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List of tables A1 Sociodemographic summary: by locality/chp A2 Estimated population: by age group and locality/chp A3 Projected population: by age group and sex A4 Births (live and still): by year A5 Births, stillbirths, perinatal deaths, neonatal deaths and infant deaths: by CHP A6 Deaths from all causes trends: by sex, age group and year A7 Deaths from all causes: by sex, age group and locality/chp A8 Deaths from malignant neoplasms: by sex, age group and year A9 Deaths from coronary heart disease: by sex, age group and year A10 Deaths from cerebrovascular disease: by sex, age group and year A11 Deaths from respiratory disease: by sex, age group and year A12 Expectation of life: by age and sex A13 Cancer registration trends: by sex, age group and year A14 Cancer registrations: by year and site; standardised ratios by sex, age group and site A15 Cancer registrations: by locality/chp and site A16 Notifications of infectious diseases: by year A17 Sexually transmitted infections diagnoses recorded at Scottish genito-urinary medicine clinics: by year A18 Primary and booster immunisation uptake rates by 5 years old: by locality/chp General notes relating to the tables: Lanarkshire has two Community Health Partnerships (CHPs): North Lanarkshire and South Lanarkshire. The CHPs cover the same geographical areas as North Lanarkshire Council and South Lanarkshire Council. There are ten localities within the CHPs: six in North Lanarkshire (Airdrie, Coatbridge, North, Bellshill, Motherwell and Wishaw) and four in South Lanarkshire (Cambuslang/ Rutherglen, East Kilbride, Clydesdale and Hamilton). The geographical area covered by NHS Lanarkshire is smaller than the combined CHP areas as Cambuslang/Rutherglen locality and part of the North locality (the Northern Corridor) lie within NHS Greater Glasgow and Clyde. Therefore people living in Cambuslang, Rutherglen and the Northern Corridor are residents of the NHS Greater Glasgow and Clyde area but have some of their health services delivered by NHS Lanarkshire through the CHPs. The tables in the indicate whether information relates to the Lanarkshire CHPs or NHS Lanarkshire. Populations shown and used in rates calculations are, for NHS Lanarkshire, the CHPs and Scotland, mid-year estimates produced by the General Register Office for Scotland (GROS). Locality populations are from GROS small area population estimates at data zone level. Standardised ratios are standardised by age and sex to the European standard population. 69

A1 A1 Sociodemographic A1 summary Sociodemographic summary by locality/chp Locality Airdrie Coatbridge North Bellshill Motherwell Wishaw Cambuslang/ East Clydesdale Hamilton North South Rutherglen Kilbride CHP Lanarkshire CHPs NHS Lanarkshire Scotland Estimated population, 2009 No. 55696 47035 82816 48149 39644 52983 57608 86984 61171 105167 326320 310930 637250 562215 5194000 Estimated population by age group, 2009 Under 5 % 6.2 6.4 6.3 5.9 6.5 6.0 6.0 5.4 5.3 6.0 6.2 5.7 6.0 5.9 5.6 5-14 % 12.5 11.8 12.3 12.1 11.7 11.2 10.9 11.9 11.3 11.2 12.0 11.3 11.6 11.7 10.8 15-24 % 12.9 13.2 12.5 13.6 12.6 13.2 12.4 13.0 11.8 12.4 13.0 12.6 12.8 12.8 13.2 25-44 % 27.7 28.2 27.3 27.6 28.8 26.5 27.4 25.3 24.8 26.8 27.6 26.1 26.9 26.7 26.8 45-64 % 26.0 25.3 27.3 27.2 24.2 26.3 27.4 27.4 29.5 27.4 26.2 27.8 27.0 27.0 26.9 65-74 % 8.7 8.4 8.7 8.0 9.2 9.1 8.5 9.0 9.6 9.2 8.7 9.1 8.9 9.0 9.0 75 and over % 5.9 6.7 5.7 5.7 7.0 7.7 7.4 7.8 7.8 7.0 6.4 7.4 6.9 6.9 7.7 Proportion of data zones in the 15% most deprived data zones in Scotland, 2009 1 % 25.4 40.0 2.8 23.4 22.9 26.1 29.6 0.0 7.5 23.7 21.3 14.6 18.0 17.4 15.0 Population of data zones in the 15% most deprived data zones in Scotland, 2009 1,2 No. 13532 17310 2017 11347 7897 12595 15299 0 4825 23443 64698 43567 108265 92966 743238 Housing tenure, 2008 Owner occupied % 67.0 62.8 78.4 66.4 57.3 61.0 71.5 79.5 72.3 71.1 67.2 73.7 70.3 69.8 76.0 Rented % 33.0 37.2 21.6 33.6 42.7 39.0 28.5 20.5 27.7 28.9 32.8 26.3 29.7 30.2 24.0 Unemployment, April 2010 No. 2124 1851 2329 1960 1426 2177 1922 2277 1486 3499 11867 9184 21051 18797 140210 % 3 5.9 6.0 4.3 6.0 5.6 6.3 5.1 3.8 3.7 5.4 5.5 4.5 5.1 5.1 4.1 Long-term unemployment No. 395 330 245 315 250 390 260 255 215 610 1925 1340 3265 2940 20665 (1 year plus), April 2010 % 3 1.1 1.1 0.4 1.0 1.0 1.1 0.7 0.4 0.5 0.9 0.9 0.7 0.8 0.8 0.6 1 The 15% most deprived data zones in Scotland are from the Scottish Index of Multiple Deprivation (SIMD) 2009. Sources: GROS; SIMD; 2 Populations are mid-2009 Small Area Population Estimates (SAPE) from GROS. North Lanarkshire Council; 3 Numbers claiming Jobseekers' Allowance as a percentage of the economically active population. South Lanarkshire Council 70 Public Health 2009 /10

