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E Coli 0157 in Surrey: Update

20 September 2009

The Health Protection Agency (HPA) reports that the total number of cases of E Coli O157 linked to Godstone Farm in Surrey is 64.


Nine children remain in hospital all of whom are described today as stable and improving. None are seriously ill.

ENDS

Notes to editors:

  • E coli 0157 bacteria usually cause diarrhoea which settles within seven days without treatment. The diarrhoea may contain blood. Occasionally, serious kidney and blood complications can occur. Good hygiene is very important in preventing person-to person spread and small children should be supervised with hand washing after using the toilet and before eating.
  • Escherichia coli (commonly referred to as E. coli) is a species of bacteria commonly found in the intestines of humans and animals. There are many different types of E. coli, and while some live in the intestine quite harmlessly, others may cause a variety of diseases. The bacterium is found in faeces and can survive in the environment.
  • To avoid getting strains capable of causing intestinal disease people should avoid eating undercooked meat, in particular inadequately cooked minced beef and avoid drinking unpasteurised milk. Individuals working with uncooked meats or on farms should pay close attention to good hygiene practices, as should visitors to farms.
  • It is important to always wash your hands with soap after going to the toilet and before and after handling food.
  • Hand washing in young children should be supervised, especially after handling animals or their surroundings, for instance on a visit to a farm.

More information: http://www.hpa.org.uk/ecoliVTEC

Last reviewed: 20 September 2009

National Pandemic Flu Service goes online

23 July 2009 A new self-care service which will give people with pandemic swine flu symptoms fast access to information and antivirals was launched today by Health Secretary, Andy Burnham. The National Pandemic Flu Service is a new dedicated website and phoneline (0800 1 513 100 or 0800 1 513 200 (Textphone)) for people to check their symptoms and get a unique number which will give them access to antivirals if necessary. People who have swine flu symptoms will be given a unique access number and told where their nearest antiviral collection point is. They should then ask a flu friend - a friend or relative who doesn’t have swine flu - to go and pick up their antivirals. The flu friend must show their own ID as well as that of the patient. The authorisation number and ID information will be checked to ensure it matches the information provided when the assessment of symptoms was completed. Anyone who suspects they have swine flu must not go to their GP or Accident and Emergency. People should contact their doctor direct rather than using the National Pandemic Flu Service if: they have a serious underlying illness, they are pregnant, they have a sick child under one year old, their condition suddenly gets much worse, or if their condition is still getting worse after 7 days (5 for a child) Andy Burnham said: ‘The National Pandemic Flu Service will give patients access to information and antivirals as quickly as possible. It will free up GP’s so they can focus their efforts on helping those in at risk groups and patients with other illnesses. ‘The National Pandemic Flu Service will give patients access to information and antivirals as quickly as possible. It will free up GP’s so they can focus their efforts on helping those in at risk groups and patients with other illnesses.’ Andy Burnham, Health Secretary ‘People can still speak to their GP if they are concerned. In fact - it is important to stress that people with underlying health conditions, pregnant women, and parents with children under the age of one should speak to their GP if they have symptoms. ‘For the vast majority of people, swine flu has been mild. Some people find that they get better by staying in bed, drinking plenty of water and taking over the counter flu medication.’ Up to two thousand call operators will be trained for a minimum of three hours. Less experienced call operators will be trained for a day. Strict industry standard regulations are in place when employing staff. These include the right to work in the UK (therefore no illegal immigrants), satisfactory employment references and satisfactory character references. Doctors from the Royal College of General Practitioners will have a special liaison role with each of these call centres and will feed back problems or concerns that arise during the operation of service. As swine flu spreads, it is important to be able to recognise its symptoms. People who have any of the following symptoms and a temperature of 38 C and above or feels hot may have swine flu. The typical symptoms are: sudden fever (a high body temperature of 38C/100.4F or above), and sudden cough. Other symptoms may include: headache, tiredness, chills, aching muscles, limb or joint pain, diarrhoea or stomach upset, sore throat, runny nose, sneezing, and loss of appetite.

The World Health Organisation has declared a swine flu pandemic, raising its alert level to the maximum of six.

The World Health Organisation has declared a swine flu pandemic, raising its alert level to the maximum of six.
It does not mean the virus has become more deadly, just that its geographical spread is now global.

