http://www.toiteorapublichealth.govt.nz/latest_news Keep up to date with Toi Te Ora's latest news and events. en-US http://www.toiteorapublichealth.govt.nz/latest_news/id/424 Following ongoing shellfish toxin monitoring the Paralytic Shellfish Poisoning (PSP) toxin warning has been extended eastwards to include Whakatane Heads. The affected area now includes the entire coastline from Tairua (including Tairua Harbour), east along the Bay of Plenty coastline, including Tauranga Harbour, Maketu and Waihi estuaries, to Whakatane Heads. Also included in the warning are Matakana and Motiti islands, and all other inshore islands along this coastline. The health warning applies to all bi-valve shellfish including mussels, pipi, tuatua, cockles, oysters, scallops as well as catseyes and kina (sea urchin). Shellfish in the affected area should not be taken or consumed. Paua, crayfish and crabs can still be taken but as always, the gut should be removed before cooking. Consumption of shellfish affected by the paralytic shellfish toxin can cause numbness and tingling around the mouth, face or extremities; difficulty swallowing or breathing; dizziness; double vision; and in severe cases, paralysis and respiratory failure. These symptoms usually occur within 12 hours of a person consuming affected shellfish. Anyone suffering illness after eating shellfish should seek medical attention. Monitoring of toxin levels will continue along the coast and any changes will be communicated accordingly. Fri, 13 January 2012 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/424 http://www.toiteorapublichealth.govt.nz/latest_news/id/415 As the summer holiday season approaches, the Medical Officer of Health would like to remind the public that the health warning due to shellfish toxins along parts of the Coromandel and Bay of Plenty coastline is still in place. “Ongoing weekly monitoring has shown continuing high levels of paralytic shellfish poisoning (PSP) toxin present in shellfish along this coastline” says Dr Jim Miller, Medical Officer of Health. The affected area includes the entire coastline from Tairua (including Tairua Harbour), east along the Bay of Plenty coastline, including Tauranga Harbour, Maketu and Waihi estuaries, to Rogers Road at Pukehina. Also included in the warning are Matakana and Motiti islands, and all other inshore islands along this coastline. The health warning applies to all bi-valve shellfish including mussels, pipi, tuatua, cockles, oysters, scallops as well as catseyes and kina (sea urchin). Paua, crayfish and crabs can still be taken but as always, the gut should be removed before cooking. Consumption of shellfish affected by the paralytic shellfish toxin can cause numbness and tingling around the mouth, face or extremities; difficulty swallowing or breathing; dizziness; double vision; and in severe cases, paralysis and respiratory failure. These symptoms usually occur within 12 hours of a person consuming affected shellfish. Anyone suffering illness after eating shellfish should seek medical attention. Monitoring of toxin levels will continue along the coast and any changes will be communicated accordingly. For all health warning updates across the Bay of Plenty and Lakes districts call 0800 221 555 or visit our website – www.toiteorapublichealth.govt.nz/health_warnings Fri, 23 December 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/415 http://www.toiteorapublichealth.govt.nz/latest_news/id/414 Over the past month nearly 50 childcare centres and businesses from Rotorua, Taupo, Tauranga and Whakatane have achieved Breastfeeding Friendly accreditation from Toi Te Ora – Public Health Service. These are supportive environments where mothers can feel comfortable breastfeeding their babies. Places include cafes, restaurants, early childhood centres, retailers and libraries. “We are really impressed with the amount of support and enthusiasm from businesses and their staff across the region,” says Health Improvement Advisor, Ronda Cleland Weiss. A list of Breastfeeding Friendly Cafes and Restaurants can be viewed at www.toiteorapublichealth.govt.nz/breastfeeding_friendly_cafes, a list of Breastfeeding Friendly Early Childcare Centres can be viewed at www.toiteorapublichealth.govt.nz/breastfeeding_friendly_eces and a list of Breastfeeding Friendly Businesses and Retailers can be viewed at www.toiteorapublichealth.govt.nz/breastfeeding_friendly_businesses. The Breastfeeding Friendly initiative is run across the Bay of Plenty and Lakes regions. A Health Improvement Advisor assists business owners and managers in becoming Breastfeeding Friendly. People can identify a Breastfeeding Friendly environment by signs on the premises. Robert Harris Coffee Roasters in Tauranga is one of the cafes that recently received Breastfeeding Friendly accreditation. “It’s important to provide somewhere for mothers so they have a comfortable space to breastfeed,” says owner, Susanne Irwin. One of the initiatives Robert Harris Coffee Roasters undertook towards achieving accreditation was to train staff to support breastfeeding customers. This is as simple as offering a glass of water to breastfeeding mums or assisting them with food trays. The café also provides baby changing facilities. Exclusive breastfeeding is recommended until babies are around six months old, with continued breastfeeding along with appropriate complementary foods until they are one year of age or beyond. It’s important that breastfeeding mothers have support from their partners, family/whānau, health practitioners, and once breastfeeding has been established, their employers and the community. To become Breastfeeding Friendly, its free, simple and easy; call Toi Te Ora - Public Health Service on 0800 221 555. For more information on the Breastfeeding Friendly project, visit www.toiteorapublichealth.govt.nz/breastfeeding_friendly Wed, 21 December 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/414 http://www.toiteorapublichealth.govt.nz/latest_news/id/400 Update on the safety of shellfish collection - Bay of Plenty coastline and parts of Coromandel The health warning advising against the collection and consumption of shellfish, kina, crabs and seaweed due to the oil spill from the MV Rena is no longer necessary and has been lifted by the Medical Officer of Health. However, recreational and traditional taking of shellfish in some parts of the coastline remains risky but now for a different reason. Routine sampling has now shown high levels of naturally occurring Paralytic Shellfish Poisoning (PSP) toxins from Tairua (including Tairua Harbour) in the Coromandel to Rogers Road at Pukehina. Therefore, a new health warning is being issued advising against the collection or consumption of shellfish in these areas. Oil related contamination A shellfish monitoring programme, coordinated by Bay of Plenty Regional Council, has shown that although some samples of shellfish from the most affected shoreline showed traces of hydrocarbon from the oil spill, this has been well below acceptable food safety levels. The amount detected has also fallen during the period since the last significant oiling events. Therefore there is now no appreciable food safety risk from the MV Rena oil spill. Paralytic Shellfish Poisoning (PSP) toxin People are advised not to collect or eat shellfish from anywhere along the coastline from Tairua in the Coromandel to Rogers Road at Pukehina until further notice. “This health warning has been issued due to results that showed high levels of PSP toxins detected from shellfish samples taken in this area,” says Medical Officer of Health, Dr Jim Miller. PSP toxin is caused naturally by biotoxins that are generated by phytoplankton. People cannot tell if shellfish are risky by looking at them. The health warning applies to all bi-valve shellfish including mussels, pipi, tuatua, cockles, oysters, scallops, as well as catseyes and kina (sea urchin). Paua, crayfish and crabs can still be taken but the gut should be removed before cooking. Symptoms of Paralytic Shellfish Poisoning include numbness and tingling around the mouth, face or extremities; difficulty swallowing or breathing; dizziness; double vision and in severe cases, paralysis and respiratory failure. These symptoms usually occur within 12 hours of a person consuming affected shellfish. Anyone suffering illness after eating shellfish should seek medical attention immediately. “It is disappointing to have to give such mixed news on the safety of shellfish. Just as we are able to reassure people about the impact of the oil spill, nature has presented another hazard,” says Dr Jim Miller. In summary, the oil is no longer of concern in relation to food safety along the Bay of Plenty coastline, however due to high levels of PSP toxins the public are advised against collecting or eating shellfish from Tairua in the Coromandel to Rogers Road at Pukehina. For further information: www.toiteorapublichealth.govt.nz/shellfish www.foodsmart.govt.nz/elibrary/food_safety_seafood.pdf Map of affected coastline: www.foodsmart.govt.nz/food-safety/hunting-collecting-fishing/seafood-gatherers/marine-biotoxin-alerts.htm For all health warning updates across the Bay of Plenty and Lakes districts call 0800 221 555. Thu, 1 December 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/400 http://www.toiteorapublichealth.govt.nz/latest_news/id/397 Toi Te Ora – Public Health Service can now confirm that there have been 10 cases of measles across the Bay of Plenty and Lakes areas since early October. The majority of the cases have been in Tauranga and Rotorua, and measles is likely to spread within the region. There have been over 400 confirmed cases of measles to date in New Zealand this year and at least 70 of these have required hospital treatment. Toi Te Ora – Public Health Service is following up a number of people who have been in close contact with recent measles cases. People identified as ‘contacts’ who are not immunised are required to stay away from work or school for 14 days to ensure that they don’t inadvertently spread measles should they become ill. To help prevent measles from spreading further within our communities, the Medical Officer of Health is urging people to ensure they and their families are protected from measles. “Measles immunisation provides effective protection and the vaccine is free for children and adults,” says Dr Neil de Wet, Medical Officer of Health. Because of