27 Feb 2003 : Column 468 Almost as common and potentially far more serious than jewellery allergies are infections, which result in redness, swelling, tenderness, pain and, often, swelling of nearby glands. When sterile techniques are not used, bacteria and viruses can be introduced into the bloodstream, including the hepatitis B virus that can cause chronic hepatitis and liver cancer, and HIV, the virus that causes AIDS. In people born with heart valve disorders, bacterial endocarditis, a potentially deadly infection of the heart, can result if they fail to take preventive antibiotics. Piercing the nose can result in a staphylococcal infection and piercing the cartilaginous part of the ear, which has a very poor blood supply, can result in an infection necessitating surgery and can result in permanent deformity. Even tetanus is a risk in people who have not been immunised in the past 10 years. In an article in the Student British Medical Journal last year, Jamie Wilson of Leeds said: "The largest ever "body art" study has found that a fifth of students with body piercings have excessive bleeding, bacterial infection, and tissue trauma. The research was reported in Mayo Clinic Proceedings . . . after 454 undergraduates from a New York college completed questionnaires on the subject." More than half the students had piercings outside the traditional domain of the earlobe, and 29 per cent. of women had a navel ring or belly bar. Complications were most likely for nipple, navel and genital piercings, and bleeding and bacterial infection were the most common ailments. Piercings were most frequently permanently removed from the nose, tongue, eyebrow and male nipple. In September 2000, a woman with 118 piercings, including six lip rings and 11 belly bars, died from bacterial septicaemia. She refused to seek medical attention, believing she could offset any infections with saline swabs. The Chartered Institute of Environmental Health contacted me stating that it, too, is calling for stricter licensing controls on body piercers in response to concern about health risks. It has issued a set of recommendations for consumers designed to inform and educate the public about the possible health implications of skin piercing treatments ranging from body art and tattooing to electrolysis and acupuncture. The institute echoes my concerns that there is no control over who can set up in business as a body piercer, and there are certainly no recognised standards for new practitioners. It also calls for any piercing below the neck to be made illegal for under 16-year-olds. Body piercing has become much more fashionable in the past few years, with many teenagers thinking nothing of going out and getting a piercing done. Daniel Hindle did that and a life was cut short. Given the concerns and the possible medical risks that are already known, will the Minister"s Department consider commissioning further research on the risks of body piercing, especially if there is an underlying heart condition? The Department of Health is aware that a small study in the United States stated that physicians should advise patients with heart conditions against piercing, but that if the person decided to go ahead, antibiotics should be taken, which is usually the case for dental or surgical procedures. Further research is needed to understand the risks and to ensure that proper advice is given. Daniel"s death has devastated his mother, his family, his friends and the whole college community at Norton in Sheffield. A website has been set up to raise awareness 27 Feb 2003 : Column 469 and to commemorate his life at www.danaid.com. I am not against body piercing; I am against ignorance about the effects that such piercings can have. No other young person should lose his life in that way. In spite of her grief, Christina Anderson, Daniel"s mother, has dedicated herself to preventing that from happening. Now it is the turn of the Government to act. 4.18 pm The Parliamentary Under-Secretary of State for Health (Ms Hazel Blears): I congratulate my hon. Friend the Member for Sheffield, Heeley (Ms Munn) on her success in obtaining this important debate. I know that she has taken an increasing interest in the regulation of cosmetic body piercing in recent months. I am grateful to her for giving me the opportunity to explain the Government"s position on the issue. I also hope to respond to the specific queries raised. As body piercing becomes more common, especially among young people, the problems associated with it become more important, too. I am aware of the tragic case of Daniel Hindle. I should like immediately to put on record my sympathy for his family, friends and community. I have looked at the website and am aware of the tremendous campaigning work that Daniel"s mother has undertaken. Sheffield city council is carrying out a detailed and thorough investigation of the circumstances surrounding Daniel"s death. As the investigation is not yet complete, it would not be appropriate for me to comment further. However, it will be important to consider whether there are any general lessons to be learned once the investigation is completed. I agree with my hon. Friend that the health risks of body piercing and the measures in place to control them are crucial. People considering body piercing should be aware of the risks and should be confident that appropriate controls are in place. Where existing health conditions may be relevant to body piercing, that should be clear to all concerned. That applies not just to heart defects but other pre-existing conditions. I am aware that there is great concern about the piercing of children. Body piercing has become more fashionable in recent years, and the trend has been stimulated by celebrities who have had their bodies pierced. It can be extremely worrying for parents when their children have ear or body piercing done against their wishes. I should like to address my hon. Friend"s concerns by considering the possible health risks and the measures in place to control the situation. If cosmetic body piercing is carried out in an unhygienic manner or incorrectly, it may cause a variety of problems such as local, usually trivial, wound infections, as well as transmission of serious blood-borne viral infections such as hepatitis B. Most complications are local, minor wound infections that do not appear to be caused by the piercing itself. Typically, they may be caused by exposure to bacteria, for example, by touching the piercing in the days following the piercing with unwashed hands or by the wound coming into contact with hair, bedding, clothing and so on. |
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