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347943

	registered interest
	date	02/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Human Papillomavirus: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, to date, how many adverse reactions to (1) Cervarix, (2) Gardasil and (3) generic human papilloma virus vaccines have been reported to the Medicines and Healthcare products Regulatory Agency; for each category, how many of those reports are of serious adverse reactions; and what age-specific rate those figures represent.
	tabling member printed	The Countess of Mar
	uin	HL229
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>A total of 8,243 suspected adverse drug reaction (ADR) reports with human papilloma virus (HPV) vaccines have been reported to the Medicines and Healthcare products Regulatory Agency (MHRA), via the Yellow Card Scheme, up to 3 June 2015.</p><p> </p><p> </p><p> </p><p>To date, more than 8 million doses of HPV vaccine have been given across the United Kingdom as part of the routine immunisation programme. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><p>It is important to note that a Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine may have been the cause. Yellow Card data cannot be used as a reliable indicator of the frequency of suspected ADRs to vaccines or medicines. The level of ADR reporting may fluctuate between given years due to a variety of reasons such as a medicine being new (reporting rates are generally higher when a product is first introduced), stimulated interest/publicity and variations in exposure to the medicine.</p><p> </p><p> </p><p> </p><p>The possible known side effects, and the frequency, are listed in the product information which is provided with the vaccines. The vast majority of the 8,243 ADRs relate to the known risks of vaccination that are well-described in the available product information. The proportion of suspected ADRs for HPV vaccines that were reported as serious (32%) is less than the proportion reported as serious for other routinely used vaccines (68% overall) during the same time period. The expected benefits in protecting against HPV-related mortality and disease outweigh the known side effects of HPV vaccine.</p><p> </p><p> </p><p> </p><p>The following table provides a breakdown of UK suspected spontaneous ADRs received via the Yellow Card Scheme in association with the HPV vaccine. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Vaccine Brand</p></td><td><p>Total number of reports</p></td><td><p>Number of serious reports (% of total)</p></td><td><p>Reporting rate per 1000 doses (serious reporting rates per 1000)</p></td></tr><tr><td><p>Cervarix</p></td><td><p>6,266</p></td><td><p>1,768 (28%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.78 (0.22)</del></p></td></tr><tr><td><p>Gardasil</p></td><td><p>1,471</p></td><td><p>504 (34%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.18 (0.06)</del></p></td></tr><tr><td><p>HPV Brand unspecified</p></td><td><p>507</p></td><td><p>326 (64%)</p></td><td><p><ins class="ministerial">n/a ** </ins><del class="ministerial">0.06 (0.04)</del></p></td></tr><tr><td><p>Total for Human Papilloma virus vaccines</p></td><td><p>*8,244</p></td><td><p>2,598 (32%)</p></td><td><p>1.03 (0.32)</p></td></tr></tbody></table><p> </p><p><em>Source:</em> MHRA sentinel database for adverse reactions.</p><p> </p><p>* It should be noted that the total number of reports received will not be equal to the totals in the table above as some reports of suspected adverse reactions may have included more than one vaccine.</p><p><ins class="ministerial">**Updated UK-wide brand-specific usage data are not available to MHRA at the time of writing based on a minimum of 8 million combined doses of Cervarix and Gardasil administered across the UK to date.</ins></p><p> </p><p><ins class="ministerial"> <p> </p><p> </p><p> </p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The seriousness criteria for ADR reporting were determined by a working group of the Council for International Organizations of Medical Sciences (CIOMS) and are defined as 6 possible categories which are explained on the Yellow Card. The MHRA asks reporters to select one of the following criteria by ticking the appropriate box on the Yellow Card: (1) patient died due to reaction; (2) life threatening; (3) resulted in hospitalisation or prolonged inpatient hospitalisation; (4) congenital abnormality; and (5) involved persistent or significant disability or incapacity; or (6) if the reaction was deemed medically significant. In addition to this, seriousness of reaction terms has also been defined by the MHRA in its medical dictionary. Therefore an ADR report can be serious because the reporter considers the reaction to be serious or because the reaction term itself is considered serious in the MHRA medical dictionary.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 16/06/2015 14:35:02 question first ministerially corrected 03/07/2015 14:01:13 answering member 127 label Biography information for Lord Prior of Brampton previous answer version 5462 answering member printed Lord Prior of Brampton answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1861 label Biography information for The Countess of Mar