the current outbreak of measles, babies from 12 months of age can go to their family doctor or practice nurse for their first dose of the MMR (Measles, Mumps and Rubella) vaccine. “Once a baby has the vaccine at 12 months of age, the second dose of MMR vaccine can be given 28 days later,” says Dr de Wet. “This also applies to older children, teenagers and adults – if you have missed your scheduled immunisation or you’re not immunised, contact your family doctor or practice nurse,” says Dr de Wet. People born before 1 January 1969 are likely to be immune because measles used to be quite common. “For everyone born after 1 January 1969 it is important to ensure that you have received the two doses of MMR vaccine. It’s never too late to catch up,” says Dr de Wet. “MMR immunisation uptake has increased in the Bay of Plenty and Lakes region over the last couple of weeks and we would like to thank and acknowledge the people who have had immunisations recently to protect themselves, their family and their community from measles,” says Dr de Wet. Measles usually begins with a runny nose, fever, cough and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. “Measles is highly infectious and complications are quite common. Complications include diarrhoea, ear infections and pneumonia, and more rarely, brain inflammation,” says Dr de Wet. To help limit the spread of measles to others, if you think your child or someone in your family may have measles, stay at home and phone your doctor or Healthline on 0800 611 116 for advice. For more information: Toi Te Ora - Public Health Service website: www.toiteorapublichealth.govt.nz/measles Immunisation Advisory Centre toll-free phone line 0800 IMMUNE (0800 466 863) Immunisation Advisory Centre website: www.immune.org.nz Ministry of Health website: www.moh.govt.nz/immunisation Fri, 11 November 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/397 http://www.toiteorapublichealth.govt.nz/latest_news/id/395 Lakes District Health Board has become the first District Health Board (DHB) in New Zealand to be awarded the WorkWell Bronze Standard Accreditation. WorkWell is a workplace wellness management programme delivered by Toi Te Ora – Public Health Service in the Bay of Plenty and Lakes DHB regions. WorkWell Advisors Meghan Ruha and Dave Wood presented the Bronze Standard to Lakes DHB Chief Executive Cathy Cooney during the recent Bipartite meeting. “It’s been a great process for both the Lakes DHB and Toi Te Ora – Public Health Service,” said Dave Wood. “The quality of documentation supplied by Lakes DHB was incredibly high and has provided Toi Te Ora – Public Health Service with some excellent real life examples that can be showcased for other organisations going through the accreditation process.” Lakes DHB Chief Executive Cathy Cooney said she is very proud Lakes is the first DHB to achieve Bronze WorkWell Accreditation, adding this is one of the ways in which Lakes DHB can demonstrate to its staff, patients and the wider community its commitment to the health and wellbeing of its staff. “Our vision at Lakes DHB is Healthy Communities- Mauriora! so improved health and wellbeing for our staff was the key driver to adopting the WorkWell wellness management programme. An important concept for WorkWell is to engage staff members in the process of identifying issues in the workplace and designing solutions so it was very pleasing that many staff members participated in the WorkWell survey in February 2011 and very satisfying to note that most staff members surveyed are happy in their workplace.” Dave Wood acknowledged the effort of Linda Johnston, the Lakes DHB WorkWell Leader and all the other staff that played a key role in reaching this milestone. “Lakes DHB has taken a lead role in workplace wellness by making the commitment to ensure that they’re providing a working environment that supports making the healthy choice the easy choice,” said Dave Wood. “The DHB has actively encouraged their local health providers to participate in WorkWell, helping to ensure they’re also walking the talk in terms of health and wellbeing.” 55 businesses are currently registered with WorkWell and are working towards identifying ways in which they can improve, promote and protect the health of their staff and ultimately their business or organisation. Lakes DHB, with over 1,350 employees, is the largest employer to achieve the WorkWell Bronze Standard Accreditation since the programme’s implementation in 2010. “Toi Te Ora – Public Health Service looks forward to continuing this partnership with Lakes DHB and seeing the DHB reach Silver and Gold Standard accreditation,” said Dave Wood. For more information about WorkWell visit the website - www.workwell.health.nz Thu, 3 November 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/395 http://www.toiteorapublichealth.govt.nz/latest_news/id/394 Off the Bay of Plenty coastline, the ship 'Rena' has grounded on Astrolabe reef and oil from the ship has leaked into the water and has come onto the shore at various locations along the Bay of Plenty coastline. The following provides further clarification of public health advice already given. Shellfish, crayfish, crabs, kina and seaweed Toi Te Ora – Public Health Service has advised against the collection of shellfish, crayfish, crabs, kina and seaweed in all affected areas. Toi Te Ora has classified the Bay of Plenty coastline into three ‘shellfish zones’ to help identify the areas at risk. The red zone includes Waihi Beach in the west to the entrance to Ohiwa Harbour in the east. Specifically, it also includes Matakana island, Motiti island, Whale island and all inshore islands, rocky outcrops and estuaries in these areas. Within the red zone people are advised to not gather or eat shellfish, crayfish, crabs, kina or seaweed in these areas until further notice. The Eastern Bay of Plenty coastline from the Ohiwa Harbour entrance to Cape Runaway, including all inshore islands, rocky outcrops and estuaries in these areas are in the amber shellfish zone. The amber zone includes areas where there are not yet confirmed reports of oil but there is a high risk of oil contamination being found. In some of these areas oil contaminated debris from the Rena has been found. The public are advised that shellfish, crayfish, crabs, kina and seaweed in these areas are at significant risk of oil contamination and should not be collected or eaten. Any seafood that has a petrol-like or fuel-like smell should definitely not be eaten. The green zone includes the east coast of the Coromandel peninsula north from Waihi Beach. Shellfish, crayfish, crabs, kina or seaweed may be taken from these areas but please be cautious. To date, neither oil nor debris from the Rena has been identified on this coast but that could change at any time. If there are any signs of oil contamination on the beach or on rocks, or a petrol-like or fuel-like smell is present, shellfish, crayfish, crabs, kina or seaweed should not be taken or eaten. Fishing People are advised to not go fishing within the current shipping exclusion zone. Outside of this area fish should not be taken from any area that has visible or known oil contamination, or has had recent oil contamination (even if it has been cleaned up), or where there is signage advising against fishing. Swimming and watersports People are advised to not swim at any beach that has been closed to recreational activity. In other areas, people should be cautious when swimming and avoid any unnecessary exposure. If you do smell or see oil in the water we suggest you leave the area. Children, especially, should be closely supervised. With changing wind patterns, currents and ongoing oil spills from the Rena the seabed and shoreline areas affected by oil are likely to change on a daily basis. Please report immediately any observed oil contamination in these areas to 0800 OIL SPILL. To see a map and more information about the shellfish zones and for the latest public health information for this situation, people are encourage to check the Toi Te Ora – Public Health Service regularly – www.toiteorapublichealth.govt.nz/rena_oil_spill Fri, 28 October 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/394 http://www.toiteorapublichealth.govt.nz/latest_news/id/393 With the recent confirmation of people becoming infected with the measles in the Bay of Plenty, early protection is being encouraged by the Medical Officer of Health. Babies from 12 months of age can go to their family doctor or practice nurse for their first dose of the MMR (Measles, Mumps and Rubella) vaccine. “The first dose is usually given at 15 months of age, however, we are very concerned about the impact measles is already having on some people in our community and wish to protect as many as we can from this serious, infectious disease,” says Dr Phil Shoemack, Medical Officer of Health. “Measles immunisation provides effective protection and the vaccine is completely free for children and adults,” says Dr Phil Shoemack. “Once a baby has the vaccine at 12 months of age, the second dose of MMR vaccine can be given 28 days later,” says Dr Shoemack. “This also applies to older children, teenagers and adults – if you have missed your scheduled immunisation or you’re not immunised, contact your family doctor or practice nurse. It’s never too late to catch up,” says Dr Shoemack. People born before 1969 are likely to be immune because measles used to be quite common but those born from 1969 onwards who are unsure of their immunity should check with their doctor. Measles usually begins with a runny nose, fever and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. “Measles is highly infectious and complications are quite common. These include diarrhoea, ear infections and, more seriously, pneumonia and brain inflammation. Around one in ten people need to be hospitalised,” says Dr Shoemack. Knowing what to do if you suspect you or someone in the family has measles can help limit spread to others. If you think your child or someone in your family may have measles; stay at home and phone your doctor or Healthline on 0800 611 116 for advice. For more information: Toi Te Ora - Public Health Service website: www.toiteorapublichealth.govt.nz/measles Immunisation Advisory Centre toll-free phone line 0800 IMMUNE (0800 466 863) Immunisation Advisory Centre website: www.immune.org.nz Ministry of Health website: www.moh.govt.nz/immunisation Fri, 21 