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. 2001 Sep-Oct;7(5):767–772. doi: 10.3201/eid0705.017501

Emerging infectious diseases in an island ecosystem: the New Zealand perspective.

J A Crump 1, D R Murdoch 1, M G Baker 1
PMCID: PMC2631882  PMID: 11747690

Abstract

Several unique features characterize infectious disease epidemiology in New Zealand. Historically, well-organized, government-run control programs have eliminated several zoonoses. More recently, however, communicable disease control has been mixed. Rates of rheumatic fever, tuberculosis, and enteric infectious are high, and rates of meningococcal disease are increasing. These diseases are over-represented in New Zealanders of Polynesian descent, who generally live in more deprived and overcrowded conditions than do those of European descent. Measles and pertussis epidemics are recurring because of inadequate vaccine coverage, despite a well-developed childhood immunization program. A progressive response to the HIV epidemic has resulted in relatively low rates of infection, particularly among injecting drug users; however, the response to other sexually transmitted infections has been poor. A key challenge for the future is to build on successful strategies and apply them to persisting and emerging infectious disease threats in a small, geographically isolated country with limited economic resources.

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Selected References

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  1. Austin F. J. Johnston Atoll virus (Quaranfil group) from Ornithodoros capensis (Ixodoidea: Argasidae) infesting a gannet colony in New Zealand. Am J Trop Med Hyg. 1978 Sep;27(5):1045–1048. doi: 10.4269/ajtmh.1978.27.1045. [DOI] [PubMed] [Google Scholar]
  2. Baker M., McNicholas A., Garrett N., Jones N., Stewart J., Koberstein V., Lennon D. Household crowding a major risk factor for epidemic meningococcal disease in Auckland children. Pediatr Infect Dis J. 2000 Oct;19(10):983–990. doi: 10.1097/00006454-200010000-00009. [DOI] [PubMed] [Google Scholar]
  3. Blakely T., Mansoor O., Baker M. The 1996 pertussis epidemic in New Zealand: descriptive epidemiology. N Z Med J. 1999 Feb 12;112(1081):30–33. [PubMed] [Google Scholar]
  4. Blakely T., Salmond C., Tobias M. Hepatitis B virus carrier prevalence in New Zealand: population estimates using the 1987 police and customs personnel survey. N Z Med J. 1998 Apr 24;111(1064):142–144. [PubMed] [Google Scholar]
  5. Burridge M. J., Schwabe C. W., Fraser J. Hydatid disease in New Zealand: changing patterns in human infection, 1878-1972. N Z Med J. 1977 Mar 9;85(583):173–177. [PubMed] [Google Scholar]
  6. Chambers S. T., Town G. I., Neill A. M., Frampton C., Murdoch D. R. Legionella, Chlamydia pneumoniae and Mycoplasma infection in patients admitted to Christchurch Hospital with pneumonia. N Z Med J. 1999 Jun 25;112(1090):222–224. [PubMed] [Google Scholar]
  7. Ellis-Pegler R. B., Cooper I. P., Croxson M. C. Murine typhus in Kaukapakapa? N Z Med J. 1991 Aug 14;104(917):333–334. [PubMed] [Google Scholar]
  8. Greenslade E., Weinstein P., Woodward A., Capucci L., Salmond C., Beasley R. A serological survey of antibodies to rabbit haemorrhagic disease virus (rabbit calicivirus disease) in two rural Central Otago communities. N Z Med J. 2001 Feb 23;114(1126):55–57. [PubMed] [Google Scholar]
