From Parthian chicken to flat breads: experimenting with a Roman oven

#AceHistoryNews says “Roman Cookery Book” is simply called the “Apicius” and was used to provide the staple, diet for a dish called “Patina” which was a thick frittata cooked in a vessel of the same name #chefs-tips

British Museum blog

Heat, steam and Roman cookingSally Grainger, chef and author

In previous posts I introduced the different types of ancient portable ovens which are generally called either clibanus or testum. The former term is the more fashionable Latinised Greek word while testum represents the Italian tradition for these ovens.

Currently on display in the Life and death in Pompeii and Herculaneum exhibition at the British Museum, there is a unique double casserole/oven with a base and domed top. In this post I will discuss the results of preliminary experiments I’ve been undertaking with a replica of this so-called clibanus oven.

A clibanus oven over charcoal

This oven appears to be designed to allow fire to be above and below the food being cooked. This concept is found in recipes in the Roman cookery book known as Apicius for a dish called a patina which is a thick frittata cooked in a vessel of the same name. The instructions are as…

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A very versatile Roman oven

#AceHistoryNews says the “Roman Oven ” used to bake and roast food from around 2,000 years ago, when Jesus walked the land #ilovehistoryandresearch

British Museum blog

A very versatile Roman ovenSally Grainger, chef and author

In my previous post about Roman cooking I described a type of oven used to bake and roast food about 2,000 years ago. Known as a clibanus it was a sophisticated piece of cooking technology most likely used by the wealthy, and one with which I have spent many years experimenting.

These ovens were made with very course gritted clay and ranged in size from 15-50 cm in diameter, with walls of up to 10 cm high. A central hole seems to have been for regulating the temperature and could also allow cooks to keep an eye on the food baking inside. A flange allowed the fire to be placed on the top of the oven.

The sites in Italy where these ovens have been identified tend to be rather elite villa complexes where one could imagine the baking of delicate cakes and also warm…

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Heat, steam and Roman cooking

#AceHistoryNews says “Roman Cooking from the Past is not much different from today, you just heat and steam and then provide the hospitality #catering

British Museum blog

Heat, steam and Roman cookingSally Grainger, chef and author

There are two exhibitions on at the British Museum at the moment which relate to the theme of Roman cooking and dining.

Silver service: fine dining in Roman Britain evokes a late Roman dining room, including a partial reconstruction of a curved dining couch, or stibadium, arranged around the Great Dish from the Mildenhall treasure. Many have puzzled as to how these huge silver platters were used: what kinds of food, if any, were placed on them and was it acceptable to cover up the fine carving?

Having spent many years studying and experimenting to understand what Romans ate and how they prepared and made it, my particular interest is not so much with the outward service of the food, but the actual cooking process. It is clear from ancient texts that the preparation of dishes for fine dining was very sophisticated with intricate…

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Fighting for Better Nutrition in India by Taking Food Banking From Delhi to Gurgaon

Delhi Food Bank {DFB}#AceFoodNews says “Hunger and Malnutrition” remain critical issues in contemporary India, despite key economic advancements. However, on National Education Day (Nov 11), an event saw the launch of the first ever Gurgaon Food Bank, marked a successful feat – a step in the right direction – in this seemingly insurmountable challenge.

Delhi Food Bank (DFB) and its partners, building upon its critical success – in the presence of key dignitaries and supporters – helped to launch the Food Bank in Gurgaon, Haryana. The occasion also marked the end of its intensive Food-A-Thon 2013 campaign by honouring key organizations and individuals for their contribution at an awards ceremony.

There are vast numbers of transitionary populations in places such as Gurgaon in search of better economic opportunities, who as well as other vulnerable populations, face serious nutrition challenges that have a plethora of negative impacts on their lives.

Delhi Food BankGiven this, the establishment of the Gurgaon Food Bank, run by Aidmatrix and supported by Cargill and critical founding partners including DLF Foundation, highlights that food banking is a viable model for contributing towards the nutrition and hunger challenge. In the context of this challenge, the private sector occupies a unique position through the power of participation. One such corporate giant that has made a significant impact on the Delhi Food Bank is the DLF Foundation, whose provision of critical infrastructural support has enabled food banking to become realised in India. They share the vision for the national implementation of food banking through their keen sense of corporate social responsibility. Indeed, by extending the Food Bank from Delhi to Gurgaon – the message is clear, that food banking can go to all corners of India and eventually reach to those that need it the most.

