Download - Auckland’s Plan to eliminate ARF by 2020
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Auckland’s PlanAuckland’s Planto eliminate ARF by 2020to eliminate ARF by 2020
Professor Diana LennonThe University of Auckland
Pharmac7 November 2011
• CMDHBCMDHB• WDHBWDHB• ADHBADHB
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School-based RF preventionSchool-based RF preventionClinics : areas withinClinics : areas within
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MoH: Local Co-ordinator and Kaiawhina MoH: Local Co-ordinator and Kaiawhina for Tenderfor Tender
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Rheumatic FeverRheumatic Feverin in
Auckland register dataAuckland register data(1998-2011)(1998-2011)
Catherine Jackson, Diana LennonPublic Health Medical Registrar
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School Scoring (year 1-8)School Scoring (year 1-8)for Clinic Eligibilityfor Clinic Eligibility
• ARF register data (1998→2010) definition assigned by 1 person (Diana Lennon)
• Smoothed CAU rate for ARF: community
• School case density: per Km²
• School decile and proportion of Maori ± Pacific
• MAPPED
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Rheumatic Fever in AucklandRheumatic Fever in Auckland
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Auckland DHBAuckland DHB
BoardNumber
2006-2010Denom
2006-2010Rate
per 100,00095% CI
Albert-Eden 3 55,090 5.4 0.0-17.0
Otahuhu 2 11,141 18.0 0.7-71.1
Maungakiekie-Tamaki 18 48,291 37.3 23.3-59.6
Orakei 1 49,286 2.0 0.0-13.0
Puketapapa 10 36,061 27.7 14.5-52.1
Waiheke 0 4,870 0.0 0.0-97.9
Waitemata 3 20,670 14.5 3.0-45.4
Whau 3 26,131 11.5 2.4-35.9
ARF in 5-14 year olds in Auckland DHB, 2006-2010
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Counties Manukau DHBCounties Manukau DHB
BoardNumber
2006-2010Denom
2006-2010Rate
per 100,00095% CI
Franklin 8 53,917 14.8 7.1-30.0
Franklin (outside Auck) 1 8,648 11.6 0.0-73.9
Howick 3 86,130 3.5 0.7-10.9
Mangere 41 58,889 69.6 51.2-94.8
Manurewa 52 77,352 67.2 51.2-88.4
Otara 24 35,361 67.9 45.3-101.8
Papatoetoe 15 36,776 40.8 24.3-68.2
Papakura 17 34,916 48.7 30.0-78.9
ARF in 5-14 year olds in CMDHB, 2006-2010
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Waitemata DHBWaitemata DHB
BoardNumber
2006-2010Denom
2006-2010Rate
per 100,00095% CI
Devonport-Takapuna 0 34,583 0.0 -
Henderson-Massey 27 82,593 32.7 22.3-47.9
Hibiscus and Bays 2 58,715 3.4 0.1-13.5
Kaipatiki 5 53,448 9.4 3.4-22.8
Rodney 3 42,191 7.1 1.5-22.2
Upper Harbour 0 34,676 0.0 -
Waitakere Ranges 5 39,201 12.8 4.6-31.1
Whau 6 21,439 28.0 11.5-63.2
ARF in 5-14 year olds in WDHB, 2006-2010
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Auckland DHB Counties Manukau DHB Waitemata DHB
Per
cent
Number
Year 1-8 Schools with ARF Rate >50 per 100,000 by DHB
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Auckland RF ControlAuckland RF Control
• Rollout by suburban hub
Considerations
• PHO/GP partnerships• Community & school messages• Clinics for very high risk schools in clusters• Strategies for medium risk
Staggered rollout will facilitate planned evaluation.
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Waitemata DHBTim Jelleyman
Auckland DHBAlison Leversha
Counties Manukau DHBSue MillerDavid Jansen
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