Comprehensive dataset containing 65 verified Oranga Tamariki - Ministry for Children locations in New Zealand with complete contact information, ratings, reviews, and location data.

Preventing child abuse is a unifying goal. Making decisions that affect the lives of children is an unenviable task assigned to social services in countries around the world. The consequences of incorrectly labelling children as being at risk of abuse or missing signs that children are unsafe are well-documented. Evidence-based decision-making tools are increasingly common in social services provision but few, if any, have used social network data. We analyse a child protection services dataset that includes a network of approximately 5 million social relationships collected by social workers between 1996 and 2016 in New Zealand. We test the potential of information about family networks to improve accuracy of models used to predict the risk of child maltreatment. We simulate integration of the dataset with birth records to construct more complete family network information by including information that would be available earlier if these databases were integrated. Including family network data can improve the performance of models relative to using individual demographic data alone. The best models are those that contain the integrated birth records rather than just the recorded data. Having access to this information at the time a child’s case is first notified to child protection services leads to a particularly marked improvement. Our results quantify the importance of a child’s family network and show that a better understanding of risk can be achieved by linking other commonly available datasets with child protection records to provide the most up-to-date information possible.

Dataset contains counts and measures for individuals from the 2013, 2018, and 2023 Censuses. Data is available by statistical area 1.

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The variables included in this dataset are for the census usually resident population count (unless otherwise stated). All data is for level 1 of the classification (unless otherwise stated).

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The variables for part 1 of the dataset are:

• Census usually resident population count
• Census night population count
• Age (5-year groups)
• Age (life cycle groups)
• Median age
• Birthplace (NZ born/overseas born)
• Birthplace (broad geographic areas)
• Ethnicity (total responses) for level 1 and ‘Other Ethnicity’ grouped by ‘New Zealander’ and ‘Other Ethnicity nec’
• Māori descent indicator
• Languages spoken (total responses)
• Official language indicator
• Gender
• Sex at birth
• Rainbow/LGBTIQ+ indicator for the census usually resident population count aged 15 years and over
• Sexual identity for the census usually resident population count aged 15 years and over
• Legally registered relationship status for the census usually resident population count aged 15 years and over
• Partnership status in current relationship for the census usually resident population count aged 15 years and over
• Number of children born for the sex at birth female census usually resident population count aged 15 years and over
• Average number of children born for the sex at birth female census usually resident population count aged 15 years and over
• Religious affiliation (total responses)
• Cigarette smoking behaviour for the census usually resident population count aged 15 years and over
• Disability indicator for the census usually resident population count aged 5 years and over
• Difficulty communicating for the census usually resident population count aged 5 years and over
• Difficulty hearing for the census usually resident population count aged 5 years and over
• Difficulty remembering or concentrating for the census usually resident population count aged 5 years and over
• Difficulty seeing for the census usually resident population count aged 5 years and over
• Difficulty walking for the census usually resident population count aged 5 years and over
• Difficulty washing for the census usually resident population count aged 5 years and over.

​

Download lookup file for part 1 from Stats NZ ArcGIS Online or embedded attachment in Stats NZ geographic data service. Download data table (excluding the geometry column for CSV files) using the instructions in the Koordinates help guide.

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Footnotes

Te Whata

Under the Mana Ōrite Relationship Agreement, Te Kāhui Raraunga (TKR) will be publishing Māori descent and iwi affiliation data from the 2023 Census in partnership with Stats NZ. This will be available on Te Whata, a TKR platform.

​

Geographical boundaries

Statistical standard for geographic areas 2023 (updated December 2023) has information about geographic boundaries as of 1 January 2023. Address data from 2013 and 2018 Censuses was updated to be consistent with the 2023 areas. Due to the changes in area boundaries and coding methodologies, 2013 and 2018 counts published in 2023 may be slightly different to those published in 2013 or 2018.

