ISSN 1 1 7 6 -0 4 3 5 FEB R U A RY 2 0 0 6 – IS S U E 2 7
Romantic Picnic National Recognition Manikins Provide
Menu for Two for Champion Centre’s Valuable Teaching
Therapy Garden and Resource
Page 2 Page 5 Page 8
This year why not make a few changes in your life –
whether it is quitting smoking, doing more exercise or
drinking less alcohol. Taking that first step towards a
healthier lifestyle can be the start of a whole new you.
Cut Down on
ALAC’s Campaign to
Change New Zealand’s
Drinking Culture On-Track
New Zealanders are becoming increasingly aware of the
binge drinking culture that exists in this country. According
Clean Your Teeth
to the Alcohol Advisory Council of New Zealand (ALAC),
we are also starting to recognise the link between drunkenness
and problems such as crime, violence and relationship issues
A survey carried out in March and April 2005 looked
at the attitudes and behaviours of New Zealanders aged 12
What’s in a tube of toothpaste? Toothpaste dates back to the ancient Egyptians and, and over towards alcohol. This followed a similar survey
completed in 2003.
believe it or not, their toothpaste was mint-flavoured, too! We’ve branched out since then, with ‘We commissioned the 2005 survey to see if attitudes
new flavours such as bubble-gum and a variety of fruit flavours, but mint remains the favourite. had changed over the last two years,’ says ALAC Chief
Executive Officer Dr Mike MacAvoy. ‘We also wanted to
Teeth whitening pastes have also been around for centuries – they One toothpaste, only available from dentists and pharmacies,
test the outcomes of our marketing campaign aimed at
were first recorded in Roman times. To help keep your teeth white contains 5,000 ppm fluoride. It provides extra protection and can
changing New Zealanders’ toleration of binge drinking.
these days, toothpaste contains very fine grit for polishing off the be beneficial to people at high risk of decay. For example, it can
‘While attitudes haven’t changed around the acceptability
stains. This grit is mostly hydrated silica, but some toothpastes use be useful for older people or for those on long-term medication
of drunkenness, what is important is that people are beginning
baking soda or calcium carbonate (chalk). Our modern day that reduces salivary flow. Many common medicines cause reduced
to see there is a problem with the way we drink. They are
whitening toothpastes also contain substances such as peroxide to salivary flow, including those used to control high blood pressure,
also making the link between drunkenness and the harms
bleach away internal staining and harsher abrasives to remove anti-depressants, and some painkillers.
that result from alcohol misuse.
stubborn surface stains. Two brands of toothpaste sold in New Zealand have lower
‘In the past when asked about the harms, many people
However what the Romans and Egyptians did not have in levels of fluoride. These contain just half the amount of fluoride
focussed solely on drink driving or dependency,’ continues
their toothpaste was fluoride. Fluoride was first added in the 1950s found in normal toothpaste and were developed in Australia to
Dr MacAvoy. ‘The 2005 survey shows that more people are
and, along with water fluoridation, has been largely responsible reduce the levels of mottled enamel in children living in areas
starting to recognise other harms such as crime, violence,
for the decline in tooth decay rates seen in western countries over with fluoridated water. As Methven and Burnham Military Camp
falls, accidental injury and relationship problems.’
the last 50 years. are the only two water supplies in Canterbury that are fluoridated,
The current focus of ALAC’s campaign is to get New
Two forms of fluoride are added to New Zealand toothpastes the Ministry of Health recommends that children in all other
Zealanders to recognise that it’s the way we drink that is the
– sodium fluoride and sodium monofluorophosphate. Most fluoride areas use a standard strength fluoride toothpaste for best protection
problem. A more recent survey to gauge the effectiveness
toothpastes contain 1,000 parts of fluoride per million parts of against decay.
of the campaign’s print, radio and television advertising
toothpaste (1,000 ppm). This is equivalent to 0.1 percent fluoride. suggests that this message is getting through. Around 83%
of those surveyed recalled some publicity about New
Looking After Your Teeth Zealanders’ drinking habits. Almost half recalled the key
message. “It’s not the drinking; it’s how we are drinking.”
Good oral hygiene is as much about what you consume as how To make sure your teeth last as long as the rest of you, brush ‘We believe the campaign is effective, and having an
you clean your teeth. This year make the decision to swap snacks twice a day with a fluoride toothpaste. And remember not to impact on awareness of drinking issues. We will be developing
such as sweets and sugar-packed biscuits for fresh fruit, and soft rinse after brushing as this means all the fluoride goes down the this further in 2006 to get people to recognise their own
drinks for water or milk. Not only will your teeth benefit, so sink instead of protecting your teeth. behaviour in the overall scheme,’ says Dr MacAvoy.
will your health – and your wallet! 1
Access to Public Increase Your Exercise
People commenting on the services provided by
Take the Heart Attack Risk Quiz
Heart disease is the leading cause of death in New Zealand but,
the Canterbury District Health Board (CDHB) AND do you have .... ?
are sometimes unaware of the problems that by making lifestyle changes, people can reduce their risk. • Family history of cardiovascular disease: (father or brother has
For most people lifestyle changes do not need to be big been diagnosed with cardiovascular disease before the age of
prevent services operating as we would prefer.
changes – maintaining a healthy weight, adopting healthier 55, mother or sister has been diagnosed before the age of 65)
These mostly stem from the impact acute services eating patterns, doing regular physical activity, quitting smoking
have on Christchurch Hospital. • Parents or siblings with diabetes
and having regular check-ups will all help. • Or have you been told by your doctor you are at risk of
Acute services relate to unplanned emergency To find out if you are at risk of heart, stroke or blood developing diabetes
Gordon Davies admissions. Irrespective of whether actual vessel disease the National Heart Foundation of New Zealand
emergencies exist, the Hospital must always have 3. Have You Had …?
urges men aged over 45 and women over 55 years to take a • A heart attack
the necessary staff present or on-call to meet patients’ needs for simple risk quiz. This risk quiz could be your key to a longer and
immediate care. This means we need to have teams with a range • A stroke
healthier life. • A transient ischaemic attack (TIA)
of medical, surgical and diagnostic skills present or on-call, 24 hours 1. Are You …. ? • Angina
a day, seven days a week. • Male and older than 45 years • Diabetes
At the same time, CDHB delivers what are termed elective • Female and older than 55 years This means that you are already in a high risk category. Modifying
services. Patients in this category have typically been referred by or changing your lifestyle can reduce your risk to help keep you healthy.
