1. Dr Neil Douglas GP Clinical Lead Child Health

2.  In the UK responsible for the largest number of disability adjusted life years lost of any single childhood chronic illness  There is conflicting evidence on prevalence but in 2008/09 4,460 children in TH.  There are preventable deaths from Asthma  Only 3% of children have written plans to prevent and manage exacerbations

3. Asthma prevalence aged 0-19 registered with a GP – 2008/09 Prevalence - weighted average of the practice prevalence weighted by registered practice population in each ward

4.  Tower Hamlets-38.7  City and Hackney-49.0  Newham-205.4  Southwark-307.2

5.  Crude rate per 100,000 (0-18, 2011/12)  Tower Hamlets 151.5 (88 children)  England Average-193.9  England Worst-484.4  England Best-73.4  Trend of Emergency Admissions reducing compared with 2008-2009

6.  Breast feeding  Less smoking  Less pollution  Better diagnosis and management  New treatments and guidelines