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Helmet might have saved cyclist from fatal injuries



The Coroner for West Galway has urged cyclists to use helmets at all times, following the inquiry into the death of a father of two, who would probably have survived an accident if he had taken this safety precaution.

Dr Ciaran MacLoughlin made his remarks at Galway Courthouse after a lengthy inquiry into the death of Kevin Smith (43), from Ballyvaughan, Co Clare. He was struck by a car outside Kinvara last summer, sustaining fatal head injuries.

“This is possible,” was the reply from consultant pathologist, Dr Birgid Tietz, when asked if Mr Smith’s would have survived had he been wearing a helmet.

“Most fatalities are around injuries to the head and neck,” the Coroner added.

Mr Smith had been in the area on August 6, as he was constructing a porch for friends in Kilcolgan. He had cycled from home the previous day, the Inquest heard, and decided to stay overnight as it was a two-hour journey by bike. They shared two bottles of wine with dinner, before he went to bed at about 11pm.

His friend told the inquiry that he set up his work space on the morning of August 6, but left the house without explanation at 10am.

She said that he would often go for a swim, and had possibly gone out to revive himself, as he had been feeling tired and recalled him saying that he “felt like he’d been hit by a truck.”

A driver encountered him near Dunguaire Castle, outside Kinvara, at about 1.30pm, and said that as he approached, the cyclist swerved without explanation across the road in front of him. The accident occurred about one mile further along that road, on the way to Ballindereen.

Another driver remembered seeing Mr Smith around that time. She was parked in a layby, but recalled him cycling past her and then crossing the road, seconds before he was struck.

The driver of the oncoming vehicle said that the cyclist ‘shot out’ into her path from behind bushes. A witness, who was a passenger in an oncoming car, told her that there was nothing she could have done.

“It was literally the blink-of-an-eye stuff,” the driver recalled.

She also said that Mr Smith’s fiancée, Danielle Dodds, had approached her at the scene, saying: “You look after yourself, this is part of a bigger picture.”

A witness driving in the opposite direction told the inquiry that the traffic had slowed down to get past Mr Smith, who was cycling alongside a female pedestrian with a dog – incidentally, Gardaí were unable to get a statement from this woman.

“The guy on the bike seemed to be swerving in and out on the road… the pedestrian stayed on the left, he cycled across the road, he was cycling erratically,” she said.

“I was glad that there were other cars in front of me, I wouldn’t have liked to come up on that cyclist at any speed. You don’t do stuff like that on a busy road, especially at the height of the tourist season.”

Mr Smith was airlifted to University Hospital Galway, where he died two days later, on the evening of August 8. He had been kept alive so that his heart, liver, and kidneys could be donated.

Garda Tom Kavanagh, who attended the scene of the accident, told the inquiry that despite making numerous enquiries, he had been unable to trace Mr Smith’s movements between 10am and the time of the accident.

“Several business premises were visited in Kinvara, but we were unable to establish where he was,” he said.

Dr Tietz carried out a post-mortem examination on Mr Smith’s remains, and found that he had sustained some broken bones to his right leg, but it was the lethal brain injury that had caused his death.

She said it was possible that a helmet could have saved his life.

The jury of five men and one woman deliberated for five minutes before unanimously returning a verdict in accordance with the medical evidence, that death was due to a skull fracture, subdural and subarachnoid haemorrhage, and cerebral oedema, sustained in a road traffic accident.

The jury also endorsed the Coroner’s recommendations about cyclists wearing helmets.

“I would like to advise the general public who cycle – it has become an increasing pastime and hobby – that on roads where they may encounter traffic, to wear safety headgear,” Dr MacLoughlin said.

“It doesn’t go without notice that the late Kevin Smith and his family donated his organs, so although life was becoming extinct for him, it could begin for someone else… it was a gracious quality.”

Connacht Tribune

Meeting hears of “devastating impact” of Huntington’s on families



Patricia Towey, Huntington's Disease Association of Ireland; Minister of State Anne Rabbitte and Chairperson Thomas Lillis at the Shearwater Hotel, Ballinasloe for a members meeting of HDAI. Photo: Andrew Downes, xposure.