2. Are You …. ?
a family doctor to one of our outpatients clinics for further diagnosis, • Male and older than 35 years … You should visit your doctor every three months for a check up.
and may or may not require further treatment. Their treatment • Female and older than 45 years …
plan could involve follow up by their GP, further outpatient visits, If you answer ‘yes’ to most of these questions or are still concerned,
• A Maori, Pacific Islander or from the Indian sub-continent see your doctor for a full risk assessment. A risk assessment
elective surgery or other hospital procedures. or Fiji.
Rostering staff to meet the needs of both acute and elective involves answering key questions in a booklet prepared by the
AND have one of the following risk factors? Heart Foundation, being weighed and having blood pressure and
services is complex. We must also observe the industrial agreements
• Smoke tobacco (or recently stopped) blood cholesterol tests.
that protect staff but this inevitably adds costs. As a result, the • High cholesterol You can also download a copy of the Heart Foundation’s
cost-effective time to schedule elective work is Monday to Friday. • High blood pressure leaflets Reducing Your Risk of Heart Attack and Are You at Risk
However when emergencies arise, elective work cannot proceed • Overweight/obese from the Resources section of its website:
because resources (theatres, diagnostics and, most importantly, www.heartfoundation.org.nz.
staff) must be diverted to acute services.
The CDHB is actively pursuing ways in which services can be
delivered more efficiently. Several projects are currently underway,
including more day surgery and community based treatment resources
Get Out There and ‘Push Play’
for patients with chronic illnesses. We are also working to improve Just 30 minutes or more of moderate physical activity on most • Mow the lawn and gardening
the efficiency of the Emergency Department by streamlining the days of the week will improve your health. But if 30 minutes is • Play golf (pulling or carrying clubs)
process within the department and appropriately diverting those too difficult, start with snack size bites of activity – 10 to 15 • Give line dancing a go
individuals who don’t have genuine emergency needs. minutes, two to three times a day. • Take part in some low impact aerobics
Reviewing hospital records reveals a variety of reasons why Aerobic activity is the best type of exercise for your heart • Go for a brisk walk
patients do not receive scheduled surgery as planned. These include because it helps increase its strength, endurance and efficiency. • Play cricket
failure of the patient to attend or to have followed pre-operative A fit heart pumps 20% more blood per minute when at rest and • Go for a light effort bicycle ride.
instructions, the unavailability of essential personnel (surgeon, over 50% more blood per minute during physical exertion than Vigorous Physical Activity – Note: vigorous activities are not
anaesthetist, anaesthetic technician or nursing staff), the an unfit heart. You are therefore less likely to strain a fit heart recommended if you have not been active before and are generally
unavailability of theatre space because of unscheduled emergency when demands on it increase. not encouraged in people with severe heart disease. If you have
surgery, failure of key equipment or the unavailability of essential Here are some ways you can introduce aerobic exercise a history of angina, or have had a heart attack or heart surgery,
ancillary services such as post-operative care. into your life: you should check with your doctor before starting a physical
The range of potential problems that can occur and the remedies Light Physical Activity activity programme.
to overcome them are complicated, however we are constantly • Take a leisurely walk • Go tramping
striving to minimise their impact on the delivery of elective patient • Try slow ballroom dancing • Walk very briskly or take a brisk walk uphill
services in Canterbury. • Do slow stationary cycling. • Go for a jog
Moderate Physical Activity • Play soccer
• Play croquet • Play touch rugby/ rugby
• Do the vacuuming • Play singles tennis
Gordon Davies, CEO Canterbury District Health Board • Go for a run.
• Try some gentle water aerobics
Romantic Picnic Menu for Two
The Heart Foundation has come up with some special menus for you to share with your loved ones.
We’re including the Romantic Picnic Menu for Two here, but for more ideas visit the Heart Foundation’s
Starter Pita Bread Chips
Make your own low fat version:
Middle Eastern Platter Split pita breads, spray lightly with olive oil, spread with minced
The platter can be made up by choosing from the following: garlic, cut into wedges (about 10 per pita bread round) and bake
• Spicy yoghurt sauce • Hummus in a slow oven for 15 – 20 minutes or until dry and crisp.
(see below) • Olives (allow no more than May be stored in an airtight container.
• Roasted crispy eggplant 4 per person)
(see below) • Tomatoes
• Pita bread chips • Cucumber, carrot and celery Main Course
(see below) sticks Lebanese-style Meat Sticks
• Falafel • Fresh or dried figs or dates • 1 slice bread • 1 teaspoon ground coriander
• 1/4 cup milk • A dash of Tabasco sauce
Spicy Yoghurt Sauce • 2 teaspoons Worcestershire sauce • 1 tablespoon sesame seeds
• 1/2 cup plain non-fat yoghurt • 2 teaspoon lemon juice • 1 teaspoon ground cinnamon (optional)
• 1/2 teaspoon ground paprika • 1 cloves garlic, crushed • 1 teaspoon ground paprika • 200g lean minced beef
• 1/2 teaspoon grated lemon rind • 1 tablespoon finely chopped Creamy dipping sauce
parsley • 1/4 cup light sour cream • 1 teaspoon lemon juice
Method: or plain yoghurt • 1 clove crushed garlic
1. Combine all ingredients.
2. If possible, make at least one hour before serving to allow the Method:
flavours to develop. 1. Place the bread in a mixing bowl and pour over the milk.
2. Allow to sit for a few minutes while you collect the rest of the Dessert
Roasted Crispy Eggplant ingredients. Decadent Fruit
• 1 small eggplant • 1/2 cup cornflour 3. Add the Worcestershire sauce, spices and Tabasco. • 300g dried fruit: choose • 2 cups cold water
• 1 egg, beaten • Freshly ground black pepper 4. Stir briskly to break up the bread into a slushy mixture. from figs, apricots, prunes, • 1 orange
5. Stir in the mince until evenly mixed. plums, peaches, pineapples, • 100g crystallised
Method: 6. With wet hands, shape small handfuls around skewers or bamboo
1. Cut the eggplant in half lengthwise. apple, dates. ginger, chopped
2. Slice into 1/2 cm-thick slices. 7. Roll in sesame seeds if desired. Method:
3. Pour the egg over the eggplant slices and mix well to ensure 8. Bake at 200°C for 15 – 20 minutes; alternatively grill or 1. Cut any large pieces of fruit into bite-sized chunks.
that each piece is well coated. barbecue for 7 – 8 minutes over a medium-high heat until 2. Peel the orange with a vegetable peeler; add the peel to the
4. Put the cornflour and pepper into a plastic container with a browned all over. fruit in a small pot with the water.
fitting lid, or a plastic bag. 9. Make the dipping sauce by blending the sour cream, lemon 3. Add the ginger.
