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5. Other Health Issues 5c Diabetes
• Diabetes is a common condition that may affect
5a Smoking and Health children and adults; the number of people with
• Support to Stop, the smoking cessation service diabetes is increasing Health in North Somerset
for people who want to stop smoking, has • The Diabetes National Service Framework has
reached over a thousand people in North set standards for high quality diabetic care. The
Somerset over the last year. Of these, 577 PCT has put in place a Network of people who
stopped smoking for at least four weeks. A are finding ways to meet the standards locally
The Annual Report
survey of people who quit a year ago showed of the Director of
25% remained off cigarettes for one year Recommendations
• Smoking cessation services reach more people • Develop the Implementation Plan for North
Public Health 2002/3
in deprived areas, where smoking is more Somerset to deliver Diabetes NSF Standards for
common, and, in North Somerset, the percentage primary and secondary care This is a summary of the first annual report
of people who succeeded in quitting in the focussing exclusively on the health of people living
deprived areas was similar to that in the more 5d Young People’s Health - results of a local in North Somerset.
affluent areas survey
• Young people made limited use of the smoking
• Children in this area are more likely than children North Somerset Primary Care Trust (PCT) covers
cessation services
• There were very high rates of smoking among elsewhere in the country to have a paid job during the same area as North Somerset Council, and is
pregnant teenagers, far higher than Health term time, drink “alco-pops”, or to be worried about responsible for improving health and reducing
Survey for England estimate and this was their looks. They are less likely to go for walks, or to health inequalities. As Director of Public Health, I
know about local young people’s contraception and
persistent across all social groups have to report annually on the health of people in
advice services
the area. I hope the information here will help
Recommendations everyone working in this field, both within and
• At a national level, develop effective interventions 6. Communicable diseases outside the NHS; some of whom will be providing
targeted at young people; both in terms of services, others working to tackle issues such as
smoking cessation services in general and very 6a Immunisation in North Somerset
• Immunisation rates are generally high In North poverty, deprivation, housing and education, which
specifically, to help them to quit during and after
pregnancy Somerset have an enormous effect on how healthy people
• Expand local smoking cessation and tobacco • There has been a drop in uptake of MMR are.
control work, particularly targeting pregnant vaccination, associated with national publicity.
women, young people and those living in areas However, detailed reviews have shown no evidence Only by working together across traditional
of deprivation of a link between MMR and autism or bowel disorder organisational boundaries, can we offer people the
• A recent fall in uptake of several vaccines needs to best possible chances for a long and healthy life.
be closely monitored
5b Falls in Older People in North Somerset The full report and a feedback form are available
Recommendations
• Falls are the major cause of death from accidents from the North Somerset PCT website where there
• We need to actively encourage the uptake of
in older people in North Somerset vaccination, and support parents who are anxious are also links to more detailed information on local
• Three-quarters of older people who end up in health issues - http://www.northsomerset.nhs.uk/
hospital after a fall are women and almost half 6b Key Infectious diseases - Tuberculosis and
are over 85 years Meningitis Max Kammerling
• Reducing falls would improve both the quality Key points Director of Public Health
and quantity of life for older people • Tuberculosis is a significant problem in Bristol, but, North Somerset PCT
currently, is at low rates in North Somerset Waverley House
Recommendations Vaccination against meningitis is a powerful tool, but Old Church Road
• Improve falls prevention work and provide an there remains no vaccine against some important Clevedon BS21 6NN
integrated service for those who do fall strains of meningococcus Tel: 01275 546770
5 6 Summary 1
1. The Population of North Somerset 3. Health Inequalities 4. Sexual Health
• North Somerset has a population which is relatively 3a The influence of deprivation on health 4a Sexually Transmitted Infections
elderly and relatively low in people aged 20-34 • Men in the most deprived areas live, on average, • Weston-super-Mare has the characteristics of a
• Up to 2011, most population growth will be in the 40- 7 years less than men in the more affluent areas community likely to have high rates of sexually
