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Invasive pneumococcal disease in Australia, 2004<br />

Annual report<br />

Estimates <strong>of</strong> the Indigenous Australian population<br />

were based on projections from the 2001 census.<br />

The ABS calculated projections based on assumptions<br />

about future births, deaths <strong>and</strong> migrations in<br />

the Indigenous population <strong>and</strong> a ‘low’ <strong>and</strong> ‘high’<br />

estimate were reported. The ‘low’ estimate has been<br />

used in this report, consistent with the reporting <strong>of</strong><br />

other national communicable diseases.<br />

Figure 1. Notifications <strong>of</strong> invasive pneumococcal<br />

disease, Australia, 2004, by month <strong>of</strong><br />

report <strong>and</strong> age group<br />

400<br />

350<br />

300<br />

Total cases<br />

=5 years<br />

The significance <strong>of</strong> differences in rates was calculated<br />

using the Chi-square test with Yates correction.<br />

Results<br />

There were 2,375 notifi cations <strong>of</strong> IPD to NNDSS in<br />

2004; a 9.2 per cent increase over the number <strong>of</strong><br />

notifi cations in 2003. The number <strong>of</strong> notifi cations<br />

<strong>and</strong> notifi cation rate per 100,000 population are<br />

shown in Table 4.<br />

Notifications<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec<br />

Month<br />

The notifi cation rates for IPD varied between<br />

7.8 <strong>and</strong> 17 cases per 100,000 population except in<br />

the Northern Territory where the notifi cation rate was<br />

46.5 cases per 100,000 population. The number <strong>of</strong><br />

notifi cations in 2004 was fewer in Victoria compared<br />

with the total in 2003, but increased in all other jurisdictions.<br />

When notifi cation rates <strong>of</strong> IPD were examined by<br />

geographical distribution, variation within States<br />

was apparent (Map).<br />

The number <strong>of</strong> notifi cations <strong>of</strong> IPD was greatest in<br />

the winter months with the peak number <strong>of</strong> notifi -<br />

cations in August (342 notifi cations). The effect <strong>of</strong><br />

season was more evident in the distribution <strong>of</strong> cases<br />

aged fi ve years or more compared with younger<br />

children (Figure 1).<br />

Figure 2. Notification rates <strong>of</strong> invasive<br />

pneumococcal disease, Australia, 2004, by age<br />

group <strong>and</strong> sex<br />

Rate per 100,000 population<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

Rate per 100,000 population<br />

160<br />

140<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

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