The Food-A-Thon 2013 brought together over 65 organizations – some 70,000 individuals – in a ground-breaking on-line and grass-roots campaign to serve the undernourished and hungry vulnerable population in Delhi and NCR. It called upon private, public and NGO partners to join hands and take concrete action to make a much-needed contribution to feeding programs for vulnerable populations in and around the capital area.

“Over a 150% increase in the enthusiastic participation of the Food-A-Thon this year is truly remarkable,” said Kuldip Nar, Managing Director, Aidmatrix Foundation, India. “And it is precisely this engagement from individuals and companies that helps sustain nutritional feeding to those who need it the most.”

The occasion was graced by a number of key dignitaries, namely Shri. Randeep Singh Surjewala, Cabinet Minister of Haryana, Mr. Sam Pitroda, Chairman, Advisory Board, India FoodBanking Network and Advisor to Prime Minister of India for Public Information Infrastructure and Innovation and Shri. Sukhbir Kataria, Minister for Sports, Agriculture and Cooperation, Government of Haryana together with Siraj Chaudhry, Chairman, Cargill

“If we don’t feed people nutritious food, we will not have enough healthy people to
join the workforce, therefore the nutritional challenge in India is a key concern for the
private sector,” pointed out Sam Pitroda during his address.

Shri Randeep Singh Surjewala, the chief guest of the event, highlighted, “We require a
voluntary approach on a sustained and cumulative basis to make Food Banking work. Food
Banking is the way forward to help our society become a better one.”

Within the maximum food collected by a corporate and a school, MTS (Mobile Telecom
Service), India and Sanskriti school came out on top, respectively. Whilst Chef Aditya
Bal, received the Best Individual Volunteer of the Year award, Interglobe Enterprises
Limited won the Best Corporate Volunteering Initiative award. Finally, MTS also scooped
the award for Best Communications and the Best Group award went to the Harley Owners Group
who are keen supporters of DFB’s work.

Feed A ThonThe event took place at the Epicentre in Gurgaon on 11 November bringing together key
Food-A-Thon participants and supporters.

“It is the shared responsibility of all of us, not just government to help those that
need nourishing food the most,” highlighted Siraj Choudhry of Cargill.

About Delhi Food Bank

The food banking system is focused towards providing a nutritional wholesome plate. Delhi Food Bank (DFB), operationalized by Aidmatrix Foundation, was established as the first ever Food Bank in India, in June 2012. The DFB program, augments and compliments ongoing government interventions for Food Security by galvanising massive participation from the corporate, NGOs, professional, as well as educational sector within and across India.

Delhi Food Bank is supported by a number of organizations that are making a real difference in the lives of many with their generous support, such as the DLF Foundation, Reliance Foundation, Cargill, and the Global Alliance for Improved Nutrition (GAIN).

It acts as a hub to aggregate food donated from corporations, schools and individuals and takes it from these key stakeholders directly to those that need it the most.

The Food Bank services over 32 feeding center locations, where partners distribute the collected food in Delhi NCR: at schools, shelter homes for women, night shelters, orphanages, and via various partners caring for migrant populations and underprivileged populations in general.

The mission of the Food Bank is clear, that all should have access to at least one nutritious meal a day. Thus so far, over 45 lakh vulnerable populations have been served, with the help of over 113 corporations and 1,20,000 individuals since June 2012. 

For more information about the Delhi FoodBank, please visit
[ ] and

GURGAON, India, November 13, 2013 /PRNewswire/ —

Primary Media Contact: Nimisha Sachdeva,,

Secondary Media Contact: Jatin Dhall,, 91-9811342299

Ace Related News:

High Number of People With Diabetes in Europe Receiving Inadequate Care

Cover of "Living with Diabetes (Living wi...

Cover of Living with Diabetes (Living with…)

#AceHealthNews says Hundreds of thousands of people living with diabetes in Europe do not have access to the treatment they need, putting their health at risk. These are the initial findings of a study by the International Diabetes Federation Europe (IDF Europe) on Access to Quality Medicines and Medical Devices for Diabetes Care in Europe.

The first of its kind in the field of diabetes, the study highlights constraints and disparities in access to diabetes treatment in 47 European countries.

Half of the countries surveyed reported stock and shortage issues. Respondents in more than one-third of the countries covered also reported increasing difficulties in getting their prescription as they face delays of up to several months to see their healthcare professional, or because there are no healthcare professionals close to where they live.

