04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council
04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council
04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council
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DRAFT<br />
• The gap in the death rates between men and women from cardio-vascular<br />
diseases is slightly worsening while the gap in deaths rates from cancer in<br />
men in <strong>Lambeth</strong> and England is widening.<br />
Hospital admissions<br />
• The top 10 causes of hospital admissions in <strong>Lambeth</strong> in 200708 were:<br />
Pregnancy related conditions<br />
Digestive disorders<br />
Genito-Urinary system<br />
Neoplasms<br />
Injuries and Poisonings<br />
Circulatory diseases<br />
Respiratory diseases<br />
Musculoskeletal disorders<br />
Eye related<br />
Nervous System.<br />
• Overall there has been a fall in total hospital admissions in 2007-08 over<br />
2006-07 and admissions due to circulatory diseases and skin have fallen in<br />
comparison to the total admissions in 2007-08.<br />
• Diabetes – The case-detected prevalence of diabetes in <strong>Lambeth</strong> (2.95%) is<br />
lower than the national average (3.6%) and detection in primary care is<br />
good with up to 90% cases detected and registered. However the<br />
prevalence models provided by the APHO (Association of Public health<br />
observatories) shows a prevalence of 3.8% meaning around 1% of diabetics<br />
are still undetected in the population.<br />
• Circulatory: CHD – The case detected prevalence of CHD (Coronary Heart<br />
disease) in <strong>Lambeth</strong> is approximately 1.4% however the modelled<br />
prevalence is around 3% meaning there are over 5000 cases in <strong>Lambeth</strong><br />
with CHD and who need to be on the CHD register in primary care and who<br />
need to be on preventative medication.<br />
• Circulatory: Stroke – Although the prevalence of stroke is lower in <strong>Lambeth</strong><br />
the directly standardised mortality rate from stroke although declining is still<br />
higher than the England average.<br />
• Cancer: Cancer is the third main cause of death in <strong>Lambeth</strong> and the<br />
incidence of cancer in <strong>Lambeth</strong> for males is higher than the England<br />
average while it is similar for females.<br />
• Cancer: by site (analysis is being done)<br />
• The POPPI (Projecting Older People Population Information) system<br />
estimates approximately 11,044 people aged 65 and over with a limiting<br />
long-term illness in <strong>Lambeth</strong>. Projections show a reduction in 2010 through<br />
2015 followed by a rise of approximately 5-7% in 2020 through 202<strong>5.</strong><br />
• Infectious: hospital-acquired infections – the rate of health care acquired or<br />
hospital acquired infections is lower than the London and national average<br />
in <strong>Lambeth</strong>.<br />
• Dental: decay – Approximately 9% of 12 year olds, 28% of 5 year olds in<br />
<strong>Lambeth</strong> have active dental decay which is lower than the national average.<br />
• Aural<br />
• Optical<br />
<strong>Lambeth</strong> <strong>JSNA</strong> – Preliminary Assessment<br />
Version 4<br />
October 2008<br />
34