Auckland’s Plan to eliminate ARF by 2020
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Auckland’s Plan Auckland’s Plan to eliminate ARF by 2020 to eliminate ARF by 2020 Professor Diana Lennon The University of Auckland Pharmac 7 November 2011 • CMDHB CMDHB • WDHB WDHB • ADHB ADHB
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Auckland’s Plan to eliminate ARF by 2020. CMDHB WDHB ADHB. Professor Diana Lennon The University of Auckland Pharmac 7 November 2011. School-based RF prevention Clinics : areas within. MoH: Local Co-ordinator and Kaiawhina for Tender. Rheumatic Fever in Auckland register data (1998-2011). - PowerPoint PPT Presentation
Transcript of Auckland’s Plan to eliminate ARF by 2020
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
School-based RF preventionSchool-based RF preventionClinics : areas withinClinics : areas within
MoH: Local Co-ordinator and Kaiawhina MoH: Local Co-ordinator and Kaiawhina for Tenderfor Tender
Rheumatic FeverRheumatic Feverin in
Auckland register dataAuckland register data(1998-2011)(1998-2011)
Catherine Jackson, Diana LennonPublic Health Medical Registrar
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
Rheumatic Fever in AucklandRheumatic Fever in Auckland
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
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
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
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Year 1-8 Schools with ARF Rate >50 per 100,000 by DHB
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.
Waitemata DHBTim Jelleyman
Auckland DHBAlison Leversha
Counties Manukau DHBSue MillerDavid Jansen