The WHO warned that countries already hit by the virus should prepare for a “second wave” of cases.

The number of infections has climbed in the United States, Europe, Australia, South America and elsewhere.

It is the first global pandemic for 41 years.

The virus first emerged in Mexico in April and has now spread to 74 countries with a reported 28,774 cases and 144 deaths, according to WHO’s latest tally of laboratory-confirmed infections.

Twenty-five new cases have been confirmed in the UK, bringing the total number to 822. There have been no deaths.

A Department of Health spokesperson said: “The localised cases of swine flu found in the UK have so far been generally mild in most people, but are proving to be severe in a small minority of cases.

“We are continuing to work to slow the spread of the disease and to put in place arrangements to ensure that the UK is well-placed to deal with this new infection.”

In a statement to member countries, the WHO said it decided to raise the pandemic alert level from phase five to six.

The decision was made after the UN health agency held an emergency meeting in Geneva, Switzerland, on swine flu with its experts.

Moving to phase six will trigger a large scale production of vaccines and prompt governments to devote more money towards efforts to contain the virus.

It will also raise questions about why the step was delayed for weeks as the virus continued to spread.

The WHO has urged countries not to close borders or restrict travel and trade.

It said: “At this early stage, the pandemic can be characterised globally as being moderate in severity. We remain in close dialogue with influenza vaccine manufacturers.”

According to the WHO’s own pandemic criteria, a global outbreak means a new flu virus is spreading in at least two world regions.

Sky’s health correspondent Thomas Moore said any move to declare a pandemic did not mean the virus itself was growing in potency.

He explained: “This is a marker if you like of geographical spread. It’s not an indication that the virus is becoming more severe.”

GlaxoSmithKline is already working with a key ingredient of the swine flu vaccine to see how quickly doses can be produced.

And other major pharmaceuticals like Sanofi Pasteur have also been working on a vaccine after WHO gave them a “seed stock” of the virus last month.

However, drug giants say it could take up to six months before large amounts of a swine flu vaccine are available.

Swine Influenza

Swine flu is a respiratory illness caused by the type A flu (H1N1) virus. The latest outbreaks in countries around the world have been caused by a new version (strain) of the virus.Transmission of this new virus is thought to occur in the same way as seasonal flu. The infection can be effectively treated with antiviral medication. Most reported cases outside of Mexico have been mild and people have recovered fully after treatment.

The Health Protection Agency is monitoring this situation closely. When cases of swine flu are suspected the HPA works with NHS colleagues and patients to collect samples, conduct testing and provide advice on medication and other public health activities.

Further information is available in this section of the website (see ‘Topics menu’ on the right), with specific areas for the general public, healthcare professionals, and the press and media.

Last updated:9 June 2009

Table showing number of new cases and total number of cases.

Region where sample was tested *

Confirmed new cases for June 09 2009

Total confirmed cases as at June 09 2009

East of England

-

43

East Midlands

-

11

London

4

125

North East

2

8

North West

-

16

South East

-

72

South West

-

13

West Midlands

3

142

Yorkshire & Humber

-

5

TOTAL ENGLAND

9

435

Northern Ireland

-

6

Scotland

-

232

Wales

-

2

TOTAL UK

9

675

*New testing arrangements mean that the regional breakdown of figures reflects the regional laboratory where samples are tested which may not always be in the region where the patient lives (as a result there may be some small variations in regional figures as cases are reassigned to their home regions).

504 cases are currently under laboratory investigation in the UK. These cases change on a daily basis on account of some of those under assessment being discounted and new ones being introduced. This figure is correct at the time stated.

Swine Influenza

Swine flu is a respiratory illness caused by the type A flu (H1N1) virus. The latest outbreaks in countries around the world have been caused by a new version (strain) of the virus.Transmission of this new virus is thought to occur in the same way as seasonal flu. The infection can be effectively treated with antiviral medication. Most reported cases outside of Mexico have been mild and people have recovered fully after treatment.

The Health Protection Agency is monitoring this situation closely. When cases of swine flu are suspected the HPA works with NHS colleagues and patients to collect samples, conduct testing and provide advice on medication and other public health activities.

Further information is available in this section of the website (see ‘Topics menu’ on the right), with specific areas for the general public, healthcare professionals, and the press and media.

