Duncan Selbie’s Friday message – 23 November 2018

Dear everybody

Great information on hepatitis C.  On Wednesday, we revealed our hepatitis C treatment monitoring in England report, which confirmed that within the final three years greater than 24,500 individuals in England have accessed hepatitis C remedy and 95% of people that accomplished their remedy have been cured. This is a giant step in direction of attaining the WHO goal of eliminating hepatitis by 2030, and a testomony to the shut collaborative work between PHE and NHS England and colleagues throughout the NHS. Our work continues with the launch of a brand new nationwide affected person reengagement train this week, which goals to encourage the tens of hundreds of people that haven’t to date accessed the brand new healing remedies to take action.

There can also be very constructive information on HIV, the place in England transmission charges are lowering and numbers of latest diagnoses are falling.  However, our newest statistics present that round one in eight individuals residing with HIV is undiagnosed and unaware they’ve the virus; and greater than 4 in ten of these newly identified in 2017 had been identified at a late stage of HIV an infection. This is a serious concern as late analysis is related to a ten-fold elevated threat of brief-time period mortality. We are coming to the top of National HIV Testing Week, a PHE-funded marketing campaign highlighting the significance of standard testing and early analysis, particularly among the many mostaffected inhabitants teams. Both HIV testing and remedy are free, and you’ll request a free self-sampling take a look at on-line. With HIV prevention being as necessary now because it has ever been, the marketing campaign goals to normalise testing as we transfer in direction of eliminating HIV.

On Tuesday, we revealed the findings of a survey exploring the general public’s notion of weight problems and who’s accountable for addressing this. It confirmed that there’s overwhelming public help for lowering sugar and energy in on a regular basis meals, with 9 in ten individuals saying that private duty performs a component, however with comparable numbers saying there may be additionally a task for the meals business and for presidency. In different phrases, everyone seems to be accountable and nobody can go away it to others. There are varied consultations underneath approach on actions set out in chapter two of the childhood weight problems plan on proscribing promoting on all media channels earlier than 9pm, calorie labelling for quick meals eating places and coffee outlets, and on proscribing the promotion of excessive fats salt and sugar merchandise, i.e. purchase one get one free. In 2019, PHE might be publishing its second report on sugar discount, the place we’ll determine these producers and retailers who’ve made the progress requested of them, and people who haven’t.

And lastly, yesterday, the Lancet Commission on Liver Disease within the UK revealed its fifth report on liver illness, ‘Gathering momentum for the way ahead’. The report sums up progress, particularly within the administration of hepatitis C. It highlights the necessity for continued motion to deal with alcohol and weight problems as main causes of liver illness, and makes use of PHE information to emphasize that liver illnesses are strongly related to deprivation and there may be large geographical variation. PHE has additionally contributed to a better understanding of the epidemiology of liver most cancers, identification of liver illness in major care, and the unwarranted variation in hospital outcomes from liver illness.

Best needs


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