A Monthly Newsletter on Public Health for EHPs in Hertfordshire and Beyond Well this summer is proving a great advert for the benets of physical activity even if its only the feel good factor produced by Andy Murray winning Wimbledon and the British Lions tour victory in Australia. Hopefully both will get more kids out there playing sport as statistics on childhood obesity continue to be concerning. A recent study in Wales found 28% of under ves were overweight. Sir David Nicholsons bleak prediction that the NHS budget was facing a 20billion funding gap is another alarming statistic. Presented with that type of information most peoples reaction is to think of what needs to be cut to save money. A recent national radio phone-in concentrated on the usual suspects, cosmetic treatments, missed appointments and unused drugs and while these all play a small part it does seem we are still missing the point. With the Government admitting poor air quality costs up to 20 billion and other gures showing that Housing enforcement saves 0.6 billion every year controlling the wider determinants of health is surely the answer to long term survival for the NHS. Quite why this message isnt getting a wider audience is a mystery. Directors of Public Health are doing their best but its services such as Environmental Health that need to start speaking up while they still can. The statistics are all there all we need to do is present them in front of the right people, Simples! .:. +-+/ Simples! CIEH Annual Meeting Particulates Linked With Lung Threat to Health Statistics Research based on statistics from nine European countries has concluded that air pollution even at levels below WHO guidelines can increase the risk of lung cancer. Results showed that for every increase of 5g/m 3 in PM2.5 levels the risk of lung cancer rose by 18%. The study covered over 313,000 people 2,095 of them being diagnosed with lung cancer over a 13 year period. Scientists found no link between the disease and nitrogen dioxide levels. The news came as research by the Lancet which combined data from 35 studies across the world on carbon monoxide, sulphur dioxide, nitrogen dioxide, ozone and particulate matter (PM2.5 and PM10) showed there was a strong link between hospitalisation or death from heart failure and all the pollutants except for ozone. A programme of cuts being prepared by the Ofce of National Statistics could mean that they will no longer publish health data. Statistics on smoking, drinking, teenage pregnancies and infant mortality are vital to the work of Public Health Professionals. The ONS is also looking at its analysis of inequalities and the ofcial crime survey. The Time is Now - Social Media for Professionals 10th September 2013 Royal Society For Public Health - London Book Now: www.rhenvironmental.co.uk The Annual Meeting of The Chartered Institute of Environmental Health attracted EHPs from across the country to Chadwick Court last month. Presentations in the morning included CIEH Head of Policy and Education Tony Lewis and Caroline Day of consultants Hotfrog Indicator. There was also a discussion on the CIEH plans to launch their own advisory service in the autumn. The afternoon programme consisted of eight workshop sessions including Jigsaws Social Media presentation If John Snow Had Twitter It was a busy day for us as over the lunch break we caught up with Chief Executive Graham Jukes to record an interview for UK Health Radio. If you missed it you can download When Jigsaw Met Graham from http://jigsawpsph.podomatic.com You can nd the CIEHs coverage of the event including video footage at http://www.cieh.org/membership/ annual_meeting.html Jigsaw on-line: Podcast - http://jigsawpsph.podomatic.com Twitter - https://twitter.com/JigsawPSPH Premature Deaths Data for Hertfordshire Thanks to Mark Jordan Herts CC JSNA Manager for the Infographic Next Meeting of the Hertfordshire Health & Wellbeing Board Wednesday 18th September 2013 Venue TBA Jims Public Health Heroes We Feature some of the Public Health Professionals who have shaped the world we live in. Marie Helena Martin, 1892-1975 Founder of the Medical Missionarys of Mary in 1937 her career included nursing the wounded at the Battle of the Somme and playing a central part in ensuring women were allowed to carry out full medical work in Africa. You can read a full account of her life at http://bit.ly/1348SSX Thanks to Hertfordshire Director of Public Health Jim McManus The latest premature deaths data from Public Health England around diseases such as cancer, stroke and heart disease, shows that premature death rates for Hertfordshire are better than the average across England (fewer people in Hertfordshire die before the age of 75). You can nd out about this and other news stories from: East & North Herts CCG and and Herts Valleys CCG Health & Wellbeing Board News The Hertfordshire Health and Wellbeing Board met at County Hall on 26th June. Amongst the items on the agenda were the Francis Report, re-enablement and social care, as well as the DPHs Public Health Report. The priority for the year is to develop the Public Health Strategy which will be taken through the Public Health and Localism Panel and on to Cabinet. The strategy will take an evidence led approach to improving and protecting the health of the population over the next four years. Development will continue over the coming months including a consultation with partners. Carers Contribution Recognised The essential contribution of Hertfordshires 108,000 adult carers along with thousands of young carers in the county was recognised during Carers Week which ran between 10 - 16 June. Events included the showing of a lm made by carers highlighting the work of Crossroads Care at the Broadway Cinema in Letchworth. The charity provides support for carers as a network partner of the Carers Trust Britains leading carer support charity. You can nd out more details from http:// crossroadshn.org.uk JOINT STRATEGIC NEEDS ASSESSMENT NEWS The New JSNA is taking shape you can see the latest at http://atlas.hertslis.org/IAS/jsna if you