Last updated:9 June 2009

Table showing number of new cases and total number of cases.

Region where sample was tested *

??

??

Confirmed new cases for June 09 2009

Total confirmed cases as at June 09 2009

East of England

-

43

East Midlands

-

11

London

4

125

North East

2

8

North West

-

16

South East

-

72

South West

-

13

West Midlands

3

142

Yorkshire & Humber

-

5

TOTAL ENGLAND

9

435

/strong>

Northern Ireland

-

6

Scotland

-

232

Wales

-

2

TOTAL UK

9

675

*New testing arrangements mean that the regional breakdown of figures reflects the regional laboratory where samples are tested which may not always be in the region where the patient lives (as a result there may be some small variations in regional figures as cases are reassigned to their home regions).

504 cases are currently under laboratory investigation in the UK. These cases change on a daily basis on account of some of those under assessment being discounted and new ones being introduced. This figure is correct at the time stated.

Update on confirmed swine flu cases

3 June 2009

18 further patients under investigation in England have today been confirmed with swine flu. Together with the 23 cases in Scotland announced yesterday (Tuesday June 02 2009) by the Scottish Executive and one in Northern Ireland announced by the Northern Ireland Executive this brings the current total number of confirmed UK cases to 381.
Testing of the swine flu virus is carried out by the Health Protection Agency’s regional network of laboratories.

Region where sample was tested **

Confirmed new cases for June 03 2009

Total

confirmed cases as at June 03 2009

East of England

4

32

East Midlands

-

5

London

1

92

North East

-

1

North West

-

13

South East

8

48

South West

3

10

West Midlands

18

109

Yorkshire & Humber

1

3

TOTAL ENGLAND

/p>

18 (and 17 already announced but not allocated a region*)

313

Northern Ireland

-

2

Scotland

-

65

Wales

-

1

TOTAL UK

381

* There were 17 cases announced yesterday which had not been allocated a region. These have now been identified and are included in the table above.

**New testing arrangements mean that the regional breakdown of figures reflects the regional laboratory where samples are tested which may not always be in the region where the patient lives.

297 cases are currently under laboratory investigation in the UK. These cases change on a daily basis on account of some of those under assessment being discounted and new ones being introduced. This figure is correct at the time stated.

Anyone who is being investigated as a possible case of swine flu (which means they meet the epidemiological criteria and have symptoms) or has been confirmed with the infection will be offered antivirals and will be asked to stay at home and limit their contact with other people.

Where antivirals are prescribed, it is important that the specified course of treatment is followed and completed, even though in some cases this medication may cause nausea.

It is important for parents and schools to be vigilant and take prompt action if children who have travelled abroad during the half term break start showing flu-like symptoms.

If travellers become ill while on holiday, on the flight home, or on their return:

  • Travellers should continue to be aware of the risk of swine flu and anyone experiencing flu-like symptoms during a stay in a country affected by swine flu should contact a health professional and inform them of their symptoms.
  • Anyone who becomes ill on their flight home should alert cabin crew to their symptoms. There are well established procedures in place for dealing with passengers who become unwell on flights and the airline will advise port health officials on the ground that a passenger requires a health assessment and may need treatment.
  • Travellers returning from a country affected by swine flu who become unwell with flu-like symptoms within seven days of their return should stay at home and contact their GP or NHS Direct on 0845 4647.
  • To access the Department of Health Swine Flu Information line when abroad, call 00 44 207 928 1010.

General infection control practices and good respiratory hand hygiene can help to reduce transmission of all viruses, including swine flu. This includes:

  • Maintaining good basic hygiene, for example washing hands frequently with soap and water to reduce the spread of virus from your hands to face or to other people.
  • Cleaning hard surfaces (e.g. door handles) frequently using a normal cleaning product.
  • Covering your nose and mouth when coughing or sneezing, using a tissue when possible.
  • Disposing of dirty tissues promptly and carefully.
  • Making sure your children follow this advice.

Ends

Notes to editors
Since the beginning of the swine flu outbreak the HPA’s Centre for Infections (CfI) has been working on developing a swine flu test which can be used by the agency’s network of regional laboratories and does not require final confirmatory testing to be carried out by CfI’s national reference laboratory. This test has now been successfully introduced in the regional laboratories and to the Devolved Administrations.

