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  • We need to talk about breast cancer screening (part 1)

    … Editor note: This week Dr Caroline Shaw and Associate Professor Diana Sarfati consider the pros and … due to over-detection and other issues. In today’s Part 1 blog, Caroline and Diana outline the issues. In the Part 2 … significant after seven (RR 0.93 95%, CI 0.79-1.09) or 13 years follow up (RR 0.90 95%, CI 0.79-1.02). The …
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  • Time to stop dodging bullets? NZ’s eight recent border control failures

    … two weeks. In this blog we briefly detail these failures and argue the case for an urgent review and upgrading of the country’s defences against this highly … transmission of the pandemic virus that causes COVID-19. 1 It has sustained the lowest COVID-19 mortality rate in the …
    Briefing
  • Alcohol-related harms now available on demand

    … NZ Government could enact to address this risk to health and wellbeing.    On-demand services online have been … new commodity to be sold in this way in Aotearoa. 1 2 This is concerning given that alcohol is one of the most … had more than 5 standard drinks (over a quarter had 11 or more) with 28% stating that this enabled them to continue …
    Briefing
  • Using the CovidCard to enhance protection from COVID-19 at the NZ border

    … in NZ. In this blog we consider the recent announcements and cross-party support for the CovidCard’s use by border … close contact definition are recorded (eg, more than 1 minute within 2 metres). The card does not use location … the most likely source of person to person transmission or in some cases, where environmental exposure is likely, …
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  • Walking and cycling for transport is good for physical activity levels in Kiwis!

    … activity are associated with reduced rates of breast and colon cancer, better mental health, lower obesity rates, … we just published that found that New Zealanders who walk or cycle to their main activity each day have a 76% higher … really be considered a bare minimum for health (see Figure 1). In addition, an alarming 1 in 6 of us do less than 30 …
    Briefing
  • Water infrastructure failures from Cyclone Gabrielle show low resilience to climate change

    … through homes, trapped people on roofs, ruined farmland and closed roads. Here we assess the reported damage to water … damage in its wake. It caused an estimated 1720 injuries, 1 11 deaths, 2 with an economic cost estimated to be up to … that could be attributed specifically to damage to water or sewerage infrastructure – this is a topic that is worthy …
    Briefing
  • NZ Health Strategy Consultation Draft – are the big prevention programmes really in there?

    … a ‘people centred’ approach it gravitates to IT systems and individual-level actions, and drifts away from … draft Strategy has traversed its five organising themes (1. People powered, 2. Closer to home, 3. Value and high … these items are issues of Politics (with a capital ‘P’). Or it could be that the – generally sensible – five …
    Briefing
  • Why NZ should consider adopting “mass masking” as an additional step to speed elimination of the Covid-19 pandemic

    … Covid-19 pandemic. There is some suggestive laboratory and epidemiological evidence of benefit for such mask use. … be used to reduce the spread of respiratory infections [1]. In health care settings masks are used widely for … the current 2m distancing guidelines [5]. Perhaps a half or more of people infected with SARS-CoV-2 never develop any …
    Briefing
  • Public Health Solutions Series: Stemming the tide of cancer in Aotearoa New Zealand

    … : action on tobacco products; reducing infectious diseases and focusing on system level solutions .   The blog  is part … issue of the medical journal The Lancet , a colleague and I had the opportunity to co-author a commentary on the … for Māori, killing more Māori each year than the next five or six cancers combined .  We must continue to pass and
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  • Highly variable cost-effectiveness with disease characteristics and age: Herceptin as a Case Study

    … This blog is, and isn’t, about the breast cancer drug Herceptin. It is … the journal PLoS Medicine about the health gains, costs, and cost-effectiveness of Herceptin. It isn’t about Herceptin … where the cancer has spread regionally (to nearby tissue or lymph nodes as opposed to distant organs like the liver), …
    Briefing

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