March 2018 PHE Bulletin, Public Health England's regular update, provides news and information for all those concerned with protecting and improving the public's health. Visit our website for more information.  | | Nerve agent exposure, Salisbury On 4 March 2018 Sergei Skripal and his daughter Yulia were found unconscious in Salisbury town centre and were taken to Salisbury District Hospital where they remain in a critical condition. This follows exposure to a nerve agent. PHE has been involved in the response from the very start. We continue to work closely with many other agencies including Wiltshire Council and Salisbury NHS Foundation Trust, and also across government and with the police and security services. It is clear that this substance can have a serious immediate effect on those who have a significant exposure but in contrast the general public who were in the vicinity could only have been exposed to extremely small traces, if any. Our advice, continually reviewed through an ongoing risk assessment, remains that the risk to the public is low and we will respond with any further advice as necessary. Our full advice is online here. |
 | | PHE's calorie reduction programme and One You campaign PHE has published 'Calorie reduction: The scope and ambition for action' as part of the government's strategy to cut childhood and adult obesity – this challenges the food industry to reduce calories in products consumed by families by 20% by 2024. The announcement includes the new One You campaign which help adults manage their calorie intake by following a simple rule of thumb when eating meals out of the home: aim for around 400 calories for breakfast, 600 for lunch and 600 for dinner. This plus drinks and a couple of snacks will help people get closer to their recommended daily calorie intake of 2,000 calories for women and 2,500 for men. |
 | | New Prioritisation Framework: a planning tool to build consensus for local public health investment decisions PHE has published a new 'Prioritisation Framework', a strategic planning resource for local authorities. The Prioritisation Framework is a planning tool that aims to help local authorities make evidence-based decisions on how they fund their public health programmes, simplifying the process of undertaking a systematic prioritisation exercise. The Prioritisation Framework can be used to build consensus so when investment decisions are made they are based on a clear set of criteria. |
 | | PHE publishes Water Fluoridation Health Monitoring Report for England 2018 PHE has published its latest water fluoridation report. This looks at the dental health and non-dental health of people living in areas covered by water fluoridation schemes. The report provides further reassurance that water fluoridation is a safe and effective public health measure to reduce tooth decay and reduce inequalities - it is especially effective in deprived communities. The findings support our 2014 report which found no convincing evidence that fluoridation causes adverse health effects. |
 | | Resources to support local authorities with commissioning services for those aged 0-19 yrs PHE has published resources to support local authorities with commissioning services for those aged 0-19 years:
1. A slide set that summarises the results of an evidence review into the effectiveness and cost-effectiveness of health visitors (as delivery agents of the Healthy Child Programme).
2. The Best Start in Life return on investment (ROI) tool pulls together the best economic evidence available on public health interventions aimed at young children (0-5 years), and/or pregnant women. Local authorities and clinical commissioning groups can use this resource to inform their commissioning decisions.
3. The commissioning guidance is a refresh of the current guidance that PHE provides (working alongside partners including the LGA) to support local authorities in commissioning the Healthy Child Programme (0-19). |
 | | New Gender Specific Standards to Improve Health and Well Being for Women in Prison in England The new Gender Specific Standards to Improve Health and Well Being for Women in Prison in England, published by Public Health England, highlight the need for a system approach. Implementation of these standards is a shared objective for Her Majesty's Prison and Probation Service (HMPPS), NHS England and Public Health England. These standards are not all currently being met and will not all be achieved overnight. But, they will form a programme of work which aims to improve quality of services and outcomes for women in prison. With these standards in place all health and justice partners can work together across the system and put in place pathways to improve the health and well being of women in contact with the criminal justice system, in custody and in the community. |
 | | National Child and Maternal Health Intelligence Network – update The Child Health Profiles interactive tool which presents data across 32 key health indicators of child health and wellbeing has been updated. The profiles provide an overview of child health and wellbeing for each local authority and CCG in England and are designed to help local organisations understand the health needs of their community. A new report about creating national indicators for child development outcomes looks at how data that health visitors collect from their use of the ASQ-3 as part of the Healthy Child Programme development review might be used to create indicators at a national level as part of the Public Health Outcomes Framework. A blog summarises the opportunities for such indicators to inform the planning of early years services. Subscribe to the fortnightly child and maternal health & wellbeing knowledge update here. |
 | | British Science Week 2018 As part of British Science Week, 25 scientists from PHE ran workshops involving 1,800 pupils from ten schools across England. The scientists aimed to inspire students to consider a career in science and the variety of pathways they could follow. From using computers to understand viruses to exploring the invisible world of microbiology, using household products to extract DNA and using table tennis balls to understand the spread of disease, students had fun at interactive sessions across the country. |
Supporting sexual health commissioning Onwards! Leading the global fight against TB British Science Week - inspiring the future workforce Spanish flu a hundred years on Building consensus for local public health investment decisions Seizing the opportunity: E-cigarettes and Stop Smoking Services - linking the most popular with the most effective Improving health and care through the home Health Matters – Your questions on community-centred approaches answered Using e-Bug to educate young people on infection prevention and control Improving the health and wellbeing for women in prison 5 ways businesses can help employees eat well and move more Why we are working to reduce calorie intake The work we are doing on birth defects  | | NICE updates guidance on physical activity and the environment NICE's updated guidance on physical activity and the environment published this month aims to help people be more active through improvements to the built environment and public transport and better access to the countryside. |
National Immunisation Network Meeting 24-25 April 2018 - registration open The PHE annual immunisation two-day meeting is now open for bookings. This year's event (24-25 April) will focus on current and emerging scientific issues in immunisation and implementation issues relating to PHE's national immunisation programme. This year's meeting is being held during European Immunization Week (EIW), which is celebrated between 23-29 April 2018 in conjunction with the World Health Organization's (WHO) regional initiatives and World Immunization Week. The theme of the meeting is "Vaccines work: our immunisation story in conjunction with the EIW theme Prevent, Protect, Immunize". During this meeting attendees will explore immunisation at every stage of life and at every age, and engage with world-class epidemiologists and experts in immunisation from across the UK and Europe, such as Professor Natasha Crowcroft, Chief of Applied Immunization Research and Evaluation, Public Health Ontario, Canada. Upcoming: Teleconference invitation to Health Matters on 'Preventing Type 2 diabetes' Thursday 24 May 2018 The next edition of Health Matters, 'Preventing Type 2 diabetes', will be launched via teleconference (TC) on Thursday 24 May 2018, 12.45pm – 1.30pm. The early signs from the Healthier You: NHS Diabetes Prevention Programme are positive and across the majority of England, people at high risk of Type 2 diabetes can now get help through the programme. But more needs to be done to identify those who could benefit from the programme, to streamline the referral process and enhance the lifestyle interventions on offer. Duncan Selbie, Chief Executive of PHE, will be joined for the launch by a panel of experts. The TC will include an interactive Q&A session and will consider the further roll out of the programme, the most effective ways to identify and refer eligible individuals and the effective commissioning of enabling infrastructure. Please register for the TC here. | 
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