Darker-skinned people have more health problems (in the UK in this case) - Grimes & Campbell video with summary

Ethnicity in health and death

Summary of video

Claude AI

(00:45–02:12) Grimes, a consultant physician for 40 years in Blackburn and Burnley, describes noticing a disproportionate illness burden in the local South Asian population — persisting into the second and third generations — and says it was never officially acknowledged. He frames the topic as dark-skinned ethnicity (South Asian and black African/Caribbean), with skin pigmentation as the key variable.
(05:51–07:34) The first UK doctors to die of COVID-19 in April 2020 were almost all of South Asian or African ethnicity. Grimes assembled photo montages from newspaper obituaries showing the pattern continuing well beyond the first 14 deaths.
(09:38–12:27) From BMJ obituary columns for 2020: 12 white doctors and 13 black African/South Asian doctors died of COVID. White age range 84–107 (mean 91); black African/South Asian range 46–79 (mean 62) — a 29-year gap with no overlap between the two ranges. He stresses these were well-paid, well-educated professionals, so poverty doesn't explain it.
(14:34–15:15) UK death certificates don't record ethnicity, so robust national statistics don't exist. Grimes argues that recording ethnicity isn't racist — ignoring the disparity is.
(15:35–21:00) His own MD thesis data: 818 white patients had a median 25(OH)D of 18 ng/mL; 1,574 South Asian patients had a median of 9 ng/mL — half below 10 ng/mL. Only a handful in either group reached the sufficiency line. He notes the assay cost him a pound or two per test, versus ~£30 commercially.
(24:30–28:38) Prof Kamlesh Khunti (SAGE member), asked at a BAPIO meeting in Nov 2020 whether South Asian COVID deaths could be vitamin D deficiency, replied only that "the official line is there is no role for vitamin D." SAGE's 59th meeting similarly dismissed the link. Grimes contrasts this with Israeli data (28:57) showing 90% of patients later critically ill with COVID had pre-pandemic levels below 20 ng/mL, and none had good levels.
(32:00–35:00) The Doreen Lawrence review attributed BAME COVID outcomes to structural racism; the report's only mention of vitamin D was a nurse dismissing its importance. Grimes' counter-question: were the doctors who died "overexposed and underprotected" relative to white colleagues?
(36:00–44:30) Surgical evidence: pre-operative vitamin D status correlates steeply with post-operative infection, and a 2015 systematic review linked deficiency to surgical-site and hospital-acquired infection, graft failure, MI, low cardiac output syndrome, stroke, longer ICU and hospital stay, and inpatient and one-year mortality. Proposal: test and repletewith D3 a month before planned surgery; use calcifediol (effective in ~2 hours vs ~a week for oral D3) for emergency admissions and sepsis.
(46:03–54:18) Maternal health: black women are 26% of preeclampsia cases but 5% of deliveries; ~4× maternal mortality and 2× stillbirth. A 2017 trial giving 50,000 IU fortnightly roughly halved preeclampsia incidence. Leaders quoted (RCOG vice-president, RCM chief executive, an APPG chair) called for multidisciplinary work or blamed institutional racism rather than acting on this.
(1:04:08–1:21:34) Further disparities, each with a proposed vitamin D link: worse stem-cell transplant survival (childhood leukaemia 32% vs 15% five-year mortality), late-stage prostate cancer in black men (2018 dose-response meta-analysis on D and prostate cancer mortality), 8× lupus hospitalisation, and 70% more tooth decay in Asian five-year-olds.
(1:22:23–1:31:15) Closing argument: the full list (rickets, TB, diabetes, CHD, metabolic syndrome, CKD, COVID deaths, ~30-year lifespan gap) is attributed to "vitamin D deficiency syndrome"; the disparities are either racism or deficiency, and the deficiency is the part fixable tomorrow, cheaply and safely. Take-home line: challenge the official line that vitamin D is of no value.

One caveat worth flagging if you use this: the BMJ obituary comparison is the weakest link in the chain. With n=25 and obituary selection bias, the "no overlap" result is striking but is partly an artifact of white British doctors who died at 91+ having died of old age rather than COVID. The blood-level data, the Israeli pre-pandemic cohort, and the preeclampsia RCT carry the argument much better.

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Dr. Grimes

Dark Skin

Entire transcript

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(00:02) A warm welcome to this video and delighted to have Dr. David Grimes, lifelong physician, medical researcher, medical author and uh generally fascinating thinker especially in healthcare area with us again. Uh doctor, thank you so much for coming back. >> Very nice to be with you again, John. Very nice indeed.
(00:25) Thank you for inviting me. >> Not at all. And we've got a particularly interesting topic today. Although I'm a bit concerned it's racist. >> Well, we shall see. >> We We'll have to let the viewer decide. So, uh >> you can decide whether David and myself are being racist in this video. We don't think we are. So, let's get straight onto the topic.
(00:45) Uh David excess ill health amongst dark-kinned ethnic minorities. Well, I spent 40 years working as a consultant physician in Blackburn and then late laterally in Burnley as well. And it became obvious that the Asian population of Blackburn, which is a large population in Blackburn, had a disproportionate amount of illness.
(01:10) >> Really? You saw the first generation coming in, didn't you? >> Yeah, there it was the first generation, but it was still in the second generation as well. It wasn't the first generation >> disproportionately. Yeah, >> indeed. And then it was became the third generation as well. >> But um I was concerned about that >> to be quite honest and it wasn't officially acknowledged.
(01:30) >> And you were curious which >> I was very curious. Yeah. Yeah. >> I was curious about a number of things. You know, the general low health profile in the northwest of England, for example. >> Yeah. and um the poor health profile of the of the poor people. >> Black report comes to mind from all those years ago, doesn't it? >> Yeah. Yeah. Yeah. Yeah.
(01:50) >> Which was um sheld officially, but it was published by in a book form. >> Yeah. That's right. >> That's right. So, this is where it's coming from. I've been thinking about this for many, many years, and you'll see the results of it. >> Fascinating. >> This is what I'm concerned about. >> Yeah.
(02:12) the large burden of excess ill health >> in people in the UK, >> black African and South Asian ethnicity. >> Yeah. Yeah. >> So, we're going to use that term a lot. Black African and South Asian ethnicity. It's a bit of a mouthful, but there we are. That's what it is. >> I mean, basically, you know, to be quite crude about it, we're talking about people that have dark skins that are brown or black, and that's got huge significance as we will see.
(02:34) >> We could paraphrase it by saying dark-kinned people. I agree. >> Sure. Yeah. But I keep using the ethnic term. >> Yeah. No, no, that's fine. And I suppose I suppose um even um other Asians, you know, Chinese to a degree are more sunburn resistant than I am. I know that >> there aren't all that many Chinese or south Southeast Asian.
(02:53) >> No, that's right. Yeah. >> People I can't comment on those at all. >> No, that's a big distinction. When when when they say Asian in the States, very often they mean Japanese, Korean. >> That's interesting. >> Whereas we tend to mean subcontinent India, Pakistan, Bangladesh. >> Well, that's right.
(03:09) South Asian means India, Pakistan, Bangladesh. >> Yeah. Yeah. >> So this is this is where the problem >> and black African also means people from the Caribbean. >> Yes. Of course. >> Who came here indirectly as it were. >> We're talking about African genetics and basically it's the skin colors. The skin color is the the key thing as we're going to see.
(03:25) >> Yeah. >> Now this was an interesting headline. I can't remember when I found this, but it said 90 nearly 90% of doctors warn that health inequalities are harming patients. M >> the Royal College of Physicians calls upon the UK government to set out how its health mission will tackle health inequalities. >> Well, if the UK government did anything, it's failed >> totally >> because the problems continue >> and we saw so in 2020 with a COVID pandemic which would become >> and you you were the first person I know
(04:00) of in the country to point this out. >> I think so. Yeah. Yeah. I might well have been. >> I think I think you were think I I was consistent from the very beginning. >> We got We've got your early uh I mean I think that was the first book you wrote on it, wasn't it? That um this one was probably about the first I'll put it on put it on my screen.
(04:21) >> Yeah. So that that was the first one. >> That's right. Yeah. And then with David Anderson Well, both with David Anderson. You wrote that one and then >> indeed that's right. >> And of course this was after your definitive text. >> Yeah. Well, none on on the >> which also has all the ethnic issues in it as well.
(04:36) >> Yeah. Which was also was also a PhD, wasn't it? >> Yes, that's right. Yeah, indeed. Indeed. >> Yeah. In your spare time, you just dashed off a PhD. >> Was that when you were working full-time as a physician? >> Yes, it was. That's right. >> You must have a very understanding wife. >> I happen to know you have a very understanding wife there. Yeah.
(04:55) Very tolerant. >> Yeah. >> So, uh there we are. Not good at all. health inequalities. >> So the governments do not appear to acknowledge the problem. >> No. >> But the answer lies in the science. It >> does. >> The problem with governments >> Yeah. >> is that >> it's very rare to find a scientist in government. >> Very rare.
(05:16) >> You know, so with the scientific background, >> in fact, in the general population, >> Yeah. >> science is very very badly underrepresented. Understanding of scientific issues is not very high in the general. Parliament seem to be selected out there. You get the very very occasional doctor. >> That's right. Absolutely.
(05:33) >> People like David Davis have got a first degree in science. I think Andrew Bridgen has as well, but but uh >> you're right. It is very rare. That's right. That's right. >> You tend to be lawyers and uh >> yeah, >> they've done degrees in PPE in Oxbridge. >> That's the way it goes. >> Which I'm sure is very interesting, but doesn't tell you too much about molecules.
(05:51) >> No. >> Yeah. >> So, >> so the answer is the answer is in science. We went to look at this. >> This is good. This is good science. >> Now, here we are. >> Yeah. >> This poor >> terrible >> surgeon. >> Terrible. >> Headlines. This is in the newspaper. >> Surgeon dies in Wales after testing positive for COVID 19. >> Yeah.
(06:14) >> As one person. >> Yeah. >> He was a cheerful man before he died. He was very well thought of, I believe, but I don't know. >> He looks like a really nice guy, doesn't he? >> Yeah, he does, doesn't he? Absolutely right. Yeah. Yeah. Yeah. >> Terrible. But that was on April the 8th, 2020. >> And we're dealing with very early in the pandemic.
(06:29) >> Dealing with a surgeon there probably 40 years experience. I mean, what a loss. >> That's right. Yeah, indeed. >> Terrible. >> That's right. >> 8th of April, 2020. So, very, very early on. >> Yeah. But very quickly, he became one of 14 >> Yeah. >> um doctors to die from COVID 19 and then many more. >> Again, learning from doctors, which is remarkably. Yeah.
(06:49) >> Yeah. And there we are. And so to 14. >> Yeah. Now that's the 14. But he didn't stop. And if you look at all those doctors who died, >> yeah, >> you say, "Hang on, >> just a minute. >> They're all there." >> Yeah. >> They're nearly all, if not all of them, are >> of Asian ethnicity or African. >> Absolutely. Yeah.