​

Subnational census usually resident population

The census usually resident population count of an area (subnational count) is a count of all people who usually live in that area and were present in New Zealand on census night. It excludes visitors from overseas, visitors from elsewhere in New Zealand, and residents temporarily overseas on census night. For example, a person who usually lives in Christchurch city and is visiting Wellington city on census night will be included in the census usually resident population count of Christchurch city.

​

Population counts

Stats NZ publishes a number of different population counts, each using a different definition and methodology. Population statistics – user guide has more information about different counts.

​

Caution using time series

Time series data should be interpreted with care due to changes in census methodology and differences in response rates between censuses. The 2023 and 2018 Censuses used a combined census methodology (using census responses and administrative data), while the 2013 Census used a full-field enumeration methodology (with no use of administrative data).

​

Study participation time series

In the 2013 Census study participation was only collected for the census usually resident population count aged 15 years and over.

​

About the 2023 Census dataset

For information on the 2023 dataset see Using a combined census model for the 2023 Census. We combined data from the census forms with administrative data to create the 2023 Census dataset, which meets Stats NZ's quality criteria for population structure information. We added real data about real people to the dataset where we were confident the people who hadn’t completed a census form (which is known as admin enumeration) will be counted. We also used data from the 2018 and 2013 Censuses, administrative data sources, and statistical imputation methods to fill in some missing characteristics of people and dwellings.

​

Data quality

The quality of data in the 2023 Census is assessed using the quality rating scale and the quality assurance framework to determine whether data is fit for purpose and suitable for release. Data quality assurance in the 2023 Census has more information.

​

Concept descriptions and quality ratings

Data quality ratings for 2023 Census variables has additional details about variables found within totals by topic, for example, definitions and data quality.

​

Disability indicator

This data should not be used as an official measure of disability prevalence. Disability prevalence estimates are only available from the 2023 Household Disability Survey. Household Disability Survey 2023: Final content has more information about the survey.

Activity limitations are measured using the Washington Group Short Set (WGSS). The WGSS asks about six basic activities that a person might have difficulty with: seeing, hearing, walking or climbing stairs, remembering or concentrating, washing all over or dressing, and communicating. A person was classified as disabled in the 2023 Census if there was at least one of these activities that they had a lot of difficulty with or could not do at all.

​

Using data for good

Stats NZ expects that, when working with census data, it is done so with a positive purpose, as outlined in the Māori Data Governance Model (Data Iwi Leaders Group, 2023). This model states that "data should support transformative outcomes and should uplift and strengthen our relationships with each other and with our environments. The avoidance of harm is the minimum expectation for data use. Māori data should also contribute to iwi and hapū tino rangatiratanga”.

​

Confidentiality

The 2023 Census confidentiality rules have been applied to 2013, 2018, and 2023 data. These rules protect the confidentiality of individuals, families, households, dwellings, and undertakings in 2023 Census data. Counts are calculated using fixed random rounding to base 3 (FRR3) and suppression of ‘sensitive’ counts less than six, where tables report multiple geographic variables and/or small populations. Individual figures may not always sum to stated totals. Applying confidentiality rules to 2023 Census data and summary of changes since 2018 and 2013 Censuses has more information about 2023 Census confidentiality rules.

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Measures

Measures like averages, medians, and other quantiles are calculated from unrounded counts, with input noise added to or subtracted from each contributing value during measures calculations. Averages and medians based on less than six units (e.g. individuals, dwellings, households, families, or extended families) are suppressed. This suppression threshold changes for other quantiles. Where the cells have been suppressed, a placeholder value has been used.

​

Percentages

To calculate percentages, divide the figure for the category of interest by the figure for 'Total stated' where this applies.

​

Symbol

-997 Not available

-999 Confidential

​

Inconsistencies in definitions

Please note that there may be differences in definitions between census classifications and those used for other data collections.

This layer shows childhood poverty figures at a country scale. Population figures were obtained in 2023.This layer uses bivariate choropleth mapping to symboloise the relationship between children living in poverty (as defined globally) and children engaged in economic activity (i.e. work).Global patterns indicate that children are most impacted by poverty. Across the globe, a staggering 333 million children live in conditions of extreme poverty. This layer has been designed to help school children in New Zealand and the South Pacific explore these claims.

