Deaths: Infectious Diseases Anne Milton To ask the Minister for the Cabinet Office in how many cases (a) staphylococcus aureus, (b) meticillin-resistant staphylococcus aureus and (c) Clostridium difficile has been mentioned on death certificates in each region in each year since 1997. Angela E. Smith The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply. Letter from Stephen Penneck, dated 27 January 2010: As Director General for the Office for National Statistics, I have been asked to reply to your recent question asking in how many cases (a) staphylococcus aureus, (b) meticillin-resistant staphylococcus aureus and (c) Clostridium difficile has been mentioned on death certificates in each region in each year since 1997. (313937) The tables attached provide the number of deaths where (a) Staphylococcus aureus (S. aureus) (Table 1), (b) meticillin-resistant Staphylococcus aureus (MRSA) (Table 2) and (c) Clostridium difficile (C difficile) (Table 3) was mentioned anywhere on the death certificate, either as the underlying cause or as a contributory factor, in each government office region in England, for the years 1997 to 2008 (the latest year available). Figures for 1997, 1998 and 2000 are not available for Table 3. Although Staphylococcus aureus, meticillin-resistant Staphylococcus aureus and Clostridium difficile are defined by the Health Protection Agency as healthcare associated infections, it is not possible to state whether the deceased was a patient at the time of death, or where the infection was acquired. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | |Deaths (persons)| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |Government office region |1997 |1998|1999|2000|2001|2002|2003|2004|2005|2006|2007|2008| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |North East |38 |32|32|47|47|51|84|95|100|104|106|102| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |North West |95 |119|98|126|126|141|173|168|237|236|239|194| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |Yorkshire and The Humber |54 |68|85|94|114|111|127|163|197|168|170|139| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |East Midlands |61 |74|74|76|103|91|119|131|148|181|153|129| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Midlands |92 |103|120|141|126|134|132|156|241|246|249|178| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |East of England |87 |85|99|112|122|124|152|177|196|241|248|129| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |London |108 |101|132|135|153|147|153|179|225|257|227|159| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |South East |118 |126|156|204|208|203|226|256|348|359|297|205| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |South West |68 |91|94|118|131|137|157|189|268|233|252|160| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |1 Identified using the methodology described in Office for National Statistics: Report: Deaths involving MRSA; England and Wales, 2008. Health Statistics Quarterly 43, 38-422 Based on boundaries as of 20093 Figures are for deaths registered in each calendar year| | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | |Deaths (persons)| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |Government office region |1997 |1998|1999|2000|2001|2002|2003|2004|2005|2006|2007|2008| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |North East |11 |15|13|23|31|35|56|68|78|82|85|88| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |North West |43 |60|48|62|55|78|112|120|184|174|199|171| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |Yorkshire and The Humber |29 |30|40|45|64|77|79|114|150|126|130|105| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |East Midlands |19 |28|36|44|66|50|76|86|116|136|116|98| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Midlands |48 |50|64|81|78|82|93|108|203|183|202|147| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |East of England |49 |35|49|68|81|83|100|129|143|187|192|105| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |London |55 |47|58|84|90|100|107|130|187|189|174|133| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |South East |61 |64|73|131|137|141|171|179|258|292|224|167| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |South West |38 |42|48|67|79|90|108|135|217|187|195|123| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |1 Identified using the methodology described in Office for National Statistics: Report: Deaths involving MRSA; England and Wales, 2008. Health Statistics Quarterly 43, 38-42.2 Based on boundaries as of 2009.3 Figures are for deaths registered in each calendar year.| | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | |Deaths (persons)| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |Government office region |1999 |2001|2002|2003|2004|2005|2006|2007|2008| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |North East |54 |65|76|103|129|222|207|328|347| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |North West |134 |157|174|220|271|334|513|1010|980| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |Yorkshire and The Humber |60 |87|114|117|153|181|267|510|486| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |East Midlands |63 |66|65|95|137|411|917|823|502| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |West Midlands |86 |121|140|225|283|534|1115|1255|771| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |East of England |82 |144|187|230|246|395|748|1035|465| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |London |138 |188|209|223|238|529|756|1001|534| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |South East |164 |171|206|312|338|507|1016|1080|750| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |South West |137 |150|154|195|351|535|762|874|630| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |1 Identified using the methodology described in Office for National Statistics: Report: Deaths involving Clostridium difficile: England and Wales, 2008. Health Statistics Quarterly 43, 43-47.2 All deaths in England and Wales are coded by the Office for National Statistics according to the International Classification of Diseases (ICD). The Tenth Revision (ICD-10) has been used since 2001. In the Ninth Revision of the ICD (ICD-9) there are no specific codes that would allow deaths mentioning Clostridium difficile to be easily identified. Figures for 1998 and 2000 are therefore not available as ICD-9 was used in these years. Deaths registered in 1999 were coded to both ICD-9 and ICD-10 as part of a special study to compare the two ICD revisions, and have therefore been used to give an additional year of data on deaths involving Clostridium difficle.3 Based on boundaries as of 2009.4 Figures are for deaths registered in each calendar year.| | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------