The economic crisis exacerbates these issues. This is particularly true for Mediterranean countries, such as Greece and Portugal, where local healthcare centres have had to reduce their staff or have simply closed down due to austerity measures.

Overall, the study also identified a general lack of access to continuous diabetes education for people living with diabetes, their families and healthcare professionals in all the countries surveyed.

Due to quotas on subsidized or free diabetes medicines and devices, many people either have to pay for their own treatment or just do without. People with diabetes in Spain reported spending on average 300 euros per year on their diabetes medicines and devices. This is a considerable amount of money as millions of people in Spain live with a net salary of less than 1000 euros per month. In Poland people with diabetes reportedly spend
around 400 euros per year for their treatment. This represents more than half of the average monthly salary, which currently stands at 654 euros. In Bulgaria, Russia and Azerbaijan, people reported having to spend well over 700 euros a year.

Within countries, differences in regional implementation of national guidance also create growing inequalities as to who can get certain diabetes medicines or devices. “Access to diabetes care should not be a lottery,” comments Joao Nabais, President of IDF Europe. “In more and more countries, we see that access to quality diabetes care depends on your age, where you live or even whether you have a job.”

Inadequate access to medicines and devices has dire consequences for people with diabetes and healthcare systems, which are faced with spiralling costs. Poorly managed diabetes leads to serious and costly health complications including blindness, stroke, kidney failure and amputations.

“Unwise budget cuts in public healthcare expenditure are proving to be counter-productive. Investment in comprehensive, quality diabetes care saves lives and avoids unnecessary suffering,” adds Joao Nabais. “It saves money too. With adequate treatment, people with diabetes can manage their condition properly and lead long, healthy and productive lives.” For most countries, the largest single element of diabetes expenditure is hospital admissions for the treatment of diabetes complications. Many of these are preventable with
proper treatment and access to continuous education.

“Good health and high quality healthcare are essential for economic and social development. European governments need to ensure that health systems are more efficient and sustainable, while ensuring access to quality care for all people living with diabetes in the region. After all, we are talking about giving people with diabetes the right to be treated well,” concludes Joao Nabais.

Taking Control of your Diabetes

Taking Control of your Diabetes (Photo credit: Wikipedia)

Country Highlights:


Access to diabetes treatment is seriously challenged by several issues in Azerbaijan. First, there is overall lack of transparency and publicly available information about what people with diabetes are actually entitled to and how medicines and devices provided by the healthcare system are selected.

In addition, insufficient or inadequate supply of diabetes medicines and devices is a recurring issue in the country. Also, a majority of people with diabetes simply cannot afford to cover the full costs of their treatment.

“According to the National Diabetes Programme, people with diabetes who register in policlinics or in national healthcare centres are provided with insulin and oral medication free of charge. However, this is often not the case in practice,” says Mominat Omarova, President of the Diabetes Association of Azerbaijan. “The supply of insulin and oral medication has improved this past year. However, the problem is that the majority of resources are allocated to people living in Baku, our capital. It is very difficult for people with diabetes living outside Baku to get access to their treatment.”

Even if the government has recently shown more willingness to increase public help, unaffordable diabetes treatment is a major issue in Georgia. Prices for diabetes and devices are not regulated and are reportedly quite high. Also, oral medication for people with type 2 diabetes is not covered. In general, people with diabetes have to pay for most of their medicines and devices, making it very difficult for them to follow regular and
continuous treatment.

In addition, low awareness of diabetes among the public and politicians make change difficult to achieve.


In Italy, access to diabetes treatment is challenged because of the country’s highly regionalised healthcare system. This translates into inequalities between regions and sometimes even between cities because prescription criteria for diabetes medicines and devices are different.

Most importantly, regionalisation of healthcare in the country strongly impacts the capacity of regions to cover the costs of diabetes treatment. As a direct consequence of the crisis, healthcare budgets in some parts of the country run out prematurely and healthcare authorities can no longer provide free supplies for people with diabetes.

In light of all these issues, diabetes associations advocating for the rights of people with diabetes play more than ever a crucial role. “Because of the crisis, our government wants to rationalise costs on health, and therefore on diabetes. Recently a draft bill was proposed to provide all people with diabetes in Italy with the same medicines and devices. Thanks to intense lobbying, diabetes associations limited the damage and obtained that people with diabetes get the most suitable treatment on doctor’s prescription,” commented Michele Sette, 21, living with type 1 diabetes.


