National Party leader Christopher Luxon made claims about health outcomes that were clearly false. Why was he left unchallenged?

In the TVNZ leaders’ debate last night, Luxon and Labour’s Chris Hipkins had a testy exchange over Māori healthcare.

Hipkins held firm on the creation of a Māori Health Authority, established last year, arguing strongly that the persistent gaps in health outcomes and care justified it.

Luxon was equally clear in opposition to it. He framed his critique of the authority around an alleged complete lack of progress on Māori health outcomes. He was very specific.

“Every single health outcome has gone backwards under Chris’s government,” Luxon said.

“Six years, not one has improved for Māori or for non-Māori.”

While sweeping in nature, Luxon’s claim did not get a direct response from Hipkins.

Luxon repeated a similar line later in the debate.

“Gone backwards. Chris, under your government, every single health outcome for Māori or non-Māori [has gone backwards]. You can’t have that.”

Hipkins did push back on this occasion, citing the ongoing reduction in rates of smoking.

Luxon’s claim was far from true — there are a number of areas where health outcomes for Māori and non-Māori have improved while Labour has been in charge.

But it is perhaps understandable that Hipkins was not quick to correct Luxon because the data — even though it’s better in many respects — is still grim. Maybe Hipkins did not wish to dwell on this.

Improved health outcomes
There are a number of health outcomes where, for Māori, statistics have improved.

Perhaps Labour’s biggest boast is their track record on bringing down lung cancer and smoking rates for Māori.

Lung cancer is the second leading cause of death for Māori in Aotearoa. But according to the Ministry of Health, rates of lung disease for Māori have come down.

In 2017, the rate per 100,000 people was 79.9 for Māori. By 2019, it was down to 68.4. This also aligns with smoking rates among Māori dropping.

Pre-colonisation, Māori did not smoke. However, when tobacco was introduced to Aotearoa in the 18th century that quickly changed.

Smoking has been particularly harmful for Māori who have higher smoking rates than non-Māori and experience greater rates of death and tobacco-related illness.

In 2017/18, the smoking rate for Māori adults was 35.3 percent. By 2021/22, it was down to 20.9 percent (approximately 127,000 people).

Rates were falling under National but they have continued to drop under Labour, which has rolled out a number of initiatives in an effort to reduce nation-wide smoking rates.

As part of the Smokefree 2025 Action Plan, historic and world-leading legislation mandated an annually rising smoking age that will mean that anyone born on or after 1 January, 2009, will never be able to purchase tobacco products.

Other cancers
Overall, cancer registrations rates among Māori fell from 416 per 100,000 people in 2017 to 405.7 in 2019.

Breast cancer registration rates for Māori women fell from 140.7 per 100,000 people in 2010 to 122.5 per 100,000 in 2019. Prostate cancer registration rates for Māori fell from 105.5 for Māori in 2017 to 103.5 in 2019.

For non-Māori, overall cancer registration rates increased slightly from 323.2 (2017) to 332.4 (2019).

Life expectancy
The life expectancy gap between Māori and non-Māori may be the most telling indicator of all when it comes to inequities.

According to the latest available data from 2019, life expectancy at birth for Māori men in 2017-2019 was 73.4 years, up 3.1 years from 2005-2007 data.

The life expectancy for non-Māori men is 80.9 years. For Māori women, it was 77.1 years, up 2 years from 2005-2007. Non-Māori women are expected to live to 84.4 years.

While Māori life expectancy has increased over time, the gap to non-Māori persists.

At the current rate of progress it will be more than a century before Māori and non-Māori have equal life expectancy, a study by the Association of Salaried Medical Specialists found in 2021.

Child immunisation
In the debate, after Hipkins raised smoking as an area of improvement, Luxon said child immunisation was a concern. On this, he was correct.

Over the past six years, child immunisation rates have steadily fallen.

In 2017, 86.2 percent of eligible Māori five year olds had completed all of their age-appropriate immunisations. As of last year, the rate had shrunk to only 71.8 percent. That is an alarming 16 point drop in the period Labour has been in power.

In April of this year a report commissioned by Te Whatu Ora’s Immunisation Taskforce found that immunisation failed to achieve “adequate on-time immunisation rates in young tamariki” and to immunise Māori, meaning those who were most susceptible to “vaccine-preventable disease” had the lowest immunisation coverage.

The report highlighted the worst rate in the country — just 34 percent of Māori children in South Auckland were fully vaccinated. It attributed part of the problem to vaccinators being diverted to the country’s covid-19 pandemic response.

“This caused childhood immunisation rates to plummet. These rates are now the lowest they have ever been and ethnic disparities have further expanded,” it said.

The report outlined 54 recommendations covering funding, delivery, technology, communications and governance across the programme.

In the debate, Hipkins suggested the anti-vaccine movement was part of the problem, which he sought to link with National.

National has proposed an immunisation incentive payment scheme. The plan would see GP clinics paid a lump sum for achieving immunisation targets, including full immunisation for two-year-olds, MMR vaccines for ages 1-17, and influenza vaccines for ages 65+.

The clinics would have to either achieve 95 percent coverage for their childhood patients, and 75 percent for the flu shots, or achieve a five percentage point increase for each of those target groups, by 30 June 2024 to receive the payment.

Labour’s Dr Ayesha Verrall said a similar scheme already existed.

Labour has also failed to halt type 2 diabetes, the country’s biggest and fastest growing health condition.

Ministry of Health figures show that in 2021 there were 302,778 people with diabetes, predominantly type 2. Since the Labour government came into power in 2017, the estimated rates of the number of Māori with diabetes per 1000 has risen from 66.4 to 70.1 in 2021.

The rates for non-Māori have also climbed from 27.8 in 2017 to 30.1 in 2021. It is also important to note that the rate of diabetes in Aotearoa has been steadily rising over the past 50 years.

Type 2 diabetes can also lead to devastating health conditions and complications, including heart failure, kidney failure, strokes and limb amputation.

According to Ministry of Health data obtained by RNZ under the Official Information Act, since 2011 there has been a 39 percent increase in diabetic limb amputations across the whole population.

For Māori, the number has more than doubled in the past decade from 130 in 2011 to 211 in 2021. Under Labour, the number of Māori diabetic limb amputations rose by 15 percent.

Māori are still 2.8 times more likely to have renal failure, another complication of diabetes.

Mental health
According to Te Whatu Ora, the rate of suspected suicide per 100,000 Māori population in 2021/22 was 16.1. This is not a statistically significant change from the average of the past 13 years.

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz

National Party leader Christopher Luxon made claims about health outcomes that were clearly false. Why was he left unchallenged?

In the TVNZ leaders’ debate last night, Luxon and Labour’s Chris Hipkins had a testy exchange over Māori healthcare.

Hipkins held firm on the creation of a Māori Health Authority, established last year, arguing strongly that the persistent gaps in health outcomes and care justified it.

Luxon was equally clear in opposition to it. He framed his critique of the authority around an alleged complete lack of progress on Māori health outcomes. He was very specific.

“Every single health outcome has gone backwards under Chris’s government,” Luxon said.

“Six years, not one has improved for Māori or for non-Māori.”

While sweeping in nature, Luxon’s claim did not get a direct response from Hipkins.

Luxon repeated a similar line later in the debate.

“Gone backwards. Chris, under your government, every single health outcome for Māori or non-Māori [has gone backwards]. You can’t have that.”

Hipkins did push back on this occasion, citing the ongoing reduction in rates of smoking.

Luxon’s claim was far from true — there are a number of areas where health outcomes for Māori and non-Māori have improved while Labour has been in charge.

But it is perhaps understandable that Hipkins was not quick to correct Luxon because the data — even though it’s better in many respects — is still grim. Maybe Hipkins did not wish to dwell on this.

