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Showing posts with label Morgan Kelly. Show all posts
Showing posts with label Morgan Kelly. Show all posts

Sunday, March 16, 2014

Donie's Ireland daily news BLOG

Economist Morgan Kelly talks with the Central Bank about SME risks

 

STRESS TESTS AND DEBT ON THE AGENDA?

Irish economist Morgan Kelly has taken up Finance Minister Michael Noonan’s invitation to discuss his views with the Central Bank on the threat he believes Ireland’s small businesses faces from the upcoming ECB bank stress tests.
The Sunday Independent has learnt that senior officials from the Central Bank moved quickly to contact Prof Kelly following remarks from Mr Noonan last Monday night in which he acknowledged that the UCD professor’s views had to be taken seriously because of his track record in predicting the country’s house price crash.
“What Morgan Kelly says has to be taken seriously. He was correct before when nobody else was and I think if the Central Bank was to make contact and access some of the data that is underpinning his speech, that would be helpful,” Mr Noonan told reporters at a meeting of eurozone finance ministers in Brussels.
Mr Noonan was responding to a warning given by Prof Kelly in a lecture to the Economics Society in UCD last week. In the course of that address, Prof Kelly said the SME sector which provided most of the employment in the economy was still struggling with debts from the property boom which it was unable to repay.
These businesses were now “an existential risk to the economy”, he said.
News that discussions between Prof Kelly and the Central Bank are already under way will come as a surprise to some given the UCD academic’s past tendency to avoid public attention in the immediate aftermath of making forecasts for the economy.
It is an intriguing development considering Prof Kelly’s devastating criticism of Central Bank Governor Patrick Honohan in 2011.
In one of his rare published articles, Prof Kelly accused Mr Honohan on that occasion of having made what he described as “the costliest mistake ever made by an Irish person” after the bank stress tests conducted by the Central Bank in 2010 failed to properly assess the true condition of the country’s banks.
In a further searing criticism, Prof Kelly accused Mr Honohan of having “deftly sliced off at the ankles” the then Finance Minister Brian Lenihan by insisting that the “bank losses could and should be repaid by Irish taxpayers”.
Mr Honohan rejected that claim, insisting that he was “playing for Ireland” during the negotiations, but that his ECB role was restricted to certain scenarios.
He admitted, however, that the deal had been put together in a hurry and was not the “final solution”, but a “holding operation”.
Responding to Prof Kelly’s latest predictions for the country’s SME sector last week, the Central Bank Governor insisted there was no mechanism whereby the ECB bank stress tests could increase pressure on small and medium-sized businesses.
He said the Irish banks had been working through the SME loans on their books in a very systematic way for the past three or four years.
“As with the mortgages, it has been very slow, but it has been going on and the banks are dealing with the loans,” Mr Honohan said.
Speaking to the Sunday Independent in the course of his official St Patrick’s Day visit to Sydney, Australia, Agriculture Minister Simon Coveney also rejected Prof Kelly’s views on the dangers faced by the SME sector.
“I think he’s wrong but he’s entitled to his opinion,” Mr Coveney said.

The ESB makes €415m profit after hiking prices up by 8%

 

Profits at the ESB surged to more than €400m last year, even as the semi-state company piled price hikes on hard-pressed householders.

