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Director of Public Health Annual Report 2011 - NHS North Somerset

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<strong>Director</strong> <strong>of</strong> <strong>Public</strong> <strong>Health</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />

Executive summary<br />

The executive summary gives the main<br />

findings from the information presented in<br />

the report and the key issues identified.<br />

Sexually Transmitted Infections<br />

Chlamydia is the most commonly diagnosed<br />

sexually transmitted infection in <strong>North</strong><br />

<strong>Somerset</strong>, followed by genital warts, herpes<br />

and gonorrhoea.<br />

Chlamydia infection peaks in young people<br />

aged 15-24 year olds, with 854 infections<br />

diagnosed in that age group in 2010.<br />

The rate <strong>of</strong> chlamydia infections in <strong>North</strong><br />

<strong>Somerset</strong> is much higher than the England<br />

average. The rate <strong>of</strong> testing in men (17.7%)<br />

is the second lowest in the England.<br />

There is a strong link between alcohol, drugs<br />

and risky sexual behaviour.<br />

Treating sexually transmitted infections in<br />

<strong>North</strong> <strong>Somerset</strong> costs in excess <strong>of</strong> £1.1m each<br />

year.<br />

HIV<br />

In 2010 there were 104 people living in <strong>North</strong><br />

<strong>Somerset</strong> accessing treatment for HIV.<br />

The number <strong>of</strong> people living with HIV is<br />

increasing but the level <strong>of</strong> infection in <strong>North</strong><br />

<strong>Somerset</strong> is lower than the England average.<br />

The most common route <strong>of</strong> infection in those<br />

living with HIV in <strong>North</strong> <strong>Somerset</strong> was sex<br />

between men and women (49%) and sex<br />

between men (41%).<br />

Black African groups and men who have sex<br />

with men in <strong>North</strong> <strong>Somerset</strong> are<br />

disproportionately affected by HIV.<br />

In 2010, the total <strong>of</strong> HIV/AIDS treatment in<br />

<strong>North</strong> <strong>Somerset</strong> was estimated at £1m.<br />

Termination <strong>of</strong> Pregnancy<br />

In 2010, there were 399 terminations <strong>of</strong><br />

pregnancy in women living in <strong>North</strong> <strong>Somerset</strong>,<br />

a10% reduction from the previous year.<br />

The termination <strong>of</strong> pregnancy rate locally is<br />

lower than the England average and peaks<br />

in the 20-25 age group.<br />

It is estimated that £249,000 were spent on<br />

abortions in <strong>North</strong> <strong>Somerset</strong> in 2010.<br />

Teenage Pregnancy<br />

Over the last ten years, teenage pregnancy<br />

rates have remained low. They have<br />

fluctuated but remained consistently within<br />

the bottom third <strong>of</strong> the country.<br />

In 2009 there were 123 teenage pregnancies<br />

in those under the age <strong>of</strong> 18, with a<br />

concentration in Weston-super-Mare Central<br />

and South Wards.<br />

Reducing teenage pregnancy is only possible<br />

if action is taken to address the underlying<br />

risk factors, such as poverty, educational<br />

underachievement and low aspirations.<br />

Sexual Assault<br />

In 2010/11, 131 sexual <strong>of</strong>fences (<strong>of</strong> which 23<br />

were rape) were reported to the police by<br />

people living in <strong>North</strong> <strong>Somerset</strong>. Many<br />

<strong>of</strong>fences remain unreported.<br />

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