Dataset contains counts and measures for individuals from the 2013, 2018, and 2023 Censuses. Data is available by statistical area 2.

​

The variables included in this dataset are for the census usually resident population count (unless otherwise stated). All data is for level 1 of the classification (unless otherwise stated).

​

The variables for part 1 of the dataset are:

• Census usually resident population count
• Census night population count
• Age (5-year groups)
• Age (life cycle groups)
• Median age
• Birthplace (NZ born/overseas born)
• Birthplace (broad geographic areas)
• Ethnicity (total responses) for level 1 and ‘Other Ethnicity’ grouped by ‘New Zealander’ and ‘Other Ethnicity nec’
• Māori descent indicator
• Languages spoken (total responses)
• Official language indicator
• Gender
• Cisgender and transgender status – census usually resident population count aged 15 years and over
• Sex at birth
• Rainbow/LGBTIQ+ indicator for the census usually resident population count aged 15 years and over
• Sexual identity for the census usually resident population count aged 15 years and over
• Legally registered relationship status for the census usually resident population count aged 15 years and over
• Partnership status in current relationship for the census usually resident population count aged 15 years and over
• Number of children born for the sex at birth female census usually resident population count aged 15 years and over
• Average number of children born for the sex at birth female census usually resident population count aged 15 years and over
• Religious affiliation (total responses)
• Cigarette smoking behaviour for the census usually resident population count aged 15 years and over
• Disability indicator for the census usually resident population count aged 5 years and over
• Difficulty communicating for the census usually resident population count aged 5 years and over
• Difficulty hearing for the census usually resident population count aged 5 years and over
• Difficulty remembering or concentrating for the census usually resident population count aged 5 years and over
• Difficulty seeing for the census usually resident population count aged 5 years and over
• Difficulty walking for the census usually resident population count aged 5 years and over
• Difficulty washing for the census usually resident population count aged 5 years and over.

​

Download lookup file for part 1 from Stats NZ ArcGIS Online or embedded attachment in Stats NZ geographic data service. Download data table (excluding the geometry column for CSV files) using the instructions in the Koordinates help guide.

​

Footnotes

Te Whata

Under the Mana Ōrite Relationship Agreement, Te Kāhui Raraunga (TKR) will be publishing Māori descent and iwi affiliation data from the 2023 Census in partnership with Stats NZ. This will be available on Te Whata, a TKR platform.

​

Geographical boundaries

Statistical standard for geographic areas 2023 (updated December 2023) has information about geographic boundaries as of 1 January 2023. Address data from 2013 and 2018 Censuses was updated to be consistent with the 2023 areas. Due to the changes in area boundaries and coding methodologies, 2013 and 2018 counts published in 2023 may be slightly different to those published in 2013 or 2018.

​

Subnational census usually resident population

The census usually resident population count of an area (subnational count) is a count of all people who usually live in that area and were present in New Zealand on census night. It excludes visitors from overseas, visitors from elsewhere in New Zealand, and residents temporarily overseas on census night. For example, a person who usually lives in Christchurch city and is visiting Wellington city on census night will be included in the census usually resident population count of Christchurch city.

​

Population counts

Stats NZ publishes a number of different population counts, each using a different definition and methodology. Population statistics – user guide has more information about different counts.

​

Caution using time series

Time series data should be interpreted with care due to changes in census methodology and differences in response rates between censuses. The 2023 and 2018 Censuses used a combined census methodology (using census responses and administrative data), while the 2013 Census used a full-field enumeration methodology (with no use of administrative data).

​

Study participation time series

In the 2013 Census study participation was only collected for the census usually resident population count aged 15 years and over.

​

About the 2023 Census dataset

For information on the 2023 dataset see Using a combined census model for the 2023 Census. We combined data from the census forms with administrative data to create the 2023 Census dataset, which meets Stats NZ's quality criteria for population structure information. We added real data about real people to the dataset where we were confident the people who hadn’t completed a census form (which is known as admin enumeration) will be counted. We also used data from the 2018 and 2013 Censuses, administrative data sources, and statistical imputation methods to fill in some missing characteristics of people and dwellings.

