NEWSLETTER | OCTOBER 2015 - NZCPHM · The George Salmond oration is one tradition that we have...

Tēnā koutou e ōku hoa mahi

It was great to see so many of you at the ASM in Wellington Feedback has been

very positive about the programme the speakers the location and the food My

thanks to Cheryl Brunton who was this years convenor ably supported by her

organising committee of Rachael McLean Paula King Natasha Murray Carol

Barker Jane Dancer and Margaret Hewitt The College has sent out a survey

form for feedback we would like feedback not just from those who attended but

also from those who didnt attend this year in order to make sure our ASM is

meeting your needs as fellows and associate members It is your event and your

chance to mingle with other public health medicine specialists in a safe collegial

environment It is also your chance at the AGM to hold your Council to account

for the running of the College and to provide us with direction

Dr Alison Blaiklock was this years George Salmond orator and gave a very

thoughtful talk on Hauora - everyones right Alison in her humble but

challenging way reminded us that health inequity is a human rights issue that

human rights based approaches can be used to guide our work in public health

and that we can be advocates for human rights through our work Thank you

Alison for helping us look at ourselves and the work that we do through a

different lens and in so doing offer us some fresh and exciting perspectives on

that work

One of the other topics that cropped up throughout the ASM was the role of

traditions within the College we are a young College yet to establish many of our

traditions The George Salmond oration is one tradition that we have instituted

and indeed brought with us from our days as the New Zealand branch of AFPHM

Please let me know if you have any ideas for future traditions for the ASM - I

would love to hear from you

NEWSLETTER | OCTOBER 2015

wwwnzcphmorgnz | +64 4 472 9183 | adminnzcphmorgnz page 1

IN THIS ISSUE

College News

Prize Sponsorship

Māori Health Policy

Feedback

ASM Review

MCNZ Recertification

Requirements

Health Sector News

Bad behaviour in hospitals

Ala MorsquoUi Update

Advocacy amp Items of

Interest

Global Carbon Budget

Assisted Dying Survey

Cervical Screening Consult

Vacancies

Public Health in the News

Yours sincerely

Caroline McElnay President


COLLEGE NEWS

NZCPHM NEWSLETTER | OCTOBER 2015

COLLEGE SPONSORS PUBLIC HEALTH PRIZE

The College is pleased to announce that it has agreed to sponsor the annual

Wellington School of Medicine (University of Otago) 4th year public health

module project prize

As part of the Public Health module medical students complete a real-world

research project These group research projects often involve clients

external to the University and produce results that are published and have

real-world impacts To recognise the time effort and skill the students

demonstrate as well as the impact of the research the Department of

Public Health introduced an annual group prize for the best project of the

year

This prize is awarded to the group who worked together most constructively

during the 4th Year Public Health rotation to carry out a research project

which was the most likely to have an impact on improving the health of a

vulnerable population by influencing the public decision makers and other

key stakeholders about an important public health policy issue in New

Zealand Some examples of group projects can be found here and

publications from the projects here

FROM THE GM

Lauren Webster is finishing up at

the College on 16 October

Thankfully she is not going too far

awaymdashjust a few streets over

towards the Wellington

waterfront It has been such a

pleasure to work with Lauren over

the past three years and we will

miss her wide range of talents and

her calm positive nature

I am excited (and just a little

relieved) to report that we have

appointed Laurenrsquos successormdash

there will more news about that

next month

You will see a reminder in this

newsletter of the NZ Shake Out at

915am on 15 October With such

an emphasis at the ASM and

workshop on emergency

preparedness I encourage you to

register your workplace to take

part in this event

Jane Dancer

MĀORI HEALTH SUBSTANTIVE POLICY STATEMENT

The Māori Health Policy has been developed jointly by the Policy Committee and Māori Caucus over the last year

and is now ready for final comment from the membership It is hoped that the final version will be published by

the end of this year

As a substantive policy it is important that the College membership takes ownership of the policy ndash particularly

the recommendations made regarding the Collegersquos governing bodies members and staff Consequently the

College will be inviting members to submit feedback via an online survey by 27 October 2015