Improved health outcomes
There are a number of health outcomes where, for Māori, statistics have improved.

Perhaps Labour’s biggest boast is their track record on bringing down lung cancer and smoking rates for Māori.

Lung cancer is the second leading cause of death for Māori in Aotearoa. But according to the Ministry of Health, rates of lung disease for Māori have come down.

In 2017, the rate per 100,000 people was 79.9 for Māori. By 2019, it was down to 68.4. This also aligns with smoking rates among Māori dropping.

Pre-colonisation, Māori did not smoke. However, when tobacco was introduced to Aotearoa in the 18th century that quickly changed.

Smoking has been particularly harmful for Māori who have higher smoking rates than non-Māori and experience greater rates of death and tobacco-related illness.

In 2017/18, the smoking rate for Māori adults was 35.3 percent. By 2021/22, it was down to 20.9 percent (approximately 127,000 people).

Rates were falling under National but they have continued to drop under Labour, which has rolled out a number of initiatives in an effort to reduce nation-wide smoking rates.

As part of the Smokefree 2025 Action Plan, historic and world-leading legislation mandated an annually rising smoking age that will mean that anyone born on or after 1 January, 2009, will never be able to purchase tobacco products.

Other cancers
Overall, cancer registrations rates among Māori fell from 416 per 100,000 people in 2017 to 405.7 in 2019.

Breast cancer registration rates for Māori women fell from 140.7 per 100,000 people in 2010 to 122.5 per 100,000 in 2019. Prostate cancer registration rates for Māori fell from 105.5 for Māori in 2017 to 103.5 in 2019.

For non-Māori, overall cancer registration rates increased slightly from 323.2 (2017) to 332.4 (2019).

Life expectancy
The life expectancy gap between Māori and non-Māori may be the most telling indicator of all when it comes to inequities.

According to the latest available data from 2019, life expectancy at birth for Māori men in 2017-2019 was 73.4 years, up 3.1 years from 2005-2007 data.

The life expectancy for non-Māori men is 80.9 years. For Māori women, it was 77.1 years, up 2 years from 2005-2007. Non-Māori women are expected to live to 84.4 years.

While Māori life expectancy has increased over time, the gap to non-Māori persists.

At the current rate of progress it will be more than a century before Māori and non-Māori have equal life expectancy, a study by the Association of Salaried Medical Specialists found in 2021.

Child immunisation
In the debate, after Hipkins raised smoking as an area of improvement, Luxon said child immunisation was a concern. On this, he was correct.

Over the past six years, child immunisation rates have steadily fallen.

In 2017, 86.2 percent of eligible Māori five year olds had completed all of their age-appropriate immunisations. As of last year, the rate had shrunk to only 71.8 percent. That is an alarming 16 point drop in the period Labour has been in power.

In April of this year a report commissioned by Te Whatu Ora’s Immunisation Taskforce found that immunisation failed to achieve “adequate on-time immunisation rates in young tamariki” and to immunise Māori, meaning those who were most susceptible to “vaccine-preventable disease” had the lowest immunisation coverage.

The report highlighted the worst rate in the country — just 34 percent of Māori children in South Auckland were fully vaccinated. It attributed part of the problem to vaccinators being diverted to the country’s covid-19 pandemic response.

“This caused childhood immunisation rates to plummet. These rates are now the lowest they have ever been and ethnic disparities have further expanded,” it said.

The report outlined 54 recommendations covering funding, delivery, technology, communications and governance across the programme.

In the debate, Hipkins suggested the anti-vaccine movement was part of the problem, which he sought to link with National.

National has proposed an immunisation incentive payment scheme. The plan would see GP clinics paid a lump sum for achieving immunisation targets, including full immunisation for two-year-olds, MMR vaccines for ages 1-17, and influenza vaccines for ages 65+.

The clinics would have to either achieve 95 percent coverage for their childhood patients, and 75 percent for the flu shots, or achieve a five percentage point increase for each of those target groups, by 30 June 2024 to receive the payment.

Labour’s Dr Ayesha Verrall said a similar scheme already existed.

Labour has also failed to halt type 2 diabetes, the country’s biggest and fastest growing health condition.

Ministry of Health figures show that in 2021 there were 302,778 people with diabetes, predominantly type 2. Since the Labour government came into power in 2017, the estimated rates of the number of Māori with diabetes per 1000 has risen from 66.4 to 70.1 in 2021.

The rates for non-Māori have also climbed from 27.8 in 2017 to 30.1 in 2021. It is also important to note that the rate of diabetes in Aotearoa has been steadily rising over the past 50 years.

Type 2 diabetes can also lead to devastating health conditions and complications, including heart failure, kidney failure, strokes and limb amputation.

According to Ministry of Health data obtained by RNZ under the Official Information Act, since 2011 there has been a 39 percent increase in diabetic limb amputations across the whole population.

For Māori, the number has more than doubled in the past decade from 130 in 2011 to 211 in 2021. Under Labour, the number of Māori diabetic limb amputations rose by 15 percent.

Māori are still 2.8 times more likely to have renal failure, another complication of diabetes.

Mental health
According to Te Whatu Ora, the rate of suspected suicide per 100,000 Māori population in 2021/22 was 16.1. This is not a statistically significant change from the average of the past 13 years.

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz

The Brown Girl Woke initiative hopes to continue empowering Samoan youth in fighting against the culture of silence over violence.

Founder Maluseu Doris Tulifau says it is essential to support young people in finding their voice and speaking out on these issues.

Tulifau, 29, launched the non-profit feminist organisation in the US in 2014, and used the platform to share her own experience as a survivor of violence. She worked in community development and human rights in California before moving to Samoa.

“I’m a survivor of sexual abuse and when I started to tell my story in America, I was already an activist promoting Pacific Islanders in higher education,” Tulifau said.

In 2018, she began the second chapter of Brown Girl Woke initiative in Samoa where she uncovered the culture of silence and factors that fueled this.

“There are many reasons a lot of us don’t reach that pedigree because of social issues, economic background and our environment around taboo issues and not speaking  out.

“I wanted to empower young women and men on these taboo issues in the community, especially on domestic violence and sexual abuse,” Tulifau said.

Suffering in silence
The organisation’s humble beginnings motivated her to create an environment of refuge for girls who were suffering in silence.

“I started Brown Girl Woke as a club university for girls to be a part of a support group, with the understanding that they would find solutions, understand patriarchy and why women don’t speak up,” she explained.

Today, Brown Girl Woke is working with primary and secondary schools to educate and create awareness on a range of social issue.

“We now run after school programmes that teach literary, safety kids, climate change, stem and more. We teach about human rights and as a feminist organisation, we also teach about systems that protect gender inequality,” said Tulifau.

“We now have two Brown Girl Woke clubs — at the National University of Samoa and The University of the South Pacific.”

The performing arts has also become a safe space for Brown Girl Woke to raise awareness and provide a voice for young people.

‘Shame or blame’
“We would conduct workshops using songs, dance, spoken word poetry and skits. This is the way to tell their story and feel safe and supported, and unmasking themselves without feeling shame or blame,” she said.

Aside from supporting those affected by violence, Tulifau and her group of activists at BGW have also been helping with a range of issues such as sexual health, youth development, mental health, as well as awareness on the representation of women in Parliament.

The teams have also helped children in intensive care, funding scholarships for undergraduate students and providing monthly groceries for families in need in the  country.

Tulifau acknowledged the many donations and contributions to their cause over the years.

Leitu Fereti of Samoa is a final-year journalism student at USP’s Laucala campus. She is also a reporter for Wansolwara, USP Journalism’s flagship student journalist training newspaper and online publication. Asia Pacific Report and Wansolwara collaborate.

