Back home in New Zealand

February 20, 2011

Home! The first thing that I notice is ‘the green of the pastures’ as I travel down to the Waikato. Great contrast to the brown and white of the Afghan earth with its snow, in winter. The trip south to my beloved Hamilton and family gave me time to reflect upon where I had been and what I had just done. Afghanistan as a doctor with the New Zealand Defence Forces. A year ago I would never have thought it possible that I would be ministering medicine in a war affected region, and in a country that has known centuries old conflict through the battles of Genghis Khan, Muhammad Babur and both the English and Russian Armies in the last one hundred years.

 

I had left Bamyan city in Bamyan Province on the 12th of January, and come via the military transport system in Afghanistan to the Middle East and then via a long flight back to Auckland. I can’t really remember what the flight home was like for I was still energised by the experiences of living at Kiwi Base with a whole bunch of New Zealand men and women with common cause. 18 hours in the air gave me a lot of time to think about those moments that would forever be remembered by me.

Firstly, the countryside that Kiwi Base was in. PT Hill overlooked the military encampment in the immediate distance. Further, was the Hill of Gholghola, where Genghis wrought such terrible violence that it became known as the ‘City of Screams’. Further still were the cliffs that overlooked Bamyan and which were now marked by the empty spaces of the Taliban vandalised Buddhas. I walked between the two of them over my last week in the region. I was showing my replacement Medical Officer, Jordan Baker, around the region. Showing him some of the sights for which the region is famous. On the way we had a pleasant guide who spoke little English, though through our interpreter he filled in the details of the history of Buddhism in the region and how important the region was as a crossroads to and from regions east and west. He pointed out another smaller third Buddha and then a fourth, or baby, Buddha – both also destroyed in the violence of early 2001.

Looking out from the cliff-face, snow covers the fields in the rivets of a late autumn ploughing. It has almost gone from most of the fields but does lie quite heavily higher up on the higher hills. Jordan is loving his first views of the region, for he has travelled little before and all this ‘newness’ is so energising to him. Me, I love showing him the various sights but at the same time admit to a great sadness that I am about to leave the town and its history.

 

At the small ‘female’ Buddha we are able to walk up and over it by way of steps that remain in the walls. There are three levels to our tour, each higher than the last and each with numerous caverns that housed priests through the ages – even the Taliban, in the early years of their occupation. Some of these caverns were citadels and many have the remains of paintings blackened by the fires of their destruction. Still others had smoke on the ceilings where the insides of the caves had been burnt out. Such destruction. It makes me pause in reflection and in sadness. Un-necessary. Certainly not the way to win ‘hearts and minds’ of the local Hazaran population.

 

Secondly, the people and the village of Bamyan. This was best felt by me when I got a few members of ‘the crew’ together, including Allan, Ra, Steve and a pleasant interpreter called Gee (which was short for some intricate Afghan name that seemed such a waste when ‘Gee’ explained him so much more admirably) and we walked on a ‘dismounted patrol’ into town to wander around the bazaar. Along narrow tracks that the locals use to pass over fields now brown due to the winter, but normally lush and green in the summer. The dust swirls still with every footprint on a dry, still day. In the distance the new snow is on the hills and the locals will be pleased again with the nurturing of the soil. Into town and along the dark side of the street, where the sun never seemed to reach in the winter months. So many shops open today.

It is Friday and the locals are all out doing their shopping – men and women, though never together unless they are family or married. Men sewing away at shoes brought to them for repair. A lot of shoe shops abound, mainly with second hand shoes and not occasionally many that are just single shoes – who wants them, I wonder. Clothes shops, with women inside under burkas doing the dealing with the men owners. Outside other men pushed wagons with sacks of coal. Boys run by with bananas for sale and still others came up to us to ask for ‘baksheesh’.

 

Steve had an endless supply of pens to give out to the kids. Men sitting in chairs or merely crouched beside the gutter partaking in chai, talking and watching folk just wander and meander. Men whose weathered faces, reflecting the harshness of living in this unforgiving land, appear to be carved out of leather: cheeks with valleys and vales, eyes hidden under an overlapping eyebrow bristling with honest hair and mouths often hidden in a bread that spreads with laughter. Their ‘Shemagh (Afghan Scarf)’ wrapped around their necks, over their faces and upon their heads seemingly part of their bodies, whilst around their midriffs were huge rugs to shelter from the cold.

Drifting by were the women also – in white or blue burkas. Still others without the over-face mask but with a scarf over their heads and around their faces, and perhaps an end of it held loosely to mask their mouths. No women were without some facial add-on; unlike the young girls enjoying their freedom whilst they could.

