Publications by authors named "Andrew Anglemyer"

Objective: Our primary research objective was to assess the population uptake and contact tracer utilisation of the Bluetooth function of the New Zealand Covid Tracer App (NZCTA) throughout the pandemic.

Methods: We adopted a retrospective cohort study design using all diagnosed COVID-19 community cases from December 12, 2020 to February 16, 2022.

Results: At its height, more than 60% of the eligible population had the Bluetooth function of NZCTA activated.

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  • Aotearoa New Zealand has seen a rise in invasive group A streptococcal (iGAS) infections since October 2022, especially among children and marginalized communities like Māori and Pacific peoples.
  • The study analyzed national surveillance data from 2017 to 2023, finding that iGAS infections decreased during COVID-19 restrictions and surged once those restrictions were lifted, showing a moderate correlation with acute respiratory infections.
  • The trends in New Zealand reflect a similar global increase in iGAS, highlighting the need for improved surveillance and response strategies as iGAS will become notifiable in late 2024.
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  • There has been a notable rise in childhood invasive pneumococcal disease (IPD) in Aotearoa New Zealand following the easing of COVID-19 restrictions and changes in vaccination protocols.
  • A study observed 93 cases of IPD in children under 5 from 2021 to 2023, predominantly affecting Pacific children, with a significant percentage linked to the serotype 19A, known for causing severe conditions like empyema and meningitis.
  • The findings highlight the need for urgent enhancements in pneumococcal vaccination coverage, particularly with the PCV13 vaccine, to combat the rise in cases and protect vulnerable populations.
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Background: In Aotearoa New Zealand (NZ) PCV7 was introduced in 2008, then PCV10 in 2011 and PCV13 in 2014. In 2017 PCV10 was re-introduced, replacing PCV13. In the present study, we investigate the resultant rapidly changing invasive pneumococcal disease (IPD) epidemiology.

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Background: Digital contact tracing (DCT) aims to improve time-to-isolation (timeliness) and find more potentially exposed individuals (sensitivity) to enhance the utility of contact tracing. The aim of this study was to evaluate the public uptake of a DCT self-service survey and its integration with the Bluetooth exposure notification system within the New Zealand Covid Tracer App (NZCTA).

Methods: We adopted a retrospective cohort study design using community COVID-19 cases from February 2022 to August 2022 in New Zealand (1.

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  • The study analyzed the effectiveness and usage of the QR-code feature in the New Zealand COVID Tracer App (NZCTA) among COVID-19 cases from August 2020 to February 2022.
  • It found that Asian and other ethnicities were significantly more likely to use the QR code feature compared to Māori during both the Delta and Omicron periods, with variations depending on the organization handling the cases.
  • The QR code system had a low effectiveness for identifying close contacts but was very effective in identifying casual contacts, indicating its limited impact on controlling the spread of COVID-19 in New Zealand.
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Background: New Zealand's (NZ) complete absence of community transmission of influenza and respiratory syncytial virus (RSV) after May 2020, likely due to COVID-19 elimination measures, provided a rare opportunity to assess the impact of border restrictions on common respiratory viral infections over the ensuing 2 years.

Methods: We collected the data from multiple surveillance systems, including hospital-based severe acute respiratory infection surveillance, SHIVERS-II, -III and -IV community cohorts for acute respiratory infection (ARI) surveillance, HealthStat sentinel general practice (GP) based influenza-like illness surveillance and SHIVERS-V sentinel GP-based ARI surveillance, SHIVERS-V traveller ARI surveillance and laboratory-based surveillance. We described the data on influenza, RSV and other respiratory viral infections in NZ before, during and after various stages of the COVID related border restrictions.

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Background: Researchers and decision-makers often use evidence from randomised controlled trials (RCTs) to determine the efficacy or effectiveness of a treatment or intervention. Studies with observational designs are often used to measure the effectiveness of an intervention in 'real world' scenarios. Numerous study designs and their modifications (including both randomised and observational designs) are used for comparative effectiveness research in an attempt to give an unbiased estimate of whether one treatment is more effective or safer than another for a particular population.

