{"id":44845,"date":"2019-06-19T16:52:58","date_gmt":"2019-06-19T15:52:58","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44845"},"modified":"2019-06-25T13:30:18","modified_gmt":"2019-06-25T12:30:18","slug":"alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/","title":{"rendered":"Alex Armitage: We must act now to prevent air pollution deaths in the UK"},"content":{"rendered":"

Last week I received an email from Lewisham and Greenwich NHS Foundation Trust providing notification of travel disruption on Friday 14<\/span>th<\/span> June:<\/span><\/p>\n

\u201cOur security lead\u2026 has been notified by the Metropolitan Police of a planned demonstration by \u2018Extinction Rebellion\u2019 on Friday 14<\/span>th<\/span> June 7.30am-9:00am\u201d<\/span><\/p>\n

The Lewisham Extinction Rebellion group used the tactic of \u201cswarming\u201d\u2014stopping traffic for short periods of time at major junctions\u2014to cause disruption and draw attention to illegal levels of air pollution in the local borough, which is transected by the A2 and the South Circular, two of the busiest roads in the capital. A local study by researchers at Goldsmiths, University of London in 2017 found PM<\/span>2.5<\/span> (particulate matter <2.5\u03bcm diameter) levels at 150\u03bcg\/m<\/span>3 <\/span>in the area\u2014six times higher than WHO guidelines.<\/span><\/p>\n

I am \u00a0a paediatric registrar and I have worked at Lewisham and Greenwich trust for two and a half years. News of the demonstration gave me hope. Far from feeling threatened by potential travel delays (in any case, many of my ex-colleagues walk, take the train, or cycle to work) I remembered the countless numbers of young children who were brought to the emergency department with life-threatening asthma.<\/span><\/p>\n

Memories of seeing children being wheeled in to the emergency department on their parent\u2019s lap in severe respiratory distress do not fade fast. I have memories of scrutinising blood gases with raised lactate levels showing that the child\u2019s beta-adrenoreceptors are saturated, meaning that the option of giving more salbutamol, the principal drug for treating acute asthma, has been exhausted. Memories of witnessing the practiced speed of emergency department nursing colleagues drawing up intravenous boluses of magnesium and infusions of aminophylline – administering IV therapy for asthma is an unwelcome familiarity for paediatric emergency department staff in South East London. Memories of making anxious telephone calls to the local paediatric intensive care unit. Memories of waiting for what seemed like hours to monitor a young child, in severe respiratory distress and on full IV therapy, to see if they begin to recover or whether they will need intubation and retrieval. Memories of seeing the looks of helpless concern on the faces of children\u2019s families.<\/span><\/p>\n

For local primary school student <\/span>Ella-Roberta Kissi-Debrah<\/span><\/a>, oxygen and medication were not enough to treat her asthma and she died in 2013 at the age of nine years. Was air pollution to blame for Ella\u2019s death? Ella\u2019s mother Rosamund Adoo-Kissi-Debrah believes so. She has turned her grief into political action and is the Green Party\u2019s candidate for the Lewisham East parliamentary constituency. She heads the Ella Roberta Family Foundation, which campaigns on air quality and supports medical research into respiratory disease.<\/span><\/p>\n

Stephen Holgate, who supported Adoo-Kissi-Debrah\u2019s successful appeal to get a fresh inquest into Ella\u2019s death, found that spikes in the levels of nitrogen dioxide and PM<\/span>2.5 <\/span>in Lewisham correlated with episodes of her asthma. In a report he wrote for the family, he said, \u201cThere is a real prospect that without unlawful levels of air pollution Ella would not have died\u201d. The High Court granted a new inquest into Ella\u2019s death in May 2019.<\/span><\/p>\n

For doctors on the front line like me, who witness the morbid effects of social and ecological destruction on a regular basis, the need to take political action has become clear.<\/span><\/p>\n

When our political system fails to deliver, in the face of clear evidence that we must act now, the time has come to accept that standard methods of political engagement, such as letter writing, petitions and emails bring, at best, insufficient progress in the right direction. These were insufficient to prevent Ella\u2019s death and are insufficient to avert the tens of thousands of annual air pollution deaths in the UK.<\/span><\/p>\n

Evidence from history suggests that peaceful civil disobedience is the most effective way to bring about change. The time has come for rebellion.<\/span><\/p>\n

\"\"<\/a>Alex Armitage<\/em><\/strong>, ST6 Paediatric Emergency Medicine, Queen Alexandra Hospital, Portsmouth.<\/em><\/p>\n

Competing interests<\/strong>: None declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Last week I received an email from Lewisham and Greenwich NHS Foundation Trust providing notification of travel disruption on Friday 14th June: \u201cOur security lead\u2026 has been notified by the […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":44846,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-44845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-climate-change"],"yoast_head":"\nAlex Armitage: We must act now to prevent air pollution deaths in the UK - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Alex Armitage: We must act now to prevent air pollution deaths in the UK - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Last week I received an email from Lewisham and Greenwich NHS Foundation Trust providing notification of travel disruption on Friday 14th June: \u201cOur security lead\u2026 has been notified by the [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-06-19T15:52:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-25T12:30:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/extinction_rebellion_June2019.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Alex Armitage: We must act now to prevent air pollution deaths in the UK\",\"datePublished\":\"2019-06-19T15:52:58+00:00\",\"dateModified\":\"2019-06-25T12:30:18+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/\"},\"wordCount\":676,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2019\\\/06\\\/extinction_rebellion_June2019.jpg\",\"articleSection\":[\"Climate change\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/\",\"name\":\"Alex Armitage: We must act now to prevent air pollution deaths in the UK - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2019\\\/06\\\/extinction_rebellion_June2019.jpg\",\"datePublished\":\"2019-06-19T15:52:58+00:00\",\"dateModified\":\"2019-06-25T12:30:18+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2019\\\/06\\\/extinction_rebellion_June2019.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2019\\\/06\\\/extinction_rebellion_June2019.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2019\\\/06\\\/19\\\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Alex Armitage: We must act now to prevent air pollution deaths in the UK\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Alex Armitage: We must act now to prevent air pollution deaths in the UK - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/","og_locale":"en_US","og_type":"article","og_title":"Alex Armitage: We must act now to prevent air pollution deaths in the UK - The BMJ","og_description":"Last week I received an email from Lewisham and Greenwich NHS Foundation Trust providing notification of travel disruption on Friday 14th June: \u201cOur security lead\u2026 has been notified by the [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2019-06-19T15:52:58+00:00","article_modified_time":"2019-06-25T12:30:18+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/extinction_rebellion_June2019.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Alex Armitage: We must act now to prevent air pollution deaths in the UK","datePublished":"2019-06-19T15:52:58+00:00","dateModified":"2019-06-25T12:30:18+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/"},"wordCount":676,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/extinction_rebellion_June2019.jpg","articleSection":["Climate change"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/","url":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/","name":"Alex Armitage: We must act now to prevent air pollution deaths in the UK - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/extinction_rebellion_June2019.jpg","datePublished":"2019-06-19T15:52:58+00:00","dateModified":"2019-06-25T12:30:18+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/extinction_rebellion_June2019.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/06\/extinction_rebellion_June2019.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2019\/06\/19\/alex-armitage-we-must-act-now-to-prevent-air-pollution-deaths-in-the-uk\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Alex Armitage: We must act now to prevent air pollution deaths in the UK"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/44845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=44845"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/44845\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/44846"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=44845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=44845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=44845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}