5. Add several pieces of eggplant at a time and shake well to juice and garlic together. 4. Heat gently until just boiling, cover and turn off the heat.
coat with the cornflour. 10. If necessary, add a little non-fat milk to achieve pouring consistency. 5. Allow to sit on the warm element for 10 minutes before
6. Repeat with remaining eggplant. 11. Drizzle over the cooked meat sticks or serve separately in a adding the juice from the orange.
7. Place on a non-stick baking tray and bake at 180°C for dipping bowl. 6. Remove the peel before serving.
10 – 15 minutes or until golden brown and crispy. 7. Serve with natural yoghurt.
The Canterbury District Health
Become a Volunteer Board’s Waiting Lists
CEO of Canterbury District Health Board (CDHB), Gordon
Davies, sheds some light on CDHB’s waiting lists.
All patients on surgical waiting lists have been assessed by a
‘Hospital Helping Hands’ Wanted‘ ‘I had a stroke just over two years ago and I received such wonderful surgeon who feels that their condition would be improved by the
help at The Princess Margaret Hospital. Now that I am home again prescribed surgical procedure. In an ideal world with ample funding
Hospital Helping Hands’, the I wanted to volunteer. I just love doing it. It is so rewarding, particularly and resourcing, all surgeons would like to be able to deliver all
volunteer programme running within when the patients who have suffered a stroke talk to me. I tell them prescribed operations to all the patients in a timely manner. Sadly,
the Older Person’s Health Service at I know what they’ve been through and that they will improve. “After this is not possible here in New Zealand, but then nor is it possible
The Princess Margaret Hospital all,” I say, “If this 83 year old chook did, so can you.” It seems to help in the United States which is the richest country in the world.
(TMPH), is looking for new recruits. them and this helps me too.’ Maddy, Ward Volunteer. Despite spending far more on health per capita than we do, the
Volunteers have always been part of
Inspired to find out more about becoming a Hospital Helping Hand? US still has approximately 20% of its population without access
TMPH and the role is an important
Contact Chris Wade, Volunteer Coordinator, ph: 337 7793 or email: to more than basic health care cover.
one, complementing but not replacing
Christine.Wade@cdhb.govt.nz The number of surgical services provided is largely dictated
the work of paid staff. Volunteers help
by Government policy. In reality the equation is very simple. If
to make a patient’s stay or visit to the
the Government wishes to increase the number of people getting
Volunteers Kate McBeath and
hospital a little easier and even Bring on the Cavalry surgical operations they need to buy more of the procedures from
Lyn Hay taking the shop trolley more beneficial. Faced with snow, sleet, earthquake, fire, civil defence emergencies either the DHB or contracted providers. The DHB strives to
around the wards. Volunteering is a good way for
or national disasters and the need to keep delivering healthcare do as much as it possibly can with the funding it receives from
people to extend their experience,
to the community, who do we call on? The Combined 4-Wheel central Government.
especially for those who are thinking about a career in the medical
Drive Association, of course! From the mid 1990s, the Government has required that
or caring professions. It is also a way for people who are retired or
The Canterbury District Health Board (CDHB) is grateful anyone offered an operation by a District Health Board (DHB)
taking a break from paid employment to do something for their for the generosity of these drivers who are ready for us in our time needs to receive the surgery within six months. The only way to
community. There are social benefits too – as well as contact with of need. During the snowstorm of September 2005, for example, comply with this is to have a priority scoring system which treats
patients and staff, there are regular get-togethers with other volunteers. the 4-Wheel Drive ‘cavalry’ helped CDHB staff get to and from the most urgent or needy people first. The Government policy
The Canterbury District Health Board screens and interviews all work and also helped with Nurse Maude rounds. also insists that the scoring system be transparent and objective.
potential volunteers and takes their personal interests and expectations The voluntary service began with ‘the Big Snow’ of 1992, With the amount of public funding that is put into health, only
into consideration when allocating roles. Here are just a few examples when the 4-wheel drivers not only assisted in transporting hospital those with the highest scores on the waiting list can confidently
of the things Helping Hands volunteers do and what they say about staff, but took farmers out to paddocks to rescue sheep. expect to get surgery.
their experience: ‘People don’t generally know that there are eight 4-wheel Most surgeons feel the scoring system is cumbersome and
‘Everybody is so appreciative of each small task that I do. Mainly my drive clubs in Christchurch and many of their 800 drivers are on unfair, as many conditions, even with the highest level of urgency
job is to help patients to keep occupied and interested. We bake a list offering their service to the CDHB, the Christchurch City scored by the surgeon, will never score enough points to receive
together, make cards, paint, do quizzes and talk about interesting Council and other organisations whose services are vital in times surgery. This applies to many spinal, hand and foot conditions
events of the past or present.’ Mandy, Ward Volunteer. of emergencies,’ says Graeme Greenlow of the Canterbury which can be very painful and functionally disabling. The CDHB
Landrover Club, and co-ordinator of the cavalry. is seeking discussions with Ministry staff to ameliorate the worst
‘When I moved to Christchurch I saw a notice in the paper for ‘If it snows our drivers know they might get a call,’ says effects of this arrangement.
volunteers at The Princess Margaret so I applied and opted for the Graeme. ‘There has been a snowstorm in Christchurch each of The CDHB has been moving to bring the waiting list system
library trolley. I love this. I get to re-acquaint people with their the last four years, and we’ve done this service for the CDHB into line with Government policy. If we don’t comply, our access
favourite authors and recommend others for them to try. I’ve personally each time. Last September we organised about 25 trips to ensure to Government funding may be reduced. This is the reason why
read many of the books so I can recommend them. I’ve probably been staff got into the hospital.’ many people recently received letters saying that they were unlikely
a volunteer for about 25 years all up. It is part of my life. Being a Four-wheel drive vehicles often get a hard time in the media
to get surgery and have been referred back to their general
volunteer keeps my mind active and brings contact with others.’ and Graeme sees this voluntary service as one way to redeem that
practitioners. Although this is unpleasant, we believe it gives the
Rachel, Library Trolley Volunteer. image. Drivers have assisted police to search for missing people
public an honest picture of the situation.
