Your Health 2018

YOUR HEALTH Your local guide to health and well-being services

1 –Times Your Health – A Times Media Supplement June 2018 A Media publication

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Is it a bump or lump?

Be breast aware this sport season Bumps and bruises are part of the game, but beware: your injury could be hiding something more serious. That’s the message from Breast Cancer Foundation NZ as Kiwis head into the winter sport season.

Chief Executive Evangelia Henderson is urging women – and men – to be vigilant if they sustain a knock to the chest. “Bumps themselves don’t cause breast cancer,” Mrs Henderson says.

“However, if you notice a lump that remains after bruising, swelling and soreness resolves, we strongly recommend that you have it checked by your doctor.”

The Breast Cancer Foundation’s warning comes after a Palmerston North roller derby player, Jody Hare, was diagnosed with an aggressive form of breast cancer following a bruising encounter on the track. Jody went to her doctor with soreness, bruising and a lump that, at first, was thought to be a haematoma. When the lump did not disappear, Jody returned to her doctor and was sent for further tests. She was diagnosed with ductal invasive carcinoma and has since had chemotherapy, a mastectomy and drug treatment.

Throughout, she continued with her sport and even represented New Zealand at the world championships in the UK – just one week before having her mastectomy.

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Jody – roller derby and chemotherapy.

Photos supplied.

Jody is grateful that her injury led to the lump’s chance discovery. “If it had been any later, it would have been a whole lot more serious,” Jody says.

Mrs Henderson says, “Jody’s story is a reminder that everyone should be breast aware. We encourage you to ‘Know your normal,’ and if you notice a change, see your doctor.”

More than 3300 women are diagnosed with breast cancer in New Zealand every year. Men can get breast cancer too – around 25 are diagnosed each year. Check out anychanges.co.nz to find out how to check your breasts and know the signs.

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East Auckland Clinic: Eastcare Specialist Centre I 260 Botany Road, Howick

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Seasonal produce

PROVIDES AFFORDABLE WINTER WELLNESS Increasing your intake of fruit and vegetables can make a big difference to the way you feel in just a couple of weeks.

Winter feels like it is well and truly here, and seasonal fruit and vegetables play a vital role in boosting immunity and fighting off unwanted ills and chills.

Niki Bezzant, food and nutrition writer and editorat-large for Healthy Food Guide, says eating seasonally is not only economical, but ensures we are getting the right vitamins and minerals in our diet.

“Getting lots of fruit and vegetables in winter is especially important to keep up our intake of vitamins and minerals to boost immunity. Fruit and vegetables also contain fibre which is beneficial for gut health, a very important part of our immune system,” she says.

With soup season in full swing, winter produce such as kumara, carrots, parsnips, broccoli and cauliflower lend themselves perfectly to creating hot, creamy and nutritious soups and are packed with dietary fibre and vitamins.

Kumara and broccoli in particular are bursting with Vitamin C, both containing more than the recommended daily dose, as well as Vitamins A and B6.

5+ A Day Charitable Trust general manager Paula Dudley says familiarising yourself with what’s in season is a great way to save money. “Eating at least five servings a day of fruit and vegetables is great, but eating more and a good variety, is even better,” says Dudley.

Bezzant says another cost-effective idea is batch cooking winter vegetables, it is a simple way to plan meals and a great time saver for our busy lives.

“Roast up a big dish of kumara, pumpkin, parsnip, potato and carrots at the start of the week and use them in salads for lunches, frittatas for breakfast or casseroles for dinner.

“I also love dark leafy greens like silverbeet, spinach and kale in winter, they add goodness to almost anything, particularly soups and casseroles. Citrus fruit is abundant now and perfect as a snack or dessert,” says Bezzant.

Dudley says increasing your intake of fruit and vegetables can make a big difference to the way you feel in just a couple of weeks, helping to lift your psychological wellbeing, lowering stress levels, and boosting vitality and motivation.

Welcoming new patients now We are committed to health and wellness, providing the best support, care and advice to our community.

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X-ray, pharmacy, dentist, optometrist, physio and visiting specialists on-site

GP spotlight Dr Jing Dong

For urgent care, come to The Doctors Ti Rakau without an appointment.

Our ongoing commitment to our community includes offering no surcharge ACC consultations to sports clubs, gyms and schools and FREE GP consultation for enrolled children under 13 years.

Save money and time

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For GP appointments, phone us or our enrolled patients can book a time on-line.

