In early 1997, the PHLS Overview of Communicable Diseases (OVCD) Committee carried out a consultation exercise to inform the development of PHLS priorities in communicable diseases for the years 1997 to 1999. The views of PHLS senior staff and scientific committees and consultants in communicable disease control in district health authorities were sought by postal questionnaire, and several organisations of health professionals were asked for their views on the initial findings. The main findings of the exercise are summarised in three areas of priority. Priority 1 diseases--those of major importance to public health--included food poisoning, meningitis, tuberculosis, sexually transmitted diseases, vaccine preventable diseases, hospital acquired infections, and antimicrobial resistance. Priority 2 diseases--those of moderate importance to public health--included respiratory syncytial virus and varicella zoster virus infections and emerging problems such as travel associated infections. Priority 3 diseases included those whose prevalence is declining as a result of public health action, such as listeriosis, and diseases of low prevalence and/or associated morbidity. The exercise identified four areas of possible future work for the PHLS: activities in prion diseases, helping to tackle inequalities in health, taking a more active approach to documenting the socioeconomic burden of disease, and engaging more with those consulted. The PHLS has used the results of the priority setting exercise to guide major programme initiatives in tuberculosis, measles, mumps, and rubella, meningococcal and pneumococcal diseases, and in antibiotic resistance. In addition, they have helped to shape agenda in service delivery and research in hospital acquired infections, sexually transmitted diseases, and gastrointestinal diseases. This exercise of engaging corporately with key professionals in communicable disease has paved the way for a wider engagement with stakeholders in the setting of future priorities.
{"title":"PHLS overview of communicable diseases 1997: results of a priority setting exercise.","authors":"A Rushdy, M O'Mahony","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In early 1997, the PHLS Overview of Communicable Diseases (OVCD) Committee carried out a consultation exercise to inform the development of PHLS priorities in communicable diseases for the years 1997 to 1999. The views of PHLS senior staff and scientific committees and consultants in communicable disease control in district health authorities were sought by postal questionnaire, and several organisations of health professionals were asked for their views on the initial findings. The main findings of the exercise are summarised in three areas of priority. Priority 1 diseases--those of major importance to public health--included food poisoning, meningitis, tuberculosis, sexually transmitted diseases, vaccine preventable diseases, hospital acquired infections, and antimicrobial resistance. Priority 2 diseases--those of moderate importance to public health--included respiratory syncytial virus and varicella zoster virus infections and emerging problems such as travel associated infections. Priority 3 diseases included those whose prevalence is declining as a result of public health action, such as listeriosis, and diseases of low prevalence and/or associated morbidity. The exercise identified four areas of possible future work for the PHLS: activities in prion diseases, helping to tackle inequalities in health, taking a more active approach to documenting the socioeconomic burden of disease, and engaging more with those consulted. The PHLS has used the results of the priority setting exercise to guide major programme initiatives in tuberculosis, measles, mumps, and rubella, meningococcal and pneumococcal diseases, and in antibiotic resistance. In addition, they have helped to shape agenda in service delivery and research in hospital acquired infections, sexually transmitted diseases, and gastrointestinal diseases. This exercise of engaging corporately with key professionals in communicable disease has paved the way for a wider engagement with stakeholders in the setting of future priorities.</p>","PeriodicalId":79580,"journal":{"name":"Communicable disease report. CDR supplement","volume":"8 5","pages":"S1-12"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20742141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I Simms, G Hughes, A V Swan, P A Rogers, M Catchpole
Statistics from genitourinary medicine clinics provide the most comprehensive source of data on the epidemiology of sexually transmitted infections (STI) in England. This is the first report to be published in a journal since 1986. The total number of diagnoses made increased by 5% between 1995 and 1996, the increase for females (8%) being greater than that for males (3%). Total diagnoses of acute STIs rose by 7% between 1995 and 1996. Diagnoses of gonorrhoea, genital Chlamydia trachomatis, and genital warts rose by 20%, 11%, and 5%, respectively, over the same period. Rises were most pronounced among teenagers and homosexual and bisexual men. These data suggest that these groups should continue to be a focus for sexual health education and intervention programmes. The behavioural and sociodemographic changes behind these increases are impossible to determine without further research. Many of the conditions for which a rising trend has been observed are curable. These trends suggest that safer practices in sexual behaviour are being neglected, which could leave many individuals vulnerable to HIV infection.
{"title":"New cases seen at genitourinary medicine clinics: England 1996.","authors":"I Simms, G Hughes, A V Swan, P A Rogers, M Catchpole","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Statistics from genitourinary medicine clinics provide the most comprehensive source of data on the epidemiology of sexually transmitted infections (STI) in England. This is the first report to be published in a journal since 1986. The total number of diagnoses made increased by 5% between 1995 and 1996, the increase for females (8%) being greater than that for males (3%). Total diagnoses of acute STIs rose by 7% between 1995 and 1996. Diagnoses of gonorrhoea, genital Chlamydia trachomatis, and genital warts rose by 20%, 11%, and 5%, respectively, over the same period. Rises were most pronounced among teenagers and homosexual and bisexual men. These data suggest that these groups should continue to be a focus for sexual health education and intervention programmes. The behavioural and sociodemographic changes behind these increases are impossible to determine without further research. Many of the conditions for which a rising trend has been observed are curable. These trends suggest that safer practices in sexual behaviour are being neglected, which could leave many individuals vulnerable to HIV infection.</p>","PeriodicalId":79580,"journal":{"name":"Communicable disease report. CDR supplement","volume":"8 1","pages":"S2-11"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26202294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}