Plenary Five: The Importance of a Healthy Environment

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Session One: Why warm, dry homes are a health priority - Raewynne Jacobs

Raewynne Jacobs is the Partnership Manager for the Warmer Kiwi Homes programme at the Energy Efficiency Conservation Authority (EECA). Her role includes working with funders, social service agencies and councils to work in partnership with EECA. Her goal is to have as many homes funded to be warm and healthy at low or no cost to the home owner under this 

programme. Raewynne has a background in philanthropic funding having spent many years supporting many great causes through previous roles with the Lottery Grants Board, Eastern and Central Community Trust and Foundation North. 

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Session Two: Air pollution and our health - Dr Guy Coulson

Air pollution is one of the largest global environmental causes of ill health and mortality, with over seven million people estimated to die prematurely each year. 

People with respiratory diseases are especially vulnerable to air pollution, which can cause exacerbation of COPD and onset of asthma, increasing respiratory morbidity and mortality. 

This presentation will give a brief overview of air pollution research and management, including the major impacts on respiratory health in Aotearoa.

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Plenary Six: Building towards a Smokefree 2025

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Session One: the role of ENDS to quit smoking, does it work? - Professor Hayden McRobbie

Smoking cessation remains one of the best interventions preventing and
managing respiratory illness, as well as a range of other diseases. 

The New Zealand Government funds a full range of smoking cessation medications and behavioural support that can be provided face-to-face or virtually. 

Although these evidence-based treatments increase long-term abstinence rates,
compared with unassisted quitting, they are no ‘magic cure’.

Over the past decade electronic nicotine delivery systems (ENDS), more commonly known as e cigarettes or vaporisers, have become increasingly popular among smokers, and in some countries are now the most commonly used tool to aid smoking cessation. People who smoke often ask about the effectiveness of ENDS to aid smoking cessation and also about the potential harms associated with their use.

This presentation will summarise the evidence of effectiveness of ENDS for smoking cessation, and provide an overview of possible health risks, to enable health professionals to better advise their patients who ask about using ENDS.

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Session Two: Are ENDS displacing cigarettes in youth? - Professor Philip Pattemore

E-cigarettes have been described as a disruptive technology. To some that means they have disrupted the uptake and maintenance of smoking by introducing a much safer product, which are displacing tobacco smoking in youth. To others they are disruptive in that they have divided the tobacco control lobby, have made recreational use of nicotine inhalation 

socially acceptable again, and been marketed to young people as safe recreational products, despite their potential for addiction and as a gateway to smoking. My talk will address the evidence for these two alternatives along with the activity of the tobacco industry in the matter.

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Plenary Seven: Improving Patient Care and Promoting Self-Management

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Session One: Care pathway for COPD patients from secondary care to primary care - Sue Ward and Kate Te Pou

Six years ago the respiratory team in Hawke’s Bay, Health Hawke’s Bay and Breathe Hawke’s Bay recognised that our respiratory population was getting a raw deal regarding investigation and management of their disease process, impacting on their lives negatively. After a year’s trial which lasted 18 months, the results were such that the 

DHB dis-invested money into primary care. This presentation will show how with very little finance and lots of passion, the health and quality of life of respiratory patients can be improved.

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Session Two: Sedentary lifestyles – A health priority - Dr Sarah Mooney

There is nothing healthy about being sedentary! Our ‘way of living’ promotes sedentarism and associated sedentary behaviours. While previous attention has focused on physical (in)activity and health, a growing interest in reducing sedentary time and behavior change has emerged.

Recognised as a complex interaction 

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Session Three: Barriers to good asthma care - Susan Jones

Good asthma care depends on good communication, and often patients and carers are confused by the mixed messages they receive from healthcare professionals about asthma care.

As professionals, we were frustrated by these stories and felt the best way to combat this was through good education at the coalface. So in a dual project with Asthma Waikato we set 

up a series of short educational sessions with all GP surgeries in the Hamilton area. Then COVID struck…

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Plenary Eight: My Respiratory Story

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‘Living with COPD’ - Peter Atkins

I’m a writer, that’s code for a van driver - being that my bar and barista skills are too poor for the usual creative job stream. But, the reason I’m here is that I have a history of asthma and COPD being an annoying part of my life. Well, that and with an amateur theatre (musical) background and the fact I have zero fear of talking to others, it was deemed that our therapy group needed a mouthpiece. So I stepped in. And… no good deed goes unpunished.

Ever since I could remember I have had asthma, and more recently COPD, as did my brother. When we moved to Nelson I got better, and he got worse. We found that once drugs improved, we did too. Then … I started singing. I learnt control. I am aware the singing isn’t enough on its own. But the general benefits are enough for me.

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‘Living with asthma and bronchiectasis’- Tomairangi Brown

Tomairangi Pihema-Brown (Rongowhakaata, Ngāti Porou) is 17 years old and lives with brittle asthma and bronchiectasis. She enjoys school, tiktok, waka ama and music. She is in Year 13 at TKKM o Hawaiki Hou and is keen to study in a health-related field. 

She volunteers at the local SPCA Op Shop and is learning how to drive for her restricted licence. With over 150 hospital admissions for her asthma, 

the most recent one requiring intubation at Waikato Intensive Care Unit in August 2019, Tomairangi is keen to share her story of what it’s been like as a teenager to live with chronic illness. It’s her first time presenting on this kaupapa and she’s excited and nervous to give it a go!

"Kia ora, I’m Tomai and I’ll be sharing my journey of being a teenager living
with brittle asthma and bronchiectasis. My asthma has affected every part of
my life - school, sports, friends, work. This is my first time presenting and I’m
going to be talking about everything I’ve gone through so far.
Ngā mihi, Tomai."

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Plenary Nine: A year in review, where to from here?

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COVID-19 – Lessons learnt: The past, present, and future of a viral pandemic - Dr Michelle Balm

Michelle is a clinical microbiologist an infectious diseases physician. She is the Clinical Leader for Infection Services at CCDHB and heads the Infection Prevention and Control team.

Like many of us, 2020 has been mostly about COVID-19 for Michelle. She’s contributed to the regional and

national response and is Clinical lead on the CCDHB and HVDHB COVID-19 response. COVID-19 emerged in late 2019 and quickly caused the largest global pandemic that we’ve seen for a century. It’s changed the way we work and live. This will be a non-exhaustive look at some of the things that we’ve learned and some of the things this pandemic is still teaching us. 

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