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Endoscopy Activity

Mr. Lidington: To ask the Secretary of State for Health (1) when he decided to reclassify new endoscopic activity as complex out-patient rather than in-patient work; and if he will make a statement; [158267]

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(2) what his estimate is of the reduction in in- patient waiting lists consequent upon the reclassification of new endoscopic activity as complex out-patient procedures. [158268]

Mr. Denham: We have made no changes to the way endoscopy activity is classified.

Gastroenterology

Mr. Lidington: To ask the Secretary of State for Health (1) how many people are on a waiting list for inpatient gastroenterology in England and Wales; [158266]

(2) what proportion of the national waiting list for gastroenterology is made up of patients waiting for endoscopic activity. [158270]

Mr. Denham: On 31 December 2000, the latest date for which this information is available, 11,526 people were awaiting admission to hospitals in England for gastroenterology. Information collected centrally does not identify separately those patients awaiting endoscopies. Information for Wales is a matter for the devolved Administration.

Food Poisoning

Mr. Dobson: To ask the Secretary of State for Health how many cases of (a) E.coli poisoning and (b) salmonella poisoning have been reported in the United Kingdom in each year since 1970; and how many people died in each year. [151645]

Ms Stuart [holding answer 1 March 2001]: Table 1 sets out the total number of laboratory-confirmed isolations of E.coli 0157 from humans reported to the Public Health Laboratory Service (PHLS) in England and Wales, the Scottish Centre for Infection and Environmental Health in Scotland and the PHLS Communicable Disease Surveillance Centre, Northern Ireland in each year since 1982. There are no reports prior to 1982.

There is no specific ICD-10 (International Classification of Diseases) code for Verocytotoxin-producing E.coli (VTEC) 0157 and therefore it is not possible to obtain data from the Office for National Statistics or the General Register Offices on deaths attributable to VTEC 0157 infection. Furthermore those who die following infection will usually have symptoms of kidney failure or brain damage and these features are more likely to be recorded on death certificates.

Table 1: E.coli 0157: Reports of laboratory-confirmed isolations from humans in the UK, 1982-2000

Year(3)	Scotland	England and Wales	Northern Ireland	Total UK reports
1982	(4)--	1	0	1
1983	(4)--	6	0	6
1984(5)	3	9	0	12
1985	3	50	0	53
1986	4	76	0	80
1987	12	89	0	101
1988	39	49	0	88
1989	87	119	1	207
1990	165	250	1	416
1991	202	361	2	565
1992	115	470	1	586
1993	119	385	2	506
1994	242	411	3	656
1995	247	792	7	1,046
1996	506	660	14	1,180
1997	423	1,087	25	1,535
1998	217	890	24	1,131
1999	295	1,084	51	1,430
2000	200	897	48	1,145

⁽³⁾ No data

⁽⁴⁾ There were no reports of E.coli 0157 in the UK prior to 1982

⁽⁵⁾ There were no laboratory reports of E.coli 0157 to the Scottish Centre for Infection and Environmental Health (SCIEH) prior to 1984

⁽⁶⁾ Data for 2000 remains provisional

Sources:

Scotland data are from the Scottish Centre for Infection and Environmental Health (SCIEH) and represents laboratory reports (faecal isolates only) of Escherichia coli 0157 in humans

England and Wales data is from the Public Health Laboratory Service (PHLS) Laboratory of Enteric Pathogens (LEP) and represents verocytotoxin-producing strains of E.coli 0157 isolated from humans

Northern Ireland data are from the PHLS Communicable Disease Surveillance Centre, Northern Ireland and represents laboratory reports of E.coli 0157 from humans.

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Table 2 sets out the number of laboratory-confirmed reports of Salmonella in humans made to the Public Health Laboratory Service (PHLS) in England and Wales, the Scottish Centre for Environmental Health in Scotland and the PHLS Communicable Disease Surveillance Centre in Northern Ireland in each year since 1970.

