A study of invasive group A streptococcal (iGAS) infections in New Zealand between 2017 and 2023 has reported findings consistent with those of many other high-income countries. National surveillance data revealed a sharp increase in iGAS in 2023, notably among children aged under ten years. Māori and Pacific peoples were disproportionately affected. In 2022-2023, the emm1 and emm12 strains were commonly reported, and there was a moderate correlation between iGAS and acute respiratory infection. After adjustment for ethnicity, sex and age, there was a significant decrease in iGAS during COVID-19 restrictions, which increased after restrictions were relaxed. The study authors noted that iGAS will become a notifiable disease in New Zealand in late 2024, which should help with monitoring and public health responses.