Please keep an eye out for a copy of the Māori

Health Substantive Policy Statement and the

online feedback link in your inboxes

PUBLIC HEALTH WORKFORCE REPORT

In the July newsletter the College reported on some of the findings from the

Public Health Medicine Workforce Survey The final report from this work is

now available on the College website This report will be circulated to the

Medical Council of New Zealand Health Workforce New Zealand and other

relevant stakeholders


COLLEGE NEWS


ANNUAL SCIENTIFIC MEETING REVIEW

The ASM Evaluation Questionnaire is still open click here to complete it now

We look forward to hearing your thoughts on this yearrsquos ASM and workshop as well as your views regarding the

best direction for these events in future Please complete this questionnaire even if you did not attend the 2015

ASM as the information you provide will be used to improve future ASMs

Your responses will remain confidential and you will not be identified in any collated material derived from this

survey The survey link will close on Monday 19 October 2015


COLLEGE NEWS


INTEGRATED PERFORMANCE AND INCENTIVE FRAMEWORK (IPIF)

The IPIF is intended to support the health system in addressing equity

safety quality access and cost of services It sets high level directions for

improved effectiveness and productivity of health care for the whole

population while monitoring progress towards better services and creating

an environment that supports constructive collaborative professionally

driven quality improvement in front line services The framework seeks

balance between the local responsibility and discretion that is needed for

innovation and quality improvement and accountability for performance in

meeting sector wide national health goals

Kanchan Sharma National Programme Manager working on IPIF for the

Ministry of Health has approached the College for expressions of interest

from a public health physician keen to be involved in this work This may

require 1-2 workshops (in Wellington) and some additional time preparing

for the workshop or consulting colleagues over OctNov They are also

planning to link with the National Public Health Clinical Network for this

work Find out more about the IPIF here

The workshops are planned for 19 October (Child and Youth focussed) and 2

November (Adult elderly and patient experience) There is reimbursement

available for flights however time is on a volunteer basis For more

information contact Kanchan Sharma Kanchan_Sharmamohgovtnz

NEW MCNZ RECERTIFICATION REQUIREMENTS

The College is now required by the Medical Council to report Fellows who do not meet the Tracking of

Professional Standards (TOPS) Programme triennium requirements andor do not meet the TOPS annual

requirements for two years in a row These changes will be amended in the TOPS manual

TOPS Point Alterations

Other upcoming changes to TOPS that have been approved by the College Council include alterations to points

acquired under the Informing and Improving Public Health Category (and consequently to points acquired under

Cultural Competence Application and Development category)

Supervision Training Mentoring Peer Reviewing points are increasing from 05 per month to 1 point per

month

Published Report Article Letter or Plan Additional points for original research of published articles letters

or plans are being reduced from 10 to 5 points

Formal Review of Public Health Documents Marking of Assessed Written Reports will acquire 10 points

increased from 5

Some additional clarifications will be added to the TOPS Manual as well TOPS participants will receive a more

detailed notice of the changes prior to the publication of the revised Manual All changes take effect from 1

January 2016

DHBS BANNED FROM SELLING

SUGARY DRINKS

The College President will

congratulate the Director General

of Health Mr Chai Chuah at a

meeting later this week on his

Ministry directive that has banned

the sale of all sugary drinks from

hospitals and DHB premises

In the directive the MOH said it

acknowledged ldquothe focus that

DHBs were putting on the

development of approaches to

address obesityrdquo and expected this

work to be further enhanced in

coming months when the next

steps for the sector will be

outlined particularly in relation to

childhood obesity


HEALTH SECTOR NEWS


BAD BEHAVIOUR IN HOSPITALS IMPACTS ON PATIENT SAFETY

The Medical Council has released a media statement in strong support of the Royal Australasian College of

Surgeonsrsquo Expert Advisory Group position that every patient has a right to expect their health care is

uncompromised by discrimination bullying and sexual harassment in the practice of surgery

Mr Andrew Connolly chairman of the Council said that there

should be zero tolerance of any discrimination bullying and

sexual harassment by surgeons or any other health practitioners

lsquoThe culture that has accepted discrimination bullying and sexual

harassment in surgery but also elsewhere in a hospital or other

workplace has to changersquo

Mr Connolly says that the Council is working with other

stakeholders to shift attitudes that have been ignored or have

simply accepted that bad behaviour is the norm

lsquoEvery health practitioner for example students interns trainees consultants nurses and so on need to know

that bad behaviour whether in theatre the recovery room clinic the office or the ward is totally unacceptable

lsquoWe need to create a safe work environment that values and nurtures people and gives them the confidence to

speak out about unsafe work practices without further intimidation or harassment

lsquoIt is no longer OK to be silent about bad behaviour because someone has a position of power or authorityrsquo

lsquoEveryone has a responsibility to speak out on things that we know are wrong We also all have a responsibility to

support those being victimisedrsquo

Mr Connolly says the Royal Australasian College of Surgeons (RACS) has been bold in addressing the issues raised