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Being fluent in Mandarin and English Dr Jing has a multicultural rapport with patients. She enjoys supporting women with breast and cervical cancer health screening programmes.

Book with these GPs at The Doctors Ti Rakau, now.

Hours: Every day from 8am-8pm | 316 Ti Rakau Drive, Burswood | Ph: 09 273 8980 Email: info@tr.thedoctors.co.nz

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The CDC Zika website is found at www.cdc.gov/zika. The a re an approp option for It’s hard to riate you then for your ng h e a appropriate travel destination. neurological damage done by Zika can range from microcephaly r d u ring vid Focus He offers an conferenc aring can fly. Trimester e(between obligMost s and me 12- eo a ti pregnant travellers 2 to mental retardation and seizures. It is transmitted by Aedes o n e ti w fr n ee hearin gs ork trial of the gthe aidsafest time to .travel. Most airlines at ageypti and other Aedes mosquitoes and it is also transmitted late st solu ible 24 weeks) isticonsidered ons availa You need ble. passengers to are ns turnwell if they up to sexually by infected male partners. In addition to Zika, Malaria up th FREE he will carry “singleton” pregnant e TV or ra dio volum a36rin e while(twins). g st in an weeks and up to 32 weeks for multiple pregnancies and Yellow Fever are also mosquito-borne diseases and exist c h o e th c e ro k rs o m compla or clean d check o in the in that it’s f you by Checking with airline about cut-off dates is important. too loud. in tropical countries. It is important to plan protection from r hyour aids earin You have gadvised to avoid: trouble he Pregnant women are bites. In pregnancy 30-50% Deet insect repellent or Oil of Lemon s, aring sounds on When you ◆ scuba diving, your com Eucalyptus are regarded as safe insect repellents. These need to come in m puter or portable e ention see in the “HE ◆ high altitude le ctro n ic trekking Semester One. Do not sleep above be applied to the skin when residing in mosquito areas when you inin ALTH BO d e g v ices. us OKLET” a will receiv You Three. feel likeTake n d metres in Trimesters Two and time to get up in the morning and 6 hours later in the day. Sleep under e a F3,000 y o y o u u’re not fu REE heari enjoying y or FREE lly nyou g chcan our favou e – travel to 2,500 metre. mosquito nets and turn the fan on in your room. clean acclimatise c k rite music and ch d movies. hearing a of yourand extremeanenvironments and This article covers a number of the issues involved in travelling ids. ◆ trekkingeinckremotes To book y ◆ skiing in the second and third trimesters Your workdue to falls and while pregnant. Ensure you consult your GP or Travel Medicine our appoin exposes y ou to loud phone (09 noises ov tm er long pe Specialist and your LMC. ) 5 injury risk. ent simply riods of tim www.focu 33 6463 now or vis e .

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f traveling to a hot climate – avoid overheating as this can Crawford Medical Centre, Picton St, Howick. Phone 538-0126. it she◆ g ing or buz aring.co.n zing in yo need a re z. You do e a u rs r a ferral. n n n’t oys you.

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4 – Your Health – A Times Media Supplement 2018

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Are You Planning A Pregnancy?

If you are thinking about starting a family it is a great idea to consider pre-conception planning and see your GP to discuss any health issues you have and to get your blood tests done, your weight checked – to ensure all are within normal ranges; and to discuss any travel plans you may have – because of Zika virus.

In New Zealand pregnancy care is free to eligible New Zealanders. When you first become pregnant, it is important to engage with your GP to establish a baseline early – within the first 12 weeks of pregnancy.

We screen you for: • Your blood group • Your haemoglobin – to make sure you are not anaemic and that your baby will have enough oxygen • Your immunity to Rubella –as this can cause deafness and heart defects if you have no immunity and get this infection in pregnancy • The presence of any infections like syphilis and HIV At this first antenatal visit we provide an information pack about your pregnancy and also check how you are coping with the pregnancy. If your pregnancy is

unplanned there can be concerns about alcohol and drug intake and travel destinations visited in the time period before your pregnancy was detected.

Folic acid is an important medicine before conception and in early pregnancy, as is iodine – because soil levels in New Zealand are low. Our doctors can prescribe these for you.

Free pregnancy testing is available from Crawford Medical Centre nurses. Our 15 GPs also have special interests in obstetrics, paediatrics, women’s and men’s health.

