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Health Protection Update Croydon Health & Wellbeing Board

Health Protection Update Croydon Health & Wellbeing Board. Barry Walsh June 2012. Outline. Introduction to HPA and SWL HPU Key HP issues for Croydon Tuberculosis Immunisation HIV – late diagnosis HP transition issues for SW London References. Health Protection Agency

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Health Protection Update Croydon Health & Wellbeing Board

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  1. Health Protection UpdateCroydon Health & Wellbeing Board Barry Walsh June 2012

  2. Outline • Introduction to HPA and SWL HPU • Key HP issues for Croydon • Tuberculosis • Immunisation • HIV – late diagnosis • HP transition issues for SW London • References

  3. Health Protection Agency • 2004 – 2013 • National Organisation • SW LONDON HPU based in Tooting • Covering 1.4m population • Works on behalf of directors of Public Health for 5 PCTs • Reactive work dealing with outbreaks and surveillance of communicable diseases/ chemical & radiation incidents • Merging with others to form Public Health England April 2013

  4. South West London Health Protection Unit Map of London with SWL highlighted

  5. Tuberculosis in South West London

  6. Uptake of MMR in Croydon, 2009-2011 Source: COVER, HPA

  7. Primary immunisations in Croydon at one year, 2008-2011 Source: COVER, HPA

  8. Pertussis in SWL Pertussis cases in SW London: 12/3/12 – 11/6/12

  9. Measles in SWL Measles cases in SW London: 12/3/12 – 11/6/12 (number of which are travellers in brackets)

  10. Human Papilloma Virus (HPV) vaccine uptake in Croydon, 2008-2011 Source: HPV uptake, Department of Health

  11. Influenza vaccine uptake 2011/12 (provisional data as at February 2012)

  12. Influenza vaccine uptake in frontline healthcare workers(provisional data as at February 2012) Source: Influenza vaccine uptake, Department of Health

  13. Proportion of HIV cases diagnosed very late in SWL PCTS, 2010 Source: Late Diagnosis Data, HPA

  14. Public Health Englandtimeline

  15. Health Protection concerns on transition • Ability to get health professional support for outbreak at very short notice: • Big bang • Simultaneous multiple small bangs – more difficult

  16. Examples: • Outbreak of Hepatitis A in a school – Friday evening - immunisation clinic required • Post exposure prophylaxis for HIV in school playground following needle stick injuries. • Cluster of invasive group A Streptococcus in care home at weekend requiring prophylactic antibiotics. • Look backs – hepatitis/ HIV in healthcare settings • Recall Immunisation of children where wrong vaccines administered

  17. Strategic challenges in transition • Contracts over control of infection in subcontracted services e.g. renal dialysis where outbreak occurs • Control of infection in community • Lack of clarity ‘where the buck stops’ e.g. immunisation • Localism – challenges to national programmes on immunisation e.g. Varicella vaccine • Maintaining cluster working on immunisation TB, health care associated infection, occupational health

  18. Further information • Please see the HPA website www.hpa.org.uk • For further information on surveillance at SWLHPU please contact steve.bow@hpa.org.uk. • For further information on SWL HPU geographical links • please contact addis.taye@hpa.org.uk, or emma.daapah@hpa.org.uk • For further information on health protection in Croydon please contact barry.walsh@hpa.org.uk. • For further information about environmental health in Croydon please phone 020 8760 5436.

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