From Monday June 01 2009 tests are no longer being run centrally but regionally. This means that results will come through more rapidly but the level of epidemiological detail immediately available on confirmed cases will be less. This is reflected in the information contained in these statements.

Further information on swine flu is available on the Health Protection Agency’s website at www.hpa.org.uk/swineflu

The Department of Health has set up a swine flu information line for the public on 0800 1 513 513.

Copies of a leaflet being distributed at all ports of entry into the UK providing passengers arriving in the UK with information on swine flu are available at http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1240986139568

The Health Protection Agency is providing expert advice and support to the UK government, NHS and other organisations. This includes:

  1. A leaflet produced by the Health Protection Agency, the Department of Health and the UK Borders Agency is being made available at all ports of entry into the UK providing passengers arriving in the UK with information on swine flu.
  2. Specialist liaison to the UK Embassy in Mexico to aid the UK effort to tackle swine flu.
  3. In association with the Royal College of General Practitioners (RCGP), the HPA has produced standard practical advice for healthcare professionals investigating individuals with possible swine influenza infection, including contact details of local health protection units.
  4. The Health Protection Agency has updated its advice on actions to be taken in a school in the event of a probable or confirmed case of “swine flu” being identified in a school pupil and this can be found on the HPA website. Measures including deciding to close temporarily or offer antivirals as a precautionary measure are only advised when a case is strongly suspected or confirmed within a school community. These decisions are a matter for local determination on a case by case basis by schools, working with the Health Protection Agency, NHS Primary Care Trusts and local authorities.

To help us identify cases of swine flu in the community, the Health Protection Agency’s Centre for Infections will be continuing its regular surveillance work throughout the summer, at the same pace that is applied during the normal “flu season” (October to May).

In England this surveillance work includes the collection of data from 3,300 GP surgeries across the country, and the testing of patient samples from over 100 surgeries. Information on flu activity is also provided by a network of boarding schools and NHS Direct.

To further enhance our ability to detect cases of swine flu, the HPA is issuing regular guidance to GPs on the testing of possible cases. Plans to increase the number of surgeries participating in surveillance schemes, and to facilitate more widespread testing in communities where cases of swine flu have been identified, are currently being implemented.

This can be found at:
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1242949546976

The World Health Organization (WHO) has raised its pandemic alert level to Phase 5. ‘This is characterised by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that pandemic is imminent and that the time to finalise the organisation, communication and implementation of the planned mitigation measures is short’. The Agency is well prepared to meet the requirements of phase 5.

For media enquiries only please contact the Health Protection Agency’s Centre for Infections press office on:

020 8327 6647
020 8327 7098
020 8327 7080
020 8327 7097
020 8327 6690

Last reviewed: 3 June 2009

Two cases of Mexican swine flu confirmed in the UK

Published:Tuesday, 28 April 2009

Britain’s first cases of swine flu have been confirmed as positive. Scotland’s Deputy First Minister Nicola Sturgeon said that both individuals are now recovering at Monklands Hospital in Lanarkshire.

A further seven people who had been in contact with the infected pair are displaying mild symptoms and are undergoing tests. Ms Sturgeon said: “I am pleased to say both patients are recovering well. In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people, who have now developed mild symptoms and are being appropriately cared for.”

WHO raises pandemic alert level

Also this evening the World Health Organization (WHO) raised the level of its influenza pandemic alert from phase three to phase four. (There is a total of six alert levels; phase six is the highest.)

The change indicates that the likelihood of a pandemic has increased and that there has been repeated human-to-human transmission, but it does not mean that a pandemic is inevitable.

Commons statement

Speaking earlier in the House of Commons this afternoon, Health Secretary Alan Johnson said that Britain is well prepared for any spread of the Mexican swine virus into the country.

He said that 25 possible cases of infection have been reported in the UK so far. Eight of these proved to be negative, while three are undergoing specialist tests in isolation wards in hospital. The remaining 14 suspected cases are undergoing initial investigation and the people involved are sufficiently well to be managed in the community.

Mr Johnson said that “It is too early to say whether the cases in Mexico and the US will lead to a pandemic. Scientists do not yet understand the extent to which cases in Mexico and the US are linked and are not yet able to make a complete assessment of the health implications of this new virus”.

