This annual report - Taranaki District Health Board

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Midland Region Distribution and TrendsMidland Region vs. New ZealandHospital Admissions: In Lakes DHB, the Bay of Plenty and Tairawhiti during 2007–2011,hospital admissions for medical conditions with a social gradient were significantly higherthan the New Zealand rate, while in the Waikato and Taranaki rates were significantlylower. Similarly hospital admissions for injuries with a social gradient were significantlyhigher than the New Zealand rate in the Bay of Plenty and Tairawhiti, while rates in theWaikato and Taranaki were significantly lower. Injury admissions in Lakes DHB however,were similar to the New Zealand rate (Table 53).Table 53. Hospital Admissions for Conditions with a Social Gradient in Children Aged 0–14Years (Excluding Neonates), Midland DHBs vs. New Zealand 2007–2011DHBNumber:Total2007−2011Number:AnnualAverageChildren 0–14 YearsMedical ConditionsRate per1,000Rate Ratio95% CIWaikato 12,533 2,507 31.59 0.78 0.76–0.79Lakes 6,101 1,220 51.32 1.26 1.23–1.29Bay of Plenty 11,741 2,348 52.87 1.30 1.28–1.32Tairawhiti 3,147 629 54.39 1.34 1.29–1.38Taranaki 3,464 693 30.29 0.74 0.72–0.77New Zealand 182,044 36,409 40.68 1.00Injury AdmissionsWaikato 3,728 746 9.40 0.86 0.84–0.89Lakes 1,349 270 11.35 1.04 0.99–1.10Bay of Plenty 2,832 566 12.75 1.17 1.13–1.22Tairawhiti 885 177 15.30 1.41 1.32–1.50Taranaki 1,020 204 8.92 0.82 0.77–0.87New Zealand 48,650 9,730 10.87 1.00Source: Numerator: National Minimum Dataset (neonates removed); Denominator: Statistics NZ EstimatedResident Population (projected from 2007); Note: Medical Conditions: Acute and arranged admissions only;Injury Admissions: Emergency Department cases removedMidland Region Distribution by CauseHospital Admissions for Medical Conditions: In all of the DHBs in the Midland Regionduring 2007–2011, asthma, bronchiolitis, gastroenteritis and acute upper respiratory tractinfections were in the top four reasons for hospitalisations for medical conditions with asocial gradient. Infectious and respiratory diseases collectively were responsible for themajority of medical admissions during this period (Table 54 –Table 58).Hospital Admissions for Injuries: In all of the DHBs in the Midland Region during 2007–2011, falls, followed by inanimate mechanical forces, were the most frequent reasons forinjury admissions with a social gradient, although transport injuries as a group also made asignificant contribution (Table 54 –Table 58).Hospital Admissions and Mortality with a Social Gradient - 250
Table 54. Hospital Admissions for Conditions with a Social Gradient in Children Aged 0–14Years (Excluding Neonates) by Primary Diagnosis, Waikato 2007–2011Primary DiagnosisNumber:Total2007−2011Children 0–14 YearsMedical ConditionsNumber:AnnualAverageWaikatoRate per1,000% of TotalAcute Bronchiolitis 2,427 485.4 6.12 19.4Gastroenteritis 1,838 367.6 4.63 14.7Acute Upper Respiratory Infections Excl Croup 1,537 307.4 3.87 12.3Asthma 1,396 279.2 3.52 11.1Skin Infections 1,094 218.8 2.76 8.7Viral Infection of Unspecified Site 981 196.2 2.47 7.8Pneumonia: Bacterial, Non-Viral 766 153.2 1.93 6.1Urinary Tract Infection 462 92.4 1.16 3.7Otitis Media 358 71.6 0.90 2.9Epilepsy/Status Epilepticus 319 63.8 0.80 2.5Croup/Laryngitis/Tracheitis/Epiglottitis 312 62.4 0.79 2.5Febrile Convulsions 228 45.6 0.57 1.8Dermatitis and Eczema 175 35.0 0.44 1.4Pneumonia: Viral 137 27.4 0.35 1.1Osteomyelitis 103 20.6 0.26 0.8Inguinal Hernia 100 20.0 0.25 0.8Rheumatic Fever/Heart Disease 69 13.8 0.17 0.6Meningitis: Viral, Other, NOS 60 12.0 0.15 0.5Bronchiectasis 53 10.6 0.13 0.4Vaccine Preventable Diseases 33 6.6 0.08 0.3Meningitis: Bacterial 31 6.2 0.08 0.2Meningococcal Disease 29 5.8 0.07 0.2Nutritional Deficiencies/Anaemias 25 5.0 0.06 0.2Waikato Total 12,533 2,506.6 31.59 100.0Injury AdmissionsFalls 1,838 367.6 4.63 49.3Mechanical Forces: Inanimate 921 184.2 2.32 24.7Transport: Cyclist 276 55.2 0.70 7.4Mechanical Forces: Animate 226 45.2 0.57 6.1Electricity/Fire/Burns 157 31.4 0.40 4.2Transport: Vehicle Occupant 103 20.6 0.26 2.8Transport: Pedestrian 100 20.0 0.25 2.7Accidental Poisoning 96 19.2 0.24 2.6Drowning/Submersion 11 2.2 0.03 0.3Waikato Total 3,728 745.6 9.40 100.0Source: Numerator: National Minimum Dataset (neonates removed); Denominator: Statistics NZ EstimatedResident Population (projected from 2007); Note: Medical Conditions: Acute and arranged admissions only;Injury Admissions: Emergency Department cases removedHospital Admissions and Mortality with a Social Gradient - 251
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Cover Artwork: Long-tailed Blue But
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LIST OF FIGURESFigure 1. Gross Dome
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Figure 41. Number of Students Invol
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Figure 85. Proportion of Babies Bor
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Figure 127. Relationship Between th
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Table 21. Policy Documents Relevant
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Table 108. Proportion of Young Peop
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INTRODUCTION AND OVERVIEWIntroducti
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three then reviews mental health is
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Table 1. Overview of the Determinan
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Stream Indicator New Zealand Distri
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47MACROECONOMICINDICATORS
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Expenditure-based Measure of GDPThe
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Gini Coefficient: The Lorenz curve
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CHILD POVERTY AND LIVING STANDARDSI
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After Housing Costs (AHC)Relative P
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Figure 8. Proportion of Dependent C
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14 Items (Enforced Lacks) are inclu
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Local Policy Documents and Evidence
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Other Relevant New Zealand Evidence
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UNEMPLOYMENT RATESIntroductionIn th
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Figure 12. Unemployment Rates by Ag
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Unemployment Rates by Qualification
