Second meningococcal case confirmed in Canterbury this week
National Public Health Service Medical Officer of Health Dr Ramon Pink confirmed this afternoon that a second case of meningococcal disease has been reported in an 18-year-old student, and the student had been admitted to Christchurch Hospital.
“This is the fourth case of meningococcal disease in Canterbury this year,” says Dr Pink.
“We have identified the close contacts of this person and they have all received antibiotics, to prevent them developing meningococcal disease. The bacteria pass from one person to another through secretions from the nose or throat, during close or prolonged contact and the chance of anyone else catching it is low.”
Meningococcal disease is a fast-moving illness, which has symptoms similar to a number of other illnesses such as COVID-19 and influenza.
“It’s a bacterial infection that can cause two very serious illnesses: meningitis (an infection of the membranes that cover the brain) and septicaemia (blood poisoning). It can affect anyone – but it’s more common in children under the age of five, teenagers, and young adults.
“Up to 15% of people carry the bacteria that cause meningococcal disease in their nose and throat without being sick. In some people, for reasons we don’t fully understand, these bacteria sometimes go on to cause disease, spreading through the bloodstream (causing blood poisoning) or to the brain (causing meningitis). The bacteria are spread in secretions from the nose or throat by coughing, sneezing and kissing,” Dr Pink said.
Signs and symptoms of meningococcal disease
Meningococcal disease symptoms typically develop very quickly over a few hours, but in some cases may develop more slowly over several days. A person with meningococcal disease may only have some of the symptoms. The symptoms don't develop in any particular order.
Common symptoms of meningococcal disease include:
Common symptoms of meningitis include:
A red or purple rash is common, but it doesn't always happen. One or two spots can appear anywhere on the body then many more appear looking like rash or bruises.
If you’re concerned that someone in your family might have meningococcal disease, call your doctor straight away or dial 111. Say what the symptoms are.
In Canterbury you can call your own general practice team 24/7 and after-hours when the practice is closed simply follow the instructions on the answer phone to be put through to a health professional who can provide free health advice. You can also call Healthline 0800 611 116 24/7.
If you have seen a doctor and gone home, but are still concerned, don't hesitate to call your doctor again or seek further medical advice.
More information on prevention can be found here: https://www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/meningococcal-disease-including-meningitis
Health Warning lifted for Algal Bloom in Rakahuri/ Ashley River at SH1 Bridge
Te Mana Ora | Community and Public Health has lifted its algal bloom health warning issued for the Rakahuri/ Ashley River at the SH1 Bridge.
Recent cyanobacteria surveys of the Rakahuri/ Ashley River has shown the cover of potentially toxic algae (benthic cyanobacteria) in the river has reduced and is now below levels that are of concern to public health.
Dr Ramon Pink, Canterbury Medical Officer of Health, National Public Health Service, says Environment Canterbury’s monitoring of Rakahuri/ Ashley River will continue to the end of this summer and then will resume next summer when there is increased likelihood of cyanobacteria growth.
Facts about cyanobacteria:
For further details visit: www.lawa.org.nz/explore-data/canterbury-region/
Or contact Te Mana Ora on (03) 364 1777:www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: www.cph.co.nz/wp-content/uploads/saf0112.pdf
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For further information, contact:
With the Waitaha/Canterbury forecast to get a stretch of scorching temperatures over the next few days, Cantabrians are being urged to look after themselves
Te Mana Ora | Community and Public Health is urging Cantabrians to keep cool and hydrated during what looks set to be a stretch of scorching temperatures hitting the region this week.
Hot weather is forecast for Christchurch with temperatures predicted to get to a maximum of 29 degrees on Thursday 26 and Friday 27 January.
Dr Ramon Pink, Canterbury Medical Officer of Health for Te Whatu Ora, National Public Health Service, says while we may welcome a run of hot weather, the heat can affect us all and overheating is a condition than can prove fatal.
“It's especially important to stay out of the sun where possible, avoid extreme physical exertion and ensure pets and people are not left alone in stationary cars.
“While we are all vulnerable to hot temperatures, some people are particularly at risk. This includes the elderly, infants and children, women who are pregnant, people suffering from chronic, acute and severe illness,” says Dr Pink.
However, there are some simple steps that we can all take to reduce the risk to our health when the temperatures are high. They include:
Dr Pink says people whose work involves strenuous physical activity outdoors should be particularly vigilant to avoid overheating in hot weather.
“It’s important people exposed to hot weather for long periods of time carry water with them and sip at least half a litre an hour, allow for more breaks in the shade, reapply sunscreen every two hours and schedule the hardest work in the coolest part of the day.
“As well as being SunSmart (Slip, Slop, Slap & Wrap) if you have to go outside, everyone is advised to keep their houses cool by closing curtains on windows getting direct sun, opening windows to get a breeze if its cooler out than in, and consider using the cool cycle on heat pumps,” says Dr Pink
If it’s not possible to keep your home cool, you should look to spend a few hours of the day in a cool place e.g. an air-conditioned public building, Marae or church, all of which tend to be cool in summer.
People should keep medicines below 25C degrees or in the refrigerator (read the storage instructions on the packaging).
If you feel dizzy, weak or have an intense thirst or headache you may be dehydrated. Drink some water and rest in a cool place. If your symptoms persist or you’re concerned about your health, or someone else's, seek medical advice. You can call your general practice team 24/7 for care around the clock – after hours a nurse can provide free health advice, and tell you what to do and where to go if you need to be seen urgently.
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For further information, contact communications@cdhb.health.nz
A health warning has been issued for the Rakahuri/Ashley River at SH1
Te Mana Ora | Community and Public Health has issued a health warning for the Rakahuri/Ashley River at SH1.
The warning follows finding moderate to high cover of potentially toxic algae (benthic cyanobacteria) in the Rakahuri/Ashley River at SH1 with exposed and detaching mats.
People should avoid the area and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
There are also other access points along the Rakahuri/Ashley River that may have benthic cyanobacteria present. People are advised to treat every low-flowing river cautiously, check for the presence of benthic cyanobacteria and avoid contact.
Dr Matthew Reid, Medical Officer of Health for Te Mana Ora, National Public Health Service, Te Whatu Ora, says the algae look like dark brown to black mats and can produce toxins harmful to people and animals.
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips.”
“If you experience any of these symptoms, visit your doctor immediately, also let your doctor know if you’ve had contact with dark brown/black algal mats or water in this area”, Dr Matthew Reid says.
Pets that show signs of illness after coming into contact with algal mats should be taken to a vet immediately.
People and animals should remain out of the waterways until the warnings have been lifted.
Environment Canterbury is monitoring the sites and the public will be advised of any changes in water quality.
For further details visit: https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Te Mana Ora on (03) 364 1777: https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
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Julia Goode, Senior Media Advisor, Kaitohutohu Whakawhiti-Kōrero Mātāmua
021 223 2141
communications@cdhb.health.nz
Health Warning lifted for Cass Bay
Advice issued 10 January 2023.
Te Mana Ora | Community and Public Health unit has lifted its health warning for Cass Bay.
Latest water testing results show faecal bacteria levels at Cass Bay are now below health guidelines and the health warning issued on 30 December 2022 has been removed.
“This is great news for swimmers and other recreational water users in who would have been avoiding the water following the high levels of contamination,” says Dr Cheryl Brunton, Canterbury Medical Officer of Health, National Public Health Service, Te Whatu Ora
“Whilst the temporary warning for Cass Bay has now been lifted a number of other sites within Whakaraupō/Lyttelton Harbour including Corsair Bay, Rāpaki Bay, Sandy Bay, Diamond Harbour Beach, Purau Beach are permanently unsuitable for swimming.”
Water contaminated by human or animal faecal bacteria may contain a range of disease-causing micro-organisms such as viruses, bacteria and protozoa.
Before you head to our beaches, rivers, lakes or other waterways this summer, please check to ensure it is safe for you, your whānau and your dogs. The Land, Air, Water Aotearoa website provides recreational water quality information for our region and New Zealand.
Anyone that experiences gastrointestinal illness should contact their GP in the first instance or call Healthline on 0800 611 116
For further details visit: www.lawa.org.nz/explore-data/canterbury-region/
Or contact Te Mana Ora on (03) 364 1777: www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: www.cph.co.nz/wp-content/uploads/saf0112.pdf
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Media contact: Julia Goode, Senior Media Advisor, Kaitohutohu Whakawhiti-Kōrero Mātāmua
021 223 2141
communications@cdhb.health.nz
Closure of Orchard Road COVID-19 Testing Centre
The final day for the Orchard Road COVID-19 Testing Centre will be tomorrow, Friday December 16.
Becky Hickmott, Senior Responsible Officer for System Pressures, says that after 27 months serving the population of Christchurch, the centre is closing as local pharmacies and healthcare providers are now able to manage the demand for testing and access to RAT kits in Canterbury.
“Testing continues to be a key tool to help New Zealand identify, isolate and recover from COVID-19 as we all learn to live with it,” says Becky Hickmott.
“We’ve certainly had our moments with high public demand for tests from this site, including queues being so long they blocked part of State Highway 1 on one particularly unforgettable day. Orchard Road has recently seen numbers drop as low as 5 PCR tests and 15 people requesting RATs in a single day.”
