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Research papers, University of Canterbury Library

Objective: The nature of disaster research makes it difficult to adequately measure the impact that significant events have on a population. Large, representative samples are required, ideally with comparable data collected before the event. When Christchurch, New Zealand, was struck by multiple, devastating earthquakes, there presented an opportunity to investigate the effects of dose-related quakes (none, one, two or three over a 9-month period) on the cognition of Canterbury’s elderly population through the New Zealand Brain Research Institute’s (NZBRI’s) cognitive screening study. The related effects of having a concomitant medical condition, sex, age and estimated- full scale IQ (Est-FSIQ) on cognition were also investigated. Method: 609 participants were tested on various neuropsychological tests and a self-rated dementia scale in a one hour interview at the NZBRI. Four groups were established, based on the number of major earthquakes experienced at the time of testing: “EQ-dose: None” (N = 51) had experienced no quakes; “EQ-dose: One” (N = 193) had experienced the initial quake in September 2010; “EQ-dose: Two” (N = 82) also experienced the most devastating February 2011 quake; and “EQ-dose: Three” (N = 265) also the June 2011 quake at testing. Results: Two neuropsychological variables of Trail A and the AD8 were impacted by an EQ-dose effect, while having a medical condition was associated with poorer function on the MoCA, Rey Copy and Recall, Trail A, and AD8. Having a major medical condition led to worse performance on the Rey Copy and Recall following the major February earthquake. Males performed significantly better on Trail A and Rey Planning, while females better on the MoCA. Older participants (>73) had significantly lower scores on the MoCA than younger participants (<74), while those with a higher Est-FSIQ (>111) had better scores on the MoCA and Rey Recall than participants with a lower Est-FSIQ. Finally, predicted variable analysis (based on calculated, sample-specific Z-scores) failed to find a significant earthquake effect when variables of age, sex and Est-FSIQ were controlled for, while there was a significant effect of medical condition on each measure. Conclusion: The current thesis provides evidence suggesting resilience amongst Canterbury’s elderly population in the face of the sequence of significant quakes that struck the region over a year from September 2010. By contrast, having a major medical condition was a ‘more significant life event’ in terms of impact on cognition in this group.

Audio, Radio New Zealand

Displaced residents of Merivale Retirement village in Christchurch were told that they need to move out by April 1. A new facility that has replaced the earthquake damaged one won't have enough beds for everyone. The CEO of Age Concern Canterbury Simon Templeton talks about what measures are in place to look after these vulnerable elderly people.

Images, UC QuakeStudies

A worker uses a large water-blasting pipe to clear blocked drains. The photographer comments, "These guys worked really hard late at night to remove the liquefaction blocking our drains, but did not pre-warn people. Our elderly neighbour's toilet was drenched in water".

Audio, Radio New Zealand

Elderly residents in Lyttelton have been enjoying free meals while their supermarket is closed and their town is being rebuilt. After February's earthquake, locals found that many of the community's older members felt isolated and had no means of buying groceries for themselves. Christchurch correspondent Katy Gosset finds that Lyttelton is a town that looks after its own.

Audio, Radio New Zealand

An elderly Christchurch couple are crying foul over EQC's site visit policy under alert level two. EQC says the measures, outlined in emails to clients, are crucial for staff and customer safety. But John and Frances van Petegem, who have been waiting years to have botched earthquake repairs put right, say EQC's rules are causing further delays and stress. Nick Truebridge has the story.

Images, UC QuakeStudies

Photograph captioned by Fairfax, "Children in Diamond Harbour and Purau who decided to try and cheer up all the sick and elderly in the community after the quake by taking them bunches of daffodils. From left are Charmaine Cameron, Alex Cameron, Liam Schmidlin-Wilson, Ruby Gilligan, Ellie Rice, Sofia Rand, Zac Cottrell-Vincent (rear), Dorothy Schmidlin-Wilson, Sky Dehne and James Rice".

Audio, Radio New Zealand

Topics - A Christchurch resident says he just wants to get on with his life after his house was flooded for the ninth time since the 2011 earthquake. Fairfax newspapers today feature the story of an elderly gentleman who has been burgled so many times he's afraid to sleep in his own home. In Southland - A 72-year old woman has had her 30-year church membership revoked because she is living in a de facto relationship.

Audio, Radio New Zealand

Police prosecutor jailed for dealing drugs;Sharebrokers getting late rush of MRP investors;Pressure mounts on MP Aaron Gilmore;Police rule out anyone else being at risk;Mother of electrocuted son is pleased that electricians been named and shamed;NZ Post signals to Government it will need to invest in KiwiBank in two years;Judge says young killer could have made something of himself;Elderly in Christchurch say they are low on priority list for earthquake repairs and payouts.