and in civil defence emergencies. Each year they also volunteer
‘I am a volunteer with the music group on a Thursday morning and their vehicles for an outing for the disabled. In the past, people knew there were long waiting lists but
I have found the experience most fulfilling. The old saying ‘music is expected they would eventually come to the top of the list and
food for the soul’ certainly rings true for me when I see the smiles on have their surgery. While this may have been comforting in many
the faces of our audience, and a renewed glint in their eyes. The Wanted: Volunteer Drivers cases, the reality was that many patients never received surgery,
whispered words, “Oh that was lovely” from the patients at the end The Cancer Society is looking for volunteers to transport patients even though they were on the waiting list. We hope this greater
of the performance makes it all worthwhile.’ Karin, Volunteer Music to and from their appointments at Christchurch Hospital. level of honesty regarding what the health service can deliver
Group Entertainer. Driving is carried out in daylight hours, Monday to Friday. Drivers will lead to more informed public debate and political action.
‘I’ve been a volunteer for just a short time but find it most rewarding. use their own vehicle and are reimbursed for expenses. The time
I find meeting people a plus at my age. It’s all so easy to stay at home commitment is usually no more than two hours per week.
In order to become a volunteer driver you need to register with
and bemoan one’s fate.’ Pat, Outpatients Reception Volunteer.
‘I like and enjoy people and it’s been an excellent chance to be useful,
the Cancer Society, attend an orientation and undergo a driving
competence assessment. The Living Room
while at the same time meeting many interesting and wonderful Volunteers are also used in a number of other areas – visiting
people. Whether it’s stacking linen, reading to patients, listening to people in their home and taking them to appointments, assisting
or talking with patients, arranging flowers, or helping where needed, with health promotion activities, administration and the Cancer
it is just as worthwhile and enjoyable as it was when I first volunteered Society shop and fundraising.
over 15 years ago.’ Shirley, Ward Volunteer. Want to volunteer your time? Contact Kathy Inns, Volunteer
Co-ordinator, ph: 379 5835.
You are invited to participate in a hospital-based
research project investigating the effects of Coenzyme
Q10 and Statin Treatment (cholesterol-lowering
medication) on reducing the risk of heart disease
in MALES with the METABOLIC SYNDROME
You may be eligible for the study if you are:
A MALE aged 40 – 65 years old with at least
TWO of the following: Multi-sport enthusiast, Shane Thrower, who was knocked off his
bike and spent months recovering in the Burwood Hospital Brain
High blood pressure Injury Rehabilitation Unit, has shown his thanks for the care that
Cholesterol problems he received by giving the unit a ‘Living Room’.
Overweight A quiet space with comfortable leather couch, arm chairs,
paintings, computers and books, the Living Room is for the unit’s
Excess weight around your abdomen patients and their families.
High blood sugar levels. ‘The staff gave me the energy to come up with The Living
Room,’ said Shane at the official opening of the amenity last year.
Travel costs of up to $25 will be reimbursed for all visits. ‘The idea is that it is a quiet space away from the noise and stimulus
of the main hospital – a room for patients to relax and unwind in,
If you are interested please contact: and to spend positive time with loved ones.’
Jo Young, Lipid & Diabetes Research Group, Shane and his friends raised $45,000 for the room by organising
a dinner and auction at the Hotel Grand Chancellor in July and
Christchurch Hospital he added another $4000 in August following a speaking engagement
Phone: 364 1186 to a conference of financial planners. ‘The big thing about speaking
E-mail: firstname.lastname@example.org at the conference was raising awareness of brain injury. People
were just blown away and their donation was fantastic.’
Quit Smoking for Health and Happiness
Your New Year’s resolution to quit smoking this year has a higher
chance of being successful than ever before thanks to the PEGS
(Preparation, Education, Giving Up and Staying Smokefree)
programme from Partnership Health Canterbury.
PEGS is one of the more successful quit smoking plans developed
because it partners smokers up with a practice nurse who co-
ordinates and tailors a specific strategy for each individual. Smokers
can enrol in the programme at any local Partnership Health
Canterbury general practice.
As an added benefit, smokers who enrol in PEGS are now
eligible for the ‘Quit-to-Win’ Smoking Cessation Incentive
Programme. Each quitting smoker receives a starter pack with
goodies and coupons from supportive sponsors, and is eligible for
monthly prize draws by remaining smokefree.
Ongoing prizes include movie tickets from Reading Cinemas,
gym memberships from Les Mills Fitness and the Christchurch City
Council, meal vouchers from Scenic Circle Hotels and the Lone
Star Cafe, passes to Hanmer Springs Thermal Reserve, facials and
massages from Total Body Concepts with hair care from Ana Koskela
Hairdressing, a kayak from Topsport and full car interior deodorising
and shampoo packages from the Ultimate Carwash Café.
Contact your Partnership Health Canterbury general practice
team for more information.
Pamphlet Alerts Women to Risks
Prepare an Emergency Kit
Your Emergency Kit – What Sort of Food Do You Need?
As another of your New Year’s resolutions, why not take the • Remember to include cleaning and personal hygiene products
time to organise an emergency kit for your household? A few in your kit
simple preparations can make a big difference to your comfort • Have a well-stocked first aid kit, including gloves, masks and Jill Lamb, Colposcopy Nurse.
and well-being if a disaster does happen. disinfectants. Check with your doctor or pharmacist if you
One of the most important things you can do to prepare for an are unsure what you will need. If you are on prescription Colposcopy nurse Jill Lamb has produced a pamphlet to alert
emergency is have enough food and water. According to Bronwen medicines (eg for blood pressure) remember to include some Maori women to the harmful effects of cigarette smoking on
King, Public Health Nutritionist for Community and Public Health, extra in your kit. the cervix.
you need a variety of food with good nutritional value. ‘Research relating to this has been documented for many years
The possibility of a ‘bird-flu’ influenza pandemic means you also
‘Living on baked beans might be fine for a short while but and is widely available in medical literature. But I was also very
need to be prepared for a period of self-isolation.
it isn’t great in the long term. Try to choose familiar food that aware that the same information was not readily available to
• Keep up your normal pantry and fridge stocks of perishable
is as close to your normal way of eating as possible. And just women,’ says Jill.
foods such as meats, cheese, bacon, fruit and vegetables
because you are preparing an emergency kit doesn’t mean that So when Jill’s post graduate certificate studies for her Clinical
• You may need to take care of sick people, so have a supply
you are suddenly going to develop completely different tastes – Nursing qualifications called for a project in her area, female health
of food such as clear soups, juices and jellies
if you don’t enjoy it, don’t buy it.’ was the obvious choice.
