Childhood Asthma in Tower Hamlets, Dr Neil Douglas
Dr Neil Douglas
GP Clinical Lead Child Health
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
Tower Hamlets-38.7
City and Hackney-49.0
Newham-205.4
Southwark-307.2
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
Breast feeding
Less smoking
Less pollution
Better diagnosis and management
New treatments and guidelines