The economic situation in Poland makes it very difficult for people with diabetes to get the treatment they need. Not a single medicine or devices, including insulin, is entirely covered by the country’s healthcare system. Whether or not people get some level of reimbursement for their treatment is also highly conditioned. For example: only children, pregnant women and young people under 26 get reimbursed for newer generations of insulin. “This is really sad. Every person with diabetes should have the right to get the best treatment there is,” says Martyna Neumman, a 22-year-old student who has type 1 diabetes. “I’m lucky because my parents help me buy my medicines and devices, but I know many people just can’t afford it.”

People with diabetes also find it very difficult to get an appointment with a healthcare professional, sometimes having to wait for months. “Sometimes I feel like I’m my own doctor,” adds Martyna. “When I feel bad, I count on the support and advice of other people with diabetes and my family. However, there is a lot of people who don’t have that kind of support; especially older people. They just don’t know what to do, what to eat, what type of treatment to use and start having serious health problems because of this lack of support.”


Access to diabetes treatment in Portugal has been affected by austerity measures. Local healthcare centres have had to reduced their staff or have simply closed down. This makes it harder for people living outside big cities to access the treatment and information they need.

Another issue in the country concerns insulin pumps, a device that plays a central role in the treatment of certain people with diabetes. Portugal currently has national quotas on insulin pumps, leading to waiting lists of sometimes up to 2 years for people who are eligible to get the device.

Miguel Gaspar, 25, a personal trainer living in Lisbon, was diagnosed with type 1 diabetes four years ago. “Up to now I never had issues to get treatment. We have many associations for people with diabetes here, which also makes it easy to get information and support,” he says. “However, support and proper treatment is more difficult to get outside big cities. The crisis is also making it more and more difficult for people to pay for the part of their treatment that is not reimbursed.”


In Romania, access to diabetes care is primarily challenged by very tight control over prescription, used as a way to contain public spending on diabetes treatment. “In general, all diabetes medication is given free of charge. However, access to new or more modern treatment is only given after a case-by-case approval by a special diabetes medical committee,” says Maria Mota, President of the Romanian Society of Diabetes Nutrition and Metabolic Diseases. “In practice, this means that very few people with diabetes have access to insulin pumps for example.”

In addition, people with diabetes -either type 1 or type 2- in Romania are treated by diabetologists, i.e. specialised healthcare professionals. Usually these healthcare professionals are based in larger a city. This makes consultation harder for people living further away from urban areas.


Shortages and unaffordable treatment are the two main barriers for people with diabetes to access their treatment in Serbia. Very limited public health spending on diabetes means that prescription and reimbursement for diabetes medicines and devices are tightly controlled and highly conditioned.

“It’s hard for us to accept that healthcare authorities get to decide what type of treatment we get,” says Stela Prgomelja, Vice President of the Serbian Diabetes Association. “A significant number of people with diabetes cannot self-monitor because they don’t get enough test strips or simply can’t afford medicines that are not reimbursed,” she adds. “Children and young people up to 26 with type 1 diabetes have higher reimbursement rates for their treatment. So when you turn 26, in the eyes of the healthcare system, it’s like you don’t have the same condition any-more.” 


Regionalisation is the main challenge to equal access to diabetes treatment in Sweden. Regional or local authorities are responsible for the implementation of prescription criteria and for financing certain medical devices. This inevitably leads to inequalities in access to diabetes treatment.

In this respect, a recent decision by Swedish authorities to transfer responsibility for financing insulin pumps and continuous glucose monitoring devices (CGM – devices to monitor blood-glucose levels at any time) to regions is making people with diabetes and diabetes association anxious. Right now these two devices are still free of charge if prescribed by a doctor but the diabetes community fears that once regions will have to decide on their financial coverage, fewer people will be able to receive insulin pumps and CGMs’.

“The cost of using a CGM is as high as 3,100 euros per year,” says Josefin Palmen, a professional athlete living with type 1 diabetes. “This is something very few people can afford. However, our healthcare system now seems to think that I somehow don’t need it because my blood glucose levels are good. I couldn’t imagine doing sports competitions without continuous glucose monitoring. But what’s more important, I need it to just be able to live my life.”

United Kingdom

In the United Kingdom, one of the main barriers for access to diabetes treatment comes from the uneven implementation of national treatment guidelines at local level.

