Childhood Infectious Diseases | Boltons Health Matters
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Childhood Infectious Diseases

The purpose of this document is to provide a clear overview of the current health protection situation within Bolton highlighting any on-going challenges or issues.

Key Points

  • Bolton has robust emergency planning.
  • The rate of new tuberculosis cases is reducing in Bolton but it is still higher than England as a whole.
  • Flu immunisation uptake is highest in the over 65 group, it has been increasing year on year and is now at 74.1%.
  • Flu immunisation uptake is lowest in pregnant women with 47.9% taking up the vaccination.
  • Bolton CCG lies just below average when comparing the flu immunisation uptake in 2, 3 and 4 year olds when compared nationally.
  • Bolton has excellent uptake of key childhood vaccinations and has significantly higher uptake of the MMR, HPV, Men C and PCV when compared to both the North West and England.
  • The screening uptake for abdominal aortic aneurysm (AAA) and diabetic retinopathy screening is higher in Bolton than nationally.
  • Breast screening uptake in the North West was on a par with England while bowel screening uptake was slightly below the national uptake.
  • The HIV prevalence in Bolton is increasing annually in line with the national figures; this is predominantly due to the increased life expectancy of individuals with HIV.
  • The uptake of HIV testing in both women and Men who have Sex with Men (MSM) is higher in Bolton than in the North West and England. However, Bolton has a higher rate of late HIV diagnosis than the North West and England.
  • The number of cases of MRSA and C. diff in Bolton has stayed relatively stable over the last 2 years, while in Greater Manchester there has been an overall increase.

The Medicine for Managers briefings are succinct profiles of particular diseases or conditions compiled by Dr Paul Lambden for They provide a useful overview of the disease, with an explanation of the causes and possible treatments, as well as epidemiological information. This briefing centres on meningitis.

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