350103

	registered interest
	date	11/06/2015
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Cyprus
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the length of the land perimeter of the Sovereign Base Area of Dhekelia with (1) the area administered by the Turkish Cypriot Authorities, and (2) the area administered by the government of Cyprus.
	tabling member printed	Lord Kilclooney
	uin	HL417
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The length of the land perimeter of the Dhekelia Sovereign Base Area, excluding the small Republic of Cyprus enclaves, with (1) is approximately 50.4 km and (2) approximately 34.6 km. The Dhekelia Sovereign Base Area is also on the perimeter of the UN controlled zone and the length of the boundaries is approximately 8.5 km in the West and 1.1 km in the East.</p> answering member printed Earl Howe question first answered 16/06/2015 15:49:10 answering member 2000 label Biography information for Earl Howe
	tabling member	657 label Biography information for Lord Kilclooney

349533

	registered interest
	date	10/06/2015
	answering body	Department for Work and Pensions
	answering dept id	29
	answering dept short name	Work and Pensions
	answering dept sort name	Work and Pensions
	hansard heading	Universal Credit: Disqualification
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they have plans to publish statistics on sanctions imposed under the universal credit scheme as it is brought into effect.
	tabling member printed	Baroness Lister of Burtersett
	uin	HL402
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p /> <p>The Department published its strategy for releasing official statistics on Universal Credit in September 2013. As outlined in the strategy, officials are quality assuring data for Universal Credit and formulating a definitive list of what statistics will be provided in the future.</p><p> </p><p>These statistics will be published in accordance with the relevant protocols in the Code of Practice for Official Statistics.</p> answering member printed Lord Freud question first answered 16/06/2015 13:52:42 answering member 3893 label Biography information for Lord Freud
	tabling member	4234 label Biography information for Baroness Lister of Burtersett

349528

	registered interest
	date	10/06/2015
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Armed Forces: Mesothelioma
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what data is collected about the incidence of mesothelioma among members of the armed forces; what studies of this issue have been conducted; what estimates they have made of the future incidence of mesothelioma among service men and women and of connected fatalities; and whether any consideration is being given to extending legislative provisions on compensation related to mesothelioma to include members of the armed forces affected by their service.
	tabling member printed	Lord West of Spithead
	uin	HL397
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The Ministry of Defence (MOD) holds some data about the incidence of mesothelioma among members of the Armed Forces. For example, since 1995 the MOD has been able to identify if an individual has been medically discharged as a result of the condition.</p><p> </p><p>Diagnoses for cancers are made at secondary care level by the NHS, however the data the NHS Cancer Registries collect is not at an occupational level.</p><p>The MOD has not conducted studies or research about mesothelioma. A 2009 case control study of occupational risks in the British population undertaken by the London School of Hygiene and Tropical Medicine estimated that about 2,500 Royal Navy veterans will die from mesothelioma between 2013 and 2047. Two thirds of the deaths occur in those aged 80 years or above.</p><p>The War Pensions Scheme provides no-fault compensation on discharge for Service personnel and their dependants for injuries, illness and death caused as a result of Service before 6 April 2005. Veterans who contracted mesothelioma before 6 April 2005 can claim no-fault compensation under the War Pensions Scheme, rather than through the Mesothelioma 2014 Scheme. The latter is a last resort arrangement for individuals when their employer/employer's insurer is unknown. Because their employer is known, and the MOD insures itself, the 2014 Act does not benefit former Service personnel.</p><p> </p><p> </p><p> </p><p> </p> answering member printed Earl Howe question first answered 16/06/2015 15:50:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3834 label Biography information for Lord West of Spithead

349140

	registered interest
	date	09/06/2015
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Iraq: Military Aid
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how long the deployment of army personnel to Iraq to provide training to the Iraqi security forces is planned to last.
	tabling member printed	The Marquess of Lothian
	uin	HL356
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The Government has been clear that dealing with this threat will take time and patience. Our intention is to provide support to the Iraqi Government whilst the Iraqi Government still requests it and we believe it to be needed.</p><p> </p><p> </p><p> </p><p> </p> answering member printed Earl Howe question first answered 16/06/2015 15:50:30 answering member 2000 label Biography information for Earl Howe
	tabling member	259 label Biography information for The Marquess of Lothian