Article by AsiaPacificReport.nz

​A new business initiative in Aotearoa New Zealand aims to open up conversations about the benefits of kava on mental health.

Tongan entrepreneur ‘Anau Mesui-Henry and her photographer husband Todd Henry own Four Shells Kava Lounge in Auckland, creating a space for the community to use the Pacific Island drink to maintain its value and cultural identity.

They have started talanoa on kava and mental health in Auckland, Wellington and Gisborne.

The couple say the KAVAX sessions bring in people from all walks of life, and they get to enjoy some authentic kava for the night.

Mesui-Henry says because it is talanoa, it is open for everyone to come together and speak.

“Not all people will open up and share, but it’s a safe space where they can come through, indulge in some kava and explore solutions on how we can heal using our Pasifika culture,” she says.

“It’s the mana in knowing your natural tāonga, a tool to help us as people to heal and the silent battles that we face.”

Pasifika tools to connect
Mesui-Henry says although organisations like the Mental Health Foundation are doing great work with the resources they have, a “white approach” will not work alone.

She says Pasifika people have the tools to connect through kava, and improve mental health.

Mesui-Henry says some of the misconceptions around kava they have to work on dispelling are that it is bad for you, it’s “muddy water”, or once it numbs you, you are drunk.

“We are a community grassroots kind of place, and knowing our cultural keystone, kava has a place in society.”

Kava is part of significant cultural practices in different Pacific Islands, is known internationally for its relaxing properties, and is used as a herbal remedy.

The website of the Alcohol and Drug Foundation NZ advises that if a large amount of kava is consumed the following effects may be experienced: drowsiness, nausea, loss of muscle control, mild fever and pupil dilation and red eyes.

It is legal to drink kava in New Zealand.

A Pacific Media Network News article under the Public Interest Journalism Fund. Republished with permission.

Article by AsiaPacificReport.nz

Former TVNZ Breakfast host Kamahl Santamaria, who quit following complaints about inappropriate workplace behaviour, has broken his silence and started a podcast he says would “set some records straight”.

The Emmy-nominated broadcaster lasted just 32 days at TVNZ after working at Al Jazeera, where he had also been accused of having sent a lewd email to a female colleague.

Speaking publicly for the first time in more than a year, Santamaria talked about the allegations, the effect they have had and how the reporting of them had led to his new website The Balance.

“It is very much informed and directed by my own experience over the past year, and yes I will be using it to set some records straight,” he told listeners in the first episode of his podcast, RE: Balance.

“Because in the end, I trust myself to tell my story.”

Santamaria said he had been a journalist for nearly 25 years, but for the last year had had to live with the label of being “a disgraced journalist”.

“That’s not a pleasant title to live with but that’s how it’s been ever since my departure from TVNZ in May of last year,” he said.

‘Full story yet to be told’
For legal reasons, Santamaria said he had not spoken about his departure from TVNZ — but he told listeners he would when he is able.

“The full story has definitely not been told, yet,” he said.

“The headline doesn’t always match the story, and countering that is a big part of what I’m embarking on with The Balance.

Santamaria said what happened had forced him to stop, look at himself and his behaviour in the past, and acknowledge there were times when he just got it wrong.

“I am deeply sorry for that and for the effect I have now learned that it had on others,” he said.

He said they also prompted him to look at the environments he was working in.

“What I failed to recognise was particularly in a post ‘Me Too’ world, there is just no place for over friendly, over-familiar, flirtatious, tactile behaviour or banter in the workplace no matter how friendly that workplace is or how prevalent that behaviour might be.

Mistakes impacted on health
“I’ve made mistakes but I hope my past doesn’t define who I am in the future.”

Santamaria said the effect on his mental health and that of his family has been “immense, dilapidating and long-lasting” and “it still goes on now”.

He revealed he had been in hiding for a year “growing a beard, always wearing a cap”, afraid to use his own name, and that he is on medication.

Santamaria referred to a report about his visit to the National Business Review, which he said was the “one time” we went out publicly and a journalist turned it into a story.

He said the journalist wrote about how uncomfortable he made people feel by just shaking their hands.

“The whole thing was utterly ridiculous to the point now where I don’t even shake people’s hands anymore.”

Santamaria disclosed that in the early stages, he had been on heavy medication during the day and sedation at night, and the family had him on a round-the-clock suicide watch.

He said he had been in no position, physically or mentally, to speak up for himself at the time.

“The fact that I am still here now is a testament to my family who kept me alive when I didn’t want to go on and they continue to do so,” he said.

First published by The New Zealand Herald and republished here with the author’s permission.

Article by AsiaPacificReport.nz

Paediatrician Dr Teuila Percival heads the list of Pacific recipients in the New Zealand King’s Birthday Honours List for 2023.

Dr Percival is one of at least 15 Pasifika people in New Zealand who are on the list. She is to be a Dame Companion of the New Zealand Order of Merit for services to health and the Pacific community.

For the past three decades she has been a strong advocate for Pacific children’s health in New Zealand and the Pacific.

Dr Percival said she felt honoured to get the award after getting over the initial surprise.

“I think it’s important for Pacific people to be recognised in the work they do, so it’s really nice in that respect,” she said.

“It’s just a great job, I love working with kids. I think children are the most important thing.”

Dr Percival was a founding member of South Seas Healthcare, a community health service for Pacific people in Auckland since 1999.

She has also been deployed to Pacific nations after natural disasters like to Samoa in 2009 after the tsunami and to Vanuatu in 2015 following cyclone Pam.

Education
Sacred Heart school counsellor Nua Silipa is to be an Officer of the New Zealand Order of Merit for her services to Pacific education.

Silipa said her experience struggling in the education system after immigrating from Samoa in 1962 had motivated her to help Pacific people in the classroom.

“When I look back now I think my journey was so hard as a minority in Christchurch,” Silipa said.

“It was a struggle because we weren’t in the classroom, the resources at that time were Janet and John . . .  so as a learner I really struggled.”

She said the “whole experience of underachievement” motivated her to help “people who are different in the system”.

“It’s not a one size fits all in education.”

Nua Silipa said she felt humbled to be a recipient on the King’s Birthday Honours List.

She said the award also honoured the people who had been involved in improving education for Pasifika.

“I know there’s so, so many other people who are doing work quietly every day, helping our communities and I’m really in awe of them.

“There are many unsung heroes out in our community doing work for our people.”

Technology
Mary Aue is to be a Member of the New Zealand Order of Merit for her services to education, technology and Pacific and Māori communities.

Mary Aue is to be a Member of the New Zealand Order of Merit for her services to education, technology and Pacific and Māori communities Photo: Supplied

In 1999, she launched Coconut Wireless as an e-newsletter for Pasifika reaching 10,000 subscribers. It relaunched in 2014 as a social media platform and now has over 300,000 Facebook followers.

“There was a disconnect between community and government agencies and there was a disconnect between our communities,” she said.

“There was no communication back then, so I created an e-newsletter.”

The name Coconut Wireless was based on the island concept as a fast way of communicating through word of mouth.

Aue has also been an advocate for more Pacific and Māori learners in science, engineering, technology and mathematics (STEM).

Aue said she was originally going to decline the award as there were a lot of people in the community who do not get recognised behind the scenes.

“I have to thank my family, my friends and the amazing community that we’re all part of.”

Sport
Teremoana Maua-Hodges said she “just about choked” on her cup of tea when she found out she had received the Queen’s Service Medal.

Maua-Hodges has been given the award for her contribution to sport and culture.

She said the award was the work of many people — including her parents — who travelled to New Zealand from the Cook Islands when she was a child.

“I’m very humbled by the award, but it’s not just me,” Maua-Hodges said.

“I stand on the shoulders of different heroes and heroines of our people in the community.