A2 A2 Estimated population by age group and locality/chp: 2009 A2 Estimated population by age group and locality/chp: 2009 Age group Locality Airdrie Coatbridge North Bellshill Motherwell Wishaw Cambuslang/ East Clydesdale Hamilton North South Male Female Total Rutherglen Kilbride CHP Lanarkshire CHPs NHS Lanarkshire Under 5 3440 3004 5199 2820 2580 3173 3454 4737 3252 6298 20216 17741 37957 17022 16247 33269 5-9 3366 2706 4859 2867 2304 2806 3047 4696 3250 5810 18908 16803 35711 16004 15551 31555 10-14 3593 2843 5361 2946 2339 3123 3234 5683 3689 6013 20149 18351 38500 17561 16731 34292 15-19 3658 3040 5262 3221 2378 3318 3488 5911 3770 6378 20930 19815 40745 18783 17382 36165 20-24 3542 3166 5051 3317 2605 3673 3629 5425 3459 6707 21354 19220 40574 18387 17538 35925 25-29 3677 3186 5026 3112 2682 3329 3884 4854 3198 6713 21012 18649 39661 17578 17214 34792 30-34 3233 2937 4855 2796 2525 2947 3527 4374 3136 5912 19293 16949 36242 15211 16254 31465 35-39 4006 3378 5917 3432 2911 3667 4015 5542 3974 7511 23311 21042 44353 18389 20567 38956 40-44 4533 3755 6775 3947 3310 4117 4359 7246 4838 7997 26437 24440 50877 21462 23557 45019 45-49 4232 3654 6410 3835 2871 3927 4376 7578 4880 8065 24929 24899 49828 21066 23043 44109 50-54 3677 3166 5786 3502 2472 3643 4292 6353 4693 7459 22246 22797 45043 18824 20684 39508 55-59 3405 2743 5315 2995 2079 3205 3757 5160 4326 6640 19742 19883 39625 16850 17973 34823 60-64 3167 2349 5069 2758 2176 3181 3375 4752 4118 6606 18700 18851 37551 15908 17248 33156 65-69 2612 2156 3895 2131 1938 2554 2627 4125 3219 5312 15286 15283 30569 12509 14678 27187 70-74 2251 1785 3301 1729 1692 2252 2285 3727 2625 4413 13010 13050 26060 10223 12961 23184 75-79 1550 1449 2257 1255 1267 1955 1918 3077 2064 3418 9733 10477 20210 7474 10406 17880 80-84 984 981 1347 853 878 1192 1324 2147 1416 2112 6235 6999 13234 4404 7237 11641 85 and over 770 737 1131 633 637 921 1017 1597 1264 1803 4829 5681 10510 2796 6493 9289 All ages 55696 47035 82816 48149 39644 52983 57608 86984 61171 105167 326320 310930 637250 270451 291764 562215 Sources: GROS mid-year estimates and SAPE 71

