Plenary One - An overview of the Respiratory Impact Report
Lucy Telfar Barnard
The Respiratory Impact Report describes rates and trends in New Zealand respiratory mortality and morbidity, and the economic cost of respiratory disease. Dr Telfar Barnard will present the key findings of the 2016 report, highlighting where we're making progress and where we're not.
She will report outcomes for the key indicators asthma, bronchiectasis, childhood bronchiolitis and pneumonia, and COPD, with a particular focus on ethnic, socioeconomic and regional inequalities.
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Prof Philippa Howden-Chapman
Philippa Howden-Chapman, professor of public health at the University of Otago, Wellington, is the director of He Kainga Oranga/ Housing and Health Research Programme and the NZ Centre for Sustainable Cities. Her team's randomised community trials, in partnership with local communities, provide evidence to inform housing, health and energy policy.
Their work focuses on reducing inequalities in the determinants of health and they have received a number of awards including the Prime Minister's Science Team Prize. She is currently the chair of the WHO Housing and Health International Guideline Development Group and the International Council of Science Urban Health and Well-being Committee.
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Dr Conroy Wong
Bronchiectasis is a condition characterised by chronic productive cough, airway inflammation, and repeated respiratory infections. It is associated with progressive decline in lung function, impaired quality of life, and increased mortality. Recent data show that the incidence and prevalence of bronchiectasis in
New Zealand are comparatively high. The annual hospital admission rate for bronchiectasis has been estimated at 25.7 per 100,000, with higher admission rates in Māori and Pacific peoples, children aged 15 years or younger, and older adults.
Treatment options are limited and until recently little research has been undertaken in this relatively common condition that was previously thought to be an orphan disease. This talk will review new studies and research that are emerging that may ultimately have an impact on the management of bronchiectasis.
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Dr Sarah Mooney
Bronchiectasis: a community perspective moving towards self-management. What physiotherapy can offer this community? Recent European Respiratory Guidelines for the management of adult bronchiectasis (2017) recommend individualised programmes of regular airway clearance and exercise.
Physiotherapy offers more than this, extending across age and disease continuums, and interconnecting with different community providers. Education is integral to self-management, alongside negotiation and navigation through the barriers of access and adherence. A comprehensive, flexible and integrative approach is essential for management of this growing community of people with bronchiectasis.
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Dr Liz Edwards
Both in the public arena and in primary care there is a concerning lack of recognition that sleep disordered breathing occurs in children. The idea that children suffer from OSA is often discounted. This presentation will outline how to recognise sleep disordered breathing in children, those at high risk, how to make an initial assessment, and who and where to refer onto for further investigation.
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Dr Angela Campbell
Angela is the manager of WellSleep, the University of Otago
Wellington Sleep Investigation Centre and a Senior Lecturer
in the Department of Medicine. She has worked in both
paediatric and adult sleep services since completing her PhD
in 1997.
Research interests include the provision of sleep health education to the public, technology in the treatment of sleep disorders, familial links in OSA and oximetry in paediatric populations. Her teaching role encompasses teaching sleep medicine and technology to Wellington based medical students, post graduate students working in primary care and those wishing to train as a clinical physiologists. Angela is chair of the Clinical Physiologists Registration Board, a committee member of the NZ Branch of the Australasian Sleep Association and involved in the Paediatric Clinical Network for Sleep Medicine. She is an honorary member of the Australasian Sleep Technologists Association.
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