October 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/393 http://www.toiteorapublichealth.govt.nz/latest_news/id/392 The WorkWell team from Toi Te Ora – Public Health Service proudly took first place at the Bay of Plenty District Health Board (BOPDHB) 2011 Innovation Awards. The Innovation Awards, open to BOPDHB employees and health service contractors, recognise innovative initiatives that show a beneficial outcome. The WorkWell team were awarded for their outstanding contribution to improving the health status of the people of the Bay of Plenty. “There were some excellent initiatives presented,” says WorkWell Advisor, Meghan Ruha. “Of course, we would not have been able to present such great outcomes without the enthusiasm and drive of the businesses we work with and the support we have received from providers and other organisations.” “With more than 50 businesses now registered, WorkWell has come a long way since being launched in March 2010,” says Meghan. Free to businesses in the Bay of Plenty and Lakes regions, WorkWell provides a range of resources and support tools to help businesses ensure their staff are able to make good health choices while in the workplace. Evidence shows that effective workplace wellness strategies can lead to increased productivity, reduced illness and staff turnover, reduced workplace accidents, and happier and more loyal staff. Interested businesses should log onto the WorkWell website www.workwell.health.nz for more information. Mon, 17 October 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/392 http://www.toiteorapublichealth.govt.nz/latest_news/id/391 The first two locally acquired cases of measles can be confirmed this week in the Bay of Plenty area. Contacts have been identified and advised as appropriate by public health. “This confirms that the measles virus is in our community, and I would like to remind people that the best way for us to avoid further cases of this potentially serious infection is for everyone to ask themselves – is my family protected?” says Dr Jim Miller, Medical Officer of Health. “School holidays can be a convenient time for many families to catch up with their immunisations. Measles immunisation provides effective protection and the vaccine is completely free for children and adults. MMR is given in two doses, normally at 15 months and 4 years of age,” says Dr Jim Miller. People born before 1969 are likely to be immune because measles used to be quite common but those born from 1969 onwards who are unsure of their immunity should check with their doctor. “Contact your family doctor or practice nurse if you or your child need to be immunised – it’s never too late to catch up,” says Dr Miller. Measles usually begins with a runny nose, fever and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. “Measles is highly infectious and complications are quite common. These include diarrhoea, ear infections and, more seriously, pneumonia and brain inflammation,” says Dr Miller. Knowing what to do if you suspect you or someone in the family has measles can help limit spread to others. If you think your child or someone in your family may have measles; stay at home and phone your doctor or Healthline on 0800 611 116 for advice. For more information: Toi Te Ora - Public Health Service website: www.toiteorapublichealth.govt.nz/measles Immunisation Advisory Centre toll-free phone line 0800 IMMUNE (0800 466 863) Immunisation Advisory Centre website: www.immune.org.nz Ministry of Health website: www.moh.govt.nz/immunisation Wed, 12 October 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/391 http://www.toiteorapublichealth.govt.nz/latest_news/id/390 The Medical Officer of Health, Dr Jim Miller is advising people in the Bay of Plenty not to collect and consume seafood (including shellfish and fin fish) from waters with visible oil contamination. Any seafood that has off or petrol like odours should be avoided. In particular, as a precaution people should not collect shellfish from Motiti Island. Although there is no evidence of the oil spill reaching the coastline, conditions are continually changing. Collection and testing of shellfish is underway by Maritime New Zealand and further advice will be issued in due course. This health advisory will remain in place until further notice. This advice complements the rahui issued by the Tauranga Moana Iwi Customary Fisheries Trust. Sun, 9 October 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/390 http://www.toiteorapublichealth.govt.nz/latest_news/id/389 Toi Te Ora – Public Health Service has been on high alert for measles because of the current outbreak in New Zealand, which has been mainly in Auckland, Waikato and Hawkes Bay areas. The first two cases of confirmed measles in our area have been reported this week, although it appears that these cases of measles were likely to have been acquired out of the area. “The best way for us to avoid further cases of this potentially serious infection is for everyone to again ask themselves – is my family protected?” says Dr Jim Miller, Medical Officer of Health. “With the upcoming school holidays and families travelling around New Zealand and overseas, it’s important to ensure that you and your children are up to date with immunisations in general and MMR (measles, mumps and rubella vaccine) in particular. Measles immunisation provides effective protection and the vaccine is completely free for children and adults. MMR is given in two doses, normally at 15 months and 4 years of age,” says Dr Miller. People born before 1969 are likely to be immune because measles used to be quite common but those born from 1969 onwards who are unsure of their immunity should check with their doctor. “Contact your family doctor or practice nurse if you or your child need to be immunised – it’s never too late to catch up,” says Dr Miller. “There has been a good response locally to previous warnings about measles. Suspected cases have been notified promptly and there has been some increase in the number of MMR vaccines given, which has been great,” says Dr Miller. Measles usually begins with a runny nose, fever and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. “Measles is highly infectious and complications are quite common. These include diarrhoea, ear infections and, more seriously, pneumonia and brain inflammation,” says Dr Miller. Knowing what to do if you suspect you or someone in the family has measles can help limit spread to others. If you think your child or someone in your family may have measles; stay at home and phone your doctor or Healthline on 0800 611 116 for advice. For more information: • Toi Te Ora - Public Health Service website: www.toiteorapublichealth.govt.nz/measles • Immunisation Advisory Centre toll-free phone line 0800 IMMUNE (0800 466 863) • Immunisation Advisory Centre website: www.immune.org.nz • Ministry of Health website: www.moh.govt.nz/immunisation Thu, 6 October 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/389 http://www.toiteorapublichealth.govt.nz/latest_news/id/388 The health warning that has been in place since 19 May 2011 for parts of Lake Rotorua, Lake Rotoiti and the Kaituna River has now been lifted. The areas that were previously affected by high levels of blue-green algae were the Kaituna River, including the mouth of the river, the eastern side of Lake Rotorua from Holdens Bay to Ohau Channel and the Okere arm portion of Lake Rotoiti. Routine water monitoring results provided by the Bay of Plenty Regional Council have confirmed that the levels of blue-green algae are now within safe limits for these areas. “While there are currently no algal blooms of concern, blooms can occur rapidly and unpredictably, especially as we get into the summer months. So it’s always good to look before you leap - if the water looks discoloured, smells musty, or there’s surface scum, choose somewhere else to swim,” says Dr Neil de Wet, Medical Officer of Health. There will be ongoing water monitoring and health warnings will be issued if algal blooms are detected. For updates on health warnings in the Bay of Plenty and Lakes regions, visit our website - www.toiteorapublichealth.govt.nz/health_warnings. Mon, 5 September 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/388 http://www.toiteorapublichealth.govt.nz/latest_news/id/387 A health warning advising against the collection and consumption of shellfish along the coastline from Mount Maunganui to the Whakatane Heads in the Eastern Bay of Plenty was issued in May 2011. This warning has now been lifted. Shellfish monitoring and sampling indicate that the levels of shellfish toxin are now within safe limits for all of the Bay of Plenty coastline. “We know the shellfish warning has been an inconvenience, and we would like to thank the public for their patience and co-operation over the last few months,” says Dr Neil de Wet, Medical Officer of Health. “Although paralytic shellfish toxin is now currently not a concern when shellfish gathering, people still need to be cautious when deciding where to gather shellfish and when preparing shellfish for consumption,” says Dr de Wet. “It is generally not advisable to collect and eat shellfish from beaches and harbours next to built up urban areas or near storm water pipes as these are at more risk of being contaminated by viruses and bacteria”. Proper handling, storage and cooking of shellfish can further lower the risk of illness from viruses and bacteria. Visit the New Zealand Food Safety Authority website for more information. For advice and updates on health warnings regarding shellfish collecting, contact your local Health Protection Officer on 0800 221 555 then select option 7 or visit the Health Warnings section on the Toi Te Ora - Public Health Service website. Tue, 16 August 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/387 http://www.toiteorapublichealth.govt.nz/latest_news/id/386 Grindz Café in Tauranga has become the first Breastfeeding Friendly accredited café in the Bay of Plenty. The Breastfeeding Friendly project is run by Toi Te Ora – Public Health Service across the Bay of Plenty and Lakes districts. A Health Improvement Advisor works with cafes and restaurants to assist them in becoming accredited as Breastfeeding Friendly for their customers. Customers can identify a Breastfeeding Friendly café or restaurant by signage in the windows. “Grindz Café is a good example of a breastfeeding friendly