Access to Psychological Therapies - DCAQ in NHS Lothian: Phase 2 Report

EdinburghThe purpose of this document is to report on phase two of the Demand, Capacity, Activity & Queue (DCAQ) work carried out with Midlothian Psychological Therapies Service and East Lothian Psychological Therapies Service between April 2011 and March 2012. The overall project was broken down into two phases and this report is a summary of the work completed in phase two. The phase one report can be accessed at the following web address; http://www.qihub.scot.nhs.uk/media/220541/nhs%20lothian%20dcaq%20phase%201%20report%20vfinal2.doc The phase two report has two main purposes: To provide feedback on the work completed in phase two and to outline the additional service improvement opportunities that might be explored for each service participating; To provide a learning resource for other services interested in applying DCAQ.sch_occpub3131pu

TB incidence and characteristics in the remote gulf province of Papua New Guinea: a prospective study

Background: The incidence and characteristics of tuberculosis (TB) in remote areas of Papua New Guinea (PNG) are largely unknown. The purpose of our study was to determine the incidence of TB in the Gulf Province of PNG and describe disease characteristics, co-morbidities and drug resistance profiles that could impact on disease outcomes and transmission.\ud \ud Methods: Between March 2012 and June 2012, we prospectively collected data on 274 patients presenting to Kikori Hospital with a presumptive diagnosis of TB, and on hospital inpatients receiving TB treatment during the study period. Sputum was collected for microscopy, GeneXpert analysis, culture and genotyping of isolates.\ud \ud Results: We estimate the incidence of TB in Kikori to be 1290 per 100,000 people (95% CI 1140 to 1460) in 2012. The proportion of TB patients co-infected with HIV was 1.9%. Three of 32 TB cases tested were rifampicin resistant. Typing of nine isolates demonstrated allelic diversity and most were related to Beijing strains.\ud \ud Conclusions: The incidence of TB in Kikori is one of the highest in the world and it is not driven by HIV co-infection. The high incidence and the presence of rifampicin resistant warrant urgent attention to mitigate substantial morbidity in the region