Audio, Radio New Zealand

One in Five is in Christchurch to meet elderly residents in some of the areas worst hit by the earthquakes. In these suburbs, a series of exercise classes is providing a lifeline for locals who are increasingly confined to their immediate areas. The classes, which are run by Therapy Professionals for Arthritis New Zealand, offer improved mobility to those living with the condition but also companionship and support in a stressful time. Those taking part talked to Katy Gosset about aging with a disability and coping with life after the earthquakes.

Images, Alexander Turnbull Library

An elderly couple sit having afternoon tea and chatting about Prince William's visit to Christchurch after the February 22 earthquake. The woman expresses delight that 'Prince William took time out to visit Christchurch' and her husband comments that there is 'Not much talk about becoming a republic lately'. Context - The Christchurch earthquakes of 4 September 2010 and 22 February 2011 and Prince William's subsequent visit. Also discussion about New Zealand's becoming a republic; there is a Republican Movement who are promoting the idea of an elected head of state. Quantity: 1 digital cartoon(s).

Images, Alexander Turnbull Library

Text reads '150 great reasons to live in Christchurch'. Someone quotes 'It's only 250 metres to empty your chemical toilet'. An elderly woman trudges through the rain pushing a trolley on which is balanced her chemical toilet. Context - Following the Christchurch earthquake of 22 February 2011 when a great deal of damage was done to the sewage system because of broken pipes thousands of chemical toilets have been distributed but now there seems to be confusion over whether it is safe to use flushing toilets when the sewage system cannot support it or whether residents should still be using chemical toilets. Quantity: 1 digital cartoon(s).

Images, Alexander Turnbull Library

Depicts huge elderly woman with 'CERA' on her dress scolding smaller adult dressed as schoolboy near bustop with sign 'CBD red zone tours' Text reads 'And don't talk to strangers and don't cross the road and remember to eat your lunch..' Context: After the 22 Feburary 2011 earthquake in Christchurch, the central business district (CBD) was marked as a red zone. Red zone areas were deemed unsuitable for habitation due to significant damage and at high risk of further damage from low levels of earth shaking. CERA (Christchurch Earthquake Recovery Authority) ran public bus tours of the Christchurch CBD from November to December 2011. For safety reasons the public was not allowed off the buses as it was a dangerous and active demolition site. Quantity: 1 digital cartoon(s).

Audio, Radio New Zealand

Fear and humour increasingly drive the TV news. What was the most radical thing you did at school? Some Rangitoto College year 13 girls are upset they're being told to dress more modestly.Students and parents are accusing the school of encouraging "rape culture".A senior staff member from the school is said to have told Year 13 girls that what they're wearing is proving a distraction to their male teachers. Western Springs College which is also in Auckland has been mufti since the 1980s their principal Ivan Davis talks about their attitude to dress code. Displaced residents of Merivale Retirement village in Christchurch were told that they need to move out by April 1. A new facility that has replaced the earthquake damaged one won't have enough beds for everyone. The CEO of Age Concern Canterbury Simon Templeton talks about what measures are in place to look after these vulnerable elderly people. Thirty-six per cent of 16-24 year-olds in full-time education in the UK are not touching booze. They're joining teetotal clubs and opting for alcohol-free accomodation. High levels of debt and the pressure to do well means that students are going out less. Will alchol go completely out of fashion one day? The Nest security alarm system has a microphone in it. Although you probably wouldn't know that because it's not stated on the gadget's specifications. It's a Google product and the company says it never meant to keep the listening devices a secret. UK privacy campaign group Big Brother Watch says it's deceptive and it's normalising the disturbing notion of tech giants constant listening within the privacy of our homes.

