ArticleJournal of the Royal Society of New Zealand2026
Increasing Underrepresentation of Pacific Peoples in Community-Based Respiratory Surveillance in Aotearoa New Zealand, 2018-2024.
Article in Journal of the Royal Society of New Zealand, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pacific peoples experience a disproportionate burden of respiratory infectious diseases in Aotearoa New Zealand, and surveillance sensitivity depends on capturing transmission in high-risk populations. Despite substantial post-COVID investment in respiratory surveillance, representativeness for Pacific peoples has not been systematically evaluated. We analysed de-identified data from two national community-based surveillance systems-FluTracking and sentinel general practitioner (GP) respiratory surveillance-from 2018 to 2024. Observed Pacific participation was compared with population benchmarks and non-Pacific participation, and trends by age, sex, deprivation and health district were examined, including Pacific-dense districts. Pacific peoples, who experience a disproportionate burden of respiratory disease, were persistently underrepresented in FluTracking. After a temporary increase in 2020, representation declined by an average of 0.8% per year to 2024 (
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