Appendix 2

Alcohol related statistics for the of Source: North West Public Health Observatory (www.nwph.net).

Alcohol-specific: Conditions that are wholly related to alcohol (e.g. alcoholic liver disease or alcohol overdose).

Alcohol- attributable: Alcohol-specific conditions plus conditions that are caused by alcohol in some, but not all, cases (e.g. stomach cancer and unintentional injury). For these latter conditions, different attributable fractions are used to determine the proportion related to alcohol for males and females.

Ranking: The rank of the local indicator value among all 354 local authorities in England. A rank of 1 is the best local authority in England and a rank of 354 is the worst.

Two local authorities (City of London and Isles of Scilly) have been omitted from indicators Hazardous drinking (synthetic estimate), Harmful drinking (synthetic estimate) and Binge drinking (synthetic estimate) so in these cases the worst local authority has a rank of 352.

For indicator Employees in bars - % of all employees, a rank of 1 is the highest and a rank of 354 is the lowest value, as the desirability of the value (what is better or worse) has not been determined.

Alcohol-specific mortality Deaths from alcohol-specific conditions (all ages), directly standardised rate per 100,000 population, 2003/05. (NWPHO from Office for National Statistics mortality data and mid-year population estimates).

Females Ranking Males Ranking Bedford 81 Bedford 231 38 Broxbourne 38 97 Dacorum 97 77 East 77 182 Hertsmere 182 224 Luton 224 Mid 76 Mid Bedfordshire 21 112 North Hertfordshire 112 South Bedfordshire 22 South Bedfordshire 202 93 St Albans 93 105 Stevenage 105 Three Rivers 87 Three Rivers 87 Watford 176 Watford 176 Hatfield 53 Welwyn Hatfield 53

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Alcohol-attributable mortality Deaths from alcohol-attributable conditions (all ages), directly standardised rate per 100,000 population, 2005. (NWPHO from Office for National Statistics mortality data and mid-year population estimates).

Males Ranking Females Ranking Bedford 93 Bedford 119 Broxbourne 62 Broxbourne 93 Dacorum 111 Dacorum 280 East Hertfordshire 11 East Hertfordshire 147 Hertsmere 75 Hertsmere 40 Luton 119 Luton 171 Mid Bedfordshire 48 Mid Bedfordshire 24 North Hertfordshire 201 North Hertfordshire 160 South Bedfordshire 143 South Bedfordshire 37 St Albans 53 St Albans 56 Stevenage 230 Stevenage 305 Three Rivers 78 Three Rivers 144 Watford 149 Watford 182 Welwyn Hatfield 44 Welwyn Hatfield 66

Alcohol-specific hospital admission, under 18s Persons admitted to hospital due to alcohol specific conditions (under 18s), crude rate per 100,000 population, 2003/04-2005/06. In some areas the number of admissions was less than 5. In these cases the rate was calculated assuming 5 admissions. (NWPHO from Hospital Episodes Statistics and Office for National Statistics mid-year population estimates). Does not include attendance at A&E.

Bedford 35 Broxbourne 64 Dacorum 164 East Hertfordshire 26 Hertsmere 60 Luton 115 Mid Bedfordshire 47 North Hertfordshire 25 St Albans 96 Stevenage 79 Three Rivers 20 Watford 99 Welwyn Hatfield 170

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Alcohol-specific hospital admissions Persons admitted to hospital due to alcohol-specific conditions (all ages), directly standardised rate per 100,000 population, 2005/06. (NWPHO from Hospital Episodes Statistics and Office for National Statistics mid-year population estimates). Does not include attendance at A&E.

Males Females Bedford 159 Bedford 96 Broxbourne 30 Broxbourne 50 Dacorum 15 Dacorum 30 East Hertfordshire 1 East Hertfordshire 14 Hertsmere 9 Hertsmere 35 Luton 218 Luton 135 Mid Bedfordshire 13 Mid Bedfordshire 26 North Hertfordshire 21 North Hertfordshire 13 South Bedfordshire 147 South Bedfordshire 158 St Albans 3 St Albans 3 Stevenage 16 Stevenage 17 Three Rivers 55 Three Rivers 8 Watford 103 Watford 16 Welwyn Hatfield 26 Welwyn Hatfield 115

Alcohol-related crime Alcohol-related recorded crimes, crude rate per 1,000 population, 2006/07. (NWPHO from Home Office recorded crime statistics and Office for National Statistics mid-year population estimates). Attributable fractions for alcohol for each crime category were applied, based on survey data on arrestees who tested positive for alcohol by the Strategy Unit.