(07:10) >> Yeah. >> So, if that doesn't arouse scientific curiosity, >> Yeah. >> then, >> how do you explain that? You know, >> if you move on, we'll see even more of them. >> It really is. And this is this is how it went. Now here when we see the doctors >> who died from COVID 19, we see some people of white eth white British ethnicity.
(07:34) >> Yes. >> They weren't exclusively people with dark skin >> but disproportionately >> disproportionately high. And you know these are cumulative photographs these photographs I've taken from newspaper cutings. >> Yeah. at all be >> so you've you've actually taken these uh from >> obituaries. >> Yeah.
(07:59) Well, headlines in the newspapers mainly rather than just a bit >> but it tells a big story. There's a huge problem there and it's wasn't acknowledged during the um well >> still >> he was acknowledged up to a point as we'll see >> was it? Okay. Okay. >> Now we used the word bame. >> Yeah. uh the time I think that's gone out of fashion now.
(08:21) Um >> yeah, these things come >> we just now black African and South Asian ethnicity. >> Yeah, >> that's this was a study from old >> Mhm. >> And it shows that the average patients of these ethnicities died decades younger. >> Yeah. >> Decades younger than white Britons in the study. Is this in >> 31 years younger right out? Yeah.
(08:49) >> Is this CO particularly or is this generally >> this was this was co these were co Yeah indeed. >> Yeah. >> 31 years younger. It's staggering, isn't it? >> It is. It's a scandal. >> Totally. >> What's been done about it? >> I mean you just imagine running your statistical tests on that. You know you will come out with significance which was 0.
(09:14) 00001 0000001 or something like that, you know, it's >> we'll see more of this more detail. >> Yeah. >> Now, this is doctors who died, >> right? >> No, not every doctor who died gets an obituary in the British Medical Journal. >> Of course not. >> They can if they want to, but a lot of it doesn't. It doesn't happen. >> Yeah.
(09:38) Anyway, these we're looking here have taken data from the abituary columns of the British Medical Journal in 2020. >> Right. This is just you collecting data. >> Me collecting data. Yeah. But anybody could have done. >> Yeah, of course. >> You know, the British Medical Journal's widely >> just happened to be you. >> Me. I'm just interested in these things.
(09:57) I'm interested in collecting data and I'm interested in ethnic problems. >> Yes. So we can see that deaths from COVID 19 only >> Yeah. >> 12 of them were ethnic white. >> Yeah. >> And 13 were ethnic black African and South Asian. >> Yeah. >> Now there's a discrepancy. >> Yeah. >> Because it's not an equal balance.
(10:20) Correct. In doctors. >> Correct. >> The ethnic whites are the majority. >> Yeah. >> But here the marginal minority. Yeah. >> Look at the ages. The age range of the ethnic whites ages between 84 and 107. >> That is that is that is striking, isn't it? That really is a long time, don't they? Yeah. >> And the ethnic black African and South Asian age range is 46 to 79.
(10:45) >> Yeah. >> And the mean the I shouldn't say men actually mean average age of death. Sorry about that. Yeah. Yeah. >> Mean average age at death was 91 in the ethnic white and 62 >> in the ethnic black African and South Asian. There's a third that's again a 31 year difference. >> Dying 31 years earlier as a group of people in the UK.
(11:10) >> Yeah. I wasn't aware of that. 31 years is >> these these ethnic black African South Asian doctors. They weren't poor. They weren't uneducated. >> No. They were well very well educated and they earned very good salaries. They were not poor at all. They were doctors. >> Yeah. Middle class citizens basically.
(11:28) Yeah. Yeah. That's right. >> And so >> and a lot of them senior doctors at that. >> Yeah. That's right. Yes indeed. >> Yeah. >> So this is just um >> frightening. >> It really really is when you see the raw numbers there. >> We'll look at this again as bar charts. Oh yeah. Each blue column represents one person.
(11:47) >> Yeah. And the height of the of the bar >> indicates the age at death, >> right? >> So we can see someone was 107. >> Yeah. >> But the interesting thing is we can see again the white were much um older. Yeah. >> Than the black African Southeast Asian. >> But there's no overlap. >> There's no overlap. That's amazing.
(12:08) >> No overlap. >> There must be some statistical test that looks for lack of overlap. >> I don't know what we are. As I say, >> that's a 31 year difference. >> Actually, no overlap between the two age ranges. >> It was not 31. It's a 29 year difference. Sorry. >> Right. >> 29 year difference. >> But that that not having an overlap is >> Yeah.
(12:27) >> Yeah. >> I mean that that is impressively clear. Impressively clearcut. >> Yeah. Yeah. this >> information >> um I don't think reached consciousness of >> no >> of the of of the medical establishment of the country or certainly not of the government. >> So we've got thousands and thousands of clever doctors. >> Yeah.
(12:47) >> And and and one one retired consultant physician was the only one to work it out and the only one who read the British Medical Journal from the back. >> Yeah. >> Yeah. No, talk about hiding in plain sight. I mean it's >> Exactly. Yeah. Yeah. >> Exactly. >> Yeah. No overlap. That's that's very impressive in a very appalling way, but it is impressive.
(13:10) >> Yeah. >> Yeah. >> People will say, "Well, that's not representative." >> These are just doctors. It's not representative of the whole population because people will say that because they want to put this information down. >> Yeah. This makes uncomfortable reading for the people at the top of our government and society medical establishment >> who dictate the narrative.
(13:33) >> They don't want to know. They got to push this down. They got to say, "Oh, that Grimes material. It's a lot of complete nonsense. He makes it all up." Well, it's not made up because it's from the British Medical Journal. Can you look back at it? >> Absolutely. >> But we've got to acknowledge that the best information is available.
(13:50) We must use it. >> Yes. And we hope the more robust statistics might become available in the future. I bet they don't. But I don't think anybody's interested enough to make this happen. I'm desperately interested in this problem of why this group of people died 31 years younger. 30 years younger. >> Totally.
(14:09) I mean, if it was any other cause of death, you know, if it was say um >> I don't know, social class or >> income bracket, you know, the liberals would be all over it saying, "Oh, look at all the the these people that earn less money are dying 31 years younger." You know, they would be up in arms about it. >> The point is that when it comes to robust statistics from the government >> that in deathification, ethnicity is not recorded.
(14:34) It's such a basic >> we don't collect ethnic details. >> It's such a basic thing, isn't it? >> Death certificates, >> you know. No, we don't. I never It didn't occur to me. >> People say, "Well, that's being racist." Yeah. >> If we put If we put ethnicity on a death certificate, that's being racist. It isn't being racist at all.
(14:54) Being racist is ignoring this >> completely. >> Ignoring deliberately ignoring the this misfortune of the >> all these Africa That's racism. >> Yes. >> Taking it seriously like I'm doing, like you're doing, >> that is not racism. >> That's being concerned about our fellow human beings. >> We're not concerned about your ethnicity. Go away and die quietly.
(15:15) >> Yeah, that's right. Yeah. >> It's just outrageous. >> It is indeed. Yeah, >> it is. It is total racism, isn't it? It really means we're not going to get these robust statistics. So, we've got to make do with the statistics that we have. >> Yeah. Which are pretty convincing so far. I must say >> this is some work that I did when I was doing my MD thesis.
(15:35) >> Yeah. >> Now this looks complicated and suppose it is complicated but that figure is made of a lot of dark black columns. >> Yeah. So we've got all these columns here. Yeah. >> Yeah. Each column is one person. >> Oh okay. >> And it's recording the blood level of vitamin D. >> Yes. >> Now >> so here we have the blood levels here for >> we've got here 818 white people.
(15:57) >> Yeah. And we do all the we were doing in all the blood vitamin D testing on them. Now when people go and get the vitamin D ask for vitamin D tests and the GP surgeries these days they told oh it's a very expensive test. Nonsense. It is an expensive test. >> How much were you doing them for? Cuz you you did thousands of them, didn't you? >> Yeah.
(16:19) I don't know the cost but basically we bought the equipment for a fairly small amount of money and then it was reagent cost after that. >> Right. It came out of a small research grant that >> it's like like a pound or two per test. That's right. Something of that order. >> Yeah. Yeah. >> And there's no reason why that shouldn't be done now.
(16:34) >> If somebody else is doing it for you, they'll charge £30. Yeah. >> But they're making £29 profit. >> So we decided to do it ourselves. >> Yeah. Completely. >> And there was no problem. >> Yeah. So you got one local doctor taking initiative about a local problem. Yeah. >> Providing a diagnosis. >> Yeah. >> Generating this data >> now.
(16:57) So each column represents the blood level. >> Yeah. >> And we can see >> So we've got nanograms per mill up there. >> Yeah. It's done. Yeah. He's done the old ways. >> No, that's fine. We want at least what do we want? At least 30. >> So what we look the important thing now is to look at the red line across >> that one >> horizontal red line.
(17:13) And that was at that time considered to be how high the blood level should be. Yeah. In fact, we now put it at about 40 nanogs now 100 nanomles. We put it about there. Yeah. >> The green >> the green >> uh rectangle shows the number of people who had a good blood level. >> Yes. >> And it wasn't many. >> Good grief. It's tiny.
(17:37) So So but but by your current diagnostic criteria, this is kind of where you want to be. >> Yes. >> And all of these >> Yeah. where you don't want to be >> the virtually the entire mass of the population. >> That's right. Now, if you go along that red line, >> Yeah. >> dropping down in the middle. Yeah. >> It's the middle of the range, that's called the median. Yeah.
(17:58) We see a yellow arrow, an orange arrow. >> Yeah. >> We go down with the orange arrow. >> And where that orange arrow hits >> the black columns, >> 401. >> Go up a bit. Yeah. That That's the That's the halfway point. Up a bit more. But there. Yes. Yes. Yes. Now we measure off what that is and it's 18 nanogs per mill >> right >> and that is the average the median average >> is 18 >> is 18 it means half the population half this white group of the population >> had got a blood level of vitamin D lower than 18 nanogs per mill in medicine we'd have a
(18:39) technical description for that wouldn't we would say it's in boots. >> Yeah. Yeah. Absolutely. Yeah. Indeed. >> Now, that is the white population. >> Oh, they're white. Okay. >> Yeah, they're all white. >> Oh, god. Yeah. Yeah. This is the white. >> We're going to go next to Black Africa. >> So, the white the white population is pretty bad.
(18:57) >> Yeah. It's pretty bad. >> It's in northwest England. >> Yeah. >> You know, we get vitamin D from the sun. >> Yeah. >> Well, if you look out the window today, northeast Northwest England. >> In fact, I think we're pretty I think we're pretty stuffed between the sun isn't shining. pretty stuff between now and next April.
(19:11) I think to be quite honest, >> it does go up in the summertime. >> But in older people, not so much. >> That's right. >> Younger people. >> Yeah. >> Right. So that's the white population. >> Okay. Let's move on. Look at the >> wow. >> You see immediately it's gone down. >> Yeah. So just compare again. So white population. >> Yeah. >> Uh South Asian population.
(19:32) >> South Asian. And here we've got 1,574 results people. That's a pretty big study. >> It's a big study. >> Yeah, it's a big study. >> Study. Yeah. Yeah. >> You did a lot of tests. >> Yeah. >> Yeah. And the um >> So the nice range up here. >> Yeah. And the very very few. >> It's literally half a dozen. >> Yeah. That's right. Yeah.
