http://www.ncbi.nlm.nih.gov/pubmed/19367096<\/a>)<\/p> <\/p>
<\/p>
<\/p>
Data on the number of occurrences of Lyme disease in other European Union member states is not held.<\/p>
<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/2000", "label" : {"_value" : "Biography information for Earl Howe"}
}
, "answeringMemberPrinted" : {"_value" : "Earl Howe"}
, "dateOfAnswer" : {"_value" : "2015-01-26", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-26T15:02:12.363Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Lyme Disease"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government what is the recorded number of occurrences of Lyme disease in the United Kingdom in each of the past 10 years; whether they have estimated the extent of under-reporting; and what assessment they have made of the number of cases of Lyme disease in (1) the United States, and (2) other member countries of the European Union, in the latest year for which they have information.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/2569", "label" : {"_value" : "Biography information for Lord Greaves"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Greaves"}
], "uin" : "HL4124"}
, {"_about" : "http://data.parliament.uk/resources/173565", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173565/answer", "answerText" : {"_value" : "
Public Health England (PHE) and the National Health Service have detailed information on the recognition, diagnosis, treatment and management of Lyme disease. PHE has also written a guide on how to refer patients for specialist advice, which is attached. The National Institute for Health and Care Excellence also has an online guide for general practitioners (GP) and other health professionals.<\/p>
<\/p>
<\/p>
<\/p>
PHE issues a letter to all GPs on an annual basis at the beginning of the tick season describing Lyme disease and highlighting the need to be aware and to recognise the condition. The majority of cases are managed by GPs without reference to specialists, but problem cases can be referred to neurology, rheumatology, cardiology and infectious disease clinics depending on the local provision and of services and patient\u2019s symptoms. In addition to the attached guidance, Suggested referral pathway for patients with symptoms related to Lyme disease<\/em>, PHE offers a telephone helpline for GPs and consultants to discuss particular cases. PHE works closely with the patient group Lyme Disease Action, who will also represent individuals who have trouble obtaining specialist advice, and can thus help in suggesting potential routes of referral.<\/p> <\/p>
<\/strong><\/p> <\/p>
<\/strong><\/p> <\/p>
<\/p>
<\/p>
<\/p>
<\/p>
<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4203", "label" : {"_value" : "Biography information for Baroness Jolly"}
}
, "answeringMemberPrinted" : {"_value" : "Baroness Jolly"}
, "attachment" : {"_about" : "http://data.parliament.uk/resources/173565/answer/attachment/1", "fileName" : {"_value" : "Lyme disease referral pathway Jan 2015.pdf"}
, "title" : "Lyme Disease Referral Pathway"}
, "dateOfAnswer" : {"_value" : "2015-01-28", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-28T14:04:57.627Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Lyme Disease"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government what information, advice and training is provided to doctors and nurses on the symptoms and treatment of Lyme disease; what advice is provided to general practitioners on the reference to specialists of patients exhibiting symptoms of Lyme disease; and which centres provide specialist treatment for that disease.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/2569", "label" : {"_value" : "Biography information for Lord Greaves"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Greaves"}
], "uin" : "HL4125"}
, {"_about" : "http://data.parliament.uk/resources/173566", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173566/answer", "answerText" : {"_value" : "
Public Health England (PHE) actively reviews test methodologies for Lyme disease based on peer reviewed reports and on evaluation of possible alternative test kits within the laboratory. As part of this work, staff from the Rare and Imported Pathogens Laboratory (RIPL) have attended international conferences, including those organised by pressure groups proposing alternative testing systems to those used in state laboratories, and met with private and state laboratory service providers in Europe and the United States.<\/p>
<\/p>
<\/p>
<\/p>
RIPL offers a telephone advice line to clinicians with problem cases, and also works with the patient charity Lyme Disease Action to address the needs of individual patients. RIPL also participates in a European external quality assessment programme, and cross-compares results with Raigmore Hospital in Scotland.<\/p>
<\/p>
<\/p>
<\/p>
All diagnostic tests for infectious diseases are less sensitive in the very early stages of disease, and the results of a laboratory test have to be interpreted in this light and in conjunction with the patient\u2019s presentation. Whilst the current tests are not perfect, none of the alternatives have yet proven superior to accepted methodologies. Any novel methods to test for Lyme disease are kept under review.<\/p>