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Figure 18. Quarterly Unemployment R
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CHILDREN RELIANT ON BENEFIT RECIPIE
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Table 4. Number of Children Aged 0-
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Table 5. Number of Children Aged 0-
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YOUNG PEOPLE RELIANT ON BENEFITSInt
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Table 7. Number of Young People Age
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New Zealand Distribution by Ethnici
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Figure 25. Young People Aged 16-24
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Table 10. Number of Young People Ag
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HOUSEHOLD COMPOSITION91
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Data Source and MethodsDefinitionPr
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Figure 29. Proportion of Children A
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Robertson J, et al. 2006. Review of
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Canadian National Occupancy Standar
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Figure 33. Proportion of Children a
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Other Relevant EvidenceMarmot Revie
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Note 2: The number of new school en
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Figure 36. Proportion of New Entran
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Sylva K, et al. 2004 The Effective
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Table 15. Enrolments in Māori Medi
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Table 16. Number of Students (Māor
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Local Policy Documents which Consid
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HIGHEST EDUCATIONAL ATTAINMENT AT S
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Figure 43. Highest Educational Atta
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Figure 46. Highest Educational Atta
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SENIOR SECONDARY SCHOOL RETENTION A
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Participation in Tertiary Education
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Midland Region Distribution and Tre
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The following section uses informat
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Figure 54. Age-Standardised Rates o
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Figure 56. Age-Standardised School
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TRUANCY AND UNJUSTIFIED ABSENCESInt
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Figure 60. Total Unjustified Absenc
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Figure 63. Total Unjustified Absenc
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Table 22. The National Immunisation
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Figure 64. Immunisation Coverage by
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Figure 67. Immunisation Coverage by
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Figure 71. Immunisation Coverage at
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Soares-Weiser K, et al. 2012. Vacci
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Briss PA, et al. 2000. Reviews of e
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Data Sources and MethodsIndicatorPr
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Figure 75. Proportion of New Zealan
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Proportion Receiving Core Contacts
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Figure 81. Proportion of Babies who
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The B4 School CheckThe B4 School Ch
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Other Relevant EvidenceThe Scottish
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185SUBSTANCE USE
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Notes on InterpretationNote 1: The
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Maternal Smoking at First Registrat
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Table 32. Number of Cigarettes Smok
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National Institute for Health and C
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Page 208 and 209: Figure 93. Proportion of Year 10 St
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Page 212 and 213: TOBACCO USE IN YOUNG PEOPLEIntroduc
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Page 216 and 217: 2009 New Zealand Tobacco Use Survey
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Page 220 and 221: Carson KV, et al. 2011. Community i
Page 222 and 223: Other Relevant PublicationsMāori A
Page 224 and 225: Other Cochrane Systematic Reviews o
Page 226 and 227: ALCOHOL-RELATED HOSPITAL ADMISSIONS
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Page 232 and 233: Midland Region Distribution and Tre
Page 234 and 235: Local Policy Documents and Evidence
Page 236 and 237: Shults RA, et al. 2009. Effectivene
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Page 244 and 245: Mortality from conditions with a so
Page 246 and 247: Table 50. Mortality from Conditions
Page 248 and 249: Figure 105. Hospital Admissions for
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Page 256 and 257: Midland Region Distribution by Caus
Page 258 and 259: Figure 107. Hospital Admissions for
Page 260 and 261: INFANT MORTALITY AND SUDDEN UNEXPEC
Page 262 and 263: New Zealand Distribution and Trends
Page 264 and 265: Figure 111. Total Infant Mortality,
Page 266 and 267: Table 62. Neonatal and Post Neonata
Page 268 and 269: Table 65. Neonatal and Post Neonata
Page 270 and 271: Distribution by Ethnicity, NZ Depri
Page 272 and 273: Figure 116. Sudden Unexpected Death
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Page 278 and 279: with a review of interventions aime
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Page 284 and 285: Family ViolenceDefinitions and New
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Page 298 and 299: Alcohol and Other DrugsNational and
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Zealand had a number of specialist
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in one Cochrane review [274] (see p
