Longevity but poor health in later life… 10 stats from new North Yorkshire public health reportCounty council plans programme to tackle children being ‘enticed’ to vape

A public health boss has revealed how an educational programme to counter the social media marketing of vaping products to children was being developed, amid growing concerns about the number of youngsters being “enticed” into using e-cigarettes.

Cllr Michael Harrison, North Yorkshire County Council’s executive member for health and adult services, announced the move following the leader of Selby District Council questioning what action could be taken to reverse an apparent escalation in children vaping.

Cllr Mark Crane told a meeting of the county authority he was seeing more and more young people using vaping products, adding: 

“I see them in school uniforms and I also see ones that seem very young to me.”

A NHS survey in 2013 of 10,000 children found three per cent of children aged 11 to 15 had vaped, but last year the figure had risen to 10%.

Cllr Crane was speaking days after England’s chief medical officer called for a clampdown on firms who use social media sites, such as Tik Tok, to market colourful e-cigarettes with flavours such as pink lemonade and strawberry, banana and mango to youngsters.

Sir Chris Whitty told MPs it was beyond doubt that firms were designing vapes to appeal to children, branding their actions “appalling”.

It is believed e-cigarettes have increased in popularity with children due to their relatively low cost, bright colours and fruit flavours.

Last month, the leader of neighbouring council Stockton, Councillor Bob Cook said the authority would lobby for more regulation on vaping following concerns over growing under-age use of the products.

Meanwhile, Dr Elizabeth Garthwaite, a kidney specialist and clinical director at Leeds Teaching Hospitals, has told teenagers at Ripon Grammar School that an increasing numbers of young people were presenting to hospital with problems associated with addiction and vaping.

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She said while vaping products were initially designed as a nicotine replacement to help smokers break their addiction, vaping was far from harmless.

Cllr Harrison said there was “certainly something national government could do” to tackle the marketing, but the council was intent on educating people about the dangers of vaping.

He said: 

“It is illegal to sell vape materials to under-18s, but it is clear that there is marketing going on that is enticing under-18s to take up vaping…”

The meeting was told the authority’s public health team were working on a programme of education and awareness which would be rolled out across our schools and young people in the coming months.

Cllr Harrison said the authority recognised the place of e-cigarettes in helping people to give up smoking, but the council’s educational campaign would stress that neither habit was healthy.

Underlining the scale of the challenge to educate young people, he added: 

“You are fighting a battle if there’s advertising that is more prevalent on social media than mainstream media.”

Men in Oatlands live 13 years longer than in Bilton Woodfield, says report

A report has laid bare the stark health inequalities that separate men and women living in different parts of the Harrogate district.

Councillors in the Harrogate borough met this week to discuss an annual health report written by North Yorkshire County Council’s director of public health, Louise Wallace.

The report draws on government public health data that breaks down average life expectancy levels by council ward boundary.

These figures show that men in Bilton Woodfield live, on average, until 74 whereas just a few miles away in Oatlands they live to 87.

Bilton Woodfield is the most deprived ward in Harrogate whereas the Oatlands ward includes some of the most expensive streets in Yorkshire, including Fulwith Mill Lane.

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Ms Wallace said there is a higher prevalence of factors such as smoking in more deprived areas and that employment types and education can contribute to the differences in life expectancy.

The data also reveals that women live to 91 in Claro, which includes villages north of Knaresborough. However, in Knaresborough Eastfield the average life expectancy for females is far lower at 78.

The average life expectancy for men in England is 79 and for women it’s 83.

Improving lifestyles

The report also said the number of higher risk drinkers in England has increased since the pandemic, with the heaviest drinkers and those in lower socioeconomic groups increasing their consumption the most.

John Mann, Conservative councillor for Pannal, asked Ms Wallace what the council is doing to help people stop drinking and drug-taking in the Harrogate district.

He said:

“I’m interested in reducing excessive drinking, I mean we all like a drink, but some people go to excess which is not good for you. 

“Drinking at home or socially is a bit addictive and does affect family life and career progression and health.”

Ms Wallace said the council is currently drafting a new alcohol strategy to replace the previous document from 2014-2019. 

She added:

“When people need support around alcohol we have a commissioned service with Horizons but we need to get some whole population messages out there. 

“You’re absolutely right for the potential of excessive  drinking and what that might mean. We’re seeing an increase in alcohol-related admissions or illnesses as a result of excessive alcohol use.”

 

Men live 10 years longer in Harrogate than Knaresborough, report shows

Men live 10 years longer in Harrogate than Knaresborough, according to a new report.

The North Yorkshire Director of Public Health annual report 2021-22, published today, shows male life expectancy in Harrogate is 85 compared with 75 in Knaresborough.

Women live on average to be 87 in Harrogate and 79 in Knaresborough. In Ripon, men and women live on average to 79 and 84 respectively.

The commentary in the report suggests the difference is down to deprivation. It says:

“Large parts of North Yorkshire have better than average life expectancy when compared with England as a whole. However, there are areas where life expectancy is worse, particularly in Scarborough, but also in parts of Selby, Harrogate and Richmondshire.

“The gap in life expectancy between our most deprived and least deprived wards can be as much as 11 years for men and 10 years for women.

 

life expectancy

An image from the report showing life expectancy.