Languages spoken:

Crawford Medical Centre has 15 doctors: Bruce Greenfield Linley Murray Lorraine Forbes Graham Witney James Lin

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Your wellbeing is our focus

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Why you should visit Eyes of Howick At Eyes of Howick, our emphasis has always been on providing you with superb eye care. To put it simply, our comprehensive eye examinations take longer as we like to take the time to get to know you and your eyes.

As part of our personalised service you now have the choice of three levels of eye examination. If you are not sure which one you will benefit from, our friendly team and one of our experienced optometrists are happy to discuss this with you.

Comprehensive eye exam: $99 adult, $79 student includes... ◆ Review of your general health and eye health history ◆ Full discussion regarding your day to day visual requirements ◆ Vision & Prescription check ◆ Visual function tests as required; binocular vision, ocular muscle testing and screenings for colour and peripheral vision. ◆ Internal & External eye health assessment; including testing for cataracts, glaucoma, macular degeneration & dry eye. ◆ Eye pressure testing as required; recommended for those 40 years and over ◆ Digital retinal photography provides a detailed image of the back of your eye

Premium eye exam: $220 adult, $200 student includes... ◆ It includes the above but with the incorporation of an OCT exam and analysis.

Ocular health and glaucoma screening for only $65... ◆ Review of your general health and eye health history ◆ Vision and colour vision screening (no prescription check) ◆ Ocular health and eye pressure testing ◆ Visual Field screening What is an OCT? Optical Coherence Tomography or OCT is a non-invasive imaging test that uses light waves to take cross-section pictures of your retina and optic nerve, the light-sensitive tissue lining the back of the eye.

This sophisticated scanning system produces highly detailed images of the retina. It is often likened to an MRI or x-ray of the eye. This procedure is currently the only one that shows in-depth images of the eyes internal structures. Other procedures only show the surface of these structures.

With OCT, each of the retina’s distinctive layers can be seen, allowing us to map and measure their thickness. These measurements help with early detection, diagnosis and treatment

Optometrists Kristine Jensen and Teresa Hsu. guidance for retinal diseases and conditions, including age-related macular degeneration and diabetic eye disease.

In addition, OCT is often used to evaluate disorders of the optic nerve. The optic nerve is made up of many nerve fibres and sends signals to your brain, where these signals are interpreted as the images you see.

The OCT exam is helpful in determining changes to the fibres of the optic nerve, such as those caused by glaucoma.

Being the latest in diagnostic technology our OCT provides a synchronised high quality, high resolution OCT and colour image of your retina in the same area. This means this amazing instrument does two things at once, making it quicker and more comfortable for you.

We are so pleased to be able to include this technology within our premium eye exam offer. The OCT and colour retinal image can be said to be the inseparable combination for daily diagnosis of eye health conditions.

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6 – Your Health – A Times Media Supplement 2018

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Scientists tackling severe strain as flu season pushes on

Your health and our community are the top priority for the team at Highland Park Medical. We are here to provide for all your family healthcare needs. We have 7 family doctors, as well as audiology, and psychology services. We take an integrated view of your health care from the common to the most complex medical needs, ensuring you receive and access the best health care services available for you. Great central location by the Highland Park Shopping Centre, there is flat easy access, and ample parking right outside the medical centre.

Languages spoken by GPs – English, Mandarin, Taiwanese, Malayalam (South Indian)

General and family medicine • Family planning • Minor surgery • Travel Health and immunisation • House calls

Highland Park Medical Your Health, Our Community

Free Doctor’s visits for Children under 13 Years* Highland Park Medical. 14 Highland Park Drive Open Monday to Friday 8.30am-5pm late night Thursday to 8pm New Patients Welcome - Phone for an appointment Ph: (09) 535 8095 for535 an8095 appointment

email: medical@highlandpark.co.nz

Your health and our community are the top priority for the team at Highland Park Medical.

We are here to provide for all your family healthcare needs. We have 7 family doctors , as well as audiology, physiotherapy, and psychology services. We take an integrated view of your health care from the common to the most complex medical needs, ensuring you receive and access the best health care services available for you. Great central location by the Highland Park Shopping Centre, there is flat easy access, and ample parking right *Zero fees applies to a standard daytime visit to a GP or nurse. outside the scheme medical centre.

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The patient must be an enrolled patient at Highland Park Medical and be General and family medicine • Family planning • Minor surgery • Travel Health and immunisation • House calls under 13 years of age.

