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Audio, Radio New Zealand

Health correspondent Karen Brown visited Christchurch Hospital a week after the disaster that resulted in patients being resuscitated by torchlight. She reviews the immediate impact of the earthquake on the region's health services, how they’re picking themselves up and what lies ahead.

Images, UC QuakeStudies

A notice nailed to a tree near the river reads, "Health warning, contaminated water. Due to sewage overflows this water is unsafe for human contact and activity and is a public health risk. Please keep all people and pets out of contact with the water and do not consume any seafood or shellfish collected from this area".

Research papers, University of Canterbury Library

One of the great challenges facing human systems today is how to prepare for, manage, and adapt successfully to the profound and rapid changes wreaked by disasters. Wellington, New Zealand, is a capital city at significant risk of devastating earthquake and tsunami, potentially requiring mass evacuations with little or short notice. Subsequent hardship and suffering due to widespread property damage and infrastructure failure could cause large areas of the Wellington Region to become uninhabitable for weeks to months. Previous research has shown that positive health and well-being are associated with disaster-resilient outcomes. Preventing adverse outcomes before disaster strikes, through developing strengths-based skill sets in health-protective attitudes and behaviours, is increasingly advocated in disaster research, practise, and management. This study hypothesised that well-being constructs involving an affective heuristic play vital roles in pathways to resilience as proximal determinants of health-protective behaviours. Specifically, this study examined the importance of health-related quality of life and subjective well-being in motivating evacuation preparedness, measured in a community sample (n=695) drawn from the general adult population of Wellington’s isolated eastern suburbs. Using a quantitative epidemiological approach, the study measured the prevalence of key quality of life indicators (physical and mental health, emotional well-being or “Sense of Coherence”, spiritual well-being, social well-being, and life satisfaction) using validated psychometric scales; analysed the strengths of association between these indicators and the level of evacuation preparedness at categorical and continuous levels of measurement; and tested the predictive power of the model to explain the variance in evacuation preparedness activity. This is the first study known to examine multi-dimensional positive health and global well-being as resilient processes for engaging in evacuation preparedness behaviour. A cross-sectional study design and quantitative survey were used to collect self-report data on the study variables; a postal questionnaire was fielded between November 2008 and March 2009 to a sampling frame developed through multi-stage cluster randomisation. The survey response rate was 28.5%, yielding a margin of error of +/- 3.8% with 95% confidence and 80% statistical power to detect a true correlation coefficient of 0.11 or greater. In addition to the primary study variables, data were collected on demographic and ancillary variables relating to contextual factors in the physical environment (risk perception of physical and personal vulnerability to disaster) and the social environment (through the construct of self-determination), and other measures of disaster preparedness. These data are reserved for future analyses. Results of correlational and regression analyses for the primary study variables show that Wellingtonians are highly individualistic in how their well-being influences their preparedness, and a majority are taking inadequate action to build their resilience to future disaster from earthquake- or tsunami-triggered evacuation. At a population level, the conceptual multi-dimensional model of health-related quality of life and global well-being tested in this study shows a positive association with evacuation preparedness at statistically significant levels. However, it must be emphasised that the strength of this relationship is weak, accounting for only 5-7% of the variability in evacuation preparedness. No single dimension of health-related quality of life or well-being stands out as a strong predictor of preparedness. The strongest associations for preparedness are in a positive direction for spiritual well-being, emotional well-being, and life satisfaction; all involve a sense of existential meaningfulness. Spiritual well-being is the only quality of life variable making a statistically significant unique contribution to explaining the variance observed in the regression models. Physical health status is weakly associated with preparedness in a negative direction at a continuous level of measurement. No association was found at statistically significant levels for mental health status and social well-being. These findings indicate that engaging in evacuation preparedness is a very complex, holistic, yet individualised decision-making process, and likely involves highly subjective considerations for what is personally relevant. Gender is not a factor. Those 18-24 years of age are least likely to prepare and evacuation preparedness increases with age. Multidimensional health and global well-being are important constructs to consider in disaster resilience for both pre-event and post-event timeframes. This work indicates a need for promoting self-management of risk and building resilience by incorporating a sense of personal meaning and importance into preparedness actions, and for future research into further understanding preparedness motivations.

