Burden and Cost of Hospital Admissions for Vaccine-Preventable Paediatric Pneumococcal Disease and Non-Typable Haemophilus influenzae Otitis Media in New Zealand

Abstract

Prior to the introduction of a national Sp. immunization programme, hospital admissions for Sp. disease and NTHi otitis media in NZ cost about $NZ10 million annually, mostly for children aged<2 years and particularly for those living in relative socioeconomic deprivation and for Pacific Island and Māori children. There were about five pneumococcal deaths annually. With adjustment for local serotypes, vaccine serotype coverage and uptake, immunization with any of the three available pneumococcal vaccines would reduce this burden substantially.

Determinants of chronic otitis media with effusion in preschool children: a case–control study

“…In NZ, deprivation is associated with infectious diseases [26], surgical interventions for OM [27], and infection with the otopathogen Staphylococcus aureus [28]. However, we did not find deprivation to be associated with COME.…”

Mortality and hospitalisation costs of rheumatic fever and rheumatic heart disease in New Zealand

“…The annual cost of admissions for ARF and RHD across all age groups is estimated conservatively at $NZ12.0 million (95% confidence limit $11.1 million, $12.8 million) [about $US10.4 million]. This is similar to the annual cost of acute hospital admissions for paediatric pneumococcal disease including pneumococcal pneumonia plus pneumococcal and nontypeable Haemophilus influenzae otitis media for the under 20 age group, which has been estimated recently at $NZ9.95 million (in 2006/7 dollars) 23 and which translates to $13.6 million at present value.…”

A review of the burden of disease due to otitis media in the Asia-Pacific

“…National hospital admission and mortality data due to OM were retrospectively searched covering the years 2000 to 2007 [63]. The aetiology of OM was estimated using international data, and Spn and Hi were assumed to account for 72% of OM admissions.…”

“…Incidence of AOM by age in 19,146 <5 year olds derived from retrospective review of medical records from 63 general practices in New Zealand, 2008-2009 [62].Hi OM-related hospital episodes for children aged <20 years was US$3.3 million in 2006-2007[63].…”

“…Annual rate of hospital admissions (medical or surgical) in New Zealand for OM in 2006-2007, by age and estimated aetiology[63].…”