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2016 DHB Health Care Worker Influenza Immunisation Coverage Background Health care workers, by virtue of their occupation, are at increased risk of contracting influenza and may transmit the infection to susceptible individuals with the potential for serious outcomes. All district health boards (DHBs) offer free influenza immunisation to their employed staff. Since 2010, the Ministry of Health has been reporting on DHB health care worker influenza immunisation coverage. Occupational groups The following occupational groups are used by DHBs for the collection and comparison of their influenza immunisation coverage rates: Nurses Includes registered and enrolled nurses. Doctors Includes registered doctors. Midwives Includes registered midwives. Allied staff Includes but not limited to physiotherapists, laboratory technicians, occupational therapists, dieticians, social workers, pharmacists, radiologists and speech language therapists etc. Other employees May include but not limited to health care assistants, cleaners, orderlies, administrators and management etc. Non-employed individuals DHBs also offer free influenza immunisation to individuals not employed by the DHB but working in their facilities such as: contractors and health care students etc. The numbers of vaccines given to this group are collected by DHBs but it is not possible to calculate the immunisation coverage as there is no set denominator for this group. In 2016, this group was expanded to include registered midwives not employed by DHBs but have contracted access to DHB facilities, 110 midwives were immunised in this group. It is likely that some of these midwives may have been recorded as DHB employed midwives in previous years and this may account for the decrease in the DHB midwives influenza immunisation coverage. 30 November 2016

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2016 DHB Health Care Worker Influenza Immunisation Coverage

Background

Health care workers, by virtue of their occupation, are at increased risk of contracting influenza and may transmit the infection to susceptible individuals with the potential for serious outcomes.

All district health boards (DHBs) offer free influenza immunisation to their employed staff. Since 2010, the Ministry of Health has been reporting on DHB health care worker influenza immunisation coverage.

Occupational groups

The following occupational groups are used by DHBs for the collection and comparison of their influenza immunisation coverage rates:

Nurses

Includes registered and enrolled nurses.

Doctors

Includes registered doctors.

Midwives

Includes registered midwives.

Allied staff

Includes but not limited to physiotherapists, laboratory technicians, occupational therapists, dieticians, social workers, pharmacists, radiologists and speech language therapists etc.

Other employees

May include but not limited to health care assistants, cleaners, orderlies, administrators and management etc.

Non-employed individuals

DHBs also offer free influenza immunisation to individuals not employed by the DHB but working in their facilities such as: contractors and health care students etc. The numbers of vaccines given to this group are collected by DHBs but it is not possible to calculate the immunisation coverage as there is no set denominator for this group.

In 2016, this group was expanded to include registered midwives not employed by DHBs but have contracted access to DHB facilities, 110 midwives were immunised in this group. It is likely that some of these midwives may have been recorded as DHB employed midwives in previous years and this may account for the decrease in the DHB midwives influenza immunisation coverage.

DHB staff vaccinated elsewhere

DHB employed staff who have had their influenza immunisation elsewhere (e.g. own general practitioner) are not included in these DHB coverage rates. However, some DHBs collect this information and staff are requested to inform the DHB if they have been vaccinated elsewhere.

Comparison of total DHB Health Care Worker coverage 2010 - 2016 Figure 1. Total DHB Health Care Worker Influenza Immunisation Coverage 2010 -2016

Figure 1: Coverage rates have steadily increased since 2010 with coverage in 2016 similar to 2015.

Comparison of DHB Health Care Worker coverage by DHB 2014 - 2016 Figure 2. DHB Health Care Worker Influenza Immunisation Coverage by DHB 2014 - 2016

Figure 2: 2016 DHB influenza immunisation coverage for health care workers ranges from Tairawhiti DHB at 83 percent to Waitemata DHB at 52 percent. The average at 65 percent is similar to 2015.

Comparison of DHB Health Care Worker coverage by occupation 2014 - 2016 Figure 3. DHB Health Care Worker Influenza Immunisation Coverage by Occupation 2014 -2016

Figure 3: Coverage by occupation has remained steady across all occupational groups in 2016 with the exception of midwives (54 percent in 2016 compared to 59 percent in 2015) and allied staff (61 percent in 2016 compared to 65 percent in 2015). Some midwives previously recorded as DHB employed staff may now be included in the non-employed midwives group.

Figure 4. Nurses Influenza Immunisation Coverage by DHB 2014 – 2016

Figure 4: 2016 DHB influenza immunisation coverage for nurses ranges from Tairawhiti DHB at 83 percent to Waitemata and Wairarapa DHBs at 53 percent. The average at 67 percent is similar to 2015.

