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Volume 24 Number 1 January 2016 Journal of Military and Veterans’ Health Nursing Services in the New Zealand Defence Force; A Review After 100 Years RY ME A DI IT C L I The Pioneers of Australian Military Malariology: Some Biographical Profiles (Part 1) I N M E A N S A I S Army Malaria Institute – its Evolution and Achievements. Fifth Decade: 2006-2015 S O A C L I A A T R I T O S N U A IN C. The Journal of the Australasian Military Medicine Association Medibank’s Garrison Health Services Delivering a national, integrated healthcare service to the Australian Defence Force Through Medibank’s extensive network, Garrison Health Services (GHS) provides seamless access to quality healthcare to the 60 000+ permanent and 20 000+ reservist uniformed ADF personnel—from point of injury or illness to recovery. The health of the ADF is central to everything we do. medibankhealth.com.au/garrisonhealthservices Image courtesy of Dept of Defence Table of Contents Original Articles Nursing Services in the New Zealand Defence Force; A Review After 100 Years ........................................ 6 History The Pioneers of Australian Military Malariology: Some Biographical Profiles (Part 1).............................. 12 Army Malaria Institute – its Evolution and Achievements. Fifth Decade: 2006-2015 .............................. 25 Medibank’s Garrison Health Services Review Article Differences in Physical Characteristics and Performance Measures of Part-Time Delivering a national, integrated healthcare and Full-Time Tactical Personnel: A Critical Narrative Review ............................................................... 45 service to the Australian Defence Force Book Review Through Medibank’s extensive network, The Practical Compendium of Immunisations for International Travel ................................................... 56 Garrison Health Services (GHS) provides seamless Framework for a Public Health Emergency Operations Centre ............................................................... 58 access to quality healthcare to the 60 000+ permanent and 20 000+ reservist uniformed ADF personnel—from point of injury or illness to recovery. The health of the ADF is central to everything we do. medibankhealth.com.au/garrisonhealthservices Image courtesy of Dept of Defence Volume 24 Number 1; January 2016 Journal of Military and Veterans’ Health EDITORIAL BOARD CDRE Andy Robertson, CSC, PSM (Editor in Chief) Maj Gen Prof Dr Mohd Zin Bidin (Ret’d) BRIG Anne Campbell CDRE Michael Dowsett Dr Helen Kelsall COL Prof Peter Leggat, AM Benjamin Mackie Dr Mike O’Connor Tyler C Smith, MS, PhD Dr Darryl Tong Australasian Military Medicine Association PATRON STATEMENT OF OBJECTIVES RADM Jenny Firman The Australasian Military Medicine Association is an Surgeon General Australian Defence Force Reserves independent, professional scientific organisation of health professionals with the objectives of: COUNCIL • Promoting the study of military medicine President Dr Greg Mahoney • Bringing together those with an interest in military medicine Vice President Dr Nader Abou-Seif • Disseminating knowledge of military medicine Secretary Dr Janet Scott • Publishing and distributing a journal in military Treasurer GPCAPT Geoff Robinson medicine Council Members CDRE Andrew Robertson • Promoting research in military medicine Dr Peter Peters Membership of the Association is open to doctors, dentists, nurses, pharmacists, paramedics and Dr Peter Hurly anyone with a professional interest in any of the Rachelle Warner disciplines of military medicine. The Association is Public Officer Ms Paula Leishman totally independent of the Australian Defence Force. JMVH is published by the Australasian Military Medicine Association 113 Harrington Street Hobart Tas 7000 Australia Ph: +61 3 62347844 Email: [email protected] ISSN No. 1835-1271 Journal of Military and Veterans’ Health Editorial As we move into a new year, I often reflect on the support from prepared and trained ADF permanent past, as this provides us with excellent examples of and reserve health members. It promises to be an both the ingenuity and valour of our predecessors. interesting year… Indeed, looking back 100 years, 1916 was a critical Our first issue has a tropical medicine theme, with period of World War 1, with major battles in both excellent articles on the pioneers of Australian the Western Front, in North Africa and at sea in the military malariology and the final instalment on the Battle of Jutland, which, while setting the scene for history of the Army Malaria Institute. We also look future victory, were very expensive in the number of at Nursing services in the New Zealand Defence casualties on all sides. 