<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/2000", "label" : {"_value" : "Biography information for Earl Howe"}
}
, "answeringMemberPrinted" : {"_value" : "Earl Howe"}
, "dateOfAnswer" : {"_value" : "2015-01-26", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-26T15:07:51.67Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Lyme Disease"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government what assessment they have made of the quality and availability of tests for Lyme disease and related diseases in (1) the United Kingdom, (2) the rest of the European Union, and (3) North America.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/2569", "label" : {"_value" : "Biography information for Lord Greaves"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Greaves"}
], "uin" : "HL4126"}
, {"_about" : "http://data.parliament.uk/resources/173567", "AnsweringBody" : [{"_value" : "Department for Environment, Food and Rural Affairs"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173567/answer", "answerText" : {"_value" : "
Defra has made no formal assessment of the extent of Lyme disease in the United Kingdom in livestock, domestic or wild animals. However a number of surveillance studies have shown that the main carriers of the Borrelia<\/em> organism that causes Lyme disease in people and dogs are small wild mammals (for example mice and voles) and ground nesting birds. Other studies have looked at the role of cattle, sheep and deer as hosts for the intermediate tick host, although these species do not maintain infection with the organism. No action is taken to reduce the number of infected wild animals. Action to reduce the number of infected wild animals could only be taken at disproportionate cost.<\/p> <\/p>
<\/p>
<\/p>
Control of the disease in people is focussed on public awareness of the importance of preventing tick bites. Factsheets on tick bite risk and prevention are produced by Public Health England and Lyme Disease Action, with further information for patients published by NHS Choices. Veterinary advice on the prevention of infection in dogs is widely available through private practitioners and a vaccine for dogs is now licensed.<\/p>
<\/p>
<\/p>
<\/p>
<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/2202", "label" : {"_value" : "Biography information for Lord De Mauley"}
}
, "answeringMemberPrinted" : {"_value" : "Lord De Mauley"}
, "dateOfAnswer" : {"_value" : "2015-01-28", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-28T17:30:08.833Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "13"}
, "answeringDeptShortName" : {"_value" : "Environment, Food and Rural Affairs"}
, "answeringDeptSortName" : {"_value" : "Environment, Food and Rural Affairs"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Lyme Disease"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government what assessment they have made of the extent of Lyme disease in the United Kingdom in (1) sheep, (2) other farm animals, (3) domestic animals, and (4) wild animals; and what action they are taking to reduce the number of infected animals.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/2569", "label" : {"_value" : "Biography information for Lord Greaves"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Greaves"}
], "uin" : "HL4127"}
, {"_about" : "http://data.parliament.uk/resources/173568", "AnsweringBody" : [{"_value" : "Department for International Development"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173568/answer", "answerText" : {"_value" : "
The UK government has not received a request from the Indian Government for financial assistance. In 2012, DFID announced that it would end our traditional financial grant aid to India in 2015. From this year on, our partnership will be based on sharing skills and expertise, investing in private sector projects that benefit the poor, and working together on global development issues.<\/p>
<\/p>
<\/p>
<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4282", "label" : {"_value" : "Biography information for Lord Bourne of Aberystwyth"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Bourne of Aberystwyth"}
, "dateOfAnswer" : {"_value" : "2015-01-28", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-28T16:52:02.767Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "20"}
, "answeringDeptShortName" : {"_value" : "International Development"}
, "answeringDeptSortName" : {"_value" : "International Development"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Kashmir"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government whether they have provided any financial support for the redevelopment of houses destroyed during recent floods in Indian-administered Kashmir.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3470", "label" : {"_value" : "Biography information for Lord Ahmed"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Ahmed"}
], "uin" : "HL4128"}
, {"_about" : "http://data.parliament.uk/resources/173569", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173569/answer", "answerText" : {"_value" : "