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  • Chlamydia, gonorrhea, and syphilis are common infections in New Zealand, and certain groups, like younger people and Māori and Pacific peoples, get them more often.
  • Researchers looked at data from 2019 to find out who is more likely to get reinfected with these STIs within a year of their first infection.
  • The study found that younger people, those living in specific regions, and certain ethnic groups are at higher risk, and suggested that these groups need better healthcare services to help prevent reinfection.
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Cancer health disparities persist across the cancer care continuum despite decades of effort to eliminate them. Among the strategies currently used to address these disparities are multi-institution research initiatives that engage multiple stakeholders and change efforts. Endemic to the theory of change of such programs is the idea that collaboration-across institutions, research disciplines, and academic ranks-is necessary to improve outcomes.

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  • - The study compares the rates of invasive pneumococcal disease (IPD) between Australia and New Zealand from 2017 to 2021, focusing on the impact of different pneumococcal vaccines (PCV13 in Australia vs. PCV10 in NZ).
  • - Findings reveal that while Australia has a lower overall IPD incidence, New Zealand has seen a significant increase in serotype 19A infections, especially among children, alongside higher IPD rates among Māori/Pacific peoples compared to Indigenous Australians.
  • - The data suggests that New Zealand's switch to PCV13 in December 2022 aligns with the rising incidence of IPD caused by serotype 19A and highlights the need for tailored vaccination
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Aims: To evaluate gaps in measles immunisation coverage for children <5 years in Aotearoa New Zealand.

Methods: In this cross-sectional study, we extracted coverage rates for the first measles, mumps and rubella (MMR1) vaccine and second MMR vaccine (MMR2) from the National Immunisation Register for birth cohorts 2017 to 2020. We described measles coverage rates per birth cohort, and stratified per district health board (DHB), ethnicity and deprivation quintile.

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Background: After COVID-19 arrived in New Zealand, a national system was developed to improve the efficiency of contact tracing. The first outbreak was followed by a period of 'COVID-19 elimination', until a community outbreak occurred in August 2020. We describe the characteristics of cases and their contacts during this outbreak, focused on the results of contact tracing.

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This cross-sectional study investigates the outcomes of different population estimate methodologies on relative gaps in COVID-19 vaccination between ethnic groups and the resulting population risk among people in New Zealand.

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Countries are rapidly developing digital contact tracing solutions to augment manual contact tracing. There is limited empirical evidence evaluating these tools. We conducted a feasibility study of a Bluetooth-enabled card with hospital staff in New Zealand (n = 42).

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  • New Zealand has transitioned from using the PCV13 vaccine to the PCV10 vaccine for pneumococcal disease.
  • Since making this switch, there has been an increase in cases of serotype 19A in young children, along with a rise in penicillin-resistant strains.
  • Experts are now suggesting that New Zealand needs to re-evaluate its decision regarding the pneumococcal vaccine used.
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  • Gay and bisexual men (GBM) represent a significantly higher percentage of HIV, syphilis, and gonorrhoea cases in New Zealand, with rates calculated for the first time by sexual orientation.
  • In 2019, GBM accounted for 76.3% of HIV, 65.7% of syphilis, and 39.4% of gonorrhoea notifications, showing stark disparities in case rates compared to heterosexual individuals.
  • The study highlights serious inequities in STIs among GBM in New Zealand, emphasizing the need for targeted surveillance and interventions based on sexual orientation.
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Background: Reducing the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global priority. Contact tracing identifies people who were recently in contact with an infected individual, in order to isolate them and reduce further transmission. Digital technology could be implemented to augment and accelerate manual contact tracing.

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Background: Cervical cancer deaths are disproportionately higher in developing countries depicting one of the most profound health disparities existing today and is ranked as the second most frequent cancer among women in Nigeria. The Human Papillomavirus (HPV) vaccine as a primary prevention strategy is not widely used in Nigeria. This study investigated perceived barriers to HPV vaccination in a Nigerian community, targeting health workers' perceptions.

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  • - The manuscript examines whether SARS-CoV-2, the virus causing COVID-19, shows seasonal patterns in its behavior and spread.
  • - It analyzes four key areas: how long the virus can survive outside a host, how effectively it spreads, ecological factors affecting the virus, and epidemiological data from the Southern Hemisphere during summer and early fall.
  • - The goal is to understand better how these factors might influence the virus's transmission and control measures based on seasonal changes.
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