A new, enigmatic species of black-eyed gecko (Reptilia: Diplodactylidae: Mokopirirakau/) from North Otago, New Zealand.

The New Zealand endemic gecko genus, Mokopirirakau, is notable for its ecology, with some species inhabiting extreme alpine environments, as well as for the large number of geographically circumscribed, species-level lineages awaiting formal description. In, 2018, a population superficially similar in colour and morphology to the black-eyed gecko (M. kahutarae) was discovered in alpine greywacke rock outcrops in the Oteake Conservation Park, North Otago, ~400 km south of the nearest M. kahutarae populations in the upper South Island. Genetic and morphological data indicate that this population is distinct, sister to a clade comprising M. granulatus and M. kahutarae. It can be distinguished from all but one Mokopirirakau species by colour pattern, and from M. kahutarae by smaller adult body size, eye and supraciliary characters, mouth and throat colour, ventral scale row count, tail length, toe shape, and lamellar count. Using an integrated taxonomic approach, we here formally describe this form as a new species, M. galaxias sp. nov., as well as discuss its ecology, likely distribution (particularly with respect to M. kahutarae), and potential conservation issues and requirements. Mokopirirakau galaxias sp. nov. should be considered "Threatened-Nationally Endangered" (qualifiers Data Poor) in the New Zealand Threat Classification System due to the low abundance and restricted known distribution, with potential threats from invasive predatory mammals and climate change. It should be considered Data Deficient in the IUCN Red List system.

COVID-19 within a large UK prison with a high number of vulnerable adults, march to june 2020: An outbreak investigation and screening event.

OBJECTIVE: To describe the public health response to COVID-19 within a large prison with a high number of clinically vulnerable residents. DESIGN: An outbreak investigation was undertaken among all residents and staff. A screening event involved nose and throat swab samples from residents and staff, examined by polymerase chain reaction (PCR). An electronic questionnaire regarding risk factors was distributed to staff. RESULTS: 58 residents out of 1,156 (5.0%, 95% CI: 3.8 - 6.3) and 129 staff out of 510 (25.3%, 95% CI: 21.5 - 29.1) displayed COVID-19 symptoms, including six and eight confirmed, respectively. Residents reported cough symptoms with no fever (29.3%), followed by a cough and fever (15.5%). 62.1% of symptomatic residents were 50 years or older, placing them in the group at risk for severe COVID-19 disease. Wing I had the highest attack rate (12.5%). 1,063 individuals were swabbed during the 5-day screening event, and all had negative swab results. CONCLUSION: The findings were consistent with the hypothesis of a propagating outbreak with decreasing incidence since the peak date of onset. COVID-19 transmission within a high-risk setting was quickly contained, and an explosive outbreak was prevented through a multi-agency public health response.

New Zealand forest-dwelling skinks of the Oligosoma oliveri (McCann) species-complex (Reptilia: Scincidae): reinstatement of O. pachysomaticum (Robb) and an assessment of historical distribution ranges.

The forest-dwelling skinks of the Oligosoma oliveri ('marbled skink') species-complex, from the North Island of New Zealand, have proven difficult taxonomically because all mainland populations are extinct, obscuring patterns of distribution and population interaction. Twenty-four small insular populations have survived off the north-east coast of the North Island, which are at present classified into three species. In this paper I re-assess the available phenotypic, ecological, biogeographic and phylogenetic evidence associated with these skinks. As a result, O. pachysomaticum (Robb) is raised from synonymy with O. oliveri (McCann) and more precise historical distribution limits are inferred for each member of the group. Implications for the conservation management of each species are also discussed.

Making the economic case for prevention--a view from Wales.

BACKGROUND: It is widely acknowledged that adverse lifestyle behaviours in the population now will place an unsustainable burden on health service resources in the future. It has been estimated that the combined cost to the NHS in Wales of overweight and obesity, alcohol and tobacco is in excess of £540 million.In the current climate of financial austerity, there can be a tendency for the case for prevention efforts to be judged on the basis of their scope for cost savings. This paper was prompted by discussion in Wales about the evidence for the cost savings from prevention and early intervention and a resulting concern that these programmes were thus being evaluated in policy terms using an incorrect metric. Following a review of the literature, this paper contributes to the discussion of the potential role that economics can play in informing decisions in this area. DISCUSSION: This paper argues that whilst studies of the economic burden of diseases provide information about the magnitude of the problem faced, they should not be used as a means of priority setting. Similarly, studies discussing the likelihood of savings as a result of prevention programmes may be distorting the arguments for public health.Prevention spend needs to be considered purposefully, resulting in a strategic commitment to spending. The role of economics in this process is to provide evidence demonstrating that information and support can be provided cost effectively to individuals to change their lifestyles thus avoiding lifestyle related morbidity and mortality. There is growing evidence that prevention programmes represent value for money using the currently accepted techniques and decision making metrics such as those advocated by NICE. SUMMARY: The issue here is not one of arguing that the economic evaluation of prevention and early intervention should be treated differently, although in some instances that may be appropriate, rather it is about making the case for these interventions to be treated and evaluated to the same standard. The difficulty arises when a higher standard of cost saving may be expected from prevention and public health programmes.The paper concludes that it is of vital importance that during times of budget constraints, as currently faced, the public health budgets are not eroded to fund secondary care budget shortfalls, which are more easily identifiable. To do so would diminish any possibility of reducing the future burden faced by the NHS of lifestyle-related illnesses.

Road traffic crashes and the protective effect of road curvature over small areas.

