Brentford, Isleworth, OSG and Syon Area Forum COVID-19: Impact on the Borough - Kelly O'Neill - Director of Public Health Sam Greehy - PH Officer: ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Thursday 4th February 2021 Brentford, Isleworth, OSG and Syon Area Forum COVID-19: Impact on the Borough Kelly O’Neill – Director of Public Health Sam Greehy – PH Officer: Information Intelligence Sacha Rathore – Community Engagement Officer
COVID-19 Surveillance in Hounslow
12/1 – 1141 /100k
28/12 – 645 /100k
26/1 – 645 /100k
21/12 – 460 /100k
12/12 – 171 /100k
27/1 – 596 /100k
Infection Rates in London – 3 February 2021
COVID-19 Surveillance in Hounslow:
Total Case Numbers / Ward
Total number of cases LBH:
• 8374 (20 Dec)
• 21,921 (31 Jan)
• 162% increase since 20/12/20
Gender – Even spread
Age profile of cases:
• Under-19 – 15%
• Aged 20-59 – 70%
• Over-60 – 15%
Data received on 3 February: 7-day period: 25 January to 31 January 2021 2 January to 8 January 2021 25 January to 31 January 2021 7-day infection rate: 1,141 / 100,000 7-day infection rate: 424 / 100,000 7-day case total – 3,098 7-day case total – 1,152 Age groups: 72% of cases from 20-59 year olds. Age groups: 72% of cases from 20-59 year olds. Over-60s: 14% of all cases (445) Over-60s: 16% of all cases (170) Case positivity – 23% Case positivity – 8.9% 7-day pillar 2 tests – 7,473 7-day pillar 2 tests – 13,716 London infection rank – 6th / 32 London infection rank – 1st / 32 England infection rank – 18th / 316 England infection rank – 15th / 316 Deaths – 53 (December), 49 Deaths – 53 (December), 188 (January to date) 321 (total within 28 days of positive test) 466 (total within 28 days of positive test)
Data received on 3 February: 7-day period: 25 January to 31 January 2021
Data received on 3 February: 7-day period: 25 January to 31 January 2021
Data received on 3 February : Infection Rate by Ward 7-day period: 25 January to 31 January 2021
COVID-19 surveillance: Brentford, Isleworth, OSG and Syon Wards
Proportion
of total Rank in Proportion of Rank in Increase since
Total cases cases Hounslow Total cases total cases Hounslow 20/12/20 to
Ward Name 31/01/21 31/01/21 31/01/21 20/12/20 20/12/20 20/12/20 31/01/21
Brentford 1203 5.49% 8th 511 6.10% 5th 135%
Isleworth 929 4.24% 17th 354 4.23% 16th 162%
OSG 1000 4.56% 13th 421 5.03% 8th 138%
Syon 1037 4.74% 12th 382 4.56% 12th 171%
Total 4169 19% 1668 20%
Impact on: Brentford, Isleworth, OSG and Syon
Cumulative Comparison
Cumulative Number of COVID-19 cases 01.09.20 to 31.01.21
1600
1400
1200
Number of COVID-19 cases
1000
800
600
400
200
0
Date
Hounslow Central Heston West Hounslow West Brentford Syon
OSG Isleworth Turnham Green Chiswick Homefields Chiswick RiversideTest-Positive Profile: Brentford, Isleworth, OSG and Syon Wards 28 February 2020 to 31 January 2021: Gender: • Women – 52% • Male – 48% Age profile: • 15% of cases are 19 or under. • 70% of cases are within the 20 to 59 age range • 15% of cases are over the age of 60 (605 cases) Occupation…
COVID-19 Deaths in Hounslow Borough:
28th February to 30th November
Total number of COVID-19
deaths in Hounslow – up to 30
November:
245
Age profile of deaths:
Over 60: 87%
Over 80: 42% - largest no. in
80-89 group
Gender
Men – 66%
Women – 34%
Population Rate Ethnicity: (36 patients with an
Number of
Ethnicity estimate ONS
deaths
per unknown ethnicity)
2019 100,000
Asian 93,964 91 96.8
From the patients with known
Mixed 13,471 11 81.7 ethnicity the highest rate of
Black 19,543 15 76.8 covid-19 deaths were seen in
White Asians with a rate of 96.8 per
103,145 75 72.7
British
Other 9,942 4 40.2 100,000
White
134,603 13 9.7
otherCOVID-19 Deaths in Brentford, Isleworth, OSG and Syon Wards
28th February to 30th November
Total number of COVID-19 deaths in Brentford,
Isleworth, OSG and Syon – up to 30 November:
18% of all COVID-19 deaths
Age profile of deaths:
Under-60: 26%
Over-60: 74%
Over-80: 40%
Gender
Men – 70%
Women – 30%Management of infection in the community - LBH
1. Surveillance – data to identify cases, clusters, outbreaks and disease picture – Monitor,
identify and Respond – aim is to protect the population
2. Outbreak/ Cluster Management:
- Care homes
- Schools
- Hospitals
- Prisons/ YOI
- Businesses/ workplaces
- Houses of Multiple Occupancy
- Sports Clubs
3. Test, Track, Trace, Support – National Programme and Local Response
4. Communication and Engagement
5. Partnership with Leaders/ Organisations and Communities – Faith Groups, Schools, Health
and Social Care
6. Flexing to respond to emerging prioritiesData Driven Community Engagement &
Communications: Warning and Informing
Everyone does it their way: some will
spread to their family; others to every
Launched Community Champions programme mosque in Hounslow– we support you
in what ever way we can
Understanding that familiar faces can often be more effective
in delivering messages and affecting behaviour change than
government or official bodies, we developed a champions
model to spread messages to hard to reach communities.
