\ \ ' I' I fl) t t i H l-i\t.rH "" "" ... . 133 Molesworth St PO Box5013 Wellington 6145 New Zealand T +64 4 496 2000

Ref: H201807164

Dear-

Response to your request for official information

I refer to your request of 24 October 2018 under the Official Information Act 1982 (the Act) for:

" 1) The number of children hospitalised with a respiratory illness every year since 2008. Please include a yearly breakdown of those figures.

2) Of those children from question one, how many are living in a household with a smoker? Please include a yearly breakdown of those figures since 2008.

3) Of those children from question one, how many are living in a home that is considered damp? Please include a yearly breakdown since 2008.

4) Of those children from question one, how many are living in a household with a smoker and is damp? Please include a yearly breakdown since 2008.

5) A hospital by hospital breakdown of the figures requested in question 1. Please include a yearly breakdown of those figures since 2008.

6) A condition breakdown of the figures requested in question 1 and 2. Please include a yearly breakdown of those figures since 2008.

7) An age, gender and ethnicity breakdown of the figures requested in question one. Please include a yearly breakdown of those figures since 2008.

8) How many children have died as a result of a respiratory illness? Please include a yearly breakdown of those figures since 2008, and a hospital breakdown if possible.

9) An age, gender and ethnicity breakdown of the figures requested in question eight. Please include a yearly breakdown of those figures since 2008.

10) The number of staff hours that have been used treating children with a respiratory illness every year since 2008. Please include a yearly breakdown."

Please see Attachment One for information relating to questions 1, 5, 6 and 7. This data represents publicly funded hospital discharges related to diseases of the respiratory system, for ages 0-14, between the years of 2008 and 2017. The data is broken down by year, facllity, primary diagnosis, and demographics. It is important to note that the hospitalisation data is affected by changes in short stay ED reporting between 2008 and 2012. This is particularly pronounced between 2008 and 2009. The Ministry of Health has a factsheet about this on its website, which is available at the following link: https.//www.health.govt.nz/publication/factsheet-short-stay-emergency-department-events.

Please see Attachment Two for information relating to questions 8 and 9. This data represents deaths related to diseases of the respiratory system, for ages 0-14, between the years of 2008 and 2015. The data is broken down by year, facility, and demographics.

I have decided under section 18(e) of the Act to refuse questions 2, 3 and 4, due to the fact the information requested does not exist. The Ministry of Health's hospital data doesn't record information on a person's normal living arrangements.

I have also decided under section 18(g) of the Act to refuse question 10, as the information requested is not held by the Ministry of Health.

I trust this information fulfils your request. You have the right, under section 28 of the Act, to ask the Ombudsman to review any decisions made under this request.

Please note this response (with your personal details removed) may be published on the Ministry of Health website.

Yours sincerely

Ann-Marie Cavanagh Acting Deputy Director-General Data and Digital Diseases of the . AT TI/( II ICD-1 O-AM-111 c~espiratory system public! mt/I/ T dNE ExtractedYear Num~tober29 0 des JOO-J99 2_018 y funded hospital discha rges, ages 0-14' 2008-2017

2008 er of discharges 2009 23991 2010 26609 2011 26061 2012 25587 2013 26321 2014 24086 2015 25614 2016 27451 2017 25407 26383 Diseases of the respiratory system publicly funded hospital disch~s 0-14, 2008-2017 ICD-10-AM-lllcodesJOO-J99 \S~ _ Extracted 29 October 2018 . Facility 2008 ' 2011 2012 2013 2014 2015 2016 2017 3111 Ashburton Hospital 89 34 24 30 26 26 52 3214 3728 3750 3488 3516 3612 3028 3161 3215 217 343 343 317 275 251 261 3216 993 1587 1590 1490 1581 1578 1660 3240 Botany Downs Hospital 1 2 3250 Manukau Surgery Centre 211 222 239 365 311 350 329 3260 3883 4023 3192 3454 3755 3266 3209 3262 Elective Surgery Centre 1 3311 Whakatane Hospital 397 395 385 354 405 402 387 3314 Opotiki 1 3411 Gisborne Hospital 399 497 485 ~~ \)4-@ 389 443 432 432 473 3612 Hawkes Bay Hospital 915 995 1069 ~ st) 805 836 954 792 980 3613 Wairoa Hospital & Health Ceolre 35 54 60 39 19 19 3722 Maniototo Health Services 2 2 517 5 ~ ~ 1 2 3811 Wairau Hospital 140 176 146 147i 0 51 106 116 140 120 3911 Nelson Hospital 450 402 324 335 ~ 322 304 306 305 3921 Arthur McCaa Murch1soo Community Hospital 4011 1894 1908 2347 1905 ~ 20Er~107 2250 2350 2193 4014 Christchurch Women·s Hospital 6 2 4021 Kaikoura Hospital 3 3 1 5 ~> 2 ~4, 4 6 5 4029 Akaroa Community Hospital 3 2 5 4030 Chatham Island Health Centre 1 4111 Whangarei Hospital 779 798 900 902 884 '61~ 871 986 4112 Kaitaia Hospital 126 125 117 117 104 v4b) 61 77 4113 Oargaville Hospital 12 14 19 24 25 ~1;..--..,. 27 4 2 4114 Bay of Islands Hospital 152 132 91 89 124 92~0. 07 67 84 4115 Hokianga Hospital 26 42 31 22 13 26 32 4211 Dunedin Hospital 472 639 649 692 810 70040 ~ 785 809 4311 Palmerston North Hospltal 844 995 860 759 875 731 945 835 4313 Horowhenua Health Centre 1 4411 Timaru Hospital 216 215 273 217 207 226 252 217 4511 Southland Hospital 543 595 697 625 612 621 501 486 4513 lakes District Hospital 19 44 41 31 36 43 32 30 4711 Taranaki Base Hospital 372 564 444 356 332 386 484~~ - 568 634 4712 Hawera Hospital 40 35 37 39 29 31 4811 Taumarunui 102 ~ 13 20 4911 Tauranga Hospital 1214 66 915 1222 1009 1082 956 81 83 5011 Thames Hospital 65 76 111 62 45 47 5111 Dunstan Hospital 45 55 55 55 46 2841 5311 1361 2510 2 2743 3229 2317 1012 5312 Rotorua Hospital 888 799 ~~ 942 979 668 5 6 5313 Te Kuiti Hospital and Family Health Team 4 3 7 7 5323 Tokoroa Hospital 14 21 24 2 16 16 27 33 24 34 46 5329 Taupo Hospital 52 50 24 32 43 5511 Wairarapa Hospital 259 236 226 29 183 238 238 209 164 24 28 5611 Oamaru Hospital 24 18 9 17 31 5711 Whanganui Hospital 454 602 32 449 396 389 414 5811 Wellington 1142 1310 1259 358 250 1550 1257 1270 1147 ~37 1025 5812 Hull Valley Hospital 927 884 998 885 5 941 926 5816 Kenepuru 2 15 111 4 9 12 72 5911 Grey Base Hospital 75 98 93 ~ 87 112 5918 Buller Health 10 10 16 ~11 td~. 16 6 10 6 8024 Quay Park Surgical Centre 1 1 1 2 8206 Southern Cross Hospital North Harbour 2 17 8218 Southern Cross Hospital Brightside 1 1 ~ ~- 2 8255 Gillies Hospital 324 382 49 ~ -~ 10 24 65 34 8268 Braemar Hospital 13 42 15 415 /220. 1 ~ : 15 4 8270 Southern Cross Hospital Hamilton 21 7 16 31 8292 Royston Hospital 3 98 28 8297 Southern Cross Hospital New Plymouth 73 39 80 2 71~~ \7 7 ~0 ~! 16 8 8314 Crest Hospital on Carroll 26 9 75 , S\15 8331 Bowen Hospital 32 22 13 23 8351 Manuka Street Hospital 1 1 4 22 47 8366 St George's Hospital 3 2 1~3 62 ~@7 0 51 ~~ 47 58 8377 Southern Cross Hospital Christchurch 54 78 3 40 66 ~~ 63 8383 Bidwill Trust Hospital 2 1 43 32 ~\)V 12 2 8394 Mercy Hospital Dunedin 3 3 2 43 4 26 1 8405 Southern Cross Hospital lnvercargill 229 5 16 4 8432 Wakefield Hospital 17 15 ~ 8 22 8459 Auckland Surgical Centre 1 14 1 ~\ 2 8462 Boulcott Hospital 32 29 1 1 1 8471 Sou thern Cross Hospital Wellington 43 36 \:)~ 8561 Oannevirke Community Hospital ~ 1 1 8569 Clutha Health First 8595 Ascot Integrated Hospital 1 8629 Te Whare Hauora 0 Ngati Porou ~a . 8 9 6 7 8 V'~\ 8630 Queen Elizabeth Trust Z® 1 8644 Kensington Hospital 7 17 34 16 18 8656 Mobile Surgical Unit 7 3 17 3 66 8718 Anglesea Hospital 27 ~·~ 77 77 41 16 65 8722 Auckland City Surgical Services 5 8785 Ormiston Surgical & Endoscopy Limited ~ ~~ 66 64 2 38 58 8791 Southern Cross QE Hospital 8799 NZ Respiratory & Sleep Institute ~9 ~ 6~w: 8867 St Georges Radiology 8929 Grace Hospital 1 3 2 8977 St Marks Road surgical Centre 9101 Crest Hospital on Grey 2 9105 Manuka Street Hospital Limited ~~ 2 ~ c0 ~~~ ~~ ~~ ~ ~ Diseases of the respiratory system publidy funded hospital dischar@ 0-14, 2008-2017 ICD-10-AM-lllcodesJOO-J99 ~ . Extracted 29 October 2018 () Primary diagnosis 2010 2011 2012 2013 2014 2015 2016 2017 JOO Acute nasopharyngitis (common cold) 29 52 40 36 38 50 49 47 J01 Acute sinusitis 32 29 10 17 18 29 21 12 J02 Acute pharyngitis 301 344 282 335 325 413 452 481 J03 Acute tonsillitis 762 745 746 735 712 782 694 657 J04 Acute laryngitis and tracheitis 13 33 18 23 24 33 21 20 JOS Acute obstructive laryngitis [croup] and epigloltitis 1114 1302 1281 1478 1358 1551 1478 J06 Acute upper respiratory infections of multiple and unspecified sites 3407 3713 3355 3619 4062 3953 4408 J10 Influenza due to other identified influenza virus 194 293 192 267 373 180 347 J11 Influenza. virus not identified 87 99 55 82 147 49 86 J12 Viral pneumonia, not elsewhere classified 403 489 468 418 654 493 520 J13 Pneumonia due to Streptococcus pneumoniae 38 23 26 34 24 32 28 J14 Pneumonia due to Haemophilus influenzae 16 8 14 19 15 15 14 J15 Bacterial pneumonia, not elsewhere classified 119 128 153 113 139 135 J16 Pneumonia due to other infectious organisms, not elsewhere classified 3 3 4 4 5 1 J17 Pneumonia in diseases classified elsewhere 4 2 8 4 J18 Pneumonia, organism unspecified 2962 2155 2184 2593 2701 2282 2392 J20 Acute bronchitis 112 62 81 87 95 118 J21 Acute bronchiolitis 5462 5594 6026 6605 5805 6489 J22 Unspecified acute lower respiratory infection 1103 1597 1716 1915 1787 1765 J30 Vasomotor and allergic rhinitis 30 50 60 69 50 55 J31 Chronic rhinitis, nasopharyngitis and pharyngitis 6 32 24 34 29 26 J32 Chronic sinusitis 57 53 65 76 62 62 J33 Nasal polyp 6 16 10 19 7 J34 Other disorders of nose and nasal sinuses 229 314 323 295 281 J35 Chronic diseases of tonsils and adenoids 2706 3006 2957 3021 2924 J36 Peritonsillar abscess 43 22 29 37 27 J37 Chronic laryngitis and laryngotracheitis 1 2 J36 Diseases of vocal cords and larynx, not elsewhere classified 96 91 101 111 106 81 J39 Other diseases of upper respiratory tract 69 65 53 n 74 67 J40 BronchiUs, not specified as acute or chronic 5 5 8 3 3 J41 Simple and mucopurulent chronic bronchitis 1 1 J42 Unspecified chronic bronchitis 3 3 4 2 4 6 J43 Emphysema 2 2 2 2 2 2 J44 Other chronic obslructive pulmonary disease 61 65 38 45 42 23 24 18 J45 Asthma 4497 4911 5149 4412 3499 3496 3283 2979 Diseases of the respiratory system publicly funded hospital disch~es 0-14, 2008-2017 ICD-1 O-AM-111 codes JOO-J99 Extracted 29 October 2018 Ethnicity Sex Age group 2008 2009 2010 2013 2014 2015 2016 2017 Maori Male 0 to4 3737 4205 3947 3743 4210 3589 3970 Maori Male 5to9 576 678 665 722 786 709 759 Maori Male 10 to 14 294 395 303 348 390 321 360 Maori Female 0104 2sn 2909 2812 2650 2877 2571 2870 Maori Female 5 lo 9 455 559 563 553 621 579 654 Maori Female 10 to 14 289 347 304 405 371 400 Pacific Male Oto4 2181 2305 2109 2317 1963 1962 Pacific Male 5 to 9 303 350 320 397 375 325 Pacific Male 10 to 14 145 181 134 168 182 169 Pacific Female Oto4 1496 1743 1499 1574 1659 1543 1274 1388 Pacific Female 5to 9 236 293 246 273 243 321 257 299 Pacific Female 10to14 138 145 120 152 174 159 137 173 Asian Male Oto4 593 630 734 736 763 1031 1082 Asian Male 5 to9 164 197 225 220 266 81 276 Asian Male 10 to 14 53 66 79 78 73 103 Asian Female Oto4 422 427 468 467 534 752 Asian Female 5 to9 145 162 160 151 139 219 Asian Female 10to14 45 51 57 50 77 81 Other Male Oto4 4171 4312 4660 4298 4490 4225 Other Male 5 to9 1225 1294 1321 1265 1301 1186 Other Male 10 to 14 525 654 595 571 608 558 Other Female 0 to4 2707 2987 3027 2981 2967 2827 Other Female 5 to9 933 1084 1075 1029 1036 1040 Other Female 10 to 14 581 635 638 654 640 531 ·1 T711CfffnfNT TWIJ

Diseases of th . ICD-10 codes eJOO-J99 resp1rato ry system deaths, age 0 Extracted 29 Oct b s -14, 2008-2015 Year N o er 2018 2008 umber of deaths 21 2009 20 2010 19 2011 13 2012 24 2013 12 2014 15 2015 12 Diseases of the . ICOExlr~C:~'dc~99 10 respiratory sy st em dea~s. ages 0-14, 2008-2015

Facility obef 2018 2010 2011 2012 2013 2014 2015 - ;3~21~4~M~iiem;oreHO$;;ttai------32603216 ~d_d~moreaitakere Hospital Hospital -332008 _ 2009 1 2 _:=.::;_,!2:!.!!__1~-~~~ 1 3311 :ckland City Hospital 3 2 3 2 6 5 2 2 3612 akatane Hospital 4011 ~~~:Bay Hospital 1 4014 . urch Hospital 1 4111 Christchurch Woote . 4112 Wha~garei Hos~lal n s Hos~tal 4311 Ka1ta1a Hospital Palmerston North . 1 ~:: Trmarn Hospilal Hos~llj 4711 Southland Hospital 4911 ~aranak i Base Hospital 1 ~~ 5311 a~ranga Hospital 5323 Waikato Hospital 5711 Tokoroa Hospital 5811 Wha.nganul Hospital 9990 Wellington Non hospital death 2 4 @ ~ 9 6

~~~~W>~~ ©<%<%~ Diseases of the resp' ExtractedICD-10 codes 29 Oct JOO-J;;tory system deaths ' ag es 0-14 , 2008-2015 ober 2018 2008 2009 2010 2()11 2012 2013 2014 2015 Maori Male 4 6 7 4 5 2 5 Maori M 00-04 Maori ale 05-09 1 1 Maori Male 10· 14 1 Maori Female 00-04 3 4 2 4 1 2 2 Female 05-09 1 1 PacificMaori Female 10-14 1 1 1 3 , 1 Pacific Male 00-04 Pacific Male 05-09 Male 10- 1 1 1 1 Pacific. Female 00-0414 3 2 3 4 Pa~1fic Female 05-09 1 As~an Male 00-04 As1an Male Asian Fema•A 10-14 A. IV 00-04 s1an Female 05-09 1 Other Male 00- 2 0ther Male 05 04 5 0th .09 1 0th er Male 10 -14 1 0 er Female 00-04 tfler Female 05-09 2 Other Female 10-14