• Plant a garden – as well as the nutritional benefits of fresh
Some tips from Bronwen to help you plan and shop for your ‘In New Zealand, Maori women have been identified as having
vegetables and herbs, they also add interest and variety. Good
emergency kit: the highest rates of smoking and cervical cancer so the pamphlet
choices are crops that produce for a long time, require little
• Choose foods that will last without refrigeration for at least was designed with an emphasis on conveying the message in a
attention, or keep well in the ground. Examples include
six months – canned or preserved fruit, vegetables and fish culturally appropriate way. The overall aim is to benefit the Maori
silverbeet, rhubarb, parsley, mint and root vegetables such as
or dried foods such as pasta, rice and lentils consumer by respecting cultural and lifestyle differences.’
potatoes and carrots
• Buy the least perishable and most essential items first, such Jill became a QUIT card provider earlier this year and raises
• Consider investing in a bread maker and a yoghurt maker –
as rice, pasta and canned foods the issue with patients whenever she can. ‘Women are often really
both will help keep your diet balanced and interesting.
• Have some foods that are ready to eat or only need heating surprised there is a link between smoking and cervical cancer. If
(without adding water). This will ensure you are prepared While all this might seem a little daunting at first, don’t get put women with low-grade cervical abnormalities stop smoking, their
in case of fuel and water shortages off by the size of your shopping list. Purchase a little at a time so lesions can regress – smoking doubles the risk of cervical
• When buying cans, don’t automatically buy the biggest sizes you can spread the expense and remember that if you practise abnormalities. When they find out about these risks it often helps
thinking this is better value. Only buy larger cans if you are stock rotation, you won’t end up wasting anything. A little bit them in their decision to quit smoking.
catering for a big group of people. You don’t want leftovers of planning now will go a long way to ensuring you and your ‘I’ve been able to refer women to their GP and to smoking
if you don’t have reliable refrigeration family’s health and happiness if disaster does strike. cessation programmes, and I follow their progress by giving them
• Store plenty of water in air-tight containers. To give you a phone call once a week for 12 weeks.’
some idea of quantities, Civil Defence recommends three Bronwen King is a Public Health Nutritionist working for
Jill worked closely with local Maori women to ensure the
litres of water a day per person Community and Public Health. She has recently written a book
design and words for the pamphlet were appropriate. Well-known
• Don’t forget food for your pets – it should also be non- ‘Surviving Bird Flu and Other Disasters’ which will be in the book
Maori actress Mabel Wharekawa-Burt was happy to be
perishable with a long shelf life stores from mid-February.
photographed for it.
‘Mabel is a figure known and respected,’ says Jill.
Jill says her project has been very rewarding, and she is looking
forward to producing other versions of her pamphlet.
National Recognition for Champion Centre’s
Therapy Garden and Playground
From car park (top left) to award-winning garden.
Landscape Architect Jenny Moore is a firm believer in the The relatively small site also had to accommodate a variety of The garden is also a healing space for parents. ‘Parents
importance of gardens for personal wellbeing. This commitment activities and features to stimulate the children, including often struggle to come to terms with the fact their child isn’t
to creating therapeutic external environments was recently playground equipment, garden paths, a sandbox and storage space. the child they thought they’d have,’ says Dr Foster-Cohen.
recognised when the garden she designed for the Champion Considerable thought went into the garden’s design, with ‘The garden gives them a positive space to support their
Centre at Burwood Hospital was a finalist at the 2005 Year of Jenny working closely with the Centre staff to ensure that the emotional journey.’
the Built Environment awards. space met the needs of the children. For example, on the request Planted almost seven years ago, the garden has really come
Jenny has a personal connection with the Champion Centre of the music specialist, an ‘octave’ of eight steps was created as into its own. ‘That’s one of the things of landscape design –
– her son has Down Syndrome and benefited from the Centre’s part of the slide. The occupational therapists asked for a variety often you have to wait years before the vision for your design
early intervention programme. When the opportunity presented of step heights and surface levels, so that children could practice becomes a reality,’ says Jenny.
itself to design the Centre’s garden Jenny’s aim was to create a their motor skills.
space that helped children in their development. ‘The garden Playground equipment was also modified, including the slide
needed to be a stimulating learning environment where the which sits on what Centre Director Dr Susan Foster-Cohen calls
‘a volcano of planting’. As the slide is built into a mound of earth,
Beyond the Difference
children could continue to develop their senses and skills, so
we used plenty of colourful and scented plants,’ says Jenny. ‘We there are no dangerous drop-offs or distances to fall, should children The Champion Centre recently published Beyond the
also incorporated different surface textures to provide an lose their balance. Difference, a book on its internationally-recognised model of
interesting, interactive environment.’ Dr Foster-Cohen is full of praise for the garden. ‘It’s absolutely early intervention in childhood development. Through early
The space itself was not without challenges. For starters, a fabulous and an integral part of the way the whole programme intervention therapy, the centre helps children who have a
plantation of tall trees to the north cast long shadows over the works. Our main clinic rooms open out onto it, so effectively it delay or disability (or are at risk of one) to reach their potential.
garden in winter, yet during summer the area could get very becomes an extension of our physical activity programmes. It’s a Copies of the book can be purchased for $20 (including
hot. Jenny had to find a compromise that would provide summer place where children can develop the skills and strategies they will postage and packaging) by sending a cheque to The Champion
shade without blocking out even more light during winter. need in order to enjoy the wider world.’ Centre, Private Bag 4708, Christchurch.
Teeth, Then and Now – Jackie Remembers
Jackie Humm remembers when the dental nurse’s drill was run on a treadle engine,
children used spit bowls and copper was heated over a Bunsen burner to make
the amalgam for fillings.