“COVID-19 tests are free and widely available. You can get free Rapid Antigen Test (RAT) from a number of local pharmacies in Canterbury and some people can also get them from kura or their workplaces.”
COVID-19 anti-viral medication is available for people who test positive or have symptoms and are a household contact, are over 65 years or Māori and Pacific aged over 50 years or considered one of a high-risk group. Talk to your health care provider to see if you are eligible.
“I would like to emphasise that the most important thing that Cantabrians can do is get vaccinated, including boosters if eligible. Please keep sharing this message with your friends and whanau.”
“We’ve all learnt some great healthy habits over the past two years of the COVID-19 pandemic, such as vaccination, wearing masks, physical distancing and increasing ventilation when indoors. These measures will help protect us from COVID-19 and other viruses circulating in the community.”
Now that summer’s here, it’s important to be prepared and understand how COVID- 19 might affect your holiday.
“If you’re going to be away from home, consider taking a kit that contains Rapid Antigen Tests (RATs), hand sanitiser, masks or face coverings, and your usual medications,” says Becky Hickmott.
“It's also really important to have a plan in place if you or any members of your family become infected with COVID-19, including how to get home safely to isolate.”
Save the number for Healthline into your phone: 0800 611 116 – for free health advice 24/7 including public holidays like Christmas Day. You can call Healthline from anywhere in the country, and they’ll provide local advice on where to go and what to do if you need to be seen or to access a COVID-19 test.
Get ready now and make sure you have enough RATs to test everyone in your whānau over the holidays if you need to. These can be ordered here and picked up from a collection site. Whether your test is positive or negative, you should report the results of your RAT. Find out how to report your test results here: https://covid19.govt.nz/testing-and-isolation/covid-19-testing/report-your-rat-with-my-covid-record/
Get up to date with your vaccinations, including any boosters before you head off on holiday.
Access to COVID-19 vaccinations will still be available at some locations over the Christmas break. Visit https://vaccinatecanterburywestcoast.nz/ for details on where you can get vaccinated over the holiday period.
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Julia Goode, Senior Media Advisor, Kaitohutohu Whakawhiti-Kōrero Mātāmua
021 223 2141
communications@cdhb.health.nz
Health Warning – Algal Bloom in Waikirikiri Selwyn River at Whitecliffs Domain
Te Mana Ora | Community and Public Health has issued a health warning for Waikirikiri Selwyn River at Whitecliffs Domain.
The warning follows finding moderate to high cover of potentially toxic algae (benthic cyanobacteria) in the Waikirikiri Selwyn River.
People should avoid the area and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
There are also other access points along the Waikirikiri Selwyn River that may have benthic cyanobacteria present. People are advised to treat every low-flowing river cautiously, check for the presence of benthic cyanobacteria and avoid contact.
Dr Cheryl Brunton, Medical Officer of Health for Te Mana Ora, National Public Health Service, says the algae look like dark brown to black mats and can produce toxins harmful to people and animals.
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips.”
“If you experience any of these symptoms, visit your doctor immediately, also let your doctor know if you’ve had contact with dark brown/black algal mats or water in this area”, Dr Brunton says.
Pets that show signs of illness after coming into contact with algal mats should be taken to a vet immediately.
People and animals should remain out of the waterways until the warnings have been lifted.
Environment Canterbury is monitoring the sites and the public will be advised of any changes in water quality.
Facts about cyanobacteria:
For further details visit: https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Te Mana Ora on (03) 364 1777: https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
For further information, contact: communications@cdhb.health.nz
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To be attributed to Dr Greg Hamilton, Canterbury General Manager Specialist Mental Health Service, Te Whatu Ora.
Following an extensive consultation process where feedback was received from 47 submitters, a decision has been made to close the small Tupuna Unit on the Hillmorton Campus.
Tupuna is currently an inpatient extended care unit which provides 24-hour care and support for people with mental health issues who require longer term inpatient stays as they prepare to return to the community.
Staff and the nine tāngata whaiora (people seeking wellness) currently receiving care and support at Tupuna have been informed of this decision. The focus is now on supporting staff to transition to new roles within the Specialist Mental Health Service and working closely with tāngata whaiora and their whānau to find alternative care and support options both in the community or in other inpatient services.
There is no fixed time-frame for tāngata whaiora to move, it will happen over coming weeks to ensure services are well matched to people’s needs.
Tupuna’s bed numbers have been reduced this year due to difficulties sustaining an appropriate staff mix in the unit. The unit currently has 13.6 FTE and has been relying on casual staff and nurses working additional duties to staff the unit. Despite staff’s best efforts we acknowledge that we haven’t able to provide consistent staffing due to workforce challenges that are impacting all our services.
Once closed, the building where Tupuna is located will be refreshed and it’s expected to be ready to accommodate up to 16 patients by the end of August 2023 in a more contemporary environment.
What is yet to be finalised is the new model of care for acute inpatients across the continuum of adult care – this work is underway. However it’s planned that this unit will continue to be one of three inpatient facilities on the Hillmorton Campus available for those needing adult inpatient care.
The welcome news this week confirming the funding for the new adult inpatient unit (to replace the current Te Awakura unit) means planning can start on another new facility to support contemporary care on the Hillmorton Campus.
Work on Building 12, which will house adult inpatients moving from The Princess Margaret Hospital, is progressing well and on track for completion next year. These two buildings, along with Building 8 (currently housing Tupuna) will provide three facilities on the Hillmorton Campus for adult inpatients that will help transform and improve the experience of tangata whaiora receiving inpatient care.
In addition to modern fit for purpose inpatient beds, it is important that people are able to access intensive support in the community including inpatient alternative such as home-based treatment, community-based respite and peer-led alternatives. There are a number of new and developing initiatives underway to improve access to mental health and wellbeing support in the community and develop this integration including the general practice-based Te Tumu Waiora (with almost 60 FTE of health improvement practitioners, health coaches and support workers).
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Of the nine current inpatients, four already have a staged discharge plan in place which will see them living back in the community with appropriate supports. The team will continue to work closely with consumers and their families to ensure all options and pathways are considered. There may be some who will need ongoing specialist support which may include extended care in another inpatient unit while we continue to assess their clinical need and engage with them and their whānau to work towards new homes with community providers where possible.
These projects are part of the Government’s Mental Health Infrastructure Programme and combined, the Hillmorton Campus projects have a budget of over $200 million.
Work currently underway on the Hillmorton Campus includes:
Building 14 which will house the Eating Disorders and Mothers and Babies Inpatient and Community Outpatient Services, Child Adolescent and Family Inpatient Services and Day Programme, and the Southern Health School currently based at The Princess Margaret Hospital.
Building 12 is a facility to support extended treatments and will house Adult Inpatient Services currently provided in the Seager Clinic based at TPMH
In addition, structural strengthening is underway on the former laundry building near the campus which is being repurposed into a modern, fit-for-purpose community outpatient facility for providing Child and Youth Mental Health facilities. This is being partially supported by Māia Health Foundation funds.
There will also be an Energy Centre building that will utilise ground source heat pumps (the ground source heat pumps are part of our journey towards being carbon neutral, with the support of EECA funding).
A future tranche is planned to include a new facility for forensic mental health facilities.
The Hillmorton campus is on a journey called Te Huarahi Hou. The journey will see many buildings and facilities improved, modernised and transformed as part of a masterplan to ensure it will meet the needs of our community, and support staff to deliver contemporary mental health care and support people’s treatment and recovery.
Future services will have three Hillmorton-based units to provide for the needs of people from acute to rehabilitation. The focus will be on therapy and functional enablement to provide the skills and supports for living in community. For those requiring extended care, therapeutic approaches will be provided by a more diverse workforce, including more use of allied health staff and kaiāwhina.
Consultation feedback included comments about tangata whaiora needs, health inequities, the impact on beds, flow and service pressures, staffing, the model of care and buildings and facilities.
Julia Goode, Senior Media Advisor, Kaitohutohu Whakawhiti-Kōrero Mātāmua
021 223 2141 communications@cdhb.health.nz
Health Warning – Algal Bloom in Waikirikiri Selwyn River at Glentunnel – 16 November 2022
Te Mana Ora | Community and Public Health has issued a health warning for Waikirikiri Selwyn River at Glentunnel.
The warning follows finding moderate to high cover of potentially toxic algae (benthic cyanobacteria) in the Waikirikiri Selwyn River at Glentunnel.
People should avoid the area and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
There are also other access points along the Waikirikiri Selwyn River at Glentunnel that may have benthic cyanobacteria present. People are advised to treat every low-flowing river cautiously, check for the presence of benthic cyanobacteria and avoid contact.
Dr Cheryl Brunton, Medical Officer of Health for Te Mana Ora, National Public Health Service, says the algae look like dark brown to black mats and can produce toxins harmful to people and animals.
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips.”
“If you experience any of these symptoms, visit your doctor immediately, also let your doctor know if you’ve had contact with dark brown/black algal mats or water in this area”, Dr Brunton says.
Pets that show signs of illness after coming into contact with algal mats should be taken to a vet immediately.
People and animals should remain out of the waterways until the warnings have been lifted.