​

Data quality

The quality of data in the 2023 Census is assessed using the quality rating scale and the quality assurance framework to determine whether data is fit for purpose and suitable for release. Data quality assurance in the 2023 Census has more information.

​

Concept descriptions and quality ratings

Data quality ratings for 2023 Census variables has additional details about variables found within totals by topic, for example, definitions and data quality.

​

Disability indicator

This data should not be used as an official measure of disability prevalence. Disability prevalence estimates are only available from the 2023 Household Disability Survey. Household Disability Survey 2023: Final content has more information about the survey.

Activity limitations are measured using the Washington Group Short Set (WGSS). The WGSS asks about six basic activities that a person might have difficulty with: seeing, hearing, walking or climbing stairs, remembering or concentrating, washing all over or dressing, and communicating. A person was classified as disabled in the 2023 Census if there was at least one of these activities that they had a lot of difficulty with or could not do at all.

​

Using data for good

Stats NZ expects that, when working with census data, it is done so with a positive purpose, as outlined in the Māori Data Governance Model (Data Iwi Leaders Group, 2023). This model states that "data should support transformative outcomes and should uplift and strengthen our relationships with each other and with our environments. The avoidance of harm is the minimum expectation for data use. Māori data should also contribute to iwi and hapū tino rangatiratanga”.

​

Confidentiality

The 2023 Census confidentiality rules have been applied to 2013, 2018, and 2023 data. These rules protect the confidentiality of individuals, families, households, dwellings, and undertakings in 2023 Census data. Counts are calculated using fixed random rounding to base 3 (FRR3) and suppression of ‘sensitive’ counts less than six, where tables report multiple geographic variables and/or small populations. Individual figures may not always sum to stated totals. Applying confidentiality rules to 2023 Census data and summary of changes since 2018 and 2013 Censuses has more information about 2023 Census confidentiality rules.

​

Measures

Measures like averages, medians, and other quantiles are calculated from unrounded counts, with input noise added to or subtracted from each contributing value during measures calculations. Averages and medians based on less than six units (e.g. individuals, dwellings, households, families, or extended families) are suppressed. This suppression threshold changes for other quantiles. Where the cells have been suppressed, a placeholder value has been used.

​

Percentages

To calculate percentages, divide the figure for the category of interest by the figure for 'Total stated' where this applies.

​

Symbol

-997 Not available

-999 Confidential

​

Inconsistencies in definitions

Please note that there may be differences in definitions between census classifications and those used for other data collections.