have any comments send a message to @HertsBingWell d.m.dixon@stir.ac.uk JIGSAW WORLD Jigsaw on-line: Daily News - http://paper.li/JigsawPSPH Public Health Forum - www.rhenvironmental.co.uk Housing Research Bulletin A new information source for Housing professionals was launched last month. The Housing Health International Research Bulletin can be found at: www.housinghealth.com Cases of scurvy and rickets have been on the rise in parts of the UK where some parents rely on takeaways and microwave meals to feed the family. Horsemeat Report Calls For More Testing Rise in Campylobacter Fools FSA Despite making tackling Campylobacter one of its major priorities cases of the illness are still on the rise. A draft copy of the annual report by the FSA's chief scientist, Dr Andrew Wadge, reveals the officially recorded number of campylobacter cases in humans last year was 72,571, an increase of 0.4 per cent from 2011. Its thought that the actual number of cases could be up to eight times higher as many people do not visit their GPs with the illness. Up to 80% of cases are thought to be contracted from chicken with around 65% of chickens sold in the UK being infected. The FSA is looking at various methods to try to stop the increase including blast chilling and using lactic acid to kill off the bacteria. Green Deal Could Lead To Overheating Academics at the University of Reading have warned that insulation works carried out under the governments agship Green Deal could lead to properties overheating. Professor Chris Goodier warned "If you are in the wrong type of house, facing the wrong way, in the wrong street and you don't deal with heat in the right way, it is a problem," Previous studies have pointed to the requirement to provide adequate ventilation to prevent problems with poor indoor air quality and excess temperatures. Stress Absence Soars A recent survey has found that one in three absences from work are related to stress or anxiety. Researchers looked at 58,700 t notes written by GPs discovering that 35% were for mild to moderate mental health disorders. Last year there were 10.4 million days lost to stress at a cost to the economy of 6.5 billion.With presenteeism also on the rise, meaning employees coming to work disengaged, tired, unmotivated and too stressed to work, businesses could see these costs rise if they don't take action. Back 200 Years as Scurvy & Rickets Make a Comeback Dietitians in the Rhondda Valley, South Wales, said they were seeing an increase in both diseases, which were thought to have been consigned to history. A recent report has drawn parallels between the start of the credit crisis and the reduction of vegetable and fruit consumption in the UK. On average each person in Britain is eating 4kg less fruit and vegetables a year than they were in 2007 a drop of 3%. Dr Mark Temple, of the British Medical Associations Public Health Committee, said: Food standards in the UK are worse now than they were during the rationing during the war.Rickets is caused by a lack of vitamin D and calcium, and can lead to bone deformities. Scurvy is triggered by vitamin C deficiency, which causes joint pain and a swelling of the gums. NHS England is looking to consult with patients, the public and staff on the future of the service that recently celebrated its 65th birthday. A Call to Action sets out the facts about future demands on NHS services, how the budget is currently spent and how services are delivered. Challenges ahead include an estimated 20 billion funding gap, a rise in long term conditions and an ageing population. http://www.nhs.uk/NHSEngland/thenhs/about/ The Back Page JIGSAW NEWS Editing and Design: Pete Hill & Sarah James Jigsaw Northern Ireland Anthony McCloskey JigsawNews is an independent production all views expressed are solely those of the editorial team and do not represent those of any other organisation. Contact Us: JigsawPSPH@gmail.com @JigsawPSPH 07917704429 Jigsaw News is Protected by a Creative Commons License any distribution for commercial gain without permission is prohibited. Coopers Corner Alberts Square Ask StanleyStats Want some statistics? Let the Jigsaw Furby tell you all about it. You can e-mail him: stanleystats1@gmail.com Or follow on Twitter @ stanley stats1 Im a Public Health Professional Get Me out of Here! http://jigsawpsph.podomatic.com JigsawPSPHs weekly Podcast Featured on UK Health Radio Download from the iTunes Store Stanley Says: In Northern France in August 2003, unprecedented high day and night-time temperatures for a period of three weeks resulted in 15,000 excess deaths. The heatwave was responsible for 16% of all deaths in England & Wales that month. As we get older our ability to regulate temperature decreases. Ten of the warmest years since records began have occurred since 2000. The highest temperature recorded in the UK was 38.5 o c on 10th August 2003 at Faversham in Kent. Did You Know: The Romans introduced the rst refuse disposal service to prevent pollution causing health problems. The Month on Twitter JigsawPSPH now working with Delivering quality services to a wide range of businesses and Public Sector bodies since 1999 http://www.rhenvironmental.co.uk Did You Know: The Romans were the rst civilisation to introduce a Public Health system. Coming Next Month............. We look at the new Public Health system 6 months on and round up the rest of the latest Public Health news. Dont forget if your colleagues havent seen Jigsaw News why not get them on our mailing list. jigsawpsph@gmail.com @StephBullock76: Could fry an egg on the pavement it's so hot out there! (Though I won't test my hypothesis since it's not sanitary ;)) #DontTryThisAtHome @C_Barratt_: @EHN_Online @JigsawPSPH Its about more than time isn't it? Also about professional perception, alignment & recognition. EHPs do #PH everyday @CTurbutt: Following advice at social media seminar yesterday have created my professional twitter acc. Hello to all reading this.#ciehannualmeeting I went to see my doctor today for a check-up he said Im lucky.....If I was a building Id be condemned.