“It’s not my award, it’s our award.”

Maua-Hodges said the most important thing she had done was connect Cook Islanders.

“Uniting Cook Islanders who have come over from different islands in the Cook Islands and then to come here and be united here within their diversity makes me very proud.

“They’ve taken on the whole culture of Aotearoa but still as Cook Islanders . . .  to show their voice, to show their flag, in the land of milk and honey.”

The Queen’s Service Medal will be renamed the King’s Service Medal once the necessary processes are done, and the updated Royal Warrant is approved by King Charles.

Pasifika recognised in the Queen’s Birthday Honours List for 2022:

Dame Companion of the New Zealand Order of Merit: Dr Teuila Mary Percival — for services to health and the Pacific community.

Officer of the New Zealand Order of Merit: Nua Semuā Silipa — for services to Pacific education.

Honorary Officer of the New Zealand Order of Merit: Meleane Pau’uvale — for services to the Tongan community and education.

Member of the New Zealand Order of Merit:

Mary Puatuki Aue — for services to education, technology and Pacific and Māori communities.

Dr Ofanaite Ana Dewes — for services to health and the Pacific community.

Fa’atili Iosua Esera — for services to Pacific education.

Dr Siale Alokihakau Foliaki — for services to mental health and the Pacific community.

Keni Upokotea Moeroa — for services to the Cook Islands community.

Talalelei Senetenari Taufale — for services to Pacific health.

Dr Semisi Pouvalu Taumoepeau — for services to education and tourism.

Honorary Member of the New Zealand Order of Merit: Fa’amoana Ioane Luafutu — for services to arts and the Pacific community.

Queen’s Service Medal:

Joseph Davis — for services to the Fijian community.

Reverend Alofa Ta’ase Lale — for services to the community.

Teremoana Maua-Hodges — for services to sport and culture.

Putiani Upoko — for services to the Pacific community.

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz

A Pasifika health leader hopes the Royal Commission into the Covid-19 pandemic will look into the equity of the response and resource allocation.

Prime Minister Jacinda Ardern yesterday announced a Royal Commission into the government’s covid-19 response which will be chaired by Professor Tony Blakely, an epidemiologist working at the University of Melbourne.

He is joined by former National Party MP Hekia Parata, and the previous secretary to Treasury, John Whitehead, as commissioners.

Pasifika Futures chief executive Debbie Sorensen said Pasifika people were essentially left to form their own response during the earlier stages of the pandemic.

That was despite Pasifika people working a large proportion of jobs in MIQ facilities and at the airport and other front line locations, she said.

Many affected Pacific families experienced a great deal of hardship, she said.

It was important for the inquiry to look at the covid-19 response in regards to specific communities, she said.

Slowness of response
“We’re really clear that equity in the response and in the resource allocation is an important consideration.”

One issue was the slowness of the government’s response to both Pacific and Māori communities during the height of the pandemic, she said.

“Advice was provided to the government, you know cabinet papers provided advice on specific responses for our communities and that advice was ignored.”

An important aspect of the inquiry should be reviewing how that advice was given to the government, its response to it and how the government’s sought more information, she said.

The inquiry’s initial scope appeared to be very narrow, but it could be broadened as it went along, Sorensen said.

“The impact on mental health and the ongoing economic burden for our communities is immense — you know we have a whole generation of young people who have not continued their education because they were required to go in to work.”

Sorensen said often young people had to work because they were the only person in their family who had a job at that time due to covid-19.

Mental health demand
The pandemic also increased demand for mental health services which were already under pressure, she said.

Anyone who was unwell unlikely to be able to get an appointment within six to eight months which was shameful, she said.

Sorensen would have preferred the inquiry had been announced earlier, but it was an opportunity to better prepare for the future, she said.

But Te Aka Whai Ora, the Māori Health Authority, chief medical officer Dr Rawiri McKree Jansen told Morning Report he had some concerns that the probe into the covid-19 response was coming too soon to gain a full picture.

The pandemic was ongoing and starting the inquiry so early may obstruct a complete view of it, he said.

“I understand that there’s people champing at the bit and [saying] we should’ve done it before but it’s very difficult to do that and adequately learn the lessons.”

Understanding how to get a proper pandemic response was in everyone’s interest, but the pandemic was now still in its third wave, he said.

About to begin
Nevertheless, the inquiry was about to get underway and it could make a large contribution if it was done well, he said.

“I’m sure there will be many Māori communities that want to have voice in the inquiry and you know contribute to a better understanding of how we can manage pandemics really well.

“We’ve had pandemics before and they’ve been absolutely tragic. We’ve got this pandemic and the outcome for us is something like two to two-and-a-half times the rate of hospitalisations and deaths, so Māori communities are fundamentally very interested in bedding in the learnings that we’ve achieved in the pandemic.”

Dr Jansen hoped the inquiry would provide enduring information about managing pandemics with a very clear focus on Māori and how to support the best outcomes for the Māori population.

Inquiry’s goal next pandemic
The head of the Royal Commission said the review needed to put New Zealand in better position to respond next time a pandemic hits.

Professor Blakely said the breadth of experience and skills of the commissioners was welcome, and would help them to cover the wide scope of the Inquiry, ranging from the health response and legislative decisions, to the economic response.

Reviewing the response to the pandemic was a big job, he said.

“There’s already 75 reports done so far, I think about 1700 recommendations from those reports, New Zealand’s not the only country that’s been affected by this cause it’s a global epidemic, so there’s lots of other reports.”

The inquiry panel would have to sit at the top of all that work that had already been done “and pull it altogether from the perspective of Aotearoa New Zealand and what would help best there.

The inquiry needed to make New Zealand was prepared for a pandemic with good testing, good contact tracing and good tools that the Reserve Bank could use to support citizens in the time of a pandemic, Professor Blakely said.

“Our job is to try and create a situation where those tools are as good as possible, there’s frameworks to use when you’ve entered another pandemic, which will occur at some stage we just don’t know when.”

Professor Blakely said he was flying to New Zealand next week and would meet with Hekia Parata and John Whitehead to start thinking about the shape of the inquiry going forward.

This article is republished under a community partnership agreement with RNZ. 

Article by AsiaPacificReport.nz

While some women at the University of the South Pacific’s 14 campuses found working from home enjoyable during the covid-19 pandemic, others felt isolated, had overwhelming mental challenges and some experienced domestic violence, a Pacific survey has found.

Titled “University Women Remote Work Challenges”, the survey was funded by the Council of Pacific Education (COPE) and was supported by the Association of the University of the South Pacific staff (AUSPS)

The research report, released last month, was conducted by Dr Hilary Smith (an honorary affiliate researcher at the Australian National University and Massey University) for the women’s wing of AUSPS.

“This survey confirms that many of our university women had support from their family networks while on Work From Home, but others were left feeling very isolated,” said Rosalie Fatiaki, chair of the AUSPS women’s wing.

“Women with young children had a lot to juggle, and those who rely on the internet for work had particular frustrations — some had to wait until after midnight to get a strong enough signal,” she said.

Around 30 percent of respondents reported having developed covid-19 during the Work From Home periods, and 57 percent had lost a family member or close friend to covid-19 as well as co-morbidities.

In the survey there was also evidence of the “shadow pandemic” of domestic abuse and although the reported levels were low, it was likely the real incidence was much higher, said Dr Smith.

‘Feelings of shame’
“That was because of the feelings of shame (reporting domestic violence). In the Pacific Islands families and communities tend to be very close-knit groupings,” Dr Smith said.

Only two of the 14 USP campuses in 12 Pacific countries avoided any covid-19 closures between 2020 and 2022 — the shortest closure was two days in Tokelau and the longest at the three Fijian campuses of Laucala, Lautoka and Labasa lasting 161 days.