The state-owned power company yesterday reported profits of €415m for 2013 – up from €335m a year earlier.
The soaring profits will spark calls for the hugely profitable company to reduce the price of electricity and gas for customers.
The boom in profits at the ESB comes as it is under increasing pressure from Government to pay higher dividends that could help fund the Exchequer.
Last year the Government took €258m out of the business, including a special dividend of €161m raised by selling the ESB share in a UK power station.
The latest 23% rise in profits comes after the company raised electricity prices for consumers by 1.7% at the start of January, following a 5.9% price hike in late 2012 – a cumulative rise of almost 8%. The price rises have added around €82 to the annual electricity bill for a typical customer.
The January increase made it the third winter in a row that households were hit with a price rise for electricity.
The ESB raised gas prices by 2% last October. It says rising gas prices on international markets is the big driver of prices. Profits at the company rose more sharply than sales, which increased by a more modest 5% to €3.42bn.
The founder of price comparison website Bonkers.ie David Kerr said rising profits highlighted the need for consumers to make sure they were not overpaying for electricity.
“Consumers have to be vigilant, there are great rates available for electricity and gas, including for the ESB’s Electric Ireland, but you have to go out and get the discounts,” he said.
Deregulation of the sector means power companies can charge what they want, and standard tariffs across the sector are high, according to Mr Kerr.
Meanwhile, the simmering industrial relations row at the power giant means this year’s financial results will be pored over by unions, whose demands that the main company pension be classed as a “defined benefit” scheme almost led to nationwide power outages last year.
The wording in this year’s accounts around the controversial pension appears to leave open the question of who is financially on the hook, if the scheme was ever to fall short of cash, despite a deal with unions last year to end the strike threat.
This month, unions at the ESB wrote to management threatening legal action if the pension was not referred to as a ‘defined benefit scheme’ and a ‘balance of costs’ scheme in the 2013 accounts.
The new ESB accounts do call the pension a defined benefit scheme – meaning pensioners are entitled to a fixed income regardless of the performance.
But they go on to say it is “different to the normal ‘balance of cost’” pension and that the ESB has no legal obligation to increase contributions to maintain payouts – in the event of a deficit.
Last night, the workers’ union declined to comment on the carefully worded accounts.
Meanwhile, the ESB itself puts the likely bill for this winter’s storms at around €30m for the company.
The past winter saw the worst storms in 20 years, according to ESB’s finance director Donal Flynn.
The state-owned power company “threw everything” at the storm clean-up, including bringing in 300 contractors from abroad and sparing no expense when it came to machinery and materials, he said.
He praised the extraordinary efforts by ESB staff to restore power in the aftermath of the storms that hit nationwide.
Average pay at the ESB fell to €59,000 last year for the company’s 7,500 thousand staff from €69,000 in 2010 as a result of a five-year programme that aims to slash 25pc of costs from the business by 2015.
That programme remains on track to deliver total savings of €280m, Mr Flynn said.

Ireland’s ambulance emergency services not up to scratch

 

Too many emergency vehicles arrive too late, and when they do, people can die. Can anything be done to improve this underfunded service?

Colm Murphy, an advanced paramedic with Dublin Fire Brigade, provides the kind of response that anyone making a 999 call for an ambulance would hope for.
In the middle of Dublin recently a cyclist crashed into an opening car door. It cut a sizeable hole in his chest, and as his chest filled with air his lungs started to collapse. Murphy was on the scene within four minutes of the emergency call being received.
“When we arrived he was in huge difficulty. He was on his knees, making very short sentences, pleading for help. He couldn’t breathe.” Murphy and several fellow paramedics got him into the back of the ambulance. “As he was taking his last gasps we drove a needle into his chest wall, to allow the air that was trapped in his chest out and, therefore, to allow the lungs to reinflate.”
Had Murphy arrived five minutes later the cyclist’s heart would probably have arrested. The cyclist received the kind of prehospital emergency care we expect in a society with some of the best medical care in the world. Not all are so lucky.
We do not expect a person who is choking, or in cardiac arrest, or who has been assaulted, to be left waiting for an ambulance for 30 minutes, 45 minutes or even an hour or more. It happens. And when people die after such delays, we do not expect the Minister for Health to say in Leinster House that the emergency was responded to correctly and appropriately.
Families across the Republic have been talking about the trauma of watching their loved ones at their most vulnerable, needing emergency medical help, and their own helplessness as they wait for an ambulance that arrives too late.

SOME EXAMPLES OF SLOW AMBULANCE SERVICES:

