Transcript Document

Health Inequality Conference -28th February 2012
HealthHealth
inequalitiesinequalities
in
Lambeth
In Lambeth
Ruth Wallis Director Public Health, Lambeth
Health inequalities contribute to the
health burden of Lambeth
Summary of Health Issues
Update 2011
High Burden
-All cause mortality;
-Gastric, peptic ulcer mortality;
-Infectious & parasitic disease
mortality;
(Child obesity, alcohol consumption,
substance misuse);
-Smoking
Lung cancer mortality
Severe mental illness;
Hypertensive disorders;
HIV (Human Immunodeficiency Virus) and
STI (Sexually Transmitted Infections)
prevalence.
Deprivation (IMD)/child poverty
-Infant mortality;
-Mortality from accidental falls;
-Breast and cervical cancer
screening;
-Flu immunisation (>65s);
-Diabetes morbidity & mortality;
-Cardio-vascular disease mortality;
-Teenage conceptions.
-Mortality from stroke.
Low Burden
Healthy living issues;
-Childhood immunisation;
-Chlamydia screening
Improving
-Suicide and undetermined injury
mortality
-Mortality from chronic liver
disease
Worsening
There has been progress in
addressing health inequalities
Lambeth, under 18 conceptions / 1000 females aged 15-17
120
Under 18 conceptions rate per 1000 females aged
15-17 years
England
LONDON GOR
100
Lambeth LB
80
60
40
20
0
2002
2003
2004
2005
2006
2007
N.B. Rates are per 1000 females aged 15-17 years
2008
2009
Socioeconomic gradient of Health remains
Life expectancy
0.5%
14%
40%
‘disability free’ life expectancy
by neighbourhood income
deprivation1999-2003
The risk of illness and deaths
increases with deprivation
The worst off in the borough lose 6
years of life free of disability
The risk of emergency admission
for heart failure of worst off is twice
the risk for better off
180.0
160.0
140.0
SMR ratio
Life expectancy of the better off is
5 to 6 years higher than for the
worst off
SMR for CVD among under 75 years 0ld Lambeth residents by
ward IMD
R2 = 0.4456
120.0
100.0
80.0
60.0
40.0
20.0
0.0
0.00
10.00
20.00
30.00
w ard IMD
The risk of CVD death of worst off is
almost double of the risk of better off
40.00
50.00
Next steps
•
-
Marmot recommendations
Give every child the best start in life
Enable all to maximise capabilities & have control over life
Create fair & good employment
Ensure healthy standard of living for all
Create & develop healthy & sustainable places & communities
Strengthen role & impact of ill health prevention
• Health and well being strategy
• Commissioning to improve health & reduce inequalities (access ,
prevention)
• Proportionate universalism
• Public Health role of Local authorities
END
The Marmot Review 6 Objectives
4. Ensure a healthy standard of living
3. Create fair &
good
employment
5. Healthy &
sustainable
Communities
2. Enable all to
maximise capabilities &
have control over life
6. Strengthen ill
health
prevention
1. Give every child best start in life