England's chief medical officer, Professor Chris Whitty, has warned that the country's approach to preventing and managing infections in older people is "hit or miss" and needs a major overhaul. This comes as data reveals that elderly individuals are disproportionately affected by infectious diseases, with most deaths caused by respiratory infections or COVID-19.
While prevention and treatment of infections have led to significant improvements in life expectancy over the past 150 years, Whitty notes that research into infections among older adults has been lacking. "We're very systematic about reducing infections and preventing them in children and young adults, but with older adults, it's often a bit more hit or miss," he said.
The issue extends beyond hospitalization and severe disease, with even moderately serious infections like cellulitis able to significantly impact an individual's quality of life. This can lead to social isolation, as people become trapped at home, and increased risks of stroke, heart attack, and dementia after infection.
Whitty emphasized the importance of individual actions, such as hand-washing, vaccination, and avoiding contact with others until well, in preventing infections. However, he also acknowledged that maintaining a balance between antibiotic use to combat antimicrobial resistance is crucial.
Experts have welcomed Whitty's report, highlighting its focus on improving health outcomes for older adults through better disease prevention and management. UCL professor Arne Akbar noted that this could lead to improved quality of life for longer and alleviate pressure on healthcare systems.
The report also warns about declining vaccine uptake among pregnant women and a drop in childhood vaccination rates, particularly in deprived areas. Whitty sought to dispel the notion that the UK is becoming increasingly vaccine-sceptical, attributing the decline in vaccinations to practical issues rather than misinformation.
In addition, the report highlights the importance of maintaining expertise in imported infections like malaria, as well as acknowledging that pandemics are "entirely predictable", even if their timing is not. Whitty emphasized the need for sustained capacity to prevent and respond to infectious diseases between events, rather than reacting after outbreaks occur.
While prevention and treatment of infections have led to significant improvements in life expectancy over the past 150 years, Whitty notes that research into infections among older adults has been lacking. "We're very systematic about reducing infections and preventing them in children and young adults, but with older adults, it's often a bit more hit or miss," he said.
The issue extends beyond hospitalization and severe disease, with even moderately serious infections like cellulitis able to significantly impact an individual's quality of life. This can lead to social isolation, as people become trapped at home, and increased risks of stroke, heart attack, and dementia after infection.
Whitty emphasized the importance of individual actions, such as hand-washing, vaccination, and avoiding contact with others until well, in preventing infections. However, he also acknowledged that maintaining a balance between antibiotic use to combat antimicrobial resistance is crucial.
Experts have welcomed Whitty's report, highlighting its focus on improving health outcomes for older adults through better disease prevention and management. UCL professor Arne Akbar noted that this could lead to improved quality of life for longer and alleviate pressure on healthcare systems.
The report also warns about declining vaccine uptake among pregnant women and a drop in childhood vaccination rates, particularly in deprived areas. Whitty sought to dispel the notion that the UK is becoming increasingly vaccine-sceptical, attributing the decline in vaccinations to practical issues rather than misinformation.
In addition, the report highlights the importance of maintaining expertise in imported infections like malaria, as well as acknowledging that pandemics are "entirely predictable", even if their timing is not. Whitty emphasized the need for sustained capacity to prevent and respond to infectious diseases between events, rather than reacting after outbreaks occur.