Research papers, University of Canterbury Library

Natural hazard disasters often have large area-wide impacts, which can cause adverse stress-related mental health outcomes in exposed populations. As a result, increased treatment-seeking may be observed, which puts a strain on the limited public health care resources particularly in the aftermath of a disaster. It is therefore important for public health care planners to know whom to target, but also where and when to initiate intervention programs that promote emotional wellbeing and prevent the development of mental disorders after catastrophic events. A large body of literature assesses factors that predict and mitigate disaster-related mental disorders at various time periods, but the spatial component has rarely been investigated in disaster mental health research. This thesis uses spatial and spatio-temporal analysis techniques to examine when and where higher and lower than expected mood and anxiety symptom treatments occurred in the severely affected Christchurch urban area (New Zealand) after the 2010/11 Canterbury earthquakes. High-risk groups are identified and a possible relationship between exposure to the earthquakes and their physical impacts and mood and anxiety symptom treatments is assessed. The main research aim is to test the hypothesis that more severely affected Christchurch residents were more likely to show mood and anxiety symptoms when seeking treatment than less affected ones, in essence, testing for a dose-response relationship. The data consisted of mood and anxiety symptom treatment information from the New Zealand Ministry of Health’s administrative databases and demographic information from the National Health Index (NHI) register, when combined built a unique and rich source for identifying publically funded stress-related treatments for mood and anxiety symptoms in almost the whole population of the study area. The Christchurch urban area within the Christchurch City Council (CCC) boundary was the area of interest in which spatial variations in these treatments were assessed. Spatial and spatio-temporal analyses were done by applying retrospective space-time and spatial variation in temporal trends analysis using SaTScan™ software, and Bayesian hierarchical modelling techniques for disease mapping using WinBUGS software. The thesis identified an overall earthquake-exposure effect on mood and anxiety symptom treatments among Christchurch residents in the context of the earthquakes as they experienced stronger increases in the risk of being treated especially shortly after the catastrophic 2011 Christchurch earthquake compared to the rest of New Zealand. High-risk groups included females, elderly, children and those with a pre-existing mental illness with elderly and children especially at-risk in the context of the earthquakes. Looking at the spatio-temporal distribution of mood and anxiety symptom treatments in the Christchurch urban area, a high rates cluster ranging from the severely affected central city to the southeast was found post-disaster. Analysing residential exposure to various earthquake impacts found that living in closer proximity to more affected areas was identified as a risk factor for mood and anxiety symptom treatments, which largely confirms a dose-response relationship between level of affectedness and mood and anxiety symptom treatments. However, little changes in the spatial distribution of mood and anxiety symptom treatments occurred in the Christchurch urban area over time indicating that these results may have been biased by pre-existing spatial disparities. Additionally, the post-disaster mobility activity from severely affected eastern to the generally less affected western and northern parts of the city seemed to have played an important role as the strongest increases in treatment rates occurred in less affected northern areas of the city, whereas the severely affected eastern areas tended to show the lowest increases. An investigation into the different effects of mobility confirmed that within-city movers and temporary relocatees were generally more likely to receive care or treatment for mood or anxiety symptoms, but moving within the city was identified as a protective factor over time. In contrast, moving out of the city from minor, moderately or severely damaged plain areas of the city, which are generally less affluent than Port Hills areas, was identified as a risk factor in the second year post-disaster. Moreover, residents from less damaged plain areas of the city showed a decrease in the likelihood of receiving care or treatment for mood or anxiety symptoms compared to those from undamaged plain areas over time, which also contradicts a possible dose-response relationship. Finally, the effects of the social and physical environment, as well as community resilience on mood and anxiety symptom treatments among long-term stayers from Christchurch communities indicate an exacerbation of pre-existing mood and anxiety symptom treatment disparities in the city, whereas exposure to ‘felt’ earthquake intensities did not show a statistically significant effect. The findings of this thesis highlight the complex relationship between different levels of exposure to a severe natural disaster and adverse mental health outcomes in a severely affected region. It is one of the few studies that have access to area-wide health and impact information, are able to do a pre-disaster / post-disaster comparison and track their sample population to apply spatial and spatio-temporal analysis techniques for exposure assessment. Thus, this thesis enhances knowledge about the spatio-temporal distribution of adverse mental health outcomes in the context of a severe natural disaster and informs public health care planners, not only about high-risk groups, but also where and when to target health interventions. The results indicate that such programs should broadly target residents living in more affected areas as they are likely to face daily hardship by living in a disrupted environment and may have already been the most vulnerable ones before the disaster. Special attention should be focussed on women, elderly, children and people with pre-existing mental illnesses as they are most likely to receive care or treatment for stress-related mental health symptoms. Moreover, permanent relocatees from affected areas and temporarily relocatees shortly after the disaster may need special attention as they face additional stressors due to the relocation that may lead to the development of adverse mental health outcomes needing treatment.

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.

Research papers, University of Canterbury Library

Interagency Emergency Response Teams (IERTs) play acrucial role in times of disasters. Therefore it is crucial to understand more thoroughly the communication roles and responsibilities of interagency team members and to examine how individual members communicate within a complex, evolving, and unstable environment. It is also important to understand how different organisational identities and their spatial geographies contribute to the interactional dynamics. Earthquakes hit the Canterbury region on September, 2010 and then on February 2011 a more devastating shallow earthquake struck resulting in severe damage to the Aged Residential Care (ARC) sector. Over 600 ARC beds were lost and 500 elderly and disabled people were displaced. Canterbury District Health Board (CDHB) set up an interagency emergency response team to address the issues of vulnerable people with significant health and disability needs who were unable to access their normal supports due to the effects of the earthquake. The purpose of this qualitative interpretive study is to focus on the case study of the response and evacuation of vulnerable people by interagencies responding to the event. Staff within these agencies were interviewed with a focus on the critical incidents that either stabilised or negatively influenced the outcome of the response. The findings included the complexity of navigating multiple agencies communication channels; understanding the different hierarchies and communication methods within each agency; data communication challenges when infrastructures were severely damaged; the importance of having the right skills, personal attributes and understanding of the organisations in the response; and the significance of having a liaison in situ representing and communicating through to agencies geographically dispersed from Canterbury. It is hoped that this research will assist in determining a future framework for interagency communication best practice and policy.