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RVC's Veterinary Epidemiology, Economics and Public Health team (VEEPH) has been at the forefront of applying and evaluating new techniques for modelling disease risk, for policy and decision makers to use in surveillance and control of animal and zoonotic infections. Application of their recommendations, including European `Commission Decision' legislation, is contributing to ensuring that Europe remains free from African swine fever (ASF). The status of FAO Reference Centre in Veterinary Epidemiology, awarded by the United Nations' Food and Agriculture Organisation in 2012, recognises the RVC as a centre of excellence in this field and reinforces its role in guiding policies relating to animal health.
Re-use of wastewater for irrigation is essential to secure global food security, but it poses serious health risks. Research at the University of Leeds into the effectiveness of wastewater treatment in pathogen removal and the subsequent development of quantitative microbial risk analysis (QMRA) methods now enable governments, regulators and NGOs to assess risks and identify cost-effective re-use strategies. World Bank policy documents and country-level analysis strongly recommend the QMRA approach developed at Leeds. These policy guidelines and analyses have subsequently impacted on many countries' ability to reduce the costs of wastewater treatment and grow more food safely. This impacts food grown for local consumption and export.
The University of Bath has undertaken extensive research on the conduct of the tobacco industry (TI) and its influence over public policies.
This research has (a) significantly extended understanding of TI influence, by showing that the TI not only attempts to influence public health policies, but also enjoys significant influence over upstream policies; (b) provided some of the best documented examples of corporate influence over EU policy-making, raising concerns about transparency in policy-making; and (c) increased awareness that regulatory reforms known as Better Regulation may pose a threat to public health.
The key impact of this research, from 2008, is that it has reduced the ability of the TI to influence public health policy. This has been achieved by contributing to the development and implementation of Article 5.3 of the WHO's Framework Convention on Tobacco Control (FCTC), the WHO's first global health treaty. These impacts involved work with beneficiaries including WHO and a variety of NGOs and by increasing awareness among policy makers of TI influence.
Tobacco is the leading cause of preventable mortality globally, accounting for almost 6 million deaths annually. The potential for health gain is therefore very significant. This research has had a substantial and demonstrable impact in securing this.
The Galatean Risk and Safety Tool (GRiST) is a clinical decision support system (CDSS) conceived and developed by computer scientists at Aston University from 2000 onwards, where it is being delivered as a cloud-computing service. It is used every day by mental-health practitioners in the NHS, charities, and private hospitals to assess and manage risks associated with mental-health problems. Between 1/1/2011 and 31/7/2013, clinicians provided 285,426 completed patient risk assessments using GRiST. It has changed organisational and clinical processes by its systematic collection of risk information, explicitly linking data to clinical risk judgements, and showing how those judgments are derived. Increasing international awareness has come through presentations to mental-health practitioners in Europe, America, and Australia.
The impact of research by the University of Southampton into global access to safe drinking water has: (i) provided important evidence for new policy initiatives by the World Health Organisation and UNICEF to promote home water treatment to reduce the 1.9 million deaths each year due to water- related infections, and (ii) stimulated debate among a range of stakeholders, including the media, advocacy groups and UN bodies, by challenging the accuracy of the assertion by the UN Secretary General that the UN Millennium Development Goal for safe water access has been met.
Managing and conserving the marine environment requires defining what constitutes healthy ecosystems and understanding the effects of pollution. Edinburgh Napier University (ENU) research defining `undesirable disturbance' allowed the United Kingdom (UK) to mount a successful defence at the European Court of Justice in 2009 against alleged infraction of UK obligations under the Urban Waste Water Treatment Directive. This saved UK taxpayers £6 billion in estimated additional costs. The European Union (EU) Marine Strategy Framework Directive uses a definition of good status for pelagic habitats derived from work at ENU, which benefits policy makers and marine stakeholders by facilitating the establishment of Marine Protected Areas.
Limitations in public access to water environments for recreation are a longstanding source of stakeholder conflict in which previous policy initiatives have been ineffective. Our research has demonstrated how recreational access to inland waters can be increased through stakeholder capacity building and partnership working. In England and Wales the research led to changes in policy decisions for access to water, revised planning policy guidance, improved recreational access, the creation of 102 new jobs, and the modification of management practices by private and public bodies. In Europe the research has shaped new approaches for the management of small waterways in 11 countries.
Human health risks and population vulnerabilities are easily identifiable globally in communities exposed to the effects of climate change and the legacy of industrial contamination. Research by Dr Gagnon and Professor Hursthouse pioneered decision support frameworks and web tools that have been applied at local and national strategy level to improve environment links to public health. Authoritative Guidebooks developed by UWS researchers facilitated locally grounded adaptation to risks from climate change, while web tools enable robust case evaluation, prioritisation and new resources to be secured for the management of a variety of risks to human health from environmental contamination.
Current Defra policy on river catchment management has been informed by our interdisciplinary research over a 10-year period, much of it addressing the challenges posed by the EU Water Framework Directive. Outcomes from our research are reflected in the policies proposed in the 2011 Water for Life White Paper and also in the multi-million pound investment plans of water companies. We have also influenced a whole-community framework for catchment management in the UK that was piloted in 2011 and has now been extended to 100 catchments across England.
Cyanobacteria (blue-green algae) occur globally and produce a wide range of potent toxins (cyanotoxins) that can be among the most hazardous natural products in aquatic environments. Research by the University of Dundee uncovered the biochemical mechanism of action of the microcystin family of cyanotoxins, which resulted in the development of new cyanotoxin detection and analytical methods, and demonstrated the health risks of cyanotoxins. This body of research has had a direct impact on several governmental and regulatory authority guidelines on water safety, resulting in the implementation of procedures to reduce the risks presented by cyanotoxins to water-users.