  9. Hilbink F., Penrose M., Kovacova E., Kazar J. Q fever is absent from New Zealand. Int J Epidemiol. 1993 Oct;22(5):945–949. doi: 10.1093/ije/22.5.945. [DOI] [PubMed] [Google Scholar]
  10. Hill P. C., Birch M., Chambers S., Drinkovic D., Ellis-Pegler R. B., Everts R., Murdoch D., Pottumarthy S., Roberts S. A., Swager C. Prospective study of 424 cases of Staphylococcus aureus bacteraemia: determination of factors affecting incidence and mortality. Intern Med J. 2001 Mar;31(2):97–103. [PubMed] [Google Scholar]
  11. Hughes K. L. History of veterinary public health in Australasia. Rev Sci Tech. 1991 Dec;10(4):1019–1040. doi: 10.20506/rst.10.4.579. [DOI] [PubMed] [Google Scholar]
  12. Kobayashi K., Rao M., Keis S., Rainey F. A., Smith J. M., Cook G. M. Enterococci with reduced susceptibility to vancomycin in New Zealand. J Antimicrob Chemother. 2000 Sep;46(3):405–410. doi: 10.1093/jac/46.3.405. [DOI] [PubMed] [Google Scholar]
  13. Lake R. J., Baker M. G., Garrett N., Scott W. G., Scott H. M. Estimated number of cases of foodborne infectious disease in New Zealand. N Z Med J. 2000 Jul 14;113(1113):278–281. [PubMed] [Google Scholar]
  14. MACLEAN F. S. The history of plague in New Zealand. N Z Med J. 1955 Apr;54(300):131–143. [PubMed] [Google Scholar]
  15. Maguire T., Miles J. A., Casals J. Whataroa virus, a group A arbovirus isolated in South Westland, New Zealand. Am J Trop Med Hyg. 1967 May;16(3):371–373. doi: 10.4269/ajtmh.1967.16.371. [DOI] [PubMed] [Google Scholar]
  16. Mansoor O., Blakely T., Baker M., Tobias M., Bloomfield A. A measles epidemic controlled by immunisation. N Z Med J. 1998 Dec 11;111(1079):467–471. [PubMed] [Google Scholar]
  17. Martin D. R., Walker S. J., Baker M. G., Lennon D. R. New Zealand epidemic of meningococcal disease identified by a strain with phenotype B:4:P1.4. J Infect Dis. 1998 Feb;177(2):497–500. doi: 10.1086/517385. [DOI] [PubMed] [Google Scholar]
  18. Miles J. A. The ecology of Whataroa virus, an alphavirus, in South Westland, New Zealand. J Hyg (Lond) 1973 Dec;71(4):701–713. doi: 10.1017/s0022172400022968. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Mitchell J. M., MacCulloch D., Morris A. J. MRSA in the community. N Z Med J. 1996 Oct 25;109(1032):411–411. [PubMed] [Google Scholar]
  20. Paul C., Wilson M., Dickson N., Sharples K., Skegg D. C. Enhanced surveillance of HIV infections in New Zealand, 1996-1998. N Z Med J. 2000 Sep 22;113(1118):390–394. [PubMed] [Google Scholar]
  21. Pool D. I. The effects of the 1918 pandemic of influenza on the Maori population of New Zealand. Bull Hist Med. 1973 May-Jun;47(3):273–281. [PubMed] [Google Scholar]
  22. Riley D., MacCulloch D., Morris A. J. Methicillin-resistant S. aureus in the suburbs. N Z Med J. 1998 Feb 27;111(1060):59–59. [PubMed] [Google Scholar]
  23. Roberts S. A., Ellis-Pegler R. B. Murine typhus in the Kaukapakapa area again. Aust N Z J Med. 1997 Aug;27(4):446–447. doi: 10.1111/j.1445-5994.1997.tb02211.x. [DOI] [PubMed] [Google Scholar]
  24. Theakston E. P., Morris A. J., Streat S. J., Baker B. W., Woodfield D. G. Transfusion transmitted Yersinia enterocolitica infection in New Zealand. Aust N Z J Med. 1997 Feb;27(1):62–67. doi: 10.1111/j.1445-5994.1997.tb00916.x. [DOI] [PubMed] [Google Scholar]
  25. Weinstein P., Laird M., Calder L. Australian arboviruses: at what risk New Zealand? Aust N Z J Med. 1995 Dec;25(6):666–669. doi: 10.1111/j.1445-5994.1995.tb02850.x. [DOI] [PubMed] [Google Scholar]

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