(19:52) >> Probably five people. >> Yeah. >> In the good. >> And I remember one of them very well. He had the highest level. Yeah. >> And I was very surprised by it. >> I said I said, "Do you eat fish?" He says, "Oh, I eat," His wife was with. He says, "Oh, he eats fish three times a day." >> Yeah. >> I said, "What fish do you eat?" He says, "I eat Bangladeshi fish. Bangladeshi white fish.
(20:11) " I said, "Well, Bangladesh is a long way off as a he said, I get them from Tesco." >> Right. >> And so went along to Tesco in Aington. And there they were, Bangladeshi white fish in a packet. Sealed packet. And he loved them because the Bangladeshi people >> a fish eating country. >> Fish. Yeah. Absolutely.
(20:29) Fish eating country. Yeah. >> But I don't remember the others quite so well. But I remember him vividly. >> Yeah. But but the vast majority. >> So we can see now >> that the middle of the range on the red. >> Yeah. On the >> go down from that >> to hit the black columns. >> And now that reads off at nine. >> Wow. >> Now in the white population the that average mean average median average was 18.
(20:55) >> Double. Exactly double. >> And so now it's nine. So that that that is the 25 hydroxy vitamin D the calipidol in the blood in the circulation >> which is the reservoir form which is what you need >> and we can see therefore that half the population sorry half the South Asian sample >> have got blood levels less than nine less than 10 >> is very dangerous >> I mean I mean I mean this lot here is not brilliant >> that's right >> but this is >> the ones to the right >> I mean would would as a doctor would you call that the danger zone day.
(21:28) >> Yes, I would most certainly. Yeah. Less than 10 is dangerous. >> Yes. Yeah. >> As we saw that when the co pandemic came along. >> Yeah. >> Well, >> so there it is. >> So my comment or my question is the excess deaths from COVID 19 that we've seen >> could the cause be serious vitamin D deficiency? >> And my answer to myself is of course it could. obvious.
(21:54) I mean >> because we know that vitamin D is essential for immunity defense against just so obvious. >> Yeah, it is glaringly obvious. >> I mean, we know that every we know that every white cell >> Yeah. >> in the body needs vitamin D in order to function to generate immune function. >> Yeah, that's right. >> And the difference between very low vitamin D and adequate vitamin D.
(22:17) >> Yeah. >> I don't know. Are they are the cells 10 times less efficient with low vitamin D? something like that. >> Well, certainly less efficient anyway. I don't know how >> one like to quantify it. The problem is >> it's been quantified in the deaths. >> Yeah, it it does. Well, that's exactly the point. >> Exactly the point.
(22:36) Because we cannot measure immunity effectively. >> The measurement of immunity is whether or not people die of infection. >> Yep. Yep. >> And if they die of infection, they've got they've got poor immunity. >> Yeah. But we can't actually do a test. You can't go to doctor say, "Could you test my immunity, please?" >> In fact, be convenient if we could.
(22:57) >> The best way of testing immunity is a blood vitamin D level because immunity doesn't work without vitamin D. >> That is a really good point, isn't it? That's that's a powerful point. >> It is indeed. >> It's just it's just true. It's obvious. >> Yeah. Totally totally ignored. And actually Matt Hancock stood up in Parliament and >> Yeah.
(23:16) >> said vitamin D is essential. I I think they did introduce was it 600 micrograms a day or 600 units a day or something which >> Yeah, that's right. >> some tiny minuscule amount. >> We've got the vitamin D functions or switches on um bone health and immunity >> but you need a very a much smaller amount of vitamin D for the bone than you do for immunity.
(23:40) So this simplistic idea well you haven't got rickets therefore your vitamin D levels get clear off you know >> sacken which we'll come to >> ridiculous deals with the the standing advisory committee on nutrition >> is concerned about vitamin D and ricketetts >> ricketetts but it says only that there is a suggestion that vitamin D might be important in immunity well you know >> well that's that's just ridiculous >> the amount published information staggering.
(24:10) >> We've got data on dementia. We've got vitamin data on diabetes, >> heart health, immune function, autoimmune disease. >> Yeah. >> Well, you've seen cancer. >> That's right. Yeah. >> You've seen my comment on could vitamin D be um helpful? >> Most certainly. >> Well, let's look at other people's concerns. >> Yeah, let's do that.
(24:30) >> Here we are. Professor Camshi. >> Uhhuh. >> Look at that. FRCGP, FRCP, MD, PhD, um, fellow medical science. Yeah. >> Professor of primary care, diabetes and vascular medicine at Leicester University, a member of SAGE, >> the science, the UK scientific advisory group for emergencies, which was so powerful during the co.
(24:54) >> It was it was law, wasn't it? >> An important man who was at the center. >> He's at the center. He's at the government center of healthcare. So he's got to be bouncing up and down saying >> vitamin D is absolutely essential. We we really need to get our act together. >> That's right.
(25:12) I'm just I'm just a a jobbing consultant in Blackburn. Okay. I got MD and FRCP. >> I think he's slightly more than that. But yes, >> but I wasn't on the government committ. >> No, >> but um >> No, I wasn't invited. >> This guy was very very important. >> Angus Dle wasn't invited either. >> Let's look and see what he said about it all. So this is a big cheese.
(25:34) He must be he must be greatly important. He must be really advocating for vitamin D. Yeah. >> Especially in his own ethnicity. >> His next stage will be to get a knighthood. No doubt. >> Yeah. >> Anyway, Saturday November the 21st 2020, he addressed the meeting of Bapio. >> Yeah. >> Bapio is the British Association of Physicians of Indian Origin.
(25:53) And he addressed the meeting. >> Yeah. >> And then there were questions from the floor. >> He must have been saying get your vitamin D levels up. Well, the question he was asked from the floor was, could the problem within the South Asian ethnic group be vitamin D deficiency? >> Question. >> His answer was simply, the official line is there is no role for vitamin D.
(26:18) What a poor pathetic answer. I I don't know how he could sleep at night without giving that answer. He didn't say he didn't answer the question. In fact, >> no, >> he just said what the official line is. And that means so much. >> The official line in this country is that there is no role for vitamin D. >> So I noticed he didn't give his own medical opinion here.
(26:41) >> No, he absolutely. >> He must know all about it. I bet he was taking vitamin D. I >> bet he was. >> As I say, he would be preaching he would be preaching water while drinking wine. >> Yeah, >> he tells he he keeps the wine, the vitamin D, and to everybody else it's of no value.
(26:58) Anthony Fouchy himself said he was taking 6,000 units a day. >> Absolutely. Yeah, that's right. But this guy was South Asian. >> Just get that again. The official line is there's no role for vitamin D. >> What a pathetic answer >> from someone right at the top of the pinnacle. >> He ducked the question. >> Terrible. >> I think >> inex inexplicable.
(27:16) >> Well, it's not entirely. I think had he answered it honestly. >> Yeah. >> That would be his knighthood gone. >> Fine. Let's save some lives. That's what doctors are for, you know. >> Oh, well, >> well, >> keep the government happy to get a nighthood. >> There's still remnants of my naivity left from the old days, unfortunately.
(27:35) And uh >> but basically, you can't be cynical enough, can you? That's disappointing, but true. >> It's an absolute disgrace. >> Totally. >> I don't know how he sleeps at night. >> No, couldn't agree more. >> So, here's a bit more. No evidence to date that the BAME Black African South Asian ethnic are more at risk of COVID 19 due to vitamin D deficiency.
(27:58) Saged dismissed rumors that BAME people may be more at risk due to deficiency of vitamin D. >> At the 59th meeting on September the 24th, the advisory panel warned there is no evidence of an effect of vitamin D on the risk of infection to date. But you've just shown those utterly convincing graphics. >> I want to see them all. Yeah.
(28:21) >> Good grief. >> You know that's that's sage. >> You're supposed to be responsible for the health of the population. >> These are supposed to be the most sort of >> Yeah. >> senior scientists. >> That's supposed to be the best. They're the best of the best >> in the country. >> Yeah. Graciously giving us their wisdom.
(28:38) >> That's right. Well, they must spend all the time sitting around a table rather than seeing the real world of medicine. >> Yeah. Yeah. Get out there and smell a few of your patients. Yes. Absolutely. Yeah. >> Okay. >> Absolutely incredible. >> Move on. >> This is an example. >> Oh, yeah. >> Now, this is data that came from Israel.
(28:57) >> Yeah. >> Because in in Galilee region of Israel. >> Yeah. >> Um people had had their blood vitamin D levels tested before COVID 19 came along. >> Interesting. And so they looked at the ones the people with co with critically who are critically ill with COVID 19. These were on intensive care units. Yeah. Critically ill with COVID 19.
(29:20) They said what >> looking back on the records, what were their vitamin D levels in the blood? >> Yeah. So retrospective. >> Yeah. Two or three years ago when they were done. >> Yeah. Yeah. >> And here they are. >> Yeah. >> Well, 90% of them >> had blood levels less than 20 nanogs per mill.
(29:40) less than 50 nanom moles per liter. >> But Israel is a sunny country, isn't it? >> There's a lot of vitamin D deficiency. >> Yeah. >> The the Jewish people tend to be rather um keep out of the sun. >> But of course, a lot of modesty is out of the sun. There is, but Israel is very ethnically diverse actually. >> Well, yeah, I've not been there.
(30:00) I don't really know. >> There's Drews, there's Arabs, there's Palestinians, there's all sorts of various. So, it's not it's not like a university Jewish. >> But in in in the Middle East, these hot countries, there is a lot of sun avoidance. >> People keep inside. Keep >> Oh, yeah. Before you go outside, you kind of um >> Yeah.
(30:18) >> You know, you put on your hat or you That's right. >> The women will throw that over, you know, throw the things over. >> But staying indoors much of the time, staying indoors than the air conditioning >> these days, very often. Yeah. >> So there we are. 90% had vitamin D levels. Very low. >> Very low.
(30:39) So less than 20 less than 20 nanom moles >> and less than >> sorry less than 20 nanogs per mill. >> Yeah. Less than 50 nanom moles. >> Yeah. Yeah. >> And the others the other 10% it was low. >> And there there's no one got good levels up here. >> None of these critically ill people had had in the past before it came along. None of them had had >> a good blood levels of vitamin D.
(31:02) So that's blood levels taken in people that were critically ill in in the Galilee region. >> So you've got to ask yourself >> if CO 19 is coming along in the future. >> Yeah. >> Or something similar, would you want to have a blood vitamin D level greater than 100 nanomles per liter, greater than 40 nanogs per mill, or would you rather have one less than 20, less than 50? >> Well, given that this is the historical vitamin D levels of people that became critically ill, >> yeah, >> I think I'd rather have it in the higher
(31:30) levels to be quite I think I'd rather be to the right of that graph. >> Yeah, I'd rather be there. The ones that didn't become critically ill. >> Yeah, >> absolutely. Stunning. >> So, there we are. There's the information. That is what Sage should have known about but didn't. >> Well, I mean this is the science that we'd expect the leading scientists to >> Yeah. expect them to read the journals.