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ESR scientists say the flu strain (influenza A(H3N2)) associated with an increase in hospitalisation and deaths in the Northern Hemisphere is part of this year’s vaccine in New Zealand.

The environmental health science agency’s Public Health Physician, Sarah Jefferies, says countries such as the UK reported moderate to high levels of influenza and influenzalike illness during their 2017/18 season.

Currently, there are four seasonal influenza viruses circulating globally - influenza A(H1N1), influenza A(H3N2), influenza B/Yamagata lineage and influenza B/Victoria lineage.

Dr Jefferies says the 2018 Southern Hemisphere seasonal influenza vaccine aims to cover these four viruses by including inactivated strains. This year the publiclyfunded influenza vaccine includes all four strains (i.e. it is a quadrivalent vaccine).

The challenge for scientists and medical authorities is virus mutation, with the influenza virus able to rapidly change as it spreads through the population. This means some strains of virus may not be recognised by the body’s immune system in people who are vaccinated or have been previously exposed to influenza virus.

“For example, A(H3N2) is notorious for being able to rapidly change genetically, and this is the type of seasonal virus commonly detected in parts of the Northern Hemisphere during their recent flu season.

“But, it’s important to note that our Southern Hemisphere vaccine has been update, says Dr Jefferies.

“The WHO recommended a change in our Southern Hemisphere seasonal influenza vaccine for 2018 which better covers some strains of influenza detected in the 2017 Southern Hemisphere season and the Northern Hemisphere 2017/18 season.”

However, she says it is difficult to predict exactly what strains of seasonal virus will end up circulating in New Zealand’s 2018 season.

“The health impacts of flu this year will depend on how well New Zealanders use preventative measures like immunisation and good hygiene practices, how the strains which circulate compare to viruses we’ve had previously, which cause natural immunity, and to the strains in the vaccine, which also generate immunity.”

Dr Jefferies says the best option for prevention is immunisation, and the vaccine is free for older people, pregnant women and those with certain medical conditions.

Good sources of further information about immunisation are the fightflu.co.nz website and HealthLine.

ESR is New Zealand’s Crown Research Institute which specialises in science that helps safeguard people’s health.

ESR manages the national influenza surveillance programme on behalf of the Ministry of Health.

Free Doctor’s visits for Children under 13 Years* Your Health – A Times Media Supplement 2018 – 7

Highland Park Medical. 14 Highland Park Drive Open Monday to Friday 8.30am-5pm late night Thursday to 8pm Ph: (09) 535 8095 for an appointment email: medical@highlandpark.co.nz highlandpark.co.nz

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Call into Botany Junction Medical and enrol with us to take advantage of our low consultation fees

Immunise against

the flu

Dr Ahmed Kareem

Dr Jayani Kannangara

Dr Kareem was born In Iraq and graduated with a MB BS 2007 from Nahrain University in Baghdad before coming to New Zealand in 2010. He has worked in the District Health Boards in Auckland for three years before joining the General Practice Fellowship Programme. His special interest is Paediatrics and he holds a post graduate diploma in Paediatrics from Auckland University. He is also skilled in minor surgeries. He is multilingual with his first language being Arabic, and is proficient in English.

Dr Jayani Kannangara was born in Sri Lanka and raised in Rotorua. She completed her training in Otago University with a MB ChB 2013 and after working for the Lakes District Health Board joined the General Practice Fellowship Programme. Her special interests are in women and children’s health. She is multi-lingual and proficient in English and Sinhalese.

MB BS, Dip Paed

MB CHB, Dip Paeds, Cert WH

Dr Daniel Calder

Dr Suyin Kour

Dr Calder grew up in Norway and graduated from the University of Edinburgh, Scotland in 2008. He completed his GP specialty training in the UK and worked as a GP for several years before moving to Borneo for two years to learn tropical medicine. He has now settled down in Auckland with his wife, son and two daughters. He enjoys the variety of general practice and sees both adults and children.

He is currently working towards Fellowship with the RNZCGP. His special interests include ENT, dermatology, minor surgery and men’s health. Dr Calder is fluent in English and Norwegian.

Dr Suyin Kour is a Malaysian born Chinese and completed her high school education in Auckland. She graduated from The University of Edinburgh in 2007 and has worked in various specialities such as General Medicine, Surgery, Emergency Medicine, Paediatrics, Geriatrics, Psychiatry and Obstetrics and Gynaecology. She has completed her UK GP speciality training and is now settled in Auckland with her husband and three children. Her special interests are in Women’s health (Diploma in Gynaecology), children and elderly care. She is fluent in English, Malay and some Mandarin.