The report says there was a “marked decrease in life expectancy between 2019 and 2020 for both England and Yorkshire and Humber”, adding:

“This has improved slightly for 2021, but the longterm impact of the pandemic on mortality is yet to be fully determined.”

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In a section on ‘lessons learned’ the report says the rural nature of North Yorkshire presented challenges responding to covid.

It says:

“For North Yorkshire in particular, we learned to adapt our response to the pandemic to ensure that the rural nature of large parts of the county did not create additional barriers to access covid support.

“For example, we had to adapt the standard covid testing model of having a small number of large testing centres in urban areas to provide multiple mobile options that could travel across the county to rural areas.

“Similar issues were seen with access to vaccination sites; more sites opened up across the county as the pandemic progressed, but additional services eg voluntary transport provision were required to expand access to those unable to travel, and weekend clinics were added to help enable working age population to attend.”

Report author Louise Wallace, director of public health at North Yorkshire County Council, said in her foreword:

“The pandemic has had a profound impact on the lives of everyone in North Yorkshire. The ways in which we work, interact, travel, socialise, learn, live, bring new life, experience illness, loss, and death, have all been affected.

“However, there remain parts of our population who experience more than their fair share of the burden of these impacts, with the pandemic only widening pre-existing inequalities across our society.”

Council launches pilot scheme as escalating numbers of children are overweight

North Yorkshire County Council has reported an escalating number of overweight youngsters since axing a well-regarded scheme to help children and their families make positive changes to their diet.

A council report has revealed since Healthy Choices was abandoned due to government cuts in 2020, the county has had no weight management service for children and has seen annual rises in children with excess weight that have been “much higher than in previous years”.

After completing Healthy Choices, 80% of youngsters saw marked weight reductions.

In 2016, 21% of five-year-olds and about 30% of 11-year-olds in the county, significantly lower than the national average, were found to be living with excess weight.

However, a public health report has revealed these figures have since overtaken or moved close to the national average, with 29% of reception pupils and 38% of primary school leavers classed as overweight.

Although child weight statistics for different local authority areas for last year will not be published by the government until December, last year it was reported  obesity rates in both reception-aged and Year 6 children increased by around 4.5 percentage points between 2019-20 and 2020-21.

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Concerning the sharp rise in children with excess weight, the council report said: 

“There is a real need for families across the county to receive compassionate support to manage weight, eat well and move more.”

Such is the concern over the rise in children with excess weight since its Healthy Choices programme was abandoned two years ago that senior councillors and officers have agreed to pump up to £106,000 from its reserves to kick start a family weight management service.

The 18-month pilot service will utilise the county’s current successful service for adults to support adults who have dependents that need a holistic support for the whole family. It will also take referrals for children and young people through the National Child Measurement Programme and other health professional referral routes.

However, unlike Healthy Choices, which was delivered in children’s homes or at a local venue, the new service will be remote, with up to 12 phone or video calls.

The officer’s report states the service will be “more cost effective” than Healthy Choices, which cost £300,000 annually.

The authority’s executive member for health, Councillor Michael Harrison said since 2020, both locally and nationally there had been the largest rise in obese primary schoolchildren on record.

He said: 

“We have a good record on our adult weight management initiatives, with five per cent body weight reductions for those completing programme we offer, and that weight loss is sustained 24 weeks later.

“If these figures are going up there is an increasing number of people who are having their lives impacted by complications to their health in later years. As public health professionals it is right that we should try and something about it in a practical but compassionate way.”

Tier one hopes for Harrogate district fade away

The Harrogate district’s hopes of remaining in tier one at the end of the national lockdown seem to be fading away.

Local public health officials, who manage the coronavirus response in North Yorkshire, have been speculating ahead of an announcement tomorrow.

In a weekly coronavirus press briefing this morning, those officials said coronavirus rates can give you a feel for what tiers different areas will be in.

The average case rates in North Yorkshire is 195 per 100,000. England’s average case rates are currently 207 per 100,000.

Areas like Scarborough and Selby are the only areas above the national average at 296 and 240 per 100,000 respectively.

The Harrogate district has seen a drop in case rates in recent weeks. It now has the second lowest rates in North Yorkshire at 157 just above Ryedale at 131.

What tier restrictions will we be under?

The national lockdown ends next week on Wednesday, December 2. When the lockdown ends we will return to restrictions based on three tiers.

North Yorkshire was in tier one before the national lockdown. The government will confirm tomorrow which tiers each area will be under.

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However, local public health officials also said today that they would favour a system where North Yorkshire is split into different districts.

Richard Webb, the corporate director of health and adult services at North Yorkshire County Council, said:

“We don’t have those details on tier restrictions yet. All we have at the moment are the speculation and the drafts we had before lockdown.

“If we look to the criteria that will potentially be in place we hope that most of the county would be in tier two. But we know that some areas could be in tier three.”

What are the three different tiers?

The government has strengthened the tiers. They still range from tier one at medium through tier two at high and tier three at very high.

Tier one:
Tier two:
Tier three:

What about Christmas?

Coronavirus restrictions will be eased across the UK between December 23 and December 27 to allow for a Christmas closer to normal.

It will mean that three households will be able to form a temporary bubble. It must be fixed but there will be no limit on numbers joining bubble.

Those who are self-isolating should not join one of these so-called Christmas bubbles.

If someone is in an at-risk group the government has said they must their their own judgement and consider the risks of mixing over Christmas.