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    Distribution of Streptococcal Pharyngitis and Acute Rheumatic Fever, Auckland, New Zealand, 2010-2016

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    Author
    Oliver, J; Upton, A; Jack, SJ; Pierse, N; Williamson, DA; Baker, MG
    Date
    2020-06-01
    Source Title
    Emerging Infectious Diseases
    Publisher
    CENTERS DISEASE CONTROL & PREVENTION
    University of Melbourne Author/s
    Oliver, Jane; Williamson, Deborah
    Affiliation
    Microbiology and Immunology
    Doherty Institute
    Metadata
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    Document Type
    Journal Article
    Citations
    Oliver, J., Upton, A., Jack, S. J., Pierse, N., Williamson, D. A. & Baker, M. G. (2020). Distribution of Streptococcal Pharyngitis and Acute Rheumatic Fever, Auckland, New Zealand, 2010-2016. EMERGING INFECTIOUS DISEASES, 26 (6), pp.1113-1121. https://doi.org/10.3201/eid2606.181462.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/254217
    DOI
    10.3201/eid2606.181462
    Open Access URL
    http://doi.org/10.3201/eid2606.181462
    Abstract
    Group A Streptococcus (GAS) pharyngitis is a key initiator of acute rheumatic fever (ARF). In New Zealand, ARF cases occur more frequently among persons of certain ethnic and socioeconomic groups. We compared GAS pharyngitis estimates (1,257,058 throat swab samples) with ARF incidence (792 hospitalizations) in Auckland during 2010-2016. Among children 5-14 years of age in primary healthcare clinics, GAS pharyngitis was detected in similar proportions across ethnic groups (≈19%). Relative risk for GAS pharyngitis was moderately elevated among children of Pacific Islander and Māori ethnicities compared with those of European/other ethnicities, but risk for ARF was highly elevated for children of Pacific Islander and Māori ethnicity compared with those of European/other ethnicity. That ethnic disparities are much higher among children with ARF than among those with GAS pharyngitis implies that ARF is driven by factors other than rate of GAS pharyngitis alone.

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