Table 2: Salmonella: Reports of laboratory-confirmed isolations from humans in the UK, 1970-2000⁽⁷⁾

Year	Scotland	England and Wales	Northern Ireland	Total UK reports
1970	828	6,848	55	7,731
1971	983	6,784	36	7,803
1972	854	4,849	36	5,739
1973	919	6,871	29	7,819
1974	580	5,663	44	6,287
1975	1,157	8,912	120	10,189
1976	1,550	7,831	166	9,547
1977	889	6,505	117	7,511
1978	1,253	9,042	35	10,330
1979	1,483	10,381	71	11,935
1980	1,577	9,508	136	11,221
1981	2,526	10,251	131	12,908
1982	2,621	12,322	94	15,037
1983	2,288	15,155	186	17,629
1984	2,221	14,727	157	17,105
1985	1,690	13,330	109	15,129
1986	2,015	16,976	282	19,273
1987	2,286	20,532	480	23,298
1988	2,563	27,478	200	30,241
1989	2,557	29,998	201	32,756
1990	2,458	30,112	259	32,829
1991	2,330	27,693	159	30,182
1992	2,992	31,355	226	34,573
1993	2,919	30,650	180	33,749
1994	2,969	30,411	282	33,662
1995	3,107	29,314	452	32,873
1996	3,266	28,983	413	32,662
1997	3,349	32,596	432	36,377
1998	2,109	23,728	534	26,371
1999	1,879	17,532	688	20,099
2000(8)	1,723	14,845	419	16,987

⁽⁷⁾ Faecal and other reports, excluding S.typhi and S.paratyphi

⁽⁸⁾ Data for 2000 remains provisional

Sources:

Scotland data are laboratory reports to the Scottish Centre for Infection and Environmental Health (SCIEH) of Salmonella in humans in Scotland, 1970-2000

England and Wales data is from the Public Health Laboratory Service (PHLS). The Salmonella data for 1970 to 1980 differ from 1981 onwards as follows:

1. The pre-1981 data are paper records whereas data for 1981 onwards have been computerised and published on the PHLS website;

2. The pre-1981 data include all human isolates whereas the data from 1981 onwards are for faecal isolates only;

3. The pre-1981 data include more than one report for some patients whereas the data for 1981 onwards have had duplication removed so that there is only one report for each patient.

4. Data for 1981-91 is from Laboratory of Enteric Pathogens (LEP) (formerly DEP). Data for 1992 onwards is from the PHLS Salmonella datasheet.

Northern Ireland data are from the PHLS Communicable Disease Surveillance Centre, Northern Ireland

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Table 3 sets out the annual corrected notifications of deaths related to Salmonella infections (other than S.typhi and S.paratyphi), reported to the Office for National Statistics in England and Wales and the General Register Offices in Scotland and Northern Ireland in each year from 1970 to 1999.

Table 3: Salmonella associated deaths in the UK, 1970-99⁽⁹⁾(ICD-003)⁽¹⁰⁾

Year	Scotland	England and Wales	Northern Ireland	Total UK reports
1970	3	28	3	34
1971	3	34	0	37
1972	1	25	0	26
1973	3	37	1	41
1974	3	29	0	32
1975	6	45	2	53
1976	7	39	1	47
1977	7	34	3	44
1978	2	38	0	40
1979	6	48	0	54
1980	3	37	1	41
1981	9	34	0	43
1982	8	65	1	74
1983	5	49	0	54
1984	6	54	2	62
1985	4	49	0	53
1986	2	40	0	42
1987	1	52	2	55
1988	3	58	2	63
1989	3	61	0	64
1990	1	68	1	70
1991	4	62	0	66
1992	3	59	0	62
1993	2	35	0	37
1994	1	40	0	41
1995	2	36	1	39
1996	2	49	0	51
1997	1	44	0	45
1998	5	21	0	26
1999	4	25	0	29

⁽⁹⁾ Data for 1999 are provisional

⁽¹⁰⁾ Annual corrected notifications ICD-003 ('Salmonella Other') Salmonella related deaths excluding Salmonella typhi and Salmonella paratyphi

Sources:

England and Wales: Office for National Statistics (ONS)

Scotland: General Register Office Scotland (GROS)

Northern Ireland: General Register Office Northern Ireland (GRONI)

ICD-003: International Classification of Diseases (ICD) category for 'Salmonella Other' these infections exclude Salmonella typhi and Salmonella paratyphi

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