[read the full text here] A copy of the Expert Advisory Report to RACS is available here and you can listen to Mr

Connolly being interviewed by Karen Brown on RNZ Checkpoint programme here

FIRST 6-MONTHLY UPDATE ON ALA MOrsquoUI RELEASED

Progress is being made in Pacific health in New Zealand in some areas but falling short in others says a recent

public audit report

The first six-monthly update onlsquoAla Morsquoui Pathways to Pacific Health and Wellbeing 2014-2018 was released at

the end of September collating quantitative data on Pacific health

Pacific Islanders in New Zealand trumped the general Kiwi population in a number of factors the report says

These include nurse and GP usage rates numbers of children with a BMI greater than the 994th percentile being

referred for further treatment and the number of eligible adults who had a cardiovascular disease risk assess-

ment in the last five years

ldquoThese are significant achievements which show that some good work is being done across the health sector par-

ticularly in improving access for Pacific people to primary health carerdquo says Minister for Pacific Peoples and Asso-

ciate Minister of Health Sam Lotu-Iiga [read the full article here]


ADVOCACY AND ITEMS OF INTEREST


WHATrsquoS NEW ZEALANDrsquoS SHARE SHARING IN THE GLOBAL CARBON BUDGET

Dr Scott Metcalfe (Fellow Wellington) was a keynote speaker at a recent conference held at Parliament on

Climate Protection - his lsquoSharing in the Global Carbon Budgetrsquo presentation is available on the College

website here

ldquoIt has brought home to me again the

large disparities between who created

this situation and who is suffering first

and worst with climate changes From

a health equity view and comparing in

a systematic fashion across countries

we need to do much morerdquo Scott says

ldquoBasically updated United Nations

IPCC estimates are that the world as a

whole needs to be close to zero

emissions by the year 2050 So New

Zealand needs much stronger targets

than the 11 on 1990 levels by 2030

promised so farrdquo

Scottrsquos presentation describes the

worldrsquos current climate change path

the lsquoCarbon Budgetrsquo limit on how much

the world can emit climate-damaging fossil fuel emissions methods for sharing the global effort to cut carbon

emissions (including the work of the Climate Equity Reference Project) and how all this applies to New Zealand

ldquoThe faster we move to decarbonise our countryrdquo says Scott ldquothe better our future looksrdquo

Useful resources related to this presentation include the cross-party conferencersquos background research paper by

Dr Kennedy Graham MP on Climate Goals for New Zealand in 2030 lsquoAn ambitious Domestic Emissions Target

within an Appropriate Share of the Global Budgetrsquo and of course Supplement One of the Collegersquos Climate

Change Policy Statement lsquoBackground to the NZCPHMrsquos stance on setting national GHG emissions targetsrsquo

RACP Consensus Statement

On a related note the Royal Australasian College of Physicians has recently released a Consensus statement Act

now to reduce the damaging health impacts if climate change This statement calls on nations at the 2015 UN

Climate Change Conference (COP21) to commit to meaningful and urgent action to combat the adverse health

impacts of climate change As an advocate for this message since 2012 the College has added its name to the list

of now 40+ supporting organisations that include the American Medical Association and the British Medical

Association

OraTaiao Call to Action on Climate Change

In New Zealand OraTaiao The NZ Climate amp Health Council has re-released a slightly modified Health

Professionals Joint Call for Action on Climate Change and Health to which the College remains a signatory The

revised statement will be made available on the OraTaiao Website New signatories include the RACP and the NZ

Medical Association




ATTITUDES TOWARDS LEGALISING ASSISTED DYING

Invitation to take part in a survey

A NZ Doctor survey this year found that 11 of doctors polled had

engaged in assisted dying and 45 believed that there should be a

role for doctors in assisted dying and that the relevant law needed to

be changed (NZ Doctor 8 July 2015)