Key messages

The Health Secretary stressed three key messages: “First, it is important to emphasise that in all cases outside Mexico, the symptoms of this illness are mild and all patients have made a full recovery.

“Second, we can all take simple measures to prevent infection, in particular covering the nose and mouth when coughing or sneezing and washing hands regularly. Anyone who develops flu-like symptoms should go home and contact their GP.

“Third, anyone who has recently travelled to the affected areas and is experiencing influenza-like illness should stay at home to limit contact with others and seek medical advice by phone from a local health professional or NHS Direct.”

Hygiene precautions

The advice from the NHS is that preventing the spread of germs is the single most effective way to slow the spread of diseases like pandemic flu. You can protect yourself and your family by ensuring everyone washes their hands regularly with soap and water, and by cleaning surfaces regularly. You can prevent a virus spreading to others by:

  • always carrying tissues
  • using tissues to cover your mouth and nose when you cough and sneeze
  • binning the tissues as soon as possible
  • washing your hands regularly.

CATCH IT. BIN IT. KILL IT. is a simple way to remember this.

If you have returned from a country affected by swine flu

Travellers from affected areas should consult a doctor immediately if they show signs of flu-like symptoms

If you have recently visited one of the countries or areas where human cases of influenza have been identified, it is important for you to monitor your health closely for seven days after your visit to the affected area. There is no need for you to isolate yourself from other people as long as you remain well.

If during this period you develop a feverish illness accompanied by one or more of cough, sore throat, headache and muscle aches, you should contact your GP by phone or seek advice from NHS Direct (0845 4647). You should make sure that you tell those from whom you are seeking advice about your recent travel to an area affected. Depending on your symptoms you may be advised that further investigations may be necessary.

If further investigations are felt to be needed you will be advised on appropriate arrangements for you to be tested. This may include admission to hospital. For most cases however, you will be well enough to remain at home. It is important you avoid contact with other people as much as possible until the results of your tests are back. Your household contacts should also monitor their health and follow the above advice if they get symptoms.

Should you develop symptoms you should follow standard respiratory and hand hygiene and ensure that you:

  • avoid contact with other people as much as possible
  • cover your nose and mouth when coughing or sneezing, using a tissue when possible
  • dispose of dirty tissues promptly and carefully
  • maintain good basic hygiene, for example washing hands frequently with soap and water to reduce the spread of the virus from your hands to face or to other people
  • clean hard surfaces (eg door handles) frequently using a normal cleaning product
  • make sure your children follow this advice.

Travel advice for Mexico

The Foreign Office has changed its advice to British citizens visiting Mexico and is now advising against all but essential travel there.

Routine Consular and all Visa Services at the Embassy in Mexico City have been suspended until further notice. British Nationals in Mexico, who have an urgent consular issue should call the Embassy on (01 55) 5242 8500 for assistance.

The FCO says that: “British nationals resident in or visiting Mexico may wish to consider whether they should remain in Mexico at this time.

“British Nationals should continue to follow local advice on precautions to take to avoid exposure to the influenza.”

Further information

The Health Protection Agency is monitoring the outbreaks and is providing updates. The World Health Organization coordinates the global response to human cases of swine influenza.

Rapid response flood plan tested

Flooded street in Catcliffe, South Yorkshire

Flooding left much of England under water during summer 2007

Firefighters, police, Environment Agency staff and the RAF are due to test how prepared Britain is for a major flood, in a large-scale exercise.

The UK’s rapid response flood plan is being trialled at the National Water Sports Centre, Nottingham, where severe flood conditions will be recreated.

Some 120 East Midlands firefighters are among emergency workers taking part.

The trial follows last year’s floods in parts of England and Wales that left 13 people dead and flooded 44,000 homes.

The BBC’s Anthony Bartram says the exercise will create “similar scenarios” to last year’s “flooded streets, people stranded in swirling water and casualties plucked to safety from submerged cars”.

Yorkshire and the Midlands were among the worst-hit last year, with the Humber and south-west England also severely affected.

The government has allocated ??34.5m to implement the recommendations of a review conducted into the flooding.

Sir Michael Pitt’s proposals included a 25-year plan to deal with the issue of flooding and tighter building regulations in flood-prone areas.

Exeter bomb loaded with chemicals

Following the Exeter bomb incident on Thursday 22nd May 2008, there is no intelligence to suggest an increased threat within the West Midlands.