Figure 5. Doctors Influenza Immunisation Coverage by DHB 2014 – 2016

Figure 5: 2016 DHB influenza immunisation coverage for doctors ranges from West Coast DHB at 93 percent to Waitemata DHB at 55 percent. The average at 70 percent is similar to the past two years.

Figure 6. Midwives Influenza Immunisation Coverage by DHB 2014 - 2016

Figure 6: 2016 DHB influenza immunisation coverage for midwives ranges from West Coast DHB at 100 percent to Lakes DHB at 27 percent. The average at 54 percent has dropped in comparison to the two previous years.

Figure 7. Allied Staff Influenza Immunisation Coverage by DHB 2014 - 2016

Figure 7: 2016 DHB influenza immunisation coverage for allied staff ranges from Tairawhiti DHB at 80 percent to Wairarapa DHB at 39 percent. The average at 61 percent has dropped in comparison to last year.

Figure 8. Other Employees Influenza Immunisation Coverage by DHB 2014 – 2016

Figure 8: 2016 DHB influenza immunisation coverage for other employees ranges from Tairawhiti DHB at 97 percent to Nelson Marlborough DHB at 46 percent. The average at 64 percent has dropped in comparison to the last year.

30 November 2016

Page 16 of 16

Appendix OneDHB Health Care Workforce Influenza Immunisation Coverage rates 2014 – 2016

Appendix Two 2016 DHB Health Care Workforce Influenza Immunisation Coverage by Occupation (in alphabetical order)

2010NursesDoctorsMidwivesAllied StaffOther EmployeesTotal Coverage2011NursesDoctorsMidwivesAllied StaffOther EmployeesTotal Coverage2013NursesDoctorsMidwivesAllied StaffOther EmployeesTotal Coverage2014NursesDoctorsMidwivesAllied StaffOther EmployeesTotal Coverage0.589855657986557480.681222707423580820.568241469816272990.565803276042927460.623938299326369240.606893021668657222015NursesDoctorsMidwivesAllied StaffOther EmployeesTotal Coverage0.660.710.590.650.660.662016NursesDoctorsMidwivesAllied StaffOther EmployeesTotal Coverage0.670.70.540.610.640.65

2010AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2011AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2012AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2013AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2014AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.767639902676399030.613410596026490060.65497771173848440.619491964748574380.662180974477958210.576153846153846130.524973432518597180.512084592145015120.411709159584513710.533869115958668150.595103578154425610.435344827586206910.535471331389698710.730407523510971820.394932935916542490.522709163346613550.414545454545454550.533158813263525320.400977995110024470.616966580976863740.589855657986557482015AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.80.650.540.680.670.660.620.590.630.540.760.640.579999999999999960.830.460.810.520.540.430.630.662016AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.80.660.690.60.680.620.569999999999999950.550000000000000040.640.569999999999999950.810.670.590.830.569999999999999950.80.530.530.710.710.67

2010AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2011AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2012AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2013AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2014AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.7324218750.815028901734104030.68833481745325020.67042253521126760.716874292185730510.618473895582329350.764705882352941120.60.599348534201954440.642570281124497990.610236220472440970.548387096774193510.719934102141680410.66197183098591550.677419354838709630.678100263852242760.704545454545454590.542895442359249360.711111111111111140.634615384615384580.681222707423580822015AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.750.780.540.710.720.740.690.660.770.650.810.690.770.820.590.830.550000000000000040.620.760.850.712016AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.710.790.690.640.730.650.660.670.690.720.860.660.680.610.690.840.630.550000000000000040.930.760.7

2010AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2011AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2012AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2013AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2014AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.894039735099337760.523809523809523840.755208333333333370.697247706422018390.458128078817733990.577464788732394370.50.307692307692307710.22891566265060240.508474576271186420.822222222222222190.230769230769230780.6250.8750.324324324324324340.36718750.50.563492063492063490.70.548387096774193510.568241469816272992015AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.820.420.680.680.440.680.950.410.579999999999999960.520.510.50.569999999999999950.930.360.750.430.450.560000000000000050.410.592016AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.790.380.60.440.510.660.50.270.540.470.650.320.569999999999999950.590.410.610.590.3610.710.54