A3 A3 Projected population NHS Lanarkshire residents by by age age group and and sex: sex: 2019 2019 and and 2029 2029 (2008-based) Age group 2019 2029 Male Female Both sexes Male Female Both sexes No. % change No. % change from 2009 from 2009 Under 5 16661 15978 32639-1.9 16058 15397 31455-5.5 5-9 17179 16371 33550 6.3 16747 15985 32732 3.7 10-14 17520 16479 33999-0.9 17151 16261 33412-2.6 15-19 16342 15451 31793-12.1 17526 16263 33789-6.6 20-24 17652 16548 34200-4.8 17705 16333 34038-5.3 25-29 19142 17987 37129 6.7 16653 16028 32681-6.1 30-34 18910 18506 37416 18.9 18127 17366 35493 12.8 35-39 17813 17798 35611-8.6 19201 18478 37679-3.3 40-44 15238 16535 31773-29.4 18748 18732 37480-16.7 45-49 17987 20332 38319-13.1 17427 17686 35113-20.4 50-54 20631 22919 43550 10.2 14691 16174 30865-21.9 55-59 19840 22206 42046 20.7 17130 19659 36789 5.6 60-64 17188 19525 36713 10.7 19043 21804 40847 23.2 65-69 14512 16296 30808 13.3 17486 20472 37958 39.6 70-74 12823 14919 27742 19.7 14353 17303 31656 36.5 75-79 9193 11857 21050 17.7 11241 13692 24933 39.4 80-84 6358 9316 15674 34.6 8603 11356 19959 71.5 85 and over 4929 9239 14168 52.5 8208 13663 21871 135.5 All ages 279918 298262 578180 2.8 286098 302652 588750 4.7 Source: GROS 72 Public Health 2009 /10

A4 A4 Births (live and still) NHS Lanarkshire residents by year: 2000-2009 2000 2009 Number 6249 6064 6021 6090 6532 6316 6622 6580 6884 6619 Rate per 1,000 women aged 15-44 80 70 60 50 40 Rate 30 20 10 0 Source: GROS 73

A5 A5 Births, stillbirths, perinatal deaths, neonatal deaths and and infant infant deaths CHPs, Lanarkshire and and Scotland: 2007 2009 2007-2009 (3-year average) CHP Lanarkshire CHPs NHS Lanarkshire Scotland North South Births (live and still) No. 4121 3554 7675 6694 59279 Rate 1 60.7 57.6 59.2 58.7 56.5 Stillbirths No. 23 18 41 37 323 Rate 2 5.5 5.2 5.4 5.6 5.5 Perinatal deaths 3 No. 28 23 51 46 447 Rate 2 6.7 6.5 6.6 6.9 7.5 Neonatal deaths 4 No. 9 7 16 13 174 Rate 5 2.2 2.0 2.1 2.0 2.9 Infant deaths 6 No. 15 10 25 21 253 Rate 5 3.7 2.8 3.3 3.2 4.3 1 Rate per 1,000 women aged 15-44. Source: GROS 2 Rate per 1,000 births. 3 Stillbirths and deaths in the first week of life. 4 Deaths at ages under 28 days. 5 Rate per 1,000 live births. 6 Deaths during first year of life. 74 Public Health 2009 /10

A6 A6 Deaths from all causes trends NHS Lanarkshire residents by sex, age group and year: 2000 2009 A6 Deaths from all causes NHS Lanarkshire residents by sex, age group and year: 2000-2009 Number <75 years 1616 1597 1608 1596 1540 1569 1560 1610 1507 1461 75+ years 1281 1196 1266 1311 1288 1284 1272 1461 1345 1280 All ages 2897 2793 2874 2907 2828 2853 2832 3071 2852 2741 <75 years 1120 1130 1150 1159 1126 1056 1078 1100 1099 1053 75+ years 1879 1941 1994 2017 2039 1969 1975 2021 2077 1977 All ages 2999 3071 3144 3176 3165 3025 3053 3121 3176 3030 Both sexes <75 years 2736 2727 2758 2755 2666 2625 2638 2710 2606 2514 75+ years 3160 3137 3260 3328 3327 3253 3247 3482 3422 3257 All ages 5896 5864 6018 6083 5993 5878 5885 6192 6028 5771 Standardised mortality ratio - both sexes (Scotland=100) 115 110 105 100 <75 years 75+ years All ages Scotland Standardised mortality ratio 95 Source: GROS 75

