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NZMJ ++FINAL+1430++.Indd Journal of the New Zealand Medical Association Vol 129 | No 1430 | 19 February 2016 TPPA should not be adopted without a full, independent health assessment Psychological impact of the Canterbury earthquakes on university staff Evidence for a young adult-targeted tobacco control campaign stimulating cessation-related responses among adult smokers and recent quitters Excise, electronic cigarettes New Zealand Guidelines for Standardised EU cigarette and nicotine reduction to Adult Echocardiography 2015: warnings: one size or colour reduce smoking prevalence The Cardiac Society of Australia does not fit all in New Zealand by 2025 and New Zealand Publication Information published by the New Zealand Medical Association NZMA Chairman To contribute to the NZMJ, first read: Dr Stephen Child www.nzma.org.nz/journal/contribute NZMJ Editor Other enquiries to: Professor Frank Frizelle NZMA PO Box 156 NZMA Communications Manager The Terrace Sharon Cuzens Wellington 6140 Phone: (04) 472 4741 NZMJ Production Jeremiah Boniface © NZMA 2015 To subscribe to the NZMJ, email [email protected] Subscription to the New Zealand Medical Journal is free and automatic to NZMA members. Private subscription is available to institutions, to people who are not medical practitioners, and to medical practitioners who live outside New Zealand. Subscription rates are below. All access to the NZMJ is by login and password, but IP access is available to some subscribers. Read our Conditions of access for subscribers for further information www.nzma.org.nz/journal/subscribe/conditions-of-access If you are a member or a subscriber and have not yet received your login and password, or wish to receive email alerts, please email: [email protected] The NZMA also publishes the NZMJ Digest. This online magazine is sent out to members and subscribers 10 times a year and contains selected material from the NZMJ, along with all obituaries, summaries of all articles, and other NZMA and health sector news and information. Subscription rates for 2016 New Zealand subscription rates Overseas subscription rates Individuals* $298 Individual $415 Individual article $25 Institutions $557 Individual article $25 *NZ individual subscribers must not be doctors (access is via NZMA Membership) New Zealand rates include GST. No GST is included in international rates. Note, subscription for part of a year is available at pro rata rates. Please email [email protected] for more information. Individual articles are available for purchase by emailing [email protected] NZMJ 19 February 2016, Vol 129 No 1430 ISSN 1175-8716 © NZMA 2 www.nzma.org.nz/journal CONTENTS EDITORIAL 63 7 Assessing a hospital medication TPPA should not be adopted system for patient safety: findings without a full, independent health and lessons learnt from trialling assessment an Australian modified tool at Gay Keating, Josh Freeman, Alex Waitemata District Health Board Macmillan, Pat Neuwelt, Jerome Ng, Penny Andrew, Marilyn Erik Monasterio Crawley, Wynn Pevreal, Jocelyn Peach 14 VIEWPOINT Flexible sigmoidoscopy is the best approach for a national bowel 78 Paediatric non-IgE mediated food screening programme allergy: guide for practitioners Brian Cox Kahn Preece, Annaliesse Blincoe, Erik ARTICLES Grangaard, Genevieve Ostring, Diana Purvis, Jan Sinclair, Amin Sheikh, 18 Robert Winkler and the Paediatric Psychological impact of the Allergy Special Interest Group, PSNZ Canterbury earthquakes on CLINICAL CORRESPONDENCE university staff Caroline Bell, Frances Carter, 89 Joseph Boden, Tim Wilkinson, Sweet outcome for a rare Jan McKenzie, Anthony Ali inflammatory condition 29 Salah Abdel Jalil, Owais Abdul-Kafi, The role and potential of James Smith, Ala’ Abdel Jalil community-based cancer care for LETTER Māori in Aotearoa/New Zealand Tania Slater, Anna Matheson, Cheryl 94 Davies, Cheryl Goodyer, Maureen Excise, electronic cigarettes and Holdaway, Lis Ellison-Loschmann nicotine reduction to reduce smoking prevalence in New 39 Zealand by 2025 Trialling a shaken baby syndrome Murray Laugesen, Randolph C Grace prevention programme in the Auckland District Health Board 96 Patrick Kelly, Kati Wilson, Aqeela Reporting risk-adjusted Mowjood, Joshua Friedman, Peter Reed outcomes for surgical procedures in New Zealand 51 Harry Alexander, Adam Bartlett, Evidence for a young adult- Garth Poole targeted tobacco control campaign stimulating cessation- 98 related responses among adult Standardised EU cigarette smokers and recent quitters warnings: one size or colour does Judy Li, Hayley Guiney, Darren Walton not fit all Frank Houghton, Edward Hopkins NZMJ 19 February 2016, Vol 129 No 1430 ISSN 1175-8716 © NZMA 3 www.nzma.org.nz/journal CONTENTS 100 METHUSELAH We respond to Dr Gordon Purdie’s 108 Viewpoint, 20 November 