 

Orange sellers. Ever present mobile phone shops – a glut of them, with no one in them but there in all their glitzy glory. Material shops. Hardware shops every 5-6 shops, selling pots and pans and plastic jugs that are used to carry water for ablutions after toileting. We pass a potato naan shop stall. They look delicious and we all decide to buy one of these. This will be lunch – potato cut and placed on a thin pancake wafer. The potato is grated and placed in the middle of the mix, and then the three sided blend is rolled and put into a deep fry. Rather different and rather nice. One was enough and the cost was 10 cents for one.

 

Wander down by the river, and along the stalls in this region – fruit stalls, butchers shops with just the trachea and lungs remaining for sale and hanging from the corner of the shop – outside. A man selling nuts and dried fruit allows me to take his photo. Always photos to snap for the memory bank. Along another side street know locally as Titanic – shoes shops and kids toys, and … shoes. Ra was fixated by the shoes and so we went past many shops only to have him disappear as he would go and have a look. He never decided, he just liked to look at them and chat with the locals at the same time.

 

The sound of young music from stalls by the side of the road and from the nearby shops selling radios, music and all its paraphernalia. People would watch us pass but I do not recall seeing a malignantly disposed grimace – smiles and the right hand (always the right hand) drifting up to the heart with the salutation ‘salaam’… always the men, and young boys practising. Dear Lord, how I just loved to look and to reflect and to just wonder how these folk were living every day… in the rain and snow and bitter cold. Still the gnarled and crusted hands would come forward for me to shake – usually so gently, and with honest feeling. It would be hard not to be touched in some way.

 

Restaurants, up steep ladders and perched atop roofs of shops below, serving their only dish – kebabs, rice, sort-of meat soup, with slices of tomato, onion and a chilly on a side dish… they are dried around the edges indicating to me that they have been cut and prepared many hours before and the alert goes out quite strongly for me… DON’T EAT!!

In the street, cars with no exhaust-system spew out smoke and zoom along the road at a speed that makes the mouth drop in bewilderment. No seat belts and door handles that have been roped to the vehicle main frame indicates further to me DON’T DRIVE IN THIS ONE! Cops in their olive green suits drive by in their ford 4-pers pick-ups faster, for no good reason other than to drive fast and scare the locals. Kamaz truck belch and vomit benzene fumes, as they carry their wears through the distance of tar-seal, men in turbans perched on their roofs, their cargo or riding high in the cab. Small kids don’t even bother watching the sight of such massive movements anymore. They’re more interested in our baksheesh.

 

The third and final image of my deployment is of the men and women that I worked with. What an honour to have been with them. All ranks, high and low, showed me a respect that I was honoured to receive. Their military side as they talked of various missions. There serious side as they talked of their families back home and how much they meant to them. Their ribald side as they shared jokes, some spicy and some not, with me. They are well lead by their CO, Lt Col Fox, and they are well protected by all the various units that accrete to form the Company for this operation known as CRIB 17. I will miss each and every one of them.

 

The Medical team at Christmas From L to R: Leon Frampton-Leigh, The Doc, Kirk Blumers. In Front: Cat Brown

 

 

Finally, salutation to those in the medical team, each of whom needs a mention. Leon (the Nursing Officer) who worked so hard to develop a respectable and respectful RAP for us yet still smiled at the end of it. Blu, what can I not say about him! This guy was amazing. I loved his clear brain and his thinking, and the support he gave me. This gut IS ‘the stuff’. The medics, boy did their knowledge impress me: Cat (a star medic who needs to go to a higher level – poor thing, I have probably STILL spelt her name wrong), Kim (a gentleness with her that expressed her caring spirit), Mike (hardy and military in mind), and Holly (thrown in to so many situations, coming out richer for the experiences).

 

A final image for me and the last entry into my diary: ‘Wonderful autumnal views of the region and have noticed even in the least few days, the lack of leaves on the trees. Way in the distance were the snow capped hills looking down on us. Beautiful views!! Every morning, I see the sun tipping the hills. I take this to be my welcome to my day. This will be the essence of my memory. Now it is time for home and my family. This has been a ‘most great trip’ – and one that I was delighted to have been part of!!

