Dr Neil Douglas
GP Clinical Lead Child Health

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In the UK responsible for the largest number of disability adjusted life years lost of any single childhood chronic illness
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There is conflicting evidence on prevalence but in 2008/09 4,460 children in TH.
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There are preventable deaths from Asthma
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Only 3% of children have written plans to prevent and manage exacerbations

Prevalence - weighted average of the practice prevalence weighted by registered practice population in each ward

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Tower Hamlets-38.7
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City and Hackney-49.0
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Newham-205.4
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Southwark-307.2

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Crude rate per 100,000 (0-18, 2011/12)
Tower Hamlets 151.5 (88 children)
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England Average-193.9
England Worst-484.4
England Best-73.4
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Trend of Emergency Admissions reducing compared with 2008-2009

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Breast feeding
Less smoking
Less pollution
Better diagnosis and management
New treatments and guidelines