Environment Canterbury is monitoring the sites and the public will be advised of any changes in water quality.
For further details visit: www.lawa.org.nz/explore-data/canterbury-region/
Or contact Te Mana Ora on (03) 364 1777: www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: www.cph.co.nz/wp-content/uploads/saf0112.pdf
For further information, contact: communications@cdhb.health.nz
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Media contact:
Julia Goode, Senior Media Advisor, Kaitohutohu Whakawhiti-Kōrero Mātāmua
021 223 2141 communications@cdhb.health.nz
Leaky underground water pipes are being replaced this week on The Princess Margaret Hospital site in Christchurch. The work started on Tuesday 15 November and is expected to be complete by Thursday 17 November.
While this work is undertaken there is no potable (drinkable) mains water on the site so the clinical teams have worked to reduce the number of people on site, including both staff and consumers.
Te Whatu Ora Specialist Mental Health Services manager in Canterbury, Dr Greg Hamilton, offered his apologies to consumers, family-whanau and staff for the inconvenience caused while this work was being carried out.
Bottled water, portaloos, portable solar showers and sterile wipes are available for staff and patient use. Water is still available for the fire sprinklers, and water from the on-site fire hose can be used to flush indoor toilets.
“We acknowledge the disruption that this work causes and thank everyone for their patience. The leaky underground pipes have been causing issues for some time, so we will all be pleased once these repairs are complete.
“All the remaining inpatient mental health services currently on The Princess Margaret Hospital site will be moving to brand new, modern, fit for purpose facilities on the Hillmorton Campus next year, while community outpatient services for Older Person’s Health and Child Adolescent and Family will remain on the site until 2024,” Dr Hamilton said.
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Health Warning – Algal Bloom in Lake Pegasus
Te Mana Ora Community and Public Health, part of Te Whatu Ora National Public Health has the following public health advice in relation to smoke from the fire located near Woodend beach/Pegasus Town, which presents a moderate risk to health:
Air around this area is smoky and there is potential that people who are sensitive to smoke – such as those with heart or lung conditions, pregnant women, young children and the elderly – may experience symptoms like coughing, shortness of breath or eye, nose and throat irritation.
Waitaha Canterbury Medical Officer of Health Dr Ramon Pink says exposure to smoke can worsen pre-existing health conditions such as asthma and heart disease.
“People affected by the smoke should close windows and doors, stay inside if it’s safe to do so and avoid or reduce outdoor exercise.
“Anyone experiencing health issues from the Woodend fire should phone their usual general practice team in the first instance,” Dr Pink says.
“For families returning to homes or holiday accommodation after the fire, it is important to know the smell of smoke in your properties presents no serious threat to health.”
If you see or smell smoke outside, you should stay inside if it’s safe to do so.
Remember to:
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Media statement by Hon Andrew Little and Hon Peeni Henare | Pānui pāpāho na te Honore Andrew Little me te Honore Peeni Henare
Health Minister Andrew Little welcomes Te Pae Tata | the Interim New Zealand Health Plan jointly developed by Te Whatu Ora – Health New Zealand and Te Aka Whai Ora – Māori Health Authority.
“We have consolidated the public health system and now we have a plan to achieve national service coverage and nationally consistent operating policies,” Health Minister Andrew Little said.
“This plan puts into action the Government’s record investment in health from Budget 2022. This Government has increased health spending by more than 40-percent, to $24-billion, since coming to office 2017.
“The plan has been put together by clinicians and health experts and sets out the range of tasks that will be taken over two years to strengthen hospitals, primary care, and tackle the longstanding challenges including workforce shortages,” Andrew Little said.
“Te Pae Tata will lay the foundation for a properly co-ordinated system to better support patients whether they are at the GP, in hospital, or in some other form of care.”
As well as prioritising workforce and workplace issues, Te Whatu Ora and Te Aka Whai Ora have made specific commitments to improve outcomes in:
“The plan will be financially sustainable and any efficiencies will be ploughed back into more services for patients,” Andrew Little said.
“Having a joint plan for Te Whatu Ora and Te Aka Whai Ora, working as equal partners, is a game changer for Māori and whānau,” Associate Health Minister Peeni Henare said.
“It will grow kaupapa Māori services and give Māori a strong voice in a new system focused on improving the disproportionate health outcomes that have long affected our whānau.
“I am proud that Māori voices and hauora expertise will be reflected at every level of our new health system, improving outcomes for Māori and non-Māori across Aotearoa.”
E whakanui ana a Andrew Little te Minita mo ngā take Hauora i Te Pae Tata, te rautaki hauora taupua i waihanga ngātahitia e Te Whatu Ora me Te Aka Whai Ora.
“Kua whakakotahi e mātou te pūnaha hauora, ā, kua whai rautaki ano hoki mātou kia horapa whānui ki te motu ngā ratonga kia ōrite ano hoki ngā whakahaere kaupapa here”, hei tā te Minita take Hauora tā Andrew Little.
“Ko tā tēnei rautaki he whakatinana i te nui o tā te Kāwanatanga whakangao pūtea ki roto i ngā kaupapa hauora i waitohua ai i te Tāhua Pūtea 2022. Mai i te tau 2017 kua rahi kē atu te whakangao pūtea ā tēnei Kāwanatanga ki ngā kaupapa hauora, kua piki ake mā te 40-paehenti tūhene atu ki te $24-piriona.”
“Nā ngā tohunga hauora me ngā mātanga hauora tēnei rautaki i waihanga, ko tā tēnei rautaki he whakariterite i ngā mahi i roto i ngā tau e rua e tū māi nei hei whakapakari ake i ngā ratonga hohipera, ngā ratonga mātanga mē ngā raruraru kaimahi kua roa e noho nei i roto i tēnei rāngai,” hei tā Andrew Little.
“Mā Te Pae Tata e whakatakoto i te tūāpapa e tika ai te mahi tahi a te pūnaha ki te tautoko i ngā tūroro, he ahakoa rā haere ai ki te Tākuta, ki te hohipera, ki tētahi atu ratonga hauora rānei.”
Apā noa atu ki te whakaarotau i ngā raruraru kaimahi, wāhi mahi hoki, e ōati ana a Te Whatu Ora me Te Aka Whai Ora ki te hiki i te taumata o te hauora i roto i:
“Toitū nei ngā whakahaere pūtea o tēnei rautaki, āpiti atu ki tēnei, ko ngā painga katoa ka kōwhitia mai ki roto ki ngā ratonga tautoko i ngā tūroro,” hei tā Andrew Little.
Hei tā te Minita Takirua mo ngā kaupapa Hauora tā Peeni Henare “mā te whai a Te Whatu Ora mē Te Aka Whaiora i te rautaki kotahi, i runga i te mana ōrite, ka tino kitea ngā hua ka puta ki te Māori, ki ngā whanau ano hoki.
“Ka tipu ngā ratonga kaupapa Māori, ka pakari kē atu te reo a te Māori i roto i tēnei pūnaha hou, ko te aronga nui o tēnei pūnaha hou he whakatika i ngā hē o te pūnaha hauora kua roa e pēhi nei i ngā whanau.
“Ka nui taku koa, ka rāngona ngā reo a te Māori, ka kitea ano hoki ngā pukenga hauora a te Māori ki ia taumata o tā tātou pūnaha hauora hou, e hiki nei i te toi-oranga mo te katoa o Aotearoa, ahakoa Māori mai, aha ake rānei.”
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Health Warning for Algal Bloom at Te Roto o Wairewa/ Lake Forsyth
Te Mana Ora | Community and Public Health has issued a health warning after potentially toxic blue-green algae (planktonic cyanobacteria) was found in Te Roto o Wairewa – Lake Forsyth
People should avoid the lake and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
Dr Cheryl Brunton, Waitaha Canterbury Medical Officer of Health, says the algal bloom can produce toxins harmful to humans and animals.
“People should avoid contact with the water until further notice.”
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips. If you experience any of these symptoms visit your doctor immediately and please let your doctor know if you have had contact with the lake water”, Dr Brunton says.
No one should drink the water from the lake at any time. Boiling the water does not remove the toxin.
Animals that show signs of illness after coming into contact with algal mats or scums should be taken to a vet immediately.
Fish and shellfish can concentrate toxins and their consumption should be avoided. If fish are eaten, remove the gut and liver and wash in clean water.
Further information on gathering Mahinga Kai can be obtained below.
Environment Canterbury monitors the lake weekly and the public will be advised of any changes in water quality that are of public health significance.
For further details visit: https://www.lawa.org.nz/explore-data/canterbury-region/ Or contact Te Mana Ora on (03) 364 1777:
https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
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The Emergency Department and Canterbury’s Urgent Care facilities are currently under significant pressure says Norma Campbell, System Wide Operations Centre Controller for Te Whatu Ora Waitaha Canterbury,
There were 368 presentations to ED yesterday which is exceptionally busy for midweek, and 101 people were either being treated or waiting to be seen at 4pm today.
“I need to emphasise that people who need care more urgently will be seen sooner and will get the care they need,” says Norma Campbell.
“If you don’t need emergency care, please phone Healthline on 0800 611 116 any time of the day or night and they can advise you on what to do and where to go if you do need to be seen urgently. You can also call your usual general practice or speak to your local pharmacist for health advice.”