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A hospital visit was always going to be ‘on the cards’ for me. I wanted to go and see what facilities there were there, and also to see what (if anything) we could do to help. It’s easy, I know, to say that ‘we are keen to help’ from the rather exalted position that we are in – in Kiwi Base – because we have everything we can possibly need and on top of this there is always the capability of being able to ‘call in’ an aircraft to transport a really unwell case to the American Hospital at Bagram Air Force Base. Here, the local population do no have this facility and so we at KB are keen to provide whatever we can to assist the local medical and health services. As it is now getting extremely cold, with the temperature today at minus 15 degrees, this would appear to be an ideal time to visit and take some of the many bags of woollen gear and toys that folk from NZ have sent over here to present to the local patients and their, usually, mothers. Who better to visit the hospital with than the Padre,

Steve Clarke (Chief petty Officer) and Allan Kelly (administration Officer here at the camp). The three of us have been involved in a lot of visits to various schools and health clinics around this region and so it was with pleasure that we visited the Bamyan General Hospital. Having said that these three guys have been all very tolerant of my energies in wanting to dash off and see things. I have this sort of ‘places to go – people to see’ and ‘not here to foxtrot with spiders’ mentality. In the wagon and off we go to the hospital. Through the gates, part the vehicle and we walk to the director’s office. Well, Padre and Allan and I walked, but Steve is a navy man and he walked like he was on a shop in a storm, swirling from side to side in the corridors. A quick meeting with the Hospital Director, Sarjo Kanji (who is from The Gambia in Western Africa), and then it is ‘off’ to the paediatric wards to see the kids.

Son, Father, Padre, Doc, alan, Steve, Hospital Manager

Up the stairs we go – there are shoes lining the entry door as we go in. The management do not require us to take off our shoes, but I am rather embarrassed about this as the locals do and so, I feel, we should but Sarjo says ‘no need’ so we don’t. Through and under a rug hanging over the door, it is starting to get quite cold outside during the day now and the barriers to the weather are gradually going up in the community. The smell of the halls, as we go into the wards, is of smoke from the coal- fired heaters in all the rooms and wards. In to the ‘acute baby room’.

One of the nurses in the ward

Mothers are with their kiddies, and immediately they turn away – as is their custom when men walk into a room. We give dolls and knitted woollen booties out to the babies, wherever possible, or their mothers. Long time since I did this for my children so I struggle a bit to undo the bow around ‘the feet’ part of the booties – much mirth amongst my compatriots. The mothers accept the gifts in silence. Occasionally one or two smile and say ‘tashikor’ (thank you), but mainly they respond with an expressionless face and take the clothes or dolls and put them by their babies or children. Some cover up their faces and turn away from us. We expect this, as this is what happened the first day that I came into the hospital a few months ago. For all this, however, we realise that our gifts are indeed needed and valued.

'How do I put these on?'

In to the next ward and the same thing happens – we walk around the beds – 15, of which none are empt. A doctor is doing a ward round. He speaks English and does not mind us bustling through. I stop to chat with him. He was educated in Kabul, and he stops to tell me a little of the illnesses as we pause over a kiddie who has pneumonia, and malnutrition. The doc says that the main diseases are these two conditions, plus diarrhoea – the latter in summer and the former two in winter. Logical really. He is OK with us going around giving the children toys.

Mothers and their babies

 

Interpreter Baby whose mother died and Grandmother

I stop by the bed of a woman who has her face partially covered. I ask the doc what is wrong and why is the child in the ward. He says that the child’s mother died in childbirth (in Afghanistan the maternal mortality rate approximates 25%) from haemorrhage, and that the woman with the child in his  grandmother. The woman lives at Yakawlang which is a long way away – 4-6 hours due East by vehicle. She is so far away that there was no chance of preventing any calamity and this is obviously what occurred. Fortunately the child is a boy, says the doc, as girl children do not get much of a ‘look in’. I look at the child again, and he is very pale – probably he has anaemia due to his mother bleeding to death.

Ra giving a doll

Meeting the Paediatric Staff

We finish giving our gifts and feel the better for it. The ward-manager says to us how happy he is because of what we have done, so perhaps we did something good today. Whilst toys are rather a ‘little thing’ to give … I think that they meant something to us, also, in giving them on behalf of our country-folk back home in NZ.

Women in Blue

January 10, 2011

Blue            and white
Burkas,

mask women hiding

Themselves from outside eyes viewing
Tranquil times

or tense, turbulent

Occasions that speak too honestly
Of that which happens at home?

Walking along tracks

time-worn, through fields,

Wending a way –
down, bazaar beckoning
Attractions displayed, for sale, in myriad forms
Along clear course
to meander,  to ponder,
Sometimes to purchase, mainly to wander
Silently – as an observer wonders, in silence.

ON THE ROAD TO NAYAK

December 8, 2010

Saturday was another bright and sparkling day outside, but seriously cold in the shade. The morning had registered minus 14 and I had just finished doing my daily walk of ‘one kilometre’ around the perimeter of the camp. Breakfast was my usual cereal and coffee and I was just settling down to do the day’s tasks. A knock on the door and the Colonel came to the RAP.

