Home > Review Articles > Ethnic disparities > Rheumatic fever trends in the context of skin infection and group A streptococcal sore throat programmes in the Bay of Plenty

Rheumatic fever trends in the context of skin infection and group A streptococcal sore throat programmes in the Bay of Plenty

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From Māori Health Review Issue 114
Authors:
  • Malcolm J et al.
Summary:

An observational study has shown that hospital admissions for skin infections and rates of acute rheumatic fever decreased in the Bay of Plenty after health initiatives for rheumatic fever commenced in 2011. However, ethnic and socioeconomic disparities persisted. Over the period 2017-2019, admission rates for skin infection among Māori decreased by 40% for preschoolers, 14% for school-age children and 24% for young adults, compared with the period 2007-2010. Māori experienced 90% of all acute rheumatic fever cases, and 80% of cases among school-age children. Rates of acute rheumatic fever over the period 2011-2019 decreased by 29% for under 30-year-olds and by 36% for school-age Māori compared with the period 2000-2010.

Comment:
Important that we continue to monitor rheumatic fever given the significant inequities in rates and complications (rheumatic heart disease) for Māori and tamariki living in poverty. There has been some improvement with targeted interventions (e.g., the skin infection programmes), which should be acknowledged. However, further efforts – including politico-social (to eliminate poverty) and individual (e.g., developing a vaccine) – are needed.
Reference: N Z Med J. 2025;138(1609):15-44.
Abstract
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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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