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Health Care-acquired Infections

Volume 456: debated on Wednesday 31 January 2007

To ask the Chancellor of the Exchequer how many people died from (a) Clostridium difficile and (b) meticillin-resistant Staphylococcus Aureus in each year since 1997, including neonates, broken down by Government office region. (112363)

The information requested falls within the responsibility of the National Statistician, who has been asked to reply.

Letter from Karen Dunnell, dated 31 January 2007:

As National Statistician I have been asked to reply to your recent question asking how many people died from (a) Clostridium difficile and (b) Meticillin Resistant Staphylococcus Aureus in each year since 1997, including neonates, broken down by Government Office Region. (112363)

Special analyses of deaths involving MRSA and Clostridium difficile are undertaken annually by ONS for England and Wales. These are published in Health Statistics Quarterly. The latest year for which such figures are available is 2004. The information requested is given in the attached tables.

Since 1986 ONS has used the internationally recommended death certificate for neonatal deaths. This means that these deaths cannot be assigned an underlying cause of death.1 Neonatal deaths have been included in the ‘mentioned’ causes.

1 Office for National Statistics (2005) Mortality Statistics: Childhood Infant and Perinatal, Series DH3 No.36, Office for National Statistics: London.

Table 1: Number of death certificates where Clostridium difficile1 was (a) mentioned and (b) recorded as the underlying cause of death2, by Government office region, 1999 and 2001-20043,4

1999

2001

2002

2003

2004

(a)

(b)

(a)

(b)

(a)

(b)

(a)

(b)

(a)

(b)

North East

54

29

65

35

78

35

102

51

125

72

North West

134

67

154

87

178

86

219

105

278

138

Yorkshire and the Humber

60

26

87

43

115

57

115

56

155

74

East Midlands

63

40

67

33

65

35

95

58

137

90

West Midlands

86

42

116

68

142

69

223

115

282

149

East of England

82

46

147

87

186

102

227

126

245

138

London

138

80

189

115

210

139

220

134

239

145

South East

164

97

173

102

210

106

307

166

336

182

South West

137

72

152

91

154

80

194

101

358

199

Wales

56

31

63

29

88

46

85

46

88

55

1 Identified using the methodology described in Office for National Statistics (2005) Report: Deaths involving Clostridium difficile: England and Wales, 1999-2004. Health Statistics Quarterly 30, 56-60.

2 Excludes neonatal deaths.

3 Deaths registered in 1999, deaths occurring in 2001 -2004.

4 Data for 1997-98 and 2000 are not available. The reason for this is explained in the above report and in background note 1.

Table 2: Number of death certificates where MRSA1 was (a) mentioned and (b) recorded as the underlying cause of death2, by Government office region, 1997-2004

1997

1998

1999

2000

(a)

(b)

(a)

(b)

(a)

(b)

(a)

(b)

North East

10

2

15

5

13

1

25

9

North West

42

9

61

13

49

14

63

18

Yorkshire and the Humber

30

8

30

9

40

9

43

13

East Midlands

19

8

29

11

35

7

46

12

West Midlands

51

9

48

18

66

20

82

28

East of England

49

13

35

10

49

9

68

24

London

55

19

47

11

58

15

86

24

South East

62

16

64

21

74

18

134

35

South West

37

12

43

11

47

17

69

21

Wales

34

6

39

9

55

16

51

11

2001200220032004

(a)

(b)

(a)

(b)

(a)

(b)

(a)

(b)

North East

28

7

38

9

49

15

68

20

North West

53

17

75

30

113

43

127

28

Yorkshire and the Humber

65

24

75

27

82

30

115

34

East Midlands

66

23

50

13

74

23

90

21

West Midlands

80

27

82

27

93

29

115

39

East of England

81

26

84

24

100

31

128

48

London

90

30

103

27

104

42

135

39

South East

140

53

143

39

167

55

178

62

South West

78

33

92

34

108

31

136

43

Wales

53

14

58

18

64

21

75

26

1 Identified using the methodology described in Giffiths C, Lamagni TL, Crowcroft NS, Duckworth G and Rooney C (2004). Trends in MRSA in England and Wales: analysis of morbidity and mortality data for 1993-2002. Health Statistics Quarterly 21, 15-22.

2 Excludes neonatal deaths.