The Minister of State for Disability at the Department of Health has acknowledged the devastating impact which Huntington’s Disease has on the entire family.

Galway East TD Anne Rabbitte met with families affected by the disease at the Huntington’s Disease Association of Ireland annual meeting in Ballinasloe.

The Minister spoke positively about her intention to ensure families affected by HD will have access to necessary services and that family carers, who often care for several family members, have assistance.

She acknowledged the vital need for HD specialist support in the community to overcome the misunderstanding and stigma associated with the disease over generations.

The Minister also confirmed her priority to fully resource at least four of the seven required community neuro-rehabilitation teams around the country.

A member of a family affected by HD in County Galway said: “It is very encouraging to have Minister Rabbitte speak at our meeting to acknowledge the huge struggles families face.

“Huntington’s Disease desperately needs more recognition, more specialist support and more awareness from healthcare professionals; policy makers; and the general public.

“As children we grew up watching our Dad help care for Mum and just a few years later he had to start over with my older brother.

“Now my sister has symptoms and it is an ongoing struggle to get her the care and support she needs. HD families can overcome the fear and stigma associated with this disease if we know there are sufficient resources to ensure health and social care professionals can understand and help,” he said.

Huntington’s Disease affects the body’s nervous system – the network of nerve tissues in the brain and spinal cord that co-ordinate your body’s activities. This leads to progressive deterioration – physically, cognitively, and mentally until the individual becomes dependent on the help of others. Symptoms include motor (movement), mental health (for example mood) and cognitive (for example learning and thinking) disturbances, which in the majority of cases appear in mid-adult life.

Approximately 1,000 people in Ireland live with symptoms of HD or with the altered gene that triggers the disease. There are more than 3,000 people nationwide who are living at risk of developing the disease and hundreds of family carers left to struggle without adequate supports.

Despite the impact on families, from one generation to the next, there is little awareness of the condition and very limited specialist services. Unlike most other European countries, Ireland has no specialist multidisciplinary services or HD specialist nurses. By comparison, Scotland, with a similar-sized population have 10 regional multidisciplinary clinics with a team of 19 HD specialists offering outreach support throughout the country.


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Connacht Tribune

Concerns over day care move



St Brendan's Community Nursing Unit in Loughrea: day care services have moved to the Loughrea Hotel.

Day care services at St Brendan’s Community Nursing Unit – which have been suspended for the past 18 months – have re-opened at the Loughrea Hotel.

Services restarted on Monday following a lengthy search for a suitable premises, and expected to continue operating from the hotel for around 18 months while an existing building on the St Brendan’s campus is “repurposed” by the HSE.

However, at least one local councillor has expressed concerns that the same level of services will not be available at the hotel.

At the beginning of the pandemic, the Health Information and Quality Authority (HIQA) ordered the closure of day services at St Brendan’s, so that the space could be used by permanent residents of the nursing unit for dining and activities such as cooking and baking.

Local area councillor Michael ‘Moegie’ Maher said that between the hotel and St Brendan’s hospital, a day care service will now be available on Mondays, Tuesdays, Wednesdays and Thursdays, with the capacity to serve 86 people every week.

“The service is vital to Loughrea and East Galway. Everyone was very disappointed to see the day service suspended. We all have neighbours and friends who use the service and this was a vital lifeline for them, allowing them to socialise with others, to have a lovely meal together and to have any minor medical issues dealt with.

“I’m delighted that a suitable premises has been found in Loughrea town, which has been the traditional location for the service and also offers users a chance to avail of other services in our local town. The Loughrea Hotel is the perfect location with all of the necessary services on site and is easily accessed by the service users”, the Fine Gael councillor and Cathaoirleach of Loughrea Municipal District said.

However, Independent councillor Geraldine Donohue raised concerns about the level of services that will be provided and said she had been asked by constituents how much the temporary service was going to cost.