(31:53) Yeah. >> Circulate the information. >> Yeah. >> That was very very important. >> Yeah. Very powerful graphic, I must say. Now there was mentioned at the bottom there a review by Dame Dorian Lawrence has concluded >> yes >> that structural racism led to the worst COVID impact on BAME groups report >> good okay >> so so the problem is the structure of society yeah >> this has got nothing to do with biology >> sociological phenomena >> absolutely yeah >> and Dame Lawrence as far as I know is not a doctor.
(32:30) >> Yeah. >> Or a nurse or a pharmacist or a scientist of any sort. >> She's very well-meaning lady whose son was killed was murdered. >> Well, very much so. But but I think you have to question whether someone who is not, unless I'm wrong, as far as I know, she's not scientifically trained. Why were you to appoint someone with no scientific training >> and in that to to lead such an >> group on her committee as it were? >> There was a nurse.
(32:54) >> Yeah. And the only mention of vitamin D in this big report was made by the nurse >> right >> who said I don't think vitamin D is of any importance or worse that effect that summarizes her contribution to the report in respect to vitamin D and that was the only mention of vitamin D in the report which I've read so uh the minority ethnic people were overexposed underprotected stigmatized and overlooked review finds Does that go for all these doctors who died? >> Were they overexposed compared to the white people? Do we keep the white
(33:32) doctors back and and sent them away? >> But how how on earth did they get this information because it's so patently wrong? >> Yeah. Yeah. Indeed. >> And patently ignores the most important single biological factor. >> It is. I'm afraid >> you know it might be it might it might have been news to some people but um we are biological beings.
(33:51) >> Yeah. Absolutely. Yeah. But as I said, >> we depend on the right molecules. >> People very very few people have any knowledge of science. >> Yeah. >> Even biology. >> Yeah. >> People don't know where the liver is, for example. >> No, no, no. >> Things like that. They're not quite sure where the heart is. >> They don't know what the bronchi are, you know.
(34:10) >> No, no. >> Really basic things. >> Yeah, it is. It is very Yeah, there's something wrong with education if people don't know basic science. But I mean here it's almost as if they're trying to prove the anar I mean what what what narrative are they trying to prove that that Britain is an intrinsically I mean we're on to sociological things here really but you know are they trying to prove that Britain is uh is an intrinsically racist I mean what what are they trying to prove here? What's their agenda? >> Yeah. Yeah.
(34:41) >> You know they are they trying to say we are intrinsically structurally racist through and through cuz >> Well, that's right. Exactly. But why why would the >> I know that racism exists. >> Of course it does. >> Heavens above when in all >> Dorian Lawrence's son appalling beyond disruption. Yeah. Totally. >> So I I I I've got every sympathy and I hate racism.
(35:01) >> Yeah. Of course. >> I don't like racism to be used as a as an explanation. >> Yes. >> For something else that's wrong. That's not due to racism. >> Completely. >> Let's move on. >> Completely. Yeah. Yeah. >> Yeah. >> Now Toby Thomas. Yep. >> is a superb journalist, >> right? >> And she's a health and inequalities correspondent to the Guardian. Yes.
(35:24) >> And she's a black African ethnicity. >> So she's concerned about her ethnic groups. >> Understandably. >> Of course she is. Yeah. And she knows very well. >> We're concerned about human beings. >> Yeah. And she knows very well they don't do well in respect of health issues. Yeah. >> And she produced a series of articles in the Guardian which are very very good.
(35:46) Right. >> Now, she's a sociologist, >> right? >> Unfortunately, she knows nothing about biology. >> Yes. >> Which is sad, sad, sad. But she has consulted people who do know about biology. >> Yeah. I don't mind sociologists if they've got the humility to ask us. >> Yeah. Well, we're going to find out. We're going to see what But she as as uh as journalists do, she's bringing problems to the attention of the population, >> which is good.
(36:12) >> And she does it brilliantly well. I've got every respect for her. Good. Good. >> So, this is one February 22nd, 2024. >> Yeah. >> Black children suffer more complications after appendicitis surgery, >> which they do. I would accept that >> they do. >> Yeah. >> Racial disparity in children's recovery from surgery was not linked to their health history or socioeconomic status, study found, >> but it was influenced by their ethnicity.
(36:38) >> Yes. So, it's not their sociality. >> That's a statement. And that is that statement is >> you can't argue with it. It's true. >> But why? >> Yeah. >> Why? >> Yeah. >> And here's the um the paper that it comes from. >> Yeah. >> Post-operative >> that was that this is a different study. Now >> another study of pre-operative vitamin D status and post-operative infections.
(37:06) Okay. Let's have a look at the results here. Now this is >> along the bottom. >> Y >> we can see the blood level of vitamin D. >> Yeah. >> And it was a few years ago. So it's expressing nanogs per mill. >> That's fine. That's fine. >> And here we've got the dotted vertical lines show the range that is ideal. >> So we would like it like it between here and here.
(37:31) >> That's right. >> So these are in the range we would like. >> Yeah. and and the the the columns are 100 nanomals per liter and 150 nan moles per liter. That is the range that is ideal. >> Yeah, that's what we'd like between that one and that one. >> We shouldn't call it a normal range because normal is different, but that's the ideal range.
(37:49) >> That's the that's the that's the optimal physiological >> optimal. That's the optimal range. Yeah. >> But wow, we see so wow. >> This is the risk of infection. >> Yeah. Look at this >> following surgical infantry. So low >> the people with very very low levels of vitamin D >> had very high levels of infection.
(38:07) >> Yes. >> And as we come down as the blood levels of vitamin D go up. >> Yeah. >> We find the risk of infection goes down. >> Yeah. Yeah. Yeah. >> You know, you've got half at the top. >> Yeah. >> And you've got a tiny proportion at the bottom. >> Yeah. Yeah. >> So if you're going to have an operation >> Yeah. Where would you like your blood vitamin D level to be? >> Let me guess.
(38:32) Well, if I was going to have an operation, I would like not to get infection afterwards. >> Absolutely. >> Which would be good. Yeah. >> Therefore, I would like it in this higher range. >> If you want an infection, you're in the higher range. You're in the lower range of >> So, the So, I want less infection. So, I want >> You want to be in the higher range of vitamin D.
(38:48) >> I see. That's interesting. So, here's good. Here's even slightly better near the top of the range. But it's anything around there is good. >> All all this is >> compared to the top. >> If I want to optimize my chances of infection, we're up here. >> Now, if we find that black children are getting a lot of infection after appendic appendicitis, >> this is what we want.
(39:09) We want to be down. We want to be down here, don't we? >> But they're not down there, are they? >> No, >> they're at the other end. >> Yeah. >> The black children are going to be at the top of the red slope, >> but here. >> Yeah. Because they're going to have low vitamin D levels. >> Yeah. And vitamin D is part of body defense against infection.
(39:27) >> Yeah. >> Simple. >> It really >> with co >> It really is, isn't it? You know, people with lower levels of vitamin D, you get more infection. It's that simple. >> That's right. And this is And so here we can find out the reason we don't need racism. >> Yeah. >> It's racism to ignore this. >> It is. It is. >> But what we find out is that the problem is vitamin D deficiency. Yeah.
(39:49) >> With hospitalacquired infections. >> Yes. Yes. >> Let's move on. >> Absolutely. >> We see more of this. >> Yeah. >> Here's another one. >> Yeah. >> 2015. That was not all that long ago. >> No. >> And good um uh reference for it there. >> Yeah. Yeah. >> Vitamin D status and surgical outcomes. A systematic review.
(40:10) >> Yeah. >> We'll see the results now, should we? On the next slide or comments. >> Yeah. A surprising feature of the present review is the diversity, severity and magnitude of increased risk for detrimental outcomes. >> Yeah. In in >> including surgical sight and hospital acquired infections, graph failure, myioardial inffection, low cardiac output syndrome, stroke, intensive care and hospital length of stay and inpatient >> and one year mortality.
(40:42) But everything that could go wrong after surgery. >> Yeah. Everything that could possibly go wrong after surgery. Yeah. Yeah. Yeah. >> Is going indeed. Yeah. That's right. >> And these are related to vitamin D deficiency. >> Yeah. All of these things. So hospital acquired infection, graft failure, >> heart attacks, heart failure, basically strokes, >> length of time in ICUs, which are not a nice place to be a patient in a hospital stay >> and and and you're more likely not to be here.
(41:10) >> Yeah, that's right. Yeah, incredible >> one year mortality. >> Every every pretty well every complication you could hope for >> or hope not to have rather. >> Yeah. Now, as I say, if if we this is all related to vitamin D deficiency, don't put loads of vitamin D. >> Yeah. >> Now, what we're looking at here is practice improvement.
(41:29) >> Yeah. >> By giving vitamin D a practice improvement of comparable potential and magnitude with negligible cost and exemplary safety. Y >> are rare and efficacy are rare. So >> so much for your money. >> Most of the things we do are quite honestly a bit risky, aren't they? Really? >> Yeah. >> We're always taking into account risk benefit analysis.
(41:52) >> The point is that here the the um >> essentially no risk. >> Vitamin D is for vitamin D gives tremendous benefits with negligible cost, great safety. >> Yeah. What what's not to love? >> Yeah. Yeah. >> Totally. Another one. >> And here's the the bottom line. >> Yeah. >> The ethical implications of choosing not to test for and not to treat low vitamin D status in advance of surgery.
(42:23) >> Yeah. Yeah. Yeah. >> Testing vitamin D in advance of surgery should be standard. >> Completely. >> Everybody should have >> completely. Completely. >> Yeah. We shouldn't be told, "Oh, it's too expensive a test to do." But that's a lot of nonsense. >> But you can you can work out how to do it for a couple of quid.
(42:37) >> Yeah. That's right. Yeah, absolutely. Yeah. >> Yeah. Just the cost of the reagents basically. >> So, >> vitamin D before surgery >> should be part of normal surgical practice. >> Yeah. When you go for your pre-op assessment. >> Yeah. >> Yeah. >> Reducing length of stay, reducing hospital infections, reducing um intensive care use, etc.
(43:01) >> Yeah. >> So, with planned surgery, >> Yeah. So, >> no surgery is planned, >> we know a month or two in advance whether these people are going to have for the start for the barricus veins or or whatever it is. >> Yeah, you can check vitamin D before you come in. >> Vitamin D levels are likely to be low. >> Yeah, start test and start vitamin D one month before surgery and check blood level just before admission.
(43:23) >> Sounds sounds more than reasonable to me. >> If it's emergency surgery, >> yeah, people with road traffic accidents or burst >> appendix or appendicitis. >> Yeah. >> Then you've not got time >> correct >> to give vitamin >> because it takes a few weeks to convert. But with that with these people in emergency you can give vitamin D in its activated form of calcifi.
(43:44) >> Yeah. Yeah. >> Now if we give vitamin D by mouth. >> Yeah. >> It takes best part of a week. >> Yeah. >> To have a major effect on blood level. >> Yeah. Yeah. >> If we give calcidial which is part activated. >> It's been through the liver. It's been activated in the liver. Um it takes about 2 hours to be effective.
