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Childhood Asthma in Tower Hamlets. Dr Neil Douglas GP Clinical Lead Child Health. Asthma in Childhood. In the UK responsible for the largest number of disability adjusted life years lost of any single childhood chronic illness
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Childhood Asthma in Tower Hamlets Dr Neil Douglas GP Clinical Lead Child Health
Asthma in Childhood • In the UK responsible for the largest number of disability adjusted life years lost of any single childhood chronic illness • There is conflicting evidence on prevalence but in 2008/09 4,460 children in TH. • There are preventable deaths from Asthma • Only 3% of children have written plans to prevent and manage exacerbations
Asthma prevalence aged 0-19 registered with a GP – 2008/09 Prevalence - weighted average of the practice prevalence weighted by registered practice population in each ward
Childhood Asthma Hospital Admissions-NHS Atlas of Variation • Tower Hamlets-38.7 • City and Hackney-49.0 • Newham-205.4 • Southwark-307.2
Tower Hamlets Child Health Profile(Chimat 2013) • Crude rate per 100,000 (0-18, 2011/12) • Tower Hamlets 151.5 (88 children) • England Average-193.9 • England Worst-484.4 • England Best-73.4 • Trend of Emergency Admissions reducing compared with 2008-2009
What makes a difference? • Breast feeding • Less smoking • Less pollution • Better diagnosis and management • New treatments and guidelines