A7 A7 Deaths A7 from all causes Deaths from all causes by sex, age age group group and locality/chp: and locality/chp: 2009 2009 Locality Airdrie Coatbridge North Bellshill Motherwell Wishaw Cambuslang/ East Clydesdale Hamilton North South Rutherglen Kilbride CHP Lanarkshire CHPs NHS Lanarkshire Number <75 years 164 130 189 126 109 145 154 174 160 296 863 784 1647 1461 75+ years 102 109 165 109 104 135 131 220 138 222 724 711 1435 1280 All ages 266 239 354 235 213 280 285 394 298 518 1587 1495 3082 2741 <75 years 125 97 135 100 71 126 113 133 112 182 654 540 1194 1053 75+ years 187 167 223 152 132 204 220 308 239 410 1065 1177 2242 1977 All ages 312 264 358 252 203 330 333 441 351 592 1719 1717 3436 3030 Both sexes <75 years 289 227 324 226 180 271 267 307 272 478 1517 1324 2841 2514 75+ years 289 276 388 261 236 339 351 528 377 632 1789 1888 3677 3257 All ages 578 503 712 487 416 610 618 835 649 1110 3306 3212 6518 5771 Standardised mortality ratio 1 <75 years 129.1 125.8 98.1 117.7 118.0 115.9 116.9 85.9 102.1 117.6 115.5 105.6 110.5 110.7 75+ years 96.0 108.2 104.7 120.8 122.1 106.0 100.5 98.8 84.4 95.5 108.5 94.9 101.3 101.5 All ages 114.1 117.1 101.1 119.1 120.0 110.9 108.8 92.6 93.1 107.0 112.2 100.2 106.0 106.2 <75 years 134.8 129.7 96.4 129.1 109.4 140.6 116.8 90.5 103.9 99.6 121.2 101.1 111.2 110.9 75+ years 121.7 112.1 102.5 120.1 99.2 108.1 106.4 96.7 104.6 116.5 110.0 106.5 108.1 108.5 All ages 126.6 118.0 100.1 123.5 102.5 118.5 109.7 94.8 104.4 110.7 114.0 104.7 109.2 109.3 Both sexes <75 years 131.5 127.5 97.4 122.5 114.5 126.2 116.9 87.8 102.8 110.1 117.9 103.7 110.8 110.8 75+ years 111.2 110.5 103.5 120.4 108.1 107.2 104.1 97.6 96.2 108.1 109.4 101.8 105.3 105.6 All ages 120.5 117.6 100.6 121.3 110.8 114.9 109.3 93.8 98.9 109.0 113.1 102.6 107.7 107.8 1 Scotland=100. Source: GROS 76 Public Health 2009 /10

A8 A8 Deaths from malignant neoplasms NHS Lanarkshire residents by sex, age group and year: 2000 2009 A8 Deaths from malignant neoplasms NHS Lanarkshire residents by sex, age group and year: 2000-2009 Number <75 years 469 501 501 464 464 506 477 509 477 426 75+ years 297 296 301 298 322 315 342 380 320 368 All ages 766 797 802 762 786 821 819 889 797 794 <75 years 415 437 435 422 400 404 416 420 428 432 75+ years 358 313 346 346 362 337 362 330 400 369 All ages 773 750 781 768 762 741 778 750 828 801 Both sexes <75 years 884 938 936 886 864 910 893 929 905 858 75+ years 655 609 647 644 684 652 704 710 720 737 All ages 1539 1547 1583 1530 1548 1562 1597 1639 1625 1595 Standardised mortality ratio - both sexes (Scotland=100) 115 110 105 100 <75 years 75+ years All ages Scotland Standardised mortality ratio 95 Source: GROS 77