(44:07) >> 2 hours. >> Yeah. So in an emergency we need calcifiial the activated form of vitamin D on admission. >> Whereas if it's planned surgery we can give vitamin D in its raw form a month before surgery. >> It's the same with all acute illness really. I mean anyone coming in with an acute infection. >> Yeah. Yeah. Absolutely.
(44:27) >> I mean well to be fair in this country it could be reasonably assumed that the vitamin D level is low. Yeah. >> So why everyone coming in with sepsis, why don't we give them calcified? >> Exactly. Exactly. >> Such an obvious intervention. >> At the time of COVID 19, it was not available in this country for human use, but it is now.
(44:45) >> It is now. Yeah. >> Yeah. It is now. It's available in the hospitals. >> Yeah. >> The GPS can prescribe it. >> Yeah. >> But it's available in the hospital pharmacies. >> Right. >> No. >> And I mean, I bought over the counter in Europe. >> Yeah. You you can't buy it over the counter in this country.
(45:02) You've got to get it off. Yeah, indeed. >> I've tried a few times. You can't. >> So, if you got an emergency illness, you phone up your GP and say, "I'd like calcium, please, to help me with this infection." >> So, you say, "Oh, well, you you I can give you an appointment next week." >> And then you get your prescription and then you've got to take it to the pharmacy.
(45:26) >> I know. >> You've got to get it in. I know >> I I had quite a bad infection a couple of months back and >> I do take regular vitamin D but I also took a calcifiial which I happen to have in stock. >> Good. Yeah indeed. Well vitamin D doesn't stop infections neither does cancer.
(45:45) They don't stop infections but they minimize the effect of the inject of of the illness. Minimize the illness associated. >> Minimizing squelli minimizing chance of dying. >> Yep. That's right. Yeah. >> Minimizing chance of tissue damage afterwards. improving recovery times. >> That's it. >> Everything that we strive for really, isn't it? >> Good.
(46:03) >> Yeah. >> Let's look for some more comments. >> Another problem. Again, 2024, >> Toby Thomas is very busy. >> April the 25th, black women in England suffer more serious birth complications, analysis finds. >> That's terrible, isn't it? >> Birth complications. >> Birth complications. You know, child birth is dangerous.
(46:27) >> Very, very dangerous. >> It's a very dangerous thing. We don't want complications. We want it to be easy. >> There've been enough in the newspapers about um about maternity care going wrong in one or two hospitals around the country. >> And the disaster it can be for the mother and the child.
(46:43) I mean, like if the child has perinataloxia, they can have deformities problems for the rest of their lives. It's >> Let's look at more detail. >> Yeah. Again, nice nice piece of work though. I can see what you mean by Toby Thomas doing good work there. >> Superb. >> Yeah. >> Here we are. >> Yeah. >> Black women make up 26% of women who experience the birth complication preeacclampsia.
(47:04) >> Yeah. >> Despite making up just 5% of all deliveries in England. >> What's what's what's preeacclampsia? >> Preeacclampsia. These days it tends to be called hypertensive disease of pregnancy. >> So blood pressure goes up in pregnancy. Yeah. If blood pressure goes up, it's a sign that the placenta isn't functioning properly.
(47:24) >> Um, aclampsia is convulsions. Pacia is not convulsion. >> Yeah. Yeah. And you'd have protein your rear. >> Yeah. Protein in the urine. >> A bit of edema maybe. >> Yeah. Edema. >> Yeah. >> Swelling of the tissues and high blood pressure. >> Yeah. >> This is pre-clampure is the killer. >> It's the blood pressure that's in late pregnancy.
(47:44) It's the killer in late pregnancy. If it goes high enough leading up to delivery, >> if it goes high enough, the woman will start fitting. Yeah, that's right. Yeah. >> Which so clampsy is like the oldfashioned word for fitting really, isn't it? >> Yeah, it is. >> Yeah. >> I've never actually seen that thankfully over either. >> Thankfully, we're treating 26%.
(48:00) >> I believe it can be a status epilepticus. It can be ages. >> The people with the preeclampsia 25 26% were black. >> What a difference. I mean the statistical only 5%. >> I mean given the sample size which could be se several thousand and that magnitude of difference. >> Yeah, absolutely.
(48:17) That will give you a p value of >> big one. Yeah. >> 0.0000de that that basically a t test would show that that result can't arise by chance. It's just not possible necessarily. That's right. Serious. This is this is not a chance finding. It can't serious problem. No indeed. Indeed. Black women in the UK are almost four times more likely to die in pregnancy and childirth than their white counterparts, while black babies are twice as likely to be still born.
(48:50) >> Appalling. >> It's a disgrace. >> Appalling. Total disgrace. >> And it's above. >> Total disgrace. >> It's just awful. >> Total disgrace. >> And you know, you when a when a black woman comes into maternity care, >> Yeah. >> she's immediately recognizable. You know, she's not hidden away as a >> It's not a hard diagnosis to make.
(49:08) >> That's right. She should be saying, "Be very careful of black women in pregnancy because they have a high mortality rate, a high toxmia rate." >> F first question when you walk through the door, ma'am, are you taking vitamin D or not? >> Exactly. That's right. Yeah, >> that's start off like that. >> This is poor appalling sit.
(49:28) I mean, the loss of >> Yeah. Loss of the babies twice as like >> I mean, what greater tragedy? birth is just awful, you know, still birth. >> Well, what greater tragedy than losing a baby? >> The woman's been excited, happy, >> going through 9 months of pregnancy. >> Yeah. And then >> and then the baby dies >> and 80, 90 years of life lost.
(49:47) >> Yeah. >> Terrible. >> Awful. >> Terrible. >> And and basically what we're saying is um the reason for this death is is at least partly racism. >> Well, this that we're being told it's racism. Yeah. I >> We've concluded it's racist racist to ignore this. >> There's no proof of racism. People say, "Oh, it's racism.
(50:12) " Just >> it's racist to ignore it. That's that's my argument. >> Racism is ignoring this problem. Yeah. Exactly. Yeah. >> Let's see what the commentaries are. >> Yeah. >> Here we are. Professor Carill. >> Yeah. >> The vice president of the Royal College of Obstaricians and Gynecologist. So this is this is the top top top lady doctor in the country.
(50:32) >> Absolutely. One of the leading people. >> Yeah. >> Vice of the Royal College of Obstatricians and Gynecologist. >> Sounds pretty impressive. >> And she's a South Asian ethnicity. We can see >> these are the leading doctors in this field in >> Absolutely. These are the top people. Yeah. >> Yeah. Yeah. >> Yeah.
(50:48) >> When she last delivered a baby, I have no idea. >> Well, she must have done at some stage. >> She must have done. Yeah. >> Yeah. >> The figures are striking and demonstrate inequality. But unfortunately, I'm not really surprised. We know that women from a black background have a higher risk of preeacclampsia and hypertension.
(51:08) >> Yeah. Well, we do know that. >> We do know it. Yeah. Aren't you not surprised? Where's the research bits being done on this? Where's the intervention? Where's the research? >> She can't just accept this and do nothing. >> Why? I'm not bouncing up and down with rage at this and we absolutely I'm a doctor. I'm a scientist.
(51:25) I need to find out what the heck is going on here. >> Yeah. Exactly. Incredible. >> It's just dreadful. >> I mean, we talk about curiosity deficit disorder on this channel, but we do, >> but dear me, what? >> That's right. Yeah, >> that's that's at psychotic levels of curiosity deficit. >> You see more >> this is the ca this case is multiffactorial.
(51:48) >> Yeah. >> And I strongly believe that in order to find the solution, we need a multidisciplinary approach. You know, let's have a multi-disiplinary team meeting. Let's let's chuck in a few chuck in a few sociologist. Well, we need to Yeah. But but the point is the data is there already. >> That's right.
(52:06) Health care professionals and doctors cannot fix the problem on their own. >> Yes, they flipping. >> They can. Yeah, they can. >> They can. I'm sorry. >> I mean, passing the book. >> We we are not big advocates of of medicine solving problems. Yesterday's talk, we looked at plumbers and brick layers saving more lives than doctors. Yeah, but this is a case where they can because they can say >> vitamin D go off and take it.
(52:27) >> That's right. >> So she goes, >> that's preconceptional advice. I would argue >> we need to work with pre public health doctors, policy makers, whatever they are, and the government need to prioritize and invest on the issue. So we're passing the book to the government now. >> Yeah. >> The the Royal College of Physicians should grab hold of this problem. Yeah.
(52:48) Is their job to sort it out? This is a medical problem. Pass the book on to the government. >> It's a medical problem. We train and employ doctors to solve medical problems. Do your flipping do your flipping job. >> Problem of it's a problem for medical scientists to sort out. >> Yeah. Couldn't agree more. >> Let's move on.
(53:02) >> Yeah. >> Now here we get some science from 2017, >> right? >> Some science. >> Yeah. In this study, the treated group reach received vitamin D 50,000 units every two weeks. It's okay. In the control group, the incidence of preeacclampsia was almost double >> 1.94. >> So basically giving vitamin D in this reasonable dose at 50,000 units every two weeks.
(53:35) >> And the control group presumably were not given vitamin D. >> They weren't. That's right. They weren't given vitamin D. And so there we have it. You can reduce the incidence. >> You can reduce the incident by 50% by giving vitamin D. >> Yeah. >> Every two weeks. >> Yeah. >> So it's there. >> Yeah. >> There's the evidence.
(53:53) >> Yeah. >> In the the um the journal of obstetrics and gynecology international 2017. >> But you would expect given that this was before that statement, you would expect the leading gynecologists in the country to be aware of this research. >> Absolutely. and to have implemented it. >> Yes. >> In his implementation, not to pass the book on to government.
(54:18) >> That's right. And it's no good reading the paper and putting it away and filing it and saying that's very interesting and let's let's just forget about it. >> It should have been activated. >> I mean, if you think about another disease where we could immediately virtually have the problem >> overnight at low cost and completely safety.
(54:38) >> Yeah. Well, move on. We'll see. >> Yeah. The chief executive of the Royal College of Midwives, Jill Walton, said, "Purely down to institutional racism, it should not be the case in the 21st century, a baby or a mother's chance of survival is determined by the color of their skin or where they are born." >> And I couldn't agree I couldn't agree more.
(55:06) I couldn't agree more with the second part of that. >> That's right. That's right. But um >> but purely down to institution racism. Where is this research that's shown that? >> So this isn't any she's like speaking for the whole country's >> midwives. >> You know you know the people that were trained to specialize in delivering babies. >> Yeah. Absolutely.
(55:24) >> And and again she's jumping to this ludicrous sociological institutional racism explanation. >> Yeah. Yeah. >> I mean not only is she ignoring the evidence for vitamin D. M I don't know what evidence of the institutional racism she's got. >> Well, that's the problem. I don't >> So, it's ignoring to me it's ignoring the evidence on both on both ends.
