To ask the Scottish Executive how many cases of malnourishment in children have been recorded by the NHS in each of the last 25 years.
The information requested is not held centrally.
However, the tables below show the number of children who have been admitted to hospital with a diagnosis of malnutrition since 1981 and the levels of under-nutrition in pre-school children (three to there-and-a-half-years) and school aged children (at primary 1, primary 7 and secondary 3).
Whilst the numbers of malnourished children in Scotland are relatively low, The Scottish Executive wants to ensure that every child enjoys a well-balanced, healthy diet. Our health improvement programme focuses strongly on this, for example through healthy school meals, free fruit for primary 1 and 2 pupils and Breakfast Clubs where children, especially those in low-income areas, can enjoy a healthy start to the day.
Discharges by Financial Year of Discharge, Scotland, April 1981 to March 2004
| Year Ending 31 March | Children Aged Under 16 Years |
| Principal Diagnoses | Secondary Diagnoses | Total |
| 1982 | 2 | - | 2 |
| 1983 | 2 | 4 | 6 |
| 1984 | 3 | 3 | 6 |
| 1985 | 2 | 2 | 4 |
| 1986 | 3 | 2 | 5 |
| 1987 | 4 | - | 4 |
| 1988 | 2 | 5 | 7 |
| 1989 | - | 1 | 1 |
| 1990 | - | 2 | 2 |
| 1991 | - | 1 | 1 |
| 1992 | - | 3 | 3 |
| 1993 | 1 | 1 | 2 |
| 1994 | - | 4 | 4 |
| 1995 | - | 1 | 1 |
| 1996 | 1 | 1 | 2 |
| 1997 | 3 | 5 | 8 |
| 1998 | 6 | 6 | 12 |
| 1999 | 1 | 5 | 6 |
| 2000 | 5 | 6 | 11 |
| 2001 | 1 | 4 | 5 |
| 2002 | 2 | 2 | 4 |
| 2003 | 2 | 3 | 5 |
| 2004 | 2 | 3 | 5 |
| April 1981- March 2004 | 42 | 64 | 106 |
Notes:
1. This information wasextracted from the SMR01 linked data set maintained by ISD Scotland. SMR01records (Scottish Morbidity Records 1) record all in-patient and day casedischarges from non-obstetric and non-psychiatric specialties in NHS Hospitalsin Scotland.
2. Figures based on Scottishresidents only.
3. Figures based on patientsare presented on an annual basis. Therefore, patients are only counted once ayear but the same patient may be counted in different years.
4. Diagnoses coded using theInternational Classification of Diseases (ICD-9 and ICD-10)
5. Malnutrition defined asICD-9: 260-263, ICD-10: E40-E46
6. Data is provided byfinancial year of discharge, April 2002 to March 2003.
7. Up to six diagnoses (1principal, 5 secondary) are recorded on SMR01 returns.
Figures have been brokendown by principal and secondary diagnoses.
Source: SMR01 Ref:ISD/HIG/IR2005-00756 Date: 23 March 2005
Table 2: Low BMIDistribution (Under Nutrition < 2nd="" centile):="" children="" receiving="" a="" review="" inp1="" (four="" to="" five="" years),="" p7="" (11="" to="" 12="" years)="" and="" s3="" (14="" to="" 15="" years);="" by="" schoolyear="" 1973-74="" to="">
| School Year | No. Examined | Primary 1 | Primary 7 | Secondary 3 |
| Very Low (<>nd Centile) | No. Examined | Very Low (<>nd Centile) | No. Examined | Very Low (<>nd Centile) |
| Number | % | Number | % | Number | % |
| 1973-74 | 79,424 | 1,108 | 1.4 | .. | .. | .. | 62,090 | 1,218 | 2.0 |
| 1974-75 | 72,354 | 1,248 | 1.7 | .. | .. | .. | 35,272 | 654 | 1.9 |