“There is no single condition causing the high demand, it is a range of illnesses affecting the community.
Although we are asking for your help in reducing demand, if you are really unwell we do still want to see you. I apologise to those who are having to wait and understand that this can be particularly distressing when you are unwell,” Norma Campbell says.
Due to a combination of high demand, very sick patients and a lack of staff, Moorhouse Medical and Riccarton Clinic are currently unable to see walk-in patients and are taking enrolled patients by booked appointment only for the remainder of today, Wednesday 28 September, and at Moorhouse Medical tomorrow, Thursday 29 September.
The 24 Hour Surgery is operating as normal today but is busier than usual with waits of six hours or more for patients with less urgent needs. Tomorrow and into the weekend all three urgent care facilities will be very busy and/or operating reduced services due to staffing issues.
“Our Emergency Department is also exceptionally busy and our hospital is operating over capacity. We are taking a number of actions to free-up staff capacity, such as postponing some surgeries and rescheduling some outpatient appointments. Note, this will exclude all gastroscopy and colonoscopy procedures as well as urgent cancer surgeries.
“We apologise to everyone impacted by delays in their care, but we need to take these measures to ensure we can continue to provide emergency care,” Norma Campbell says.
“People will be contacted directly if their appointment needs to be rebooked. If you haven’t heard from us, please assume that it is going ahead. If you’re not sure, please phone the number on your appointment letter.”
There are other things you can do that will take the pressure off the system – you can:
Due to reduced staff capacity, Moorhouse Medical will be closed to urgent care walk-ins for the remainder of today and tomorrow, Thursday 29 Sept. GPs there will be able to see only booked patients until 6pm Monday- Friday. Moorhouse’s other services, including their fracture clinic, will be running as normal.
On Saturday and Sunday, the Moorhouse team will be able to see urgent walk-ins during the reduced hours of 8am to 2pm and on Monday until 4pm (instead of the normal 8pm).
Riccarton Clinic is seeing enrolled patients with booked appointments only today and is expected to also have reduced capacity to see urgent walk-ins tomorrow (Thursday).
The 24 Hour Surgery is operating as normal today but will have staffing issues tomorrow, 29 September.
Hours over the weekend will be updated on Friday.
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In this edition of Te Whatu Ora Waitaha | Canterbury Pānui
This week we celebrate an engagement award for our Waitaha and Te Tai o Poutini teams for playing their part in an interactive ‘Te Ao Māori’ for professionals programme, we recognise Mental Health Awareness Week and we feature a fun and fantastic initiative supporting tamariki going through radiation treatment at Christchurch Hospital.
We also bring you our Te Reo ‘lesson two’ focusing on useful greetings and there’s more of our teams pets to meet.
This week’s quiz is all about foods from around the world – make sure you’re not hungry before you start, it’s all very tempting!
We welcome your feedback on the new Te Whatu Ora Waitaha | Canterbury Pānui. Please get in touch via email: communications@cdhb.health.nz
You can read the Te Whatu Ora Waitaha | Canterbury Pānui in two different formats:
View on issuu.com Download PDF (8MB)
In this edition of Te Whatu Ora Waitaha | Canterbury Pānui
Following on from the success of Te Wiki o Te Reo Māori, we introduce a new regular feature celebrating the Māori language and giving us all easy to learn Te Reo lessons. This first lesson focuses on the alphabet and pronunciation, along with tips on how to install the Māori keyboard on your computer. Ka rawe!
The celebrations continue and in this issue we also recognise more of our fantastic people in an extended ‘thank-a-thon’ feature. There were just too many great people we still had to make sure we threw a shout out to!
This week’s quiz takes us back twenty five years to 1997 – how many of us are old enough to remember the year that included a certain bespectacled wizard who was the hero of our go to book… and it was a ‘Titanic’ year at the movies?
And we’ve got another new feature in this week’s edition……we find out all about your pets and why you love them.
We welcome your feedback on the new Te Whatu Ora Waitaha | Canterbury Pānui. Please get in touch via email: communications@cdhb.health.nz
You can read the Te Whatu Ora Waitaha | Canterbury Pānui in two different formats:
View on issuu.com Download PDF (11MB)
Te Whatu Ora Waitaha Canterbury makes changes to visitor policy to protect vulnerable patients
To ease pressure on the health system and protect vulnerable and older patients, from tomorrow morning, 7am 20 July, temporary changes to Te Whatu Ora Waitaha Canterbury’s visitor policy take effect at the district’s hospitals and health centres.
During the past two weeks, there has been a significant increase in COVID-19 cases on top of other respiratory illnesses – resulting in a larger proportion of our population and health workforce unwell or looking after whānau at home. While this isn’t unexpected in winter, we are seeing a far greater impact, earlier than usual, across hospitals and primary care.
Becky Hickmott, Incident Management Controller for the Omicron outbreak says that to protect our vulnerable patients, we are tightening our visitor restrictions and enforcing a ‘no mask, no entry’ policy.
“Children and young people under the age of 16 will not be allowed into Te Whatu Ora Waitaha Canterbury facilities, unless the visit is prearranged on compassionate grounds. This is because medical masks are less likely to fit under 16s well and children are less likely to be able to wear them correctly for the duration of a visit. Anyone who looks like they might be under 16, but isn’t, should bring some photo ID with them as proof of age.
“From tomorrow morning you will need to mask up and keep your mask on at all times while inside any of our facilities, and we have increased the minimum age of visitors to one person aged 16 or over to visit each patient,” Ms Hickmott says.
Visiting hours for Christchurch Hospital are also being reduced to between 3 and 8pm to allow patients more time to rest and recover and ease pressure on health workers, with a significant proportion of the workforce currently unwell or looking after whānau at home due to COVID-19 and other respiratory illnesses. Entry to Canterbury hospitals and health centres will be via main entrances only.
“Given we expect sustained pressure on health services to continue throughout winter, it will help if everyone does their bit to help us get through the cooler months. Our best protection this winter is to be up to date with influenza and COVID-19 vaccinations, which can help reduce the need for hospitalisation, along with the other precautions of staying home when sick, getting tested when you have flu-like symptoms, wearing masks as directed, and regularly washing hands.”
Visitor guidelines
Mask wearing
No visiting patients with COVID-19
You must NOT visit our facilities if you
Full details of the new visitors’ rules, including exceptions, will be published on our website at midnight tonight.
A reminder to everyone that you can now pick up supplies of free RATs and masks from community testing centres and participating pharmacies. You don’t need to have symptoms to get free RATs. Wherever possible please order online at https://requestrats.covid19.health.nz/ or by calling 0800 222 478.
Please check Healthpoint for a list of participating pharmacies as not all pharmacies can distribute free RATs. You can find your nearest community based testing/RAT and mask collection centres here P2/N95 masks are available for people who are at higher risk of hospitalisation if they get COVID-19.
More COVID-19 vaccine options
For adults aged 18 and over who wish to have a different COVID-19 booster vaccine option, Novavax and AstraZeneca are now available to book as a second booster at least six months after a first booster.
While Pfizer continues to be the preferred vaccine, the alternative boosters will be available from 14 July for priority groups. You can find the eligibility criteria here: https://www.health.govt.nz/covid-19-novel-coronavirus/covid-19-vaccines/covid-19-vaccine-boosters. Second boosters are free and are important for our most vulnerable people as we go through winter. Staying up to date with the recommended COVID-19 vaccinations will continue to protect you from the risk of serious illness, hospitalisation or death from COVID-19.
Check out https://vaccinatecanterburywestcoast.nz/ to see where you can receive these vaccines. AstraZeneca boosters require a prescription and you can get this for free either from a GP or from a participating vaccination centre.
It’s also time to see if you are winter ready and ensure your other vaccinations are up to date such as flu and MMR (measles). Your family doctor can help, and many vaccinations can be done at your local pharmacy.
If you’re in Christchurch, join us at our community vaccination events and stay for kai, colouring competitions and spot prizes. You can get both COVID-19 and MMR vaccinations if you need them. Free flu vaccinations are also available for those in the eligible groups. Check if you’re eligible here: https://www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/influenza/flu-influenza-vaccines/getting-flu-jab
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Health Warning lifted for Algal Bloom in Selwyn (Waikirikiri) River at Glentunnel – 19 July 2022
Te Mana Ora | Community and Public Health has lifted its algal bloom health warning issued for the Selwyn River (Waikirikiri) at Glentunnel. This was issued on 19/11/2021.
Recent cyanobacteria surveys of the Selwyn River (Waikirikiri) have shown the cover of potentially toxic algae (benthic cyanobacteria) in the river has reduced and is now below levels of concern to public health.
Dr Ramon Pink, Medical Officer of Health of Te Whatu Ora Waitaia | Canterbury, says Environment Canterbury’s monitoring of Selwyn River (Waikirikiri) will resume next summer when there is increased likelihood of cyanobacteria growth.
For further details visit: https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Te Mana Ora on (03) 364 1777: https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai: https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
For further information, contact: communications@cdhb.health.nz
The new Healthy Lifestyles|Pae Ora programme will be provided by Waitaha Primary Health, Tangata Atumotu Trust, Whānau Whanake and Purapura Whetu Trust. Healthy Lifestyles is about supporting our community to achieve improved health and wellbeing and reducing the burden of disease on those with long term health conditions.
