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How many TB notifications there were for each local authority in London for each of the last five years and 1996 to date. - Includes table and ref to 'MB2 Communicable Disease Statistics' (in Library).

Asked by

Lord Smith of Finsbury (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

4 February 1997

Answered on

4 February 1997

Mr. Chris Smith: To ask the Secretary of State for Health how many TB notifications there were for each local authority in London for each of the last five years and 1996 to date. [13757] Mr. Horam: The number of cases of tuberculosis-- excluding chemoprophylaxis--notified to the Office for National Statistics is published annually by local authority in the publication "MB2 Communicable Disease Statistics". Copies are available in the Library and the latest published year is 1994. Figures for 1995 and provisional figures for 1996 are given in the table. Number of notifications of tuberculosis--excluding chemoprophylaxis--London local authorities 1995 and 1996 _________________________________________________________________________________________________. District 1995 1996{1} City of London 1 0 Barking and Dagenham 27 19 Barnet 66 58 Bexley 13 14 Brent 193 190 Bromley 13 12 Camden 78 74 Croydon 47 60 Ealing 127 130 Enfield 48 44 Greenwich 30 45 Hackney 106 129 Hammersmith and Fulham 40 60 Haringey 92 111 Harrow 79 67 Havering 16 11 Hillingdon 56 78 Hounslow 74 97 Islington 57 66 Kensington and Chelsea 38 68 Kingston upon Thames 15 12 Lambeth 104 111 Lewisham 38 46 Merton 24 29 Newham 194 186 Redbridge 74 67 Richmond upon Thames 12 13 Southwark 56 79 Sutton 16 13 Tower Hamlets 97 92 Waltham Forest 57 65 Wandsworth 64 61 City of Westminster 90 94 _________________________________________________________________________________________________. {1} Provisional.

Date

4 February 1997

Reference

289 c599-600W; 13757

House

House of Commons

Dept of Health

What was the incidence of (a) tuberculosis and (b) rickets among those aged 0 to 19 years in each health authority area in each of the last five years. - Inc table of numbers of tuberculosis notifications, and fact that Rickets is not a notifiable disease and data are not...

Asked by

Joan Walley (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

17 January 1997

Answered on

17 January 1997

Ms Walley: To ask the Secretary of State for Health what was the incidence of (a) tuberculosis and (b) rickets among those aged 0 to 19 years in each health authority area in each of the last five years; and if he will make a statement. [11604] Mr. Horam: Information on the numbers of notifications of tuberculosis is not available in the form requested. Number of notifications to the Office for National Statistics under the Public Health (Infectious Diseases) Regulations 1988 are published by local authority district or by age in the publications "MB2 Communicable Disease Statistics" annually and "MB2 Infectious Disease Statistics" quarterly. Copies are available in the Library. Total notifications for 0 to 19-year-olds for the last five years are: Numbers of tuberculosis notifications, excluding chemoprophylaxis, England and Wales, 0 to 19-year-olds _________________________________________________________________________________________________. Tuberculosis notifications 1992 730 1993 785 1994 615 1995 631 1996 (first 39 weeks) {1}429 _________________________________________________________________________________________________. {1} Provisional. The United Kingdom has an excellent record of tuberculosis control and we are determined that this should remain the case through the BCG immunisation programme, treatment of identified cases and screening of their close contacts, screening and treatment for immigrants and active surveillance of tuberculosis. Rickets is not a notifiable disease and data are not collected centrally. There are anecdotal reports of rickets in the medical literature, but these tend to be associated with extreme diets and insufficient exposure to sunlight. There is no reliable evidence that rickets is on the increase, and some evidence that rickets which used to be prevalent among Asian communities is now rare. The Committee on Medical Aspects of Food and Nutrition Policy has established an expert sub-group which is considering the nutritional aspects of bone health in the UK population.

Date

17 January 1997

Reference

11604; 288 c411W

House

House of Commons

Dept of Health

How many cases of (a) tuberculosis, (b) scurvy and (c) rickets were reported (i) nationally and (ii) in each region in each year since 1980. - Inc table. Ref to "Series MB2 Communicable Disease Statistics", copies in Lib.

