Better health and ageing for all Australians

Vaccine Preventable Diseases and Vaccination Coverage in Aboriginal and Torres Strait Islander People, Australia, 2003 to 2006

Introduction

Produced by the National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases and the Australian Institute of Health and Welfare on behalf of the Australian Government Department of Health and Ageing Published as a supplement to the Communicable Diseases Intelligence journal Volume 32, June 2008.

Up to Communicable Diseases Intelligence Volume 32 Supplement - June 2008

TOC |next page

This is the second report on vaccine preventable diseases and vaccination coverage in Aboriginal and Torres Strait Islander people. The first, published in 2004, covered data from 1999 to 2002.1

Documented improvements in the quality of Indigenous status data, noted in previous publications1,2 and further documented in this report, have enabled this report to be substantially more comprehensive. The report includes notifiable disease data from five jurisdictions, up from four in the previous report, hospitalisation data by year for the first time, as well as vaccination coverage data from the Australian Childhood Immunisation Register and National Aboriginal and Torres Strait Islander Health Survey. Coverage data is reported for individual jurisdictions for the first time.

This report is modelled on two other regularly published national reports. It provides a comparison between Indigenous and non-Indigenous people not available in the Vaccine Preventable Diseases and Vaccination Coverage in Australia reports3–5 produced by the National Centre for Immunisation Research and Surveillance (NCIRS), and detailed data on vaccine preventable disease and vaccination coverage not available in the The Health and Welfare of Australia’s Aboriginal and Torres Strait Islander Peoples reports6–8 produced by the Australian Institute of Health and Welfare (AIHW) and the Australian Bureau of Statistics (ABS). Data are provided for all diseases and vaccines included in the National Immunisation Program (NIP) for the period of analysis. Individual chapters are provided for those diseases responsible for a substantial burden of illness during the period. Data on diseases with very few or no cases are in the summary tables in Appendices A and B. Data on rotavirus and human papillomavirus are not included, as these vaccines were not included in the NIP during the period.

The aim of this report is to make available recent data from routinely collected sources, along with informed commentary, to facilitate service delivery, policy development and further research on the prevention of vaccine preventable diseases in Aboriginal and Torres Strait Islander people. The primary audience is health professionals. In the near future, a summary publication targeted at health workers in the Aboriginal community controlled sector will also be developed.

TOC |next page

Table of Contents
Vaccine Preventable Diseases and Vaccination Coverage in Aboriginal and Torres Strait Islander People, Australia, 2003 to 2006
  Acknowledgement
  Executive Summary
  Introduction
  Methods
   Methods: Vaccine preventable diseases data
   Vaccination coverage data
   Data quality and notes on interpreting data
  Results
   Haemophilus influenzae type b disease
   Hepatitis A
   Hepatitis B (acute)
   Influenza and pneumonia
   Measles
   Meningococcal disease
   Pertussis
   Pnuemococcal disease
   Varicella
  Vaccination coverage
   The Australian Standard Vaccination Schedule/National Immunisation Program 2003 to 2006
   Vaccination coverage estimates from the Australian Childhood Immunisation Register for Aboriginal and Torres Strait Islander versus other children
   Vaccination coverage estimates from the National Aboriginal and Torres Strait Islander Health Survey and National Health Survey for Indigenous and non-Indigenous adults
  Discussion
  Appendix A. Summary of notifications in Australia,* for vaccine preventable diseases,† 2003 to 2006, by Indigenous status
  Appendix B. Summary of hospitalisations and deaths in Australia,* for vaccine preventable diseases,† 2002 to 2005, by Indigenous status
  Appendix C. List of health conditions of interest from the National Aboriginal and Torres Strait Islander Health Survey selected as indicators of prevalence of risk factors for which pneumococcal or influenza vaccination was recommended in Indigenous adults
  Appendix D. Notifiable diseases definitions in use prior to 2004
  Appendix E. Additional tables on risk factor prevalence and vaccination coverage data
  Abbreviations
  References