environment. They provide a welcoming and supportive space for mothers to feel comfortable while breastfeeding their babies,” says Health Improvement Advisor, Louise Harvey. “It’s nice to have a place that is warm and comfortable for mothers to come in and breastfeed. Our staff are really supportive too,” says Lesley Graham, Owner of Grindz Café. Exclusive breastfeeding is recommended until babies are around six months old, with continued breastfeeding along with appropriate complementary foods up to two years of age or beyond. It’s important that breastfeeding mothers have support from their partners, family/whānau, health practitioners, and once breastfeeding has been established, their employers and the community. Toi Te Ora – Public Health Service also assists early childhood centres and kōhanga reo to become Breastfeeding Friendly. Assistance to become Breastfeeding Friendly is open to all cafes, restaurants, early childhood centres and kōhanga reo in the Bay of Plenty and Lakes District Health Board regions and is free. Call 0800 221 555 for more information. Tue, 9 August 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/386 http://www.toiteorapublichealth.govt.nz/latest_news/id/385 Toi Te Ora – Public Health Service can confirm that a young child died on Saturday night at Rotorua Hospital from meningococcal disease. “Everyone did everything right, however, this disease can make a person sick very rapidly and cause death, which unfortunately happened in this case,” says Dr Neil de Wet, Medical Officer of Health. Over the weekend public health unit staff worked to identify close contacts of the child, a total of 7 people, and they have been given advice and preventative treatment. “This appears to be an isolated case with no links to other cases. So far this year, there have been 6 cases of meningococcal disease in the Bay of Plenty and Lakes regions, which is no higher or lower than what we would expect on average,” says Dr de Wet. Meningococcal disease can occur at any age, but is most common in children under the age of five years. Symptoms of meningococcal disease in babies and young children may include fever, irritability, sleepiness, floppiness, hard to wake, refusing drink or food, vomiting and a rash. Adults can have similar symptoms and may also have a stiff neck, headache and sensitivity to lights. “Anyone with some of these symptoms should seek medical attention without delay as early treatment is very important,” says Dr de Wet. The family of the child have requested privacy at this difficult time. Mon, 8 August 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/385 http://www.toiteorapublichealth.govt.nz/latest_news/id/384 The measles outbreaks in Auckland and the Waikato region are causing concern that measles may also come to the Bay of Plenty and Lakes region. Auckland has confirmed 94 cases to date and Waikato has now confirmed 8 cases. The local Medical Officer of Health is urging parents to ensure that their children are up to date with their immunisations so that they are protected from measles. “It’s also important for parents to be aware that if their child is not immunised and has contact with someone with measles, their child will be required to stay at home from school for two weeks to help prevent the spread of measles,” says Dr Neil de Wet, Medical Officer of Health. Measles immunisation provides effective protection and is provided free of charge, as part of the childhood immunisation schedule. The MMR (measles, mumps and rubella) vaccine is given in two doses, normally at 15 months and 4 years of age. “If you or your child has missed your immunisations, it’s never too late to catch up. Contact your family doctor or practice nurse,” says Dr de Wet. People born before 1969 are likely to be immune because measles used to be quite common but those born from 1969 onwards who are unsure of their immunity should check with their doctor. Measles usually begins with a runny nose, fever and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. “Measles can be serious when there are complications. These include diarrhoea, ear infections and, more seriously, pneumonia and inflammation of the brain,” says Dr de Wet. If you think your child or someone in your family has measles; stay at home and phone your doctor or Healthline on 0800 611 116 for advice. For more information: Toi Te Ora - Public Health Service measles information Immunisation Advisory Centre toll-free phone line 0800 IMMUNE (0800 466 863) Immunisation Advisory Centre website Ministry of Health website Mon, 1 August 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/384 http://www.toiteorapublichealth.govt.nz/latest_news/id/383 This year’s World Breastfeeding Week will see mothers across New Zealand attempting to break the record set last year of 1514 women breastfeeding simultaneously. Locations are being set up across New Zealand for mothers and babies to come together and celebrate breastfeeding. Toi Te Ora – Public Health Service has been working to support two Big Latch On venues in the Bay of Plenty. Those wanting to join the event in Tauranga, which has been organised by the Breastfeeding Advocacy and Advisory Group for Western Bay of Plenty, can come along to Bayfair Shopping Centre, opposite Farmers at Mount Maungauni at 10am on Friday 5th August. Whakatane mothers wanting to join the event should come along to Whakatane Library at 9.15am on Friday 5th August. This Big Latch On has been organised by the Whakatane Breastfeeding Coalition. There will be a guest speaker, spot prizes and a march down the street to celebrate. The Big Latch On will also be held at other venues across the Bay of Plenty: Opotiki - Rendezvous Restaurant, Church Street Otumoetai – Otumoetai Playcentre Tauranga – Grindz Café, 50 First Avenue Waihi – Salvation Army Hall, Seddon Street For contact details, please visit the Women’s Health Action Trust website. This year it is anticipated that even more mothers will participate in the Big Latch On which will again break the record, which has been broken every year since 2005. World Breastfeeding Week takes place annually in the first week of August in over 176 countries. Every year World Alliance for Breastfeeding Action (WABA) sets a theme for Breastfeeding Week, this year it is “Talk to me! Breastfeeding - a 3D Experience” which highlights the importance of communication as an essential part of protecting, promoting and supporting breastfeeding. Breastfeeding contributes to the health and wellbeing of babies, mothers and families/whanau. Exclusive breastfeeding of babies is recommended until babies are around six months old. For more information about the Big Latch On event in the Bay of Plenty and Lakes regions click here or visit the Women's Health Action Trust website. Thu, 28 July 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/383 http://www.toiteorapublichealth.govt.nz/latest_news/id/382 The local Medical Officer of Health urges parents to ensure that their children are up to date with their immunisations. There is concern that measles may spread to people in the Bay of Plenty and Lakes region during the school holiday. Measles remains a risk in New Zealand with the continuing outbreak of measles in the Auckland area now having reached 64 cases. While we do not yet have any confirmed cases in the Bay of Plenty and Lakes region, with families travelling around New Zealand and overseas, it is important to check that you and your children are up to date with immunisations in general and MMR (measles, mumps and rubella vaccine) in particular. Measles immunisation provides effective protection. MMR is given in two doses, normally at 15 months and 4 years of age. “School holidays can be a convenient time for many families to catch up with their immunisations. Contact your family doctor or practice nurse if you or your child needs to be immunised – it’s never too late to catch up,” says Dr Jim Miller, Medical Officer of Health. People born before 1969 are likely to be immune because measles used to be quite common but those born from 1969 onwards who are unsure of their immunity should check with their doctor. Measles usually begins with a runny nose, fever and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. “Measles is highly infectious and complications are quite common. These include diarrhoea, ear infections and, more seriously, pneumonia and brain inflammation,” says Dr Jim Miller. Knowing what to do if you suspect you or someone in the family has measles can help limit spread to others. If you think your child or someone in your family may have measles; stay at home and phone your doctor or Healthline on 0800 611 116 for advice. For more information: Toi Te Ora - Public Health Service measles information Immunisation Advisory Centre toll-free phone line 0800 IMMUNE (0800 466 863) Immunisation Advisory Centre website Ministry of Health website Fri, 15 July 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/382 http://www.toiteorapublichealth.govt.nz/latest_news/id/381 Toi Te Ora - Public Health Service would like to advise caution at Tauranga Harbour and its beaches following the testing of sea slugs from this area. Dr Jim Miller, Medical Officer of Health says grey side-gilled sea slugs collected just offshore in Tauranga Harbour as part of research project into sea slugs, were tested and found to contain tetrodotoxin (TTX). TTX is neurotoxin normally found overseas in species such as puffer fish, cone shells and the blue ringed octopus. TTX has been associated with the deaths of dogs in the Auckland region, but to date no human poisoning cases have been reported in New Zealand. "In this case, the grey side-gilled sea slugs tested were collected off-shore as part of a research project; they did not wash up on our shorelines. To date, we have had no reports of the slugs washing up on harbour beaches, or reports of any animal ill health,” says Dr Miller. “Apparently, the time sea slugs are most likely to be found washed up on beach shorelines is during winter,” says Dr Miller. "As a word of caution we are advising people not to touch or eat slugs on the beach and always supervise young children around water. In the unlikely event that a person becomes unwell after coming into contact with a slug, they should seek immediate medical attention," says Dr Miller. Toi Te Ora - Public Health Service advises that: Small children and pets need to be supervised – parents should watch where their children are swimming or playing, and what they are handling. Adults, children, and pets should not eat anything found washed up. Early symptoms of TTX poisoning include numbness and tingling around the mouth and nausea. This numbness and tingling can then spread to the face, tongue and other areas, with paralysis, co-ordination problems and slurred speech. Medical attention should be sought immediately should any person become unwell after contact with a sea slug. If you do find a sea slug, don’t touch it and give the duty Health Protection Officer a call on 0800 221 555, then press 7. Sea slugs are a wide-ranging organism in the marine environment of New Zealand. Sea slugs may be found washed up on beaches anytime, anywhere, probably related to their breeding cycle and prevailing weather patterns. The slugs are mottled grey or sand-coloured, usually 2 to 2.5cm in length. They can grow up to 10cm. For more information, visit www.toiteorapublichealth.govt.nz/recreational_water Fri, 24 June 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/381 http://www.toiteorapublichealth.govt.nz/latest_news/id/380 There have been concerns raised in the media about possible health risks associated with the swimming hole used by recreational water users at Puarenga Stream by the Whakarewarewa Village bridge in Rotorua. As a result of this, Toi Te Ora – Public Health Service, Rotorua District Council (RDC) and Bay of Plenty Regional Council (BOPRC) have met to discuss these concerns. Established processes are in place for the grading and monitoring of Puarenga Stream and other recreational water sites across the Bay of Plenty. The results from routine environmental sampling from the stream were examined. The RDC and BOPRC have carried out additional sampling for bacteria and chemicals such as Pentachlorophenol (PCP), in both the water and sediment in the stream. The current recreational water quality grading for this particular site, based on bacterial levels and potential contamination sources in the catchment, is “Poor” and this has been the case for several years. The additional water sampling results raised no new concerns based on either bacteria or chemicals. Results from the testing of stream sediment near the Whakarewarewa Village bridge and the Hemo Gorge did not detect any PCP. Low levels of arsenic and mercury were detected near the bridge; these chemicals are commonly found in geothermal areas. Therefore, the current advice for people considering using the stream for recreation, which is available on the BOPRC and Toi Te Ora – Public Health Service websites, remains the same. “The stream is generally not suitable for swimming, particularly for the very young and those who are currently unwell,” says Dr Jim Miller, Medical Officer of Health. For more information, visit: Recreational Water information Bay of Plenty Regional Council swimming water quality with maps Bay Of Plenty Regional Council monitoring information Fri, 17 June 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/380 http://www.toiteorapublichealth.govt.nz/latest_news/id/379 The recent earthquakes in Christchurch have highlighted how important it is for businesses to have plans in place for managing emergencies. Toi Te Ora – Public Health Service held an Emergency Management seminar last week for businesses in the Bay of Plenty. The seminar covered the effect emergencies have on businesses and their employees during and after an event, and the importance of creating a business continuity plan. Seminar speaker Alan Pearce, Operations Manager from the Tauranga and Western Bay of Plenty Emergency Management said, “It is essential for businesses to have continuity and recovery plans in place, you must have a plan to initiate to carry on with business after a disaster.” Pearce also talked about the things businesses should consider when putting together a plan, such as, adequate insurance cover, offsite data storage and retrieval, employee awareness and preparedness, contacts and business relationships. “It’s about thinking through now and being proactive,” he said. Toi Te Ora – Public Health Service’s WorkWell Advisor, Dave Wood talked about WorkWell a free workplace wellness management system that works alongside businesses in the Bay of Plenty and Lakes district to improve, promote and protect the wellbeing of the workforce and community. “WorkWell can provide businesses with a guide for creating a business continuity plan. The plan helps businesses analyse potential threats to their organisation and plan strategies for overcoming these, should they occur. Interested businesses should log onto the WorkWell website www.workwell.health.nz for more information on this and many other workplace wellness topic guides.” Photo credit: Daily Post Thu, 16 June 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/379 http://www.toiteorapublichealth.govt.nz/latest_news/id/378 The current health warning for parts of Lake Rotorua and Lake Rotoiti has been extended to include all of the Kaituna River. The affected areas now include Kaituna River, including the mouth of the river, the eastern side of Lake Rotorua from Holdens Bay to Ohau Channel and the Okere arm portion of Lake Rotoiti. Routine water test results provided by Bay of Plenty Regional Council have confirmed a bloom of blue-green algae. “The health warning means that people should avoid any activity which results in significant contact with the water,” says Dr Neil de Wet, Medical Officer of Health. “Blue-green algae have the potential to release toxins which can affect health by aggravating hayfever and asthma, causing skin rashes, and even neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems,” advised Dr de Wet. “In particular, collections of surface scum should be avoided,” says Dr de Wet. Regular sampling of the lakes and river will continue and updates will be provided as further laboratory results become available. Fri, 3 June 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/378 http://www.toiteorapublichealth.govt.nz/latest_news/id/377 Another important step towards reducing rheumatic fever among Bay of Plenty children was taken on Friday with the launch of school-based throat swabbing in Kawerau. Led by Eastern Bay Primary Health Alliance and supported by Bay of Plenty District Health Board and Toi Te Ora – Public Health Service, the progamme involves community health workers asking children if they have a sore throat and offering a throat swab as required. Part of a Baywide drive to reduce this preventable disease, the Kawerau launch was celebrated with presentations of framed pamphlets by Tony Ryall, Minister of Health to the three children who have made a great contribution to raising awareness locally. Tutohia Huriwaka from Opotiki, Michael Savage from Kawerau and Mersayde Akuhata from Murupara feature in the pamphlets and share their stories about rheumatic fever. “By doing so, you have helped to raise awareness, and show everyone the importance of early detection and treatment of sore throats, so we can prevent the tragedy that rheumatic fever may bring,” said Mr Ryall. The rheumatic fever prevention campaign was first launched in Opotiki and due to the success of this project; similar campaigns have been established in Kawerau and Murupara, which also experience high rates of rheumatic fever. Rheumatic fever often starts with a sore throat (a streptococcal infection). A few weeks later the child may develop sore or swollen joints, skin rash, fever, stomach pain and jerky movements. Although these symptoms may disappear, the heart valves may be damaged and this damage may be permanent. A child diagnosed with rheumatic fever requires long-term follow up including monthly injections of Penicillin to stop further attacks. “Fortunately, rheumatic fever is preventable, provided sore throats are treated correctly. If your child complains of a sore throat take them to the local health centre to be checked. Sore throats matter. If a ‘strep throat’ is diagnosed, the doctor will usually prescribe a 10 day course of antibiotics,” says Dr Jim Miller, Medical Officer of Health for Toi Te Ora – Public Health Service. Tue, 24 May 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/377 http://www.toiteorapublichealth.govt.nz/latest_news/id/376 A health warning has been issued for parts of Lake Rotorua and Lake Rotoiti. The affected areas include the eastern side of Lake Rotorua from Holdens Bay to Ohau Channel and the Okere arm portion of Lake Rotoiti. Routine water test results provided by Bay of Plenty Regional Council have confirmed a bloom of blue-green algae. “The health warning means that people should avoid any activity which results in significant contact with the water,” says Dr Jim Miller, Medical Officer of Health. “Blue-green algae have the potential to release toxins which can affect health by aggravating hayfever and asthma, causing skin rashes, and even neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems,” advised Dr Miller. “As we have many recreational waters in the area, the sampling points are limited. Blooms can also occur quite quickly in the right conditions, so it is always safest to check the water before you get in,” says Dr Miller. “Look before you leap; if the water looks discoloured, smells unusual, or if there is scum on the surface of lakes or on the beds of rivers, go somewhere else to swim or to do watersports.” Rotorua District Council will be erecting signs at Lake Rotorua and Lake Rotoiti advising potential lake users of the algal bloom. The status of water quality throughout the area covered by Bay of Plenty Regional Council can be checked at www.boprc.govt.nz. Regular sampling of the lakes will continue and updates will be provided as further laboratory results become available. Thu, 19 May 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/376 http://www.toiteorapublichealth.govt.nz/latest_news/id/375 Selwyn Primary School has become the first school to gain Bronze Accreditation as part of the Health Promoting Schools programme. The Bronze Standard Accreditation was presented to the Rotorua school at assembly on Friday 6th May in recognition of their commitment to the health and wellbeing of the Selwyn community. As a Health Promoting School, Selwyn Primary School’s actions in areas such as creating a SunSmart environment, improving student nutrition and ensuring the school was smoke free all