(55:44) >> It's just easy to say it's institutional racism. >> Dead easy. It passes the book. Oh, it's not a medical problem. Nothing to do with me as a midwife. >> This self flagagillation as a country. Oh, we're racist. Oh, we're a racist country. Oh, dear. You know, why why why did they do this? >> Yeah,
(56:03) absolutely. Yeah. I just don't I don't I I genuinely don't understand. >> No, indeed it's >> and and the fact that it's causing people to die. >> Yeah. >> Is even more inexcusable. >> These poor black women are dying and the babies are dying. >> Terrible. >> Yeah. >> Let's move on. >> This is um more from her. >> Yeah. >> Sadly, this that is the experience of too many families. Of course it is.
(56:30) Yeah, >> it is not enough to express our shockers sorrow. We must act. >> Yeah. >> All of us involved in commissioning and delivering maternity services from government to midwives should work together to to address these disparities. Well, work together. What works being done? >> Yeah. >> As far as I can see, there's no work being done.
(56:51) >> And what disparities? >> Yeah, that's right. Yeah. Yeah. Well, we know the disparities of the very high maternal mortality rate in the babies. >> That's unambiguous. >> Yeah. >> But I mean, we must act on acting. Do >> doctors, nurses, midwives are presumably well or the doctors certainly are well trained in in in sciences.
(57:12) I mean, midwives may be less so, but >> you know, if it's what you what you decide to commit your life to, you should do a bit of homework and swat it up. Surely. >> That's right. Yeah. Um and then to come out with statements that are patently >> I mean I would say patently wrong you know and happy to argue that >> it's just neglecting yeah >> the answer >> we get again >> but again this this this reflex to jump to the the institutional racism thing is is bewildering.
(57:41) >> Yeah. Now we go on to um a government spokesperson, the Labour chair of the all party parliamentary group on black maternal healthcare. >> Very important person. >> Well, it really is. >> Yeah, at least there is one. >> There's an all party parliamentary group on black maternal healthcare. >> Yep. >> So what does she say? Hearing such figures is always shocking.
(58:09) However, these figures that we've heard quite consistently over the past few years and the previous government has done absolutely nothing to tackle it. >> Well, that's true. >> True. Yeah, she's absolutely right. >> Yeah. They haven't advised vitamin D. >> What can the government do? >> Yeah. >> If if if the government advisers, as we've seen, are not indicating any advantage from vitamin D.
(58:32) >> What can the government do? >> But again, it's just passive. >> Government doesn't know. there's an abdication of like uh professional responsibility instead of saying look we've got some responsibility this this is this is what we specialize in >> it's saying oh it's beyond our control government needs to do something >> but the they don't say what the government needs to do >> the advice that the government is getting from the the the the medical leaders >> Yeah >> is appalling.
(58:57) >> Yeah. >> Well it's it's inverse it's inverse of >> Yeah. Incredible. And as you say, I mean I mean that the fact that she she's a black ethnicity herself is is is not relevant really, but you know concerned. >> You would expect you would expect to be >> Yeah. >> You know, you'd expect at least equal empathy to you and me.
(59:20) >> Yeah. >> Yeah. >> You know, but we don't count because we're we're we're white men. >> Okay. >> The the least prioritized group in the country. >> This is again the sad thing. Yeah, >> this was a headline from the Guardian again. >> Yeah. >> Ayan Wise, who had Somali heritage, had shown symptoms of preeacclampsia and died at St.
(59:43) Thomas's Hospital in London after giving birth to a stillborn girl. >> Oh dear. >> This is absolutely terrible. >> I mean, this is one of the leading hospitals in the country. >> Poor woman. Poor baby. Poor baby. The family no longer have a mother >> and and and a daughter. Yeah. >> And her daughter's not >> Is it a daughter? >> This is just dreadful.
(1:00:02) But it's down to pure negligence. >> The negligence is neglecting the importance of vitamin D. >> Yeah. >> That's what it's all about. >> So simple. I mean, I'm not that smart and I've got it all worked out. >> Absolutely. >> It's just >> Oh, dear me. That is a stretch. >> Another one. >> Yeah. Risk of preeacclampsia. >> Risk of preeacclampsy.
(1:00:27) It's like the risk of poster infection. the same source. >> So we've got the low vitamin D levels here. We've got higher vitamin D levels there. >> So we've got the high ones there and which are marked with the with the broke with the broken lines. >> Low preeacclampsia here. High high priia. Yeah. >> And when people have low vitamin D levels, the risk of preeacclampsia is high.
(1:00:47) >> Right. So these are all low >> these are all low vitamin D levels >> with a high risk. >> Low vitamin D levels. >> This is a normal range. That's good vitamin D levels, low risk of preeacclampsia. >> In fact, the fact that that line continues to drop, David, indicates to me that this this should be set a little higher.
(1:01:04) >> Well, yeah. But generally speaking, that's thought to be within that range. >> Essentially zero risk at 60 >> nanogs per mill. >> Yeah. >> Yeah. >> Wow. >> But risk is very low even at um the 100 levels. >> But that's >> I mean that's just totally convincing >> during pregnancy. Yeah, >> women should when they first book into the antiatal clinic or just show themselves to a doctor to be pregnant, they must have the vitamin D levels measured.
(1:01:33) >> Well, I would I would go back even further. I'd say any woman who could potentially become pregnant. >> Well, yeah. Yeah. Yeah. I agree. Preconcept the preconceptual. >> But let's just start with the with this group who go to an antiatal clinic, >> have the vitamin D level measured. >> Yeah. >> And if it's between 100 and 150, fine.
(1:01:52) >> Yeah. But if it's low, as it probably will be, they must be given vitamin D as soon as possible in the pregnancy. Might be given iron. >> Yeah, they check the blood levels of iron of hemoglobin for this. Nudging towards the top of the range looks uh >> looks preferable. >> Yeah. Well, it is. Yes, I agree.
(1:02:11) Yeah, my blood level of vitamin D is um 135. Had it checked about two weeks ago. >> Yeah. So, you're about about here. I'm not going to be pregnant, of course, but never mind. For various other reasons, I like to have a good blood level. >> Well, for for many many reasons that we could spend a long long time talking about.
(1:02:28) >> Yeah. I think mind was mine was about there recently as well. Yeah. >> That graph shows the answer. >> Yeah. >> If you want to avoid preeacclampsia, we've got to get blood good blood levels of vitamin D. >> Yeah. >> And the people that have preeacclampsia have got low levels. >> Yeah. >> Why have they got low levels? Well, a variety of reasons, but one of them is a dark skin which is very poor at producing vitamin D.
(1:02:52) >> Yeah. Yeah. >> So, paclamps which is now called or it used to be called also toxmia of pregnancy. >> I did. Yeah. >> But now pregnancy hypertensive disorder, PhD is the is the preferred term. >> But you get the protein ura, you get the edema. >> Yeah. Yeah. But one thing is it's a killer killer of babies and of of mothers >> and you know the hypertensive the blood pressure is very high for a period of time that that's really quite bad for you isn't it if it's if it's prolonged >> yeah mental illness now horrifying this this
(1:03:27) is Toby Thomas again horrifying disparity in perinatal mental illness between black and white mothers >> well why is this I wonder >> perinatal so mental illness around the time of birth. >> Puperial puperial psychosis. Yeah. Yeah. >> Puperial psychosis. That's the term usually used. >> Yeah. >> So, >> oh, we're not using that now.
(1:03:48) Someone when I learned it, it was >> mental illnesses is okay as a term. >> Really annoying when people keep changing the terms. >> Well, she's concerned about it. >> Yeah. Right. >> Asian and mixed race bags also had an increased risk of hospital admissions. >> Yeah. Yep. >> Yeah. >> That's true. >> For mental illness. Very true.
(1:04:08) >> Associated with the end of pregnancy. >> Another one, black and Asian patients less likely to survive UK stem cell transplant. >> Interesting. Yeah. >> Again, could that be due to vitamin D deficiency? >> So, this is like treating things like leukemia and alastic anemia. >> It is. That's right. Yeah. Yeah. Yeah.
(1:04:27) Yeah. Yeah. >> Yeah. >> Yeah. And and it would be so easy to um correct these and then collect the data >> prospectively. >> Exactly. I can't imagine that this is a result of of racism. >> No. >> Quite honestly, I can't imagine a sociological explanation for survival. >> Yeah. >> But we've seen already that vitamin D has an effect on post-operative infections in a big way.
(1:04:54) >> So this could be part of the same thing. So these things it's worth thinking about vitamin D >> but you know if we corrected it and then collected the data >> um we would have completely definitive data within months really if that was done but it's simply it's such an obvious thing to do but it's simply not it wouldn't even need to you wouldn't even need a control group >> I mean I mean the control group would be the people that you didn't manage to recruit into your vitamin D giving cohort >> you know so you could give them all
(1:05:24) vitamin D and and find that these things basically cease to exist. >> Yeah, >> potentially. Potentially >> you can give them vitamin or vitamin D because if you give a physiological amount of vitamin D, >> say 3,000 units a day, that will not do any harm to anybody who's got >> already good blood levels of vitamin D.
(1:05:42) >> Yeah, that's right. That's right. >> It is safe. >> That's right. Yeah. >> But it's as well to have the blood levels done so we we know where we're up to. >> We we always advise that if you possibly can. I mean, uh Okay. Okay. Always have your blood levels checked if at all possible. >> I think we've got more yet.
(1:05:57) >> Oh, must say I'm already pretty convinced, David. But >> Oh, this is this is from the the this the um stem cell transplant. >> Oh, right. Child leukemia most 32% risk of death during fiveyear followup compared to 15% in the white children. >> Yeah. >> Well, that's we're talking about people dying here. >> Totally. Totally. Yep.
(1:06:22) >> Totally. >> Again, again, you know, the difference between 15% 32% a sample of a sample of several hundred, you're going to get massive. Let's get the let's let the transplant teams do some vitamin D testing and correction >> and we might find out that the >> the South Asian children >> they don't die quite as much as the >> but you know if you did t if you did your statistical tests on that with the number with that level of difference between the two groups >> it's almost like almost almost like working out if being shot in the head is
(1:06:56) bad for you or not. >> Yeah. >> You know it's such an obvious difference. It is. I'll come back to that in a minute. >> Yeah. >> So, >> yeah, >> following transplantation, the main problem is infection >> and to treat infection, we need antibiotics and immunity >> and immunity requires vitamin D. There's no question about it.
(1:07:15) >> Yeah. >> Immunity switches on >> vitamin D immunity. >> Yeah. Yeah. Vitamin D switches on defense of immunity. Absolutely. >> This is known science. It's biochemically >> absolutely sure >> completely proven. >> There's been a huge amount of work done vitamin D receptors have been isolated. We we know this is true.
(1:07:34) >> Yeah. Yeah. >> It's not it's not ambiguous anymore. >> Unless of course you're a government adviser. >> Yeah. Again, black men are more likely to be diagnosed with late late stage prostate cancer. >> Big time. Yeah. >> Again from Turby Thomas. Yeah. And this um this I think is quite well known, but it's true.
(1:07:57) >> Oh, it's totally well known. I mean, they're talking about screening. There's a big debate now about screening, isn't there, for >> Yes. >> for prostate cancer. Personally, I'm in favor of much wider screening. >> My personal view, but but certainly um >> people with a history of prostate cancer or genetic history of like Bracka genes or whatever or black ethnicity are going to be much higher risk.