Asked by

Lord Smith of Finsbury (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

16 December 1996

Answered on

16 December 1996

Mr. Chris Smith: To ask the Secretary of State for Health how many cases of (a) tuberculosis, (b) scurvy and (c) rickets were reported (i) nationally and (ii) in each region in each year region in each year since 1980. [8806] Mr. Horam: The numbers of notifications of tuberculosis to the Office for National Statistics for 1980 and provisional figures for 1995 are given in the table. Figures for the intervening years are given by standard region in table 5 of the annual publications "Series MB2 Communicable Disease Statistics", copies of which are available in the Library. Changes in the methods for recording numbers of notifications mean that total notification figures for 1980 and 1981 include cases of chemoprophylaxis but from 1982 totals excludes chemoprophylaxis are given. Cases of tuberculosis chemoprophylaxis are not cases of actual tuberculosis and most are therefore not notified. There was 458 cases of chemoprophylaxis in 1995. TB notifications _________________________________________________________________________________________________. Standard region 1980 (including chemoprophylaxis) Provisional figures for 1995 (excluding chemoprophylaxis) North 486 194 Yorkshire and Humberside 884 597 East Midlands 625 413 East Anglia 146 80 South East 3,767 2,656 South West 355 202 West Midlands 1,164 654 North West 1,325 630 Wales 390 180 England and Wales{1} 9,142 5,606 _________________________________________________________________________________________________. {1} Excluding Port Health Authorities. Data are not collected centrally on scurvy or rickets. National diet and nutrition surveys since 1980 do not show any evidence of the vitamin C deficiency which causes scurvy in the general population. There are occasional reports of rickets in young children, caused by vitamin D deficiency from insufficient exposure to sunlight. The Committee on Medical Aspects of Food and Nutrition Policy has established an expert sub-group on the nutritional aspects of bone health which is considering this.

Date

16 December 1996

Reference

8806; 287 c458-9W

House

House of Commons

Dept of Health

How many cases of multi-drug resistant TB have been diagnosed in each of the last five years. - Includes tables.

Asked by

Allan Rogers (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

10 December 1996

Answered on

10 December 1996

Mr. Rogers: To ask the Secretary of State for Health how many cases of multi-drug-resistant TB have been diagnosed in each of the last five years. [7967] Mr. Horam: In 1992, the Public Health Laboratory Service carried out a review of the occurrence of drug resistance in cases of tuberculosis in England and Wales between 1982 and 1991. The review was published in 1993. In 1993, an enhanced surveillance system--the United Kingdom mycobacterial resistance network, MYCOBNET--was established by the PHLS communicable disease surveillance centre to monitor drug resistance in isolates of mycobacterium tuberculosis. Data from the review and the MYCOBNET system are as listed. Direct comparison between the numbers of multi-drug resistant isolates identified during the two periods is not possible because of the different methods used to obtain the information. Multi-drug resistant cases account for around 1 per cent. of notified cases of tuberculosis. Initial isolates of multi-drug resistant{1} Mycobacterium tuberculosis in England and Wales, 1990-1995 _________________________________________________________________________________________________. Year Number of multi-drug resistant isolates 1990 8 1991 14 _________________________________________________________________________________________________. Data from PHLS review published in 1993. {1} Resistant to isoniazid and rifiampicin with or without resistance to other drugs. Data from MYCOBNET system: _________________________________________________________________________________________________. Year Number of multi-drug resistant isolates 1993 18 1994 42 1995 56 _________________________________________________________________________________________________.

Date

10 December 1996

Reference

7967; 287 c152W

House

House of Commons

Welsh Office

How many cases of multi-drug resistant TB have been diagnosed in each of the last five years. - Includes figures.

Asked by

Allan Rogers (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

10 December 1996

Reference

7968; 287 c173W

House

House of Commons

Welsh Office

How many cases of (a) Aids, (b) hepatitis B, (c) prostate cancer, (d) TB, (e) whooping cough and (f) lung cancer were reported in 1995. - Includes figures.