MBChB, BSc (Hons) Dip Derm, MRCGP

MBChB (Edinburgh), DRCOG (UK), MRCGP (UK)

Dr Jayani Kannangara

Dr Yimin Wang

(speaks English and Sinhalese)

(speaks English, Mandarin & Shanghainese)

Dr Ahmed Kareem (speaks Arabic and English)

Dr Daniel Calder (speaks English and Norwegian)

Dr Therese Khella (speaks Arabic and English)

Dr Suyin Kour (speaks English, Malay and some Mandarin)

Dr Lionel Wright (speaks English and Afrikaans)

The most important thing you can do this winter is be immunised against influenza and seek advice from a health professional if you are unwell, St John Medical Director Dr Tony Smith says.

Each winter the surge of 111 ambulance calls continues to increase, which despite St John’s best efforts to triage and treat people in-home, places a lot of pressure on the ambulance service and the hospital emergency departments.

St John has issued five key messages to the public to help them look after themselves and each other this winter: • Choose well – immunise against flu, treat minor symptoms at home.

• Seek help – if symptoms persist, call your doctor, Healthline or visit your pharmacy or health professional early for advice.

• Prepare – if you have a medical condition such as asthma or COPD or something where symptoms exacerbate during the colder months, keep on top of your routine medication • Self-care – common colds, coughs, sore throats can usually be very well managed at home with the assistance of your

Dr Wen Chen (speaks in English & Mandarin)

Dr Carlos Lam Yang

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Dr Sonia Kamdar (speaks fluent English and communicates well in Gujarati, Hindi and Malay)

Call into Botany Junction Medical and enrol with us to take advantage of our low consultation fees.

FEES FOR ENROLLED PATIENTS UNDER 13s – FREE 13-17 YEARS – $12 17+ YEARS – $18

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$69 ONLY ExamiNatiON & x-RaY Unit D, 455 East Tamaki Rd, Botany, Auckland botany@aucklandfamilydental.co.nz www.aucklandfamilydental.co.nz CP2410

8 – Your Health – A Times Media Supplement 2018

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local pharmacy • In an emergency – call 111, and we will find the most appropriate help for you through a clinical assessment. This may not be an ambulance or transport to an emergency department, but you will get the right care, at the right time.

“This is the first year the St John 111 Clinical Hub has been in place nationwide, helping triage emergency 111 calls to make sure callers receive the most appropriate advice and treatment.

Likewise, this helps us to ensure that the patients in the most urgent need are receiving an appropriately urgent response,” Dr Smith says.

The latest flu season has been catastrophic internationally, particularly Europe and the UK, and St John has taken a number of measures to ensure the ambulance service is well prepared.

“We have done thorough data analysis showing us where the peaks and troughs, hot spots, and demand surges are, so that we can appropriately allocate extra resource to those areas, be it more ambulances or more rostered ambulance officers, St John has taken every step available to it to help ease winter health pressures,” Dr Smith says.

We are asking the public to also play their part by engaging

with their GPs and pharmacies early and follow our Choose Well advice.

Winter wellness – who to call if you or your whanau are unwell?

• Call your family doctor first – calls are answered 24 hours a day, 7 days a week.

• Call Healthline if you don’t have a family doctor, or if you’re feeling unwell but not sure if you need to see a doctor, or if you need urgent advice from a nurse. Call Healthline free on 0800 611 116, available 24 hours a day, 7 days a week. Phone calls are free – including from a mobile phone. Interpreters are available • Nurses are skilled in advising the most appropriate next steps.

• If it’s an emergency or you’re just unsure, call 111 and we will find the most appropriate care for you.

Flu immunisation is free for many people – visit www. fightflu.co.nz or call 0800 466 863 for influenza information.

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Check out our beginners block course “You alone can do it... but you can’t do it alone” For bookings call Nadine GROW is free of charge P: 537 9197Book now for next term at www.kiwiyoga.co.nz call Nadine M: 021 For 356 bookings 305 Phone our day and night classes P: Check 537 9197 E: nadine@kiwiyoga.co.nz (09) 846 6869 at the local Mellons Bay studio M: 021 356 305 www.kiwiyoga.co.nz Kiwiyoga for a group at nadine@kiwiyoga.co.nz E:Inquire nadine@kiwiyoga.co.nz near you. www.kiwiyoga.co.nz Kiwiyoga www.grow.org.nz

Seasons for Growth is an innovative grief and loss education program that uses the imagery of the seasons to illustrate the experience of grief. It has experienced great success in Australia and New Zealand.