(1:08:17) >> Yeah, that's right. >> Yeah. and and you want, you know, it makes sense to screen in the higher risk populations, doesn't it? >> But one thing is, is this sociological? Is it racism? Or is it just a biological fact factor relating to prostate cancer? >> Yeah, we've got we've got we've got a biological answer.
(1:08:42) >> Yeah. >> A potential answer >> which could be vitamin D >> which could be proved so quickly with the appropriate intervention. >> Yeah. Yeah. And all you've got to do is get, I don't know, couple of, you know, suppose you've got 10,000 black middle-aged men, give them all, make them all vitamin D replete, and you'd have your results within certainly within 10 years.
(1:09:05) And those results, I'm convinced, would be totally definitive. >> Why isn't it being done? That's >> right. >> Why not? >> Yeah, >> it would it would cost peanuts. >> It might be being done. I certainly hope so. I hope so, but I'm not I'm not aware of it. >> I mean, I could organize that research study in a couple of weeks myself.
(1:09:21) You know, it's not it's not difficult research. >> The problem is that black men are all over the country >> and you it's easy to do it's easy to do the research if everybody's in one place. >> Yeah. >> But not if they're scattered around. >> But, you know, they have things like telephones these days, don't they? You know, >> I don't think it'd be too hard to build up a cohort, but No, >> indeed. Okay, let's move on. Yeah.
(1:09:50) This is prostate cancer. >> Yes. >> Vitamin D level circulating vitamin D level and mortality. >> Yes. >> In prostate cancer patients. >> This is patients already diagnosed with prostate cancer. >> A dose response meta analysis. >> Yes. >> Here we have it. Published in 1918. >> Yes. Uh to 2018. Yeah. >> From 2018.
(1:10:09) >> Yeah. Yeah. >> This meta analysis. Yes. said higher well we'll say vitamin D level yeah >> is associated with a reduction of mortality in prostate cancer patients and vitamin D is an important protective factor in the progression and prognosis of prostate cancer >> absolutely >> there we have it >> and and uh I would I would go further and say and many other cancers as well >> and and and Gustard Gleas has also told us that people don't respond to the chemotherapy as well if the vitamin D is low So >> yeah, >> again, you're going to greatly enhance
(1:10:44) your chances of not dying by taking vitamin D. We would assume >> prostate cancer is is the commonest cancer in men >> and it's horrible because it goes to the bones. >> It can be dreadful. Yeah. >> Terrible. >> And um >> by by Yeah. It's so common >> and getting and getting more common. >> A lot of men are being tested for vitamin D. Oh, sorry.
(1:11:06) Tested for PSA for prostate cancer. >> Yeah. But if there's concerned about prostate cancer, they should be given vitamin D straight away. >> Yes. >> If anyone if any man goes and has a PSA test, he should have a vitamin D test as well. >> Completely. >> Completely. Completely. >> They should go hand in hand like horse and carts as it were.
(1:11:23) >> Like vitamin D and calcium. Vitamin D and PSA, you know. Yeah. >> That's right. Indeed. Indeed. >> And if if the vitamin D is low, it should be made ideal. >> It should be made tested for. Yeah. >> So there we are. >> So that's pretty definitive data that it's >> affect black men with a high incidence of advanced pro prostate cancer.
(1:11:46) >> We know that black men are vitamin D deficient. >> Yeah. >> And here we have vitamin D as a protective factor in the progression prognosis of prostate cancer. >> But of course this would apply to all men who have prostate cancer. >> And this is known. It's published. >> All men with prostate cancer should be taking vitamin D.
(1:12:03) >> Yeah. Yeah. And and uh I mean I've got all my friends taking it now as a hopefully as a friend. >> They should be taking it. >> Yeah. >> But they should be taking it as even when it's thought about. Yeah. >> When you get the PSA testing done should be thought about. >> But but there's all all the other good reasons to be vitamin D replete as well.
(1:12:23) There's just no reason not to be. >> Let's um see what we've got next. Black people eight times more likely to be hospitalized with lupus in England. Again, >> Toby Toby Thomas is bringing this to our attention. >> Very good. Very good. >> She's absolutely superb. >> Huge respect for her. >> Very good. >> But she she asked questions of the important people, but she getting the wrong answers unfortunately.
(1:12:51) >> So, she's identifying the epidemiological problem, but not not the therapeutic solution. She must do an awful lot of reading to be able to bring these things up. >> Yeah. >> Anyway, lupus. Okay, just move on and we'll look at lupus. >> It's got sin. >> It's interesting. There's quite a lot of that.
(1:13:09) I saw quite a lot of that in Cambodia. >> Really? >> SL. Yeah. Yeah. Yeah. Cuz when I went there to teach said, can you teach us about lupus? I thought, well, not really. I don't know much about it. >> When I went there, there's like loads of it. It was um >> Oh, interesting. The thought of that. >> Yeah. So lupus lupus means wolf actually.
(1:13:27) >> Yeah. >> Systemic lupus eriththematitosis. >> The ro that w roams around in this disease. >> Around the body. >> Well what it is it's the it's the werewolf legend. >> Oh is it >> because uh in patients it used to be like this anyway. They had a photosensitive rash on the face. >> That's right. That's right. Yeah.
(1:13:49) >> And it came out the photosensitive rash. >> Yeah. in the light whereas the werewolf comes out of the full moon. >> Is that where it comes from? >> Yeah. >> I thought I thought it was the wolf that roamed around the forest and the disease roams around to different organs in >> No, it's much more much more interesting than that.
(1:14:05) >> I've been teaching the wrong thing for 40 years. >> It's the It's the werewolf who appears at full moon >> or the vampire daylight. Yeah. >> And the the the the butterfly rash across the face. >> That's right. also comes out in the sun. >> Recognize as soon as they walk in the room. >> Yeah. >> Yeah, that's right.
(1:14:25) >> Anyway, whatever whatever it is, we tend to call it live and learn. >> I've always known as SL >> and it's a serious autoimmune disorder very much so. >> And we know that autoimmune disorders are associated with low blood levels of vitamin D. >> Yeah. I mean, it can affect the heart, can affect the kidneys, can affect the skin.
(1:14:44) >> It's a very serious disease. Yeah. >> Oh, yeah. You can die of it. Yeah. >> Yeah. Absolutely. Yeah. It's the kidney disease that is the main problem. Yeah. >> In this country. Yeah. Yeah. So, we know that it's associated with low levels of vitamin. Very >> straightforward correlation. Yeah. >> Again, here we are.
(1:15:05) Hospital admission rates in England for patients with lupus. >> Wow. >> Um, this wasn't from Toby Thomas. This is I just got it from NHS England. >> Yeah. >> And so, you can see how high it is. >> Yeah. >> In black people. Wow. Still 2.6%. >> And again to do statistics on that with those magnitudes of difference. >> That's right. >> It would be completely unambiguous.
(1:15:24) >> See, white people have just of those admitted >> Yeah. >> You know, you can see mainly black >> Yeah. Yeah. >> over represented, >> Asian, mixed and white. >> There's a deg pigmentation. >> Totally. >> Skin pigmentation. this wonderful sunscreen. >> It certainly is. >> It blocks sunburn. It blocks vitamin D production.
(1:15:51) >> Yeah. Yeah. >> And that's no problem. >> I mean, just to give a silly example, I was working in Africa recently and I get up in the morning. I put my sun cream on and my friend, the doctor I was working with, clever guy, he said, "What are you doing?" >> Yeah. >> Said I said, "What do you mean? What am I doing?" >> Yeah. He has built-in sunscreen.
(1:16:07) >> I said, "I'm put I'm putting my sunscreen on." He said, "Why?" >> Yeah, that's right. He was born with it. >> He says, "Cuz I burnt to a Christmas." This is a clever guy, you know, he just didn't have the concept of needing to protect yourself from the sun. >> But of course, you were you were told >> through public health messaging >> that when you go to a tropical country, you must use powerful sunscreen as a white-kinned person.
(1:16:31) >> He wasn't told if you go to England, you got to take vitamin D. >> That's a really good point, isn't it? >> Yeah. And there are a lot of people come from black Africa, from Africa, from Asia to this country and they are not told to take vitamin D. >> I I I I was educationally prepared to go to his country.
(1:16:50) >> Yeah. >> He's not educationally prepared to come to mine. >> That's right. >> That's a really good point. >> Yeah. Yeah. Even even coming through even through even coming to an airport. >> Yeah. >> You ought to be a sign saying >> Yeah. off an airplane to Asia or Africa saying, >> "Please make sure you take vitamin D.
(1:17:08) " >> Yeah. >> We want to tell them. >> Yeah. >> But we don't give them handouts. >> We tell people about the dangers of smoking and tax it so it goes onto the black market because it's so expensive. >> But but uh other really basic things. >> There's lupus again. >> Yeah. >> Distinct vitamin D issue. >> Yeah. Very very convincing.
(1:17:29) >> Yeah. And again, David Thomas is just wonderful. >> Yeah. >> February the 12th. I must confess I didn't know this. Young until I read this article. >> I didn't I didn't know that. >> Young Asian children 70% more likely to have tooth decay than their white counterparts. >> Interesting. >> There's some good comments on this actually.
(1:17:51) >> Interesting. >> So, let's see. Tooth decay. >> Yeah, I wasn't aware of that. >> Yeah._ Asian 5-year-olds 70% more likely to have tooth decay than white children._ >> Right. >> Let's see what the commenters say. >> Right. Interesting. >> Eddie Crouch, chair of the British Dental Association, said this oral health gap was made in Westminster with children paying the price for official failure to take dentistry seriously.
(1:18:20) Well, that's a stupid thing to say. >> He's blaming the government. >> Yeah. Yeah. you failure in Westminster >> and and again it's dentists that stop you getting tooth decay not not not >> you want a dentist to know this >> not not the public health doctors and dentists should know this not government >> I think I knew I knew this by the time I' done Alevel biology I'm sure that that uh >> it's it's essential that you have >> um good levels of vitamin >> D and calcium and things for uh >> health right >> for health Absolutely.
(1:18:55) >> We'll see again. There's more of that. We move on. >> Here we are. We'll see the detail of this in a minute. But it's published. We can see here it's published >> in 2020. >> Yeah. >> Vitamin D deficiency and oral health a comprehensive review. >> Now, I have thought that >> if you're a boss of dentists in the country.
(1:19:20) >> Yeah. But this is a journal nutrients. It's not a dental journal really. That's the point. It's very often a vitamin D journal. It's not a dental journal. >> Yeah. But I mean anyway, you know, if you can't if you can't >> recognize that oral health might be reasonable to a dentist to read about, >> but yeah.
(1:19:40) Anyway, let's um >> I mean, but it is part we are in silos. That is part of the problem. But even so, >> yeah, that's right. Yeah. Here we are. During growth and adulthood, vitamin D deficiency is associated with a wide variety of oral health disorders and impaired vitamin D synthesis may expediate some of the may expedite some of these conditions.