After 45 years with the School Dental Service, Jackie, one of the ‘On graduation a nurse could be sent anywhere in New Zealand
longest serving dental therapists in Canterbury, has retired to a clinic often in an isolated community to work alone. We were
from her post at Bromley and Somerfield School Clinic. responsible for running the clinic efficiently and were subjected
Many of the mouths she looked into recently were similar to to ‘surprise’ inspections by management staff.’
those from four decades ago – the teeth brushed and cared for, or Jackie’s career included 15 years in an educative oral health
only needing minor attention. But, like all dental therapists today, role, tutoring students in the training school and working with
Jackie is concerned about pre-schoolers presenting with major nurses throughout much of the South Island. Her clinical work
dental problems. To see these children with decay and abscesses began at North Beach School and subsequently took her to Nelson,
needing a general anaesthetic is a tragedy, she says. Marlborough, Hamilton, Auckland and then back to Christchurch.
‘It’s sugar that is the enemy and the frequency of eating sweet In four decades Jackie has witnessed many changes in the
foods and drinking soft drinks that harms the teeth. Children graze service, including a name change to therapists, the introduction
today and their saliva is full of acid. It never has a resting period.’ of dental assistants and the need for computing and x-ray skills.
Often children starting school have considerable work that Gone are the treadle engines that ‘you had to push with your foot
needs to be done, she says. ‘They’re fine until around Year 3 or 4, and keep going, because if you paused it would slow down or go
when you start to see the pattern again.’ backwards.’ They have been replaced by high speed electric ones.
Jackie’s career began with two years of training in Wellington, Gone is copper amalgam, replaced by new, fast-setting materials
the first spent on theory, soap carvings of teeth and working on which adhere to the walls of the cavity and flow on and harden
extracted teeth, and the second year working on patients. quickly.
‘We were trained by dentists and dental tutor sisters and we Jackie says the advent of fissure sealant, along with fluoride
had to live in hostels where we were very tightly restrained. The toothpaste, has proven a ‘great preventative measure for first
biggest thing during training was to go from the blue to the white permanent molar teeth.’ Saliva ejectors to remove moisture and
uniform and eventually to graduate to the veil.’ debris, and many other changes all mean children don’t need to
‘In the white uniform the dental nurse stood out in a school sit in the dental chair for so long. All of it adds up to what Jackie
setting as so different and sometimes as a figure to be feared,’ calls ‘a great job’.
she says. ‘The uniform was eventually discarded and that was a
good thing.’ 5
Elsie Locke – Health
Pioneer and Patient
Elsie Locke is known in Christchurch as having been a social historian, peace and environmental activist, and
author, particularly of books for children.
She died in 2001 at the age of 88 after living in the city since 1941.
For the past two years Maureen Birchfield, a biographer from the Kapiti Coast, has been researching Elsie’s
life and here she supplies a fascinating glimpse of Elsie’s own experiences with health matters. She welcomes
contact from people with information about Elsie, and can be reached at email@example.com or 4 Sand
Track, Paekakariki, Kapiti Coast 6010.
Elsie’s Influence on Community Health
Elsie Locke was a patient in New Zealand had one of
Christchurch Hospital for just the highest rates of maternal
over two years, from January death from septic abortion in
1946 to March 1948. She was the world.
immobilised on a Bradford frame, In 1952, Elsie gave birth to
which was the standard her fourth child – at home, with
treatment for people with spinal the co-operation of her doctor
tuberculosis (TB). Her TB was and with the help of a retired
bovine in origin, probably from midwife, who was a little tardy.
Volunteers Needed un-pasteurised milk. In a 1997
interview with Frances Adank,
Elsie’s husband, Jack was the
only one in attendance when
for Study she recalled that she
‘got a tumour in the throat
baby Alison arrived.
As far as hospital births
first and that was lanced but the were concerned, Elsie was a keen
You are invited to participate in a hospital-based bug must have been still in my advocate of a ‘new’ method of
research project investigating the reproducibility of system … I was on a very tightly running maternity wards:
cardiovascular measurements in stretched canvas … on a tilt with ‘rooming-in’. Her hand, and
my feet on pillows and the bed distinctive typing, are obvious
HEALTHY MALES and was on the flat below and I could in an undated, unsigned item in
MALES with the METABOLIC SYNDROME reach underneath and store the Canterbury Housewives’
books and things … When it Union archives at the
You may be eligible for the study if you are: came to panning they undid the Christchurch Public Library:
EITHER flap and put the pan underneath.’ ‘Nowadays people are becoming
A healthy male aged between 40 – 65 years old Elsie was on the verandah more aware that, in maternity
with no major illness or history of heart disease. of Ward 3 with four other and childcare, nature’s ways are
OR patients: ‘you had to get on with the best ways … in the
A male aged between 40 – 65 years old with at them and get to know them and maternity home … baby is
I started to listen to people in a way I’d never listened before’. separated from his mother except at strict ‘feeding times’. This
least two of the following: high blood pressure,
She made use of the stories she heard, and of her own runs counter to instinct of both babe and mother, which is to
cholesterol problems, overweight, excess weight
reminiscences, in a series of radio talks for 2YA entitled ‘I be together.’
around your abdomen, high blood sugar levels. remember the time: reminiscences told or heard on a hospital She, and Mrs Stockwell, also presented the views of the
verandah’. These were broadcast every Monday morning for six Canterbury Housewives’ Union to the Consultative Committee
By participating in this study you can learn more weeks from 29 July 1946. The LISTENER of 26 July 1946, on Hospital Reform in 1953.’
about your own risk of cardiovascular disease. quoted from the first episode: Elsie Locke died in 2001 at the age of 88, having lived in
‘Curiously enough, they are not our moments of great Christchurch since 1941. She made quite an impact: a park is
Travel costs of up to $20 will be reimbursed for all visits. excitement or triumph which we like to review, but the thought named after her near the Centennial Pool where she swam daily
of simple things, and days spent outdoors, nights under canvas, until a leg ulcer stopped her; a Writers’ Trail plaque is on the
If you are interested please contact: the tricks and adventures of children, the rollicking fun of a footpath at the entrance of the City Library in Gloucester Street
Jo Young, Lipid & Diabetes Research Group, growing family.’ with a quote from a poem she wrote: ‘There’s danger in comfort
Christchurch Hospital She was allowed no physical contact with her own three and comfort in the storm’ (From The Time of the Child, 1954);
Phone: 364 1186 children, who had been farmed out around the country with and on the Avon Riverbank opposite where she lived in Oxford
E-mail: firstname.lastname@example.org relatives. Terrace, there is another plaque in memory of both Elsie and
Ten years earlier, when she lived in Wellington, Elsie her husband, Jack as ‘Campaigners for the [Avon Loop]
convened the first meeting of what was to become the Family community’, and on the Community House in Hurley Street,
Planning Association; initially called The Sex, Hygiene and a plaque recognises the work of Elsie and Jack in founding the
Free Access to Birth Regulation Society. In the bleak days of the Depression, Avon Loop Planning Association (ALPA).
