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On March 17, 2020, a member of a Skagit County, Washington, choir informed Skagit County Public Health (SCPH) that several members of the 122-member choir had become ill. Three persons, two from Skagit County and one from another area, had test results positive for SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). Another 25 persons had compatible symptoms. SCPH obtained the choir's member list and began an investigation on March 18. Among 61 persons who attended a March 10 choir practice at which one person was known to be symptomatic, 53 cases were identified, including 33 confirmed and 20 probable cases (secondary attack rates of 53.3% among confirmed cases and 86.7% among all cases). Three of the 53 persons who became ill were hospitalized (5.7%), and two died (3.7%). The 2.5-hour singing practice provided several opportunities for droplet and fomite transmission, including members sitting close to one another, sharing snacks, and stacking chairs at the end of the practice. The act of singing, itself, might have contributed to transmission through emission of aerosols, which is affected by loudness of vocalization (1). Certain persons, known as superemitters, who release more aerosol particles during speech than do their peers, might have contributed to this and previously reported COVID-19 superspreading events (2-5). These data demonstrate the high transmissibility of SARS-CoV-2 and the possibility of superemitters contributing to broad transmission in certain unique activities and circumstances. It is recommended that persons avoid face-to-face contact with others, not gather in groups, avoid crowded places, maintain physical distancing of at least 6 feet to reduce transmission, and wear cloth face coverings in public settings where other social distancing measures are difficult to maintain.

Social exclusion is a dynamic multi-dimensional process that is interactive in nature. The complex interplay between domains, whereby each domain can act as a determinant, indicator and/or outcome of social exclusion, hinders understanding of the process and the mechanisms through which social exclusion exists. This article highlights the need to disentangle these pathways and move beyond descriptive accounts of social exclusion, presenting a new working framework that allows direct hypothesis testing of these between-domain relationships. Whilst this working framework can be applied to any population, this article focuses on older adults. Life events that can drive social exclusion such as bereavement and changes in health are more likely to occur in later life, and occur more frequently, increasing the risk of social exclusion for this population. Rooted in the new working framework, this article presents the construction of later life social exclusion measures for use with Understanding Society – the United Kingdom Household Longitudinal Study. The validity of these measures are considered by examining the characteristics of those aged 65 years and over who score the highest, and therefore experience the greatest level of exclusion. This new working framework and developed social exclusion measures provide a platform from which to explore the complex relationships between domains of social exclusion and ultimately provide a clearer understanding of this intricate multi-dimensional process.

Air curtains are well established to be effective for preventing ingress of flying insects and for preventing mixing of different temperature environments. However, the ability of an air curtain to improve indoor air quality by preventing infiltration of fine airborne particulate matter (PM25) has been less thoroughly studied. This study seeks to use physical equipment in a semi-controlled environment to simulate real-world conditions and validate the effectiveness of air curtains for this use case. The results indicate a significant reduction of about 54% in the rate of particulate infiltration through a doorway with an air curtain operating compared to no air curtain.

In the aftermath of the 2011 England riots, the then Prime Minister David Cameron referred to a ‘small number of families as the source of a large number of problems in society’ (Cameron, 2011). Soon after, the Troubled Families Programme was set up by the government to ‘turn around’ 120,000 troubled families. Despite government rhetoric focusing on ‘neighbours from hell’ (ibid.) the initial estimate of the number of troubled families did not include any indicators of problematic behaviours, such as crime or anti-social behaviour. Instead, a measure previously used by government to classify families with multiple social and economic disadvantages was used (Social Exclusion Task Force, 2007a). This article revisits the research behind the initial identification of the 120,000 troubled families and explores more widely the overlap between families with multiple social and economic disadvantage and their engagement in problematic behaviours. Our reanalysis of the original research data reveals that although families experiencing multiple social and economic disadvantage were at an increased risk of displaying problematic behaviour, only a small minority did so.

Purpose Previous research on time trends of young people’s mental health in Britain has produced conflicting findings: evidence for deterioration in mental health during the late 20th century followed by stability and slight improvement during the early 21st century is contrasted with evidence showing continued deterioration. The present study adds to the evidence base by assessing time trends in means, variances, and both low and high psychological distress scores covering a similar period. Methods GHQ-12 (Likert scale) was regressed on time (adjusting for age) using a sample of young people aged 16–24 between 1991 and 2008 from the British Household Panel Study. Change in variance was assessed using Levene’s homogeneity of variance test across 9-year intervals. Polarisation was assessed by a comparison of the prevalence of scores ≥1 standard deviation and ≥1.5 standard deviations above and below the pooled mean. Results There was a small but significant increase in mean GHQ-12 among young women ( b 0.048; 95% CI 0.016, 0.080) only. Variance increased significantly ( p  < 0.05) across 9-year intervals in seven out of nine comparisons for women and in six out of nine comparisons for men. There were significant increases in low (OR: 1.19; 95% CI 1.05, 1.35), high (OR: 1.27; 95% CI 1.13, 1.42), and very high scores (OR: 1.42; 95% CI 1.23, 1.64) for young women, and increases in low (OR: 1.39; 95% CI 1.21, 1.59) and very low (OR: 1.53; 95% CI 1.21, 1.92) scores for young men. Conclusions The evidence suggests a polarisation of the psychological distress of young women in Britain between 1991 and 2008.

BackgroundSocial exclusion of the elderly is a key policy focus but evidence on the processes linking health and social exclusion is hampered by the variety of ways that health is used in social exclusion research. We investigated longitudinal associations between health and social exclusion using an analytical framework that did not conflate them.MethodsData employed in this study came from 4 waves of Understanding Society, the UK Household Longitudinal Study 2009–2013. The sample comprised all adults who took part in all 4 waves, were 65 years or more in Wave 3, and had complete data on our variables of interest for each analysis. We used linear regression to model the relationship between Wave 2/3 social exclusion and Wave1–2 health transitions (N=4312) and logistic regression to model the relationship between Wave2/3 social exclusion and Wave 4 health states, conditional on Wave 3 health (N=4244).ResultsThere was a dose–response relationship between poor health in Waves 1 and 2 and later social exclusion. Use of a car, mobile phone and the internet moderated the association between poor health and social exclusion. Given the health status in Wave 3, those who were more socially excluded had poorer outcomes on each of the three domains of health in Wave 4.ConclusionsUse of the internet and technology protected older adults in poor health from social exclusion. Age-friendly hardware and software design might have public health benefits.

Fantasy at its most enchanting: An original and absorbing tale from a master storyteller about the profound effects of a single life on the battle against ultimate evil It is Midsummer Day, the beginning of the year 700, in the city of Benign.

The UK Government Economic Service is briefly described and the day-to day work of its members is contrasted with that of academic researchers. It is observed that in government economics is about «dilemmas rather than lemmas» and that a close watch and good judgement, informed by history as well as the latest in economics, is more important than any particular model. A humorous metaphor is used to illustrate how academic advice can often feel to policy makers. The conclusion is a call for the discipline to give more emphasis to equipping 'professional practitioners' and to confess with humility and tolerance the limits of our knowledge.

The aim of this paper is to examine variations in the combination of social roles during times of social change. We specify a latent class approach to examine role configurations for individuals in their early 30s, establishing a typology of how work-and family-related roles combine within individuals born 12 years apart and examine their antecedents. Drawing on data collected for two British Birth Cohorts born in 1958 (N = 10,706) and 1970 (N = 11,005) we provide empirical evidence of both consistency and change in life course patterns. Findings are discussed in terms of destandardilation, differentiation, and individualization of the life course in times of social change and their implications for family research within a life course perspective.

Purpose - Understanding the factors and processes facilitating entry into science related occupations is a first step in developing effective interventions aiming to increase a skilled science base. This paper intends to address individual as well as family and school related influences on uptake of science, engineering, technology and health related careers.Design methodology approach - Drawing on data collected for two British birth cohorts: the 1958 National Child Development Study and the 1970 British Cohort Study, a developmental-contextual model of career development is tested, comparing the experiences of over 17,000 men and women during the transition from school to work.Findings - The findings suggest that there is a persisting gender imbalance both in terms of aspirations and occupational attainment. Interest and attachment to a science related career are formed early in life, often by the end of primary education. School experiences, in particular, are crucial in attracting young people to a career in science.Research limitations implications - Much remains to be done to improve intake in science related occupations, especially regarding recognition and access to science related courses at school, and rendering school experiences more relevant and engaging for young people.Originality value - Comparing career transitions in two longitudinal cohorts allows the study of careers over time, linking early influences to later outcomes, and enables the identification of stable and changing patterns in antecedents and outcomes.