The variables included in this dataset are for the census usually resident population count (unless otherwise stated). All data is for level 1 of the classification (unless otherwise stated).The variables for part 1 of the dataset are:Census usually resident population countCensus night population countAge (5-year groups)Age (life cycle groups)Median age Birthplace (NZ born/overseas born)Birthplace (broad geographic areas)Ethnicity (total responses) for level 1 and ‘Other Ethnicity’ grouped by ‘New Zealander’ and ‘Other Ethnicity nec’Māori descent indicatorLanguages spoken (total responses)Official language indicatorGenderSex at birthRainbow/LGBTIQ+ indicator for the census usually resident population count aged 15 years and overSexual identity for the census usually resident population count aged 15 years and overLegally registered relationship status for the census usually resident population count aged 15 years and overPartnership status in current relationship for the census usually resident population count aged 15 years and overNumber of children born for the sex at birth female census usually resident population count aged 15 years and overAverage number of children born for the sex at birth female census usually resident population count aged 15 years and overReligious affiliation (total responses) Cigarette smoking behaviour for the census usually resident population count aged 15 years and overDisability indicator for the census usually resident population count aged 5 years and overDifficulty communicating for the census usually resident population count aged 5 years and overDifficulty hearing for the census usually resident population count aged 5 years and overDifficulty remembering or concentrating for the census usually resident population count aged 5 years and overDifficulty seeing for the census usually resident population count aged 5 years and overDifficulty walking for the census usually resident population count aged 5 years and overDifficulty washing for the census usually resident population count aged 5 years and over.Download lookup file for part 1 from Stats NZ ArcGIS Online or Stats NZ geographic data service.FootnotesTe Whata Under the Mana Ōrite Relationship Agreement, Te Kāhui Raraunga (TKR) will be publishing Māori descent and iwi affiliation data from the 2023 Census in partnership with Stats NZ. This will be available on Te Whata, a TKR platform.Geographical boundaries Statistical standard for geographic areas 2023 (updated December 2023) has information about geographic boundaries as of 1 January 2023. Address data from 2013 and 2018 Censuses was updated to be consistent with the 2023 areas. Due to the changes in area boundaries and coding methodologies, 2013 and 2018 counts published in 2023 may be slightly different to those published in 2013 or 2018. Subnational census usually resident population The census usually resident population count of an area (subnational count) is a count of all people who usually live in that area and were present in New Zealand on census night. It excludes visitors from overseas, visitors from elsewhere in New Zealand, and residents temporarily overseas on census night. For example, a person who usually lives in Christchurch city and is visiting Wellington city on census night will be included in the census usually resident population count of Christchurch city. Population counts Stats NZ publishes a number of different population counts, each using a different definition and methodology. Population statistics – user guide has more information about different counts. Caution using time series Time series data should be interpreted with care due to changes in census methodology and differences in response rates between censuses. The 2023 and 2018 Censuses used a combined census methodology (using census responses and administrative data), while the 2013 Census used a full-field enumeration methodology (with no use of administrative data). Study participation time seriesIn the 2013 Census study participation was only collected for the census usually resident population count aged 15 years and over.About the 2023 Census dataset For information on the 2023 dataset see Using a combined census model for the 2023 Census. We combined data from the census forms with administrative data to create the 2023 Census dataset, which meets Stats NZ's quality criteria for population structure information. We added real data about real people to the dataset where we were confident the people who hadn’t completed a census form (which is known as admin enumeration) will be counted. We also used data from the 2018 and 2013 Censuses, administrative data sources, and statistical imputation methods to fill in some missing characteristics of people and dwellings. Data quality The quality of data in the 2023 Census is assessed using the quality rating scale and the quality assurance framework to determine whether data is fit for purpose and suitable for release. Data quality assurance in the 2023 Census has more information.Concept descriptions and quality ratingsData quality ratings for 2023 Census variables has additional details about variables found within totals by topic, for example, definitions and data quality.Disability indicatorThis data should not be used as an official measure of disability prevalence. Disability prevalence estimates are only available from the 2023 Household Disability Survey. Household Disability Survey 2023: Final content has more information about the survey.Activity limitations are measured using the Washington Group Short Set (WGSS). The WGSS asks about six basic activities that a person might have difficulty with: seeing, hearing, walking or climbing stairs, remembering or concentrating, washing all over or dressing, and communicating. A person was classified as disabled in the 2023 Census if there was at least one of these activities that they had a lot of difficulty with or could not do at all.Using data for good Stats NZ expects that, when working with census data, it is done so with a positive purpose, as outlined in the Māori Data Governance Model (Data Iwi Leaders Group, 2023). This model states that "data should support transformative outcomes and should uplift and strengthen our relationships with each other and with our environments. The avoidance of harm is the minimum expectation for data use. Māori data should also contribute to iwi and hapū tino rangatiratanga”.Confidentiality The 2023 Census confidentiality rules have been applied to 2013, 2018, and 2023 data. These rules protect the confidentiality of individuals, families, households, dwellings, and undertakings in 2023 Census data. Counts are calculated using fixed random rounding to base 3 (FRR3) and suppression of ‘sensitive’ counts less than six, where tables report multiple geographic variables and/or small populations. Individual figures may not always sum to stated totals. Applying confidentiality rules to 2023 Census data and summary of changes since 2018 and 2013 Censuses has more information about 2023 Census confidentiality rules.Measures Measures like averages, medians, and other quantiles are calculated from unrounded counts, with input noise added to or subtracted from each contributing value during measures calculations. Averages and medians based on less than six units (e.g. individuals, dwellings, households, families, or extended families) are suppressed. This suppression threshold changes for other quantiles. Where the cells have been suppressed, a placeholder value has been used.Percentages To calculate percentages, divide the figure for the category of interest by the figure for 'Total stated' where this applies.Symbol-997 Not available-999 ConfidentialInconsistencies in definitions Please note that there may be differences in definitions between census classifications and those used for other data collections.

