House of Commons Hansard Written Answers for 12 Jan 2009 (pt 0032)

12 Jan 2009 : Column 150W—continued

BNF paragraph 5.3.3—Viral hepatitis
	Thousand
	Number of prescription items used in the treatment of hepatitis B from BNF section 5.3.3, which were dispensed in the community in England from July 2003 to June 2008^{( 1)}
SHA^{( 2,3)}	2003 Jul-Dec	2004	2005	2006	2007	2008 Jan-Sep
East Midlands	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	0.1	0.1
East of England	⁽⁴⁾—	⁽⁴⁾—	0.1	⁽⁴⁾—	0.1	0.2
London	0.1	0.1	0.2	0.5	0.6	0.5
North East	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—
North West	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	0.1	0.1
South Central	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	0.1	0.1
South East Coast	⁽⁴⁾—	⁽⁴⁾—	0.1	0.1	0.1	0.1
South West	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	0.1	0.1	0.1
West Midlands	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	0.1	0.1
Yorkshire and the Humber	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	⁽⁴⁾—	0.1	0.2

England	0.1	0.3	0.5	0.9	1.5	1.4
⁽¹⁾ Information at SHA level is only available for the past 60 months. ⁽²⁾ The data have been structured in line with current SHA arrangements. The structure changed during 2006 where the number of SHAs reduced. ⁽³⁾ The tables show drugs which may be used to treat hepatitis B, by SHA. ⁽⁴⁾ Indicates 50 or fewer items were dispensed during the period. Source The Prescription Pricing Division of the NHS Business Services Authority (NHSBSA (PPD))

12 Jan 2009 : Column 151W

12 Jan 2009 : Column 152W

BNF paragraph 5.3.1—HIV infection
Thousand
	Number of prescription items used in the treatment of hepatitis B from BNF section 5.3.1, which were dispensed in the community in England from July 2003 to June 2008^{( 1)}
SHA^{( 2,3)}	2003 Jul-Dec	2004	2005	2006	2007	2008 Jan-Sep
East Midlands	0.1	0.2	0.2	0.3	0.4	0.3
East of England	0.2	0.4	0.5	0.6	0.8	0.7
London	0.7	1.7	1.9	2.4	3	2.3
North East	0.1	0.2	0.2	0.3	0.2	0.1
North West	0.3	0.5	0.5	0.6	0.7	0.6
South Central	0.1	0.2	0.2	0.3	0.3	0.3
South East Coast	0.1	0.2	0.3	0.4	0.4	0.4
South West	0.1	0.2	0.3	0.4	0.4	0.3
West Midlands	0.3	0.6	0.6	0.7	0.7	0.6
Yorkshire and the Humber	0.1	0.3	0.3	0.4	0.5	0.4

England	2.0	4.5	5.1	6.4	7.4	6.0
⁽¹⁾ Information at SHA level is only available for the past 60 months. ⁽²⁾ The data have been structured in line with current SHA arrangements. The structure changed during 2006 where the number of SHAs reduced. ⁽³⁾ The tables show drugs which may be used to treat hepatitis B, by SHA. Source: The Prescription Pricing Division of the NHS Business Services Authority (NHSBSA (PPD))

Mr. Lansley: To ask the Secretary of State for Health with reference to the answer to the hon. Member for Eddisbury of 6 October 2008, Official Report, column 422W, on hepatitis, how many notifications of hepatitis B have been made to the Health Protection Agency and its predecessor bodies in each year since 1997 (a) for England in total and (b) in each strategic health authority area; and what estimate he has made of the overall prevalence of hepatitis B in each strategic health authority area. [245647]

Dawn Primarolo: Data for notifications of hepatitis B by current and previous strategic health authorities (SHAs) are shown in the following table.

The Health Protection Agency Centre for Infections is not able to produce estimates of the prevalence of hepatitis B at SHA level.

12 Jan 2009 : Column 153W

12 Jan 2009 : Column 154W

Statutory notifications of hepatitis B in England by strategic health authority: 1997 to 2007
Strategic health authority		1997	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007
Current	Previous
East Midlands	Leicestershire, Northants., Rutland	21	22	33	33	17	28	24	28	36	77	65
	Trent	8	25	20	35	26	35	28	16	32	26	28

East of England	Bedfordshire and Hertfordshire	15	13	24	38	48	66	51	59	59	14	8
	Essex	6	4	3	7	8	6	3	—	—	3	3
	Norfolk, Suffolk and Cambridgeshire	4	8	19	17	3	5	9	12	17	8	7

London	North Central London	30	55	37	39	30	27	44	27	16	24	28
	North East London	30	30	57	50	43	36	18	23	10	20	11
	North West London	10	13	14	27	19	13	21	11	8	11	8
	South East London	87	87	101	92	149	162	157	174	209	171	111
	South West London	12	16	13	11	9	14	5	8	6	7	8

North East	County Durham and Tees Valley	7	6	11	30	55	37	23	13	23	53	13
	Northumberland, Tyne and Wear	24	20	14	16	15	31	80	70	91	30	20

North West	Cheshire and Merseyside	70	45	23	50	29	32	46	22	24	36	33
	Cumbria and Lancashire	26	31	33	55	46	45	48	43	27	30	31
	Greater Manchester	72	85	60	76	75	52	74	56	52	32	30

South Central	Hampshire and Isle of Wight	5	14	6	2	6	14	32	52	58	64	78
	Thames Valley	18	21	30	32	28	34	17	13	35	30	138

South East Coast	Kent and Medway	6	23	16	27	37	20	25	23	28	10	18
	Surrey and Sussex	48	37	34	51	40	27	14	24	34	26	39

South West	Avon, Gloucestershire and Wiltshire	4	2	12	10	20	80	60	50	55	69	86
	Dorset and Somerset	20	45	22	51	57	42	43	72	71	45	52
	South West Peninsula	2	14	17	16	14	5	5	7	10	8	3

West Midlands	Birmingham and the Black Country	18	21	25	21	14	35	33	100	109	56	45
	Coventry, Warwicks., Herefords., Worcs.	9	8	5	7	5	14	22	12	10	10	32
	Shropshire and Staffordshire	1	8	14	10	19	21	25	25	39	46	32

Yorkshire and Humberside	North and East Yorkshire , N Lincolnshire	53	100	116	77	68	55	85	64	63	58	81
	South Yorkshire	15	5	13	16	28	29	38	60	36	26	47
	West Yorkshire	49	54	45	89	62	48	67	70	81	71	68

Port Health Authority		—	1	—	—	—	1	—	—	—	—	—

Total		670	813	817	985	970	1,014	1,097	1,134	1,239	1,061	1,123
Notes: 1. Hepatitis B is notifiable under the Public Health (Infectious Diseases) Regulations 1988. 2. Strategic health authorities have been merged, and the number reduced from 28 to 10. 3. Cells are left empty if no cases have been reported. 4. These data have already been published. Source: Health Protection Agency

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