The University of Auckland School of Medicine is now undertaking

research to explore the range of attitudes of New Zealand medical

practitioners and nurses towards legalising physician-assisted dying in

New Zealand to (1) inform the development of any potential

legislation on this important issue and (2) provide information of value

to the relevant medical and nursing professional bodies (University of Auckland Human Participants Ethics

Committee Ref 015470) The research findings will be published to doctors through the medical colleges

Your participation in the survey will be completely confidential ndash it takes only around 15 minutes

Everyone who completes the survey before 31 October will go into the draw for one of four prizes of $100 to a

registered charity of your choice To begin the survey please click here

If you have any queries or concerns about the survey please contact the researchers- Dr Phillipa Malpas 09

9233775 pmalpasaucklandacnz or Dr Pam Oliver 0800 847484 pamoclearnetnz

Public interest in legalised assisted dying

peaked this year following the case of

Wellington lawyer Lecretia Seales (above) who

asked the High Court to uphold her right to die

at the time of her choosing

NATIONAL CERVICAL SCREENING PROGRAMME CONSULTATION

New Zealand has one of the most successful cervical screening programmes in the world Currently cervical

screening involves an examination of the cells from the cervix (cytology) with human papillomavirus (HPV)

testing to follow in some clinical situations

The National Cervical Screening Programme is considering making HPV the initial screening test with cytology to

follow if required It is well established that HPV can cause cervical cancer Changing the primary laboratory

test to one that identifies whether or not a woman has HPV is a natural progression to improve the quality

safety and effectiveness of the programme

The potential benefits of adopting primary HPV testing include

middot decrease in cervical cancer incidence and mortality

middot better detection of risk of precancerous cervical cell changes

middot providing an effective test both for women who have had the HPV vaccine and those who have not

middot safe but less frequent screening (every five years rather than every three)

As part of the consultation key areas to be explored will include safety equity the impact of the change on the

laboratory workforce and the NCSP Register and identifying how this change would be communicated to women

and health professionals The National Cervical Screening Programme values your feedback and public

consultation on the proposed change is open until 23 October 2015

The relevant consultation documents can be found here

DIRECTOR OF PUBLIC HEALTH (DPH)

Waikato DHB Full time Job Number

081473

The Director Public Health is the most senior medical advocate of public health across the district health board

and the populations it represents It is a district wide appointment with executive and strategic responsibilities

We are seeking a dynamic self motivated leader who is passionate about public health who seeks synagistic

approaches to delivery is a systems thinker and is able to influence and inspire

The skills and competencies required to be successful in this role are

A senior medical officer of health wit h a minimum of 5 years experience

A transformational and visionary leader

A full understanding and commitment to identifying developing and influencing relationships that impact

on the determinants of health

Be visible and ensure an approach that increases knowledge and literacy of communities in regard to their

health and wellbeing whilst also working with public and other organisations to achieve this

Demonstrate political awareness and savvy to ensure short and long term goals are developed to impact on

health gain

To advocate and influence the domains of public health ndash improvement protection promotion assessment

and surveillance health service provision

To demonstrate and encourage public health leadership

A copy of the Position Description is available here

For further information please go to httpwwwwaikatodhbhealthnzjobs-and-careersvacancies

Closing date Open until filled


VACANCIES AND EVENTS


HIKOI FOR HOMES - EVERYONE DESERVES A HOME

Child Poverty Action Group (CPAG) is organising a nationwide Hikoi for Homes on

21 November

The groups leading the Hikoi believe that because housing is a basic human

need access to decent quality affordable and safe housing should be seen a

human right This means that our society and more specifically the State has an

obligation to ensure that everyone living in New Zealand always has access to

adequate and secure housing

Find out more about this event andor how you could be involved here


UPCOMING EVENTS AND CONFERENCES


FIND OUT MORE ABOUT THESE UPCOMING EVENTS AND MANY MORE ONLINE

WWWNZCPHMORGNZNEWS-EVENTSEVENTS

14-16 OCT AUSTRALASIAN ROAD SAFETY CONFERENCE (ARSC2015)

The inaugural Australasian Road Safety Conference (ARSC2015) is shaping up to be bigger

than its predecessors after an overwhelming response to the call for abstracts saw more

than 280 submissions received for consideration by the conference scientific committee