Supplementary files for article Supplementary information files for Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants.BackgroundComparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents.MethodsFor this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence.FindingsWe pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls.InterpretationThe height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks.

Comprehensive dataset containing 15 verified Children hall businesses in New Zealand with complete contact information, ratings, reviews, and location data.

Comprehensive dataset containing 20 verified Children's cafe businesses in New Zealand with complete contact information, ratings, reviews, and location data.

Between April 25, 2009, and March 25, 2010, all pregnant women in three areas in New Zealand were eligible for recruitment in the GUiNZ, resulting in over 6,000 consenting mothers' participation over 21 years. The cohort comprises over 6,000 children, allowing for robust analyses of developmental trajectories, particularly among subgroups like Māori, Pacific, and Asian children, each with at least 1,000 representatives. Demographic characteristics of the recruited cohort mirror those of New Zealand's parent population, including maternal age, ethnicity, parity, and area-level deprivation, with an increasing proportion of children born to mothers born elsewhere.

This dataset presents findings from the New Zealand Health Survey (NZHS) about the private health insurance (PHI) of adults and children across different population groups (age, sex, ethnicity, neighbourhood deprivation, household income, district health board) in New Zealand.

Delayed or impaired language development is a common developmental concern, yet there is little agreement about the criteria used to identify and classify language impairments in children. Children's language difficulties are at the interface between education, medicine and the allied professions, who may all adopt different approaches to conceptualising them. Our goal in this study was to use an online Delphi technique to see whether it was possible to achieve consensus among professionals on appropriate criteria for identifying children who might benefit from specialist services. We recruited a panel of 59 experts representing ten disciplines (including education, psychology, speech-language therapy/pathology, paediatrics and child psychiatry) from English-speaking countries (Australia, Canada, Ireland, New Zealand, United Kingdom and USA). The starting point for round 1 was a set of 46 statements based on articles and commentaries in a special issue of a journal focusing on this topic. Panel members rated each statement for both relevance and validity on a seven-point scale, and added free text comments. These responses were synthesised by the first two authors, who then removed, combined or modified items with a view to improving consensus. The resulting set of statements was returned to the panel for a second evaluation (round 2). Consensus (percentage reporting 'agree' or 'strongly agree') was at least 80 percent for 24 of 27 round 2 statements, though many respondents qualified their response with written comments. These were again synthesised by the first two authors. The resulting consensus statement is reported here, with additional summary of relevant evidence, and a concluding commentary on residual disagreements and gaps in the evidence base.

Have you ever considered where pockets of poverty exist and who is most affected? Unfortunately, global patterns indicate that children are most impacted by poverty. Across the globe, a staggering 333 million children live in conditions of extreme poverty. Why is poverty such a critical issue? Because it affects the overall well-being of a person. Those living in poverty often encounter barriers to basic necessities like food, shelter, and healthcare. Growing up without consistent nutrition, shelter, and safety can have long-lasting developmental impacts on children and can cause lifelong problems. For more, read: Child poverty | UNICEF

This StoryMap is designed to assist teachers in leading students through the application of spatial analysis to examine the geographic issue of child prostitution and identify the factors contributing to this problem.Link to Student Materials - https://gisinschools.eagle.co.nz/documents/0c775b9238204c7eba3ed6ca31106564

Studies from Australia, New Zealand and North America excluded as all these studies were conducted in small, impoverished populations within these countries that may not reflect the overall burden of impetigo for the childhood population.Estimates of children with impetigo by regions of the world with available data.