A9 A9 Deaths from coronary heart disease NHS Lanarkshire residents by sex, age group and year: 2000 2009 A9 Deaths from coronary heart disease NHS Lanarkshire residents by sex, age group and year: 2000-2009 Number <75 years 412 394 362 381 360 333 296 325 270 290 75+ years 347 318 314 309 316 267 264 271 248 218 All ages 759 712 676 690 676 600 560 596 518 508 <75 years 214 199 180 183 161 162 129 130 125 93 75+ years 415 447 410 394 402 392 355 330 300 281 All ages 629 646 590 577 563 554 484 460 425 374 Both sexes <75 years 626 593 542 564 521 495 425 455 395 383 75+ years 762 765 724 703 718 659 619 601 548 499 All ages 1388 1358 1266 1267 1239 1154 1044 1056 943 882 Standardised mortality ratio - both sexes (Scotland=100) 125 120 115 110 105 100 <75 years 75+ years All ages Scotland Standardised mortality ratio 95 Source: GROS 78 Public Health 2009 /10

A10 A10 Deaths from cerebrovascular disease NHS Lanarkshire residents by sex, age group and year: 2000 2009 A10 Deaths from cerebrovascular disease NHS Lanarkshire residents by sex, age group and year: 2000-2009 Number <75 years 109 100 97 107 92 81 91 100 76 74 75+ years 170 150 126 156 150 162 116 166 130 131 All ages 279 250 223 263 242 243 207 266 206 205 <75 years 79 88 79 91 85 64 65 56 59 56 75+ years 318 324 329 307 309 303 291 274 294 236 All ages 397 412 408 398 394 367 356 330 353 292 Both sexes <75 years 188 188 176 198 177 145 156 156 135 130 75+ years 488 474 455 463 459 465 407 440 424 367 All ages 676 662 631 661 636 610 563 596 559 497 Standardised mortality ratio - both sexes (Scotland=100) 140 130 120 110 100 <75 years 75+ years All ages Scotland Standardised mortality ratio 90 Source: GROS 79

A11 A11 Deaths from respiratory disease NHS Lanarkshire residents by sex, age group and year: 2000 2009 A11 Deaths from respiratory disease NHS Lanarkshire residents by sex, age group and year: 2000-2009 Number <75 years 136 116 103 127 133 111 137 106 136 124 75+ years 167 161 213 235 187 219 202 236 243 220 All ages 303 277 316 362 320 330 339 342 379 344 <75 years 107 99 100 109 125 109 120 105 129 123 75+ years 238 275 277 344 331 308 324 373 366 364 All ages 345 374 377 453 456 417 444 478 495 487 Both sexes <75 years 243 215 203 236 258 220 257 211 265 247 75+ years 405 436 490 579 518 527 526 609 609 584 All ages 648 651 693 815 776 747 783 820 874 831 Standardised mortality ratio - both sexes (Scotland=100) 140 130 120 110 100 <75 years 75+ years All ages Scotland Standardised mortality ratio 90 Source: GROS 80 Public Health 2009 /10

A12 A12 A12 Expectation of life Expectation of life 1 1 by age and and sex: sex: 2007-2009; 2007 2009; trend by trend sex: by 1997-1999 sex: 1997 1999 to 2007-2009 to 2007 2009 North CHP South CHP NHS Scotland UK 2 North CHP South CHP NHS Scotland UK 2 Lanarkshire Lanarkshire 2007-2009 Age 0 73.7 74.9 74.4 75.4 77.4 78.5 79.9 79.2 80.1 81.6 45 31.4 32.3 31.9 32.9 34.4 34.9 36.1 35.5 36.6 37.9 65 15.4 15.9 15.7 16.5 17.4 17.9 18.8 18.3 19.1 20.0 75 9.5 9.9 9.7 10.2 10.5 11.1 11.6 11.2 11.9 12.4 Life expectancy at birth - males Life expectancy at birth - females 84 82 80 78 76 74 72 70 68 Life expectancy (years) 66 64 North CHP South CHP NHS Lanarkshire Scotland UK 84 82 80 78 76 74 72 70 68 Life expectancy (years) 66 64 North CHP South CHP NHS Lanarkshire Scotland UK 1997-1999 2007-2009 1997-1999 2007-2009 1 Expectation of life is the average number of years left to a person of an exact age who is subject to the current mortality probabilities from birth. Source: GROS, ONS 2 UK figures are for 2006-2008. 81

