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Vascular and inflammatory diseases after COVID-19 infection and vaccination in children and young people in England: a retrospective, population-based cohort study using linked electronic health records

https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00247-0/fulltext
..Of 13 896 125 individuals younger than 18 years (6 784 260 [48·8%] female and 7 111 865 [51·2%] male; 9 979 420 [71·7%] White), 3 903 410 (28·1%) had a COVID-19 diagnosis. COVID-19 diagnosis (compared with no or before diagnosis) was associated with higher risk of arterial thromboembolism (aHR 2·33 [95% CI 1·20–4·51]), venous thromboembolism (4·90 [3·66–6·55]), thrombocytopenia (3·64 [2·21–6·00]), myocarditis or pericarditis (3·46 [2·06–5·80]), and inflammatory conditions (14·84 [11·01–19·99]) in the first week after diagnosis. Incidence declined in weeks 2–4, but remained elevated to beyond 12 months for venous thromboembolism (1·39 [1·14 –1·69]), thrombocytopenia (1·42 [1·01–2·00]), and myocarditis or pericarditis (1·42 [1·05–1·91]). Among 9 245 395 individuals aged between 5 and younger than 18 years who were eligible for vaccination (4 510 490 [48·8%] female and 4 734 905 [51·2%] male; 6 684 140 [72·3%] White), 3 407 560 (36·9%) received a first vaccine. COVID-19 vaccination (compared with no or before vaccination) was associated with elevated risk of myocarditis or pericarditis within the first 4 weeks after vaccination (1·84 [1·25–2·72]). The 6-month absolute excess risks for myocarditis or pericarditis were 2·24 (1·11–3·80) per 100 000 individuals after diagnosis versus before diagnosis or undiagnosed, and 0·85 (0·07–1·91) after vaccination versus before vaccination or unvaccinated.
Interpretation

Children and young people have higher risks of rare vascular and inflammatory diseases up to 12 months after a first COVID-19 diagnosis and higher risk of rare myocarditis or pericarditis up to 4 weeks after a first BNT162b2 vaccine, although the risk following vaccination is substantially lower than the risk following infection. These findings are of great importance for national policy makers and caregivers considering vaccination consent for children, and support the public health strategy of COVID-19 vaccination in children and young people to mitigate the more frequent and persistent risks associated with SARS-CoV-2 infection...

Ninety violent or sex offenders have been mistakenly released from prison in the last year,

Your joking, not another one 90....

Surely it’s a simple process? Prisoner arrives from court and is “checked in”. Papers from court confirm release date. Release date is put into prison system on the Prisoner’s page with name, details and photo.

Prison receives written instructions from MoJ etc to confirm if prisoner is being released early - get prisoner from cell, check they are the same person as the system shows from check-in, release.

Prisoner arrives at check-out for release, prison system checked and the date doesn’t align with prisoner detail on system, prisoner has to wait until MoJ confirm in writing that its correct and he is being released earlier.

Prisoner arrives at check-out for release, system checked and date doesn’t align with prisoner detail on system, prisoner has to wait until MoJ confirm, MoJ say no, prisoner is not being released early so a mistake, prisoner goes back to cell.

It's usually more complicated than that. I was talking to a friend in the Prion Service about this - it isn't the 'end of sentence' releases that are the problem (they know when they are, exactly as you describe). it's when something changes, usually because of the end of a court case when someone has been on remand. Are they in for another offence? What has the court sentenced them to? To run concurrently or consecutively? How long have they already served? etc etc. Then often the instructions from the court are misleading or even wrong (another overstretched, under-resourced and underpaid environment prone to making mistakes).There is also Probation who often do daft things like insist on the prisoner reporting to their home office at 9:30 in the morning 300 miles away when they're being released from the middle of nowhere and there isn't a train until the morning

And then if they are non-UK Nationals they also have to check with Immigration, which means the dead hand of the Home Office.

And all this happens at 4:30 in the afternoon because that's when the courts get round to sending the paperwork out.

The other source of error is because the prisons are all full, often people are in the wrong one temporarily to balance out numbers so there are a lot of moves taking place all the time it's easier than you think to make mistakes.

So as is often the case, what seems easy, isn't.

Ninety violent or sex offenders have been mistakenly released from prison in the last year,

Your joking, not another one 90....

The prison service appears to be totally broken. They literally have one job to do, and that’s to keep the dangerous people away from the rest of us.

How can they possibly lose half a dozen people every week?

Because prisons are overcrowded, guards are undertrained with few entry requirements snd administrative systems archaic. We have neglected our prisons as much as anywhere else in the public estate so shouldn't be surprised that they work badly. The Probation service is pretty hopeless too. At £60 000 per prisoner per year it is very much as Douglas Hurd described 30 years ago "an expensive way of making bad people worse".

On a recent inspection at Leicester Prison* the governor didn't know how many prisoners he had that day. A pretty core figure I would have thought.

*Leicester Prison is opposite my hospital and particularly chaotic, as it is short term with lots of remand prisoners and newly sentenced who are awaiting moves to longer term prisons.

I’ve not worked in a prison but I have worked in an hotel - how many customers are in beds tonight is kinda a key metric. Much easier with a prison too, guests can’t just bring a friend in with them and there’s supposed to be paperwork of comings and goings.

As others have said, it does appear that a lot of money is being spent with poor value achieved, yet prison officers are not particularly well paid, and every month or two there’s a scandal involving a young woman working in a men’s prison with predictable results.

The building themselves are often in poor condition too, they should probably look at selling off a lot of the estate that’s in urban areas (the old prison in Oxford city centre is now a funky hotel) and build new facilities on military land.

We simply send too many people to prison for too long in the first place. Theres always votes in "lock them up and throw away the key" but no votes in building the facilities to do so, even before the nimby problem.

I was pilloried here a week or so ago for suggesting that non-violent first offenders such as the Epping Hotel convict and Lucy Connolly did not belong in jail. The first should have been deported from the court, the second doing community service.

Of course Prison spaces are needed for violent offenders and for persistent offenders, but there is scope for better noncustodial sentences. Very few convicts come out better than they go in, and many come out as addicts and homeless so no wonder recidivism is so bad.