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Tuberculosis

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.

NICE has developed public health briefings for a range of different topics. These briefings are meant for local authorities and their partner organisations in the health and voluntary sectors, in particular those involved with health and wellbeing boards. This briefing summarises NICE's recommendations for local authorities and partner organisations on identifying and managing tuberculosis (TB) in vulnerable people who may find it difficult to access services for diagnosis and treatment in traditional healthcare settings. This includes adults, young people and children from any ethnic background, regardless of migration status, whose social circumstances, language, culture or lifestyle (or those of their parents or carers) make it difficult to:

  • recognise the clinical onset of TB
  • access diagnostic and treatment services
  • self-administer treatment (or in the case of children and young people have treatment administered by a parent or carer)
  • attend regular appointments for follow-up.

This resource can be viewed by clicking here: http://publications.nice.org.uk/tuberculosis-in-vulnerable-groups-lgb11. It is particularly relevant to health and wellbeing boards.

This briefing summarises NICE's recommendations for local authorities and partner organisations on identifying and managing tuberculosis (TB) in vulnerable people who may find it difficult to access services for diagnosis and treatment in traditional healthcare settings. The guidance can be accessed and downloaded by clicking here: bit.ly/1lS1k51

This is the Tuberculosis JSNA Indicator Sheet from the Behaviour and Access to Services section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.

Headlines

  • Bolton has a higher than average number of TB cases;
  • Bolton also has a higher rate of TB cases than is average for its statistical peer group. This higher rate is in common with those peers who have significant BME communities;
  • In 2010/11 there were 916 BCG vaccinations performed in Bolton, which is lower than the years immediately previous;
  • In line with the regional and national pattern, the overwhelmingmajority of BCG vaccinations in Bolton in 2010/11 were performed on children aged 1 years and under.

NICE's formal guidance on identifying and managing tuberculosis among hard to reach groups.

Follow the link for full details:http://guidance.nice.org.uk/PH37

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