70 years ago, Australia was Force and performance measures of part-time and just starting to come to term with peace after 6 long full-time tactical personnel. Finally, there are some years of war. 50 years ago, Australia was increasing excellent book reviews on international vaccinations its deployment of combat troops to Vietnam, after and setting up a public health Emergency having made a commitment to do so in April 1965. Operations Centre. All of these and subsequent conflicts have required health support, which has been provided admirably We continue to get a good range of articles, but by the various permanent and reserve arms of the other military and veterans’ health articles are Australian Defence Force (ADF). So, where are we in always very welcome and we would encourage all 2016? Has the world got safer and we are no longer our readers to consider writing on their areas of required or is the reality something different? As I military or veterans’ health interest. Our themes for look forward, the tempo has not slackened and, in 2016 are Trauma, Rehabilitation and Injury (April some areas, has increased. The ADF continues to 2016), Defence Health and Leadership (July 2016) have commitments both locally and internationally, and Operational Military Health (October 2016) – we in areas of conflict, humanitarian assistance, would certainly welcome articles in those areas but other operational requirements and training. The welcome any articles across the broader spectrum arrival of the 2 LHD’s, HMAS Canberra and HMAS of military health. Adelaide, will add to this capability, with the ability Dr Andy Robertson, CSC, PSM to project a Level 2E Health capability further Commodore, RANR afield. All of these requirements will require health Editor-in-Chief Cover image: Winning image of the photography competition at the 2015 AMMA Conference Photographer: Dr Robin Orr Photo title: “Resting in a Foreign Land" From the photographer: The photo was taken in Bayeux, Normandy, France at the BAYEUX WAR CEMETERY which, unlike the American War Memorial, included Australian, NZ, South African, Canadian, Indian, UK and even German graves. One of the things that struck me the most was the personable feeling in this cemetery as opposed to the American Cemetery which was almost ‘shock and awe’ seeing line after line of white crosses on a green field . In Bayeux, there were flower beds in front of the tombstones, so flowers grew constantly and most of the tombstones had a personal message on them like the one in the photo, ‘Safe in the arms of Jesus’ or others like ‘Beloved Brother and Son’. Volume 24 Number 1; January 2016 Page 5 Original Article Nursing Services in the New Zealand Defence Force: A review After 100 Years Sheard, M., Huntington, A. and Gilmour, J. Abstract This year marks 100 years since the inception of the Royal New Zealand Nursing Corps. The centenary provides an opportune time to reflect upon the nature of military nursing in New Zealand today. The past century has seen significant changes in the way in which nursing services are configured as well as to whom care is provided and when. Much of the change has been driven by a political reorientation that has required the New Zealand Defence Force to become more agile and flexible. In turn military nursing services have needed to adapt to meet the challenges of modern Defence employment contexts. Nursing in the contemporary military environment is no longer based exclusively on the Territorial workforce as it had been in the early years. Defence nursing is now comprised of a suite of services provided by civilian and military nurses with military nurses belonging to the Regular Force as well as the Reserves. Unlike their predecessors, uniformed nurses must be prepared to operate across the full continuum of healthcare in a range of garrison, civilian and deployed settings and caring for diverse population groups. What has not changed in the past 100 years is the need for military nurses to remain highly motivated, physically fit and competent in their professional practice. As in the past, Defence nurses today and those of the future will be required to carefully balance the tensions between professional nursing responsibilities and the expectations of their military role. Key words: military, defence, nurses, employment Introduction first thirty years, military nurses served only during times of conflict5. This year marks the centenary of the Royal New Zealand Nursing Corps (RNZNC), the only military While the effects of war on civilian nursing in New nursing service in New Zealand. The centenary Zealand has received some recognition, little attention has significance not just for those who have been has been paid to how war, or indeed international members of the Corps, but for all New Zealand relations, have shaped the role of the military nurses. Over one quarter of the country’s registered nurse today. It is timely then in this centennial nursing workforce served in WWI in a variety of year to consider the purpose of the RNZNC and the operational theatres and facilities1. At the conclusion contribution Corps members make to wider Defence of hostilities many of these nurses returned to outputs. While the Corps remains a discrete entity, their prior employment, taking with them their the functions of New Zealand’s military nurses now, wartime knowledge and experiences and by so doing as in 1915, have stayed closely aligned to those influenced civilian nursing practice1-4. The flow of of the Royal New Zealand Army Medical Corps.
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