Allegations of human rights abuses on both sides of the Line of Control in Kashmir must be investigated thoroughly, promptly and transparently. Officials from our High Commissions in New Delhi and Islamabad regularly discuss the situation in Kashmir with the Governments of both India and Pakistan, and visit the region to witness the situation on the ground first-hand. The Secretary of State for Foreign and Commonwealth Affairs, my right hon. Friend the Member for Runnymede and Weybridge (Mr Hammond), has spoken to both his Indian and Pakistani counterparts about regional issues in recent months.<\/p>
<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3474", "label" : {"_value" : "Biography information for Baroness Anelay of St Johns"}
}
, "answeringMemberPrinted" : {"_value" : "Baroness Anelay of St Johns"}
, "dateOfAnswer" : {"_value" : "2015-01-23", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-23T12:37:35.177Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "16"}
, "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"}
, "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "India"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government what representations they have made to the government of India regarding human rights issues in the Jammu and Kashmir region.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3470", "label" : {"_value" : "Biography information for Lord Ahmed"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Ahmed"}
], "uin" : "HL4129"}
, {"_about" : "http://data.parliament.uk/resources/173570", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173570/answer", "answerText" : {"_value" : "
We have not made any representations to the Government of India on this matter.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3474", "label" : {"_value" : "Biography information for Baroness Anelay of St Johns"}
}
, "answeringMemberPrinted" : {"_value" : "Baroness Anelay of St Johns"}
, "dateOfAnswer" : {"_value" : "2015-01-22", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-22T15:55:55.313Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "16"}
, "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"}
, "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "India"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government whether they have made any representations to the government of India regarding the Governor's Rule currently in place in Jammu and Kashmir.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3470", "label" : {"_value" : "Biography information for Lord Ahmed"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Ahmed"}
], "uin" : "HL4130"}
, {"_about" : "http://data.parliament.uk/resources/173571", "AnsweringBody" : [{"_value" : "Department for Work and Pensions"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/173571/answer", "answerText" : {"_value" : "
Eligibility for Winter Fuel Payments is based on female State Pension age. The latest estimates we have show that there are currently around 600,000 higher and additional rate taxpayers in Great Britain in 2014/15 who are above the female State Pension age and therefore qualify for Winter Fuel Payments1<\/sup>.<\/p> <\/p>
<\/p>
We ask people who want to return their payment to do so by post so that it can be dealt with securely under existing Departmental financial processes and recorded against their Winter Fuel Payment account. We also ask for a covering letter indicating whether or not they wish us to continue to issue payments in future years.<\/p>
<\/p>
Returned payments should be sent to the address on the issuing letter or to the office that pays the claimant\u2019s benefit.<\/p>
<\/p>
<\/p>
The latest estimates we have show that treating Winter Fuel Payments as taxable income would bring in around £250 million a year of additional revenue2<\/sup>.<\/p> <\/p>
Notes:<\/p>
1. This estimate is based on the 2011/12 Survey of Personal Incomes using economic assumptions consistent with the OBR\u2019s November 2014 economic and fiscal outlook.<\/p>
The estimate uses ONS population projections at mid year 2012 adjusted for financial years.<\/p>
The estimate is rounded to the nearest 100,000.<\/p>
<\/p>
2. This estimate is based on DWP modelling using HMRC taxpayer data from November 2012 and Winter Fuel Payment caseload data from Winter 2013.<\/p>
This takes into account revenue from Basic, Higher and Additional rate taxpayers.<\/p>
Winter Fuel Payment rates are assumed to be £200 per year for recipients under 80 and £300 a year for recipients aged 80 and over.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3893", "label" : {"_value" : "Biography information for Lord Freud"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Freud"}
, "dateOfAnswer" : {"_value" : "2015-01-26", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "HL4132"}
, {"_value" : "HL4133"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-01-26T12:13:04.467Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "29"}
, "answeringDeptShortName" : {"_value" : "Work and Pensions"}
, "answeringDeptSortName" : {"_value" : "Work and Pensions"}
, "date" : {"_value" : "2015-01-14", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Winter Fuel Payment"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government how many recipients of the Winter Fuel Payment are higher rate taxpayers.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/225", "label" : {"_value" : "Biography information for Lord Tyler"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Tyler"}
], "uin" : "HL4131"}
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