contributed to the achievement of Bronze Accreditation. “We are delighted that our efforts and those of our staff and students have been recognised by Toi Te Ora - Public Health Service,” says Mr Tony Pope, Principal of Selwyn Primary School. “At Selwyn we want to develop the social capital of our community, to ensure the students are best prepared for their future lives. Health Promoting Schools is a great way to introduce healthy policies and practices into the school and boost the health and wellbeing of all.” A small group of dedicated students known as ‘The Student Health Squad’ have undertaken much of the work towards accreditation. They were supported throughout their journey by Health Promoting Schools Lead Teacher, Carey Bennett and Health Improvement Advisor, Donna Guy. “The journey to Bronze Accreditation has been a collaboration between Selwyn Primary School staff, students and parents,” says Carey Bennett. “Working together as a group enables the health initiatives we introduce to filter through from the classroom to the homes of our community. When we listen to the voice of the community we are better able to nurture strong, capable, healthy lifelong learners, which is part of our Health Promoting Schools vision.” “Schools are an important part of our communities. Involving the whole school community in promoting healthy lifestyles is key to improving the health and wellbeing of our families and future generations. Selwyn Primary School has provided an excellent example of what can be achieved and I hope that other schools will follow their lead,” says Dr Phil Shoemack, Medical Officer of Health for Toi Te Ora - Public Health Service. Visit the Health Promoting Schools website for more information. Tue, 17 May 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/375 http://www.toiteorapublichealth.govt.nz/latest_news/id/373 Toi Te Ora – Public Health Service, the public health service for the Bay of Plenty region, has been notified of a case of typhoid. “The person affected had very recently arrived from overseas and it does not appear that the illness was acquired in New Zealand,” says Dr Neil de Wet, Medical Officer of Health. “This is a single, isolated case acquired overseas and there are no other current cases reported in the Bay of Plenty.” Looking at the data for the last 10 years and for the whole of New Zealand there have been between 20 to 40 cases of typhoid reported each year. Typically, as in this case, these are in individuals returning from overseas or their close household contacts. “Public Health has followed up close contacts of this case and no-one else has been found to be infected or unwell, although more test results are awaited,” says Dr de Wet. “Because New Zealand has good sanitation standards spread in the wider community is not likely.” However, as this case worked as a kiwifruit picker, Toi Te Ora – Public Health Service has been working with MAF and Zespri and as a result, all fruit that may have been handled by the person has been traced and contained. Toi Te Ora – Public Health Service has been working closely with Food Safety officials from the Ministry of Agriculture and Forestry and with Zespri. Public Health will continue to monitor the situation and is satisfied that all necessary measures have been taken. For more information from Zespri, please view the Zespri website. Frequently asked questions about Typhoid Q: What is typhoid? A: Typhoid is a gastro-intestinal illness caused by the bacteria, Salmonella Typhi. It is more common in developing countries that do not have good sanitation services and standards. In a country such as New Zealand, with good sanitation services and standards typhoid does not spread easily. Q. What are the symptoms of typhoid? A: Typhoid symptoms include fever, chills, headaches, abdominal pain and sometimes constipation or diarrhoea. Q. How common is typhoid in New Zealand? A. Over the last 10 years there have been between 20 and 40 cases of typhoid reported each year in New Zealand. Almost all of these are in people returning from overseas and sometimes also their close household contacts. Q: Are there any other typhoid cases in the Bay of Plenty? A: No. Q: Is there any risk to the public? A: No, close contacts have been identified and no one else is sick. Q: What should someone do if they have symptoms of typhoid? A: There’s no concern that anyone else is at risk, but as always if concerned about any symptoms contact your GP. Fri, 13 May 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/373 http://www.toiteorapublichealth.govt.nz/latest_news/id/374 Toi Te Ora – Public Health Service is aware that there have been patchy algae bloom and scums on the shoreline of Lake Rotorua. While water quality monitoring does not indicate unsafe levels of algae bloom on Lake Rotorua, Dr Jim Miller offers the following advice, “Blooms can also occur quite quickly in the right conditions, so it is always safest to check the water before you get in.” “Look before you leap; if the water looks discoloured, smells unusual, or if there is scum on the surface of lakes or on the beds of rivers, swim or play somewhere else.” Toi Te Ora – Public Health Service have been and will continue to monitor water quality, in conjunction with Bay of Plenty Regional Council. Further information and advice: For more information on recreational water quality, click here. To view the fact sheet about toxic algae, click here. Check the Environment Bay of Plenty website for more information. If recreational water becomes contaminated it can cause a health risk. The public is advised to avoid swimming in rivers or lakes if the water looks murky or has a musty smell. If in doubt – go somewhere else. Recreational water can become contaminated by farm and urban runoff at any time but in particular for up to 48 hours (two days) after heavy or prolonged rain. For up to date information on health warnings visit the Toi Te Ora – Public Health Service website or call Toi Te Ora - Public Health Service on 0800 221 555. Fri, 13 May 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/374 http://www.toiteorapublichealth.govt.nz/latest_news/id/372 The toxic shellfish warning that was lifted in March this year has been reinstated for part of the Bay of Plenty coastline. “Ongoing toxin monitoring has shown an increase in paralytic shellfish poison levels in shellfish along part of the Bay of Plenty coastline,” says Medical Officer of Health, Dr Neil de Wet. “Unfortunately this means that the health warning needs to be re-issued.” People are advised not to collect and eat shellfish from anywhere along the coastline from Mount Maunganui in the Western Bay of Plenty to the Whakatane Heads in the Eastern Bay of Plenty. This area includes Papamoa, Maketu, Pukehina and also applies to all inshore islands and estuary areas within this stretch of coast. The health warning applies to all bi-valve shellfish including mussels, pipi, tuatua, cockles, oysters, scallops, catseyes and kina (sea urchin). Paua, crayfish and crabs can still be taken but as always, the gut should be removed before cooking. Symptoms of paralytic shellfish poisoning include numbness and tingling around the mouth, face or extremities; difficulty swallowing or breathing; dizziness; double vision and in severe cases, paralysis and respiratory failure. These symptoms usually occur within 12 hours of a person consuming affected shellfish. Anyone suffering illness after eating shellfish should seek medical attention immediately. For all health warning updates across the Bay of Plenty and Lakes districts call 0800 221 555. Fri, 6 May 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/372 http://www.toiteorapublichealth.govt.nz/latest_news/id/371 Children living in the Opotiki area are now less likely to develop rheumatic fever due to the successful implementation of school-based throat swabbing by Te Ao Hou Trust and Whakatohea Iwi Social and Health Services. “By detecting and treating ‘strep sore throat’ infection amongst Opotiki school children, rheumatic fever is less likely to develop,” says Dr Phil Shoemack, Medical Officer of Health. “The success of the Opotiki project has resulted in similar campaigns being established in the communities of Kawerau and Murupara, which also experience high rates of rheumatic fever,” says Dr Shoemack. The Kawerau project led by Eastern Bay Primary Health Alliance (EBPHA) began school-based throat swabbing in February 2011. The Murupara project led by Te Ika Whenua Hauora is due to commence throat swabbing in May 2011. Sandra Ball, Rheumatic Fever Clinical Lead Co-ordinator for EBPHA, provides clinical advice and oversight for the school based rheumatic fever projects in all three communities. The campaign was launched in response to a 2008 report which found that the rate of rheumatic fever in the Bay of Plenty was three times higher than the New Zealand rate. Those most at risk of developing rheumatic fever are Maori children aged 5-14 years. The Bay of Plenty District Health Board prioritised this issue and put its support and funding behind the prevention campaign. Toi Te Ora – Public Health Service is currently running an awareness campaign across the Bay of Plenty promoting the key messages of ‘Sore Throats Matter’ and ‘Sore Throats Can Break a Heart.’ These messages highlight the fact that a ‘strep sore throat’ can lead to rheumatic fever which can cause permanent heart damage (rheumatic heart disease). A child diagnosed with rheumatic fever requires long-term follow up including monthly injections of Penicillin to stop further attacks. Rheumatic fever often starts with a sore throat (a streptococcal infection). A few weeks later the child may develop sore or swollen joints, skin rash, fever, stomach pain and jerky movements. Although these symptoms may disappear, the heart valves may be damaged and this damage may be permanent. “Fortunately, rheumatic fever is preventable, provided sore throats are treated correctly. If your child complains of a sore throat take them to the local health centre to be checked. If a ‘strep throat’ is diagnosed, the doctor will usually prescribe a 10 day course of antibiotics,” says Dr Shoemack. Taking sore throats seriously will help prevent life long illness and suffering for our tamariki. For more information visit: www.toiteorapublichealth.govt.nz/rheumatic_fever Mon, 11 April 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/371 http://www.toiteorapublichealth.govt.nz/latest_news/id/370 Te Runanga O Ngati Pikiao Trust has been awarded a prestigious award for its efforts to improve the health of its workforce. The WorkWell Bronze Standard Accreditation was presented to Te Runanga O Ngati Pikiao Trust at the Trust’s Rotorua office on Friday 1st of April in recognition of its commitment to staff health and wellbeing. The Trust’s actions in areas such as healthy eating, physical activity and smoking, contributed to the achievement of Bronze Accreditation. The Trust also provided information to staff on topical health issues such as cancer, sensible drinking and men’s health. Some employees have reduced their smoking consumption or started on a fitness regime as a result of the Trust’s involvement with WorkWell. “We are delighted that our efforts and those of our staff have been recognised by WorkWell,” said Ms Bella Moke, General Manager of Te Runanga O Ngati Pikiao Trust. “There’s no doubt that any organisation’s greatest asset is its staff, so it makes absolute business sense to help your workforce lead healthier lives. WorkWell is a great way to introduce healthy policies and practices into the workplace and boost the health and morale of your workforce.” WorkWell is a free, workplace wellness accreditation programme which rewards businesses and organisations who take steps to improve the health of their workforce. WorkWell is managed and facilitated by Toi Te Ora - Public Health Service and was established in 2010 to address the region’s poor health record and to boost the region’s image as an international business location. Over 30 employers and 7,500 employees in the Bay of Plenty and Lakes District Health Board regions participate in the accreditation programme. “We spend much of our waking hours at work. Involving workplaces in promoting healthy lifestyles is a key opportunity for New Zealand to improve its health record. Te Runanga O Ngati Pikiao Trust has provided an excellent example of what can be achieved in a workplace setting and I hope that other businesses will follow their lead” says Dr Phil Shoemack, Medical Officer of Health for Toi Te Ora - Public Health Service. WorkWell is open to all workplaces in Bay of Plenty and Lakes District Health Board regions and is free to join. For further information visit the WorkWell website at www.workwell.health.nz. Wed, 6 April 2011 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/370 http://www.toiteorapublichealth.govt.nz/latest_news/id/369 The toxic shellfish health warning has been lifted for the wider Coromandel and Bay of Plenty coastline, ending 15 months of concern. The coastline for which the warning is now lifted includes Tairua (including Tairua Harbour) south including Whiritoa, Whangamata, Onemana, and east along the Bay of Plenty coastline (including Tauranga Harbour) to Rogers Road, south of Pukehina. Routine sampling indicates that the levels of shellfish toxin are now within safe limits for all of the Coromandel and Bay of Plenty coastline. “We know the shellfish warning has been an inconvenience, especially over the past two summer holiday periods, and we would like to thank the public for their endurance and co-operation,” says Dr Jim Miller, Medical Officer of Health. Although paralytic shellfish toxin is no longer a concern when shellfish gathering, Dr Miller wishes to remind people to exercise caution when deciding where to gather shellfish and when preparing shellfish for consumption. Non-commercial shellfish collected from the sea and harbours are a high risk food because they tend to accumulate and concentrate in their flesh any contaminants found in the water. Bivalve shellfish (those with two shells) filter food particles from the seawater and so, for example, can accumulate viruses and bacteria from sewage overflows and farm run-off, toxins from naturally occurring algae, and chemical contaminants such as heavy metals from urban storm water run-off. When shellfish are eaten raw or lightly cooked, bacteria and viruses won’t be killed. The most effective way to ensure you don’t get sick from eating shellfish is to buy them from the shop or collect them from areas where the seawater is clean and less likely to be contaminated in any way. It is generally not advisable to collect and eat shellfish from beaches and harbours next to built up urban areas. Proper handling, storage and cooking can further lower the risk of illness; visit the New Zealand Food Safety Authority website for more information (www.nzfsa.govt.nz). For advice on health warnings regarding shellfish collecting, contact your local Health Protection Officer on 0800 221 555 then select option 7. Tue, 22 March 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/369 http://www.toiteorapublichealth.govt.nz/latest_news/id/368 Concern that measles may spread to the Bay of Plenty and Lakes region has prompted the local Medical Officer of Health to urge parents to ensure that their children are up to date with their immunisations. So far this year there have been 20 confirmed measles cases across Auckland, Wellington and Christchurch. “Measles is highly infectious and can be serious when there are complications such as pneumonia. Up to one on ten people who get measles will need hospital treatment.” says Dr Neil de Wet, Medical Officer of Health. Our immunisation coverage is not as good as it needs to be to prevent measles spreading in the community. Measles vaccination provides effective protection and so, while we do not yet have any confirmed cases in the Bay of Plenty and Lakes region, it is especially important to ensure children are up to date with their immunisations. Measles vaccine is given at 15 months and 4 years of age. People born before 1969 are likely to be immune because measles used to be quite common but those born from 1969 onwards who are unsure of their immunity should check with their doctor. As some of the recent New Zealand cases have been acquired overseas, it is also sensible for travellers to ensure that their measles vaccinations and other routine immunisations are up-to-date prior to overseas travel. “Contact your family doctor or practice nurse if you or your child needs to be immunised – it’s never too late to catch up” says Dr de Wet. Measles usually begins with a runny nose, fever and sore eyes. This is followed by a red, blotchy rash that usually starts on the face and spreads to the rest of the body. Children with measles can feel really miserable. If you think your child or someone in your family has measles, phone your doctor first and get advice as this helps ensure that it is not spread to others while sitting in the waiting room. Fri, 18 February 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/368 http://www.toiteorapublichealth.govt.nz/latest_news/id/366 The health warning, first issued back in December 2009, advising against the collection and consumption of shellfish along much of the Coromandel and Bay of Plenty coastline remains in place, but the geographic extent of it has been reduced. “Weekly monitoring continues to show high levels of paralytic shellfish poison (PSP) present in shellfish along this coastline” says Dr Phil Shoemack, Medical Officer of Health. However, the affected area has been reduced and now includes the coastline from Tairua (including Tairua Harbour) south, including Opoutere, Onemana, Whangamata, and Whiritoa, east along the Bay of Plenty coastline from Waihi Beach, including Tauranga Harbour and along the coast to Pukehina Beach ending south of Pukehina at Roger’s Road. The warning previously extended to the mouth of the Whakatane River in the Eastern Bay of Plenty. Included are all inshore islands within the above area. The coastline eastward of Rogers Road, Pukehina South remains unaffected. The health warning applies to all bi-valve shellfish including mussels, pipi, tuatua, cockles, oysters, scallops as well as catseyes and kina (sea urchin). Paua, crayfish and crabs can still be taken but as always, the gut should be removed before cooking. Consumption of shellfish affected by the paralytic shellfish toxin can cause numbness and tingling around the mouth, face or extremities; difficulty swallowing or breathing; dizziness; double vision; and in severe cases, paralysis and respiratory failure. These symptoms usually occur within 12 hours of a person consuming affected shellfish. Anyone suffering illness after eating shellfish should seek medical attention immediately. Monitoring of shellfish toxin levels will continue along the coast and any changes will be communicated accordingly. Fri, 4 February 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/366 http://www.toiteorapublichealth.govt.nz/latest_news/id/365 The health warning in place since November for Lake Okaro, south of Rotorua, has been lifted. Medical Officer of Health, Dr Phil Shoemack, says “results of regular water testing performed by Environment Bay of Plenty confirm that the algal bloom has subsided.” Despite the lifting of the warning Dr Shoemack advises that the public should always be alert for signs of algal blooms in any of the lakes around Rotorua. “If the lake is discoloured, smelly, or has green or brown particles suspended in it then stay out of the water. Cyanobacteria, otherwise known as blue-green algae, can multiply rapidly at any time and they always have the potential for toxin production with these toxins being potentially harmful for people as well as animals.” Environment Bay of Plenty will continue to monitor the lakes on a weekly basis through the summer months. Wed, 19 January 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/365 http://www.toiteorapublichealth.govt.nz/latest_news/id/357 The health warning, first issued in December 2009, advising against the collection and consumption of shellfish along part of the Coromandel and Bay of Plenty coastline remains in place. “Ongoing weekly monitoring has shown continuing high levels of paralytic shellfish poison (PSP) present in shellfish along this coastline” says Dr Neil de Wet. The affected area is unchanged and includes the entire coastline from Tairua (including Tairua Harbour) south, including Opoutere, Onemana, Whangamata, and Whiritoa, east along the Bay of Plenty coastline from Waihi beach, including Tauranga Harbour to the mouth of the Whakatane River in the Eastern Bay of Plenty. Included are all inshore islands within the above area. The coastline eastward