Vale Joan Faoagali

2017 ◽  
Vol 38 (1) ◽  
pp. 45

Joan Faoagali is remembered by many microbiologists as a Director of Microbiology at Royal Brisbane Hospital from 1985 to 2006 and then Princess Alexandra Hospital from 2006. Born in New Zealand in 1940 as Joan Wilson, Joan married her first husband, Malaki Faoagali in 1964. After graduating with her medical degree from Otago University and then undertaking her junior training in Invercargill, in 1968 her young family travelled to Samoa by ‘banana boat’. Joan soon realised that an unmet need in Samoa was pathology so she returned to New Zealand in 1969 to undertake pathology/microbiology training. By 1974, Joan had been appointed as Director of Microbiology at Christchurch Hospital.

2010 ◽  
Vol 19 ◽  
pp. S209
Author(s):  
S. Burgess ◽  
S. Harding ◽  
I. Melton ◽  
N. Lever ◽  
A. Swain ◽  
...  

The Lancet ◽  
1899 ◽  
Vol 154 (3976) ◽  
pp. 1296 ◽  
Author(s):  
P.Clennell Fenwick

2010 ◽  
Vol 19 ◽  
pp. S5
Author(s):  
SN Burgess ◽  
SA Harding ◽  
I Melton ◽  
NA Lever ◽  
AH Swain ◽  
...  

The Lancet ◽  
1883 ◽  
Vol 122 (3137) ◽  
pp. 635-636
Author(s):  
Bakewell

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035876 ◽  
Author(s):  
Joanna B Broad ◽  
Zhenqiang Wu ◽  
Katherine Bloomfield ◽  
Joanna Hikaka ◽  
Dale Bramley ◽  
...  

ObjectivesRetirement villages (RV) have expanded rapidly, now housing perhaps one in eight people aged 75+ years in New Zealand. Health service initiatives might better support residents and offer cost advantages, but little is known of resident demographics, health status or needs. This study describes village residents—their demographics, socio-behavioural and health status—noting differences between participants who volunteered and those who were sampled.DesignCross-sectional study of village residents. The cohort formed will also be used for a longitudinal study and a randomised controlled trial. Village managers (sometimes after consulting residents) decided if representative sampling could be undertaken in each village. Where sampling was not approved, volunteers were sought.Setting33 RV were included from a total of 65 villages in Auckland, New Zealand.ParticipantsResidents (n=578) were recruited either by sampling (n=217) or as volunteers (n=361) during 2016–2018. Each completed a survey and an International Resident Assessment Instrument (interRAI) health needs assessment with a gerontology nurse specialist.ResultsMedian age of residents was 82 years, 158 (27%) were men; 61% lived alone. Downsizing (77%), less stress (63%) and access to healthcare assistance (61%) were most common reasons for entry. During the 2 weeks prior to survey, 34% received home supports and 10% personal care. Hypertension, heart disease, arthritis and pain were reported by over 40%. Most common unmet needs related to managing cardiorespiratory symptoms (50%) and pain (48%). Volunteers and sampled residents differed significantly, mainly in socio-behavioural respects.ConclusionsCommon conditions including hypertension, arthritis and atrial fibrillation, are recorded in interRAI as text, and thus overlooked in interRAI reports. Levels of unmet need indicate opportunities to improve health services to better manage chronic conditions. Healthcare service providers and village operators could cooperate to design and test service initiatives that better meet residents’ needs and offer cost benefits.Trial registration numberACTRN12616000685415.


The Lancet ◽  
1895 ◽  
Vol 146 (3773) ◽  
pp. 1574-1575
Author(s):  
Courtney Nedwill

Author(s):  
Adam Gyedu ◽  
Barclay Stewart ◽  
Cameron Gaskill ◽  
Emmanuella Salia ◽  
Raymond Wadie ◽  
...  

Abstract Introduction Currently, there are no existing benchmarks for evaluating a nation's pediatric surgical capacity in terms of met and unmet needs. Materials and Methods Data on pediatric operations performed from 2014 to 2015 were obtained from a representative sample of hospitals in Ghana, then scaled up for national estimates. Operations were categorized as “essential” (most cost-effective, highest population impact) as designated by the World Bank's Disease Control Priorities versus “other.” Estimates were then compared with pediatric operation rates in New Zealand to determine unmet pediatric surgery need in Ghana. Results A total of 29,884 operations were performed for children <15 years, representing an annual operation rate of 284/100,000 (95% uncertainty interval: 205–364). Essential procedures constituted 66% of all pediatric operations; 12,397 (63%) were performed at district hospitals. General surgery (8,808; 29%) and trauma (6,302; 21%) operations were most common. Operations for congenital conditions were few (826; 2.8%). Tertiary hospitals performed majority (55%) of operations outside of the essential category. Compared with the New Zealand benchmark (3,806 operations/100,000 children <15 years), Ghana is meeting only 7% of its pediatric surgical needs. Conclusion Ghana has a large unmet need for pediatric surgical care. Pediatric-specific benchmarking is needed to guide surgical capacity efforts in low- and middle-income country healthcare systems.


2018 ◽  
Vol 103 (9) ◽  
pp. 873-879 ◽  
Author(s):  
Sarah-Jane Paine ◽  
Ricci Harris ◽  
James Stanley ◽  
Donna Cormack

ObjectivesChildren’s exposure to racism via caregiver experience (vicarious racism) is associated with poorer health and development. However, the relationship with child healthcare utilisation is unknown. We aimed to investigate (1) the prevalence of vicarious racism by child ethnicity; (2) the association between caregiver experiences of racism and child healthcare utilisation; and (3) the contribution of caregiver socioeconomic position and psychological distress to this association.DesignCross-sectional analysis of two instances of the New Zealand Health Survey (2006/2007: n=4535 child–primary caregiver dyads; 2011/2012: n=4420 dyads).Main outcome measuresChildren’s unmet need for healthcare, reporting no usual medical centre and caregiver-reported dissatisfaction with their child’s medical centre.ResultsThe prevalence of reporting ‘any’ experience of racism was higher among caregivers of indigenous Māori and Asian children (30.0% for both groups in 2006/2007) compared with European/Other children (14.4% in 2006/2007). Vicarious racism was independently associated with unmet need for child’s healthcare (OR=2.30, 95% CI 1.65 to 3.20) and dissatisfaction with their child’s medical centre (OR=2.00, 95% CI 1.26 to 3.16). Importantly, there was a dose–response relationship between the number of reported experiences of racism and child healthcare utilisation (eg, unmet need: 1 report of racism, OR=1.89, 95% CI 1.34 to 2.67; 2+ reports of racism, OR=3.06, 95% CI 1.27 to 7.37). Adjustment for caregiver psychological distress attenuated the association between caregiver experiences of racism and child healthcare utilisation.ConclusionsVicarious racism is a serious health problem in New Zealand disproportionately affecting Māori and Asian children and significantly impacting children’s healthcare utilisation. Tackling racism may be an important means of improving inequities in child healthcare utilisation.


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