Home > Review Articles > Child and youth health > Pneumococcal conjugate vaccines turning the tide on inequity: a retrospective cohort study of New Zealand children born 2006–2015

Pneumococcal conjugate vaccines turning the tide on inequity: a retrospective cohort study of New Zealand children born 2006–2015

Making Education Easy

Authors:
Summary:

New Zealand introduced pneumococcal conjugate vaccine (PCV)7 in June 2008, PCV10 in 2011, and PCV13 in 2014. In order to evaluate the impact of the PCV vaccination programme on hospitalisations for infectious disease, these researchers collated and analysed annual hospital admissions for invasive pneumococcal disease (IPD), all-cause pneumonia, and all-cause otitis media (OM) for New Zealand children aged <6 years between 2006 and 2015 by age group, ethnicity, geographical area, and socioeconomic deprivation. During the 10-year study period, 640 children were hospitalised for IPD, 26,589 for all-cause pneumonia and 44,545 for OM; hospitalisations for each disease fell by 73%, 8% and 25%, respectively, between 2006 and 2015. Although the hospitalisation rates for all diseases were highest among Māori and Pacific children, the rates fell by a greater extent among these children as compared with declines in hospitalisations among other ethnic groups. Similarly, the declines in hospitalisations fell disproportionately among children from areas of higher socioeconomic deprivation compared with those from less socioeconomically deprived areas.

Comment:
Evidence confirming the importance of immunisations to improve Māori health and achieve health equity for Māori. As I’ve said here previously, nurses do an incredible job working with whānau to vaccinate our tamariki. A punitive approach, as recommended by some, is not the way to go.
Reference: Clin Infect Dis. 2019;68(5):818-26
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.

Related Articles

Rangatahi Māori have successfully co-created a set of eating and wellbeing guidelines for New Zealand

A survey of health practitioners across New Zealand has highlighted inadequate staffing and provision of

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.