Childrens Health in Southwark

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• Childrens Health in Southwark
• Annual Public Health Report
• 2008/09
• Dr Ann Marie Connolly
• Director of Public Health

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Overview

• Children and young people in Southwark
• Inequalities then and now
• Some key public health topics
• Looking to the future

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If there was 100 typical Southwark children in
this room

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There would be

• 49 boys
• 51 girls
• 33 aged 0-4 years
• 42 from a white ethnic background
• 58 from a range of BME groups
• 10 who say that the main language they speak at
  home is not English

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Southwark children aged 0-19 by ethnic group ()
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Child well being

• A national index of child well-being looked at
• Material well being
• Health
• Education
• Crime
• Housing
• Environment
• Children in need

• Overall 348th (out of 354 local authorities)
• 347th
• 241st
• 268th
• 326th
• 344th
• 350th
• 345th

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How healthy do Southwark children feel?
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Inequalities, then

• By the river
• every repulsive lineament of poverty, every
  loathsome indication of filth, rot and garbage
  all these ornament the banks of Folly Ditch
• (Oliver Twist, Charles Dickens)
• meanwhile
• Dulwich is one of the most pleasant spots near
  London
• (Pickwick Papers, Charles Dickens)

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And now

• Boys born to parents in Surrey Docks ward can
  expect to live an average of 17 years longer than
  boys born in Nunhead ward
• Girls born to parents in Chaucer ward can expect
  to live an average of 10 years longer than girls
  born in Nunhead ward
• (Source LHO 2002-2006 data)

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Deaths of Southwark children aged 0-14 years
Source NCHOD
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Directly standardised mortality rate for children
aged 0-14 per 100,000 population
Source NCHOD
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Infant mortality rate 2005-07 (per 1,000 live
births)
Source NCHOD
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Children on the Southwark disability register
(470 at March 2009)
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Estimated number of children age 5-16 with mental
health problems in Southwark, 2007
Source ONS
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How happy do Southwark children feel?
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Level of Childhood Obesity by school year 2008 ()
Source National Child Measurement Programme
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Lifestyles affecting health
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Trend in teenage conception rates per 1,000
female population aged 15-17yrs
Source Teenage Pregnancy Unit
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Offences committed by young people in Southwark
(1435 in 2008)
Source Southwark Youth Offending Service
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Looking to the future our 100 children this year
will become

• 117 children in 2020 !
• 126 children in 2030 !

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Opportunities and threats..

• Improved health awareness?
• Better evidence what works?
• More physical activity?
• Improved diet?
• Improving immunisation rates?
• Less binge drinking?
• Improved self esteem?
• Tobacco control?

• Recession child poverty?
• Climate change?
• Migration patterns?
• Competitiveness
• Overcrowding?
• Public sector budgets?