It aims to strengthen the social and emotional wellbeing of children (6-12), young people (1318) and adults who are dealing with significant life changes by:

southern cross & acc Provider

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28/06/2018 5:56:33 p.m.

Asthma: Be more vigilant Whanganui parents are being warned to be more vigilant in managing their children’s asthma with a new report showing high numbers of children being hospitalised for the disease in the region.

Auckland parents are being warned to be more vigilant in managing their children’s asthma with a new report showing high numbers of children being hospitalised for the disease in the region.

The Massey University report found an increase of 45 per cent in the rates of Kiwi children hospitalised with asthma from 2002 (473 per 100,000) to 2016 (688 per 100,000). According to the report authors, more than 6000 children under the age of 15 were hospitalised with asthma in 2016.

The report found Auckland has the country’s highest rate of child hospitalisation with asthma with a rate of

1076 children aged under 15 admitted per 100,000 - a 56 per cent higher level than the national average of 688 per 100,000.

While many children grow out of asthma as they age, one in every nine adults are believed to be living with the disease. New Zealand’s high rates of asthma carries a significant cost burden – estimated to be more than $850 million annually, including the loss in productivity at work and the direct costs of medical treatment.

Associate Professor Jim Reid from Otago University says New Zealand has one of the highest rates of asthma in the world with around 70 people dying from the disease each year.

Recent research shows the prevalence of asthma in New Zealand children is approximately 15 per cent , with 11 per

cent of adults also affected. More than 521,000 Kiwis are estimated to need medication for the disease.

Professor Reid says the key to getting the nation’s asthma burden under control is a simple Asthma Control Test (ACT) which is done at either a pharmacy, doctor’s surgery or online at asthmacontroltest.com.

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10 – Your Health – A Times Media Supplement 2018

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28/06/2018 5:56:52 p.m.

‘Low-cost prevention measures the answer’ The recent Healthy Auckland Together monitoring report shows poorer oral health outcomes for children in the poorest neighbourhoods, being 12 times more likely to have worse oral health compared to children from affluent areas.

The New Zealand Dental Association (NZDA) says while recent debate focuses on expensive measures, such as increasing government funding of dental care, there are many low-cost preventative measures that would improve oral health.

“Many of the measures we’re calling for don’t carry a great cost, they simply require political will,” said NZDA spokesperson Dr Rob Beaglehole.

The seven actions are:

1) I ntroducing an icon on drinks indicating, in teaspoons, the amount of sugar in each drink.

2) I ndependent monitoring and evaluation of food marketing, with an emphasis on marketing that influences children.

3) Urging the government to adopt WHO limit guidelines.

4) Encouraging public to switch to water by; introducing warning labels highlighting sugary drinks as risk factors for obesity,

diabetes, and tooth decay, and a nationwide social marketing campaigns such as ‘Switch to Water’.

5) W orking with schools and the Ministry of Education to introduce ‘water only’ policies.

6) I ntroducing local council ‘water only’ policies at council facilities and events.

7) I ntroduction of a ‘sugary drinks’ tax in line with WHO recommendations.

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Ready for the FUTURE OF VITAMINS? Local company Wondermins is set to revolutionise the way you buy supplements, with daily vitamin packs personalised to your needs and delivered to your door.

At the heart of the system is the Wondermins Prescription Engine. Just answer some simple questions online about your health goals and lifestyle. It’s free and there is no obligation.

The Prescription Engine takes into account a huge variety of factors including age, sex, current nutrition, dosage, slow and fast release nutrients, contraindications (or vitamins that don’t work well together) and vitamins that work best together.

All-in-all, the sophisticated algorithm sorts through many millions of combinations to arrive at just one recommendation that’s right for you.

Add or remove as you see fit, and your personalized packs get delivered to your door each month. You can adjust or cancel at any time, with free shipping on orders over $40. And if your health needs change, just run a new test and update your order for the next month.

Taking an evidence-based approach to every recommendation, Wondermins sources the best possible nutrients direct from suppliers around the world and only those backed with scientific or research support, providing you with information

on whether the research is extensive, emerging or if a product is a traditional remedy.

