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Contents and Lead Article

Contents
- Unintentional house fire deaths in New Zealand 1991-1998
- Outbreak of Echovirus 33 infection in Waikato, Auckland and Wellington
- Norwalk-like viruses leading cause of communicable disease outbreaks in 1999
- Typhoid fever epidemic in Samoa
- Shiga toxin-producing Escherichia coli (STEC) cases increase again in 1999
- Surveillance and control notes
Lead article:
Unintentional house fire deaths in New Zealand 1991-1998
A review of routinely collected health and fire service data was
undertaken to describe individuals who died in house fires in New
Zealand in the years 1991-1996 and the characteristics of fatal
incidents from 1991 to 1998. Age-specific mortality rates were highest
for adults >=65 years and children <5 years. Age-standardised
rates showed a threefold increased mortality for Maori compared with
non-Maori (relative risk [RR] 3.4, 95% confidence interval [CI]
2.2-5.2), and an increased risk for males compared with females (RR
1.8, 95% CI 1.3-2.4). Fatal incidents occurred most commonly in winter,
and in the early hours of weekend mornings. Findings in New Zealand are
consistent with overseas studies and demonstrate the importance of
designing effective preventive strategies that reach population groups
with the greatest risk. Published studies support the roles of public
health workers in advocacy for mandatory smoke detectors and adequate
housing standards, injury prevention counselling, smoking cessation and
alcohol programmes, and community-based fire safety initiatives.
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