from Ohope beach remains unaffected. The health warning applies to all bi-valve shellfish including mussels, pipi, tuatua, cockles, oysters, scallops as well as catseyes and kina (sea urchin). Paua, crayfish and crabs can still be taken but as always, the gut should be removed before cooking. Consumption of shellfish affected by the paralytic shellfish toxin can cause numbness and tingling around the mouth, face or extremities; difficulty swallowing or breathing; dizziness; double vision; and in severe cases, paralysis and respiratory failure. These symptoms usually occur within 12 hours of a person consuming affected shellfish. Anyone suffering illness after eating shellfish should seek medical attention. Monitoring of toxin levels will continue along the coast and any changes will be communicated accordingly. For all health warning updates across the Bay of Plenty and Lakes districts call 0800 221 555. Wed, 12 January 2011 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/357 http://www.toiteorapublichealth.govt.nz/latest_news/id/362 People who work with compost and potting mix should be aware that the products may contain bacteria which can cause Legionellosis – also known as Legionnaires’ disease. One strain of the bacteria which causes Legionnaires’ disease is a particular risk to home gardeners and farmers as it is naturally occurring in soils, compost, and potting mix. “Packaging for products such as potting mix and compost includes a health warning and advice but when you are buying in bulk, there’s no packaging, and people may be unaware of the risks and precautions that should be taken”, says Dr Neil de Wet, Medical Officer of Health. Legionnaires’ disease may cause pneumonia with symptoms such as coughing, fever, chills, muscle aches and pains, and shortness of breath. It can be a serious illness that requires hospital treatment. Anyone who develops such symptoms within 2 – 10 days after handling compost or potting mix should see their doctor. The disease is more common in middle-aged and older people, smokers, people with chronic disease such as diabetes, and those with poor immune systems. Young, fit and healthy people are less commonly affected. The disease doesn’t spread from person to person. Gardeners and farmers can take simple steps to reduce the risk of getting Legionnaires’ disease, says Dr Neil de Wet. “When working with compost and potting mix it’s important to take measures to avoid inhaling dust. For example, open potting mix and compost bags gently and away from your face, water gardens gently using low pressure, and avoid working in unventilated places such as closed sheds and greenhouses”, he says. “When potting plants, wet the soil first to reduce dust and wash your hands after handling soil or compost. Use of a face mask is recommended especially when these other measures are not practical or possible.” For further information please click www.toiteorapublichealth.govt.nz/vdb/document/194 Tue, 7 December 2010 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/362 http://www.toiteorapublichealth.govt.nz/latest_news/id/361 A health warning has been issued for Lake Okaro today as routine summer monitoring results provided by Bay of Plenty Regional Council have confirmed blooms of blue-green algae which are potentially toxic. “Blue-green algae are present in Lake Okaro at levels that may result in adverse health effects and so it is advisable for people to avoid contact with the water,” says Dr Neil de Wet, Medical Officer of Health. Contact with algal blooms can trigger asthma and hayfever attacks in susceptible individuals, as well as causing skin rashes, stomach upsets, and in some cases neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems. Lake Okaro, near Rainbow Mountain, approximately twenty kilometres to the south of Rotorua, is prone to blooms, some of which persist for several months. Signage will be erected at Lake Okaro advising potential lake users of the algal bloom. “Ongoing weekly monitoring of the main lakes and rivers in the Bay of Plenty will continue throughout the summer and the public will be advised where high levels of blue-green algae are detected” says Dr de Wet, “However, in the right conditions algal blooms can develop rapidly and unpredictably, so wherever you are swimming this summer it is important to ‘look before you leap’ and make your own judgement of the water – if in doubt stay out.” If the water has a musty smell, if it appears murky with a blue or greenish tinge, or if there is a scum on the surface, people should avoid entering the water. Pets should also be kept away from areas where blooms are present. Fri, 19 November 2010 00:00:00 +1300 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/361 http://www.toiteorapublichealth.govt.nz/latest_news/id/359 All the signs are here that the winter influenza season is well and truly with us. Notifications of confirmed H1N1 influenza and reports of influenza-like illness in the community have been increasing up and down New Zealand over the past few weeks. A similar picture has emerged across the Bay of Plenty and Lakes regions with increased notifications of influenza to the Medical Officer of Health. We have been expecting that H1N1 influenza would be a significant part of this year’s winter influenza season. There was a great effort earlier this year to encourage as many people as possible to get immunised, particularly if they had a medical condition such as heart disease or diabetes. Pregnant women and very young children were also offered this free vaccination. Indications are that more people than ever took the decision to get vaccinated and so there is more immunity in the community to this year’s influenza strain. In addition, a national study showed that up to a third of the population may have developed immunity during last year’s pandemic wave. Whilst these facts mean that the influenza season will not be as severe as it could have been, influenza needs to be taken seriously.The vast majority of people with influenza recover within a week without requiring hospitalisation or medical attention. However, for some people influenza can be a very serious illness. What you can do to look after you and your family this winter The basic measures to protect yourself and others remain the same, but are even more important as we see more influenza circulating in the community: It’s not too late to get immunised. Free immunisation for people in eligible groups will continue while there’s still vaccine available. This year’s seasonal influenza vaccine protects against the H1N1 influenza strain and is especially recommended for those at greater risk of complications from H1N1 influenza, including women who are pregnant, very young children, severely overweight people and those with underlying medical conditions. Know the symptoms of influenza, which can include a high fever, headache, cough, sore throat, tiredness and generally aching all over. If you develop influenza symptoms phone your GP or Healthline (0800 611 116) early for medical advice, including consideration of whether you would benefit from antiviral medicine treatment. Seeking early medical advice is especially important for women who are pregnant, severely overweight people and those with underlying medical conditions such as asthma, diabetes, cancer, heart and lung disease and other conditions including auto-immune diseases. If you have influenza symptoms, stay at home until you are clear of symptoms, particularly coughing and sneezing, as you can easily spread the virus to others. It is especially important that children who are sick stay home from school. Wash and dry your hands frequently and cover coughs and sneezes to help prevent the spread of influenza If you or your family are ill and you are concerned, or if your condition worsens, get health advice by calling your GP or Healthline on 0800 611 116. Tue, 10 August 2010 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/359 http://www.toiteorapublichealth.govt.nz/latest_news/id/356 Research shows that unintentional injury is the leading cause of death and hospitalisation for young children. On average, more than three children die from an unintentional injury every fortnight in New Zealand. Regional Manager for Toi Te Ora – Public Health Service, Mr Graeme Savage, says “because unintentional injuries are predictable and therefore preventable, it is considered to be one of the most serious public health problems facing children in the industrialised world today”. Children aged 0-4 years have been identified as an at risk group for unintentional injury in the home environment, particularly falls, hot water burns, and poisonings. Mr Savage says “that there is a huge cost to families and whanau when children are severely hurt from an unintentional injury in the home. The emotional and financial demand on parents who have lost a child or are providing special care to a severely injured child for weeks or years can cause great difficulties for families and caregivers”. “The cost of doing nothing is unacceptable”, says Mr Savage. As such, interventions that aim to create safer home environments for children to live, learn, and play can have a positive impact on family health and wellbeing. Over the last few months Toi Te Ora has been working alongside Te Manu Toroa, Plunket, and Safe Kawerau Kids Injury Prevention Project, to develop an evidenced based injury prevention e-toolkit that aims to compliment the injury prevention efforts of community providers who work with families of young children. The toolkit provides a step-by-step guide for carrying out an injury prevention project focusing on falls, hot water burns, poisonings, and child car restraint safety. It includes parent information sheets, injury prevention quick tip sheets, and a manual that records information and structures the delivery of in-home support. An evaluation guide and spreadsheet is also supplied This injury prevention resource is available now to download free from Toi Te Ora – Public Health Service’s website: http://www.toiteorapublichealth.govt.nz/Injury_prevention_e-toolkit. “We encourage everyone to make the most of this free resource and to take the time to help families create safer homes for their children” says Mr Savage. For further information contact: Toi Te Ora on 0800 221 555. Mon, 28 June 2010 00:00:00 +1200 GMT http://www.toiteorapublichealth.govt.nz/latest_news/id/356