The bespoke, direct-to-you service also saves you time and money, with less wastage, no unnecessary trips to the store, and no middleman, commissions or kickbacks, meaning savings sometimes of up to 30 percent less than pharmacy.

Doctors don’t prescribe the same solution for everyone, so why rely on mass marketed multi-vitamins now that there’s a smarter way? Just think, no more forgetting which pills to take or buying supplements you don’t really need. Just smart, personalised, practitioner quality nutrients that save you time and money.

Ormiston Weight Loss Service Welcome to the Ormiston Weight Loss Service. Our service is intended to offer our community a surgical choice and clinical support, to assist in taking ownership of your health and moving forward to a greater place of wellness.

Bariatric Surgery assists in weight loss and may be recommended as a last resort when diet, exercise and medication have not been successful and if obesity related conditions such as heart disease, asthma, high blood pressure, sleep apnoea and type II diabetes have

worsened, among other problems.

The aim of the surgery is to reduce the food-holding capacity of the stomach so the patient has a feeling of fullness after eating very little.

Without hunger pangs, the person tends to lose interest in overeating and is more likely to stick to a lowkilojoule diet.

When you choose Ormiston Hospital Weight Loss Service for your surgery, you choose the most experienced surgeons, treating you in the well-established Ormiston Hospital.

We are dedicated to offering you a complete and comprehensive service with a fixed fee that will provide you with the best level of care through your journey to improved health.

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12 – Your Health – A Times Media Supplement 2018

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28/06/2018 5:57:12 p.m.

DEMENTIA FRIENDS Alzheimers NZ is issuing a call to action as part of a new outreach and awareness programme launched recently.

Dementia Friends learn about dementia and the impact it has. They then make a commitment to action to help those living with dementia to live well. Dementia Friends choose the action or actions they are comfortable with and able to offer.

Dementia Friends has been informed and shaped by the voices and input of Kiwis living with dementia.

Whether you are a school kid or a chief executive, a Cabinet Minister or someone in between, you can be a Dementia Friend, Alzheimers NZ chief executive Catherine Hall says.

Ms Hall hopes thousands of Kiwis listen to Alzheimers NZ’s call and join the Dementia Friends community.

“We are inviting everyone in New Zealand to become a Dementia Friend

to raise awareness and build a more understanding, inclusive and supportive New Zealand.

“Every action a Dementia Friend takes counts. Even small actions can make a big difference.”

“No action is too small. No action is too big. Actions can range from getting a better understanding and appreciation of dementia, to wearing a badge or a wristband to let people know they are a Dementia Friend, through to perhaps helping someone living with dementia to do something they might like help with or enjoy.”

To become a Dementia Friend, people complete a short, online programme. The programme includes a short video featuring three Kiwis living well with dementia.

For more information and to join us and become a Dementia Friend www.alzheimers.org.nz.

HOW TO COMMUNICATE WITH SOMEONE WHO HAS DEMENTIA Perhaps one of the most frustrating affects of dementia is a breakdown in the ability to communicate, both on the part of those living with such conditions and those who care for them. Drawing on more than 12 years’ experience caring for her husband — afflicted with Lewy body dementia — Angela presents a book which explains what works, what doesn’t, and why. Endorsed by the Neurological Foundation of New Zealand, this practical guide explores how to use language effectively, implement critical listening skills and better interpret body language.

• Angela Caughey: How to Communicate with someone who has Dementia RRP $35 | Calico Publishing

PAKURANGA CHIROPRACTIC CLINIC James Brownlie has worked as a chiropractor in Pakuranga for over 45 years, focusing on good health care and sports with chiropractic treatments & drugless healing systems

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• Neck & Shoulder pain • Headaches & Migraines

Dr James A. Brownlie DC. MNZCA. Member of the NZ Chiropractors Association

Phone 09 576 5169 317 Pakuranga Rd Pakuranga JH14091

Your Health – A Times Media Supplement 2018 – 13

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28/06/2018 5:57:16 p.m.

ZERO CARBON BILL KEY TO NZ’S HEALTH

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We are a Cornerstone accredited General Practice that prides ourselves on clinical excellence, friendliness and professionalism.

Dr Vosloo has been practising in the area for more than 20 years. Dr Faulls joined in 2015 & Dr Connie Juhn is re-joining in August.

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Botany Town Centre Medical Practice

Health professionals welcome this month’s public consultation launch for the Zero Carbon Bill, saying it is crucial for New Zealanders’ health.

