HC Deb 23 February 1999 vol 326 cc222-5W
Dr. Strang

To ask the Secretary of State for Scotland if he will make a statement on the anonymised programme of HIV surveillance in Scotland, setting out for each survey currently in operation or planned the(a) location, (b) targeted populations, (c) clinical reasons for initial collection of specimens, (d) number of specimen collection venues, (e) annual specimen numbers and (f) most recent prevalence data. [71910]

Mr. Galbraith

The statistical information is set out in the tables.

The two principal targeted populations are genito-urinary clinic attenders and neonates. For the latter, prevalence of HIV antibody positivity among neonates is an indicator of the prevalence of HIV infection among childbearing women. Up to 1997, additional unlinked anonymous HIV testing was performed on pregnant women in Edinburgh and Dundee. Because HIV prevalence among this group has remained relatively low and stable, these additional surveys were discontinued as at December 1997.

Genito-urinary clinic attenders having a syphilis serology test or presenting with a new sexually-transmitted disease for the first time in a calender quarter are eligible for entry into the survey. HIV testing of

Incidence of HIV infection among genito-urinary clinic attenders 1995–971
1995 1996 1997
N %+ve N %+ve N %+ve
Greater Glasgow
Homo/Bisexual Males (excl. IDUs) 255 4.31 215 4.65 311 1.93
Hetero Males (excl. IDUs) 2,035 0.20 1,519 0.20 2,105 0.14
Hetero Females (excl. IDUs) 1,374 0.07 956 0.21 1,232 0.00
Injecting Drug Users(IDU) 38 5.26 37 2.70 50 0.00
Other/Unknown 64 0.00 77 0.00 101 0.00
Total 3,766 0.48 2,804 0.57 3,799 0.24
Lothian
Homo/Bisexual Males (excl. IDUs) 292 3.08 477 3.98 437 3.66
Hetero Males (excl. IDUs) 2,246 0.40 2,087 0.29 2,241 0.22
Hetero Female (excl. IDUs) 1,971 0.20 1,876 0.32 2,231 0.18
Injecting Drug Users (IDU) 27 3.70 35 11.43 55 7.27
Other/Unknown 27 0.00 35 0.00 50 0.00
Total 4,563 0.50 4,510 0.78 5,014 0.58
Tayside
Homo/Bisexual Males (excl. IDUs) 28 7.14 38 2.63 46 0.00
Hetero Males (excl. IDUs) 515 0.58 468 0.21 550 0.18
Hetero Females (excl. IDUs) 248 0.40 297 0.00 379 0.00
Injecting Drug Users (IDU) 16 0.00 9 0.00 31 9.68
Other/Unknown 17 0.00 22 0.00 52 0.00
Total 824 0.73 834 0.24 1,058 0.38
Grampian
Homo/Bisexual Males (excl. IDUs) 34 0.00 83 1.20 50 6.00
Hetero Males (excl. IDUs) 481 0.21 489 0.00 505 0.40
Hetero Females (excl. IDUs) 3360.00 428 0.00 425 0.71
Injecting Drug Users (IDU) 14 0.00 46 0.00 57 0.00
Other/Unknown 14 0.00 14 0.00 69 1.45
Total 879 0.11 1,060 0.09 1,106 0.81
Other
Homo/Bisexual Males (excl. IDUs) 23 4.35 19 15.79 28 0.00
Hetero Males (excl. IDUs) 363 0.00 303 0.00 477 0.00
Hetero Females (excl. IDUs) 297 0.34 258 0.00 467 0.00
Injecting Drug Users (IDU) 11 0.00 8 0.00 15 0.00
Other/Unknown 8 0.00 4 0.00 9 0.00
Total 702 0.28 592 0.51 996 0.00
Scotland
Homo/Bisexual Males (excl. IDUs) 632 3.64 832 4.09 872 2.87
Hetero Males (excl. IDUs) 5,640 0.30 4,866 0.21 5,878 0.19
Hetero Females (excl. IDUs) 4,226 0.17 3,815 0.21 4,734 0.15
Injecting Drug Users (IDU) 106 2.83 135 3.70 208 3.37
Other/Unknown 130 0.00 152 0.00 281 0.36
Total 10,734 0.47 9,800 0.58 11,973 0.43
1Attenders at GUM clinics in Glasgow, Edinburgh, Dundee, Perth, Aberdeen, Falkirk, and Stirling Geographical categorisation is by the health board area in which the clinic is sited.
neonates is performed on dried blood spots collected on Guthrie cards used for neonatal metabolic screening tests for conditions such as hypothyroidism and phenylketonuria.

For genito-urinary clinic attenders the collection venues are two genito-urinary clinics in Glasgow, one in Edinburgh, one in Dundee, one in Aberdeen, one in Falkirk and one in Stirling. For neonates, all Guthrie cards are sent directly to the neonatal metabolic screening laboratory at Stobhill General Hospital, Glasgow.

From 1 July 1999 this will be a matter for the Scottish Parliament.

Incidence of HIV infection among women attending antenatal clinics or undergoing termination of pregnancy—Lothian and Tayside (excluding injecting drug users)1995–971
1995 1996 1997
N %+ve N %+ve N %+ve
Lothian 12,173 0.06 12,965 0.08 12,214 0.07
Tayside 3,547 0.08 3,639 0.14 3,516 0.06
1This survey was confined to pregnant women attending clinics in Edinburgh and Dundee. Geographical categorisation is by the health board area in which the clinic is sited.

Incidence of HIV infection among neonates 1995–97
1995 1996 1997
N %+ve N %+ve N %+ve
Greater Glasgow
Childbearing women (incl. IDUs) 10,380 0.01 10,093 0.01 10,412 0.01
Lothian
Childbearing women (incl. IDUs) 9,266 0.06 9,224 0.10 9,332 0.04
Tayside
Childbearing women (incl. IDUs) 4,494 0.04 4,414 0.07 4,623 0.04
Grampian
Childbearing women (incl. IDUs) 6,139 0.00 5,998 0.02 6,146 0.02
Other
Childbearing women (incl. IDUs) 30,620 0.02 29,854 0.01 30,526 0.02
Scotland
Childbearing women (incl. IDUs) 60,899 0.02 59,574 0.03 61,039 0.02