Dr Jo Middleton FRGS MRSB
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drjmiddleton.bsky.social
Dr Jo Middleton FRGS MRSB
@drjmiddleton.bsky.social
480 followers 1.5K following 6 posts
At @bsmsmedschool.bsky.social I am integrating medicine & conservation in Papua New Guinea + improving scabies control in Britain & Ethiopia. Chair @wildhealthcic.bsky.social Views own. #PublicHealth #MedicalParasitology

https://linktr.ee/DrJMiddleton
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drjmiddleton.bsky.social
'Middleton, Cassell, Walker. 'Scabies Management in Institutions' book chapter now free to read: sussex.figshare.com/articles/cha... .

Very pleased its Open Access after 2-year embargo. For published version (paywall): link.springer.com/chapter/10.1.... Full book: link.springer.com/book/10.1007...
Scabies management in institutions, by Jo Middleton, Jackie A Cassell, Stephen L Walker. Scabies is a particular problem in semi-closed institutions such as residential settings for elderly people, children, and those with learning disabilities; refugee camps and other settings for displaced persons; prisons; schools; hospitals; hostels. What many of these diverse places have in common is a range of transmission drivers which enable scabies to reach very high prevalence including: high densities of potential hosts, social behaviours involving prolonged contact, bed and clothes sharing, manual handling, reduced access to laundry facilities, and immunocompromise. We describe the epidemiology of institutional scabies outbreaks across settings, and based primarily on recent and longstanding evidence from adult health-care we draw out general strategic priorities for case management and outbreak control. The tools and information necessary to carry out an epidemiological assessment of an institutional scabies outbreak are provided, along with guidance on control measures. A summary checklist of the key steps to take in responding to an institutional outbreak concludes the chapter.
October 31, 2025 at 9:33 AM
drjmiddleton.bsky.social
Folk have been making overblown medical claims for cold water for a long-time. Turns out one of the first proposals for a controlled trial (on #scabies fwiw) was a C19th Irish Dr trolling a cold-water proponent. Our new #OpenAccess @bsmsmedschool.bsky.social paper: link.springer.com/article/10.1...
Man swims in cold water. Credit: Oleg Dubyna from Poltava, Ukraine. From Wikimedia, Creative Commons Attribution-Share Alike 2.0 Generic license, see https://commons.wikimedia.org/wiki/File:Man_swims_in_cold_water_(34807325734).jpg
September 1, 2025 at 11:00 AM
drjmiddleton.bsky.social
Exhibition tour begins on how we (@sussexsrp.bsky.social @bsmsmedschool.bsky.social + friends) opened a clinic for forest peoples, improving community health & enabling #conservation of 150 km² of biodiverse #rainforest (storing 1.5M tonnes of carbon). Photos @drjastockdale.bsky.social, story by me.
Exhibition poster: SURFACES: Integrating medicine, conservation, and climate action in Papua New Guinea’s threatened rainforests — a joint exhibition with photographs Dr Jessica Stockdale and story by Dr Jo Middleton. 5 – 17 July 2025, Depot, Lewes, East Sussex. The verdant tropical rainforest of New Guinea is the third largest remaining on the planet. It is home to myriad unique species, and diverse human cultures speaking 800+ languages. However, these forests are being stripped away by multinational logging companies, and their populations face significant daily health challenges. SURFACES is a free exhibition using photography, narrative, and video to tell the story of successful action in response to these crises. As part of an indigenous-led conservation alliance researchers have established medical services for forest peoples, funded by the UK Darwin Initiative and Sussex Sustainability Research Programme. This has improved community health, and enabled protection of 150 km² of biodiverse rainforest, storing 1.5 million tonnes of carbon. This showing of SURFACES is being hosted by Depot, a charity-run cinema, restaurant, and bar in Lewes (East Sussex, UK), as part of its annual Climate Action Festival. If your not from the area, why not make a day of it and see the many historic sights of Lewes, recently ranked by The Telegraph as Britain’s prettiest town. Depot is next to Lewes train station (1 hr 2 mins direct train from London Victoria, travel directions). Everyone is welcome, and please spread the word! Exhibition details: https://wildhealth.org.uk/f/lewes-exhibition-about-conservation-health-in-papua-new-guinea#2ff73be2-315e-43f1-81c9-2bfea5f3652b
June 17, 2025 at 5:08 PM
drjmiddleton.bsky.social
We published this paper 1yr ago today on #Tick hazard in the #SouthDownsNationalPark + how to control without reducing ecosystem health. Free-to-read in @peerj.bsky.social: peerj.com/articles/17483.

Funding & support: @rsb.org.uk @southdownsnp.bsky.social @britishecologicalsociety.org + others
June 12, 2025 at 7:45 PM