Background and ObjectivesElevated blood lipids during childhood are predictive of dyslipidemia in adults. Although obese and inactive children have elevated values, any potentially protective role of elementary school physical education is unknown. Our objective was to determine the effect of a modern elementary school physical education (PE) program on the blood lipid concentrations in community-based children.MethodsIn this cluster-randomized controlled trial, 708 healthy children (8.1±0.3 years, 367 boys) in 29 schools were allocated to either a 4-year intervention program of specialist-taught PE (13 schools) or to a control group of the currently practiced PE conducted by generalist classroom teachers. Fasting blood lipids were measured at ages 8, 10, and 12 years and intervention and control class activities were recorded.ResultsIntervention classes included more fitness work and more moderate and vigorous physical activity than control classes (both p<0.001). With no group differences at baseline, the percentage of 12 year-old boys and girls with elevated low density lipoprotein cholesterol (LDL-C, >3.36mmol.L−1,130 mg/dL) was lower in the intervention than control group (14% vs. 23%, p = 0.02). There was also an intervention effect on mean LDL-C across all boys (reduction of 9.6% for intervention v 2.8% control, p = 0.02), but not girls (p = 0.2). The intervention effect on total cholesterol mirrored LDL-C, but there were no detectable 4-year intervention effects on high-density lipoprotein cholesterol or triglycerides.ConclusionsThe PE program delivered by specialist teachers over four years in elementary school reduced the incidence of elevated LDL-C in boys and girls, and provides a means by which early preventative practices can be offered to all children.Trial RegistrationAustralia New Zealand Clinical Trial Registry ANZRN12612000027819 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=347799.

Development Studies research on the maternal deaths and their impacts on children in Papua New Guinea

ObjectiveBronchiolitis, one of the most common reasons for hospitalisation in young children, is particularly problematic in Indigenous children. Macrolides may be beneficial in settings where children have high rates of nasopharyngeal bacterial carriage and frequent prolonged illness. The aim of our double-blind placebo-controlled randomised trial was to determine if a large single dose of azithromycin (compared to placebo) reduced length of stay (LOS), duration of oxygen (O2) and respiratory readmissions within 6 months of children hospitalised with bronchiolitis. We also determined the effect of azithromycin on nasopharyngeal microbiology.MethodsChildren aged ≤18 months were randomised to receive a single large dose (30 mg/kg) of either azithromycin or placebo within 24 hrs of hospitalisation. Nasopharyngeal swabs were collected at baseline and 48hrs later. Primary endpoints (LOS, O2) were monitored every 12 hrs. Hospitalised respiratory readmissions 6-months post discharge was collected.Results97 children were randomised (n = 50 azithromycin, n = 47 placebo). Median LOS was similar in both groups; azithromycin = 54 hours, placebo = 58 hours (difference between groups of 4 hours 95%CI -8, 13, p = 0.6). O2 requirement was not significantly different between groups; Azithromycin = 35 hrs; placebo = 42 hrs (difference 7 hours, 95%CI -9, 13, p = 0.7). Number of children re-hospitalised was similar 10 per group (OR = 0.9, 95%CI 0.3, 2, p = 0.8). At least one virus was detected in 74% of children. The azithromycin group had reduced nasopharyngeal bacterial carriage (p = 0.01) but no difference in viral detection at 48 hours.ConclusionAlthough a single dose of azithromycin reduces carriage of bacteria, it is unlikely to be beneficial in reducing LOS, duration of O2 requirement or readmissions in children hospitalised with bronchiolitis. It remains uncertain if an earlier and/or longer duration of azithromycin improves clinical and microbiological outcomes for children. The trial was registered with the Australian and New Zealand Clinical Trials Register. Clinical trials number: ACTRN12608000150347. http://www.anzctr.org.au/TrialSearch.aspx.

