The revolutionary changes in mental health care in UK as part of the Mental Health Bill are a step closer to becoming law as it is debated in the House of Lords today, November 25, 2024. This landmark legislation promises to modernize the Mental Health Act, giving patients enhanced rights and ensuring care tailored to individual needs.

The major concept of the Mental Health Bill is the empowerment of patients, giving them much more control over their treatment and increased support from family and friends. The bill introduces the Advance Choice Document, through which patients can provide insights into the sort of care they would like to have if they suffer a mental illness crisis. It will ensure that their voices are heard in ensuring better patient experience and establishing trust in mental health services.

Each patient will also be eligible for a legally mandated treatment and care plan. This change is intended to reduce unnecessary detentions as well as ensure continuous engagement with health services, an important step toward person-centered care.

The Mental Health Act has been criticized for increasing detention rates, racial inequalities, and lack of treatment for people with learning disabilities and autism. Last year, 50,000+ detainees were detained under the Act, many unnecessarily detained for longer than needed.

Challenges such as these were highlighted by an independent review chaired by Professor Sir Simon Wessely, who promoted modernized practice. The new legislation seeks to help avoid unnecessary detentions and ensure that those with learning disabilities or autism are treated in the right kind of environment: normally in some form of community-based care.

By the end of October 2024, 1,880 people with learning disabilities or autism were in detention under the Act, without any co-existing mental health disorder. The Bill would limit detention periods unless there is a criminal offense or an urgent mental health treatment which requires admission to hospital.

These reforms go beyond legislative change. Patients detained under the Mental Health Act will no longer be sent to police stations and prison cells, as has been the case for far too long in crisis care. Instead, they will be sent to healthcare facilities equipped to make necessary provision: a therapeutic and dignified experience.

The legislation also mandates safety improvements, such as before sending a patient home, requiring clinicians to get a second opinion on discharging a patient and having a proper discharge management plan in place. This helps protect patients, staff, and the public by improving better decision-making processes and safeguarding against risks.

Claire Murdoch, NHS national mental health director, described the Mental Health Bill as "a once in a generation opportunity" to deliver safe, evidence-based care while centering the needs and wishes of patients and their families.

The NHS has already began transformation in care for mental conditions with 24/7 crisis mental health hubs and early interventions at school. The intention of these measures is to reduce hospital admissions and treat the patient nearer to home.

How can the Mental Health Bill Enhance Early Diagnosis and Prompt Access to Treatment

The Mental Health Bill is the most significant move in mental health care improvement. The most important change in this bill is how it would promote early diagnosis. With the inclusion of mandatory care and treatment plans under the law, individuals are treated in more defined and clear guidelines with greater precision in handling problems before they head into issues.

More Power to Patients for Better Results

The Bill also gives the patient the upper hand, ensuring that she has a voice in the treatment process. This will result in much more appropriate treatment, better contribution of those in need towards health services and, above all, reducing unnecessary detentions.

The Bill also works to reduce unnecessary detentions, especially among those with a learning disability or autism. This would reduce the burden on health resources, where individuals receive the correct care within the right setting; this could either be in the community or in a health facility.

Spring is a beautiful time, but it often brings along runny noses, sneezing, and congestion. These symptoms can easily be mistaken for either a cold or seasonal allergies. Both share overlapping traits, but they stem from entirely different causes. A cold is caused by a virus, making it infectious, while seasonal allergies are your immune system’s reaction to harmless substances like pollen.

In many parts of the world, it is also the time when seasonal changes are occurring. With shorter springs, longer summers, or the transition in between, pollen is everywhere. However, it does not mean that other common virus and bacteria are gone. So, how do you differentiate between them, especially when you get sick? How do you know when you have a cold or an allergy.

Let us check this out!

What Are Seasonal Allergies?

Seasonal allergies, also known as hay fever or allergic rhinitis, happen when your immune system mistakenly sees pollen as a threat and releases chemicals like histamines to fight it. This overreaction leads to sneezing, a runny or stuffy nose, itchy eyes, and sometimes throat irritation.

