State of child health: acute rheumatic fever in Aotearoa New Zealand.

IF 2.1 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES
Journal of the Royal Society of New Zealand Pub Date : 2022-08-18 eCollection Date: 2023-01-01 DOI:10.1080/03036758.2022.2113102
Glenda Oben, Mavis Duncanson, Judith Adams, Tara Satyanand
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引用次数: 0

Abstract

Rheumatic fever is a well-recognised public health problem in Aotearoa New Zealand that is potentially preventable by addressing the social and environmental determinants of health and ensuring equitable access to primary healthcare services. We present data on the hospitalisations of children aged 0-14 years for acute rheumatic fever (ARF) during the period 2000-2020, and the early stages of the COVID-19 pandemic to May 2021. Persistent inequity by ethnicity and by socioeconomic deprivation was observed, particularly for Pacific children, for Māori children, and for children living in the most deprived areas (NZDep quintile 5). The government implemented a programme to prevent rheumatic fever between July 2012 and June 2017. Hospitalisation data suggest that the programme was reducing the incidence of ARF in children, but this trend was not sustained. There was minimal change to the number of hospitalisations for ARF during early period of the COVID-19 pandemic. If untreated, ARF can cause chronic rheumatic heart disease. The persistently high rates of hospitalisations and the unequal burden of disease for vulnerable groups should no longer be tolerated, since they can be effectively addressed by implementation of evidence-based strategies to prevent, treat, and control this disease.

儿童健康状况:新西兰奥特亚的急性风湿热
摘要风湿热是新西兰奥特亚公认的公共卫生问题,通过解决健康的社会和环境决定因素并确保公平获得初级医疗服务,有可能预防风湿热。我们提供了2000-2020年期间0-14岁儿童因急性风湿热(ARF)住院的数据,以及截至2021年5月新冠肺炎大流行早期的数据。观察到种族和社会经济剥夺方面的持续不平等现象,特别是太平洋儿童、毛利儿童和生活在最贫困地区的儿童(NZDep五分之一5)。政府在2012年7月至2017年6月期间实施了一项预防风湿热的计划。住院数据表明,该计划正在降低儿童ARF的发病率,但这一趋势并未持续。在新冠肺炎大流行的早期,ARF住院人数变化最小。如果不及时治疗,ARF会引起慢性风湿性心脏病。不应再容忍弱势群体持续的高住院率和不平等的疾病负担,因为通过实施循证策略来预防、治疗和控制这种疾病,可以有效地解决这些问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of the Royal Society of New Zealand
Journal of the Royal Society of New Zealand 综合性期刊-综合性期刊
CiteScore
4.60
自引率
0.00%
发文量
74
审稿时长
3 months
期刊介绍: Aims: The Journal of the Royal Society of New Zealand reflects the role of Royal Society Te Aparangi in fostering research and debate across natural sciences, social sciences, and the humanities in New Zealand/Aotearoa and the surrounding Pacific. Research published in Journal of the Royal Society of New Zealand advances scientific knowledge, informs government policy, public awareness and broader society, and is read by researchers worldwide.
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