50 age group and amongst people aged 60-70 • A pattern of increasing death rates in more deprived transmitted infections
• The child population will increase by around 6% areas can be seen for the most common causes of • Gonorrhea is on the increase. Chlamydia rates are
• The largest percentage increase in population will be premature death - cancers and circulatory diseases, also increasing. This may be due to better detection,
in the Portishead area accidents and suicides as only a minority of actual cases are found and
• There are around 3.3 million day trippers and • Mothers living in deprived areas are much more treated
375,000 staying visitors in North Somerset each year likely to give birth to a low birth weight baby, have a • There is a hepatitis B outbreak in Bristol, which does
• The population of North Somerset has doubled over child who is born dead or who dies within the first not seem to be spreading to North Somerset
the past 50 years, and is set to increase by around week of life and are much less likely to be
9% over the next decade breastfeeding at 8 weeks Recommendations
• Ethnic minorities represent around 1.4% of the local • People living in deprived areas appear less likely to
• Improve sexual health services for the population of
population, there are few asylum seekers and an get cardiac surgery when their relative need is taken
North Somerset
unknown number of gypsy and traveller families into account
• 9% of the people in North Somerset live in areas • Join the national programme of screening for
which are amongst the most deprived in the country Recommendations detection and treatment of Chlamydia which is
A multi-agency health inequalities strategy is needed, currently being piloted
Recommendations to ensure we deliver the interventions which have been • Keep a close eye on the spread of hepatitis in North
• Population forecasts and measures of deprivation shown to be effective Somerset, and be prepared to move to a targeted
need to be updated in the light of the 2001 census programme of immunisation if the outbreak is
3b Improving health through regeneration confirmed to be spreading
2. Key Causes of Early Death
• Regenerating deprived areas is a major plank of any
attempt to reduce health inequalities 4b Teenage Pregnancy
• Death rates from the two commonest causes of early • Weston super Mare South Ward, Pill village and • The UK has the highest rate of teenage pregnancy in
death - cancer and circulatory disease – are reducing central Weston super Mare have all received grants Western Europe – three times those in France and
in North Somerset in line with national trends. We are from the Government’s Single Regeneration Budget six times those in the Netherlands
likely to meet the national targets for reducing deaths (SRB) • The North Somerset teenage pregnancy rate for 2001
in these areas • Two of the SRB schemes are now completed but was 43.2 conceptions per 1000 girls aged 15-17
• There are much smaller numbers of deaths from there is ongoing work in these areas including the years, which is 0.9% higher than the national average
suicides and accidents, and it is much harder to spot Healthy Living Project in South Ward and the for England. This is a disappointing increase, as we
long term trends Community Resource Centre in Pill were lower than the national rate In previous years
• Accidents are the most common cause of death in • The SRB scheme for central Weston super Mare Parts of Weston super Mare have particularly high
young people and cause a significant amount of continues until March 2006 and a rapid appraisal in rates of teenage pregnancy
illness and disability. January 2003 identified 35 ways that health could be
• Falls are the major cause of death from accident in improved. These include tackling drug and alcohol Recommendations
older people and road traffic crashes kill more young misuse, addressing crime and the fear of crime, • Continue to support the long term multi-agency
people than any other type of accident reducing poverty, expanding health services for strategy to reduce teenage pregnancy currently in
disadvantaged groups and providing more places to place in North Somerset
Recommendations go and things to do • Work together with schools, colleges, parents, health
• Continue to implement the national strategies for professionals and community groups to educate
cancer and heart disease Recommendations
young people about relationships, sex , the risks of
• Ensure good quality care for people at high risk of • Support the Weston Regeneration Partnership; teenage pregnancy and sexually transmitted
suicide and promote good mental health continue to develop the Healthy Living Project and infections, and improve access to contraceptive
• Focus on action to reduce falls and increase the respond to the need of central Weston. services for young people
emphasis on reducing road traffic accidents
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