A13 A13 Cancer registration trends 1,2 NHS Lanarkshire residents by sex, age group and year: 1998 2007 Cancer registration trends 1,2 NHS Lanarkshire residents by sex, age group and year: 1998-2007 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Number <75 years 1107 1069 1075 1038 1172 1178 1128 1144 1220 1199 75+ years 458 459 481 490 495 488 553 539 577 623 All ages 1565 1528 1556 1528 1667 1666 1681 1683 1797 1822 <75 years 1118 1106 1116 1101 1131 1104 1186 1179 1185 1263 75+ years 543 585 555 505 560 561 635 664 591 661 All ages 1661 1691 1671 1606 1691 1665 1821 1843 1776 1924 Both sexes <75 years 2225 2175 2191 2139 2303 2282 2314 2323 2405 2462 75+ years 1001 1044 1036 995 1055 1049 1188 1203 1168 1284 All ages 3226 3219 3227 3134 3358 3331 3502 3526 3573 3746 Standardised incidence ratio - both sexes (Scotland=100) 110 105 100 95 90 85 <75 years 75+ years All ages Scotland Standardised mortality ratio 80 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 1 Cancer registration is a dynamic process. The figures presented here may therefore differ from previously published information. Source: SMR6 2 Non-melanoma skin cancer registrations are included. 82 Public Health 2009 /10

A14 A14 Cancer registrations 1 1 NHS Lanarkshire residents by by year and and site: site: 2003-2007; 2003 2007; standardised incidence incidence ratios ratios by sex, by age sex, group age and group site: and 2005-2007 site: 2005 2007 Trachea, Female Large Prostate Bladder Stomach Cervix bronchus breast bowel and lung Number 2003 500 402 337 157 127 79 20 2004 534 424 360 249 113 105 26 2005 515 418 346 194 99 88 47 2006 530 399 350 223 75 106 43 2007 527 405 394 221 89 81 34 Standardised incidence ratio (2005-2007) 2 <75 years 109.6 x 103.5 78.5 130.4 127.0 x 75+ years 105.9 x 95.4 83.0 113.8 100.1 x All ages 108.3 x 100.6 80.0 123.1 115.9 x <75 years 101.3 92.0 109.2 x 132.1 116.7 131.5 75+ years 111.8 101.4 77.2 x 92.6 122.5 111.6 All ages 105.4 93.9 95.2 x 111.8 119.6 129.2 Both sexes <75 years 105.8 92.0 106.0 78.5 130.9 123.3 131.5 75+ years 108.8 101.4 86.1 83.0 105.9 110.1 111.6 All ages 106.9 93.9 98.1 80.0 119.4 117.4 129.2 1 Cancer registration is a dynamic process. The figures presented here may therefore differ from previously published information. Source: SMR6 2 Scotland=100. x Not applicable. 83

A15 A15 A15 Cancer registrations 1 by locality/chp and site: 2005 2007 Cancer registrations 1 by locality/chp and site: 2005-2007 Age group Locality Airdrie Coatbridge North Bellshill Motherwell Wishaw Cambuslang/ East Clydesdale Hamilton North South Rutherglen Kilbride CHP Lanarkshire CHPs NHS Lanarkshire Number (2007) Lung 49 44 72 48 42 62 54 74 39 113 317 280 597 527 Female breast 27 23 75 24 15 27 34 83 39 117 191 273 464 405 Large bowel 23 32 58 31 31 38 44 61 52 79 213 236 449 394 All cancers 2 319 290 560 275 247 370 422 631 419 770 2061 2242 4303 3746 Standardised incidence ratio (2005-2007) 3 Lung <75 years 101.1 121.8 103.4 120.8 113.0 116.1 126.6 85.0 85.2 119.4 111.4 104.3 107.9 105.7 75+ years 102.8 98.3 131.4 126.6 98.6 130.9 107.4 114.4 67.6 118.3 116.6 104.5 110.3 108.7 All ages 101.7 112.6 112.7 122.9 107.4 121.9 118.9 96.8 78.3 119.0 113.3 104.4 108.8 106.8 Female breast <75 years 101.4 105.9 99.6 82.9 87.6 88.1 78.7 87.2 98.9 87.0 95.0 87.9 91.4 92.0 75+ years 80.1 111.6 76.5 109.2 159.1 98.4 69.0 86.4 106.1 109.6 102.8 94.3 98.4 101.3 All ages 97.3 107.1 95.6 87.6 104.2 90.4 76.4 87.0 100.5 91.6 96.5 89.3 92.9 93.9 Large bowel <75 years 106.0 109.3 109.4 114.5 119.1 106.8 111.9 90.7 96.3 111.9 110.3 102.9 106.6 105.9 75+ years 65.4 65.7 94.2 62.1 86.1 107.4 97.9 87.1 105.6 84.3 82.4 92.1 87.5 86.0 All ages 90.8 91.3 104.0 95.0 105.5 107.1 106.0 89.2 100.1 101.2 99.5 98.5 99.0 98.0 All cancers 2 <75 years 94.4 100.7 99.5 96.3 97.7 101.0 105.9 93.6 89.6 98.8 98.4 96.8 97.6 96.2 75+ years 89.3 87.1 100.8 87.4 94.5 99.7 105.4 102.9 91.5 97.9 94.0 99.4 96.8 95.0 All ages 92.8 95.9 99.9 93.5 96.6 100.6 105.8 97.0 90.3 98.5 96.9 97.7 97.3 95.8 1 Cancer registration is a dynamic process. The figures presented here may therefore differ from previously published information. Source: SMR6 2 All cancer sites, not just lung, female breast and large bowel. Non-melanoma skin cancer registrations are included. 3 Scotland=100. 84 Public Health 2009 /10