However, they warn that the Bill will need to be seriously strengthened for faster, fairer protection of a healthy climate.

The Bill (modeled on the UK’s successful Climate Change Act 2008), proposes a consistent policy framework for NZ to reach net zero climate pollution in the coming decades. This is vital for protecting human health and wellbeing, in the context of global action. “As health professionals, we know that climate change is a medical emergency,” says Dr Rhys Jones, co-convenor of OraTaiao: The NZ Climate and Health Council.

“Quickly reducing climate pollution to net zero is an essential prescription for the health of New Zealanders.”

“We know that legislation like a Zero Carbon Act works. The UK Climate Change Act has led to real climate action, including by the health sector. The UK’s National Health Service has reduced emissions by 11% since 2007 – despite an 18% increase in healthcare activity, and the UK’s overall emissions are falling, unlike ours,” says Dr Jones.

However, OraTaiao has two major concerns with the Bill as currently proposed. First, the target of zero emissions by 2050, while more ambitious than previous targets, is still too little, too late. “Because of our previous inaction, alongside inaction by other countries, NZ’s emissions now need to be net zero in the 2030s to meet our promises under the Paris Agreement. For the sake of our Pacific neighbours and others living in low-lying areas, we must reach net zero emissions faster.”

Second, there are major issues of fairness that need to be addressed in the Zero Carbon Bill’s development.

“Equity and Maori wellbeing have to be at the heart of climate policy to support those being hit hardest by climate change,” says Dr Jones. “The process has so far failed to fulfil the government’s partnership requirements under the Treaty of Waitangi.”

“We know that NZ can rapidly cut emissions in ways that are fair, honour Te Tiriti o Waitangi, and improve our health in both the short and long term. Cutting our emissions well before 2040 is critical for New Zealanders’ health. We need a fast, fair, Treatybased transition now,” says Dr Jones.

14 – Your Health – A Times Media Supplement 2018

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28/06/2018 5:57:23 p.m.

$4.7m grant

FOR RESEARCH PROGRAMME Major research grant awarded to assess effectiveness of primary health care A Victoria University of Wellington-led team of researchers has received a $4.78 million Health Research Council grant to assess the effectiveness of New Zealand’s primary health care system.

The grant, which is over five years, is for a programme of research to be led by Professor Jacqueline Cumming (pictured), Director of the Health Services Research Centre in Victoria University of Wellington’s Faculty of Health.

The programme, Enhancing primary health care services to improve health in Aotearoa/New Zealand, will look at the current models of delivering health care via primary health care service providers such as general practices, nursing clinics and pharmacies, and how this model might be improved. A major part of the research will focus on the views of those using or needing to access care. The programme is in collaboration with the School of Health at Victoria University of Wellington, the Health Systems Group at the University of Auckland, the Department of Primary Health Care and General Practice at the University of Otago (Wellington), Pacific Perspectives Ltd, Whakauae Research Services, CMDHB and the Health Services Management Centre in the University of Birmingham and the

Department of Health Services Research and Policy at the London School of Hygiene and Tropical Medicine in the UK. Professor Cumming says that since 2001 New Zealand health policy has focused on improving access to and increasing the use of primary health care services, in an effort to keep people well, but also to reduce pressure on hospitals.

MIND THAT CHILD There is no greater responsibility than caring for children. In this book, one of New Zealand’s leading paediatrician shares heart-warming (and heartbreaking) stories revealing what it means to be entrusted with the lives of children. From management of tiny pre-term babies to the impacts of drugs, alcohol and technology on developing minds, Dr Rowley’s experiences make for a compelling, open and honest read.

• Dr Simon Rowley: Mind That Child | RRP $38 | Penguin

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Your Health – A Times Media Supplement 2018 – 15

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28/06/2018 6:21:59 p.m.

GP9268 Full page advert OL 19/7/16 11:21 AM Page 1

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Hand in hand with Marina Medical, Marina Specialists and Marina Physio, together we create a true Community Healthcare team We are driven to achieve the best health outcomes for our patients by offering Compliance Packaging and long term Conditions Services so that we are in monthly contact with our high needs patients We are in regular contact with your doctor to assist in providing safe prescribing Our qualified, friendly and experienced team is here to answer all your health, wellness, natural health and medication questions Open 8:30am to 6pm during the week and 9:30am to 12:30pm on Saturdays

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16 – Your Health – A Times Media Supplement 2018

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28/06/2018 5:57:41 p.m.