349139

	registered interest
	date	09/06/2015
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Trident
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what assessment they have made of whether the United Kingdom's nuclear deterrent is vulnerable to espionage as a result of insufficient maritime patrol surveillance.
	tabling member printed	The Marquess of Lothian
	uin	HL355
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The Government takes its responsibilities for maintaining a credible nuclear deterrent extremely seriously and continually conducts assessments to ensure that the required security and operational effectiveness standards are met. I am not prepared to comment on any further details as this could allow conclusions to be drawn on the UK's capabilities.</p> answering member printed Earl Howe question first answered 16/06/2015 15:48:49 answering member 2000 label Biography information for Earl Howe
	tabling member	259 label Biography information for The Marquess of Lothian

348857

	registered interest
	date	08/06/2015
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Seas and Oceans: Surveillance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the requirements of the Border Force, HM Revenue and Customs, the Maritime and Coastguard Agency, the Department for Environment, Food and Rural Affairs and other government departments and agencies in United Kingdom waters are part of the work on future maritime surveillance informing the Strategic Defence and Security Review; and if so, what is the composition of the team responsible for the maritime work.
	tabling member printed	Lord West of Spithead
	uin	HL336
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>Work has now begun on the 2015 National Security Strategy and Strategic Defence and Security Review (SDSR). The process is still in the early stages and is being led by the Cabinet Office in close consultation with all relevant departments and agencies. The National Maritime Security Committee, a cross-government group with responsibility for this area of policy, will feed their work into the SDSR.</p> answering member printed Earl Howe question first answered 16/06/2015 15:47:54 answering member 2000 label Biography information for Earl Howe
	tabling member	3834 label Biography information for Lord West of Spithead

348855

	registered interest
	date	08/06/2015
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Merlin Helicopters
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether plans have been developed and exercised to use the new Merlin Mk2 helicopters to fill the reconnaissance and anti-submarine warfare gap in the North-west Approaches, and the Greenland, Iceland and United Kingdom gaps, left by cancellation of the Nimrod programme.
	tabling member printed	Lord West of Spithead
	uin	HL334
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>Merlin Mk2 Helicopters have been utilised in support of exercises and operations and remain at readiness to do so.</p><p>A decision on whether to take further steps to mitigate the maritime surveillance capability gap will be part of the Strategic Defence and Security Review.</p> answering member printed Earl Howe question first answered 16/06/2015 15:47:13 answering member 2000 label Biography information for Earl Howe
	tabling member	3834 label Biography information for Lord West of Spithead

348830

	registered interest
	date	08/06/2015
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Refugees: Africa
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government when they expect the European Union Regional Development and Protection Programme for refugee and host communities in North Africa and the Horn of Africa to become effective; and what further consents are needed before this can happen.
	tabling member printed	Lord Hylton
	uin	HL309
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The North Africa Regional Development and Protection Programme was launched in April 2015 and the Horn of Africa Regional Development and Protection Programme in June 2015. The UK strongly supports both programmes. Activities on the North Africa Programme are expected to begin in September 2015. The proposal for the Horn of Africa Programme will be finalised in the autumn, following a trip to the region by a Dutch-led delegation.</p> answering member printed Lord Bates question first answered 16/06/2015 14:49:32 answering member 1091 label Biography information for Lord Bates
	tabling member	2018 label Biography information for Lord Hylton

348822

	registered interest
	date	08/06/2015
	answering body	Department for Communities and Local Government
	answering dept id	7
	answering dept short name	Communities and Local Government
	answering dept sort name	Communities and Local Government
	hansard heading	Derelict Land
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they plan to match the brownfield investment fund created by Pendle Borough Council on a pound for pound basis or in some other way in order to help bridge the funding gap in the development of such sites.
	tabling member printed	Lord Greaves
	uin	HL301
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The Government is committed to ensuring that brownfield land is used as much as possible for new development. This is supported by our intention to create a £1 billion Brownfield Fund to unlock homes on brownfield land. The Fund is a new initiative and as such no payments from it were made in previous years.</p><p> </p><p>The focus of the Fund will be on unlocking homes on brownfield land to create additional housing. Ministers are finalising the details of how it will operate and are clear that the role of local authorities such as Pendle Borough Council will be crucial.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL300 question first answered 16/06/2015 13:51:03 answering member 4311 label Biography information for Baroness Williams of Trafford
	tabling member	2569 label Biography information for Lord Greaves