Even if prescription guidelines are defined at national level, implementation and resources do not always follow locally. This leads to inequalities as to the type and quantity of medicines and devices a person with diabetes can get, depending on where they live. In a recent study carried out by Diabetes UK, 39% of both people with type 1 and type 2 diabetes using self-monitoring devices reported being refused a prescription for blood glucose test strips or having their prescription restricted. In such cases, people with diabetes have either to accept what they have been prescribed or buy the missing supplies out of their own pockets.

Simon O’Neill, Director of Health Intelligence and Professional Liaison at Diabetes UK, said: “There is still a very long way to go to improve levels of care for people with diabetes, both Type 1 and Type 2, in the UK. We know that our 15 Healthcare Essentials campaign, which sets out the checks and services people with diabetes should receive, has had a huge impact on people with diabetes and healthcare professionals, but the evidence shows that many people with diabetes in the UK are still not getting the care they deserve.”

“In a recent survey, time and again people told us they felt ‘isolated’, ‘abandoned’ and ‘alone’ with their diabetes and we need to do more to support them.”


IDF Europe Study on Access to Quality Medicines and Medical Devices in Europe

The IDF Europe study on Access to Quality Medicines and Medical Devices for Diabetes Care in Europe highlights disparities in access to quality medicines and medical devices for diabetes care in the 47 countries of the IDF Europe Region. Articulated around three key dimensions of access to healthcare (availability, accessibility and affordability), the study aims to provide evidence to policy makers and stakeholders on the current challenges faced by people living with diabetes in terms of access to the treatment they need.

The study is based on a total of 1150 answers to a survey questionnaire sent out to the 47 countries of the IDF Europe Region, interviews and desk research. Respondents are people with diabetes, healthcare professionals, diabetes advocates, academics and public and private stakeholders.

The executive summary of the study is now available for download at

The full study will be available on-line and for download as from 28 November 2013 at

About the International Diabetes Federation European Region – IDF Europe

IDF Europe is the European Region of the International Diabetes Federation. We are an umbrella organisation uniting 66 diabetes associations in 47 countries. We represent people with diabetes and their families, as well as health professionals working in diabetes. Through our work, we aim to influence policy, increase public awareness and encourage health improvement, promote the exchange of best practice and high-quality information about diabetes in all countries throughout the Region.

BRUSSELS, November 13, 2013 /PRNewswire/ —

For more information, visit

International Diabetes Federation European Region (IDF Europe)

Ace Related Articles

Health Benefits of Turmeric

#AceFoodNews says “Health Benefits of Turmeric” #health

Paper to Use

The roots of turmeric plant are crushed and subjected to the extraction process to produce the curcumin extract. 10 kg (approx. 20 lbs) of dry curumin power yields only 1 kg (2 pounds) of curmin extract, hence a standardized ratio of 10:1 is considered of good quality. Please note that health benefits of turmeric (curumin supplement) extract is much more effective than normal spice turmeric because it’s highly concentrated form and more importantly because tumeric is not well absorbed in the digestive track. Curumin supplement (extract) is well absorbed from the digestive tract.

Historically it has been used in many cultures around the globe for various purposes and is still used to-date. It was anciently used by Indians, Japanese and Chinese in traditional medicine, as a flavoring agent, condiment and even a spice.

Curcumin is yellow in color and is used to make curry powder thus giving it the distinctive…

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Chinese Chicken Stew with Black Fungus

#AceFoodNews says here is a guest recipe post courtesy of RASAMALAYSIA 

Chinese Chicken Stew with Black FungusChinese Chicken Stew with Black Fungus Recipe
Serves 2 | Prep Time: 15 Minutes | Cook Time: 10 Minutes


1 tablespoon oil
1-inch piece ginger, peeled and sliced into thin pieces
8 oz chicken thigh or chicken leg, cut into pieces
2-3 pieces black fungus, soaked in warm water until soft and cut into pieces
2 stalks scallions, cut into 2-inch lengths


1 tablespoon oyster sauce
1 teaspoon soy sauce
5 tablespoons water
1/2 teaspoon Shaoxing wine (optional)
1/2 teaspoon sesame oil
1/4 teaspoon sugar
3 dashes white pepper
1 scant teaspoon cornstarch
Pinch of salt


Combine all the ingredients in the sauce together, stir to mix well. Set aside.

