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‘I was in excruciating pain from excess iron’

For years, Katherine Hough, 27, suffered from a series of mystifying symptoms.

“I had unexplained ..

For years, Katherine Hough, 27, suffered from a series of mystifying symptoms.

"I had unexplained stomach pains. Then when I got to university I began to faint frequently, my hair was falling out, I had severe joint pains and was constantly tired. My Mum thought it was down to my hectic student lifestyle."

A visit to her GP and two blood tests for iron levels revealed that she was suffering from genetic haemochromatosis or GH – a genetic condition which causes iron to overload in the body.

Most of us think of iron as a strength-giver and worry more about iron deficiency. There is little awareness of the risks of iron overload, and confusingly some of the symptoms, like fatigue, can be the same.

Says Katherine: "I was very lucky to get a quick diagnosis. A lot of health professionals believe women do not show symptoms until much later in life, which can then lead to potential organ damage.

"In the last year, I have had about 30 hospital and health visits. Today I suffer from chronic fatigue, IBS, and joint pains in my knees, hands and elbows. The only treatment for this is venesection, where I have a pint of blood removed every few months.

"I do feel lucky that I was diagnosed young as it allows me to monitor my health. Some days I am in excruciating pain, other days I am fine. But there needs to be more awareness of this condition."

What is genetic haemochromatosis?

  • GH is a condition which leads to the accumulation of iron in the organs of the body
  • In the UK, it is thought that approximately 250,000 people are at risk of GH, although many are undiagnosed, and the risk is higher for men than women
  • It is caused by a faulty gene – Northern Europeans with Celtic origins, particularly of Irish backgrounds, are more likely to carry the gene
  • Symptoms of GH include fatigue, joint disease, skin problems, and sexual health issues. Left untreated GH can cause serious illness such as liver cancer and cirrhosis.
  • Treatment is relatively simple and consists of venesection (bloodletting). As the body makes more blood to replace that taken, it uses up the excess stored iron.

Source: Haemochromatosis UK

'The most common condition you've never heard of'

A recent report by the charity Haemochromatosis UK (HUK) surveyed 2,000 people with the condition worldwide.

It found that 73% of patients suffered with psychological difficulties, 81% experienced fatigue and 87% experienced arthritis or joint pain.

Although most were satisfied with their treatment by specialists, about a third highlighted that information and support from GPs was poor.

The report was launched at the House of Commons, where MPs, campaigners and patients gathered to help raise awareness of the condition.

Dr Edward Fitzsimons, consultant haematologist, University of Glasgow, said: "Haemochromatosis is one of the most frequent genetic disorders found in North European populations.

"Yet it is a condition that all too easily escapes diagnosis.

"For every one patient diagnosed, there are some eight to 10 who are undiagnosed.

"It is without doubt the most common condition you have never heard of."

'I felt like an old aching lady instead of a young teen'

Abigail Harvey, 19, was diagnosed with haemochromatosis at just 15.

Up to that point she had suffered from severe period pain cramps and joint pain as well as depression. Aged 14 she was taken to hospital for attempting suicide.

"A lovely counsellor I was seeing suggested I get thorough blood tests.

"I had severe pains all over my body, and felt like an aching old lady rather than a young teen.

"Everyone around me thought I was anaemic, but it turned out I was suffering from too much iron.

"Many doctors I was seeing asked me to explain my condition! Why is it that so much is known about anaemia but not its evil cousin?"

Since diagnosis, Abigail has been treated with blood removal, with limited success.

"I can't stress enough to ask your doctor to check your iron levels if you experience any of these symptoms," she said.

David Head, chief executive of Haemochromatosis UK, said: "Abigail's story of menstrual problems, joint pains, mental health issues, delayed diagnosis and the tribulations of treatment will resonate with many patients.

"We cannot stress enough how important it is that healthcare professionals are as aware of iron overload as they are of iron deficiency, and test properly when patients describe these problems."

Follow Laurel Ives on Twitter.

Original Article

BBC

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But doctors' leaders said more guidance should have been given to GPs and patients to avoid disruption over the phased delivery of supplies.

Older adults are advised to get the flu jab by early December.

This gives time for protection before flu starts to circulate, normally later in the month.

However, the staggered delivery of supplies of the over-65s vaccine from the manufacturer Seqirus to GPs and pharmacies means some older patients have not been able to be vaccinated.

Cancelled appointments

In a survey of 650 GPs in Pulse, nearly 70% said there had been a shortage of this flu vaccine at their practice.

That meant they could not vaccinate as many elderly patients as they would have liked.

Some GPs said they had to cancel appointments while others said it had created staffing problems.

But a spokesperson for NHS England said that this week, "100% of vaccines will have been delivered by the manufacturer to those surgeries and pharmacists who placed an order on time". (more…)

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NHS England has asked former government cancer tsar Sir Mike Richards to look at what changes are needed.

Three national schemes cover breast, cervical and bowel cancers.

On Wednesday, it emerged letters about the cervical cancer tests that should have gone to 40,000 women between January and June had not been sent.

About 4,000 of them were results of tests, the remainder were letters inviting them for screening or reminding them tests were due.

Between 150 and 200 of the test results that were not sent out detailed abnormal results.

NHS bosses have been able to contact all those affected.

The service in charge of distributing letters is provided for NHS England by Capita.

Looking at the merits of outsourcing screening was going to form part of the review, NHS England said.

The problems come just months after it emerged 174,000 women had not been invited for breast cancer screening, after mistakes had gone undetected for years. (more…)

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The Eurobarometer survey reported seven in 10 people who received information telling them not to take antibiotics unnecessarily said it didnt change their views on using them.

Excess use of the drugs is contributing to a growing threat of antimicrobial resistance and related infections. As germs multiply they can develop the ability to defeat the medicines designed to kill them — and those infections could be killing more than 33,000 people a year in Europe, according to recent estimates.

“It is ridiculous,” European Health Commissioner Vytenis Andriukaitis said in response to the fact that people arent responding to warnings, at an event in Brussels Thursday. “We have science on one hand and lack of trust on the other.”

“Unless we act decisively, immediately and together, we could face a public health and financial disaster,” he added.

The EU is failing to gain traction with its effort to get member countries to combat the rise of resistance.

The Eurobarometer survey showed the number of people who had taken antibiotics in the last 12 months fell from 40 percent in 2009 to 32 percent in 2017. But less than half of people said they were aware that antibiotics dont work to treat viruses, and 20 percent said they take antibiotics to treat flu or colds.

Seven percent of people said they took antibiotics without having seen a doctor or getting a prescription.

Andriukaitis said the survey, which polled around 27,400 people in 28 countries, shows Europeans “are still not sufficiently aware of the dangers of AMR.”

A report from the European Centre for Disease Prevention and Control (ECDC) on Thursday raised particular concern about the rise of superbugs in hospitals and care centers — estimating there are around 8.9 million cases of health care-associated infections in European facilities each year, many of them caused by multidrug-resistant bacteria. (more…)

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