Different types of pollen trigger allergies depending on the season. In spring, tree pollen is the main culprit. As the year progresses, grass and weed pollens take over. Due to rising global temperatures, allergy seasons are starting earlier and lasting longer than before.

What Is a Cold?

A cold is typically caused by viruses like the rhinovirus and is more common during seasonal transitions. It spreads easily through the air or by touching contaminated surfaces. Cold symptoms often include a sore throat, fatigue, congestion, sneezing, and a runny nose. You may also experience body aches and a mild fever.

Unlike allergies, which persist for weeks or even months, colds usually last between three and seven days for most healthy individuals.

Key Differences Between a Cold and Allergies

Despite their similarities, colds and allergies have a few clear distinctions:

Duration: A cold is short-lived, usually resolving within a week. Allergies persist throughout the pollen season.

Itchiness: Allergies commonly cause itchy eyes and throat. Colds may bring soreness but rarely itchiness.

Fever and Body Aches: Colds can come with mild fever and aches. Allergies do not.

Contagiousness: Colds are infectious; allergies are not. If you’re sneezing and spreading droplets, you could pass on a cold.

Mucus Color: Colds may lead to yellow or green mucus. Allergy mucus tends to stay clear.

Treating Seasonal Allergies

To manage allergy symptoms:

• Use saline nasal rinses to clear allergens.
• Apply anti-itch eye drops for relief.
• Take over-the-counter antihistamines or corticosteroid nasal sprays.
• Track local pollen levels and avoid high-pollen days.
• If symptoms persist despite self-care, consult a healthcare provider.

Treating a Cold

There’s no quick fix for a cold, but you can ease symptoms by:

• Getting plenty of rest.
• Drinking fluids to stay hydrated.
• Avoiding contact with others to prevent spreading the virus.
• Recovery usually comes with time and supportive care.

Susana Moreira, a 41-year-old woman from Santiago, Chile, has lived with a debilitating form of muscular dystrophy since childhood. She was diagnosed with this condition at the age of 8. Her condition has been progressive since then. As a result, she was bedridden for over 20 years. She was once able to move, but can now no longer walk, bathe, or care for herself.

Her muscles have continued to weaken and she is expected to eventually lose the ability to speak and breathe without help.

What Happens In Muscular Dystrophy?

As per the National Institute of Neurological Disorders and Stroke, muscular dystrophy or MD refers to a group of genetic diseases that cause progressive weakness and degeneration of skeletal muscles. These disorders vary in age of onset, severity, and the pattern of affected muscle. However, one thing that is definite is that this condition is progressive in nature.

As per NIH, it affects by weakening the muscles. Muscles are made of thousands of fibers and these fibers contain cells surrounded by an outer layer of membrane. Muscle fibers that make these individual muscles are bound together by connective tissue. Muscles are activated when an impulse, or signal is sent from the brain. What happens in MD is the protective membrane of the muscle is damaged and the muscle fibers begin to leak protein creatine kinase and take excess calcium. This damages the muscle fibers and then causes the fibers to die, and thus leads to progressive muscle degeneration.

Right To Die

Moreira, is also facing the same condition, which will eventually make her unable to live with dignity. Therefore, she wants to be able to choose a dignified death, though euthanasia.

However, euthanasia and assisted dying are currently illegal in Chile. Her deeply personal plea has reignited a national conversation and become a symbol of the push for legal reform.

The Bill Is Stuck

Chile’s debate over euthanasia is not new. In 2021, the Chamber of Deputies approved a bill to allow both euthanasia and assisted suicide for adults suffering from terminal or incurable illnesses. But the legislation has since stalled in the Senate.

If passed, Chile would join countries like Belgium, Spain, Canada, and the Netherlands in legalizing both practices. In Latin America, Colombia already allows euthanasia, and Ecuador recently decriminalized it, though regulations are still pending.

Speaking Out Before It's Too Late

Confined to her home, Moreira spends her days reading, watching movies, and playing video games. Outings are rare due to the pain caused by sitting in a wheelchair for too long. In a letter to President Gabriel Boric, she urged him to support the bill and shared her fears about reaching a stage where she could no longer communicate her wishes.