| 1975-76 | 71,397 | 1,333 | 1.9 | .. | .. | .. | 37,763 | 717 | 1.9 |
| 1976-77 | 75,724 | 1,503 | 2.0 | .. | .. | .. | 72,804 | 1,550 | 2.1 |
| 1977-78 | 71,672 | 1,346 | 1.9 | .. | .. | .. | 76,476 | 1,501 | 2.0 |
| 1978-79 | 64,235 | 1,201 | 1.9 | .. | .. | .. | 76,033 | 1,364 | 1.8 |
| 1979-80 | 60,411 | 1,126 | 1.9 | .. | .. | .. | 71,623 | 1,251 | 1.7 |
| 1980-81 | 60,543 | 1,048 | 1.7 | .. | .. | .. | 73,936 | 1,316 | 1.8 |
| 1981-82 | 56,379 | 1,067 | 1.9 | .. | .. | .. | 73,403 | 1,449 | 2.0 |
| 1982-83 | 55,703 | 1,001 | 1.8 | .. | .. | .. | 71,064 | 1,198 | 1.7 |
| 1983-84 | 57,992 | 1,051 | 1.8 | .. | .. | .. | 66,046 | 1,246 | 1.9 |
| 1984-85 | 58,687 | 1,094 | 1.9 | .. | .. | .. | 55,095 | 1,001 | 1.8 |
| 1985-86 | 63,461 | 1,056 | 1.7 | .. | .. | .. | 61,475 | ,978 | 1.6 |
| 1986-87 | 61,225 | 1,050 | 1.7 | .. | .. | .. | 57,900 | 936 | 1.6 |
| 1987-88 | 59,544 | 989 | 1.7 | .. | .. | .. | 56,261 | 857 | 1.5 |
| 1988-89 | 54,034 | 963 | 1.8 | .. | .. | .. | 47,067 | 678 | 1.4 |
| 1989-90 | 53,044 | 842 | 1.6 | .. | .. | .. | 42,442 | 582 | 1.4 |
| 1990-91 | 46,548 | 772 | 1.7 | .. | .. | .. | 27,236 | 314 | 1.2 |
| 1991-92 | 42,297 | 749 | 1.8 | .. | .. | .. | 23,949 | 295 | 1.2 |
| 1992-93 | 39,232 | 648 | 1.7 | .. | .. | .. | 18,440 | 206 | 1.1 |
| 1999-003 | 6,570 | 92 | 1.4 | 9,009 | 156 | 1.7 | 5,267 | 82 | 1.6 |
| 2000-014 | 12,739 | 187 | 1.5 | 13,449 | 193 | 1.4 | 10,336 | 133 | 1.3 |
| 2001-025 | 12,833 | 186 | 1.4 | 14,055 | 186 | 1.3 | 9,945 | 137 | 1.4 |
| 2002-036 | 16,253 | 231 | 1.4 | 14,998 | 206 | 1.4 | 9,144 | 137 | 1.5 |
| 2003-046,7 | 16,693 | 224 | 1.3 | 13,800 | 206 | 1.5 | 9,579 | 153 | 1.6 |
Source: SMR10, CHSP-S ISD ScotlandRef:IR2005-00756.
Notes:
1. Data up to school year1992/93 has been extracted from School Health (SMR10).
2. Data from school year1999/00 has been extracted from Child Health Surveillance Programme: School.
3. Includes Borders,Lanarkshire and West Lothian NHS Trust only.
4. Includes Borders, Fife,Lanarkshire and West Lothian NHS Trust.
5. Includes Argyll and Clyde,Borders, Fife, Lanarkshire and West Lothian NHS Trust.
6. Includes Argyll and Clyde,Borders, Fife, Lanarkshire, Tayside and West LothianNHS Trust.
7. Information at S3excludes Argyll and Clyde and Tayside NHS Boards where this review is notcarried out.
..Data not collected during this year.
Table 3: Low BMI Distribution (Under Nutrition < 2nd="" centile):="" children="" receiving="" 39-42="" month="" review="" (approx="" 3-3.5="" yrs);="" by="" year="" of="" birth="">
| Year of Birth | No. Examined | Very Low (< 2nd=""> |
| Number | % |
| 19952 | 37,353 | 961 | 2.6 |
| 19962 | 36,663 | 1,007 | 2.7 |
| 19972 | 35,804 | 934 | 2.6 |
| 1998 | 35,906 | 888 | 2.5 |
| 1999 | 34,981 | 850 | 2.4 |
| 2000 | 32,534 | 893 | 2.7 |
Source:CHSP-PS ISD Scotland Ref:IR2005-00756.
Notes:
1. The Child Health Surveillance Programme- Pre school (CHSP-PS) system currently has 10 participating NHS boards (excludes, Orkney, Shetland, Western Isles, Highland and Grampian).
2. Excludes Dumfries and Galloway who did not implement the system until 2000.