Tracey Maisey, Executive Director Planning, Funding and Decision Support, says that changes have been made as a result of a thorough co-design process with the community, and the new services will reflect the findings of that positive engagement.
“This was, for us, a different way of commissioning providers, and one where we listened to consumers and were guided by their feedback,” says Tracey Maisey.
“With the shift to Te Whata Ora – Health New Zealand, this was, for us, an exciting opportunity to work differently with our providers, and their feedback has been instrumental in guiding our approach.
“It became clear that we needed to provide a more holistic, collaborative and culturally responsive whānau/family partnership approach, targeted at our priority populations.”
Pae Ora ki Waitaha, a working group of the Population and Health Service Level Alliance, held extensive community consultation with our Māori, Pacific, youth, disability, rainbow, older persons and refugee communities, as well as with clinicians across the health system, to understand what was needed in an equitable health system and to determine the principles and criteria needed for the new service.
Te Whatu Ora – Waitaha Canterbury then ran a Request for Proposal process and a new service model was drafted with the providers which will enhance our ability to provide culturally engaging, responsive, accessible and whānau-centred services.
Waitaha Primary Health Chief Executive Bill Eschenbach is delighted to be part of the new Healthy Lifestyles|Pae Ora Service.
“A health assistant will be assigned to a client and will work alongside them and their whānau to set their own goals which will help them to move toward their dreams and aspirations of living a healthy lifestyle.
“Our Whānau Ora approach will support our clients to remove barriers to achieving a healthy lifestyle and achieve sustainable intergenerational change.”
Karaitiana Tickell, Kaiwhakahaere of the Purapura Whetu Trust, adds that the service aims to unleash the full potential of the whānau who access it.
“We are all excited to work together to provide the best support and encouragement we can which identifies the needs of our clients and is unique to them, as well as being culturally-informed and relevant for the life they lead.”
The new referrals process is currently being finalised with the new providers and further information on making referrals to the new service will be provided to primary care in August through Canterbury HealthPathways. The new providers will be in place by September 2022.
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Help us help you, by going to the right place for your health care needs
Multiple winter illnesses continue to place pressure on our Canterbury health system, with general practices, pharmacies, urgent care facilities and our Emergency Department all stretched to capacity and beyond. Te Whatu Ora, Canterbury is appealing to the public to help take some of the pressure off our system by seeking the right care in the right place at the right time.
“Our COVID-19 case numbers remain very high in Canterbury. This is impacting our GP teams and pharmacies as they continue to manage high numbers of sick patients, with fewer staff because they too are unwell. Urgent care and Emergency such as ambulance and the ED are feeling the strain of this sustained demand too,” says Becky Hickmott, Senior Responsible Officer for Winter Planning, COVID-19.
“Te Whatu Ora, Canterbury still has on average 200 staff off every day with COVID-19 and similar numbers with flu-like illnesses, and there are still more than a thousand new COVID-19 cases each day and more than 6000 active cases, which is why we are asking the public to do what they can to stay well in the first instance and to please stay home if they are only mildly unwell.”
“It’s also really important you go to the right place to get the care you need, so that ED and urgent care isn’t tied up with minor illnesses that could be managed safely at home with a little TLC, plenty of fluids and a couple of paracetamol. That way, those crucial services will be available for those that really need them and everyone will be seen sooner.”
Vaccination and healthy habits are the best protection against the viruses circulating this winter. We’ve all learnt some great habits over the last two years of the COVID-19 pandemic, such as vaccination, wearing masks, physical distancing, and increasing ventilation when indoors. These measures will help protect us as we face influenza and other viral diseases. By having all your vaccinations and staying well this winter, you’ll help keep health services free for those who need urgent care.
“You can get all of these vaccinations (COVID-19, influenza and MMR) at the same time if you need them.”
“I would like to emphasise that if you are very unwell, we do want to see you at the Emergency Department. We want to reassure our community that the emergency and acute care you need will always be available for those that really need them. All we are asking is that you save ED for Emergencies, don’t go to urgent care if it’s not urgent, and look after yourself if you can.”
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Influenza vaccinations now available
Getting a flu jab is your best defence against influenza and 100,000 Cantabrians have now received theirs. If you haven’t got yours, it’s important you get a flu vaccination as soon as you can.
Influenza is increasing in the community and it can cause serious illness. There may also be higher rates of influenza in New Zealand this winter with our borders reopening. Getting immunised against influenza protects our vulnerable communities, especially young children, older adults and people with chronic health problems, but anyone can become seriously ill from the flu virus.
“We know that people might feel they’ve had a lot of vaccinations lately but please get your flu vaccination as it provides the best protection against influenza, especially if you’re one of the people at greater risk of serious illness if you get the flu,” says Dr Ramon Pink, Canterbury Medical Officer of Health.
“We want to say a big thank you to all of those in our community who have already had their vaccination and now have the best protection against influenza. For many of you, getting your flu vaccination will be free and we really encourage you to get it as soon as possible.”
Currently flu vaccinations are free for pregnant women, those 65 years and older, Māori or Pasifika people 55 and over and people with chronic medical conditions such as respiratory disease, cancer and diabetes – this includes children under 5 years of age. Many workplaces also either hold vaccination clinics or give staff vouchers to get their flu vaccination.
The flu affects the whole body and can last up to a week or more. As you get older your immune system isn’t as good at protecting you, even if you feel fit and healthy.
“If you have a respiratory illness and test negative for COVID-19 on a Rapid Antigen Test, you could have influenza – please stay at home when you have respiratory symptoms even when it’s not COVID-19. This winter there is the very real possibility of having flu and COVID-19 within a short space of time,” says Dr Pink.
“If you've recently recovered from COVID-19, the flu, or any other illness, you can get your flu jab as soon as you're well. And if you are yet to have your COVID-19 vaccination or booster, you can get it at the same time. There is no need to leave a gap between these vaccinations.”
To prevent the spread of influenza, it is important that people keep up all the good healthy habits we have learnt from COVID-19, like wearing masks, opening windows and doors to increase ventilation where possible and practising good hygiene by regularly and thoroughly washing or sanitising your hands.
It is also important to seek medical advice early if you are concerned about your health, even if you have been seen before. Other serious conditions can also look like the flu, including meningococcal disease.
More information about flu vaccinations can be found here: https://www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/influenza/flu-influenza-vaccines.
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For further information, contact: communications@cdhb.health.nz
Canterbury and West Coast DHBs are preparing for industrial action planned by the PSA
Canterbury and West Coast DHBs are preparing for further planned industrial action by the Public Service Association. The nationwide action involves a full withdrawal of labour for 24 hours from 11.59pm on Sunday 15 May to 11.59pm on Monday 16 May.
This is in addition to the ongoing ‘work to rule’ period between Monday 9 May and Friday 20 May, where staff members of the PSA are instructed by their union:
In Canterbury 39 professions and over 1500 Public Health, Scientific and Technical staff will be affected by the PSA strike. On the West Coast, 23 professions and more than 120 staff members of PSA union are affected.
Our therapeutic, rehabilitation, laboratory, occupational therapy and diagnostic services as well as other clinical support services and Hauora Māori will be severely impacted during the time of the strike.
However, the industrial action won’t affect COVID-19 testing services and it is really important people who need to get tested on the day of the strike make sure they still do. Likewise, vaccination sites will still be providing COVID-19 vaccinations.
Canterbury and West Coast DHBs Chief Executive, Dr Peter Bramley, says if this industrial action goes ahead as planned it will cause significant disruption to health services across the two DHBs, particularly to lab results which will be delayed as they catch up with the backlog.
“Services such as the Emergency Department at Christchurch Hospital have warned that there will be delays during the period of the strike,” says Peter.
The 24-hour strike will generally affect patient flow, in particular some discharges back to community where physio, social work, occupational therapy and dietitians are often involved.
Where it is appropriate and safe to do so we will discharge patients home ahead of the strike to reduce the pressure on those staff who are working.
A large number of outpatient clinics, community clinics, elective surgery and procedures are likely to have to be deferred on Monday. People will be re-booked to the next available time. If they are not contacted, they can expect their procedure or appointment to go ahead as normal.
“While community collection centres will be open in Canterbury for blood tests, all community collection centres will be closed on the West Coast. Hospital laboratory staff will only be processing urgent inpatient blood tests,” says Peter.
Some of the professions affected in Canterbury and the West Coast are:
“We respect the right of staff to take industrial action and acknowledge the important role that health workers play in delivering high quality care.
“Our priority, as always, is the safety of patients and we want to reassure our community that you will still receive emergency and urgent care during the strike,” says Peter.
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In this edition of the CEO Update
Our COVID-19 cases may have peaked, but as we come down the other side of the mountain, we have to accept that we will continue to live with this virus for some time to come. Peter acknowledges the hard work of everyone in the health system during this challenging period as we begin planning for the anticipated winter illnesses that will join COVID-19 in the community – RSV, influenza and other contagious nasties.
Also, in this edition, Peter talks about the transition to HealthNZ and the recent Tāngata Ora 2022 Pulse Check survey. We see the lengths our Community Response Team (CRT) will go to to ensure that our rural communities have access to RATs and farewell a long-serving midwife.
