Public health - Corpus

“A cataclysmic emergency”: the influenza epidemic in Dunedin

17 December 2018 3 Comments

Sue Wootton

In March 1917, a school leaver called Frances McAllister travelled from her North Island home to the southern city of Dunedin. She was one of seven or eight females among thirty new entrants at the Otago Medical School. (The 1917 intake was much smaller than usual due to military conscription.) McAllister graduated as a doctor in 1922. Her memoir (published under her married name Frances Preston), Lady Doctor, Vintage Model, is a fascinating window into New Zealand life in the first half of the twentieth century. As the blurb puts it:

The early days of New Zealand medicine were not for the squeamish. Tuberculosis, hydatids, osteomyelitis and syphilis were common, bush-felling and saw-milling accidents abounded, and the 1918 Influenza Epidemic cut a swath through the country.”

Unlonely centenarians: the secret power of Super Agers

10 December 2018 6 Comments

Sharon Leitch

Not many people make their 100^th birthday. It’s a big deal, and rightly so: the family celebration and obligatory photos, the card from HRH (not so far off the Big Day herself), perhaps a write-up in the local paper. “Tell us!” the journalist asks, “what is the secret of your longevity?” We collectively lean forward to catch their snippets of wisdom. What is their secret? A Philosopher’s Stone? The Elixir of Life? After all, living for a Very Long Time is as close to immortality as we can achieve in the here-and-now.

Remembering Black November 1918

5 November 2018 Leave a Comment

Geoffrey Rice

One 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.

Influenza 1918: the Samoan experience

5 November 2018 Leave a Comment

John Ryan McLane

A 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.

Mind That Child: A Medical Memoir

15 October 2018 1 Comment

Patricia Thwaites

During 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.

Depression: back from the dead and celebrating life

10 September 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

Like 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.