New Zealand International Elective

John Paul Long III

New Zealand Fun Facts

• Located in the South-West Pacific• Cross the international time barrier• Two main islands

– North and South Island

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

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

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

Starship Hospital

• Became NZ’s first Children’s hospital in 1991• Nation’s largest pediatric hospital• Is the primary pediatric teaching and research

facility

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

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

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

Possible Intervention

• Could follow the Indian Health Service model • An IHS model would increase access to:

– Dental service– Pharmaceuticals – Mental health– PCP’s

Surgical Experience

• Scoliosis • ACL and PCL repair• Septic joints• Trauma• Congenital hip disease

Clinical Experience

• Acute and Follow up Fracture Care– Casting– Splinting

• Scoliosis– Bracing

• Hip disease– Bracing

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

Holiday Adventures

Rainbow trout

Red Stag

Holiday Adventures Cont.

Hole in the Rock- Bay of Islands Mt Ngauruhoe- Alpine Crossing

Holiday Adventures Cont.

Sydney Opera House Kiwi Lakes

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/