2. While we agree that pleural fluid pH <7.2 or aspiration of frank pus requires drainage of pleural cavity, we wish to point out that, in the majority of cases, this can be done safely by 'specialist teams' within working hours and does not require urgent out-of-hours chest drain insertions. 3 3. The National Patient Safety Agency 2008 rapid response entitled Risk of chest drain insertion highlights the potential and sometimes fatal complications from implantable cardioverter defibrillator insertion. 4 The current practice in most hospitals is to insert chest drains for pleural effusions using real-time pleural ultrasound guidance during normal working hours. By highlighting the points above, we hope to emphasise the importance of patient safety in pleural intervention.

A depression-screening instrument (DSI) was administered to all 25-34-year-old, British-born, married women registered with a health centre on a south-east London housing estate. A disproportionate number of high scorers lived in those dwellings with the highest disadvantagement score. The dwelling interiors of the high DSI scorers were significantly poorer in appearance compared with those of the low scorers. Significantly more of the high scorers (and of their husbands) described the estate as unpleasant, and bad for their children. They raised significantly more objections to other residents' (including children's) behaviour. Their complaints were only partly explicable in terms of their less favourable accommodation.

to identify any deteriorating cases promptly and transfer patients to regular hospitals. Body temperatures were monitored four times per day, and respiratory rates, heart rates, and oxygen saturation twice per day. All patients were required to wear masks. Patients were followed up with chest CT and RT-PCR, and were discharged according to our discharge criteria. [4][5][6] In the Sports Stadium Square Cabin Hospital, an open space for patients to perform physical and rehabilitation therapy including dancing, walking, and tai chi was established, and entertainment such as books were also available. Patients had free access to daily necessities, food, and medications, and access to homemade food sent by their families. A decreasing number of new patients and more discharged patients each day were also observed in our unit at the Sports Stadium Mobile Cabin Hospital, demonstrating the benefits of establishing such hospitals. We believe it would be helpful to share our experience with healthcare workers worldwide to combat COVID-19.

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The Calais 'jungle' is a shocking indictment of governmental policy towards refugees in 2016. 1 Medical assistance to the inhabitants of the unofficial refugee camp, many of whom are unaccompanied children, is at best scanty and uncoordinated. Most of the refugees live in deplorable conditions under tarpaulin sheets on the former dumping sites, which are also home to sizeable rat populations. Many sleep close to the ground and are forced to endure squalid toilet facilities. Some suffer with infectious diseases such as malaria and tuberculosis, and are in need of urgent medical treatment. They are exposed to assault, ethnic and police violence, sexual exploitation, infectious disease, and psychological illness. Non-governmental organisations (NGOs), for example MSF, and local charities such as the Salam Association are on hand to provide a level of primary care, yet what is needed is an orchestrated medical campaign to include screening for infectious disease and even secondary care for certain cases. We contend that a joint Franco-British programme is needed urgently to augment public and environmental health measures in the refugee camps around Calais and to liaise with the NGOs already in operation there. The British and French Armed Forces benefit from unparalleled resources to provide medical aid in adverse situations-both contributed admirably to containing the recent Ebola epidemic in West Africa-and have a history of collaboration. Could we invite their respective medical services, with their wealth of experience, staff, and supplies, to become fully engaged in assessing and addressing the refugees' health needs in the camps? In these days of extreme global inequality, a compassionate governmental response could powerfully counter the narrative of violence we appear to have grown accustomed to.