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Post-pandemic increase in invasive group A strep infections in New Zealand

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Summary:

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.

Comment:
A reminder that iGAS continues to be a major health issue in Aotearoa New Zealand. On one side, there is lot of interesting research and innovation in this space, with many in our country considered world leaders; on the flipside it’s bad that we have to be.
Reference: Infect Public Health. 2024;17(11):102545.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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