standup comedian Amy Schumer opened up about her Lyme disease diagnosis, saying she’d had it for years.
In a post on Instagram, the Trainwreck actress said: “Anyone get Lyme this summer? I got it and I’m on doxycycline.
“I have maybe had it for years. Any advice? Can you have a glass of wine or two on it?
“I know to stay out of the sun. I’m also taking these herbs from cape cod called Lyme-2.
“I also want to say that I feel good and am excited to get rid of it.”
Avril Lavigne, spoke of her own diagnosis in 2015, which she revealed in an interview with People magazine.
She said: “I had no idea a bug bite could do this – I was bedridden for five months.
“When you go through something like that, you realise how fulfilling simple things are – things I could do anymore, like being able to get up in the morning and go to the kitchen and grab a cup of coffee.
“It taught me patience; it taught me being more present. That was a beautiful lesson.”
What are the subtle symptoms of Lyme disease?
Most people develop a distinctive red rash in the shape of a circle with a ring around it between three and 30 days after they are bitten.
The rash can vary in size significantly and can expand over the course of days or weeks.
Typically, this blemish grows to around 15cm in diameter.
The 8 main symptoms of Lyme disease are:
- A rash
- Tiredness
- Muscle pain
- Headaches
- High temperature
- Joint pain
- Chills
- Neck stiffness
If left untreated, Lyme disease sufferers can develop much more serious symptoms including:
- Severe joint pain
- Nervous system pain which can lead to paralysis of facial muscles, memory problems and difficulties concentrating
- Heart problems, such as inflammation of the heart muscle
- Inflammation of the membranes around the brain and spinal cord as with meningitis
What to do if you get bitten
If you’ve been bitten by a tick, it will attach to your skin.
You should try to remove it as soon as possible. This helps to reduce the risk of getting a tick-borne infection, like Lyme disease.
This is a bacterial infection that causes a pink or red circular rash to develop around the area of the bite.
You should:
- Use a tick removal device or fine-toothed tweezers to gently grip the tick as close to the skin as possible.
- Pull steadily away from the skin without crushing the tick.
- Wash your skin with water and soap afterwards.
- Apply an antiseptic cream to the skin around the bite.
Do not use a cigarette end, match head, alcohol or petroleum jelly on a tick.
Many pharmacies and outdoor stores sell tick-removal devices.
These are useful if you often spend time in areas where there are ticks.
If the tick’s mouthparts break off in the skin and can not be removed, this may cause irritation. But, they should fall out naturally in time.
Source: NHS
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Health & fitness
Cases of incurable ‘eye-bleeding disease’ with mortality rate of 90% surge in one week – infecting 58 and killing 13
THIRTEEN people have died in a major outbreak of a highly contagious “eye-bleeding disease” – as cases almost doubled in the space of a week.
The sometimes fatal virus – which has a mortality rate of up to 90 per cent – has sickened 58 people as it spreads rapidly through the East African nation of Rwanda.
An outbreak of the bug, which is a close cousin to Ebola, was first confirmed in Rwanda at the end of last month.
As of September 30, at least 26 Marburg virus infections had been reported in the East African country.
In an update issued on October 8, Rwanda’s ministry of health warned cases had almost doubled in the space of a few days.
A total of 58 people have been sickened by the virus and 13 have died.
Meanwhile, 33 patients remain in isolation and 12 have recovered.
Health authorities have completed a whopping 2,655 to detect people carrying the highly infectious disease.
This is the first documented outbreak of Marburg virus – which causes uncontrolled bleeding from different body parts including the eyes – in Rwanda and authorities there are racing to trace its source.
Health authorities are also rolling out hundreds of doses of an experimental vaccine, in a bid to stop the fatal virus in its tracks.
Those most at risk – like doctors and people who’ve come in contact with Marburg patients – will be the first to receive the jabs, Health Minister Sabin Nsanzimana said.
It comes after the detection of two suspected Marburg infections shut down a major train station in Hamburg, Germany.
Passengers were evacuated from two platforms at Hamburg Central Station in Germany as emergency personnel, dressed in full protective gear, boarded a train arriving from Frankfurt.