Research papers, University of Canterbury Library

Worldwide, the numbers of people living with chronic conditions are rapidly on the rise. Chronic illnesses are enduring and often cannot be cured, requiring a strategy for long term management and intervention to prevent further exacerbation. Globally, there has been an increase in interventions using telecommunications technologies to aid patients in their home setting to manage chronic illnesses. Such interventions have often been delivered by nurses. The purpose of this research was to assess whether a particular intervention that had been successfully implemented in the United Kingdom could also be implemented in Canterbury. In particular, this research assessed the perspectives of Canterbury based practice nurses and district nurses. The findings suggest that a majority of both district and practice nurses did not view the service as compatible with their current work situation. Existing workload and concerns over funding of the proposed service were identified as potential barriers. However, the service was perceived as potentially beneficial for some, with the elderly based in rural areas, or patients with chronic mental health needs identified as more likely to benefit than others. Practice nurses expressed strong views on who should deliver such services. Given that it was identified that practice nurses already have in-depth knowledge of their patients’ health, while valuing the strong relationships established with their communities, it was suggested that patients would most benefit from locally based nurses to deliver any community based health services in the future. It was also found that teletriaging is currently widely used by practice nurses across Canterbury to meet a range of health needs, including chronic mental health needs. This suggests that the scope of teletriaging in community health and its potential and full implications are currently not well understood in New Zealand. Significant events, such as the Christchurch earthquakes indicate the potential role of teletriaging in addressing mental health issues, thereby reducing the chronic health burden in the community.

Audio, Radio New Zealand

Questions to Ministers 1. Hon DAVID PARKER to the Minister of Finance: What was the combined increase in the value of the Crown's equity in Meridian, Mighty River Power, Solid Energy, Genesis and Air New Zealand for each of the last five years? 2. SIMON BRIDGES to the Minister of Finance: How did Budget 2011 continue the Government's programme to build faster growth, higher incomes and more jobs? 3. Hon MARYAN STREET to the Minister of Foreign Affairs: Have all recent actions of New Zealand's diplomats been consistent with Government policy? 4. Hon TAU HENARE to the Minister of Health: What reports has he received about improved access to dialysis for patients in Auckland and Waitemata? 5. Dr RUSSEL NORMAN to the Minister of Finance: Will the Government have to borrow further to pay for the latest Christchurch earthquakes? 6. GRANT ROBERTSON to the Minister of Health: Does he agree with the statement of the Auditor-General, "Despite the encouraging improvements made in the last 10 years, we do not yet have a system for scheduled services that can demonstrate national consistency and equitable treatment for all"? 7. AMY ADAMS to the Minister for the Environment: What steps has the Government taken to facilitate resource consents for work required at the Lyttelton Port to ensure it is able to recover quickly from earthquake damage? 8. JACINDA ARDERN to the Prime Minister: Does he stand by the statement made on his behalf that "this Government is focused on improvements within the economy in order to create the platform on which business and New Zealanders can invest and grow jobs"? 9. TE URUROA FLAVELL to the Minister of Health: Does he agree that under section 118 of the Health Practitioners Competence Assurance Act 2003, the Medical Council has a responsibility to ensure the cultural competence of doctors, and what support has the Government provided to the health sector to ensure cultural competence is achieved across the health sector? 10. DAVID SHEARER to the Minister of Science and Innovation: Does he agree with Professor Sir Paul Callaghan's statement on science and innovation "it's clear that the Minister of Finance and the Prime Minister have not really seen this as a top priority"? 11. CHESTER BORROWS to the Minister of Justice: What progress is being made on preparations for the referendum on the electoral system to be held in conjunction with this year's general election? 12. Hon RICK BARKER to the Minister of Veterans' Affairs: When can veterans expect to have a full response from the Government in response to the Law Commission's report "A New Support Scheme for Veterans"?

Articles, UC QuakeStudies

A patient information sheet outlining practical issues affecting members of the diabetes community in Christchurch after the 22 February 2011 earthquake. This information sheet was given to diabetes patients after the earthquake to help them manage their condition.