Road bends are known to cause traffic crashes, but the hypothesis in this study was that small geographical areas with many road bends have less, not more, road casualties than comparable areas with fewer bends. Data on road crashes involving fatal, serious and slight casualties in 571 wards in Eastern England were examined against four measures of average road curvature (mean angle per bend, cumulative angle per km, number of bends per km and ratio of road distance to straight distance) using regression analysis. Taking account of other risk factors, measures of average road curvature in wards were negatively associated with crash numbers, especially for fatal crashes. The strongest associations were with the cumulative angle turned per km. The results add to evidence suggesting that road casualty risk effects vary with geographical scale. Although individual road bends might be hazardous, frequent bends have a protective effect over a few kilometres of road.

Phylogeographic history of the New Zealand stick insect Niveaphasma annulata (Phasmatodea) estimated from mitochondrial and nuclear loci.

We have assessed the utility of a single-copy nuclear locus and mitochondrial DNA (mtDNA) in a phylogeographic study of the New Zealand stick insect Niveaphasma annulata (Hutton). We amplified sequences from the mitochondrial cytochrome oxidase subunit I (COI) gene and the single-copy nuclear gene elongation factor-1alpha (EF1alpha) from 97 individuals. Allelic phase at the EF1alpha locus was determined using Denaturing Gradient Gel Electrophoresis. Phylogenetic analyses showed broad congruence between the geographic distribution of three major COI clades and EF1alpha alleles, which suggested that the phylogenetic patterns reflect population history rather than lineage sorting. However, the geographic boundaries of these clades were not always in exact agreement between the two loci. Our data indicate that Niveaphasma annulata was most likely separated into a number of refugia during Pleistocene glacial advances. Subsequent to glacial retreat these refugial populations have expanded and now form a number of zones of secondary contact. We contrast these patterns with those observed from other New Zealand taxa. Our study offers compelling evidence for the use of nuclear genes alongside mtDNA for future phylogeographic studies.

Health and social care regulation in Wales: an integrated system of political, corporate and professional governance for improving public health.

Wales is developing a unique integrated system of governance to improve public health, which is diverging from some recent developments in the rest of the UK but shares many common features. There is a focus on strengthening collaborative working and co-ordination between bodies inspecting, regulating and auditing health and social care. Systems are being developed that are proportionate to the level of risk, eliminate unnecessary burdens of external review and support the improvement of services for patients, service users and carers. This is consistent with the Assembly Government's aim to improve the way that public services are delivered in Wales, including strengthening input from the public in the planning, delivery and reporting of regulation and inspection work. The test in the future will be how far we can demonstrate quantitatively and qualitatively the added value from our uniquely Welsh approach, built as it is on devolution and the aspirations for small-country governance.

Investigating hybridization in the parthenogenetic New Zealand stick insect Acanthoxyla (Phasmatodea) using single-copy nuclear loci.

The New Zealand stick insect genus Acanthoxyla Uvarov is extremely unusual among higher taxa of animals in that all known species are obligate parthenogens. We have used a combination of the mitochondrial DNA genes cytochrome oxidase subunits I and II, 28S nuclear ribosomal RNA, and the two single-copy nuclear genes elongation factor 1alpha and phosphoglucose isomerase to test hypotheses on the role of hybridization in the evolution of this genus. Alleles at the single-copy nuclear loci in three sampled species of Acanthoxyla were resolved by cloning the PCR products. Analysis of multilocus genotypes shows that most sampled individuals of Acanthoxyla possess three alleles at the single-copy nuclear loci, which we have interpreted to indicate triploidy. Because most of the alleles from Acanthoxyla form a monophyletic group, including sets of alleles possessed by the putative triploids, we have inferred that the extant parthenogenetic lineages formed via hybridization between species of Acanthoxyla, at least one of which must have been sexual. More recently, there have been multiple introgression events from the related species Clitarchus hookeri White, although C. hookeri does not appear to be involved with the origin of parthenogenesis in Acanthoxyla. Our study demonstrates the utility of cloning alleles from multiple single-copy nuclear genes for resolving the origins of parthenogenetic lineages.

The three domains of public health: an internationally relevant basis for public health education?

By focusing on the Masters of Public Health course, this study took a pragmatic approach to exploring the interface between public health education and public health practice. The commonly utilized 'three domains of practice' framework could provide a robust and explicit link between educational provision and practice for public health. This model provides the workforce, the university, the students and the potential funders of the course with an easily comprehensible framework for understanding how the modules of an MSc can support the development of competency within the context of practice.

Geographical distribution of road traffic deaths in England and Wales: place of accident compared with place of residence.

BACKGROUND: There are two sources of information on road traffic mortality in England and Wales: ONS records giving the place of residence and police records giving the place of the accident. Use of the police records has been limited by the lack of an obvious denominator to control for population at risk. This study compares the two measures and explores the implications of using the same population denominator for both. METHODS: The number of road traffic deaths occurring in 403 local authority districts in England and Wales during 1995-1999 was compared to the number of deaths to residents in the same period. Both numbers were related to the expected number of deaths to residents and selected environmental risk factors using regression techniques. RESULTS: Large differences were found between the number of deaths in each district and the number of deaths to residents. The expected number of deaths to residents was the strongest predictor of both observed totals. The number of deaths in the district and the number divided by expected deaths of residents were highly predictable from road accident risk factors, but the number of deaths to residents and the conventional SMR were not. CONCLUSION: Information on the place of residence of road traffic accident fatalities does not show true variations in accident risk. Police records are better for this purpose. The expected number of deaths to residents estimate provides a partial but effective and unbiased control for population effects.