‘Would you like to come over to Nayak tomorrow morning, Doc? Going over there to check our FOB (Forward Operating Base) facilities and a good idea for you to do the same with our medical resources. Interested?’ Well, was I what? I had been in camp for some days now and was looking forward to ‘a look outside’ the gates.  Excitedly, I got my packing quickly done for the anticipated trip. All the goodies that I would require to take with me, but hopefully would not need. I say hopefully because although this area of Nayak, which is 4-5 hours over to the east of Kiwi Base is supposedly safe and secure, though we were not going to take any expectation of this as being definite. We knew from experience that Afghanistan is always a territory that we needed to assume could become dangerous, either geographically due to wind and snow trapping us … or from an equally ominous insurgents’ point of view.

The next morning, there I had it – my gear all laid out. I felt as though I had seriously missed something as this task was quick and complete. This was not like I would have done at home – fiddling around with equipment and trying to decide which was the ‘best shirt to take’ or which series of bandages were more appropriate. I had totally surprised myself by being ready and fully equipped with all that I may have needed: fully kitted out emergency medical response bag, my sleeping  bag, my camera pack and some warm clothes and huge big puffer jacket. It was going to be rather cold where we were going and I wanted to be well prepared for any cold weather eventuality.

0845 and I am ready. I drag all my baggage out to join the rest of the team. The Commanding Officer  smiled at me – ‘I see that you have not learned minimal packing is best have you Doc’, he commented on looking at what I thought was rather a compact set of gear. Just five sort-of-little-compact packs and baggage. ‘Next time we’ll get a special vehicle for you!’  He dipped his head and I took this to mean OK for this trip but not the next. Phew, I was lucky. Otherwise it would have meant that I take out my wool fleeced nightie and my possum skinned hot water bottle – just kidding! I would never carry either of these items on an army deployment, even though my Darling Wife suggested that I take them and my own cuddly pillow!!

Get together, we do and attend the trip’s briefing. This is to explain to all what we are expected to experience on the journey. Invariably it gives us in the patrol an idea of the terrain that we are going to go through and any risks that we need to be wary of: new roads, any snow… that sort of thing. A final check up on our numbers – 10 of us, each with different yet essential tasks for the journey – then we are away.

We are off and it feels so good to be going through the front gate and out into the local community. Through the town of Bamiyan and along its sole tar-sealed road and then past the two huge spaces where the Buddha’s on Bamiyan used to be until the Taliban destroyed them and then through and onto the mayhem of the country roads.

The scenery is unique and wonderful, and never fails to draw me to it. Dust and dirt fly as we pound the bumpy and thumpy roads. To the sides people are going about their normal days: donkeys taking produce to market or to sale, some carrying children but never women; women walking three or more steps behind their men folk. ignored and never acknowledged any salutation in friendship until they are permitted to; young kids waving to us with a sideways back and forth rocking movements; and small stalls beside us on the road with a couple of men tending them  and selling their product trying to make the day’s sales.

Ahead of our driving and in the interminable dust, the potholes of the road demand caution and a low threshold for swerving at any obstacle that may stumble into our route’s path.

To the sides of us the hills to the east of Bamyan town thrust up into the skyline. They are huge hills on either side of us down here in a valley. There are fewer people now as we wander further from the township. Ironically the road starts to get better, for contractors have begun tar sealing on the road between Bamiyan and Nayak, and have decided to start the road midway between the two towns. The logic of this tends to baffle me somewhat. Why not start at a major town and go out from it. Nah, cant figure that one out!

Through the cleft at the end of the first deep valley, and  the hills push higher and higher as I crouch below the window to look upwards. Shadows of the valley cut across the shafts of light that are able to penetrate deep into cold and bitter shadows. The road is gravel but is really very good and we are able to travel without physical discomfort, though dust still trails us and prevents us from opening the windows to breathe. Fine dust that gets into everything – eyes, clothes, machinery (the car inside is covered in a fine layer of particulate dust. I don’t breathe too deeply!


We occasion villages to either side of our travel 500 yards away, built into the hills. First the wall built of clay-mud brick, sometimes old and sometimes new and occasionally a mixture. This is probably a reflection of personal finances. The style is adobe-like. Red-brown clay that is reinforced with fibres of hay and twig. Kids swirl around the boundaries and women are seen to drift between their familiar inside and out as they tend to their duties.

 

 

Female children up until teenage tend to the washing of clothes and dishes down by a stream, if there is no nearby water pump.

