18
Health Protection Update Croydon Health & Wellbeing Board Barry Walsh June 2012
Health Protection UpdateCroydon Health & Wellbeing Board
Barry WalshJune 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 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
South West London Health Protection Unit
Map of London with SWL highlighted
Tuberculosis in South West London
5
6
Uptake of MMR in Croydon, 2009-2011
Source: COVER, HPA
7
Primary immunisations in Croydon at one year, 2008-2011
Source: COVER, HPA
Pertussis in SWL
Borough Confirmed Suspected
Croydon 6 3
Kingston 3 2
Merton 10 3
Richmond 9 1
Sutton 4 1
Wandsworth 9 5
SWL Total 41 15
Pertussis cases in SW London:12/3/12 – 11/6/12
Measles in SWL
Borough Confirmed Probable Possible
Croydon 4 (3) 10 (7) 2Kingston 0 0 3Merton 0 1 3Richmond 0 3 2Sutton 3 0 5Wandsworth 2 (1) 3 (1) 6SWL Total 9 17 21
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
Influenza vaccine uptake 2011/12 (provisional data as at February 2012)
11
Influenza vaccine uptake in frontline healthcare workers(provisional data as at February 2012)
12Source: Influenza vaccine uptake, Department of Health
13
Proportion of HIV cases diagnosed very late in SWL PCTS, 2010
Source: Late Diagnosis Data, HPA
April 2012 Duncan Selbie appointed as Chief Executive designate for PHE from 1 July 2012
May 2012 PHE organisational design agreed
May 2012 Executive team roles advertised - filled by July
July 2012 PHE People Transition Policy published, including terms and conditions framework
July – Oct 2012 Pre-transfer appointments and new post process
October 2012 Detailed terms and conditions available
October 2012 Pre-transfer appointments completed; redeployment commences
October 2012 Formally consult with individual staff and unions on transfers
December 2012 PHE People Transition Policy – Phase 2
April 2013 PHE established
Public Health Englandtimeline
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
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
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
Further informationFurther information
Please see the HPA website www.hpa.org.uk
For further information on surveillance at SWLHPU please contact [email protected].
For further information on SWL HPU geographical linksplease contact [email protected], or [email protected]
For further information on health protection in Croydon please contact [email protected].
For further information about environmental health in Croydon please phone 020 8760 5436.
18