22-23 OCT FROM MHEALTH TO FUTURE TECH PERSONALISED WELLNESS FOR ALL

This symposium brings together national and international experts to present the latest

research on mHealth wearable technologies and personal Big Data

30 OCT CLARO MENTAL HEALTH LAW CONFERENCE 2015

Claro New Zealandrsquos specialist health sector law firm and the Australian and New Zealand

Association of Psychiatry Psychology and Law (ANZAPPL) are pleased to announce the

dates and programme for the Mental Health Law Conference 2015 This yearrsquos theme is

the impact of alcohol drugs and addictions on mental health

6-7 NOV NATIONAL MELANOMA SUMMIT

Health professionals with an interest in melanoma will gather in Auckland for the fourth

national Melanoma Summit on 6-7 November 2015

11-12 NOV OTAGO INTERNATIONAL HEALTH RESEARCH NETWORK mdash 98TH ANNUAL CONFERENCE

With a special theme lsquoProgressing global health through trans-disciplinary partnershipsrsquo

this conference is an opportunity to meet other researchers working across diverse

disciplines in global health discuss projects they have been working on and foster new

collaborative efforts

12-15 NOV TE ORA HUI-Ā-TAU amp SCIENTIFIC CONFERENCE 2015

This year we will be hosted by Tai Wānanga Tū Toa a whare kura in Papaioea (Palmerston

North) which was founded by Te ORA member and one of two Māori sports medicine

specialists Dr Rawiri Durie Call for Abstracts extended to 9 October 2015

16-19 NOV HEALING OUR SPIRIT WORLDWIDE - THE SEVENTH GATHERING MAURI ORA

This is an important opportunity for indigenous people worldwide who have an interest

and commitment to the health education welfare business and environmental wellbeing

of Indigenous communities to come together in a cultural and spiritual community

25-27 NOV 12TH AUSTRALASIAN INJURY PREVENTION amp SAFTEY PROMOTION CONFERENCE

With a theme of ldquoImpact and Innovation Preventing Injury in a Changing Worldrdquo the

Conference in Sydney will be a multi-disciplinary event featuring representatives from all

facets of injury prevention including research teaching practice and policy


PUBLIC HEALTH IN THE NEWS


NEW ZEALAND HEADLINES

Govt must reverse its position on junk food in schools

The Green Party is calling on the Government to listen

to the overwhelming number of Kiwi parents who

want junk food banned from schools instead of

protecting the rights of food corporations which sell

junk food to our children

Water NZ again calls for government to make public

water fluoridation compulsory

The call comes with the release of a new Australian

study confirming the benefits of fluoride in drinking

water

Funding boost for emergency housing sector

The Government will invest $2 million in non-

government organisations (NGOs) in Auckland for a

short-term emergency housing response to help

address the shortage of emergency housing places

New Quality amp Safety measure for NZ hospitals

The Hospital Standardised Mortality Ratio (HSMR) has

been developed by the Ministry of Health and is being

published by the Health Quality amp Safety Commission

as part of a growing range of quality measures

Southern Clinic Network declined as PHO

The Southern District Health Board has declined the

Southern Clinic Networks application to become

Southlands second Primary Health Organisation

WellSouth remains the regions only PHO

Why are Māori Pasifika dying from heart attacks

The Heart Foundation has awarded a $90000 Research

Fellowship to University of Auckland Public Health

Physician Corina Grey to conduct the research

Tobacco market lsquoslowly dyingrsquo in NZ

Returns supplied to the Ministry of Health by New

Zealand tobacco manufacturers show a drop of 38

percent in the quantity of tobacco and cigarettes

released per adult in 2014 versus 2013 From 2013 to

2014 the number of standard cigarettes smoked per

adult in New Zealand fell to 7337 an all-time low

GLOBAL OUTLOOK

Canada Walking while working may ease muscle

pain

Scotland Putting your money where your mouth

is Scotlandrsquos attack on MRSA pays off (Lancet)

China This Map Will Tell You If Your Citys

Pollution Could Affect Your Health

ACROSS THE DITCH

Australia in the middle of ldquomental health crisisrdquo with

unnecessary deaths escalating

Australia is in the grip of a mental health crisis that is

leading to the unnecessary deaths of thousands former

Australian of the Year Patrick McGorry says

Suicide is the leading cause of death for Australians

aged between 15 and 44 with almost seven people

taking their life every day

The Commonwealth Government currently spends

about $10 billion a year on mental health but Professor

McGorry said about half of this was spent on welfare

payments which were the cost of failure not the cost

of direct care [read the full article online]