A16 A16 Notifications of of infectious diseases by year: 2005 2009 to 2009 NHS Lanarkshire residents Scotland Number Rate 1 Rate 1 2005 2006 2007 2008 2009 2009 2009 Notifiable diseases 2 All notifiable diseases 2750 3052 3179 2433 2711 482.2 573.0 Bacillary dysentery 4 7 8 1 5 0.9 1.8 Chickenpox 1466 1567 1801 1191 1431 254.5 319.0 Cholera 1 0 1 0 2 0.4 0.1 Erysipelas 1 2 1 1 2 0.4 0.3 Food poisoning 3 677 734 751 784 946 168.3 169.7 Legionellosis 1 5 3 5 3 0.5 0.4 Lyme disease 0 0 0 0 3 0.5 3.1 Malaria 0 1 0 0 1 0.2 0.4 Measles 41 47 46 38 24 4.3 3.3 Meningococcal infection 22 18 20 26 22 3.9 2.3 Mumps 332 476 342 109 63 11.2 21.7 Rubella 23 25 23 23 19 3.4 1.8 Scarlet fever 31 31 24 63 44 7.8 12.0 Viral hepatitis 145 128 115 133 90 16.0 25.2 Whooping cough 6 11 17 18 13 2.3 2.0 Tuberculosis Respiratory TB 12 37 21 29 31 5.5 6.0 Non-respiratory TB 7 19 6 12 12 2.1 3.8 1 Rate per 100,000 population. Source: HPS SIDSS2 2 There were no notifications in Lanarkshire of the following diseases in the period shown: anthrax, diphtheria, leptospirosis, paratyphoid fever, plague, poliomyelitis, puerperal fever, rabies, relapsing fever, smallpox, tetanus, toxoplasmosis, typhoid fever, typhus fever and viral haemorrhagic fevers. 3 Food poisioning poisoning includes campylobacter, E E.coli O157, salmonella and other foodborne diseases. 85

