![]()
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
This Issue in the Journal
Use of inappropriate titles by New Zealand
practitioners of acupuncture, chiropractic, and osteopathy
Andrew Gilbey When acupuncture, chiropractic, and osteopathy practitioners
refer to themselves as Doctor, it may imply that they are registered to practise
medicine. The NZ telephone Yellow Pages shows that some practitioners of
acupuncture, chiropractic, and osteopathy use the title Doctor but are not
registered medical practitioners. This misleading using of the title of Doctor
appeared to be far more common among chiropractors (73%) than acupuncturists
(27%). This practice may also fall foul of the Health Practitioners Competence
Assurance Act 2003.
Inpatients’ use, understanding, and attitudes
towards traditional, complementary and alternative therapies at a provincial New
Zealand hospital
Amanda Evans, Bruce Duncan, Patrick McHugh, John Shaw, Craig Wilson In this study a sample of inpatients at Gisborne Hospital
was interviewed concerning their use and attitudes towards traditional,
complementary and alternative medicines and therapies (TCAM). The great majority
had used one or more such therapies and indicated that they intended to continue
using them. The main therapies used were massage, vitamins, chiropractic, and
herbals; many Māori respondents had used Rongoa (traditional
Māori) remedies. Patients were generally not telling their doctors about
these therapies, mainly because they were not being asked, and because they
believed they are safe and free of risk. The authors suggest that patient care
could be enhanced by better understanding of these issues by orthodox health
practitioners.
The potential direct impacts on human health
resulting from the establishment of the painted apple moth (Teia
anartoides) in New Zealand
José G B Derraik There seems to be no evidence of human health effects as a
result of exposure to the painted apple moth (Teia anartoides) in the
field, despite this species common presence in urban and suburban gardens in
Australia. There are, however, rare accounts of laboratory exposure in that
country and New Zealand. Allergic and toxic reactions following exposure to
arthropods are common occurrences, and exposure to any insect hairs may cause
adverse reactions in susceptible people. Therefore, it is likely that some
people would experience adverse reactions following exposure to the hairs on
Teia anartoides caterpillars, and the possibility that more sensitive
persons could experience more severe reactions cannot be discarded. However, in
contrast to previous claims, the direct impacts on human health (as a result of
the establishment of the painted apple moth in New Zealand) are likely be
minor.
Testing and detection trends of Chlamydia
trachomatis and Neisseria gonorrhoeae in Waikato, New Zealand:
1998–2006
Jane Morgan High levels of testing and detection of sexually transmitted
infections occur in the Waikato. It is unknown how many of those most at
risk—i.e. sexually active young people under-25 years of age—are
tested each year. Rising numbers of gonococcal infections in recent years
suggest ongoing sexual risk-taking behaviour. This study supports calls for
better laboratory reporting and surveillance. More information on all tests, not
just positive cases, would enable better data interpretation and more
appropriate public health action.
A school and community outbreak of tuberculosis in
Palmerston North, New Zealand
Lester Calder, Jane Rivers, Michael Hayhurst, Jeff Brown, Andrea Forde, Lou Gallagher, Patrick O’Connor A 14-year-old boy was diagnosed with infectious tuberculosis
(TB) in Palmerston North in 2006. Initial contact tracing showed a high rate of
infection among family contacts and among classmates at his secondary school.
Testing of contacts was extended to the whole school as well as to some outside
school. In all, 1828 contacts were Mantoux tested; 16 were diagnosed with TB,
and a further 235 with latent TB infection. The cases all completed full
treatment. The latent infection can cause disease in future, so treatment was
offered to these 235 people; 232 started treatment and 227 (97.8%) finished.
Students treated for latent infection took antibiotics twice a week for 4 months
under supervision. This experience taught us the importance of early diagnosis
of TB. The initial case was infectious for long enough to cause significant
spread of the infection at school. The response was major and cost about
$279,000. The very high compliance rates for testing and treatment are due to
cooperation from family and school. Other key factors in the success of the
response were communication with parents, teamwork between public health and
clinical staff, school-based assessment and delivery of medication, and the
choice of a twice-weekly 4-month course of isoniazid and rifampicin for
treatment of latent infection
Border control measures in the influenza pandemic
plans of six South Pacific nations: a critical review ((review
article))
Melissa McLeod, Heath Kelly, Nick Wilson, Michael Baker This study reviewed the border control strategies in the
publicly available pandemic preparedness plans for the South Pacific Islands,
New Zealand, and Australia. There was a substantial difference in the quality of
the border control components of the six plans available. Some of this
difference could be explained by the necessity to rationalise the range of
border control strategies to match available resources. Plans from the more
developed countries such as New Zealand and Australia had a greater level of
detail than plans from smaller and less resourced island countries, but these
plans could still benefit from further improvements.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Current
issue | Search journal |
Archived issues | Classifieds
| Hotline (free ads) Subscribe | Contribute | Advertise | Contact Us | Copyright | Other Journals |