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1/ Worrying to hear @DrRosieRiley on @doctors_kitchen's podcast talking re #modernslavery.

🧑‍🤝‍🧑 It affects 40 mil people (2017)

💵 #modernslavery generates more money cf illegal #drugs trade: $150 bn annually (2014).

GDP of:
🇳🇿 $202bn
🇵🇹 $195bn

@ilo🔗: ilo.org/wcmsp5/groups/…
2/ Regional data from @minderoo - Global Slavery Index: downloads.globalslaveryindex.org/ephemeral/GSI-…

#FOAMed ImageImageImage
3/ Regional data from @minderoo - Global Slavery Index: downloads.globalslaveryindex.org/ephemeral/GSI-…

#FOAMed ImageImage
4/ On the podcast, there was discussion that we talk about ethical consumption, we discuss animal cruelty and IGNORE HUMAN cruelty/exploitation.

See @EthicalCompany:
thegoodshoppingguide.com

#FOAMed ImageImageImageImage
5/ From @C4Dispatches <1p from a £2.50 coffee goes to pickers - some are children. 😟

88p coffee shops
63p coffee shop staff
38p tax
28p milk/cups/stirrers/napkins
25p company profit
10p for the coffee suppliers --> 1p goes to the farmer

6/ How does it #modernslavery happen? #FOAMed

Brief explanation (1 min) from @ilo: youtube.com/watch?v=pD0IT6…
7/ How else can the prices for our goods/services be kept low? #FOAMed

A longer version here from @TEDx: youtube.com/watch?v=oIGBBP…
8/ #Trafficking happens at the @SuperBowl annually. From @RichardLapchick @espn: espn.co.uk/nfl/story/_/id… Image
9/ Even the film "Slumdog Millionaire" broached #HumanTrafficking, from @GoodofAll (think about the film "Taken" too): youtube.com/watch?v=CWGdzv…
10/ What can healthcare professionals do? #FOAMed

Do we ask whether people get paid for work?
Do we ask if people can leave their work?
Can we get accompanied people out of the room if we need to? What strategies work?

Useful link @BMJStudent link: bmj.com/content/356/sb… ImageImage
11/ @VITA_Network have training that might be able to help? (no competing interests, I've never been)

Is everyone trained up on how to identify/combat modern slavery?
@RcgpFaculties @RCGPAiT @RCGPJIC @HackneyVts @carmsgpvts @NewhamGPVTS @gptraininginfo @aman999arora Tens of thousands of victim...
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Related hashtags

#modernslavery #drugs #FOAMed #Trafficking #HumanTrafficking

More from @DipeshGopal see all

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Dipesh Gopal
@DipeshGopal
I wanted to highlight the brilliant work on #Covid_19 being done by colleagues behind the scenes with little/no recognition. If missed out, sorry!

1⃣ @DustynSaint @drstephcoughlin on @PrimaryCareIT which collates guidance as and where it comes:

🔗: primarycarepathways.co.uk/covid19
2⃣ @trishgreenhalgh and the @CebmOxford team who have worked tirelessly working on crunching skips of data to give us clear answers

Roth or not - NOT
Smartphones as oximeters - NO
How to assess breathlessness remotely...

🔗: cebm.net/covid-19/
3⃣ @drgandalf52 @egplearning who provide podcasts, video and website updates:

How to do a respiratory examination remotely
Video consultation skills
Using @MicrosoftTeams for primary care
How to use @accuRx

🔗: egplearning.co.uk
Read 10 tweets
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Dipesh Gopal
@DipeshGopal
1/ As a medical student I was taught:

Less well off people die earlier than more well off people (Marmot)

Those that need our help are least able to access it. (Tudor-Hart)

I'm summarising #Marmot2020 with key graphs. Apologies if I've lost nuance here @MichaelMarmot. #FOAMed
2/ Too often in medicine we focus on 'direct' causes of disease: smoking, diet.

What drives these causes, i.e. indirect causes such as social/economic factors? #Marmot2020 #FOAMed

➡️ Spending on social protection, education, housing and environment has GONE DOWN as % GDP 📉 % of GDP on social spending has gone down over the last decade
3/

➡️Council spending for people in the most deprived areas has been cut the most 📉
#Marmot2020 #FOAMed Council spending per person by quintile of Index of Multiple Deprivation average score, 2009/10 to 2017/18 has decreased the most for most deprived areas.
Read 34 tweets
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Dipesh Gopal
@DipeshGopal
1/ #RacismInMedicine is not isolated 'lived experiences' by leftie wokists

👳🏽👳🏽I have been 'mistaken' for the other brown guy on the team.

🙊 I've been called 'wog' by a patient

🇮🇳 Asked 'Where are you really from?' by patients so we can discuss 'India'. Why does it matter?
2/ It's not really about:

'microaggressions': it's about empathy...if I said this how would the person feel?

What message am I communicating by asking them where they are from? I'm asking if they belong.

Would I ask the same question to someone else?

#RacismInMedicine
3/ It's not really about:

'unconscious bias': it's about understanding how your mind works. Do I treat other people differently based on skin colour? It's uncomfortable to think we all are prejudiced. We are. #RacismInMedicine

@NHSEngland video:
youtube.com/watch?v=BDSurH…
Read 18 tweets

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