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New Zealand International Elective
John Paul Long III
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New Zealand Fun Facts
• Located in the South-West Pacific• Cross the international time barrier• Two main islands
– North and South Island
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New Zealand Fun Facts
• Many Diverse Ecosystems– Mountains– Volcanic and thermal areas– Glaciers and fiords – Farmland on the plains– Rolling hills– Subtropical forest– Coastline with sandy beaches
Emerald Lakes- Alpine Crossing
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New Zealand Fun Facts Cont.
• Population of 4.4 million– 69% European descent– 14.6% are indigenous Maori– 9.2% Asian– 6.9% non-Maori Pacific Islanders
• Commonly referred to as Kiwi’s• Former British Colony
– Serious tea drinkers
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Auckland
• Largest city in NZ and largest Polynesian city in the world– 1/3 of the total population
• Resides in the North Island• Nicknamed City of Sails• The Sky Tower
– Tallest structure in the southern Hemisphere at 328 meters
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Starship Hospital
• Became NZ’s first Children’s hospital in 1991• Nation’s largest pediatric hospital• Is the primary pediatric teaching and research
facility
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Maori Health Care
• Obesity is an epidemic– 1/5 children and 2/5 adults
• Tobacco use– 2/5 adults smoke
• Asthma– 1/5 adults and children
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Maori Health Care Cont.Increased risk for the following:• Ischemic heart disease• Stroke• Diabetes• Hypertension• Chronic pain• Arthritis• Drug and alcohol abuse• Poor oral health• Rheumatic fever
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Barriers to Health Care
• Cost is the biggest barrier to health care• Decreased access to primary care• Decreased access to pharmaceuticals• Decreased access to dental services
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Possible Intervention
• Could follow the Indian Health Service model • An IHS model would increase access to:
– Dental service– Pharmaceuticals – Mental health– PCP’s
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Surgical Experience
• Scoliosis • ACL and PCL repair• Septic joints• Trauma• Congenital hip disease
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Clinical Experience
• Acute and Follow up Fracture Care– Casting– Splinting
• Scoliosis– Bracing
• Hip disease– Bracing
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Culture Experience
• Bay of Islands– Traditional Maori treaty site
• Alpine Crossing– Sacred Maori volcanic sites
• Rotorua– Maori village– Traditional song and dance– Woodworking and craft school
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Holiday Adventures
Rainbow trout
Red Stag
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Holiday Adventures Cont.
Hole in the Rock- Bay of Islands Mt Ngauruhoe- Alpine Crossing
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Holiday Adventures Cont.
Sydney Opera House Kiwi Lakes
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References
• http://www.health.govt.nz/our-work/populations/maori-health/he-korowai-oranga/pae-ora-healthy-futures
• http://www.health.govt.nz/publication/health-maori-adults-and-children
• http://www.newzealand.com/us/feature/new-zealand-geography-and-geology/