“I believe that HIQA should have been challenged from the outset for our purpose built Seven Springs Day Care Centre to remain at St Brendan’s. As far as operating Day Care Services from the Loughrea Hotel, I have concerns that the services that the attendees enjoyed at Seven Springs will not be available at the Loughrea Hotel,” she said.

Meanwhile Galway East TD Ciarán Cannon said HSE management are also planning to repurpose an existing building on the St Brendan’s campus to establish a permanent home for the day care service.

He said he had attended a site meeting recently to identify potential buildings on the campus.

“We now need to begin developing a permanent home for the service at St Brendan’s as it makes sense from so many perspectives to have the service on campus.

“At our site meeting we walked the campus and have identified a number of potential locations. The HSE’s building management team will now create a shortlist of locations and ultimately a decision on the final location will be made in consultation with staff.

“The intention is to partner with the Topping Trust, a local charity, to create a state-of-the-art day care facility at St Brendan’s to open in the shortest possible timeframe. We are all working towards that outcome and there’s a serious sense of urgency attached to the project,” said Deputy Cannon.

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Connacht Tribune

Plant closure’s sour note for Council rates income



Rates blow for Council: the Arrabawn plant in Kilconnell.

Focus has shifted towards finding a new use for the soon-to-be disused milk bottling plant in Kilconnell – as the County Council faces a hole in its budget due to a loss of rates income.

Despite the best efforts of local councillors, TDs and industry representatives, Arrabawn’s decision to withdraw from Kilconnell appeared to be irreversible, the Ballinasloe Municipal District meeting was told.

Local representatives met with the board of Arrabawn in Nenagh in the immediate aftermath of their decision and Cllr Michael Connolly (FF) said it was his sense that “there was no going back”.

“The whole business has changed. Even previous to the energy crisis, the plant was operating at a loss.

“We have to see that the plant is put to some alternative use – maybe a cheese manufacturing plant . . . maybe a brewery,” said Cllr Connolly, adding that the company had made it clear there would not be a milk production plant in Kilconnell again.

“They did say they would look at a joint-venture, or to sell it,” he said.

Cllr Evelyn Parsons (Ind) said she took a different view and would “never say never”, adding that she felt the company had engaged very well with local representatives.

“I wouldn’t write it off completely,” said the Cathaoirleach of the Ballinasloe MD.

“I would hope there would be a fresh imagining of the premises and that it doesn’t become a derelict site in one of our most beautiful villages,” continued Cllr Parsons.

Cllr Dermot Connolly (SF) said this month’s decision to close the plant, which followed the sale of Arrabawn’s liquid sales book to the Aurivo co-op, was “capitalism at its worst” and had come as a devastating blow to the farming and rural economy in east Galway.

“We need to ensure that the maximum number of jobs are maintained in Kilconnell and that whoever has to take redundancy gets a good redundancy payment.

“Arrabawn did say that they were looking to explore ways milk could still be brought to the plant in Kilconnell and that there might be some way of processing milk to be maintained there . . . it is vital this facility is maintained there,” said Cllr Connolly.

County Council Director of Services, Liam Hanrahan, said the loss of commercial rates for the plant, the loss of employment and the future use of the buildings in Kilconnell were all high on the Council’s agenda.

“The loss of rates is a concern. We have expressed our concern on the loss of our rates base to the Department [of Local Government].

“We don’t want to see a large industrial plant left vacant in a small town like Kilconnell. It doesn’t take long for a building to become derelict,” said Mr Hanrahan.

“The County Council will be more than happy to sit down with anyone who takes an interest in that – the last thing we want to see is a building become derelict and become a drain on everyone’s resources,” he continued.

Cllr Timmy Broderick (Ind) said the looming energy crisis could see a repeat of this scenario in towns across the county.

“Arrabawn could pale in significance to the challenge coming down the road.

“We need to ensure we stand behind eery industry facing this in the not-too-distant future. There is a train crash coming down the line,” he said of the increased cost of running a business.

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