There had been no cases on the Tuvalu campus until the second quarter of this year.

“For women who had older children they said they enjoyed the time with their families,” Dr Smith said.

“And it was more difficult for those with young families,” she said.

She stressed the importance of being careful with the survey in relation to domestic violence.

“With this kind of survey, we had to be a little bit careful. We can’t say we got evidence of how much there is because it is a very tricky thing to survey and especially in this kind of survey,” Dr Smith said.

‘Sensitive issue’
“And because it is a sensitive issue and people tend not to identify and it is something that people tend to be ashamed about pretty much.

“The survey was totally confidential, and we set it up so no one would who the respondents were.

“It was impossible to find out through the ANU programme we used.

“But the fact people did give some evidence then I think that we know that it is actually quite significant, and we assumed that the prevalence was quite higher.”

She said that she was not saying there were more incidents, but from media reports, particularly in Fiji, she had suspicions that it was higher than reported in the survey.

“We were responding to the fact that there were other news reports in Fiji we referenced, and there has been the other report by the UN (United Nations) women about it,” she said.

The report “Measuring the Shadow Pandemic – violence against women during Covid-19” was released by the UN in December 2021 and the Violence Against Women Rapid Gender Assessments (VAW RGA) were implemented in 13 countries spanning all regions — Albania, Bangladesh, Cameroon, Colombia, Côte d’Ivoire, Jordan, Kenya, Kyrgyzstan, Morocco, Nigeria, Paraguay, Thailand and Ukraine.

There was general support of national statistical offices (NSOs) or national women’s groups and funding from the policy and Melinda Gates Foundation, which found an incidence of 40 percent of reported domestic violence.

‘There in Pacific”
“So, we weren’t saying that it was more than in other countries, but we were saying it was there in the Pacific.

“It could be more, or it could be less but because the evidence had been already highlighted in Fiji, we were just picking up on that.”

AUSPS had specifically asked for it to be followed up because of “widespread murmuring” that domestic violence was occurring.

“My colleagues at USP had indicated they wanted to follow it up because they had heard that it was an issue for some women,” Dr Smith said.

In her recommendations she had suggested counselling for women and a safe space on campus, but she was unsure if it would be acted on.

Limited counselling
There was limited counselling available already and some had suggested that it should be done through religious denominations, she said.

She said internationally people had struggled with mental health issues during the pandemic, so it was common to all communities.

“There was a relatively high incidence in Fiji, and we reported the findings from the survey,” Dr Smith said.

Among the recommendations for support during isolation was the setting up of a helpline and regular calls from senior personnel and support staff.

She said even if this pandemic had passed there were other events like natural disasters, politics, and wars to be mindful of.

“Human-made or nature-made or the prevalence of other pandemics, we are basically saying the university should be prepared,” Dr Smith said.

Article by AsiaPacificReport.nz

Late last month, New Zealand Health Minister Andrew Little stated what most who work in health already know.

Healthcare is all about people – the people being cared for and the people doing the caring.

Population growth, ageing and a pandemic mean there is no shortage of those needing care, but in New Zealand and globally, there is a chronic shortage of healthcare workers.

Little stopped short of calling it a crisis, but researchers and international agencies alike agree with a survey of New Zealand doctors that the health workforce is in crisis.

In 2016, the World Health Organisation (WHO) projected a global shortage of 18 million healthcare workers by 2030. That was before the covid-19 pandemic. Between 80,000 and 180,000 healthcare workers have died globally during the pandemic’s first 16 months, according to the WHO’s conservative estimate.

“Public statements from political leaders that there is ‘no crisis’ in the health system have seemed increasingly out of step with doctors’ experience over the past year” https://t.co/dXMhA38XIO

— Emma Espiner (@emmawehipeihana) July 11, 2022

Add to this the impact the pandemic has had on the mental health of frontline health staff, including reports of post-traumatic stress disorder (PTSD), and a healthcare workforce seven times more likely to have severe covid and now carrying the burden of long covid.

It’s clear healthcare is no longer the attractive sector it once was.

A highly mobile workforce and a global shortage
Like the cost-of-living crisis, the health workforce shortage is not unique to Aotearoa New Zealand.

This year’s budget included NZ$76 million for medical training and primary care specialists, but doctors who started training this year will not be specialists until 2034.

Meanwhile, Labour’s solution is to undertake an international recruitment drive. It is hailing New Zealand as one of the easiest places in the world for healthcare workers to come to. But are our newly opened borders attractive enough?

Overseas recruitment drive for nurses gains ‘good response’ https://t.co/RZrM4fW67L

— RNZ News (@rnz_news) July 13, 2022

In my health economics lectures I often use an anecdote about the Indian doctor who gets a job in the UK (colonial ties and a multicultural society), the British doctor who moves to Canada (less administration and more family friendly hours), the Canadian doctor who moves to the United States (specialists have much higher earning potential), and the US doctor who undertakes missionary work in India.

This highlights two issues: the health workforce is highly mobile and employment isn’t always about money. Aotearoa New Zealand is competing in a global health workforce market, and minister Little recently acknowledged the health sector as “fiercely competitive”.

But this isn’t a new phenomenon for New Zealand.

The health workforce in New Zealand has one of the largest shares of migrant workers, with 42 percent of doctors and almost 30 percent of nurses foreign-born (second only to Israel and Ireland, respectively). This is much higher than the aggregate estimates showing one in six doctors practicing in OECD countries studied overseas.

The OECD estimates the number of foreign-born doctors and nurses in OECD countries has increased by 20 percent, twice the growth rate of the overall increase across the workforce. This is what is most concerning.

The health workforce is not equally distributed. Migration of workers from low- and middle-income countries to high-income countries like Aotearoa New Zealand is a real threat to achieving universal health coverage and sustainable development goals.

New Zealand needs to be mindful that promoting our open borders is not at the expense of under-performing health systems with much greater need.

Losing healthcare workers to Australia
Outflow is also a problem in New Zealand, with New Zealand-trained doctors and nurses crossing the Tasman every year. Add to this the international recruits leaving New Zealand for Australia and there most definitely is a health workforce crisis.

As our nearest neighbour, Australia is aggressively recruiting staff. And like pavlova and Phar Lap they are happy to claim what is ours as theirs. An easier route to citizenship and voting rights will make Australia even more desirable.

How can New Zealand compete in this market? Minister Little refers to encouraging New Zealanders to return home, including lifting their pay. Research shows it’s not all about income. Location and professional development opportunities are important factors when choosing career moves.

The healthcare reforms helped tempt me back to New Zealand after 22 years away. Perhaps working in a system which has equity as its focus may encourage those who are clinically trained to return as well.

There is considerable research to inform policies around retention and recruitment. The New Zealand Ministry of Health may wish to look to the UK, which was historically dependent on EU health and care workers and now has a health workforce depleted by both Brexit and the pandemic.

In the recent LSE-Lancet Commission on the future of the NHS, British scholars argued a sustainable workforce needed integrated approaches to be developed alongside reforms to education and training that reflect changes in roles and the skill mix, and more multidisciplinary working.

The LSE-Lancet Commission authors flagged the need for better workforce planning. New Zealand’s approach to workforce forecasting has also been criticised previously.

Planning aside, a possible solution worthy of discussion is the required skill mix of the workforce, particularly with technological advancements and changing health needs. For example, the introduction of non-medical prescribers has improved job satisfaction, released clinical time and increased patient access.

New Zealand’s once-in-a-generation health reforms offer a logical time to undertake workforce reforms. We need to learn from our own historical mistakes and avoid disconnecting the workforce from the policy reforms.

If minister Little and the ministry are to solve this, he will first need to admit there is a health workforce crisis.