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interventions to treat antenatal de
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In ConclusionWhile it is hoped that
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Data Source and MethodsDefinition1.
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Figure 119. Hospital Admissions for
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Other Systematic ReviewsLouwers ECF
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INJURIES ARISING FROM ASSAULT IN YO
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New Zealand Distribution by Age and
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Flood M & Fergus L. 2008. An Assaul
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Note 2: The numbers in this section
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Table 78. Number of Notifications t
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Table 80. Outcome of Assessment for
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Table 82. Number of Notifications R
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Table 84. Outcome of Assessment for
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Data Source and MethodsDefinition1.
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Family Violence Investigations Wher
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Table 90. Local Policy Documents an
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Stover CS, et al. 2009. Interventio
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oader contextual influences on the
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In addition, Table 112 on Page 414
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Williams SB, et al. 2009. Screening
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Ministries of Education, Health, Ju
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Figure 129. Children and Young Peop
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Table 92. Children Aged 0-14 Years
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IN-DEPTH TOPIC: MENTAL HEALTH ISSUE
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this [350]. The review stated that
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psychotic disorders including first
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Social Workers in SchoolsIn 2011 th
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Children or young people with sever
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EpidemiologyThe 2009 review by Meri
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A diagnosis of conduct disorder acc
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programme using a questionnaire. Si
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developmentally appropriate diagnos
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playthings or the environment, appe
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state more than it cost) provided t
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ACCESS TO MENTAL HEALTH SERVICES: L
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Table 97. Children and Young People
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Midland Region DistributionChildren
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ACCESS TO MENTAL HEALTH SERVICES: L
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Table 101. Hospital Admissions for
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Numbers Accessing Services by Diagn
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Table 103. Young People Aged 15-24
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Table 108. Proportion of Young Peop
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Midland Region DistributionAmongst
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Fletcher A, et al. 2008. School Eff
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New Zealand Distribution and Trends
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Figure 138. Mortality from Suicide
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Figure 139. Mortality from Suicide
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Ougrin D & Latif S. 2011. Specific
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426
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428
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Guide to Community Preventive Servi
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information on all of the events oc
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3. In addition, some providers admi
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as in the majority of the analyses
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APPENDIX 5: THE NATIONAL MORTALITYC
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As a result of these changes, there
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2. Research also suggests that ethn
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APPENDIX 8: POLICE AREA BOUNDARIESF
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Figure 142. Police Area Boundaries
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3. The condition exhibits a socioec
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REFERENCES1. Children's Commissione
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33. Mackay R. 2005. The Impact of F
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71. Ministry of Health. 2011. Immun
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107. ASH New Zealand. 2011. Nationa
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141. Child and Youth Mortality Revi
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175. Pihama L. 2011. Overview of M
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208. King-Hele S, Webb RT, Mortense
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244. Nelson Marlborough District He
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274. Ramsay J, Carter Y, Davidson L
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306. Jewkes R. 2002. Intimate partn
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347. Heflinger CA, Hinshaw SP. 2010
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376. Ministry of Education. 2012. W
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410. Ministry of Health. 2001. New
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443. Zeanah PD, Bailey LO, Berry S.
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480. Weinberg MK, Olson KL, Beeghly
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