President Boric responded publicly, calling the bill “an act of empathy, responsibility and respect,” and promised to prioritize it in his final year in office. However, political turmoil has since pushed the issue to the sidelines.

A Growth In Support

While Chile was once considered one of Latin America’s most conservative nations, attitudes toward euthanasia have shifted. A 2024 Cadem survey found that 75% of Chileans support euthanasia. Another study by the Center for Public Studies reported 89% support for allowing it either always or in special cases.

Supporters argue the law would offer people suffering from terminal conditions a humane and legal option. Critics, however, say better access to palliative care must come first. Chile passed a law in 2022 guaranteeing palliative care, but experts argue its implementation is uneven.

The debate has also been shaped by other moving stories, such as that of Valentina Maureira, a teen who pleaded publicly for euthanasia in 2015 but was denied and died shortly after.

When it comes to keeping your home clean, people do not leave any stone unturned. Our parents would often nag us to clean our rooms and keep the house clean. While it would annoy us to no end, growing up we understood why they encouraged us to keep the place we live in clean. It's not just about making it look good, but also about protecting it from harmful bacteria and germs.

While your home may be your personal space, it can quickly become a breeding ground for germs. You are also more likely to fall sick due to an unhygienic space as you spend a lot of time at home, including resting and sleeping.

However, while you may clean your floors, your closet and the washroom frequently, there are many unsuspecting items that are not cleaned as often, sometimes not at all. These items are mostly used daily, and do not need to be cleaned daily. As insignificant these may seem, periodically cleaning them is necessary to stop them from becoming breeding grounds for health issues.

Unlikely Things That Get Neglected Being Cleaned

Sponges and Dish Cloths

Before tackling dishes or counters, remember your sponge and cloth can be very unclean. They collect food scraps and messes, creating a damp home for harmful bacteria that soap alone won't eliminate. A study published in the American Society of Microbiology revealed that 49% of kitchen towels have bad bacteria. Boiling your kitchen towels may be a good practice to keep hygiene otherwise you replace them periodically.

Carpets and Rugs

Consider everything tracked onto your floors – dirt, mud, and even tiny waste particles. According to research done by Philip Tierno Jr., Ph.D., a microbiologist and immunologist, carpets are 4000 times dirtier than your toilet seats. Shed skin feeds these germs, and rugs trap allergens and pet dander. Regular vacuuming isn't sufficient; the aim for professional deep cleaning annually to remove hidden contaminants.

Cutting Boards

Your cutting board, used for various foods like veggies and raw meat, can easily spread harmful bacteria if not properly cleaned. According to the North Carolina State University, plastic boards can develop germ-trapping grooves, while wood is harder to sanitize. Using separate boards for different food types and thorough washing after each use are crucial for preventing foodborne illness.

Toothbrush Holders

You diligently brush your teeth, but the storage of your toothbrush matters. Damp toothbrush holders, especially in steamy bathrooms, become ideal breeding grounds for various germs. These accumulate, and touching the holder can transfer thousands of microorganisms. Weekly washing with soap or dishwasher cleaning can help maintain a cleaner storage environment.

Coffee Makers

While you likely wash your mug daily, neglecting your coffee maker can lead to more than just a caffeine boost. Single-serve machines have water tanks where bacteria, mold, and yeast can thrive. Experts advise emptying and drying the tank after each use and descaling the machine regularly to prevent unwanted microbial growth.

Tech Gadgets

Think of the many hands touching your remote, the crumbs in your keyboard, and the constant handling of your phone. These shared devices can be surprisingly unclean, with keyboards harboring significant bacteria. Regular wiping with disinfectant and frequent handwashing are essential to minimize germ transfer from these commonly used items.

Pillows

Prepare yourself; your pillows can be a haven for dust mites, dead skin cells, and bodily fluids over time. Experts liken them to damp sponges that absorb various substances, creating a thriving environment for these unwanted guests. Regular washing every six months, annual replacement, and dust mite covers are recommended for cleaner sleep.