West Midlands Police have, since the evening of the 22nd May, been contacting all premises (through the retail alert scheme) asking them to increase vigilance in and around their premises. There will be increased high visibility Policing in crowded places.

Should you require any further information please contact your local Police OCU.

Source : Government Office West Midlands

FLOOD RISK FEAR OVER KEY UK SITES

Hundreds of UK power substations and water treatment plants are potentially at risk from flooding, a confidential government study suggests.

BBC News has seen the conclusions of research commissioned after the devastating floods of 2007.

Yorkshire and Humberside, the Midlands and Gloucestershire were among the worst affected areas after heavy rain.

And a separate study suggests that the UK is entering a “flood-rich” period where more flooding is likely.

The government report calls on companies, regulators and ministers to act.

The confidential report warns that “there are likely to be hundreds of sites at the highest levels of criticality” and says that “the risks posed by natural hazards are already rising and are predicted to rise further”.

It concludes that it would “be imprudent to rest on the basis that events on the lines of those which happened last summer were so infrequent as to reply on a reactive response alone”.

Flood barrier

Early estimates of the cost of strengthening the flood resistance of key sites run into the region of 1bn.

The catalyst for this investigation was the near-loss of a major power switching station at Walham, near Gloucester, in July last year.

It provides electricity for 500,000 homes and businesses in Gloucestershire and acts as a key relay for supplies to south Wales.

Only with emergency work supported by the military was the floodwater kept inches away from overwhelming the plant.

I think many of us were surprised by the degree to which critical infrastructure was affected
Sir Michael Pitt

At one stage during a meeting of Cobra, the government’s emergency planning committee, ministers ordered officials to prepare plans for a mass evacuation.

The site is now defended by a massive flood barrier.

The flooding of a treatment works, at Mythe, also in Gloucestershire, at the same time led to 350,000 people losing water supplies for up to three weeks.

The summer floods saw about 13 people killed and 44,600 homes and 7,100 businesses flooded, with the damage caused costing 3bn.

What has alarmed officials is the potential impact on the normal functioning of society - and the speed with which last summer’s rainstorms led to flash flooding.

This internal government study come as Sir Michael Pitt puts the finishing touches to his official review of last summer’s floods.

His inquiry - due to publish its final report next month - has already found that more than 1,000 electricity and water works were affected, along with 12 sections of railway line and eight stretches of motorway.

‘Wake-up call’

Sir Michael told the BBC: “There is no doubt that the network was vulnerable, that the loss of Walham would have been a major issue and many hundreds of thousands of people would have had their power affected.

“I think many of us were surprised by the degree to which critical infrastructure was affected.

“Tens of thousands of people were out of their homes, thousands of businesses were directly affected, but I honestly believe that we could have been a great deal worse.”

Spokesmen for the industry associations representing the electricity network and water companies said the summer floods had served as a wake-up call.

But they added that urgent research into the risks was under way - and in many cases further flood defence work had been carried out.

Meanwhile, Professor Stuart Lane, of Durham University’s new Institute of Hazard and Risk, has published a report in the academic journal Geography, which suggests the UK will experience more floods in future.

He said: “We have also not been good at recognising just how flood-prone we can be.

“More than three-quarters of our flood records start in the flood-poor period that begins in the 1960s.

“This matters because we set our flood protection in terms of return periods - the average number of years between floods of a given size.

“We have probably under-estimated the frequency of flooding, which is now happening, as it did before the 1960s, much more often than we are used to.”

Responsibility issues

And the Commons Environment Select Committee has said the infrastructure to deal with the same scale of flooding seen last year is in “an unclear and chaotic state”.

The nation’s current flood defences are focused almost entirely on river and coastal flooding, but about two thirds of last summer’s floods were caused by surface water, often following heavy rainfall.

MPs said there was no organisation with overall responsibility for surface water flooding at a national or local level, no-one was responsible for issuing flood warnings and it was unclear who had responsibility for overflowing drains.

Ministers, the committee added, had repeatedly suggested that the 800m a year for flood management by 2010/2011 would allow the government to deal effectively with future cases of flooding.

But a report has warned the settlement for flood defences made under the Comprehensive Spending Review was “far less impressive under close analysis”.

Source: BBC News 07.05.08