Audio, Radio New Zealand

Questions to Ministers 1. RAHUI KATENE to the Associate Minister of Health: When was the Core Clinical Committee established in Kawerau and how are iwi involved in the membership and functions of this joint taskforce to tackle youth suicide? 2. DAVID BENNETT to the Minister for Infrastructure: What progress is the Government making on its infrastructure investment programme? 3. Hon ANNETTE KING to the Prime Minister: What advice did he rely on when commenting in Australia on the safety of the Pike River coal mine? 4. NICKY WAGNER to the Minister of Corrections: What support has the Corrections Department provided in Canterbury since the first earthquake struck in September last year? 5. Hon DAVID PARKER to the Minister of Finance: Does he believe that in the current economic environment kiwi companies should be considered favourably with regards to big government contracts? 6. TIM MACINDOE to the Minister for Social Development and Employment: What parenting support is being made available for first-time parents? 7. Hon TREVOR MALLARD to the Prime Minister: In light of the answer given on his behalf to Oral Question No 2 on 15 June, is it his opinion that real average after-tax wages do not go up when high-income earners get tax cuts and low-income workers lose their jobs? 8. PAUL QUINN to the Minister of Customs: What recent reports has he received on developments to technology at the border? 9. GRANT ROBERTSON to the Minister of Health: Has sufficient funding been allocated in Vote Health to meet the increasing costs facing organisations working in the health sector? 10. KEVIN HAGUE to the Minister of Labour: Was she satisfied before the first explosion in the Pike River coal mine, that her Government had done all it could to ensure the workplace safety of people working in underground coal mines; if so, why? 11. COLIN KING to the Minister of Fisheries: What recent announcement has he made about the recovery of the western hoki stock? 12. DARIEN FENTON to the Minister of Labour: Does she stand by all her answers to Oral Question No 10 yesterday?

Audio, Radio New Zealand

Tairawhiti District health board officials are going into schools in the Gisborne region in an effort to reduce cases of rheumatic fever; A designers' group says the Canterbury earthquake has created an opportunity for the local iwi to put its architectural stamp on the new Christchurch; Kaitaia people will be among the first in the country to see a long-awaited film about the much-loved comedian - Billy T James.

Audio, Radio New Zealand

Questions to Ministers 1. Hon ANNETTE KING to the Prime Minister: What recent reports has he received on the impact of rising prices on families in light of his statement that "no one is worse off"? 2. AARON GILMORE to the Minister of Finance: How is the Government supporting the earthquake recovery effort in Canterbury? 3. Hon DAVID CUNLIFFE to the Prime Minister: Does he stand by his statement that his plan to sell public assets would give "New Zealanders a fantastic opportunity to invest in this country's future"? 4. KANWALJIT SINGH BAKSHI to the Minister of Corrections: What progress has been made in using technology to improve public safety and reduce costs in the criminal justice system? 5. Hon DAVID PARKER to the Prime Minister: Does he stand by his statement "each of us can do something that could save someone's job, create a new job for another person or help someone else find a new job as soon as possible"? 6. LOUISE UPSTON to the Minister for Communications and Information Technology: What benefits will ultra-fast broadband services bring to education in New Zealand? 7. GRANT ROBERTSON to the Minister of Health: Is it correct that there is a $156 million gap between the amount the Ministry of Health has advised was necessary to meet population and demographic growth in Vote Health for 2011/12 and the amount of new spending allocated for Vote Health in the 2011 Budget? 8. KEVIN HAGUE to the Prime Minister: Does he stand by his statement on Breakfast yesterday that "we're constantly changing aquaculture laws, or fishing laws, or whatever it might be. I mean in the case of Sky City, that particular licence is site specific"? 9. JACINDA ARDERN to the Prime Minister: Does he stand by his statement that "it is New Zealanders … that create new jobs and opportunities - not the Government"? 10. KATRINA SHANKS to the Minister of Housing: What recent announcement has he made about the Government's response to the Housing Shareholders' Advisory Group report? 11. DARIEN FENTON to the Prime Minister: Does he stand by his statement on proposed labour law changes "we are not talking dramatic changes"? 12. JONATHAN YOUNG to the Acting Minister of Energy and Resources: What recent initiatives has the Government undertaken to help New Zealanders control the cost of their power bills?