BackgroundAcute rheumatic fever (ARF) is a serious sequela of Group A Streptococcus (GAS) infection associated with significant global mortality. Pathogenesis remains poorly understood, with the current prevailing hypothesis based on molecular mimicry and the notion that antibodies generated in response to GAS infection cross-react with cardiac proteins such as myosin. Contemporary investigations of the broader autoantibody response in ARF are needed to both inform pathogenesis models and identify new biomarkers for the disease.MethodsThis study has utilised a multi-platform approach to profile circulating autoantibodies in ARF. Sera from patients with ARF, matched healthy controls and patients with uncomplicated GAS pharyngitis were initially analysed for autoreactivity using high content protein arrays (Protoarray, 9000 autoantigens), and further explored using a second protein array platform (HuProt Array, 16,000 autoantigens) and 2-D gel electrophoresis of heart tissue combined with mass spectrometry. Selected autoantigens were orthogonally validated using conventional immunoassays with sera from an ARF case-control study (n=79 cases and n=89 matched healthy controls) and a related study of GAS pharyngitis (n=39) conducted in New Zealand.ResultsGlobal analysis of the protein array data showed an increase in total autoantigen reactivity in ARF patients compared with controls, as well as marked heterogeneity in the autoantibody profiles between ARF patients. Autoantigens previously implicated in ARF pathogenesis, such as myosin and collagens were detected, as were novel candidates. Disease pathway analysis revealed several autoantigens within pathways linked to arthritic and myocardial disease. Orthogonal validation of three novel autoantigens (PTPN2, DMD and ANXA6) showed significant elevation of serum antibodies in ARF (p < 0.05), and further highlighted heterogeneity with patients reactive to different combinations of the three antigens.ConclusionsThe broad yet heterogenous elevation of autoantibodies observed suggests epitope spreading, and an expansion of the autoantibody repertoire, likely plays a key role in ARF pathogenesis and disease progression. Multiple autoantigens may be needed as diagnostic biomarkers to capture this heterogeneity.

The relationship of protein intake with insulin-like growth factor 1 (IGF-1) concentrations in well-nourished children during the second year of life is poorly understood. The aim of this study was to explore the effect of a reduced-protein Growing Up Milk Lite (GUMLi) or unfortified cow's milk (CM) on protein intake, growth, and plasma IGF-1 at 2 y. An exploratory analysis of a sub-sample of Auckland-based children (n = 79) in the GUMLi trial (a double-blind, randomised control trial, N = 160) completed in Auckland and Brisbane (2015–2017) was conducted. One-year old children were randomised to receive a reduced-protein GUMLi (1.7 g protein/100 mL) or a non-fortified CM (3.1 g protein/100 mL) for 12 months. Blood sampling and anthropometric measurements were made at 1 and 2 y. Diet was assessed using a validated food frequency questionnaire. Total protein intake (g/d) from all cow's milk sources was 4.6 g (95% CI: −6.7, −2.4; p < 0.005) lower in the GUMLi group after 12 months of the intervention, with a significant group-by-time interaction (p = 0.005). Length-for-age (LAZ) and weight-for-length (WLZ) z-scores did not differ between groups, however, mean body fat % (BF%) was 3.2% (95%CI: −6.2, −0.3; p = 0.032) lower in the GUMLi group at 2 y. There was no difference between the intervention groups in relation to IGF-1 and IGF-BP3 (p = 0.894 and 0.698, respectively), with no group-by-sex interaction. After combining the groups, IGF-1 concentration at 2 y was positively correlated with parameters of growth (all p < 0.05), total cow's milk intake (p = 0.032) after adjusting for sex, breastfeeding status, and gestation. Randomisation to a reduced protein GUMLi resulted in small reduction in � and lower total protein intakes but had no effect on growth. Plasma IGF-1 concentrations were independently associated with total protein intake from cow's milk at 2 y, highlighting a potential area of the diet to target when designing future protein-related nutrition interventions.Clinical Trial Registration: Australian New Zealand Clinical Trials Registry number: ACTRN12614000918628. Date registered: 27/08/2014.