People in Disasters Conference - Local System Perspective

Videos, UC QuakeStudies

A video of a presentation by David Meates, Chief Executive of the Christchurch District Health Board and the West Coast District Health Board, during the first plenary of the 2016 People in Disasters Conference. The presentation is titled, "Local System Perspective".The abstract for this presentation reads as follows: The devastating Canterbury earthquakes of 2010 and 2011 have resulted in challenges for the people of Canterbury and have altered the population's health needs. In the wake of New Zealand's largest natural disaster, the health system needed to respond rapidly to changing needs and damaged infrastructure in the short-term in the context of developing sustainable long-term solutions. Canterbury was undergoing system transformation prior to the quakes, however the horizon of transformation was brought forward post-quake: 'Vision 2020' became the vision for now. Innovation was enabled as people working across the system addressed new constraints such as the loss of 106 acute hospital beds, 635 aged residential care beds, the loss of general practices and pharmacies as well as damaged non-government organisation sector. A number of new integration initiatives (e.g. a shared electronic health record system, community rehabilitation for older people, community falls prevention) and expansion of existing programs (e.g. acute demand management) were focused on supporting people to stay well in their homes and communities. The system working together in an integrated way has resulted in significant reductions in acute health service utilisation in Canterbury. Acute admission rates have not increased and remain significantly below national rates and the number of acute and rehabilitation bed days have fallen since the quakes, with these trends most evident among older people. However, health needs frequently reported in post-disaster literature have created greater pressures on the system. In particular, an escalating number of people facing mental health problems and coping with acute needs of the migrant rebuild population provide new challenges for a workforce also affected by the quakes. The recovery journey for Canterbury is not over.

Mark Lincoln Photograph 184

Images, UC QuakeStudies

A woman takes a photograph over the top of the cordon fence at the east end of Re:Start mall. The photographer comments, "The new temporary city mall has been open in Christchurch now for a week. Buildings damaged in the earthquake have been demolished and replaced with cargo containers to create a new, temporary, Cashel Mall. I visited the mall yesterday and was quite impressed with what they have done. The cargo containers have been nicely converted, brightly painted and smartly branded to create some good looking stores ... You'd think it would be strange to stand where my old office used to be and view these cargo-container-stores, but the reality was that it was so far removed from what used to be there that it was actually quite difficult to make the connection. It was only when straying to the attractive wooden boundary fences and peering over that you're suddenly taken back to the time running right up to, and shortly after, the earthquake".

The Bexley Community Garage Sales

Images, UC QuakeStudies

Balloons and a sign advertising a garage sale hang from a fence. The photographer comments, "Today, 23/7/2011 the Bexley community in Christchurch got together and held a Bexley wide garage sale. You could pick up a map of the garage sales in Arncliffe St, which meant that people could find all the garage sales even if they were on the back sections. People got together with close neighbours to hold joint Garage Sales. In the area where the garage sales were held all the homes have been 'written off' by the government, as the land on which they sit is too damaged by the Christchurch earthquakes to repair. In places it looked more like a ships graveyard with the hulls of the houses sinking lopsidedly into the sand. Unfortunately for nearly everyone in the red zone they cannot rebuild a new home as sections to build on start now around $2,000 and the government is not paying them enough to buy a plot of land and build a new home. The choices for Bexley residents in most cases is to rent, buy a house at least a few years old or move to Australia to start again. I was told that up to 80% could be off to Oz".