You can read the Canterbury DHB CEO Update in two different formats:
View on issuu.com Download PDF (4MB)
In this edition of the CEO Update
It’s anticipated that after two years of closed borders and very little flu, this year’s flu season could affect large numbers of people.
Peter says he can understand that there may be a feeling of vaccine fatigue, but this single jab is vitally important to protect us all. Canterbury DHB staff can begin receiving their free flu vaccinations from tomorrow with roaming vaccinators on the wards and at clinics. No appointment needed.
Peter also talks about a fantastic new initiative to help keep patients connected with their friends and whanau; he thanks our partners across the Canterbury Health System for their incredible expertise and mahi which has made such a difference to the care of people with COVID-19 and reminds us to think of our Muslim colleagues who have just started the holy month of Ramadan, a special time of worship and reflection.
Also, this week, read about another of our fabulous staff members who has stepped up, and out of her comfort zone, to provide much needed cover on Christchurch Hospital’s main reception, the Return to Work team who are committed to supporting our kaimahi through recovery from COVID-19 and Etu Pasifika which is running a COVID-19 hub from its premises providing support and services to their community.
You can read the Canterbury DHB CEO Update in two different formats:
View on issuu.com Download PDF (4MB)
In this edition of the CEO Update
Today Peter reminds us that the best protection for ourselves and our whānau is to be up to date with vaccinations – and that includes a COVID-19 booster. About 105,000 Cantabrians who are eligible are yet to have their booster dose. Having your booster can protect you from serious illness or hospitalisation, so please encourage everyone you know to get theirs.
Peter shares some numbers that reveal the massive response by so many across the Canterbury Health System and there’s a tribute to our highly respected former CEO Gordon Davies who passed away last Tuesday.
Also, this week, we begin the first in a series of stories showcasing staff who are working in redeployed roles, so meet Napat Sirihongthong, a Registered Nurse and Nurse Educator for the Burwood site. Her latest deployment is to the newly-opened Remdesivir clinic at Burwood.
Finally, we get an insight into the roles volunteers are taking on during the pandemic and how virtual ward rounds are keeping senior doctors in touch with their patients during a time of staff shortages due to COVID-19.
You can read the Canterbury DHB CEO Update in two different formats:
View on issuu.com Download PDF (4MB)
In this edition of the CEO Update
We expect to peak this week in terms of numbers of community cases, with the follow-on of the peak in COVID-19 related hospital admissions expected to occur towards the middle of next week. Remember, whether it’s positive or negative, please report the results of your Rapid Antigen Test. Peter gives a shout out to the many staff who have been deployed to temporary roles to help care for our community at this time, and he also thanks those who are making newcomers welcome. Thank you!
Also this week, there’s a big thumbs up to our staff delivering the vaccination programme with some outstanding results in a survey of those who have been vaccinated, construction work in Parkside, tips for a better night’s sleep and the retirement of two long-serving Ashburton Hospital staff.
You can read the Canterbury DHB CEO Update in two different formats:
View on issuu.com Download PDF (4MB)
Health warning lifted for algal bloom at Rakahuri/Ashley River at Rangiora-Loburn Bridge (Cones Road)
Canterbury DHB’s Community and Public Health unit has lifted its algal bloom health warning issued along the Rakahuri/Ashley River at Rangiora-Loburn Bridge (Cones Road).
Recent cyanobacteria surveys of the Rakahuri/Ashley River has shown the cover of potentially toxic algae (benthic cyanobacteria) in the river has reduced and is now below levels that are of concern to public health.
Canterbury Medical Officer of Health Dr Cheryl Brunton says Environment Canterbury’s monitoring of the Rakahuri/Ashley River will resume next summer when there is increased likelihood of cyanobacteria growth.
Facts about cyanobacteria:
For further information visit:
https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Community and Public Health on (03) 364 1777:
https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai:
https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
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In this edition of the CEO Update
With Managed Isolation and Quarantine facilities beginning to scale down, Peter especially wants to recognise the skilled health team who helped keep our community COVID-19 free for an extended period of time. They welcomed and looked after more than 35,000 returnees over the past two years and can be proud of the high levels of guest/returnee satisfaction.
Also, in this edition, it will soon be time to get vaccinated against influenza, and Ashburton Hospital Receptionist Anna Glassie shares her personal experience of COVID-19 and has a message about supporting others with the virus.
You can read the Canterbury DHB CEO Update in two different formats:
View on issuu.com Download PDF (4MB)
Some Canterbury health services are being deferred as DHB staffing impacted by COVID-19
As the number of active cases of Omicron continues to rise in our community, more Canterbury DHB staff are contracting COVID-19 and having to isolate. Some have COVID, some are household contacts and others need to stay home to look after whānau who have COVID-19.
Canterbury’s COVID-19 Emergency Coordination Centre Controller, Dr Helen Skinner said as of today, Monday 14 March, we are only going ahead with urgent surgery, such as cancer care, and other acute surgery such as following an accident or major trauma, with only a small volume of planned (elective) surgery and procedures going ahead.
“Some outpatient appointments are also being postponed this week. Many have already been switched to virtual consults and are carried out over the phone or by video call, however we have to postpone more planned in-person appointments this week,” Dr Skinner said.
“Urgent outpatient clinics such as dialysis will continue as will urgent and non-deferrable surgery and medical procedures.
“We apologise in advance to those affected by these changes. Anyone whose surgery or outpatient appointment has to be deferred will be contacted by phone. Over the past two weeks staff have gone all out to allow us to continue to provide as much planned care as possible, but with so many staff away we are unable to maintain our usual levels of surgery and outpatient appointments.
“If you haven’t been contacted by us, please assume your appointment or surgery is going ahead,” she said.
Dr Skinner said Canterbury DHB was utilising all available staff to cover gaps in rosters. “Clinical and non-clinical staff are needed throughout the system to cover a range of roles. We are also deploying staff to help out in a number of rest homes in Canterbury and on the West Coast to ensure some of our most vulnerable community members are well supported.
“It is important to note that all emergency and non-deferrable surgery and procedures are still going ahead, and anyone needing urgent and emergency care should continue to call their GP team or Healthline 0800 611 116 for health advice or dial 111 if it’s an emergency.
“Our hospitals and health centres have the highest level of infection, prevention and control measures in place and we encourage everyone to continue to seek the care they need when they need it.
“Hapū māmā/pregnant people should contact their Lead Maternity Carer if they have concerns or suspect they are in labour.
“Once again, we apologise for the inconvenience and stress of having your surgery or appointment postponed at short notice, and hope people appreciate the need to prioritise all our available people resources to ensure safe care for everyone,” Dr Skinner said.
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Note to editors – please help us promote this important reminder when you have an opportunity.
Reminder – don’t hesitate to seek advice if you’re concerned about your own or someone else’s health
If you are caring for someone with COVID-19 at home you should call 111 if:
If you’re not sure what to do or how serious things are call the COVID-19 Healthline 0800 358 5453 – someone will take your call 24/7 and advise on whether you should call an ambulance or bring the person into hospital.
A new waiata has been released to encourage all our whānau to get vaccinated, including their tamariki.
A new waiata has been released to encourage all our whānau to get vaccinated, including their tamariki.
Dr Seán MacPherson, Consultant Haematologist at Canterbury DHB was approached by a colleague who floated an idea about writing a song to encourage families to all get vaccinated including their tamariki. This is not the first time he has written one to promote a health message, so he was on board straight away.
“Songs are a great way to share messages, and we have a great message here. We can all protect each other, our whānau, and tamariki if we get vaccinated,” says Dr Seán MacPherson.
He collaborated with Morehu Solomon (Te Arawa, Ngati Kahungunu, Ngati Porou) who brought his expertise as an educator to the waiata and shared the message in Te Reo Māori.
“E te iwi e whakarongo mai. Kia kaha, kia toa, kia manawanui,” says Morehu Solomon.
“I’m asking everyone to listen, be strong, be firm and be big of heart. We have had it up to here with the virus. We need to get vaccinated against COVID-19 to protect the people we love.”
The New Zealand Army Band stepped in to provide the musical accompaniment and, in collaboration with the Burnham School kapa haka group, produced a video to bring the song to life.
Major Graham Hickman, Director of Music at the New Zealand Army Band, says he is pleased that they could play their part in sharing the message in a creative way.
“We are all part of the team. We want to see New Zealand come out of this pandemic stronger than ever because we know we worked hard to protect each other,” says Major Graham Hickman.
Dr Seán MacPherson asks people to consider their whole family, their colleagues, friends and the wider community.
“I think we all want to do the right thing. Vaccinating against COVID-19 will help minimise the impacts of COVID-19 and reduce hospitalisation so we can continue caring for the people who truly need it the most.”
The song is now published and can be shared via this link: https://fb.watch/bDMLl71bZr/
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New community Rapid Antigen Test (RAT) pick up point opened in Rolleston
11 April 2022: Please note that the location and hours of this RATs Collection Centre has now changed, please see our RATs collection page for the latest information.
A new community Rapid Antigen Test (RAT) pick up point has opened today at Factory Drive off Iport Drive in the IPort industrial area, in Rolleston.
