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Increasing incidence of serious infectious diseases and inequalities in New Zealand: a national epidemiological study
Abstract
Background Although the burden of infectious diseases seems to be decreasing in developed countries, few national studies have measured the total incidence of these diseases. We aimed to develop and apply a robust systematic method for monitoring the epidemiology of serious infectious diseases. Methods We did a national epidemiological study with all hospital admissions for infectious and non-infectious diseases in New Zealand from 1989 to 2008, to investigate trends in incidence and distribution by ethnic group and socioeconomic status. We extended a recoding system based on the ninth revision of international classification of diseases (ICD-9) to the tenth revision (ICD-10), and applied this to data for hospital admissions from the New Zealand Ministry of Health, National Minimum Dataset. We filtered results to account for changes in health-care practices over time. Acute overnight admissions were the events of interest. Findings Infectious diseases made the largest contribution to hospital admissions of any cause. Their contribution increased from 20·5% of acute admissions in 1989-93, to 26·6% in 2004-08. We noted clear ethnic and social inequalities in infectious disease risk. In 2004-08, the age-standardised rate ratio was 2·15 (95% CI 2·14-2·16) for Māori (indigenous New Zealanders) and 2·35 (2·34-2·37) for Pacific peoples compared with the European and other group. The ratio was 2·81 (2·80-2·83) for the most socioeconomically deprived quintile compared with the least d…
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Māori patients in New Zealand are 2-3 fold more likely to develop sepsis than non‐Māori, and across all age groups are more likely to die of sepsis than non‐Māori patients.
“For example, Māori patients in New Zealand are 2–3 fold more likely to develop sepsis than non‐Māori, and across all age groups are more likely to die of sepsis than non‐Māori patients”
From On race, human variation, and who gets and dies of sepsis (2022) · cites this paper as Baker et al., 2012
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Beijer, U., Wolf, A., & Fazel, S. (2012) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(12)70177-9 · Cited by 357
Keall, M. D., Pierse, N., Howden-Chapman, P., Cunningham, C., Cunningham, M., Guria, J., & Baker, M. G. (2015) · The Lancet · doi:10.1016/s0140-6736(14)61006-0 · Cited by 226
Self-citationAntibacterials dispensed in the community comprise 85%–95% of total human antibacterial consumption
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Risk of rehospitalisation and death for vulnerable New Zealand children
Oliver, J., Foster, T., Kvalsvig, A., Williamson, D. A., Baker, M. G., & Pierse, N. (2018) · Archives of Disease in Childhood · doi:10.1136/archdischild-2017-312671 · Cited by 17
Self-citationOn race, human variation, and who gets and dies of sepsis
Brinkworth, J. F., & Shaw, J. G. (2022) · American Journal of Biological Anthropology · doi:10.1002/ajpa.24527 · Cited by 9
Metadata
- Authors
- Baker, M. G., Barnard, L. T., Kvalsvig, A., Verrall, A., Zhang, J., Keall, M., Wilson, N., Wall, T., & Howden-Chapman, P.
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 379
- Issue
- 9821
- Pages
- 1112-1119
- ISSN
- 0140-6736
- Cited by
- 199
- References
- 1
- Language
- en
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