Maura Porter, a Donegal woman, was hit by a car on her way home from Mass in December. She lay on the road for almost 50 minutes before an ambulance arrived.
Elizabeth Riordain choked on food in Tralee last November. She was left waiting for half an hour after her husband, Michael, called 999.
Wayne McQuillan was stabbed and left bleeding for so long that a garda brought him to hospital in Drogheda in his squad car.
All these patients died. Their families are not only shattered by the traumatic deaths but feel bewildered, angry and let down by a front-line emergency service they believed they could depend on.
When the circumstances of these deaths were raised in the Dáil, by Charlie McConalogue of Fianna Fáil , the Independent TD Michael Healy-Rae, and Gerry Adams of Sinn Féin, Minister for Health James Reilly gave answers provided by the HSE National Ambulance Service, or NAS. The answer he gave McConalogue, a TD for Donegal North East, about Porter’s death was typical of those given to the other TDs.
“The call,” he said, “was triaged as clinical status 1 delta (life-threatening). The nearest available resources – a rapid-response vehicle with an ‘advanced paramedic’ and an emergency ambulance, both in Letterkenny – were dispatched . . . The response vehicle and ambulance arrived in 40 and 43 minutes, respectively. A second ambulance from Letterkenny arrived in 50 minutes . . . The NAS has reviewed this call and is satisfied that the call was triaged correctly and that the nearest available resources were dispatched.”
A 999 call is classified as “echo” if it involves life-threatening cardiac or respiratory distress and as “delta” if it is another type of life-threatening condition. In 2010, to help improve the ambulance service, the Health Information and Quality Authority (Hiqa) set target response times for emergency care, following a process in which the National Ambulance Service was closely consulted.
Hiqa said that both echo and delta calls must have a first responder on the scene within seven minutes and 59 seconds. A first responder can be a paramedic, an advanced paramedic or a trained cardiac first responder. A fully equipped ambulance should then arrive within 18 minutes and 59 seconds.
Hiqa set targets for the proportion of calls that should get such timely responses. The seven minute and 59 second response time should be met for 75 per cent of echo and delta calls, for example. The target time for the fully equipped ambulance to arrive was set at 85 per cent of cases by December 2012, rising to 90 per cent by December 2013.
These targets have never been met. In fact the HSE lowered the ambulance-time targets to 80 per cent in 2012 and 70 per cent in 2013. Compliance rates have improved on paper as a result, although reports emerge constantly of failings in ambulance response times or mishaps with the ambulances themselves.
More than 100 parliamentary questions about ambulances have been tabled in the Dáil since January. The more than 30 TDs who have asked them, including McConalogue, Healy-Rae and Adams, are almost all from outside Dublin. Most of their questions are about the impact of delayed response times or about National Ambulance Service resources. The NAS operates mainly outside the capital but does have ambulances in Dublin; Dublin Fire Brigade provides emergency ambulances within the city.

Could philosophy in the community aid Ireland’s recovery?

 

The pub is ‘an unrivalled space for civic discussion’, but discussion must lead to action, says an Inishowen community activist in Donegal.

Sometimes dismissed as a niche activity in Ireland, philosophy has traditionally been associated with monks and seminarians.
Or those who didn’t quite get the points of science.
But this mis-categorises the discipline, says Brendan Flanagan, a Co Donegal community activist who believes philosophy can be done – an d is be ing done – in pockets of civil society across Ireland. As in Plato’s day, he sees a role for debating over a drink, and the Inishowen Civic Forum, which he helped to found, has held a number of meetings on the peninsula to demonstrate in practical terms that philosophising is not just for ivory towers.
Arguing that the pub is “an unrivalled space for civic discussion”, Flanagan – a retired Met Éireann employee who has also been involved in adult education and job-creation initiatives – provides today’s idea: Ireland needs to develop its own civic philosophy.
Can philosophy take place in local communities?
Brendan Flanagan: “Yes, and it does. For philosophy to take place at a community level it requires disposables of both income and time.
“Ironically, a feature of economic recession, where there is a welfare safety net, is that reflective people engage in collective philosophising. These people, experienced in formal and existential education, have time to think and ruminate on matters beyond the immediate.
“Ireland currently enjoys the most highly educated population in its history and therefore the best equipped for philosophical analysis of current problems and issues. It is ironic then that this phenomenon is also accompanied by the highest levels of anomie, of alienation. This is evidenced in electoral indifference, opinionated egoism, failure to educate for empowerment, the erosion of civic equality.
“Those who take time to reflect become ever more detached from civic society as they feel powerless to change what they conclude needs changing.”
What do you mean when you say Ireland lacks a civic philosophy?
“We do not have a positive shared vision for the future of our society. We lack a shared conceptual map to provide us with intellectual coherence for our future. We do not have an open civic dialogue emanating from the citizens.
“The agenda for civic dialogue is set by the elites in Irish politics and by all institutional civic agencies rather than with the collaboration of the people.
“For instance, Government policy is decided behind the closed doors of party rooms from which the public or their media are excluded. Only then is it subjected to the cursory scrutiny of parliament. The bulk of citizens have no role in the selection of candidates for public office, only in their election.
“A true democracy is marked by shared power, shared knowledge, shared respect, and the existence of a viable alternative administration having a differentiated philosophy.”
How might this be achieved?
“Through reaching a broad consensus on both a definition of what we understand by ‘civic society’ and a determination on how to develop it. Traditionally, civic society was understood as the public engagement of citizens in public affairs relating to government, distribution and separation of powers, the legitimation of the use of force, etc, all with a view to promoting civic virtue.