The current hours of operation are 2pm-6pm Monday to Friday only. *These hours may be subject to change at short notice
“Following a successful soft launch this morning, we are confident that the processes we have in place will make this an easy, quick, pick up point,” says Tracey Maisey, ECC Incident Controller, Canterbury DHB.
“Thank you to the Selwyn District Council for providing this site and continued support. We are continuing to work through the roll out of RAT collection sites.”
Selwyn District Mayor Sam Broughton says that Selwyn District Council is happy to help by providing a Selwyn site which will make it much easier for locals to collect their tests.
“Managing the current Omicron outbreak is a joint effort and it’s great that we can work with the District Health Board to help support our community.”
To help speed things up at all our RAT collection sites please remember to place your order for RATs before heading to a collection site – and have your order number at the ready.
Orders can be made via the online system at https://requestrats.covid19.health.nz/or by free calling 0800 222 478 to request your RAT tests.
The full list of Community Collection Centres for RATs in Canterbury is on our COVID-19 tests page.
As staffing resources allow, further RAT Collection sites will be set up in other areas. Please check Healthpoint and the Canterbury DHB website for the latest information on sites and opening times, as they will change over time.
Note that you may need to wait if it’s busy. Our staff are doing their very best to provide RATs to everyone who needs them as quickly as possible. They deserve respect and kindness while they do their work.
REMEMBER TO REPORT ALL YOUR RAT RESULTS
It’s important that you report every RAT result – negative and positive – on My Covid Record website: https://mycovidrecord.health.nz/ as this helps the Ministry of Health understand the size and trends of the outbreak.
If you need a hand or would prefer to record your result over the phone, you can call 0800 222 478. Parents and caregivers can report the results for tamariki/children via the 0800 numbers. You can ask questions about the process of recording your results by emailing help@mycovidrecord.min.health.nz
The Ministry of Health has produced a video which outlines the process.
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Two cases of COVID-19 have been confirmed on the Chatham Islands
Canterbury DHB’s Emergency Coordination Centre Controller, Dr Helen Skinner confirmed this afternoon that two Chatham Island residents have tested positive for COVID-19.
They are isolating and being supported on the Island.
“We encourage anyone who isn’t vaccinated or hasn’t had their booster to get vaccinated as soon as possible – the Chatham Islands Health Centre will be offering vaccinations tomorrow.
Vaccinations will be available from the Chatham Islands Health Centre. Please call to book an appointment – 03 305 0035.
Dr Skinner said the DHB would be distributing RAT tests to all households on the Islands early this week, as a precaution to allow early detection of positive cases.
“We encourage anyone who has symptoms to have a RAT test and report their results to My Covid Record mycovidrecord.health.nz any positive results should also be reported to the local health centre so that we can support follow up,” Dr Skinner said.
Symptoms of COVID-19 include:
Less common symptoms of COVID-19 may include diarrhoea, headache, muscle aches, nausea, vomiting, malaise, chest pain, abdominal pain, joint pain or confusion/irritability. These almost always occur with one or more of the common symptoms.
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A new RAT collection site will open tomorrow, Monday 7 March
A sixth community Rapid Antigen Test (RAT) pick up point opens tomorrow at 11am at the Christchurch Arena. Entry for RATs pick up is only from the Wrights Road entrance to the Arena.
From Tuesday the new Christchurch Arena site will be open 7 days a week from 9am – 3pm until further notice.
It’s important that people who need RATs don’t try to enter the new Christchurch Arena collection centre via Wrights Road. That entrance is only for people coming for vaccinations. You will not be able to access the RAT pick up point from Wrights Road.
To help speed things up at all our RAT collection sites please remember to place your order for RATs before heading to a collection site – and have your order number at the ready.
Orders can be made via the online system at https://requestrats.covid19.health.nzor by free calling 0800 222 478 to request your RAT tests.
The full list of Community Collection Centres for RATs in Canterbury:
As staffing resources allow, further RAT Collection sites will be set up in other areas. Please check Healthpoint and the Canterbury DHB website for the latest information on sites and opening times, as they will change over time.
Note that you may need to wait if it’s busy. Our staff are doing their very best to provide RATs to everyone who needs them as quickly as possible. They deserve respect and kindness while they do their work.
REMEMBER TO REPORT ALL YOUR RAT RESULTS
It’s important that you report every RAT result – negative and positive – on My Covid Record website: https://mycovidrecord.health.nz/ as this helps the Ministry of Health understand the size and trends of the outbreak.
If you need a hand or would prefer to record your result over the phone, you can call 0800 222 478. Parents and caregivers can report the results for tamariki/children via the 0800 numbers. You can ask questions about the process of recording your results by emailing help@mycovidrecord.min.health.nz
The Ministry of Health has produced a video which outlines the process.
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Expect delays and changes to DHB services during tomorrow’s planned strike by PSA members
Patients of Canterbury and West Coast DHBs can expect to see delays and changes to services during this week’s strike by Allied, Public Health, Scientific and Technical Staff who are covered by the PSA union bargaining.
The nationwide action involves a full withdrawal of labour for 24 hours from 6am on Friday 4th March to 6am on Saturday 5th March.
Across the Canterbury DHB, 39 professions and over 1500 staff will be affected. On the West Coast, 23 professions and more than 120 staff are affected. Our therapeutic, rehabilitation, laboratory and diagnostic services as well as other clinical support services and Hauora Māori will be severely impacted during the time of the strike.
If this industrial action goes ahead as planned, it will cause significant disruption to all of our health services in Canterbury, similar to the disruptions we experienced during the last nurses’ strike. This will also impact some services in the days following the strike.
Canterbury and West Coast DHBs Chief Executive Peter Bramley says services such as the Emergency Department at Christchurch Hospital are likely to be impacted by significant delays and elective surgeries have been postponed.
“The strike will affect the time it takes for patients to be seen, assessed and discharged. In particular some discharges back to community where physio, social work, pharmacists, occupational therapy and dietitians are normally involved.
“Where it is appropriate and safe to do so we are discharging patients home ahead of the strike to reduce the pressure on those staff who are working,”.
Many routine outpatient clinics involving allied health staff, community clinics and elective procedures will be deferred. People will be re-booked to the next available time. If they are not contacted, they can expect their procedure or appointment to go ahead as normal. Hospital laboratory staff will only be processing urgent inpatient blood tests.
The strike won’t affect COVID-19 testing services and it is important that people who need to get tested on the day of the strike make sure they still do. Vaccination sites will also still be operating as usual.
Some of the professions affected in Canterbury and the West Coast are:
“We respect the right of staff to take industrial action and acknowledge the important role that health workers play in delivering high quality care,” says Peter.
“Our priority, as always, is the safety of patients and we want to reassure our community that you will still receive emergency and urgent care during the strike.”
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New COVID-19 testing facility in Christchurch
New COVID-19 testing centre opens in Wigram from 10am Tuesday 22 Feb
To help meet high public demand for testing, an additional drive-through COVID-19 testing site has been set up at the Old Wigram Fire Station on the corner of Mustang and Sioux Avenues – entrance off Sioux Avenue.
Opening hours initially are from 10am-3pm, seven days a week, but hours will be increased as needed and staff become available. This facility is drive-through only.
Incident Controller for the Canterbury health system’s Omicron outbreak response, Tracey Maisey says demand has understandably spiked over the past few days as the number of community cases has risen.
“We’d like to thank the public for their patience in the face of some long waiting times over the past few days – and we’re pleased to be able to respond to that strong demand by opening an additional testing centre.”
“Please continue to be patient and please also remember that we will only test people with symptoms or who have been confirmed as close contacts. We encourage people to continue to step forward to get tested, but only if they meet those criteria.”
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A health warning has been issued for algal bloom in Te Waihora/Lake Ellesmere
Canterbury DHB’s Community and Public Health unit has issued a health warning after potentially toxic blue-green algae (planktonic cyanobacteria) was found in Te Waihora (Lake Ellesmere).
People should avoid the Lake and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
The type of cyanobacteria that is currently present in high concentrations is Nodularia spumigena which can appear as a thick surface scum.
Dr Cheryl Brunton Canterbury Medical Officer of Health says, the algal bloom can produce toxins harmful to humans and animals.
“People should avoid contact with the water until further notice.
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips. If you experience any of these symptoms visit your doctor immediately and please let your doctor know if you have had contact with the lake water,” Dr Brunton says.
No one should drink the water from the lake at any time. Boiling the water does not remove the toxin.
Animals that show signs of illness after coming into contact with algal mats or scums should be taken to a vet immediately.
Fish and shellfish can concentrate toxins and their consumption should be avoided. If fish are eaten, remove the gut and liver and wash in clean water. Further information on gathering Mahinga Kai can be obtained below.
“When a bloom of potentially toxic cyanobacteria is present in a lake, there is a possibility of cyanobacteria and toxins being transported into connected water bodies. At low river flows the bloom may extend upstream into the lower reaches of the Selwyn River.
Environment Canterbury monitors the lake weekly during summer and the public will be advised of any changes in water quality that are of public health significance.
Facts about cyanobacteria:
For further details visit: https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Community and Public Health on (03) 364 1777:
https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai:
https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
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Important Omicron Update – all hospital visitors need to wear a paper surgical/medical mask.
Under the RED setting, it’s business as usual with surgery and outpatient appointments going ahead, and only minor changes expected for visiting hours – these will be finalised tomorrow and posted on Canterbury DHB’s website.
Senior Responsible Officer for COVID-19 in Canterbury, Dr Helen Skinner, said while there’s no cases of Omicron in the community, the key change for anyone entering any DHB facility tomorrow will be the need to wear a paper surgical/medical mask.
“We know these paper masks are more effective than a fabric mask or cloth face covering, and this is something we can all do to help protect our vulnerable patients and ourselves.
“We ask that people pay particular attention to physical distancing as well. In practice that means staying at least one metre away from anyone not in your household,” Dr Skinner said.
Canterbury DHB is also advising all its staff (clinical and non-clinical) to wear surgical masks, with N-95s for clinical staff in certain areas.
Boosters are key to provide maximum protection
If it’s four or more months since you had your second dose, please prioritise getting a booster as soon as possible. Boosters provide a significantly higher level of protection than two doses alone. People aged over 60 who have had their booster are around 45 times less likely to be hospitalised than an unvaccinated person of the same age.
You can book at www.BookMyVaccine.nz Many clinics are taking walk-ins, please note that demand is high and there may be a wait. Local clinic information, including opening hours is available at www.VaccinateCanterburyWestCoast.nz
Vaccinations are now available for children aged five and over at selected clinics – these are outlined at www.VaccinateCanterburyWestCoast.nz
While we have no cases of Omicron in Canterbury at present we need to stick to the rules: wearing a mask every time you go out and are with people outside your own household; keeping track of where you’ve been using the QR codes provided and having Bluetooth turned on, so you receive alerts, and using your MyVaccinePass when required.
For more information about what to do at Red, the Unite against COVID-19 (covid19.govt.nz) website has useful information on being prepared to self-isolate at home if someone in your household tests positive.
“Now’s the time to make a plan, make sure everyone knows it, and ensure you have everything you need at home to be self-sufficient for at least a couple of weeks,” Dr Skinner said. “And please check in with your neighbours, people who live alone and those with disabilities to see how they are doing.
“It’s important to remember that with Omicron, most people who are fully vaccinated (two doses + a booster) will have a mild illness and be able to recover safely at home. Our focus will be on supporting those who are more vulnerable and have underlying health conditions.
The planning checklist every household should complete can be found here and the Canterbury Care in the Community web pages provide useful information and advice on what to consider when isolating at home with COVID-19.
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Tips for wearing a surgical/paper mask:
Do
Don’t
Play
Change your mask
A health warning has been issued for algal bloom in the Waikirikiri/Selwyn River
Our Community and Public Health unit has issued a health warning for the Waikirikiri/Selwyn River at Glentunnel.
The warning follows finding moderate to high cover of potentially toxic algae (benthic cyanobacteria) at the site.
People should avoid the area and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
There are also other access points along the Waikirikiri/Selwyn River that may have benthic cyanobacteria present. People are advised to treat every low-flowing river cautiously, check for the presence of benthic cyanobacteria and avoid contact.
Dr Cheryl Brunton, Canterbury Medical Officer of Health, says the algae look like dark brown to black mats and can produce toxins harmful to people and animals.
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips.
“If you experience any of these symptoms, visit your doctor immediately, also let your doctor know if you’ve had contact with dark brown/black algal mats or water in this area,” Dr Brunton says.
Pets that show signs of illness after coming into contact with algal mats should be taken to a vet immediately.
People and animals should remain out of the waterways until the warnings have been lifted.
Environment Canterbury is monitoring the sites and the public will be advised of any changes in water quality.
Facts about cyanobacteria:
For further information visit
https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Community and Public Health on (03) 364 1777:
https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai:
https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
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Keeping yourself safe with COVID-19 in the Community
There are a number of things you can do to keep yourself safe while out and about in Canterbury.
Mask up – wearing a mask provides great protection. It must cover your nose and mouth. Surgical (paper) masks provide better protection than fabric masks/face coverings.
Scan in – scanning in using the QR code, provides an accurate record of where you’ve been. With blue-tooth turned on, you’ll receive an alert if you’ve been to a location of interest. You can also sign in manually at all locations.
Show your vaccine pass – many businesses and venues require you to show your vaccine pass before you can enter. Have it ready on your phone or printed out.
Stay home if you’re sick – if you’re not feeling 100% stay home.
Maintain physical distancing – stay at least 1 metre away from people you don’t know.
Get tested – COVID-19 testing is free for anyone with cold or flu like symptoms. No matter how mild it’s important you get tested to identify any cases in the community.
Keep up good hygiene habits – wash and dry your hands frequently or use hand gel; cover coughs and sneezes and dispose of your tissues in the bin and clean or disinfect shared surfaces frequently.
Get vaccinated – whether you need your first, second or booster dose, there are clinics open ready to vaccinate you today – drop ins are welcome. Check the location of your nearest clinics and booster eligibility here.
Canterbury has excellent rates of vaccination with 98% of eligible people having one dose, and 95% of our eligible community fully vaccinated, however fully vaccinated people can still get COVID-19 – the good news is you are likely to have a mild to moderate illness compared to someone who is unvaccinated, and most people can safely self-isolate at home and receive Care in the Community.
Be prepared – what is your family/ whānau COVID-19 plan? Where will you isolate away from others? Who will do the shopping, cooking and cleaning? Is your first aid kit stocked up with the basics? Who will look after the kids and pets if one or more of your whanau needs to self-isolate? Check the checklist for practical things you can do now to make sure you’re ready.
Been to a location of interest? If you’ve been to a location of interest in relation to recently reported cases of COVID-19 in Canterbury, follow the instructions listed on the Ministry of Health Locations of interest web page and keep checking back, as new locations are added during the day. In most cases you don’t need to stay at home, you just need to monitor your symptoms and get tested if you develop any cold or flu-like symptoms.
Testing is available throughout the holiday period. Our drive through COVID-19 testing centres at 174 Orchard Road Harewood, Christchurch and the Whānau Ora Community Clinic, 250 Pages Road, Wainoni, Christchurch are both open 7 days a week, with reduced hours on New Year’s day. Other testing locations can be found on the Canterbury DHB and Healthpoint websites. *Please note, The 24 Hour Surgery is not a COVID-19 testing centre.
Have a holiday Plan B – make sure you are aware of the risk that the spread of COVID-19 might affect your holiday plans and be prepared should this happen. Health guidance for the summer can be found here.
Feeling over it? If all this talk of COVID-19 is getting too much or you’re feeling anxious or just need someone to talk to you can call or text 1737 any time and you can speak to (or text) a trained counsellor free of charge.
Information for visitors to Christchurch
Visitors to Christchurch who need to see a doctor can visit one of the urgent care practices. Please note, you must call first if you have COVID-19 symptoms:
Information for anyone who attended the Hidden Lakes event
Six close contacts of the community case with Omicron announced late yesterday (29 December) are self-isolating in Christchurch under the management of the local public health unit.
The public health risk assessment for people who attended the ‘Hidden Lakes’ event at Hagley Park on 28 December is considered extremely low – particularly due to the 6 close contacts’ prior negative test results that day and significant physical distance between the stage and the crowd.
Anyone who has COVID-19 symptoms should get tested. Testing is available throughout the holiday period in Canterbury. Details of locations and times can be found on the Canterbury DHB and Healthpoint websites.
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Health Warning – Potentially toxic algal bloom in Wainono Lagoon
Canterbury DHB’s Community and Public Health unit has issued a health warning after potentially toxic blue-green algae (planktonic cyanobacteria) was found in Wainono Lagoon. People should avoid the lake and animals, particularly dogs, should not be allowed near the water until the health warning has been lifted.
Dr Matthew Reid, Canterbury Medical Officer of Health, says the algal bloom can produce toxins harmful to humans and animals.
“People should avoid contact with the water until further notice.
“Exposure may cause skin rashes, nausea, stomach cramps, tingling and numbness around the mouth and fingertips. If you experience any of these symptoms visit your doctor immediately and please let your doctor know if you have had contact with the lagoon water, Dr Reid says.
No one should drink the water from the lake at any time and stock and pets, particular dogs, should be kept away from the water and shoreline. Boiling the water does not remove the toxin.
Animals that show signs of illness after coming into contact with algal mats or scums should be taken to a vet immediately and the vet told that they may have been exposed to algal toxins.
Fish and shellfish can concentrate toxins and their consumption should be avoided. If fish are eaten, remove the gut and liver and wash in clean water.
Further information on gathering Mahinga Kai can be obtained below.
Environment Canterbury will monitor the lake weekly and the public will be advised of any changes in water quality that are of public health significance.
Facts about cyanobacteria:
For further details visit: https://www.lawa.org.nz/explore-data/canterbury-region/
Or contact Community and Public Health on (03) 364 1777:
https://www.cph.co.nz/your-health/recreational-water/
For more information about Mahinga Kai:
https://www.cph.co.nz/wp-content/uploads/saf0112.pdf
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For further information, contact: communications@cdhb.health.nz
Page last updated: 16 June 2022
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