Heat up the clay pot (or wok/skillet) on high heat. Add the oil. When the oil is heated, add the ginger and stir fry until aromatic. Add the chicken and stir continuously until the meat turns opaque, then add the black fungus, stir to combine well. Add the sauce into the clay pot, stir to coat well. Turn down the heat to low, cover the pot and simmer on low heat, for about 8 minutes or so, until the chicken is tender. If the sauce dries up, add some water to dilute the sauce. Right before serving, stir in the scallions. Serve warm with steamed rice.

Cook’s Note:

If you don’t like black fungus, you can substitute with dried or fresh shiitake mushrooms.


Antibiotics Awareness of Risks of Inappropriate Use

#AceHealthNews – Advice on European Antibiotics following the Awareness Day that was on (18 November) to raise awareness of the risks of inappropriate use antibiotics.

Having green phlegm or snot is not always a sign of a bacterial infection that will require antibiotics to get better, says Public Health England (PHE) and the Royal College of General Practitioners (RCGP).

This advice is issued on European Antibiotics Awareness Day (18 November) which aims to raise awareness of the risks associated with the inappropriate use of antibiotics and how to use them responsibly.

Research by PHE’s Primary Care Unit has found that 40% of the general public believed that antibiotics would help a cough with green phlegm get better more quickly rather than clear phlegm (6%).

White blood cells are produced by the body to attack any foreign materials the body does not recognise such as pollutants, dirt, pollen or microbes, and are carried in your phlegm and snot. Some white blood cells contain a green substance (a protein) so if more of these cells are present the greener your phlegm or snot will be.

Phlegm therefore comes in a range of colours from white to mustard-yellow to varying shades of green. Coloured phlegm or snot does not mean you need antibiotics.

In most healthy people, phlegm or snot production with or without a cough will stop as your cold or flu-like illness clears up, although it may take up to 3 to 4 weeks.

Dr Cliodna McNulty, head of PHE’s primary care unit said:

It’s a prevailing myth that anyone with green phlegm or snot needs a course of antibiotics to get better. Most of the infections that generate lots of phlegm and snot are viral illnesses and will get better on their own although you can expect to feel pretty poorly for a few weeks. There are plenty of over-the-counter medicines which are very effective in managing the symptoms of these illnesses and can reduce headache, muscle soreness, fever and sore throats.

The problems of antibiotic resistance are growing. Everyone can help by not using antibiotics for the treatment of uncomplicated infections. Any antibiotics we take will also kill many of our normal bacterial flora in the gut. Antibiotics also encourage other bacteria in our gut to develop resistance to antibiotics by changing their genetic makeup. These resistant bacteria can then in turn pass their resistance genes on to other bacteria, or they can be passed to other people we have close contact with. In the long run, this will mean our antibiotics become less effective, or in the worse case scenario, not effective at all.

Many people have a good understanding of what antibiotic resistance is but when it comes to their own illnesses still believe that antibiotics can help to treat what can be severe cold and flu symptoms. This is not the case and we must get away from believing this to preserve these precious medicines for when we really need them.

Dr Maureen Baker, Chair of the RCGP, said:

The statistics from Public Health England are not surprising. Many patients expect their GPs to prescribe antibiotics, even for cases that will get better naturally or respond better to other treatments.

This guidance will go a long way to bust the myths surrounding antibiotics and promote more effective alternatives, which can often be easily managed by patients.

Overuse of antibiotics is a serious public health concern and a clinical priority for the RCGP. Infections adapt to antibiotics used to kill them and can ultimately make treatment ineffective so it’s crucial that antibiotics are used appropriately. That’s why we have recently updated our comprehensive TARGET toolkit, developed in collaboration withPHE, to include new guidance for GPs and their patients on the appropriate prescription of antibiotics so that they do not build up an immunity for the future when they might really need them.


Notes to Editors:

English: Original description: "This full...

English: Original description: “This full color 17″x22″ poster is planned for use in doctor’s offices, clinics, other healthcare facilities, and media outlets. It is intended to raise awareness about appropriate antibiotic use for upper respiratory infections in adults. It explains that antibiotics are not the best answer for a cold or flu.” (Photo credit: Wikipedia)

Who doesn’t usually need antibiotics when they have coughs with or without phlegm?

  • In otherwise healthy non-smoking individuals who have no underlying health problems, having an acute cough with phlegm of any colour is not necessarily a sign of infection and any small possible benefit from antibiotics are likely to outweighed by the side effects.
  • If you are a smoker with no diagnosis of chronic obstructive pulmonary disease (COPD) then you are not in any greater need of antibiotics than non smokers.
  • If you are an adult or a child with asthma and have a cough with phlegm you do not need antibiotics to get better but you may need extra asthma treatment.

