An Integrated Approach to Infectious Disease
Priorities for Action 2002-2006
Full text version
Date of publication: November 2001 page 1 of 20
It is also available as a PDF file to download or print.: An Integrated Approach to Infectious Disease
Foreword
The goal of the Integrated Approach to Infectious Disease: Priorities for Action 2002-2006 is to address the New Zealand Health Strategy objective (Minister of Health 2000):
To reduce the incidence and impact of infectious diseases.
The Integrated Approach to Infectious Disease (IAID) complements and reinforces a number of other key goals and objectives in the New Zealand Health Strategy, including improving physical health, providing accessible and appropriate health care services, creating a healthy physical environment, and reducing inequalities in health status.
Infectious diseases significantly affect the health of New Zealanders. The incidence and impact of infectious disease are influenced by action not just in the health sector, but also in areas such as housing, agriculture and local government.
The IAID defines the priorities and strategies for management of infectious diseases, based on a broad, multisectoral view of infectious disease transmission and control. It has been developed by people working in the infectious disease sector, in consultation with other governmental and non-governmental agencies, and co-ordinated by the Ministry of Health.
Given limited resources, the IAID sets out key priorities for action at national and local levels over the next five years. The strategies in this document provide direction for the decisions that District Health Boards (DHBs) will make in the difficult task of allocating resources. This document also sets out essential intersectoral actions and policy priorities for central and local government agencies and provides the national framework within which DHBs will be operating.
I am confident you will join me in ensuring that we use the opportunities presented by this Action Plan to move towards the common goals of the New Zealand Health Strategy - improved health, reduced inequalities and higher quality care.
Hon Annette King
Minister of Health
Contents
Part I: Introduction
The Strategic Framework for the Health and Disability Sector
Why do we need an integrated approach to infectious disease?
Part II: The Framework - Infectious Disease Categories
Highest priority infectious diseases
Vaccine-preventable diseases
Infectious respiratory diseases
Blood-borne infections
Sexually transmitted infections
Food-borne enteric diseases
Hospital-acquired infections and antibiotic resistance
Lower priority infectious diseases
The environment and infectious disease
Infectious diseases transmitted by close physical contact
Congenital and perinatal infections
New, exotic and imported infections
National Issues in Infectious Disease Control
Surveillance
Research issues
Legislation
Workforce development
References
Appendix 1: Workshop Group List
Glossary
Abbreviations
| AIDS | Acquired Immunodeficiency Syndrome |
| AR | Antibiotic resistance |
| BCG | Bacillus Calmette-Guerin vaccine |
| CDC | Center for Disease Control (Atlanta) |
| DHB | District Health Boards (DHBs) fund, provide or ensure the provision of services that protect, promote and improve the health and independence of a geographically defined population |
| DOT(S) | Directly observed therapy (short-course) |
| DWS | Drinking-Water Standards |
| ESR | Institute of Environmental Science and Research Ltd |
| FSA | Food Safety Authority |
| HACCP | Hazard Analysis Critical Control Point. A system that is intended to provided a high degree of food safety assurance. |
| HAI | Hospital-acquired infection |
| HiB | Haemophilus influenzae type B (vaccine) |
| HIV | Human Immunodeficiency Virus |
| HRC | Health Research Council of New Zealand |
| IAID | Integrated Approach to Infectious Disease |
| IDU | Injecting drug user |
| IMAC | Immunisation Advisory Centre |
| IPA | Independent Practitioner Association |
| MAF | Ministry of Agriculture and Forestry |
| MDR-TB | Multi-drug resistant tuberculosis |
| MFAT | Ministry of Foreign Affairs and Trade |
| MoU | Memorandum of Understanding |
| MRSA | Methicillin-resistant Staphylococcus aureus |
| NSP | Needle and syringe exchange programme |
| NZBS | New Zealand Blood Service |
| NZIS | New Zealand Immigration Service |
| OSH | Occupational Safety and Health |
| PHARMAC | Pharmaceutical Management Agency Ltd |
| PHO | Primary health organisation |
| PHSs | Public health services |
| SRHS | Sexual and Reproductive Health Strategy |
| STEC | Shiga toxin-producing E. coli (see also VTEC) |
| STI | Sexually transmitted infection |
| TB | Tuberculosis |
| VTEC | Verotoxin-producing E. coli (see also STEC) |
| WHO | World Health Organization of the United Nations |