Enrique Castro
@castrocloud.bsky.social
360 followers 780 following 140 posts
Infection Control specialist, UKHSA. Lecturer in #planetaryhealth, UOC. #AntimicrobialStewardship. #HealthDiplomacy. #enfermera. #FNFScholar #NIHR70at70. Migrant (or ‘citizen of nowhere’). Cat butler. Sailor, soon. He/él. My views only, not employer’s.
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castrocloud.bsky.social
Honoured to present at #LIVES2025 @esicm.bsky.social in Munich! I’ll be teaching at the pre-congress expert course 'Developing expert practice in Sepsis, Severe Infections & Stewardship'.
25–29 October 2025

Don’t miss it!
www.esicm.org/events/38th-...

#ESICM #ESICMCongress #IntensiveCare
38th Annual Congress - Munich - ESICM
The 38th Annual Congress, "LIVES," will take place in Munich from October 25-29, 2025, at the International Congress Centre Munich (ICM).
www.esicm.org
castrocloud.bsky.social
New from my Substack newsletter The AMS Nurse: 'Why Nursing Homes Matter for AMS'.

Care home nurses make complex antibiotic decisions daily, often without training or support. Let’s recognise their role, not marginalise it.

theamsnurse.substack.com/p/the-missin...

#AMS #AMRNurse #longtermcare
The Missing Piece?: Why Nursing Homes Matter for Antimicrobial Stewardship
Hospital AMS systems are maturing. Yet in nursing homes, the terrain remains fragile...
theamsnurse.substack.com
castrocloud.bsky.social
“Steve Heapy, chief executive of mass market holiday operator Jet2, read the runes: “They want less tourists, but they want them to be richer. I don’t think it’s very fair. Why should holidays be only available to a certain subset of the population?” 🤦🏻
‘It gets a bit dirty after 2am’: overtourism debate centre stage as Abta meets in Mallorca
Home to Magaluf, a major draw for boozed-up Britain, the island has become emblematic of the most heated debate in travel
www.theguardian.com
Reposted by Enrique Castro
darrigomelanie.bsky.social
I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time.
castrocloud.bsky.social
Journalist casualties in the Israel-Gaza war cpj.org?p=321571
castrocloud.bsky.social
Enhorabuena a la ex-enfermera británica Sarah Mullaly por su designación como Arzobispa de Canterbury
Reposted by Enrique Castro
scinews.bsky.social
Weapons, wealth, and health: the arms industry as a commercial determinant of health. #BMJ

Open Access
www.bmj.com/content/390/...
castrocloud.bsky.social
So: adolescent food insecurity is social, structural, and planetary.

We hope this review helps shift the conversation from blaming families to addressing the systems that produce hunger.

📄 Full paper (open access): doi.org/10.1016/j.ja...

#FoodInsecurity #AdolescentHealth #PlanetaryHealth
Redirecting
doi.org
castrocloud.bsky.social
Our conclusion:
Adolescent food insecurity is a systemic problem.

Piecemeal fixes won’t work.

We need rights-based policies, sustainable food systems, and adolescent-centred research, especially in the Global South.
castrocloud.bsky.social
And the underexplored frontier: 🌍 Planetary factors.
Seasonality, droughts, floods, and the wider climate crisis all shape whether adolescents have enough to eat.

But very few studies examine these links. A glaring research gap (which we are addressing!)
castrocloud.bsky.social
What we found across different levels of influence:
🏠 Interpersonal – poverty, family structure, peer pressure.
🏫 Organisational – schools as key food providers, but with barriers.
🏘 Community – food deserts, safety, social capital.
🏛 Societal – food assistance, discrimination, economic inequality
castrocloud.bsky.social
We reviewed 5,149 records ➡️ included 40 studies.
🔎 Most from high-income countries.
📊 Few from the Global South—despite higher vulnerability.

This geographic bias means we know far too little about the settings most affected.
castrocloud.bsky.social
Adolescence (10–19 years) is a critical window. Food insecurity here can lead to:
⚠️ Poor physical health
⚠️ Emotional distress & stigma
⚠️ Missed school, exploitation, and long-term disadvantage.

Yet, most research looks only at younger children. We aimed to close that gap.
castrocloud.bsky.social
🚨 New paper out! We explored what drives adolescent food insecurity worldwide.

Spoiler: it’s not just about money or family—it’s shaped by environments, communities, policies, and even the planet.

📄 Open access: doi.org/10.1016/j.ja...
Redirecting
doi.org
Reposted by Enrique Castro
rcn.org.uk
The increasingly hostile rhetoric shown towards migrants is deeply concerning.

We urge all UK political parties to end this race to the bottom and instead celebrate the contribution of those from overseas.

Without brilliant migrant nursing staff, our health & care services would cease to function.
castrocloud.bsky.social
Not at all! We dont hang around…we have places to be, friends to meet etc. Also, ‘Spain’ not homogeneous. I see differences with colleagues from North, South, etc (Im Southerner…)
castrocloud.bsky.social
Depends on context & relations. Friends 30 min ‘late’ for catch up over beer, if we say ‘meet around 9pm’? No drama.
castrocloud.bsky.social
Not able to comment on policy, but as you say, further reductions in students would v likely impact on university income (just 1 dimension). Whether thats ‘good’ or ‘bad’, depends on beholder. As economic migrant myself, I am biased
castrocloud.bsky.social
Yep, but we dont suggest being 2h late…🤣