A17 A17 Sexually transmitted infections - diagnoses recorded at at Scottish genito-urinary medicine medicine clinics clinics by year: 2007 2009 to 2009 NHS Lanarkshire residents Scotland No. of diagnoses 1 Rate 2 Rate 2 2007 2008 2009 3 2007 2008 2009 3 2007 2008 2009 3 Chlamydia 350 350 336 130.0 129.7 124.2 183.3 186.0 162.8 Genital warts, first episode 392 403 288 145.6 149.4 106.5 155.1 162.4 141.6 NSGI (non-chlamydial) 159 139 156 59.1 51.5 57.7 70.6 76.8 74.7 Gonorrhoea 76 55 49 28.2 20.4 18.1 25.0 22.2 23.1 Genital herpes, first episode 56 42 37 20.8 15.6 13.7 25.2 28.2 24.6 Infectious syphilis 37 14 16 13.7 5.2 5.9 9.5 10.0 6.0 HIV infection, newly diagnosed 7 * 5 2.6 * 1.8 4.3 3.9 3.4 Other STI (including recurrence) 297 323 256 110.3 119.7 94.7 158.6 165.4 139.3 Chlamydia 269 293 339 92.5 100.6 116.2 184.5 175.5 147.1 Genital warts, first episode 324 308 244 111.4 105.7 83.6 128.0 123.7 106.1 NSGI (non-chlamydial) 18 20 24 6.2 6.9 8.2 9.7 9.3 8.7 Gonorrhoea 43 40 26 14.8 13.7 8.9 9.1 10.2 6.9 Genital herpes, first episode 58 65 44 19.9 22.3 15.1 33.3 35.2 29.9 Infectious syphilis 5 * * 1.7 * * 0.5 0.8 0.9 HIV infection, newly diagnosed * * * * * * 1.0 0.8 0.6 Other STI (including recurrence) 193 207 157 66.4 71.0 53.8 101.9 104.3 83.1 * Indicates values that have been suppressed due to the potential risk of disclosure. Sources: STI Surveillance System (STISS); 1 The number of separate diagnoses recorded. More than one diagnosis can be recorded for a single patient episode. National Sexual Health System (NaSH) 2 Rate per 100,000 population. 3 Due to the transition from STISS to NaSH and temporary suspension of laboratory testing during the H1N1 outbreak, there is a shortfall in the data for 2009. 86 Public Health 2009 /10

A18 A18 Primary and booster immunisation uptake rates by 5 years old 1 by locality/chp: evaluation period 1 April to 31 March 2010 Primary and booster immunisation uptake rates by 5 years old 1 by locality/chp: evaluation period 1 April 2009 to 31 March 2010 Locality 2 CHP 2 Lanarkshire 3 Airdrie Bellshill Coatbridge North Motherwell Wishaw Clydesdale East Hamilton North South Kilbride Scotland No. in cohort 606 563 626 812 454 589 620 894 1277 3650 2791 6584 55054 % completed primary course by 5 years Diphtheria 98.7 98.2 99.0 98.9 96.3 99.2 98.5 98.7 98.7 98.5 98.7 98.4 98.4 Tetanus 98.7 98.2 99.0 98.9 96.3 99.2 98.5 98.7 98.7 98.5 98.7 98.4 98.4 Pertussis 98.7 98.2 99.0 98.9 96.3 99.2 98.5 98.7 98.7 98.5 98.6 98.4 98.4 Polio 98.7 98.0 99.0 98.9 96.0 99.2 98.4 98.7 98.7 98.4 98.6 98.3 98.3 Hib 4 97.7 97.9 98.4 98.5 95.6 99.0 98.5 98.4 98.2 98.0 98.4 97.9 97.4 MenC 5 97.7 97.9 98.4 98.5 95.4 98.6 97.9 98.2 98.0 97.9 98.1 97.8 97.4 MMR 6 95.7 96.4 96.0 96.9 93.2 96.9 95.6 95.1 96.6 96.0 95.9 95.7 96.2 % completed booster course by 5 years Diphtheria 90.1 91.3 93.1 93.1 93.4 95.8 94.4 93.8 93.6 92.8 93.8 93.1 91.9 Tetanus 90.1 91.3 93.1 93.1 93.4 95.8 94.4 93.8 93.6 92.8 93.8 93.1 91.9 Pertussis 90.1 91.3 93.1 93.1 93.4 95.8 94.4 93.8 93.6 92.8 93.8 93.1 91.9 Polio 90.1 91.1 93.1 93.1 93.4 95.8 94.4 93.8 93.6 92.8 93.8 93.0 91.9 MMR 6 87.1 89.5 90.7 90.5 89.9 93.5 91.8 90.8 91.6 90.2 91.4 90.5 89.7 1 Children reaching 5 years of age during the evaluation period 1 April 2009 to 31 March 20010 (i.e. born 1 April 2004 to 31 March 2005). Sources: SIRS, ISD Scotland 2 GP practices in NHS Lanarkshire grouped into localities/chps. Children resident in NHS Lanarkshire only. 3 Children resident in NHS Lanarkshire immunised in any NHS board. 4 Haemophilus influenzae type b vaccine. 5 Meningococcal serogroup C conjugate vaccine. 6 Combined measles, mumps and rubella vaccine. 87