Information Sports Clubs Promote Healthy
All New Zealanders now have free access to the Cochrane Library
– an internationally renowned database of information on the
effectiveness of different health care treatments. The Library is
regularly reviewed by the Cochrane Collaboration, an international, Healthy food, responsible alcohol use, a smokefree environment, ‘Clubs with bars are required to provide food. Many sell the
independent and not-for-profit organisation, to ensure that the fully equipped first aid kits with gloves – these are among the healthy usual fried variety but once again a club wanting to get a ClubMark
information is accurate and up to date. messages that ClubMark is promoting to sports clubs. has to ensure there is a healthy choice available such as bread
‘We are thrilled to be able to offer such a valuable resource ClubMark is a self-assessment tool for sports clubs and puts an products or fruit,’ says Lorraine.
to New Zealanders. No matter where you live you will be able emphasis on organisations being viable, healthy and injury free. It ‘Dealing with blood education and understanding blood-borne
to access this fantastic database of health information,’ says is a joint project between ACC, Community and Public Health, diseases has been an area clubs have not paid much attention to in
Colin Feek, Deputy Director-General Clinical Services at the Christchurch City Council, Hauora Matauraka and Sport Canterbury, the past, so ClubMark has been useful in highlighting that issue.’
Ministry of Health. where the ClubMark co-ordinator, Lorraine McLeod, is based. Lorraine says the Sunsmart message is generally well understood,
New Zealand Cochrane Fellow, Dr Vanessa Jordan agrees. ‘It ‘I’ve found clubs meet some of the required sections, but for but clubs are encouraged to provide sunscreen and shade for members.
is an exciting and monumental decision by the Ministry of Health many clubs providing a healthy environment is a totally new The ClubMark programme also provides injury management and
and District Health Boards New Zealand to supply an unbiased concept,’ says Lorraine. ‘Once clubs are aware of the requirements ACC Sportsmart courses and principles, such as warm up and warm
and informative source of health intervention information for the and realise health goes hand in hand with sport, they are happy to down, stretching, hydration, nutrition and Fairplay.
general public. This will allow current evidence to be put to the adopt the new ideas.’ Other areas ClubMark covers include administration, coaching,
best use for all in health decision-making.’ Smokefree is one of the messages that ClubMark promotes, communication and providing an inclusive environment.
The Cochrane Library can be viewed on the Ministry of asking clubs to make sure coaches do not smoke around junior For more details about ClubMark contact Lorraine at Sport
Health’s website at www.moh.govt.nz/cochranelibrary or on the players. ClubMark also encourages the responsible use of alcohol Canterbury on (03) 373 5040 or email
New Zealand Guidelines Group website: www.nzgg.org.nz. and clubs can earn extra points if a team agrees to become a email@example.com.
responsible role model for the club.
Charles Luney House Office Relocation Goes Smoothly
The Planning and Funding division has now successfully relocated wherever practicable. The long term leases at Charles Luney House glazing trialled as part of the refit gets rid of these drafts and can
from Charles Luney House in the central city to the second and were due to expire and, by moving into empty floors at TPMH now be applied across the whole site, saving energy and improving
third floors of H Block at The Princess Margaret Hospital (TPMH). potential savings could be made. patient comfort.’
The Corporate Office will join them shortly when they move at The move also provided opportunities to pilot energy efficiencies Earthquake strengthening was also carried out. The second
the end of February. at TPMH, such as redesigning the old 1950s windows. ‘Even when and third floors of H Block at TPMH had old internal concrete
Planning for the move from Charles Luney House began in you close some of those old windows tightly, the curtains still move and bricks walls that held the building rigid and were therefore at
2004 and was driven by the Canterbury District Health Board’s vigorously in the wintry winds,’ says Tim Exton, Project Manager risk of collapsing during earthquakes. These were demolished,
conscious decision to use its own, rather than rented premises of Site Redevelopment. ‘The redesigned window frames and double creating a more open-plan office environment.
Canterbury District Health Board a Winner
in Waste Management and Recycling
Coping with household rubbish is one thing, but handling the taken to the Kate Valley refuse landfill site. The compactor runs
waste from two of the largest hospitals in the South Island is on electricity, so it generates no fumes and makes little noise.
another matter entirely. Each year Christchurch Hospital and ‘It’s early days yet but we believe the system is cost-effective,’
Christchurch Women’s generate around 690 tonnes of general says Elaine Williams, former Waste Management Officer. ‘For
waste and 360 tonnes of medical waste. Disposing of it in an example, it used to cost us to dispose of cardboard and now we
environmentally responsible and economical way is therefore a are paid a small amount for supplying it.’
serious business for the Canterbury District Health Board (CDHB). Waste management was also factored into the design of the
A pilot recycling scheme in 2001 saw staff in part of new Christchurch Women’s and the architects, Chow Hill,
Christchurch Hospital separate out plastic bottles and paper. involved Head Orderly, Dave Hiddlestone in the process from
The scheme proved successful and was expanded to include more the very beginning. ‘By talking to the orderlies and cleaners to
categories of waste. The CDHB then went on to develop a get their input, we were able to ensure their support and
comprehensive waste management system, the latest stage of co-operation,’ says Dave.
which was the installation of the largest waste compactor in While the CDHB is a leader in the field of waste
Christchurch at the end of July last year. management, Elaine recognises there is still a long way to go.
Sited near Oncology behind Christchurch Women’s Hospital, ‘The overall message is that recycling is not the answer –
the new compactor from Waste Management NZ operates from ultimately it’s about cutting down on what we use and finding
5am–10:30pm seven days a week. It is emptied twice in that ways that we can re-use products.’
time with 11 tonnes of compacted general waste removed and
Canterbury District Health Board Profiles….
