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Remembering Black November 1918

November 5, 2018 Leave a Comment

Geoffrey Rice

Black Flu 1918One hundred years ago this month New Zealand suffered its worst peacetime disaster and its greatest public health crisis. It had taken four years of the First World War to kill 18,000 New Zealand soldiers, but in the space of only two months an estimated 9,000 New Zealanders, mostly civilians, died from the pneumonic complications of pandemic influenza. Pakeha (Europeans) died at the rate of 5.8 per 1000, but the indigenous Maori population died at almost eight times that rate, or 49 per 1000. Doctors at the time estimated that about half the population caught the flu, and most recovered, but some small towns suffered almost 90 per cent morbidity and when there were too few able-bodied adults to organise care for the sick, high death rates resulted.

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Filed Under: History, Immunology, Infectious disease, Public health Tagged With: Infectious disease

Influenza 1918: the Samoan experience

November 5, 2018 Leave a Comment

John Ryan McLane 

SamoaA blunder which amounts to a crime.”

In 1918 the Samoan archipelago was split between American Samoa (a United States territory) and Western Samoa (previously a German colony but under New Zealand governance from 1914). The 1918 influenza pandemic killed a quarter of Western Samoans, while leaving American Samoa unscathed. Why were their experiences so different?

In late 1918 a second wave within a single pandemic of influenza was spreading throughout Asia and the Pacific. On 30 October 1918 the Union Steamship Company’s Talune left Auckland for its run through Polynesia. The new, more lethal influenza variant had arrived in Auckland with the spring, and several crew members were ill. On 7 November the Talune reached Apia, the main port of New Zealand-occupied Western Samoa.

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Filed Under: History, Infectious disease, Public health

Mind That Child: A Medical Memoir

October 15, 2018 1 Comment

Patricia Thwaites

Mind That ChildDuring her recent trip to the United Nations, New Zealand Prime Minister Jacinda Ardern used her speech to recommit the government to making New Zealand the “best place in the world to be a child”, ensuring that:

no matter where you are born in the world, your local school is the best school, there is food and a health system that you can rely on and perhaps most importantly that you are loved and that you are heard”.

Leading New Zealand paedriatrician Dr Simon Rowley would no doubt agree with those sentiments. The welfare of babies and children is at the heart of his recently published book, Mind That Child: A Medical Memoir. Few would be more qualified to provide some guidelines on how to improve on present conditions.

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Filed Under: Memoir, Paediatrics, Public health, Reading, Review, Women's Health

Depression: back from the dead and celebrating life

September 10, 2018 2 Comments

Today is World Suicide Prevention Day. The following article is an updated version of one originally posted on this day in 2016.

Mark Thomas

World Suicide Prevention DayLike a shorter, slower version of the great All Black John Kirwan, I have decided to speak up about depression. My life is fantastic and I get immense pleasure from my love of sport, travel and the amazing people around me. But here’s a simple statement of medical fact: I have experienced major episodes of clinical depression since the age of 18. I don’t know how that works, how the same mind that allows me to drink in life like an intoxicating nectar can also turn dog on me and drag me to the depths of emotional hell, but that is the truth of it. I do know that depression can afflict anyone, regardless of how good or seemingly enviable their life is, just as cancer, heart disease or any other illness can strike anybody, regardless of how happy, famous or wealthy they are.

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Filed Under: Essay, General Practice, Memoir, Men's health, Mental health, Psychiatry, Psychology, Public health

What’s cooking in pharmaceutical research: ‘a wave of pills’

August 20, 2018 1 Comment

Eeva Kumpula

Eeva Kumpula
Eeva Kumpula with her Bake Your Thesis cake, “A Wave of Pills”.

Surely everyone knows how to use their medicines exactly as advised, and complies with all the instructions?! I clearly remember thinking this during my pharmacy undergraduate studies when the lecturers talked about people misusing their medicines. Why would anyone not comply? But as soon as I was ‘in the real world’, working in community pharmacies, I realised that no – people DON’T always use their medications safely, or as intended.

My entry to the University of Otago’s recent ‘Bake Your Thesis’ competition shows the ‘wave of pills’ out there that is causing harm to people in the community. My research examines this ‘wave’ in detail, to try and identify the particular medications most responsible for causing the damage. The pills on the cake form a symbol for emergency medical help.

One cause for concern and source of ill health is poisonings. The majority of poisonings or overdoses with medicines occur as a result of a simple mistake or an unintentional error in judgment (“Oh, I thought it would be fine to just take two extra pills!”). But about two-thirds of poisonings that lead to a presentation at an Emergency Department (ED) are caused by intentional decisions to take too much. There are many reasons why someone may overdose on purpose.

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Filed Under: Mental health, Pharmacy, Public health, Research

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