2010AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2011AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2012AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2013AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2014AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.695652173913043460.560229445506692180.790670778720123370.565804274465691810.705882352941176520.549132947976878620.464664310954063630.581395348837209340.477911646586345380.411188811188811180.34608378870673950.707006369426751550.504761904761904740.69879518072289160.586805555555555580.467404674046740460.359223300970873790.392793857058476080.557971014492753660.712121212121212150.565803276042927462015AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.810.660.760.660.660.670.50.590.610.440.680.530.720.790.640.770.440.50.380.490.652016AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.70.590.490.630.670.610.510.569999999999999950.520.470.760.640.630.80.780.750.390.50.610.70.61

2012AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2013AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2014AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.718852703913952840.703431372549019660.909187466808284660.502353732347007420.61338941465124430.557046979865771790.817995910020449910.636363636363636350.428005284015852030.461538461538461560.695965417867435150.481927710843373490.473982970671712410.925925925925925930.469262295081967210.529411764705882360.6250.658505154639175250.404255319148936140.408114558472553680.623938299326369242015AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.720.860.790.590.579999999999999960.610.730.630.490.50.650.480.630.990.490.860.579999999999999960.520.710.590.662016AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.680.590.850.510.630.540.940.630.550000000000000040.460.710.470.610.970.60.770.610.50.579999999999999960.590.64

AucklandNursesDoctorsMidwivesAllied staffOther Employees0.80.710.790.70.68All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

BOPNursesDoctorsMidwivesAllied staffOther Employees0.660.790.380.590.59All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Canterbury NursesDoctorsMidwivesAllied staffOther Employees0.690.690.60.490.85All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Capital & CoastNursesDoctorsMidwivesAllied staffOther Employees0.60.640.440.630.51All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Counties ManukauNursesDoctorsMidwivesAllied staffOther Employees0.680.730.510.670.63All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Hawkes BayNursesDoctorsMidwivesAllied staffOther Employees0.620.650.660.610.54All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Hutt ValleyNursesDoctorsMidwivesAllied staffOther Employees0.569999999999999950.660.50.510.94All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Lakes NursesDoctorsMidwivesAllied staffOther Employees0.550000000000000040.670.270.569999999999999950.63All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Midcentral NursesDoctorsMidwivesAllied staffOther Employees0.640.690.540.520.55000000000000004All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Nelson-MarlboroughNursesDoctorsMidwivesAllied staffOther Employees0.569999999999999950.720.470.470.46All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

NorthlandNursesDoctorsMidwivesAllied staffOther Employees0.810.860.650.760.71All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

South CanterburyNursesDoctorsMidwivesAllied staffOther Employees0.670.660.320.640.47All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Southern NursesDoctorsMidwivesAllied staffOther Employees0.590.680.569999999999999950.630.61All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

TairawhitiNursesDoctorsMidwivesAllied staffOther Employees0.830.610.590.80.97All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

TaranakiNursesDoctorsMidwivesAllied staffOther Employees0.569999999999999950.690.410.780.6All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

WaikatoNursesDoctorsMidwivesAllied staffOther Employees0.80.840.610.750.77All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

WairarapaNursesDoctorsMidwivesAllied staffOther Employees0.530.630.590.390.61All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

WaitemataNursesDoctorsMidwivesAllied staffOther Employees0.530.550000000000000040.360.50.5All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

West CoastNursesDoctorsMidwivesAllied staffOther Employees0.710.9310.610.57999999999999996All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

Whanganui NursesDoctorsMidwivesAllied staffOther Employees0.710.760.710.70.59All DHBsNursesDoctorsMidwivesAllied staffOther Employees0.670.70.540.610.64

20102011201220132014201520160.450.458549375441904330.475193842808503350.579007027884833380.606893021668657220.660.65

2010AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2011AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2012AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2013AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs2014AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.74116978989210680.650541271989174550.751883804739543530.584894613583138210.646133093525179890.570749542961608740.59939759036144580.53546712802768170.444156804733727820.491110233109442910.574884792626728090.495449949443882710.5409978308026030.762942779291553190.47589993898718730.533171028606208130.611012433392539970.528163520049929840.441717791411042950.536174430128840470.606893021668657222015AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.760.710.710.650.640.660.640.60.60.510.720.569999999999999950.640.860.510.810.520.530.490.60.662016AucklandBay of PlentyCanterburyCapital & CoastCounties ManukauHawkes BayHutt ValleyLakesMidCentralNelson MarlboroughNorthlandSouth CanterburySouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiAll DHBs0.740.640.680.579999999999999960.660.60.650.579999999999999960.60.530.780.579999999999999960.610.830.630.780.540.520.660.680.65