Who may need antibiotics if they have a cough with or without phlegm?

  • If you have chronic obstructive pulmonary disease (COPD) with green phlegm you should see your doctor as you may have an infection. People with COPD are more likely to be/have been smokers and green phlegm in this group is more indicative of a sign of infection.
  • If you have had a recurrent chest infections you should also see your doctor for a clinical review as you may have an infection.
  • Those who are older (over 65) or who have other chronic lung and heart conditions may need to seek advice about treatment.

Who should go to the doctors more urgently?

  • If you have difficulty breathing, breathing quickly, have chest pain or are coughing up blood, or feeling confused or are very drowsy.

What can patients do to get better with coughs– now and in the future?

  • Try not to cough: although this may sound easier said than done, you may be able to cough less often by trying not to cough, because our desire to cough can sometimes be influenced by our brain.
  • Home remedies: try simple home remedies, such as ‘honey and lemon’ – just add freshly squeezed juice from 1 lemon and a teaspoon of honey to a mug of hot water. Drink enough fluids to avoid feeling thirsty and suck lozenges.
  • Stop smoking: smoking is one of the commonest reasons for a chronic cough. Stopping smoking – or at least smoking less – not only improves your cough, but also benefits your health in other ways (reducing the risk of heart attack, stroke, and lung cancer, for example).
  • Cough mixtures: there is little evidence to say whether over the counter medicines are effective for relieving cough symptoms. Despite the lack of research evidence, you may still get some subjective benefit from over the counter preparations – speak to your pharmacist.
  • Paracetamol: paracetamol can help relieve symptoms that may accompany a cough, such as a sore throat, fevers, and not feeling well.

PHE are encouraging GP staff to discuss the need for antibiotics with their patients using an antibiotic information leaflet available on the TARGETantibiotics website.

See Earl Howe’s statement supporting European Antibiotic Awareness Dayon the Self Care Forum website.

More information about European Antibiotic Awareness Day, or EAAD

The data on public attitudes to antibiotics is available from the Journal of Primary Care

Materials for GP staff to share with patients is available on the RCGPwebsite, including an antibiotic information leaflet and a list indicating when patients should call their doctor or contact NHS 111.

The following symptoms appears in order of urgency, with the most urgent symptoms listed first. If you develop these symptoms, call your GP or contact NHS 111:

  • if you develop a severe headache or are sick
  • if your skin is very cold or has a strange colour, or you develop an unusual rash
  • if you feel confused or have slurred speech or are very drowsy
  • if you have difficulty breathing. Signs that suggest breathing problems can include:
    • breathing quickly
    • turning blue around the lips and the skin below the mouth
    • skin between or above the ribs getting sucked or pulled in with every breath
  • if you develop chest pain
  • if you have difficulty swallowing or are drooling
  • if you cough up blood
  • if hearing problems develop or if there is fluid coming out of your ears

Public Health England’s mission is to protect and improve the nation’s health and to address inequalities through working with national and local government, the NHS, industry and the voluntary and community sector.PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter @PHE_uk

The Royal College of General Practitioners is a network of more than 46,000 family doctors working to improve care for patients. We work to encourage and maintain the highest standards of general medical practice and act as the voice of GPs on education, training, research and clinical standards.

Dorito Bread and Butter is Like Edible Rock and Roll (VIDEO) – According to Bon Appetit

#AceFoodNews says this is not for me l prefer fresh crusty bread and butter #goodfood


Film poster for Bon Appétit. Copyright 2010, ©...

Film poster for Bon Appétit. Copyright 2010, © Morena Films (Photo credit: Wikipedia)


Bon Appetit says may have just raised the bar on Dorito recipes forever with its video and accompanying instructions for Dorito Bread and Dorito Compound Butter. We all know Doritos look great in many forms, but this bread and butter will be hard to beat.


With some serious guitar in the background, the video makes this awesome creation look as rock and roll as it sounds. Andy Rapoport, brother of Bon Appetit’s Editor-In-Chief Adam, wanted to pair “man’s most basic sustenance” — bread — “with an ingredient most modern, heavily processed, and addictive: the Dorito.” We think he succeeded with amazing, Dorito-orange flying colors. #profitb4people


EDITOR: Says well what is your opinion and l will pass it to chefs-tips