MULTIMEDIA FEATURE

TED RADIO HOUR GIVING IT AWAY

Mental Health Awareness Week is this week 5mdash11

October and in reference to the message of giving your

time your words and your presence here is a link to a

TED Radio Hour entitled Giving it all away Giving helps

define who we are and helps us connect with others

and thanks to the internet and a rise in social

consciousness theres been a seismic shift not only in

what were giving but how In this hour stories from

TED speakers who are giving it away in new and

surprising ways and the things that happen in return


COLLEGE NEWS


COLLEGE SPONSORS PUBLIC HEALTH PRIZE

The College is pleased to announce that it has agreed to sponsor the annual

Wellington School of Medicine (University of Otago) 4th year public health

module project prize

As part of the Public Health module medical students complete a real-world

research project These group research projects often involve clients

external to the University and produce results that are published and have

real-world impacts To recognise the time effort and skill the students

demonstrate as well as the impact of the research the Department of

Public Health introduced an annual group prize for the best project of the

year

This prize is awarded to the group who worked together most constructively

during the 4th Year Public Health rotation to carry out a research project

which was the most likely to have an impact on improving the health of a

vulnerable population by influencing the public decision makers and other

key stakeholders about an important public health policy issue in New

Zealand Some examples of group projects can be found here and

publications from the projects here

FROM THE GM

Lauren Webster is finishing up at

the College on 16 October

Thankfully she is not going too far

awaymdashjust a few streets over

towards the Wellington

waterfront It has been such a

pleasure to work with Lauren over

the past three years and we will

miss her wide range of talents and

her calm positive nature

I am excited (and just a little

relieved) to report that we have

appointed Laurenrsquos successormdash

there will more news about that

next month

You will see a reminder in this

newsletter of the NZ Shake Out at

915am on 15 October With such

an emphasis at the ASM and

workshop on emergency

preparedness I encourage you to

register your workplace to take

part in this event

Jane Dancer

MĀORI HEALTH SUBSTANTIVE POLICY STATEMENT

The Māori Health Policy has been developed jointly by the Policy Committee and Māori Caucus over the last year

and is now ready for final comment from the membership It is hoped that the final version will be published by

the end of this year

As a substantive policy it is important that the College membership takes ownership of the policy ndash particularly

the recommendations made regarding the Collegersquos governing bodies members and staff Consequently the

College will be inviting members to submit feedback via an online survey by 27 October 2015

Please keep an eye out for a copy of the Māori

Health Substantive Policy Statement and the

online feedback link in your inboxes

PUBLIC HEALTH WORKFORCE REPORT

In the July newsletter the College reported on some of the findings from the

Public Health Medicine Workforce Survey The final report from this work is

now available on the College website This report will be circulated to the

Medical Council of New Zealand Health Workforce New Zealand and other

relevant stakeholders


COLLEGE NEWS










COLLEGE NEWS
































month




increased from 5



January 2016


SUGARY DRINKS

















childhood obesity


HEALTH SECTOR NEWS



























public audit report
















website here































Association





Medical Association















































081473













health gain












21 November


























































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE













COLLEGE NEWS










COLLEGE NEWS
































month




increased from 5



January 2016


SUGARY DRINKS

















childhood obesity


HEALTH SECTOR NEWS



























public audit report
















website here































Association





Medical Association















































081473













health gain












21 November


























































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE













COLLEGE NEWS
































month




increased from 5



January 2016


SUGARY DRINKS

















childhood obesity


HEALTH SECTOR NEWS



























public audit report
















website here































Association





Medical Association















































081473













health gain












21 November


























































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE













HEALTH SECTOR NEWS



























public audit report
















website here































Association





Medical Association















































081473













health gain












21 November


























































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE


















website here































Association





Medical Association















































081473













health gain












21 November


























































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE


























































081473













health gain












21 November


























































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE































































water



























GLOBAL OUTLOOK


pain





ACROSS THE DITCH














MULTIMEDIA FEATURE












NEWSLETTER | OCTOBER 2015 - NZCPHM · The George Salmond oration is one tradition that we have...

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Transcript of NEWSLETTER | OCTOBER 2015 - NZCPHM · The George Salmond oration is one tradition that we have...