Kenny praises ‘fighting Irish’ rugby team after Six Nations victory

 

Taoiseach tells a Boston agathering that America will be the better for immigration reform.

Taoiseach Enda Kenny speaks to reporters alongside Boston mayor Marty Walsh at a St Patrick’s Day breakfast meeting in Boston today.
Taoiseach Enda Kenny has heaped praise on Ireland’s Six Nations Championship-winning rugby team, saying that the players showed “incredible courage” to win the game against France.
Mr Kenny, who watched yesterday’s match in Washington, said that the game was almost in danger of being a repeat of the game against New Zealand last year that the team lost in the final minutes.
“It was a very physical match but fair play to them – they epitomised what the fighting Irish can do,” he said, speaking after the traditional St Patrick’s Day breakfast inBoston hosted by local politicians.
Speaking afterwards alongside Boston Mayor Marty Walsh, the son of Co Galway immigrants, Mr Kenny likened the Irish rugby team’s victory to last year’s World Series winning baseball team, the Boston Red Sox, noting how that team won after the tragedy of the Boston Marathon bombings.
“My message is always when we apply ourselves to a single objective, there’s actually that is nothing can stop us, not even Les Bleus on this occasion,” Mr Kenny told reporters.
In his speech at the breakfast, the Taoiseach told guests that since the country’s economic crash the Irish people were “fighting back as we know that they can”.
Referring again to Irish immigrants in the US, Mr Kenny said that he had visited the Vietnam War memorial in Washington and seen the name of an Irishman who fought and died in the late 1960s.
“It is important to understand the psychological benefit of so many people being released to pay their way, to pay their taxes, to raise their families and travel home and abroad is so important for America, he said.
He said it was the responsibility of legislators and political representatives to overhaul immigration laws. “America will be the better for it,” he said.
Mr Kenny addressed 1,000 people at the breakfast where the speakers included Massachusetts senators Ed Markeyand Elizabeth Warren, governor Patrick Deval and Congressman Stephen Lynch.
The convivial breakfast, where local politicians poked fun at rivals and colleagues in the state legislature, was hosted with irreverent humour by the effervescent Linda Dorcena Ferry.
The Taoiseach immersed himself in the humorous spirit of the occasion, joking: “In the words of Samuel Johnson, the Irish after a very fair people – they never speak well of each other.”

Great white shark turns tail and heads towards Greenland

File:White shark.jpg 

Biologist says tagged great white likely to head west as waters cool

Lydia’s journey across the Atlantic up to yesterday, as marked on the Ocearch web tracker
The great white shark which has been tracked on home computers as it crossed the Atlantic has turned away from this “green isle” this St Patrick’s weekend and is heading in the direction of Greenland.
Lydia, the one-tonne predator on a course for this coastline earlier this week, was still maintaining her new track northwest towards Greenland yesterday.
“It’s not that she doesn’t like you, but she may not like your habitat,” Massachusetts state senior marine fisheries biologist Dr Gregory Skomal told The Irish Times . The shark, which was tagged by Dr Skomal’s team on theOcearch research project a year ago, set a new record earlier this week as the first such fish to be tracked by satellite across the Atlantic ocean.
Several days ago, she was within 1,200km of this coast, having reached the mid-Atlantic ridge. Dr Skomal judged it an official crossing as she roaming around the mountainous ridge and was “further from us than from you guys”.
However, almost as soon as she began making newspaper headlines, she turned north. Her satellite tag, or “pinger”, which emits a signal when she is close to the surface, placed her just over 1,400km from Ireland yesterday, and just 1,000km from the southern tip of Greenland.
“If she continues on this track, she is going to reach some very cold waters, down to between five and seven degrees Celsius,”Dr Skomal said.”My guess is that she will start heading west, and perhaps southwest, very soon . . . but hey, anything can happen.”
So far, Lydia has covered some 32,000km on her Atlantic “meanderings”, since she was hoisted out of the water and given her tag by the Ocearch team. Her odyssey over the past 12 months appears as series of pink-bead necklaces on the Ocearch web page.
Great whites normally frequent temperate waters, along the coastlines of South Africa, New Zealand, Australia, north and south America, the Mediterranean and into the Pacific. They have been recorded more rarely in cooler waters off Alaska and Canada. 

Monday, March 10, 2014

Ireland daily news BLOG by Donie

The real crisis in Irish economy could be yet to come,

SAYS PROF. MORGAN KELLY

 

Cleaning up SME bank loans may lead to large section of economy being ‘wiped out’

Prof Morgan Kelly said if there is an effort to clean the Irish banks of bad loans to small and medium-sized enterprises, ‘we could be facing something really, really terrible, quite soon.’
Morgan Kelly, the first economist to predict the likely scale of the Irish banking collapse, has said the “real crisis” for the Irish economy may not yet have happened.
If the Irish banks were forced to deal with bad loans to small- and medium-sized enterprises, “we could be facing something really, really terrible, quite soon”.
He said the SME sector provided most of the employment in the economy and many companies within the sector were still struggling with debts from the property boom which they could not repay. Because of their debts, these businesses were “an existential risk to the economy”, he told a recent meeting of the Economics Society at University College Dublin, where he works.
‘Experiment: Prof Kelly said that if the European Central Bank decided to conduct an “experiment” in Ireland and implement a true, rather than a soft, stress test for its banks, this could create problems for SMEs with unmanageable debt.
However, head of economics at NUI Galway and Central Bank commission member Alan Ahearne said the EU-wide bank stress tests could result in banks being told to increase their capital, but would not lead to banks being told to call in loans.
Prof Ahearne said there was no sense of the ECB stress tests being “tough for Ireland and soft for everyone else”.
He said the banks were working towards targets for resolving loans for the SME sector and were “much further along” in resolving the issue than they were with the mortgage problem.
“The banks can’t close down the SME sector; it’s their customer base,” he told The Irish Times . Debt forgiveness for SMEs, he said, was an inevitable part of the process.
Asked about Prof Kelly’s comments, Minister for Social Protection Joan Burton said she could not see ECB president Mario Draghi plunging Europe into another systemic crisis. Speaking on RTÉ’s The Week in Politicsprogramme, she said a lot of the recent employment growth in Ireland was through the SME sector.
Prof Kelly, in his address, said the turnaround in the Irish economy had come more quickly, and the scale of the downturn had been less severe, than he had thought it would be. “This is very, very surprising. It is a big puzzle.”
The answer to the puzzle, he said, was not Enda Kenny. It was Mario Draghi.

Irish people bailed out State not troika, says Bono

 

U2’s Bono addresses Merkel and EPP members in Dublin and claims.

The Irish people not the troika bailed out the State, U2 singer Bono told members of the European People’s Partyin Dublin today.
Bono addressed the centre-right leaders – including German chancellor Angela Merkel – at today’s summit in Dublin of Fine Gael’s European affiliate.
“I want to give an enormous, enormous shout out. The biggest shout out I have in my heart, to the Irish people for coming through. I’d love to say it was the Troika but I think it was despite the Troika. The Irish people bailed the Irish people out,” he said.
Bono attended the event on foot of an invitation from Taoiseach Enda Kenny and his engagement with EPP leaders is non-partisan politically and part of his ongoing dialogue with global leaders.
“For all this progress, for all these achievements, nearly 60 years after the Treaty of Rome, Europe is an economic entity that still needs to become a social entity,” he said. “Europe is a thought that needs to become a feeling.”
Bono attended as a representative of the One campaign against extreme poverty, a group which argues that it is crucial for European leaders to introduce measures to make it more difficult to move money secretly around the world.
The One campaign believes money secretly moved from sub-Saharan Africa through the financial system amounts to some €38.6bn per year, greater than the €29.8 billion the region receives in developmental aid from wealthy western countries.
He called at the EPP meeting for action in European law to introduce public registers of the ownership of “phantom firms” and off-shore companies and trusts.
“Right now, your ministers . . . and your members of the European Parliament are working on another law that could help transform the lives for the poor, and the rest of us, too,” he said.
“It’s a law to inject daylight into the financial system to stop corrupt monies vanishing to ‘safe’ havens and combat money laundering,” he said.

Are we really going to repeat the same mistakes in Ireland all over again?

  

The Irish relationship with property is a complex and emotional one, long celebrated in song and stories, 

A European Commission report which suggested that Irish house prices may be undervalued by 13%, didn’t really surprise too many people.
They look at how house prices have stopped falling in nearly all parts of the country. They read about a supply shortage in Dublin and a house price gain last year of around 13 per cent in the capital. And they conclude that the report may well be right.
The report was based on an equilibrium price, which looks at disposable income, population and the real mortgage rate. Essentially, it is an academic exercise based on a formula and data. These are very useful indicators of the likes of house prices, but they don’t always mean things will play out to plan.
In other words, the property market won’t always do what it is “supposed” to do on paper. Nobody knows that better than we do here in Ireland. The theoretical models suggested house prices were overvalued several years before they actually came crashing down. Confidence, human nature, external surprises and a mixture of greed or sheer panic, can separate reality from the theory.
The European Commission conclusion is not all that different to the findings of a paper published by two economists in the Central Bank back in May 2012.
They concluded that there may have been an over-correction in the Irish property market resulting in an undervaluing of houses by between 12 per cent and 25%.
This paper was met with a wall of pessimism, as many felt, just two years ago, that Ireland would be like Japan with house prices falling for nearly two decades.
Some within the property sector greeted the paper from the Central Bank economists with a sense of elation, having been battered by bad news for five years at that stage.
The fundamental problem with interpreting these studies is that the residential property market is so varied. Two years ago, could you conclude that an apartment in Roscommon or Cavan was 12% to 25% undervalued? I don’t think so. But perhaps the figure was spot on in relation to a three-bedroom house in Ranelagh in Dublin.
Distilling the entire market down to a single percentage figure helps us all discuss the property market over a pint in the pub, but it doesn’t really help much with making predictions that might inform buyers’ or sellers’ behaviour.
Back in the 1990s, before the big boom and bust, it was fair to say that the property market was relatively uniform in movement, if not in value. So if the market was going up, it went up more in Dublin and the rest of the country followed to a similar, but slightly smaller, degree.
Post the crash, different markets are developing. In some parts of the country, houses and apartments in particular are still not shifting. In other places, they are shifting but at very low prices. Elsewhere, they are rising in value.
But you also have to remember that percentage increases can be a little misleading when values fall very low.
For example, take an apartment in a small town in the Midlands. Let’s say it was valued at €150,000 at the height of the boom and had fallen in value to €50,000 at the bottom of the crash. Its value would only need to go up by €6,000 to €56,000 to register a 12% rise. It would still be a very long way from the €150,000 boom- time valuation.
House prices are supposed to be linked to the fundamentals in the economy, and to a certain extent they are. But other factors come into play, including changes in the fundamentals themselves. So, for example, interest rates are incredibly low right now but will they remain so? The euro crisis has abated, but has it really been solved, especially when you look at the work still to be done in places like Italy?
The really big question now is whether anyone should actually buy a home or an investment property on the basis that it might increase in value by 12 per cent or 13 per cent. If Irish people are still using a possible 13% appreciation in value as a reason to purchase a home or make a long-term investment in a rental property, then we have learned nothing over the last seven years.
Buy the house if it makes sense for your needs at this point in time and possibly into the future. If it rises in value, so be it. Factor into your purchase decision the possibility that it could also fall in value.
There is no doubt that the property market is showing signs of life. Rising house prices don’t necessarily benefit all that many people. Falling house prices can be very painful for lots of people.
It is quite bizarre that in a small country with well over 100,000 people in mortgage arrears and thousands more in negative equity, that there is so much excitement about house price rises in Dublin.
Have we the capacity as a nation to do it all to ourselves again in 10 or 15 years time? Sadly, I think we just might.

New blood test developed that can predict Alzheimer’s disease with 90% accuracy
   

A simple blood test has been developed that gives healthy elderly people precious early warning they may get Alzheimer’s within the next three years.

It is hoped the blood test, the first to predict accurately who will become ill, will speed the search for new drugs that can delay or even prevent the devastating brain disease.
It could eventually lead on to widespread screening in middle-age to identify those most at risk and give them greater warning.
Incurable: Alzheimer’s disease causes brain atrophy (decrease in size), shown here by the enlarged ventricle cavities (white, at centre of brain) and the widened pale blue regions.
Experts called the breakthrough a real step forward, but warn it will bring with it ethical concerns, particularly if there is still no cure.
Alzheimer’s and other forms of dementia affect some 800,000 Britons and the number is predicted to double in a generation as the population ages. David Cameron has described dementia as ‘the key health challenge of this generation’.
Existing medicines are of limited use and several promising pills and potions have failed to live up to hopes. However, many believe this is because they are being tested too late in the disease – and may work if given in the very early stages.
The latest research, from Georgetown University in Washington DC, opens up the possibility of identifying those who will benefit from them the most. Even delaying the onset of Alzheimer’s would have a massive impact on the lives of sufferers and their loved ones.
Researcher Howard Federoff took blood samples from hundreds of healthy men and women aged 70-plus. During the next five years, some developed Alzheimer’s. Their blood samples were then compared with the samples taken from the people who remained free of the disease.
This flagged up a battery of ten fats that were present in lower amounts in the blood of those who went on to develop memory problems – despite them appearing healthy at the time they gave blood. Dr Federoff then confirmed the finding on a second group.
Writing in the journal Nature Medicine, he said the test can give two to three years’ warning of Alzheimer’s with 90 per cent accuracy. He said it is the first blood test to accurately forecast if an apparently healthy person will succumb to Alzheimer’s. It is also quicker, cheaper and less invasive than other methods such as expensive scans and painful lumbar punctures.
It isn’t entirely clear how the test works but changes in the blood may be a sign of brain cells deteriorating even when people appear healthy.
Dr Simon Ridley, of Alzheimer’s Research UK, said: ‘More work is needed to confirm these findings, but a blood test to identify people at risk of Alzheimer’s would be a real step forward for research.’
Dr Doug Brown, of the Alzheimer’s Society, said: ‘Having such a test would be an interesting development, but it also throws up ethical considerations. If this does develop in the future people must be given a choice about whether they would want to know, and fully understand the implications.’

Free GP care for Ireland’s under-6s will require more GPs’

 

Draft contract for provision of free care for under-6s not deliverable, conference hears. 

Alex White, Minister of State for Primary Care, accepted there was ‘an issue with resources’
Implementing health reforms such as free GP care for children under-6 will require “far more GPs and practice nurses” and providing an environment for doctors to do the job they were trained to do, a GPs conference heard at the weekend.
Minister of State for Primary Care Alex White was heckled as he spoke in Clonmel on Saturday about the draft contract for GPs to deliver under-6 care but said he will engage with GPs before any policies are finalised.
The Irish College of General Practitioners has described the Government’s new draft contract for the provision of free GP care for the under-6s as “not deliverable with current available manpower ” and the college’s medical director said the contract is a forerunner for the whole population.
“It’s all-encompassing, it’s vague, it’s bureaucratic. It’s layers and layers of things that will have to be reported on,” said Dr Margaret O’Riordan.
“ If you’re going to have your GP spending time reporting and doing paperwork then they’re not delivering the services they were trained to deliver.”
Resources in general practice have been cut by up to 38 per cent in recent years, the conference heard, with Dr O’Riordan describing the situation as “an ongoing saga of crisis for general practice”. The Government’s contract doesn’t take into account the reality of the current resources in general practice, she said. “If it [the new contract] was to be delivered it will require far more GPs and practice nurses.”
Addressing the conference, Mr White accepted there is “an issue with resources” and said he could see the impact that health cuts have had. “But when I go back and talk in Dublin to colleagues in government about primary care and the manifest need for more resources in primary care, I’ve got to actually also talk to them and argue with them about how we can together reconfigure primary care. And primary care is about more than general practice, although general practice is at the very heart of it, and the indispensable heart of it.”
Primary care is more than the doctor, the practice nurse and the receptionist, Mr White said. “It isn’t just going to be a question of giving more resources, although I accept that you have to have those resources, and I accept that primary care is under-resourced and I accept, as anyone with a brain can see, that in a country where you’ve had the kind of economic collapse that we’ve had, the impact that it’s had on social services.
“You cannot take €3 billion out of the health service and say it’s not going to have an impact, it’s clearly had a serious impact and it’s visible to me right across the country and it’s visible to me and manifest to me that that has to be addressed. But we can only do this in a process with dialogue.”
There was some heckling from the floor from ICGP members when he mentioned the under-6 contract and said: “It’s not just about me handing you a contract and saying, ‘sign it, take it or leave it’. That is not my intention.”
He denied the contract was a “fait accompli” and said the Government will be discussing the draft contract with representative bodies.
Professor Jim Lucey, medical director of St Patrick’s Mental Health Services in Dublin, urged GPs to embrace primary care but pointed out that change cannot happen without them. “The people you’re in a scrap with know they cannot deliver either the service or the reform of the service without you.”

New Ozone-destoying gases found in our atmosphere

 

Scientists have now found four new ozone-destroying gases in the atmosphere, most likely put there by humans in the last 50 years, despite a ban on these dangerous compounds.

It is the first time since the 1990s that new substances damaging to Earth’s stratospheric shield have been found, and the experts believe there may be more out there.
“Our research has shown four gases that were not around in the atmosphere at all until the 1960s, which suggests they are manmade,” wrote the team from Europe and Australia in the journal Nature Geoscience.
They analysed unpolluted air samples collected in Tasmania between 1978 and 2012, and samples from deep, compacted snow in Greenland.
“The identification of these four new gases is very worrying as they will contribute to the destruction of the ozone layer,” added a statement from the team.
“We don’t know where the new gases are being emitted from, and this should be investigated.” Three of the gases are chlorofluorocarbons (CFCs) – a group that includes chemicals once found in air-conditioning, refrigerators and aerosol spray cans but banned under the Montreal Protocol.
The fourth is a hydrochloro-fluorocarbon (HCFC), part of a closely related group of compounds which replaced CFCs but are also being phased out.
More than 74,000 tonnes of the four newly identified gases had accumulated in the atmosphere by 2012, said the team.
This is very small compared with peak emissions of CFCs in the 1980s of more than a million tonnes per year. “However, the reported emissions are clearly contrary to the intentions behind the Montreal Protocol, and raise questions about the sources of these gases,” said the team.
Two of the gases, one CFC and the HCFC, are still accumulating. Previously, seven types of CFC and six of HCFC were known to contribute to ozone destruction.
CFCs, the main cause of the hole in the ozone layer over Antarctica, are manmade organic compounds made of carbon, chlorine and fluorine.
They were phased out from 1989, followed by a total ban in 2010. HCFCs, CFC-like compounds which also include one or more hydrogen atoms, are less ozone-damaging but contribute to climate change by trapping more of the sun’s heat in the atmosphere. The ozone layer comprises triple-atom oxygen molecules that are spread thinly in the stratosphere.
It plays a vital role in protecting life by filtering out ultraviolet rays that can damage vegetation and cause skin cancer. In high latitudes in the Southern Hemisphere, where the ozone layer is damaged or subject to seasonal fluctuations, people are advised to cover exposed skin and wear sunglasses.
Possible sources for the new gases include chemicals used for insecticide production and solvents for cleaning electronic components, said the researchers.
Concentration differences between the samples suggested the dominant source was in the industrialised Northern Hemisphere, they added.