Syd Bradley, Chairman (re-appointed), has Alister James (elected) served 20 years as Neville Fagerlund (appointed) is a chartered
been closely involved in the governance of a City Councillor and is a lawyer with a accountant in public practice with 30 years’
the health sector for 15 years, and has chaired particular interest in the effective delivery of experience. He has provided financial and
the Canterbury District Health Board for the adolescent, mental health, alcohol and drug commercial advice to community health
past four years. treatment services. organisations and providers for several years.
Olive Webb, Deputy Chairman (elected), is Heather Carter (elected) trained and worked Karen Guilliland (re-appointed) is Chief
a clinical psychologist with over 30 years’ as a psychotherapist and is now a workplace Executive of the New Zealand College of
experience and works as a health and disability and personal development consultant. Midwives. She is a member of the Pharmac
consultant around New Zealand. She has Women’s health and senior health are her board and Deputy Chairperson of the Health
served on the Canterbury District Health particular interests. Workforce Advisory Committee.
Board for four years and is committed to rural
health issues and delivery.
David Morrell (elected) has served on the Jo Kane (elected) is a Waimakariri District Norman Dewes (re-appointed) is the chief
Canterbury District Health Board for three councillor and Deputy Mayor, who believes in executive of the urban Maori authority based
years and is well known for his time as protecting family health and wellbeing as a in Canterbury. He has a background in
Christchurch City Missioner. He is committed basic right for all. education, social work, sport and recreation
to more accessible and affordable health and is particularly experienced in helping
services for everyone. unemployed into the workforce.
Robin Booth (elected) is a self-employed Laurence Malcolm (elected) is a doctor and Meetings Monthly board meetings, open to the public, are scheduled
builder/renovator and author who has served former professor of community health. He has for March 10, April 7, May 12, June 9, July 14, August 11, September
three years on the Canterbury District Health served on World Health Organisation 8, October 13, November 10 and December 8. They will begin at 9am
Board. He has a strong interest in community committees and is internationally recognised and be held in the Council Chambers at the Christchurch City Council
health and preventative medicine. as an expert in health and medical care. in Tuam Street, unless otherwise advised. For information on their
locations please check the Canterbury District Health Board (CDHB)
website: www.cdhb.govt.nz. The website also carries information about
the CDHB committees and their meeting times and reports. 7
Following on from its popular 2005 lecture series, the
Christchurch School of Medicine and Health Sciences is
pleased to announce a new series for 2006.
Lectures are free to attend and are an opportunity for
you to ask any questions you might have.
Advances in Treatment of Leukaemia &
Bone Marrow Cancers
Wednesday 1 March, 7.30pm
Dr Ruth Spearing. Haematologist, Christchurch Hospital.
The Environment and Multiple Sclerosis
Wednesday 8 March, 7.30pm
Associate Professor Bruce Taylor. Neurologist, Department
Suicide and the Media
Wednesday 15 March, 7.30pm
Professor Keith Hawton, Oxford University.
Oxford Suicide Research and Prevention Centre.
Renal Failure – Death or Dialysis.
Both Best Avoided
Wednesday 22 March, 7.30pm (Kidney Health Week)
Dr Martin Searle. Nephrologist, Christchurch Hospital.
Emergence of the Super-bugs
Wednesday 29 March, 7.30pm
Professor David Murdoch. Department of Pathology.
Why Inflammatory Bowel Disease is
Common in Canterbury
Wednesday 5 April, 7.30pm
Dr Richard Gearry. Gastroenterologist, Department
Dr Jan Bone, Director Clinical Skills Unit, and Dr Anne Marie Guiney at work on a manikin. of Medicine.
So You Want to See the Future……
Wednesday 12 April, 7.30pm
Professor Mark Elder. Ophthalmologist, Christchurch Hospital.
The Spectre of a Flu Pandemic.
Is it Inevitable?
Valuable Teaching Wednesday 19 April, 7.30pm
Dr Lance Jennings. Virologist. Canterbury Health Laboratories.
Lectures are held in the Rolleston Lecture Theatre, 2 Riccarton
Ave, at the front of Christchurch Hospital. Parking is available
Two life-size manikins containing Newsome, Dr Phil Hider from the
Christchurch School of Medicine and the
in the Christchurch Hospital car park, corner Tuam and
Antigua Streets. For more information call (03) 364 1199 or
computerised components are proving
their worth as teaching devices at
Christchurch Hospital. The adult and
child sized figures are a gift from the
first emergency research nurse in New
Zealand, Sandy Richardson.
According to Professor Ardagh, the
Emergency Care Foundation, a charitable
Emergency Care Foundation thanks to
funds donated from the Southern
Community Trust. They are used mainly
trust, is the first of its kind in New Zealand.
‘There has never been one specifically
focussed on emergency medicine before.’
in the Clinical Skills Unit and the
Both manikins contain sophisticated
The Foundation’s main purpose is
to find funding, principally for the
in-house research group, to support
technology that can, among other things,
be programmed to carry a changing emergency medicine, and nursing research New Zealand’s 21 District Health Boards (DHBs) have established
pulse beat. and education. a $6m health research fund to address key knowledge gaps for
‘It means such things as resuscitation ‘It’s been slow to pick up, but the the DHBs.
techniques can be practised on the Dr Jan Bone, Professor Mike Ardagh, Dr Martin Than, Foundation is very grateful for the The DHB Health Research Fund (DHBHRF) is administered
manikins before students and junior and one of the Clinical Skills Unit’s educators, support of groups such as the Lion by the Health Research Council of New Zealand and it is anticipated
Penny Ingram, with a manikin. Foundation, Canterbury Community Trust that the fund will support between six and eight research
doctors are faced with the real thing,’
says Dr Michael Ardagh, Professor of Emergency Medicine. and the Southern Community Trust, as well as support from programmes over the next three years.
Professor Ardagh, along with Dr Martin Than, an Emergency businesses, particularly Lane Neave Lawyers. We’ll also be holding
Medicine Specialist, established the Emergency Care Foundation our own fundraising.’
a year ago. It has helped to support a research group that had The long term plan is to expand the Foundation’s internal
been running in the department since 2001. Other members of activities and strengthen its financial position so that, in the
the research group include Clinical Charge Nurse Mark future, it will be able to give grants itself to other researchers
in emergency care.
Canterbury District Health Board, PO Box 1600, Christchurch.
Healthfirst is produced by the Canterbury District Health Board’s Publications Editor
ph (03) 364 4106, fax (03) 364 4101. Or find us on-line at: