Metformin adherence in people with type 2 diabetes impacts on HbA1c outcomes. This study was conducted on Waikato practices in 2019. Of 1595 patients across 10 practices, those who had more prescriptions for their metformin in the 18 month study period, were likely to have a better HbA1c. Note that none of the practices were with Hauraki PHO.
However, the outcomes show that Māori received fewer follow up prescriptions for their metformin in the time period. Further study is required to find solutions to the issue, but the use of electronic reminders, knowledge about the medication and fees are likely to be contributing factors.
For the full article, follow this link.
Diabetes Nurse Hauraki PHO
Care and protection concerns raised for vulnerable unborn babies, children and young people under the age of 18 years by Waikato DHB staff result in a Report of Concern (RoC) to Oranga Tamariki – Ministry for Children. A copy of the RoC is also sent to the Waikato DHB Child Advisory Protection & Education team (CAPE) for consideration of a National Child Protection Alert as part of a Ministry of Health nationally agreed framework.
A Child Protection Alert is a national health alert that draws attention to information recorded in the past that may or may not be relevant to the current health of the individual. These alerts are seen nationally via the medical warning system and should always be interpreted in the context of the current presentation. The presence of a CPA does not necessarily mean that the individual is still at risk. If you are uncertain, always seek advice.
To avoid parents delaying treatment due to this health alert, parents are unaware the alert exists. If a parent/guardian asks if an alert exists, this should be addressed honestly.
Most children and young people referred to Oranga Tamariki by all DHB staff nationally, result in a CPA but some cases may not. If on any presentation you have concerns about child protection, the absence of a CPA should not be regarded as evidence that the individual is not at risk now.
Contact Waikato DHB Child Advisory Protection & Education team (CAPE) at email@example.com with any queries
The 2016 MoH Family Violence Assessment and Intervention Guideline-Child Abuse and intimate partner violence can be accessed via: https://www.health.govt.nz/publication/family-violence-assessment-and-intervention-guideline-child-abuse-and-intimate-partner-violence
The aim is one immunisation, unless a second dose is requested by client or is considered advisable in the clinical discretion of the vaccine administrator. Details are required on NIR for monitoring and reporting.
Although the immunisation records are a little patchy for this age group, general practices are in a unique position to be able to directly identify patients that are potentially under immunised.
See the communication material which has been created to aid the campaign, and to be used in general or direct communications.
Click here for more information
Tēnā koutou katoa,
I hope this email finds you all well.
As you are probably aware, a precautionary health notice was announced over the weekend to Glen Afton and Pukemiro communities in the Waikato district regarding the fire at the Puke Coal landfill in Pukemiro, near Huntly:
Precautionary health guidance provided to Pukemiro and Glen Afton communities
A precautionary health notice has today been given to all residents living within three kilometres of Puke Coal’s construction and demolition landfill in Pukemiro. A fire has been burning at the site since August.
A preliminary public health assessment was completed late yesterday based on a report from ESR (the Institute of Environmental Science and Research) which referenced a similar event overseas. It indicated there was potential for increased levels of dioxins in the environment as a result of the landfill fire.
Testing has not yet been done locally as it requires specialised equipment which is on its way from overseas. The scale and quantity of plastic material in the Puke Coal fire is not well understood at this stage. This makes it difficult to compare directly to the overseas example.
Waikato Regional Council Resource Use acting director Brent Sinclair, who is leading the Incident Management Team for the landfill fire, said although the presence of dioxins had not been confirmed, and as a precautionary measure following advice from the Waikato DHB public health unit, it was recommended that pregnant and breastfeeding women seek accommodation outside of the affected area, at least three kilometres from the site of the fire.
“This is the recommendation by Waikato DHB’s public health unit and it holds until environmental testing shows dioxin levels aren’t elevated or until we know the fire is out and no longer a risk.”
The levels of dioxins observed in the overseas event were treated as a potential risk for unborn and breastfeeding babies. While unproven, the risk noted related to possible fertility issues for a child once they’ve grown up.
“if there is potential risk then we will take a precautionary response,” said Mr Sinclair.
A team of people today went door-to-door in the community surrounding the landfill to ensure everyone received the precautionary guidance. This is not a densely populated area, and the guidance is expected to apply to only a small number of people.
Waikato District Council Chief Executive Gavin Ion said today’s welfare response team advised some members of the Pukemiro and Glen Afton communities to find other accommodation.
“This is a precautionary approach because we promised the community we would do everything we could,” Mr Ion said.
“We have acted quickly on the recommendation from the public health unit because we said that as soon as we had new information to share, we would. We acknowledge this may cause stress to our communities, but we want to ensure you are kept safe.
“Those who are moving elsewhere for the time-being are asked to call Waikato District Council on 0800 492 452. For those that don’t have friends or family to stay with, let council know and we will help. Waikato Tainui have said they’re also here to help and are standing up their 0800 TAINUI number.”
Mr Sinclair also acknowledged the stress the community had been under since the fire broke out.
“We know this precautionary notice won’t help the stress you are feeling. However, please remember, our advice has always been to stay out of the smoke and away from the odour, and that message remains for everyone.”
Waikato regional Council has been monitoring for airborne inhalable particulate matter (PM10 and PM2.5) in Glen Afton and Pukemiro and the results have been within World Health Organisation guidelines.
Waikato Regional Council, with support from the Waikato District Council, has a formal investigation underway into potential breaches of the Resource Management Act (RMA) in relation to the landfill site. Two abatement notices have been issued to the landfill landowner.
The Waikato District Council has been out door to door advising any pregnant and/or lactating/breastfeeding women in the area to evacuate the area due to the potential health risks associated with the fire, however not all residents were home.
Waikato District Health Board, Strategy and Funding, have sent communications to GPs that they do not charge a co-payment to any residents who are enrolled with their practice and present for a fire related consultation. The DHB will meet the co-payment costs to the practices for these patients.
We have also asked the Emergency Management Team at the Waikato District Council to advise us of the supports they have in place for LMC midwives in the case of women needing to relocate out of area to ensure that midwifery care is not disrupted; for example, what travel assistance will be made available to the LMC midwife if the woman relocates and the LMC is able to continue to provide care. We will share the updates with you as we receive them.
Any women or LMCs who have any questions can contact Richard Wall (Medical Officer of Health, Waikato DHB) directly on (07) 8382569 or email firstname.lastname@example.org and The Waikato District Council are providing women with relocation support. There is further information on the two flyers that I have attached to this email for you.
Click here for the Puke Coal Health Notice
Dear PHO CEOs and primary health alliances,
St John has received notification from one of our three unions, that its members will be withdrawing labour from 6am on 25 November until 6am 26th November – a total period of 24 hours
This union’s members represent about 40% of paid ambulance personnel nationally, and this action involves the full withdrawal of labour by its members working in our Clinical Support, Ambulance Communications, Emergency Ambulance and Patient Transfer Services functions.
We are currently working through the impact and planning mitigations to ensure we can continue to deliver as safe and effective services as possible during this time. The actual impact of this withdrawal will be highly variable depending on the level of membership in each location or part of the service. Once we have identified the extent of the impact, we will be in touch.
I would really appreciate it if you would cascade this notice as appropriate to your general practices and primary care teams.
If you have any questions in the meantime, you can direct these to email@example.com or your local St John contact.
(on behalf of Dan Ohs, Deputy Chief Executive – Ambulance Operations)
This year Diabetes Action month places emphasis on the emotional burden that Diabetes has on whānau.
There is so much exciting action happening in diabetes around the wider Hauraki PHO rohe at the moment.
For our team of 4500 whānau living with diabetes, we need everyone one of our Hauraki PHO team to provide support, education, and understanding.
A huge thank you for all the amazing mahi that is being done in Primary health supporting our whānau with diabetes.
Welcome to the November newsletter from the clinical team at the Heart Foundation. In this edition, read about how the Heart Foundation is helping New Zealanders become more proactive about their heart health, with the launch of its new online risk assessment and management tool, My Heart Check.
Featured topics this month include:
1. My Heart Check risk assessment tool
2. Heart Foundation research grants
3. Atrial Fibrillation Awareness Week
4. Heart Foundation resource update
5. New Heart Foundation Community Operations Manager
6. From the Medical Director desk
7. Research articles
8. Events and support groups for your patients
9. Contact your local Heart Health Advocate
Click here to read the full November Newsletter
More volunteers, particularly in rural areas, are needed for this valuable service. The attached poster can be printed and displayed in waiting rooms.
Click here for the Volunteering Poster
Diabetes medications not being funded on 1st December could be in our favour.
On Thursday Pharmac announced the new diabetes medications that were to be funded from 1st Dec are not going to be available as promised. There have been so many submissions on the special authority criteria they were proposing, they have asked for more time to consider a better SA criterion. There is no indication what this will be or when they will be available, but in the long run, we are hoping that more whānau will be eligible for these medications.
I will keep you updated on the changes and arrange education once we know the details.
The nation guidelines for prescribing will roll out in December as promised but may need updating once the SA criteria is known.
Diabetes Nurse Hauraki PHO
Write something about yourself. No need to be fancy, just an overview.