The World Health Organization (WHO) has issued a stark warning to Aotearoa New Zealand, urging the nation to address the “alarming” gaps in measles immunisation, particularly among Māori and Pacific communities. This call to action follows a WHO review last year that found the country’s measles vaccination rates had plummeted to their lowest levels since 2012, placing New Zealand at risk of another significant outbreak.
New Zealand had successfully eliminated measles in 2017, but a major outbreak in 2019 saw over 2,000 people infected and 700 hospitalised, many of whom were young children. Currently, there are eight confirmed cases across regions including Manawatū, Nelson, Northland, Taranaki, Wellington, and Auckland, heightening fears of a broader community spread.
Current Vaccination Rates and Risks
Alarmingly, only 72 percent of Māori children under five are vaccinated, compared to 82 percent across the general population. Public health guidelines suggest that at least 95 percent coverage is necessary to prevent outbreaks. Public Health Director Dr. Corina Grey expressed the Ministry of Health’s alignment with the WHO’s concerns.
Pacific health researcher Chris Puli’uvea emphasized the serious risk facing Pacific communities, noting disparities in vaccination rates. “There is a 95 percent level where we need to be with immunisation. I believe we may even be behind the general population,” said Dr. Puli’uvea. “For example, in the Bay of Plenty, vaccination rates are well behind other ethnic groups in that region.”
“One infected person could affect up to 18 other people. The virus lingers in the air for several hours, which encourages spread. It’s far more infectious than COVID-19, and that’s a concern for our Māori and Pacific communities,” Dr. Puli’uvea warned.
Complex Factors Behind Low Vaccination Rates
The lower vaccination rates among Māori and Pacific communities are attributed to a variety of complex factors. Dr. Puli’uvea pointed out the challenges in engaging with communities and combating misinformation. “Key lessons from COVID-19 showed us the importance of engaging with communities, particularly the faith community, and addressing misinformation and disinformation,” he explained.
He also highlighted logistical barriers, such as people struggling to find time to get vaccinated due to work commitments. Additionally, some individuals are unsure of their immunisation status, particularly those born in the 1990s onward. “With MMR, I simply encourage people to go and get vaccinated. There’s no harm in getting the full course again. It protects not only the individual but also prevents spreading the virus,” Dr. Puli’uvea advised.
Government Response and Future Steps
In response to these challenges, the Ministry of Health has expanded vaccination access through pharmacies, general practitioners, and health centres. They have also introduced incentives for on-time childhood immunisations. Dr. Grey underscored the importance of these efforts, stating, “Every child vaccinated helps protect the whole community.”
The announcement comes at a critical time as health authorities work to prevent another outbreak. The move represents a significant step in addressing the disparities in healthcare access and outcomes for Māori and Pacific peoples. Moving forward, sustained community engagement and education will be crucial in closing the immunisation gaps and safeguarding public health.
As New Zealand navigates these public health challenges, the focus remains on achieving the necessary vaccination coverage to protect its diverse communities from the threat of measles.