110 champions from across the borough representing
various groups and ethnicities who share messages with
their communities.
Evidence of effectiveness:
• surveys sent only to champions result in over 200
responses.
• Promotion via pop-up testing site led to high uptake after
data showed high rates of infection in Heston
Used data to understand where engagement Everyone sharing –
is needed we want to hear from
the champions too:
Used data of hotspots of cases and understanding of what info do they
need? what are the
borough characteristics to inform work issues in the
• Targeted testing and messaging in areas of high case community?
• Engagement with HMO tenants, Heathrow, etc.
• Testing messages to understand which might be effectivePRIORITY 1: Managing demand for Health and Social Care - system management: Pathway to Hospitalisation: Timeframe 11 – 18 days INFECTION – SYMPTOMS – TEST POSITIVE – SEVERE ILLNESS – HOSPITALISATION Rate of infection: • 18-11 days ago: rates: 915 - 731/100,000 • Today: 424 Hospital Activity • Sustained pressure and surge in cases – activity is above that of wave 1 • Current in-patient numbers admitted with CV-19 – critical care demand • Increasing intensive care capacity • Conversion of wards for CV-19 inpatients – impact on non-CV-19 care • Major drive to safely discharge medically optimised patients – supported by social care providers • Protecting Care Homes – Outbreak management/ medical, nursing and PH support
PRIORITY 2: Reduce rate of infection:
• Lockdown 3: Breaking the chain of infection/ Targeted areas
• Communications: Social mitigation measures – Hands/ Face/ Space/ Rules
• Enforcement: LBH Enforcement Teams/ Police – Responsibilities
• Testing: Two modes of testing:
1. Symptomatic person testing – PCR
Population testing: Feltham, Hounslow Central, Heston, Heathrow,
Twickenham, Stamford Brook
Care Home testing – Staff weekly, residents monthly
2. Rapid Asymptomatic person testing - Lateral Flow: Key workers targeted
A. PH targeted programme working with LHR
B. EY/ Primary and Secondary Schools – staff and children of key workers (DfE)
C. Mass population testing – Heston Library, HH, Isleworth, Staines RFC, Mobile unitsPRIORITY 3: CV-19 Vaccination Programme
• NHS Led Programme – 22,000+ people vaccinated
• Priority Groups: JCVI directed
• Current Uptake among priorities 1-4 very good in the borough;
performing well in comparison to other London boroughs
• Vaccination sites:
• 4 Primary Care Sites operational in the borough:
– Heart of Hounslow
– Chiswick Health Centre
– Thornbury Rd Health Centre
– Feltham Assembly Hall
• Mass Vaccination sites: 2 sites to serve the borough due to be
operational in February/ March
• Vaccines: Pfizer and Oxford – Changes in programme (dose 2)*
• Approx split of vaccines used:
– 44.4% AZ
– 55.6% Pfizer
• Side effects: consistent with clinical trials e.g. tiredness, sore
arm, some incidences of mild fever
• Local communications and engagement group working
specifically to address vaccine hesitancy in the borough
alongside colleagues in NW LondonVACCINATION UPTAKE As of 04/02
North West London/ National
Priority Area
Commitments
Number of people in
cohort
& Modelling
Deadline for Delivery Delivery model Status
Priority 1: Residents in a care home for older 1,250 17/01/2021 PCN Hubs- roving teams Initial phase completed-
How
adultsdo
andthese
staff translate to Hounslow? How are we doing? mop up sessions planned
Priority 2: Over 80s 8,700 24/01/2021 PCN Hubs & roving 80% completed as of
teams for housebound 02/02/2021
Priority 2: Frontline Health and care workers 691 15/02/2021 PCN Hubs Complete
(primary care)
Priority 2: Frontline health and care workers Approx. 4,000 15/02/2021 Mass vaccination sites In progress – variation
(social care) Hospital hubs per provider
Priority 3: Over 75s 6,573 15/02/2021 Mass vaccination sites In progress- 75%
PCN hubs complete
Roving teams for
housebound
Priority 4: Over 70s 9,735 15/02/2021 Mass vaccination sites In progress- 70%
PCN Hubs complete
Roving teams for
housebound
Priority 4: CEV individuals (aged 17-69) 13,508 15/02/2021 Mass vaccination sites In progress-30%
PCN hubs complete
Roving teams for
housebound
Please note this is
first dose onlyChange in Vaccination schedule AMBITION: As many people vaccinated in the quickest time, safely – saving lives! Logistics – administration is based on vaccines available – roll out as soon as they are received. Updated guidance from the independent JCVI and the UK chief medical officers was published on 30 December: Delayed dose 2 – 12 week interval. Current Position: • Rapid increase in COVID-19 cases in December and January • Large increase in hospitalisations • Emergence of a new variant • Need: Increase pace of vaccination, including extending vaccinations to frontline health and care workers. • Increase spacing of second vaccine doses for both the Oxford/AstraZeneca vaccine and Pfizer/BioNTech vaccine. Rationale: public health: • The greatest good for the greatest number. • Reduce hospitalisation and deaths • Prioritise the first dose • 1 dose: Pfizer-BioNTech vaccine - 90% protection • 1 dose: Oxford AstraZeneca – 70% with high protection against severe disease • 100 people 1 dose (nearly fully protected) v 50 people fully protected (2 doses) + 50 people with no protection
You can also read