(1:20:03) >> Yeah. Yeah. Yeah. >> In children, severe vitamin D deficiency can induce defective bone bone mineralization tooth and >> resulting in dentine and enamel defects. >> Yeah. >> So the biology is there. Yeah, >> the biology is there. >> You know, we've known we've known that from dog food adverts, you know, necessary for strong teeth and bones.
(1:20:24) >> I must say my dentist knows about vitamin D and its importance in oral health. I'm glad to say I >> I don't I don't think mine did because I've got a new dentist. He's a wonderful Asian. He is Indian guy. He's fantastic. >> But but but um >> I got the I only mentioned it briefly, but I got the impression he wasn't that well up on it to be quite honest.
(1:20:46) M >> I'll have to ask him, but I mean maybe I'm being unkind. Maybe he is. >> But here we've seen another example of >> ill health, dental ill health >> in in this case Asian children, South Asian. >> Yeah. >> Ethnicity children and vitamin D is coming up as the answer to it. >> Actually, my dentist probably did know.
(1:21:07) I just tend to talk rubbish. He maybe switches off a bit when when I go. >> Okay. >> I'm as bad when I go to the doctor and pratt on about things. >> Yeah. As a consequence, these defects may increase the risk of the on the risk of the onset and progression of dental carriers. >> Further, vitamin D deficiency has been associated with a higher prevalence of pererryodontitis and gingial inflammation.
(1:21:34) The gums the gums gum inflammation. >> This is a major cause of tooth losses is gum disease infection. >> The reason teeth fall out is mostly gum disease as I understand it. That's right. Yeah. Yeah. Yeah. And so vitamin D deficiency again not surprising we're dealing with inflammation infection. >> So we need vitamin D for that.
(1:21:54) >> Yeah. Yeah. Yep. Yep. Completely. >> So to summarize now >> Yeah. Health disadvantages of black African and South Asian ethnicity. Maternal deaths, stillb born babies, preeacclampsia, poor mental illness, posttop infections, prostate cancer, excess deaths, lupus, and dental decay. >> Dear me, to name a few, to name but a few, we could say.
(1:22:23) >> Yeah. >> You know, that's not looking at dementia. That's not looking at diabetes, which we could look at. >> Well, if you move on, we'll see. >> Oh, we've got some more. >> Those one we just looked at, but there a lot more. right more >> we know about ricketetts in childhood ricketetts with vitamin D deficiency >> an osteo >> more commonant black African south Asian ethnic children >> tubiculosis diabetes coronary heart disease metabolic syndrome chronic kidney failure excess COVID 19 deaths we've seen >> and 30 30 years short at lifespan
(1:22:57) >> all those are the health burden or the illness burden of black African and South Asian ethnic people. >> Yeah. >> And it's a disgrace. All of those are linked to vitamin D deficiency. >> Yeah. Yeah. >> Every single one. >> Yeah. >> And nothing is being done. >> Yeah. And you thought of the you thought of the things to mention that I buted in with before.
(1:23:24) So now there are people at the center of the Royal Colleges who are close to government who know about all this. But they are saying nothing and nothing is being done. The government does not acknowledge it. These senior people and the government they are should we say happy to see this increased illness burden of these ethnic people rather than admitting that vitamin D is an effective medicine.
(1:23:53) >> Yeah. >> Sorry, I shouldn't call it a medicine. Vitamin D vitamin D deficiency >> is a serious problem that can easily and safely be corrected. >> Just I'm I'm just dumbfound. >> Yeah. Yeah. >> Yeah. >> Indeed. Know what to say. It's just >> indeed. That's right. >> Outrageous. Unacceptable. >> Preposterous. Anti-scientific.
(1:24:16) >> These people that we've seen quoted, >> they know all this >> and they're paid to do it all. >> And they know vitamin D. >> And they're paid to do it. >> That's right. >> Yeah. Yeah. Yeah. They're ign they're prepared to ignore it. I bet they all take I bet these senior people all take vitamin D themselves.
(1:24:31) >> That would be an interesting study. That would be an interesting covert study. >> Yeah, it would indeed. Well, if they're not taking vitamin D themselves, it's stupid >> completely. >> Ignoring this for the general ethnic population >> is um is um reprehensible, should we say.
(1:24:49) I mean, that's the kindest thing you could say. >> You know, stupidity is is ignoring it themselves. It really makes you wonder if there's some deeper plot going on here that it suits various political interests >> to have the appearance of discrepancy in this country. >> Yeah. Yeah. >> The appearance of racism in this country. >> Well, >> because my day-to-day experience is is not, you know, British people aren't racist.
(1:25:14) >> No, I Well, >> well, some are what they say. Yeah. >> Yeah. I mean, but you know, I've met some Indians that are racist. I met some Africans that are racist, you know, you know, and some British people that are racist, but it's it's a very small minority. >> It is. >> It is. I agree. >> But but why why they would want to paint that or apparently want to paint that as a big problem when it's not a big problem.
(1:25:36) >> But allowing this situation to continue >> without medically >> without vitamin D. >> I have no idea. But the impression that we gain is that the government wants to make wants to tell the population the vitamin D is of no value. >> Well, it isn't of much value cuz it's cheap. >> That's right. Yeah. That's right. Yeah. Yeah.
(1:26:05) >> No money to >> I mean I mean could it be that cynical? >> I don't know. >> We can't make money there. We're not going to bother. >> Yeah. Yeah. Well, not the government doesn't make the money. It's the pharmaceut. >> Yeah. >> Should we see what else we've got? Two more little little bits, >> please. >> Here we are.
(1:26:26) >> Yeah. Racism. These disadvantages are due to either racism or vitamin D deficiency syndrome. >> Yes, that's a good summary. >> You could put that all together as a syndrome. >> Yeah. >> But you of course you can have both racism and vitamin D. >> Of course. Of course. >> Yeah.
(1:26:44) But I'm very happy to acknowledge that. >> Yeah. Of course. >> Now, what I can do as a person about racism, I have no idea. >> Yeah. >> What I can do about vitamin D deficiency, >> Yeah. >> is very obvious. >> Yeah. >> Make videos. >> And I'm prepared to do that. >> I'll do all I can to counteract racism and I'll do all I can >> to to correct vitamin D deficiency.
(1:27:06) >> Yeah. >> And that's what the leaders should be saying. We'll do all we can to counteract racism, >> but at the same time, we're going to make sure we correct vitamin D deficiency. >> Absolutely. Let's do both at the same time. >> That's right. Yeah. >> But of the problems, I think the vitamin D is the one that's causing the the morbidity and mortality.
(1:27:23) >> We can do the vitamin D deficiency tomorrow. >> Yeah. >> We can do racism sometime in the future. >> Yeah. So, there's an entire variable we could eliminate >> and then we could worry about whether there's racism or not affecting these medical issues. want to have eliminated the most obvious >> most basic biological variable.
(1:27:43) >> I think we've got one or two other bits. >> I think so. >> Excellent. >> It's very rare to have an answer who will help so many people so quickly, so safely, and so cheaply. >> I like it. I like it. Did you write that? >> I don't think I did. >> I like it. It's church. >> I think I think I've picked that up from so >> it's Churchillian, isn't it? Never before in the field of human conflict.
(1:28:06) >> Yeah, that's right. It is. Yeah, >> but it's so true. It's so true. >> It is. It is. I like it. I like it. >> And another >> I do like it. >> This is a nice one. A new scientist. >> Yeah. >> Just over a year ago. The more obvious the observation, the more tedious and long-winded the experiment, >> but we don't need an experiment because it's obvious.
(1:28:28) >> Yeah, it is glaringly obvious. >> So, we don't need long- winded experiments. It's glaringly obvious. It's safe. As we say, we carried out the intervention. Collecting the retrospective data would completely utterly prove the case. >> Well, I think the case >> that's a nice one as well. >> I I think the case is completely proved already to be quite honest.
(1:28:46) But uh >> Yeah. >> Yeah. >> Like this. These are examples from the side. Again, >> being hit by an SUV increases the likelihood of death or serious injury. Yeah. >> Recent research shows >> it's like jumping out of a plane without a parachute could be bad for your feet. I think we got another one. >> Oh, we've got >> We might have the parachute.
(1:29:06) >> David, this is uncanny. I keep thinking of things you've already thought of. >> Yeah, this is this is this is some strange telepathy going on here or something. >> Do your water bills go up if you have a leaky tap. >> Let me think. It is the glaringly obvious thing. You don't need research. Glaringly obvious.
(1:29:28) >> And another another funny one. Are picnics less enjoyable if they're overrun by ants? >> Yeah, >> these are examples. >> Yeah, we need to set up scientist. >> We need to set up a study to investigate that, don't we? >> Yeah. >> Great. Love it. >> What's another one? >> Does drinking alcohol increase the risk of a driving accident? >> Now, that demands a randomized control trial, >> doesn't it? We've got to give people We've got to send people out driving with different levels of alcohol in the body. We need some people that have had
(1:30:00) no alcohol, some that have had some that have had one unit, some that have had five units, some that have had 10 units, some that have had 15 units, some have had 20 units, and see who has the most accidents. >> That's right. >> What could possibly be wrong with that? >> Yeah, see might have another one.
(1:30:13) I'm not sure. >> No, these are good. >> Here we are. Will correcting vitamin D deficiency reduce the burden of illness and early death in people who are seriously deficient? >> Yeah, I mean it's just >> and that that's the end. And there we mean the people primarily of South Africa, South Asian >> and black African >> ethnicity.
(1:30:35) >> Yeah. Incredible. Yeah. Totally convinced. >> What we've seen just now tells us that it's going to be >> Yeah. >> Yeah. >> David, that is Yeah. >> Just go to one more. I think there's one more. >> I think that's it. Is that it? >> There we are. >> Oh, no. Sorry. One more. Yeah. >> It's that quotation again. >> Oh, yeah.
(1:30:54) Vitamin D is of vital importance, but the official line is that vitamin D is of no value. >> Yeah, >> that's what that's the take-home message. >> Yeah, >> that is the take-h home message. We must all take it home. We must all challenge the official line. >> Yeah. >> Because the official line is a disgrace. So, there you go people.
(1:31:15) Apart from looking at the data, you can trust the guy that writes the books and does the PhDs and has treated patients for 50 years plus. Or you can trust the bureaucrats in Whiteall. Take your pick. I know where my I know where I'm going, David. >> Well, I hope that this John I hope that this is is going to have an impact to improve the health of the Black African and South Asian population of the UK.
(1:31:40) >> Absolutely. And other countries as well. I mean I mean me and David are kind of laughing and joking about this a bit, but that's cuz it's so absurd. >> It is. You know, this is really serious stuff. Spread this message around. Share the video. There'll be a Substack article. Share share it around and um let let's make make positive changes and improve the health of our peoples.
(1:32:02) This another good research study. It's a good idea to improve the health of our peoples. >> Yeah, >> David, thank you as always. Wonderful stuff. Well prepared, >> sequential. You you've thought of everything I would have thought of in the right order. Quite quite >> Thanks for the opportunity. Quite quite uncanny that I'm asking questions that you're just about to answer all the way through. (1:32:23) >> Good. >> Great. Thank you, David. God bless. Thank you, John. Thank Thank you everyone for watching. >> Goodbye. >> Bye.”