2015 Mary Wyatt, on behalf of the Faculty 100 YEARS AGO of Occupational and Environmental Medicine, RACP 109 Editorial: February 1916 102 Anti-androgen contraceptive NOTICE pills and higher risk of venous 110 thromboembolism Charge Irene Braithwaite, Philippa Shirtcliffe, Mark Weatherall, Richard Beasley GUIDELINES 105 New Zealand Guidelines for Adult Echocardiography 2015: The Cardiac Society of Australia and New Zealand Paul G Bridgman, Belinda Buckley, Mark Davis, Belinda Green, Alexander Sasse, David Tang, Niels van Pelt, Steve White NZMJ 19 February 2016, Vol 129 No 1430 ISSN 1175-8716 © NZMA 4 www.nzma.org.nz/journal SUMMARIES TPPA should not be adopted without a full, independent health assessment Gay Keating, Josh Freeman, Alex Macmillan, Pat Neuwelt, Erik Monasterio The secretive Trans-Pacific Partnership agreement (TPPA) was agreed in late 2015 and coun- tries are now deciding whether or not they will formally join the treaty. The New Zealand Government’s National Interest Analysis indicates that, in general, current health-relevant policies will continue; however, constraints will be placed on future governments developing new policies. Here we bring together several independent analyses of the released text of the TPPA, which reveal a concerning picture for health. Flexible sigmoidoscopy is the best approach for a national bowel screening programme Brian Cox A flexible sigmoidoscopy, done once in your life between 55 and 64 years of age, can reduce your risk of dying of bowel cancer by 33% and your chance of developing future bowel cancer by 43%. However, despite the very strong evidence that one-off flexible sigmoidoscopy screening is a much more effective screening test than the faecal occult blood test being used in the bowel screening pilot study, the Ministry of Health has failed to pursue this option. A national screening programme of one-off flexible sigmoidoscopy could be established within 12 months and recoup much of its initial cost within 10 years through savings in the total cost of treatment due to the reduction in bowel cancer incidence achieved. The role and potential of community-based cancer care for Māori in Aotearoa/New Zealand Tania Slater, Anna Matheson, Cheryl Davies, Cheryl Goodyer, Maureen Holdaway, Lis Ellison-Loschmann This is the first study to show how indigenous health providers contribute to cancer care and prevention in Aotearoa/New Zealand. A nationwide postal survey of Māori health provider organisations found that they deliver a wide range of cancer care programmes. These include cancer prevention services focussed on health promotion, as well as advocacy, information and support. The trust and long term relationships that Māori health providers have within their communities enables them to help people access mainstream cancer services such as screening, hospital care and cancer support services. This focus on supporting families rather than individuals is important throughout the cancer care journey. Trialling a shaken baby syndrome prevention programme in the Auckland District Health Board Patrick Kelly, Kati Wilson, Aqeela Mowjood, Joshua Friedman, Peter Reed Shaken baby syndrome is a cause of death and serious injury to a significant number of New Zealand babies every year. We describe a simple educational program, delivered routinely to parents or caregivers by health professionals in the first weeks or months of a baby’s life, which may reduce the incidence of this condition. The program provides parents and caregivers with some simple strategies for coping with a crying baby as well as reinforcing the importance of never shaking a baby. The program was based on international scientific evidence, but modified significantly for the New Zealand context and trialled in the Auckland District Health Board over 18 months in 2010 and 2011. NZMJ 19 February 2016, Vol 129 No 1430 ISSN 1175-8716 © NZMA 5 www.nzma.org.nz/journal SUMMARIES Assessing a hospital medication system for patient safety: findings and lessons learnt from trialing an Australian modified tool at Waitemata District Health Board Jerome Ng, Penny Andrew, Marilyn Crawley, Wynn Pevreal, Jocelyn Peach Medicines are one of the highest causes of preventable harm to patients. Improving medi- cation systems is fundamental to making our hospitals safer for patients. The widely endorsed Medication Safety Self-Assessment (MSSA©) tool was used to compare local hospital medication systems against ideal medication safety practices (ie gap analysis). Information obtained from the review highlighted areas in need for further improvement. Evidence for a young adult-targeted tobacco control campaign stimulating cessation-related responses among adult smokers and recent quitters Judy Li, Hayley Guiney, Darren Walton Mass media campaigns
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