Aotearoa New Zealand is unfortunately not alone in its quest to adequately staff healthcare, but the transformation of the health sector to create a more equitable, accessible, cohesive and people-centred system means New Zealand is uniquely placed to put those people who deliver care at the centre.

Dr Paula Lorgelly is professor of health economics, University of Auckland. This article is republished from The Conversation under a Creative Commons licence. Read the original article.

Article by AsiaPacificReport.nz

In this week’s security podcast, Dr Paul G. Buchanan and host Selwyn Manning discuss:

• three areas that have been relied on to protect New Zealanders from terror-style attacks;
• legal measures designed to protect communities from danger and even protect individuals from themselves;
• and why they failed.

The background to this episode is the tragic, terrifying, attack that were committed against unarmed innocent people at West Auckland’s LynnMall Countdown supermarket, by Ahamed Aathill Mohamed Samsudeen.

The attack occurred last Friday, 3 September 2021. It ended with the hospitalisation of seven people, and, the death of Samsudeen, who was fatally shot by special tactics police officers during his attempt to kill and injure as many people as he could.

Immediately after, the Prime Minister Jacinda Ardern told the nation that the dead man was a terrorist and that she herself, the police, and the courts were all aware of how dangerous he was and had been seeking to protect New Zealand from this man.

Within days of the attacks, we learned, that Samsudeen was a troubled man with psychologists describing him as angry, capable of carrying out his threats, and displaying varying degrees of mental illness and disorder.

Refugee who sought asylum
Samsudeen was a refugee who sought asylum in New Zealand after experiencing, through his formative years civil war and ethnic cleansing in Sri Lanka, who, at around 20 years of age, arrived in New Zealand on a student visa and then sought political asylum.

He was eventually granted refugee status, and since then spent years in prison on various charges and convictions – largely involving the possession of terrorist propaganda seeded on the internet by Islamic State (ISIS), and, threats showing intent to commit terrorist acts against New Zealanders.

In this week’s episode, Dr Buchanan and Manning examine questions about whether this tragedy could have been prevented and considered New Zealand’s:

• Security and terror laws
• Deportation laws involving those with refugee status
• The Mental Health Act and whether this was available to the authorities.

Dr Buchanan and Manning also analyse whether it is necessary for the New Zealand government to move to tighten New Zealand’s terrorism security laws. And, if it does, how the intended new laws compare to other Five Eyes member countries.

Republished in partnership with EveningReport.nz

Article by AsiaPacificReport.nz

A View from Afar – In this week’s podcast, Paul G. Buchanan and Selwyn Manning discuss: three areas that have been relied on to protect New Zealanders from terror-styled attacks; legal measures designed to protect communities from danger and even protect individuals from themselves and why they failed.

The background to this episode is the tragic, terrifying, attacks that were committed against unarmed innocent people at West Auckland’s LynnMall Countdown supermarket, by Ahamed Aathill Mohamed Samsudeen.

The attacks occurred last Friday, September 3, 2021. It ended with the hospitalisation of seven people, and, the death of Mr Samsudeen who was fatally shot by special tactics Police officers during his attempt to kill and injure as many people as he could.

Immediately after, the Prime Minister Jacinda Ardern told the nation that the dead man was a terrorist and that she herself, the Police, and the courts were all aware of how dangerous he was and had been seeking to protect New Zealand from this man.

Within days of the attacks, we learned, that Mr Samsudeen was a troubled man with psychologists describing him as angry, capable of carrying out his threats, and displaying varying degrees of mental illness and disorder.

Mr Samsudeen was a refugee who sought asylum here in New Zealand after experiencing, through his formative years, civil war and ethnic cleansing in Sri Lanka, who, at around 20 years of age, arrived in New Zealand on a student visa and then sought asylum.

He was eventually granted refugee status, and since then spent years in prison on various charges and convictions – largely involving the possession of terrorist propaganda seeded on the internet by ISIS, and, threats showing intent to commit terrorist acts against New Zealanders.

In this week’s episode, Paul Buchanan and Manning examine questions as to whether this tragedy could have been prevented and will consider New Zealand’s:

• Security and terror laws
• Deportation laws involving those with refugee status
• Mental Health Act and whether this was available to the authorities.

Buchanan and Manning also analyse whether it is necessary for the New Zealand Government to move to tighten New Zealand’s terrorism security laws. And, if it does, how the intended new laws compare to other Five Eyes member countries.

WE INVITE YOU TO PARTICIPATE WHILE WE ARE LIVE WITH COMMENTS AND QUESTIONS IN THE RECORDING OF THIS PODCAST:

You can comment on this debate by clicking on one of these social media channels and interacting in the social media’s comment area. Here are the links:

• Facebook.com/selwyn.manning
• Youtube
• Twitter.com/Selwyn_Manning

If you miss the LIVE Episode, you can see it as video-on-demand, and earlier episodes too, by checking out EveningReport.nz or, subscribe to the Evening Report podcast here.

The MIL Network’s podcast A View from Afar was Nominated as a Top  Defence Security Podcast by Threat.Technology – a London-based cyber security news publication.

Threat.Technology placed A View from Afar at 9th in its 20 Best Defence Security Podcasts of 2021 category. You can follow A View from Afar via our affiliate syndicators.

A View from Afar – LIVE @ MIDDAY Thursday: In this week’s podcast, Paul G. Buchanan and Selwyn Manning will discuss: three areas that have been relied on to protect New Zealanders from terror-styled attacks; legal measures designed to protect communities from danger and even protect individuals from themselves and why they failed.

The background to this episode is the tragic, terrifying, attacks that were committed against unarmed innocent people at West Auckland’s LynnMall Countdown supermarket, by Ahamed Aathill Mohamed Samsudeen.

The attacks occurred last Friday, September 3, 2021. It ended with the hospitalisation of seven people, and, the death of Mr Samsudeen who was fatally shot by special tactics Police officers during his attempt to kill and injure as many people as he could.

Immediately after, the Prime Minister Jacinda Ardern told the nation that the dead man was a terrorist and that she herself, the Police, and the courts were all aware of how dangerous he was and had been seeking to protect New Zealand from this man.

Within days of the attacks, we learned, that Mr Samsudeen was a troubled man with psychologists describing him as angry, capable of carrying out his threats, and displaying varying degrees of mental illness and disorder.

Mr Samsudeen was a refugee who sought asylum here in New Zealand after experiencing, through his formative years, civil war and ethnic cleansing in Sri Lanka, who, at around 20 years of age, arrived in New Zealand on a student visa and then sought asylum.

He was eventually granted refugee status, and since then spent years in prison on various charges and convictions – largely involving the possession of terrorist propaganda seeded on the internet by ISIS, and, threats showing intent to commit terrorist acts against New Zealanders.

In this week’s episode, Paul Buchanan and I will examine questions as to whether this tragedy could have been prevented and will consider New Zealand’s:

• Security and terror laws
• Deportation laws involving those with refugee status
• Mental Health Act and whether this was available to the authorities.

We will also analyse whether it is necessary for the New Zealand Government to move to tighten New Zealand’s terrorism security laws. And, if it does, how the intended new laws compare to other Five Eyes member countries.

WE INVITE YOU TO PARTICIPATE WHILE WE ARE LIVE WITH COMMENTS AND QUESTIONS IN THE RECORDING OF THIS PODCAST:

You can comment on this debate by clicking on one of these social media channels and interacting in the social media’s comment area. Here are the links:

• Facebook.com/selwyn.manning
• Youtube
• Twitter.com/Selwyn_Manning

If you miss the LIVE Episode, you can see it as video-on-demand, and earlier episodes too, by checking out EveningReport.nz or, subscribe to the Evening Report podcast here.

