The boot that is held on the throat of Māori and Pacific people is stubbornly resistant to attempts to shift it.’
– Professor Peter Crampton
I understood very little about the root causes of bad health before starting work in the Department of Public Health at the University of Otago’s Wellington School of Medicine. I had managed to complete a small clinical trial examining the impact of diabetes on lower-limb function for my doctoral thesis, without ever having to consider why I was spending most of my time recruiting patients in clinics around South Auckland, or why nearly all the recruits were either Māori or Pasifika.
My first weeks in the Department were heady. I had moved from a laboratory that studied diseases and their causes in silo, to an environment that considered most diseases as symptoms of one underlying cause: the social determinants of health. Coming to grips with this link was crucial to my acceptance in my new public health world. I needed to learn quickly. [Read more…] about Tangata Tiriti
Dr G. M. Smith: “a cross between an Arab Chieftan and an Archbishop.”
Soon after the war, my intrepid mother Margot Wood (later Ross) set off on the long, dusty journey from Dunedin, in the south of New Zealand’s South Island, to the Hokianga, in the far north of the North Island, in her little Ford Anglia car. My father, Captain Win Wood, had died in Egypt, and medical student Janet Smith, daughter of Dr. Smith of Rawene, was then our boarder. She would prove a life-long friend to Margot and a second mother to me. We were both run-down and thin, so Janet recommended a holiday with her parents, George and Lucy Smith. George was the well-known Rawene-based doctor George Marshall McCall Smith (1882–1958), described by the poet A. R. D. Fairburn as “a cross between an Arab Chieftain and an Archbishop.” To a small child, he seemed almost as awe-inspiring as Tāne Mahuta, for he was a tall man-tree with fierce, penetrating blue eyes, big hooked nose, white eldritch locks, open-necked white shirt, loose flannel jacket and trousers, flapping oilskin coat, old grey felt hat with a sagging brim, Roman sandals, and curved Cherrywood pipe. He and Lucy immediately set about stuffing us with fresh eggs, cream, and butter. Alas, I’ve never looked back.
I remember waka racing on the harbour, and Māori children, blinded in a measles outbreak, singing in a choir. Rooms opening off the verandah were filled with flowers; sofas were strewn with books and journals; paintings by Olivia Spencer-Bowers and Eric Lee-Smith hung on the walls. We began to heal.
The 2020 Covid-19 pandemic has been described, perhaps accurately, as a one-in-one-hundred-years event, but during its history New Zealand has a number of “scares” and lockdowns because of infectious diseases that have had detrimental impacts on Māori. In 2020, the memory of these epidemics has led some Māori communities to attempt to keep the coronavirus away from their own communities.
Historically, Pākehā were more concerned that Māori would spread disease to them. Māori were sometimes seen by Pākehā as a weak link in New Zealand’s chain of health defences, with poor, overcrowded and unsanitary housing and customs that could potentially spread disease. Māori, often due to poverty or lack of access, were also less likely to seek medical treatment, and epidemics could hit their communities hard.
Eight weeks post-op, a simple procedure to inject Botox into my pelvic floor and I was done with the pain. During a trip to town to see the GP (again), a 40-minute drive with a tennis ball under my nono, I’d felt a strong urge to scream. The pain was unbearable. After the GP I drove for another hour – my current idea of hell (the driving bit) because everything from my vagina down to my foot goes numb. I worked my shift at the library, and when I got home the bloody fire wouldn’t start. Let’s just say the fire copped an earful. Thankfully I live alone.
Pain (of any kind, I’m thinking laterally here), like anger, is a potent force. Invisible pain does not mean that it’s all in our heads. And while I realise it’s difficult for others who are unable to fix it, just stop with the silencing, please.
He lifts his nose out from under the scratchy blanket. If he can just get there, he will never complain about the cold at home again. He doesn’t want to be awake. Back within the dream, a warm breeze still ripples the kawakawa bushes in his parents’ garden. His mother is inside making tea from the leaves – an old Māori remedy – as she always does whenever any of them have aches or fevers. She adds mint and then steeps the brew a long time before serving it with honey and lemon …
The tent smells of carbolic, starch, and eucalyptus oil. He must be getting better. It’s been days since he could smell anything. Outside, in the distance, he can hear the band playing “Abide With Me”. It is April 25th. Has it really been three years since those terrible landings? He wants to attend the Remembrance Service. But he can’t even get up.
All the beds in this hastily built isolation ward are full. Spanish Flu starts off as a fever and turns into pneumonia fast. Having got all the way from Gallipoli to Bapaume without a scratch, it never occurred to him he might be felled by a ruddy virus.
She has thick waves of hair, naturally parted. Her eyes are as dark as the soil that she walks on, oblivious to the million pieces that shatter underneath her every step. A forgotten smile paints itself on her freckled face, rose-pink lips stretching to each corner, forming a number of creases on either side and an indentation on the right side of her cheek. A smile that was lost for so many years. A smile that should’ve come sooner. Regret sinks in.
Before she knows it, she’s at the river. It seems to have carved its way through the greenery even more deeply than she had remembered. She offers a reflection to the towering giants that sit along its bank. They hug the earth in such a way that they can move their limbs in every direction, picking and choosing to let the sun in. It’s like a game to them. A rustling against one another that resonates all through the forest. A welcome back performance. Just for her.
The 2020 Covid-19 pandemic has been described, perhaps accurately, as a one-in-one-hundred-years event, but during its history New Zealand has a number of “scares” and lockdowns because of infectious diseases that have had detrimental impacts on Māori. In 2020, the memory of these epidemics has led some Māori communities to attempt to 
Eight weeks post-op, a simple procedure to inject Botox into my pelvic floor and I was done with the pain. During a trip to town to see the GP (again), a 40-minute drive with a tennis ball under my nono, I’d felt a strong urge to scream. The pain was unbearable. After the GP I drove for another hour – my current idea of hell (the driving bit) because everything from my vagina down to my foot goes numb. I worked my shift at the library, and when I got home the bloody fire wouldn’t start. Let’s just say the fire copped an earful. Thankfully I live alone.