Asked by

Lord Jones (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

28 November 1996

Reference

5547; 286 c401-2W;286 c399-400W

House

House of Commons

Dept of Health

Asked by

Baroness Jowell (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

25 November 1996

Answered on

25 November 1996

Ms Jowell: To ask the Secretary of State for Health how many cases of tuberculosis were diagnosed per health authority in (a) 1994-95, (b) 1995-96 and (c) 1996-97. [4185] Mr. Horam: Information on the numbers of notifications of tuberculosis, excluding chemoprophylaxis, are not available in the form requested. Numbers of notifications to the Office for National Statistics are published by local authority in the publications "MB2 Communicable Disease Statistics" annually and "MB2 Infectious Disease Statistics" quarterly. Copies are available in the Library. Approximate numbers of notifications of tuberculosis, excluding chemoprophylaxis, for regional health authorities for 1994 and for regional offices for 1995 and the first two quarters of 1996 are as follows: Tuberculosis notifications (excluding chemoprophylaxis) by regional health authority{1} _________________________________________________________________________________________________. 1994 numbers Northern 184 Yorkshire 400 Trent 459 East Anglia 76 North-west Thames 851 North-east Thames 916 South-east Thames 427 South-west Thames 265 Wessex 128 Oxford 180 South Western 139 West Midlands 730 Mersey 103 North Western 551 _________________________________________________________________________________________________. {1} Local authorities have been allocated to regional health authorities regional offices as accurately as differences in boundaries allow. Tuberculosis notifications, excluding chemoprophylaxis, by regional office{1} _________________________________________________________________________________________________. 1995 numbers March quarter 1996 numbers June quarter 1996 numbers (provisional) Northern and Yorkshire 641 155 153 Trent 506 164 121 Anglia and Oxford 278 69 76 North Thames 1,797 419 502 South Thames 642 168 175 South and West 278 63 57 West Midlands 654 146 177 North West 630 140 148 _________________________________________________________________________________________________. {1} Local authorities have been allocated to regional health authorities/regional offices as accurately as differences in boundaries allow.

Date

25 November 1996

Reference

4185; 286 c119-20W

House

House of Commons

Dept of Health

How many confirmed human cases of tuberculosis have been reported in each month since 1978; if he will list the annual percentage of confirmed cases since 1978, by region; what was the percentage of children vaccinated and unvaccinated against tuberculosis in each year since 1978 by region. - Inc fact...

Asked by

Martyn Jones (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

19 November 1996

Reference

285 c527W; 4489;4726;4712

House

House of Commons

Dept of Health

What plans he has to undertake a programme of vaccination promotion for tuberculosis; and what assessment he has made of the benefits of such a programme.

Asked by

Martyn Jones (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

19 November 1996

Reference

4463; 285 c527-8W

House

House of Commons

Dept of Health

What assessment he has made of the use of antibiotics in (a) the spread of methicillin resistant staphyloccus aureus and meningitis and (b) resistance to anti-malaria drugs and to anti-TB drugs.

Asked by

Paul Flynn (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

19 November 1996

Answered on

19 November 1996

Mr. Flynn: To ask the Secretary of State for Health what assessment he has made of the use of antibiotics in (a) the spread of methicillin resistant staphyloccus aureus and meningitis and (b) resistance to anti-malaria drugs and to anti-TB drugs; and if he will make a statement. [4665] Mr. Horam: Bacteria have the ability to develop resistance to antibiotics which are normally effective against them through exposure to these drugs. The emergence of some resistant bacteria such as MRSA is therefore a consequence of the necessity of antibiotic treatment in modern medical practice. Prevention of the spread of existing MRSA is dependent on effective infection control arrangement. In the case of tuberculosis, there is good evidence to relate the emergence of drug resistant tuberculosis to inadequate treatment of initially drug sensitive tuberculosis. In the United Kingdom, standard protocols have been in use for the treatment of tuberculosis for many years and the incidence of drug resistance is very low. New guidance issued this year aims to keep it this way. Recently published research conducted in Gloucester into general practitioner antibiotic prescribing and meningitis has produced some interesting observations-- including a possible link between meningitis and the high use of one particular type of antibiotic in towns in Gloucestershire in 1987. Such a hypothesis is, however, speculative and the findings need to be tested in other areas. The Public Health Laboratory Service will be asking its meningococcal working group for their recommendations on further work. Drug resistance of Plasmodium falciparum malaria to the anti-malarial drug cholroquine has increased in both intensity and geographical distribution over the last few years, and resistance to the newer antimalarial, mefloquine, is now a problem in parts of south-east Asia. These facts have to be borne in mind when considering an appropriate malaria prevention strategy for travel to endemic areas.