Fears of the disease spreading into Europe were further sparked by reports of a person suspected of carrying the disease travelling into Belgium.
But the Belgian government health authority told The Sun that the individual feared to have potentially carried Marburg virus to Belgium was immediately put into isolation and has completed the full incubation period without developing any symptoms.
The bug was first identified in 1967 in Marburg, Germany.
It’s a “cousin” to the deadly Ebola virus, which killed more than 11,000 people during an outbreak in West Africa between 2014 and 2016.
Virologist Adam Hume, of Boston University in Massachusetts, told the journal Nature that the death rate from Marburg has ranged from 23 per cent to 90 per cent in past outbreaks.
While there are no vaccines or treatments, supportive care can increases a person’s chances of survival.
What is Marburg virus?
Marburg is a filovirus like its more famous cousin, Ebola.
These are part of a broader group of viruses that can cause viral haemorrhagic fever, a syndrome of fever and bleeding.
Up to 90 per cent of those infected die.
The first outbreaks occurred in 1967 in lab workers in Germany and Yugoslavia who were working with African green monkeys imported from Uganda.
The virus was identified in a lab in Marburg, Germany.
Since then, outbreaks have occurred in a handful of countries in Africa, less frequently than Ebola.
Marburg’s natural host is a fruit bat, but it can also infect primates, pigs and other animals.
Human outbreaks start after a person has contact with an infected animal.
It’s spread between people mainly through direct contact, especially with bodily fluids, and it causes an illness like Ebola, with fever, headache and malaise, followed by vomiting, diarrhoea, and aches and pains.
The bleeding follows about five days later, and it can be fatal in up to 90 per cent of people infected.
Early symptoms caused by the virus can be similar to those caused by other diseases, including high fever, headache and malaise.
But people with Marburg soon develop severe watery diarrhoea, nausea and vomiting.
Patients may also begin bleeding from their noses, gums or other areas of their body.
The deadly bug Marburg virus jumps to humans from fruit bats.
It’s then spread from person to person through very close contact with the blood, bodily fluids or secretions from an infected patient, the UK Health Security Agency (UKHSA) notes.
This can be from direct contact or from touching a surface that’s got blood or bodily fluids on it.
EFFORTS TO CONTAIN VIRUS
In Rwanda, some of the first people later found to be infected with Marburg initially tested positive for malaria.
But health-care workers knew something wasn’t right when the usual treatment wasn’t working.
By the time the workers realised they had a Marburg outbreak on their hands, a number of them had already become infected, Mr Nsanzimana said in a press conference last week.
Rwanda this began trialling an experimental vaccine in the hopes of containing the virus.
The east African country has received 700 doses of the vaccine from the Sabin Vaccine Institute, a US-based non-profit organisation.
The Marburg vaccine has only been tested in adults aged 18 and older, with no current plans to conduct trials in children.
According to the BBC, Rwanda’s health minister said there were plans to order more doses of the jab.
Most of the recorded Marburg cases so far have involved healthcare staff treating infected patients in and around Kigali, the country’s capital.
Kigali is home to 1.2million people and has a well-connected airport, raising fears of international spread.
FEARS OF GLOBAL SPREAD
Paul Hunter, a professor of medicine at the University of East Anglia, told The Sun this outbreak of Marburg could “crop up in any country globally”.
“The incubation period is between five and 15 days, plenty long enough for someone to get on a plane and fly anywhere in the world,” he explained.
The incubation period of a virus is the time between exposure to the virus and the onset of symptoms.
“Airport screening wouldn’t eliminate that risk due to the long incubation period,” Prof Paul said, as people could be travelling without showing any symptoms.
Should we be worried?
By Professor Paul Hunter, from the Univeristy of East Anglia
Even if the Marburg was brought over to Europe or the UK, the chance of it spreading like wildfire is small.
The disease spreads easily in hospitals in Africa because they don’t have the infection prevention resources we have in the West.
Once a diagnosis has been made in the UK the patient would be transferred to one of the High Level Isolation Units either at the Royal Free, London or Newcastle.
Once there the staff are very well trained in how to protect themselves.
The risk to healthcare workers would likely be early in the illness when, fortunately, patients are not as infectious.
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