Recorded crimes Ranking Violent crimes Ranking Bedford 189 Bedford 174 Broxbourne 211 Broxbourne 183 Dacorum 167 Dacorum 166 East Hertfordshire 80 East Hertfordshire 86 Hertsmere 170 Hertsmere 124 Luton 314 Luton 288 Mid Bedfordshire 15 Mid Bedfordshire 4 North Hertfordshire 112 North Hertfordshire 107 South Bedfordshire 171 South Bedfordshire 112 St Albans 126 St Albans 95 Stevenage 282 Stevenage 306 Three Rivers 74 Three Rivers 47 Watford 326 Watford 340 Welwyn Hatfield 188 Welwyn Hatfield 176

Alcohol-related sexual offences Ranking Bedford 176 North Hertfordshire 111 Broxbourne 248 South Bedfordshire 114 Dacorum 169 St Albans 76 East Hertfordshire 90 Stevenage 304 Hertsmere 112 Three Rivers 11 Luton 291 Watford 297 Mid Bedfordshire 26 Welwyn Hatfield 266

Agenda Item 7 (Appendix 2) Page 29 Binge drinking (synthetic Hazardous drinking (synthetic estimate) Ranking estimate) Ranking Mid-2005 synthetic estimate of the proportion Synthetic estimate of the (%) of the population aged 16 years and over proportion (%) of adults who who report engaging in hazardous drinking, consume at least twice the daily defined as consumption of between 22 and 50 recommended amount of alcohol units of alcohol per week for males, and between in a single drinking session (that 15 and 35 units of alcohol per week for females. is, 8 or more units for men and 6 (NWPHO from Health Survey for England, or more units for women). Hospital Episode Statistics, Office for National Estimates originally produced for Statistics mid-year population estimates and the Department of Health (2005). mortality data and the Census of Population Two local authorities (City of 2001). Two local authorities (City of London and London and Isles of Scilly) have Isles of Scilly) have been omitted so authorities been omitted so authorities have have been ranked from 1 to 352. been ranked from 1 to 352.

Bedford 43 Bedford 129 Broxbourne 53 Broxbourne 208 Dacorum 144 Dacorum 217 East Hertfordshire 178 East Hertfordshire 238 Hertsmere 21 Hertsmere 189 Luton 13 Luton 69 Mid Bedfordshire 189 Mid Bedfordshire 229 North Hertfordshire 82 North Hertfordshire 166 South Bedfordshire 190 South Bedfordshire 221 St Albans 160 St Albans 182 Stevenage 64 Stevenage 247 Three Rivers 101 Three Rivers 156 Watford 108 Watford 218 Welwyn Hatfield 76 Welwyn Hatfield 248

Mortality from land transport Employees in bars - % of all employees Ranking accidents Ranking The number of employees employed in bars Estimated number of deaths (SIC2003: 5540), as a percentage of all attributable to alcohol from land employees, 2005 (Annual Business Inquiry, transport accidents (ICD-10: V01- National Statistics, from Nomis website: V89) (all ages) per 100,000 www.nomisweb.co.uk). A rank of 1 is the highest population, 2003-05 (NWPHO from local authority value in England and a rank of Compendium of Clinical and Health 354 is the lowest. The desirability of the value Indicators, National Centre for (what is best or worst) has not been determined. Health Outcomes Development and Office for National Statistics mid-year population estimates). The Strategy Unit's alcohol- attributable fraction was applied to obtain the estimates.

Bedford 65 Bedford 97 Broxbourne 39 Broxbourne 87 Dacorum 177 Dacorum 112 East Hertfordshire 284 East Hertfordshire 283 Hertsmere 137 Hertsmere 129 Luton 16 Luton 72 Mid Bedfordshire 190 Mid Bedfordshire 101 North Hertfordshire 281 North Hertfordshire 259 South Bedfordshire 150 South Bedfordshire 242 St Albans 206 St Albans 58 Stevenage 40 Stevenage 12 Three Rivers 123 Three Rivers 207 Watford 29 Watford 5 Welwyn Hatfield 15 Welwyn Hatfield 267

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Profile of Alcohol Related Harm

The chart shows Watford's measure for each indicator, as well as the regional and England averages and range of all local authority values for comparison purposes.

Show/hide interquartile ra

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Indicator Measure National Rank Regional Average

Alcohol-specific mortality - males 9.96 176 7.63 Alcohol-specific mortality - females 6.45 257 4.00 Mortality from chronic liver disease - males 24.45 336 8.13 Mortality from chronic liver disease - females 6.50 191 5.07 Alcohol-attributable mortality - males 42.64 149 39.69 Alcohol-attributable mortality - females 23.14 182 21.02 Alcohol-specific hospital admission, under 18s 40.86 99 40.58 Alcohol-specific hospital admission - males 211.22 103 221.46 Alcohol-specific hospital admission - females 68.88 16 114.36 Alcohol-attributable hospital admission - males 717.88 98 742.95 Alcohol-attributable hospital admission - females 372.11 36 424.55 Alcohol-related recorded crimes 15.74 326 7.64 Alcohol-related violent crimes 12.21 340 5.41 Alcohol-related sexual offences 0.17 297 0.11 Mortality from land transport accidents 0.59 5 2.25 Hazardous drinking (synthetic estimate) 18.85 108 18.73 Harmful drinking (synthetic estimate) 4.73 213 4.33 Binge drinking (synthetic estimate) 16.91 218 16.71 Employees in bars - % of all employees 1.34 29 1.87

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