Southend pct annual public health report 2004
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Southend PCT Annual Public Health Report 2004. Presentation to Southend Community Services Scrutiny Committee 13 th June 2006 Dr Andrea Atherton Director of Public Health. Annual Public Health Report. Theme : ‘Choosing Health : Making healthy choices easier’

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Southend PCT Annual Public Health Report 2004

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Southend pct annual public health report 2004

Southend PCTAnnual Public Health Report 2004

Presentation to Southend Community Services Scrutiny Committee

13th June 2006

Dr Andrea Atherton

Director of Public Health


Annual public health report

Annual Public Health Report

  • Theme : ‘Choosing Health : Making healthy choices easier’

  • Impact of our lifestyles on future life expectancy

  • Health is inextricably linked to way people live their lives and opportunities to choose health


The local population

The Local Population

  • GP registered population 178,000

  • ↑ over 65 yrs old

  • ↑ by 5.49% in 15yrs

  • Ageing population


The local population1

The Local Population

  • Low Infant mortality rate

  • Life expectancy is increasing (2001-2003)

  • Deaths from heart disease/ stroke and cancer are decreasing


The local population2

The Local Population

  • 67% report health as ‘good’ compared with 68.8% in E&W

  • Poor uptake of breast (67%) and cervical screening (73%)

  • Links between health and deprivation

  • 10 out of 17 wards are in 4th/5th quintiles when ranked by IMD score

  • 5 of 107 Super Output Areas in 10% most deprived in England

  • 1 is in worst 3% : Neighbourhood Management Initiative funding


Smoking

Smoking

  • The leading cause of preventable illness and premature death

  • Prevalence in Southend 28% (26% EoE)

  • An estimated 200 people die every year in Southend from smoking related illnesses

  • Many people took up smoking as a teenager – smoking is highest in young adults


Second hand smoke

Second hand smoke

  • Contains regulated hazardous air pollutants including 50 known or suspected cancer-causing agents

  • Exposure of non-smokers: 24% ↑risk of lung cancer, 23%↑risk of heart disease

  • Timetable for smoke free places:

  • End 2006: all NHS and government departments

  • End 2007: enclosed public places & workplaces

  • End 2008: Arrangements for licensed premises


Smoking local action

Smoking : Local Action

  • PCTs given 4 week quit targets

  • 2937 people stopped smoking with help of NHS in the last 3 yrs

  • GPs / South Essex Stop Smoking Service

  • Community pharmacists: NRT Pilot

  • Specialist help for pregnant smokers

  • Prevention: National Curriculum

  • Included in healthy schools standards


Tobacco control

Tobacco Control

  • Underage sales : Trading Standards

  • Local Public Service Agreement includes target on tobacco control

  • Smokes free places project co-ordinator & Environmental Health Officers

  • National clean air awards to local businesses (childminders)

  • Smoke free environment helps to reduce amount people smoke – or stop and also helps prevent young people from starting


Obesity

Obesity

  • Declared as a ‘global epidemic’

  • National prevalence trebled since 1980’s

  • In 2003 England 66% men and 50% women overweight or obese

  • 22% boys and 27% girls aged 2-15 years are overweight or obese

  • Can cause serious illness – heart disease, cancers, high blood pressure

  • Reduces life expectancy by up to 9 years


Health risks associated with obesity

Health risks associated with obesity


Prevention of obesity

Prevention of Obesity

  • Imbalance food intake vs. energy expenditure

  • Importance of economic, environmental, social and cultural factors

  • Aim: physical activity as part of everyday life

  • Important role of local authorities: provision of cycle lanes, road safety measures, ‘safer journeys to school’ – walking bus

  • Health walks and exercise referral

  • School sports co-ordinator partnership


Prevention of obesity1

Prevention of Obesity

  • Unhealthy diets – cancer, heart disease and obesity

  • 5 portions of fruit & veg a day ↓ risk

  • Free fruit scheme in schools for 4- 6yr olds

  • Diet & nutrition as part of healthy schools

  • School meals: role of EHOs in food safety and nutritional content

  • Promote good eating habits from childhood – work on breastfeeding and weaning policies

  • Obesity strategy developed

  • Getting information on obesity – schools & GPs


Sexual health

Sexual Health

  • An important part of physical and mental health

  • Indicators: rates of sexually transmitted infections and teenage pregnancy

  • England has highest teenage conception rate in developed world

  • Southend 50.4 per 1000 girls under 18 (higher than England, EoE & Essex)

  • 13.8 % reduction in teenage pregnancy in Southend since 1998


Sexually transmitted infections

Sexually transmitted infections

  • Reflects national picture

  • Rates of STIs ↑

  • 1 in 10 young women has chlamydia

  • Increasing number of cases of HIV

  • Consequences of STIs


Sexual health local action

Sexual Health : Local Action

  • Multiagency Teenage Pregnancy Board –oversees strategy

  • Teenage Pregnancy Co-ordinator :

  • Work with foster carers on sexual health

  • Multiagency SE Essex Sexual Health & HIV Strategy Group

  • PCT appointed African Communities Worker

  • Southend: pilot site for Chlamydia screening

  • Training for teachers on sex & relationships education (SRE)


Sexual health local action1

Sexual Health : Local Action

  • Developed framework for sexual health strategy

  • Modernise service and increase access

  • Increase uptake of chlamydia screening to meet national target in 2007

  • Raise awareness : national and local campaigns


Alcohol

Alcohol

  • Alcohol causally related to 60+ medical conditions – most detrimentally

  • 150,000 hospital admissions per year in England are as a result of alcohol

  • Costs NHS an estimated £1.7 billion /yr

  • 7% of adult population are dependent on alcohol


Alcohol1

Alcohol

  • Concerns about drinking patterns of young people

  • Binge drinking – highest in 16-24 yr old

  • Association with crime and disorder, particularly anti-social behaviour

  • Vulnerability of individuals when drunk

  • Led to publication of an Alcohol Harm Reduction Strategy for England


Alcohol local action

Alcohol: Local Action

  • Provide information : sensible drinking message

  • Alcohol education is statutory requirement of National Curriculum

  • Part of PSHE in schools

  • Underage sales : Police / Trading Standards -proof of ID card

  • Licensing Act 2003: cumulative impact policy


Alcohol local action1

Alcohol : Local Action

  • Multiagency group developed a Southend Alcohol Harm Reduction Strategy

  • Proposed local enhanced service with GPs for detection of alcohol abuse and provision of brief intervention

  • Need to improve local knowledge on impact of alcohol


Health protection

Health Protection

  • Importance of close working relationship between the PCT and local authorities :

  • Infectious diseases

  • Emergency Planning

  • South East Essex Emergency Planning Forum

  • Poor uptake of immunisations

  • MMR catch up in schools to stop mumps epidemic


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