The MIL Network’s podcast A View from Afar was Nominated as a Top  Defence Security Podcast by Threat.Technology – a London-based cyber security news publication.

Threat.Technology placed A View from Afar at 9th in its 20 Best Defence Security Podcasts of 2021 category. You can follow A View from Afar via our affiliate syndicators.

An Australian criminologist who deemed the New Zealand shopping mall attacker “low risk” in 2018 believes there were missed opportunities to steer him away from violent extremism.

Ahamed Samsudeen was described as a high risk to the community when he was sentenced in July for possessing Islamic State propaganda — with the means and motivation to commit violent acts.

However, three years earlier, Australian National University criminologist Dr Clarke Jones told the High Court Ahamed did not appear to be violent and did not fit the profile of a young Muslim person who had been radicalised.

At the time Dr Jones suggested “a carefully designed, culturally sensitive and closely supervised intervention programme in the Auckland Muslim community”.

Now, he said, it was unclear how much rehabilitation actually took place.

“People can change, sometimes quickly, sometimes over a longer period of time. But back in 2018, we didn’t think that he was violent,” he explained.

At the time Samsudeen appeared to feel marginalised and disconnected, Dr Clarke said, like he couldn’t “get his foot up” in society.

‘Rigid life views’
“Some of the material he was reading was of concern and he had fairly rigid views around religion and around life in general. But he’d also had some experience in difficult times and was, I would argue, deeply depressed.”

On Friday, Samsudeen walked into a Countdown supermarket in LynnMall, picked up a knife and stabbed at least shoppers, leaving some of them critically injured, before he was shot dead by tactical force police tailing him.

In the High Court in July, Samsudeen had admitted two charges of using a document for pecuniary advantage, two charges of knowingly distributing restricted material and one charge of failing to assist the police in their exercise of a search power.

Another expert was consulted — forensic psychiatrist Dr Jeremy Skipworth — who echoed Dr Clarke’ concerns.

“Dr Skipworth said that any form of home detention would tend to further exacerbate your mental health concerns, and that your successful community reintegration is likely to be assisted by cornerstones, such as stable housing, personal support, appropriate employment and medical care,” reads Justice Wylie’s sentencing notes.

Justice Wylie imposed a sentence of supervision, with special conditions, including a psychological assessment and a rehabilitation programme with a service called Just Community.

Dr Jones said he really would like to know more about what support Samsudeen was actually given in Corrections.

‘Was he responsive?’
“Was he responsive to that treatment, if he was receiving any treatment at all, or was the focus more on on the security side and the monitoring and the surveillance?”

Asked if the terrorist had enough support to “get better”, Deputy Prime Minister Grant Robertson said there had been attempts to change the man’s mind — and none of them were successful.

But in a family statement released after the attack, Samsudeen’s brother said he sometimes listened.

“He would hang up the phone on us when we told him to forget about all of the issues he was obsessed with. Then he would call us back again himself when he realised he was wrong.

“Aathil was wrong again [on Friday]. Of course we feel very sad that he could not be saved. The prisons and the situation was hard on him and he did not have any support. He told us he was assaulted there.”

Dr Clarke said, “I would say that we haven’t got the balance right. In this case there was too much focus on the counter-terrorism or counter violent extremism narrative, rather than actually getting to the core of what was wrong with Mr Samsudeen.”

“We can always improve the way we do things to have have greater preventative sort of mechanisms within government, police and communities.”

Dr Clarke said what happened in LynnMall was a tragedy and a terrible situation.

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz

Prime Minister Jacinda Ardern spoke at today’s 1pm press conference about the importance of mental health and support services in the community during New Zealand’s delta covid-19 outbreak.

“Having positive cases in our communities, along with the impact of lockdowns I know can be hugely unsettling, and that uncertainty can impact on everyone’s mental health,” she said.

“It’s OK to feel overwhelmed, to feel upset or even to feel frustrated, because this situation is often all of those things. But there are places you can go for support and help, even while you’re living with restrictions.”

The Ministry of Health and Unite Against Covid websites have a list of resources, Ardern said.

“These include tools targeted at young people, who may be finding this time challenging, in particular those isolating in hostels or halls of residence.”

Calls to health services and use of online services have risen during lockdown.

“We know for instance that early on in the lockdown there was a spike in calls to Youthline,” Ardern said, and the government has since boosted their funding by $275,000.

Extra $1m for community health projects
An additional $1 million in funding was announced today by Health Minister Andrew Little for community projects to support youth mental health in Auckland and Northland.

Ardern listed several different helplines available (see full RNZ list).

“There is also targeted mental health support available to Pacific Communities via a dedicated 0800 number: 0800 OLA LELEI 0800-652-535,” Ardern said.

Episodes of family violence have been reported during lockdown around the country.

“Family violence and sexual violence services are considered essential services and are continuing to operate at level 4,” Ardern said.

“If you feel you’re in an unsafe environment, you do not need to stay in your home or in your bubble. If you’re not safe at home you can leave your bubble. If you feel in danger, call 111.

“If you or someone you know is in danger and it is not safe to talk, police have the silent solution, phone 111 and if you do not speak you’ll get the option of pressing 55, you can then listen carefully to the call-taker’s questions and instructions so they can arrange assistance for you.”

There is also support for those struggling to access food.

“Yesterday we announced an additional $7 million for food security networks operating at alert level 4. The additional funding will help with the distribution of an additional 60,000 food parcels, and 10,000 wellbeing packs,” Ardern said.

83 community cases
There have been 83 new community cases of covid-19 reported in New Zealand today.

Director-General of Health Dr Ashley Bloomfield said 82 of the new cases are in Auckland, with one new case in Wellington. The Wellington case was a close contact of an existing case, and was in isolation with no exposure in the community while infectious.

Dr Bloomfield said 34 people are now in New Zealand hospitals with the coronavirus, including two people in ICU. All are in a stable condition.

Three of those cases are in North Shore Hospital, 18 in Middlemore Hospital, 13 in Auckland City Hospital, while one is in Wellington Regional Hospital. Dr Bloomfield said the hospitalisation rate in this outbreak is 6-7 percent which is higher than previous outbreaks.

The total number of confirmed cases associated with the Auckland outbreak is now 511 – 496 in Auckland and 15 in Wellington.

Dr Bloomfield said more than 60 percent of cases are under 30.

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz

The area of mental health has been a key strength for Jacinda Ardern and her Labour Government over the last few years. They campaigned strongly in 2017 on fixing up the dysfunctional system, and initially they made some vital strides forward in reforming the sector.

An in-depth inquiry was instigated and the Wellbeing Budget of 2019 pledged nearly $2bn. For a while, it looked like the one area in which the Government was achieving true transformation. This has all changed lately. An explosion of bad stories and complaints from the sector suggests that the Government has failed to deliver on this, and that the mental health system is now getting worse under Labour.

Over the last week, in particular, there have been a string of scathing media articles and comments, that together amount to an overwhelming vote of “no confidence” in the Labour Party, the Prime Minister, and the Minister of Health. The latest, published yesterday in the Guardian, is from journalist Oliver Lewis, who has been investigating Labour’s reforms. He argues the Government appears to be more concerned with image management on mental health than making progress to deal with the crisis – see: The gap between NZ Labour’s soaring rhetoric on mental health and the reality is galling.

On the one hand, Lewis says, “the soaring rhetoric and initial investment – which has often been slow rolling out – has failed to translate into substantive change, and people are rightfully frustrated.” But to make matters worse, and what he finds particularly galling, the government is trying to hide the crisis: “in a bid to paper over failings and push a particular narrative – crucial information seems to be being buried or obfuscated.”