Date

19 November 1996

Reference

285 c533W; 4665

House

House of Commons

Welsh Office

How many registered homeless have died from tuberculosis in Wales in each of the last 10 years. - Includes ref to 284 c685W.

Asked by

Paul Flynn (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

18 November 1996

Reference

1495; 285 c427W

House

House of Commons

Dept of Health

Pursuant to his Answer of 5th November on tuberculosis cases, how many cases of (a) chemoprophylaxis and (b) tuberculosis including chemoprophylaxis have been recorded in England in each of the last 10 years. Inc table.

Asked by

Paul Flynn (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

For answer on

11 November 1996

Answered on

11 November 1996

Mr. Flynn: To ask the Secretary of State for Health, pursuant to his answer of 5 November, Official Report, columns 498-500 on tuberculosis cases, how many cases of (a) chemoprophylaxis and (b) tuberculosis including chemoprophylaxis have been recorded in England in each of the last 10 years. [3528] Mr. Horam: The figures in the following table give the number of cases of tuberculosis chemoprophylaxis in England which have been notified to the Office for National Statistics, and the number of all notifications of tuberculosis in England, including those notified as chemoprophylaxis. Cases of tuberculosis chemoprophylaxis are not cases of actual tuberculosis and most are therefore not notified. _________________________________________________________________________________________________. Year Notifications of cases of tuberculosis All notifications of tuberculosis chemoprophylaxis in England (including chemoprophylaxis) in England 1986 643 6,386 1987 434 5,287 1988 265 5,225 1989 375 5,598 1990 346 5,356 1991 456 5,726 1992 552 6,149 1993 579 6,300 1994 482 5,891 1995 458 5,884 _________________________________________________________________________________________________.

Date

11 November 1996

Reference

3528; 285 c48-9W

House

House of Commons

Scottish Office

What percentage of school leavers in Scotland have been vaccinated against tuberculosis. - Inc figs and ref to "Scottish Health Statistics 1995" (Table 8.8).

Asked by

Paul Flynn (Labour)

Answering body

Scottish Office

Type

Written questions

Status

Answered

Date

11 November 1996

Reference

1562; 285 c55W

House

House of Commons

Scottish Office

How many people have died from tuberculosis in Scotland in each of the last 10 years; how many cases of tuberculosis have been diagnosed in Scotland in each of the last 10 years. - Including table.

Asked by

Paul Flynn (Labour)

Answering body

Scottish Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

284 c653-4W;284 c665-6W; 1560;1581

House

House of Commons

Scottish Office

How many registered homeless have died from tuberculosis in Scotland in each of the last 10 years; how many cases of tuberculosis among the registered homeless have been diagnosed in Scotland in each of the last 10 years. - No figures given.

Asked by

Paul Flynn (Labour)

Answering body

Scottish Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

284 c653W;284 c665W; 1556;1576

House

House of Commons

Welsh Office

How many people have died from tuberculosis in Wales in each of the last 10 years. - Table given.

Asked by

Paul Flynn (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

1559; 284 c684W;284 c696W

House

House of Commons

Welsh Office

How many cases of tuberculosis among the registered homeless have been diagnosed in Wales in each of the last 10 years. - Information requested is not available centrally.

Asked by

Paul Flynn (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

1575; 284 c684W;284 c695W

House

House of Commons

Welsh Office

If he will restore the Mobile Mass Radiography Service to Wales.

Asked by

Lord Jones (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

2270; 284 c689W;284 c700W

House

House of Commons

Welsh Office

What is his policy concerning efforts to limit tuberculosis cases in Wales. - Includes ref to reports of interdepartmental working group on TB; 'Recommendations for the prevention and control of TB at local level' and 'TB and homeless people'.

Asked by

Lord Jones (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

2269; 284 c685-6W;284 c697W

House

House of Commons

Welsh Office

What percentage of school leavers in Wales have been vaccinated against tuberculosis. - Includes figures but not available centrally in form requested.

Asked by

Paul Flynn (Labour)

Answering body

Welsh Office

Type

Written questions

Status

Answered

Date

7 November 1996

Reference

1561; 284 c684-5W;284 c696W

House

House of Commons

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