Lewis’ concern was prompted by journalist Henry Cooke’s detailing of how the Government has omitted various mental health metrics in the Ministry of Health’s annual monitoring report on mental health released last week. You can see Cooke’s article here: ‘A lot of data and negative statistics’: Inside the battle behind dramatic edits and huge delays to a Government mental health report.

Cooke’s investigation reveals the quite extraordinary story of how Ministry of Health senior officials battled for two years to remove data from this report, seemingly because it made the government look bad. What’s more, the report was released two years late, and “still showed a very distressing picture of New Zealand’s mental health system – with a spike in the use of seclusion, a practice some liken to torture.”

Cooke reports that “Shaun Robinson of the Mental Health Foundation said it was ‘gobsmacking’ and ‘not acceptable’ that so much information had been removed from the ‘scathing’ report.”

And Cooke follows this up, with further political reaction, including the National Party’s mental health spokesman Matt Doocey claiming “there appeared to be some ‘politicisation’ of the ministry”, and Health Minister Andrew Little being “totally comfortable with the process of the report’s release” – see: Judith Collins says heads should roll over ‘sanitised’ Government mental health report.

For more details of the contents of the “scathing” mental health report, it’s worth reading Tess McClure’s Guardian article: New Zealand mental health crisis has worsened under Labour, data shows. Here’s the article’s introduction: “New Zealand’s mental health system is ‘in crisis’ and in worse shape now than four years ago, practitioners say – despite much-heralded government efforts to reform it and prioritise national wellbeing.”

This followed on from another Henry Cooke piece last week, which covered the “huge growth in mental health patients being locked in rooms alone”, otherwise known as “seclusion”, which the Government was supposed to phase out – see: Huge growth in use of ‘last resort’ seclusion indicates mental health system in crisis, and in worse shape than when Labour elected in 2017.

The fact that the Labour Government aren’t delivering, led prominent psychologist Kyle MacDonald to write a condemning opinion piece for the Herald on Sunday, in which he lays the blame at the Prime Minister’s door, recounting when a tearful Jacinda Ardern spoke to a mental health rally during the 2017 election campaign and promised to fix the problems: “Standing there that day, in the sunshine among the crowd, I believed her. I believed she was going to bring transformative change to our crippled and broken services. We all did, because we wanted to believe our work had come to something. We were wrong” – see: Jacinda Ardern has failed us on mental health – and it’s only going to get worse (paywalled).

MacDonald details how the most recent findings on mental health show Ardern’s promises to have been rather hollow, and calls for the government to stop with the endless reviews and consultations and just take action, especially when it comes to funding service delivery: “It would mean providing fully funded training for psychotherapists, psychologists, nurses, social workers, counsellors and peer support workers – and bonding them to work in the mental health system. It would also mean increasing staffing levels in all front line DHB mental health and addiction services by creating new positions and improving pay and conditions.”

A big part of the problem appears to be underfunding from the Government, and in February clinical psychologist Dr Marthinus Bekker spoke out publicly about the “chronically underfunded” public health sector, being reported as believing “Budget 2019’s headline-grabbing $1.9 billion for a Mental Health Package had in reality made no difference for those working on the front line” – see Nick Truebridge’s Ex-DHB psychologist claims chronic failings in mental health services.

According to Bekker, “Getting into public services has gotten to the point where, at times our waitlist has been in excess of four to five months.” He declares: “The situation is absolutely dire and remains in crisis.” The Minister of Health, Andrew Little, is quoted in contrast, saying: “the message I’m getting is actually things are improving”.

According to Victoria University of Wellington’s Dougal Sutherland, who trains psychologists, the Government simply hasn’t been willing to invest in training enough workforce to deal with the size of the problem, and there appear to be no plans for them to do so – see: No time to waste on mental suffering. What reforms that are taking place, he says, are simply “a reshuffling of proverbial deckchairs”.

Further evidence that the promised changes from Government aren’t actually occurring came out in February via the release of interviews that the new Mental Health Commission carried out last year – see Laura Walters’ Mental health: A top priority stalls.

This article also reports that the former Mental Health Commissioner Kevin Allan recently wrote to the Minister of Health “laying out his concerns about the pace of change, and lack of a long-term action plan for the sector’s transformation.” Furthermore, “In July last year, Allan called on former health minister Chris Hipkins to have a plan ready by the end of the year. There is still no plan.”

The Mental Health Foundation is also growing increasingly frustrated with this lack of action, and have started to speak out much more strongly. Two weeks ago, the Chief Executive of the Foundation, Shaun Robinson, asked: Has the Government lost its vision on mental health?. In this, he argues that the Government is missing out on a once in a generation chance to transform mental health.

The Foundation’s main problem is that, although the Government initiated a wide scale inquiry into mental health, it appears to have ignored the need to implement its recommendations, taking a “piecemeal” approach, and just looking for “obvious wins without making a plan”. Robinson points out that the Government’s own Mental Health Commission report on how progress is going on implementing the recommendations says that 23 of the 36 recommendations receive a 1 or 2 out of six – meaning very poor progress.

So, has Labour given up on real mental health reform? According to campaigner and advocate Dave Macpherson, it’s possible that the system has got worse under the current government – see: Is Labour on top of mental health issues?. Not only is Macpherson is disappointed in Andrew Little, but says that new Chair of the Mental Health Commission has “seemed more concerned with patch and boss protection, than in outlining how they would hold the Government to account on behalf of the community.” Overall, Macpherson believes that a lot of Labour’s problems stem from leaving all the same officials in charge of mental health.

The Minister of Health says the Government will “ramp up” progress to reform the sector, saying, “I’ll keep putting the pressure on officials to do that” – see 1News’ Andrew Little says mental health reforms ‘largely on track’, following criticism.

The Government has also been under pressure from advocates this week, who say they have been fobbed off by the various health ministers – see Ireland Hendry-Tennent’s Nicky Stevens’ mother accused Labour MPs Andrew Little, David Clark of fobbing her off.

There are other signs things are getting much worse. In the weekend, Cherie Howie wrote about how “Mental health conditions among Aotearoa youth have already doubled in the past decade, with experts sounding a call to action in September over what they call ‘a silent pandemic of psychological distress’ already escalating among young people” due to Covid – see: The parallel pandemic: Covid-19 and the mental health impacts on New Zealand young people (paywalled).

An example of this is the skyrocketing of eating disorders amongst youth – see Anna Leask’s ‘Tsunami’ of child eating disorders emerging after lockdowns in New Zealand (paywalled). In this, one psychotherapist, Kellie Lavender, complains that her profession is being treated as “an ambulance at the bottom of the cliff”.

And in Christchurch, there are serious problems at the new hospital: “There are growing fears mental health patients in Christchurch are not getting adequate treatment due to an understaffed and underfunded emergency department” – see 1News’ Christchurch Hospital’s new acute unit still without key services, nurses say (https://bit.ly/3uoqsWH).

The same crisis continues at the University, where a six-month waiting list for mental health help has meant the Psychology Centre has had to close their books – see Chris Lynch’s Where has all the mental health funding gone?. And the same article reports the New Zealand Association of Counsellors asking questions about where all the government funding is actually going.

The problem of all psychological services is well surveyed in Helen Harvey’s January article, New Zealand’s psychological crisis putting lives at risk. According to this, “New Zealand is in a psychological crisis. More people than ever are seeking help but a shortage of psychologists is making it harder for them to get it. And in some cases that can be fatal. Access to mental health and addiction services has increased 73 per cent in the past decade, while funding has only gone up by 40 per cent.”

Finally, is the pressure from mental health advocates leading to a crackdown from the Minister of Health? The Mental Health Foundation claim that in February the government tried to gag them for speaking out about the failures to produce their promised reforms – see Jessica McAllen’s Ministry of Health accused of ‘gagging’ Mental Health Foundation.