Boys are helping with the donkeys or farming or gathering of wood. Men with their turbans swirled around their heads, often masked over their mouths and noses to cover from the dust, walk along the road with donkey or not, or tend to the shopping in the bazaars.

Bang, right in the middle of nowhere, we are driving on tar seal. About 10 kms of it. Bizarre though what a difference this makes to our travelling comfort. Just as I start to nod off in the warm comfort of our vehicle’s back seat, with a crash I am fully awake to the bumping and pitching of the rutted  road again. Back on the gravel. The dust swirls in front of our vehicle and thus-wise we travel through to the town of Nayak. Nestled in a pleasant valley, it is a safe area for us to travel to as the local population are doing for themselves so very much better now that they feel a security supplied in part by the NZ forces in the region.

 

(Left) Master Sgt Trevor Pittman (Centre) Dr Marc Shaw and (Right) Squadron Leader Steve Hall (NZ Air Force)

  • The time is around 2000 hours – our Malaysian Colleagues are having their celebration of EID which is the equivalent of our Christmas. Leon comes across to me and says that he has just had word of a serious injury to one of our American Colleagues. ‘A neck injury is coming in within a half hour’, he says. So, we prepare for the injury in the best way that we can. The patrol that the man is with is quite far away and we are not able to get too much detail from the initial radio contact. He arrives and we step into action: history of ‘was in a patrol vehicle travelling at 55 kms / hr, with the usual ‘in car’ prevention – seatbelts and the like. The vehicle crested a hump in the road and the patient sitting in the back of the vehicle whacked his head on its roof. Due to the unexpected nature of the impact, the patient’s head then slammed into the back of the seat in front and the side window on his left. He was pretty seriously knocked around, and the first response of the team on patrol was to stabilise his head so that no further injury could occur. For me, as the Doc, the serious part was that our man had developed reduced movement in his left hand and pain on the left side of his neck radiating down to the left arm. This was a pretty severe discomfort. Although he denied being knocked out, there was significant evidence that he had developed concussion. My concern was that our patient has sustained a fracture of the cervical spine in the neck.
  • Well, with such a diagnosis as a possibility, we then had to get our man to a higher medical facility for radiology and further neurological assessment. Now was the time for me, as the Doc, and for Leon, Blue and the other members of the medical team to ‘step up’ and prepare the case for evacuation to Bagram. It was time for me to report to the US Command about our patient, their soldier. I addressed them with the standard ‘we have a situation here…’ and then proceeded with the objective assessment of their warrior.  I then continued to tell them exactly what was going to happen and how it should pan out with their help in ordering a casevac. At this stage I got a bit ahead of myself and threw in a few newly learned acronyms by mistake but the US officers were very tolerant of my errors an then proceeded to throw in a few of their own. I was on slippery ice here – but fortunately no one noticed my improvisation, such was the intensity of the communication. An aircraft was ordered up and it was arriving quite soon.

  • Blue, Leon and I readied our patient for the flight by considering the further practical issues such as how the man would travel and with what medical support, pain relief, intravenous support and the like. Good pragmatic medical sense.
  • Then we get the word that the aircraft is overhead and whoosh, we hear it. I get around some guys to help me (Sqd Ldr Steve Hall, Allan Kelly and Master Sgt Trevor Pittman) and we truss our patient up in a blanket and with a ‘silver heat-retaining blanket’ around him. On a stretcher and spinal board he goes, and then onto our portable ambulance we transfer him down to the nearby airstrip where the plane has just landed, in the dark. Brilliant stuff!
  • Fortunately not a very cold night tonight. We wait on the airfield for the plane to come up to us. Meanwhile deployed on the field are our troops to secure and protect our airfield and the perimeter of the aircraft. THIS is very impressive – they have strategic points covered and are there waiting for my patient. We get the word from the Sgt-Major and drive off to the ‘airframe’ (Army talk for ‘an aircraft’) in the distance – we cannot see it at this time, just hear it! We travel with out headlights on and see before us dust rising but no plane – it is in the darkness. We are aware of something huge in front of us. An occasional speckle of LED lights presents itself to us. An about turn and then a quick reverse back to the down-ramp at the back of the plane. I look around and am so impressed with the professionalism that I see before me. In a perimeter around the craft and with hot aviation fuel odours in my nose, there are a number of persons, fully armed and with aviation helmets on, on either side of the ramp. They are guarding our presence. I grab my corner of the stretcher and up the ramp we go to deliver the patient. One of the medics comes over and I give him the update ‘We have a situation here …’ They are happy with my presentation, and with a quick ‘farewell’ to our patient I head back down the ramp to our vehicle. We drive off into the dark, with the aircraft quickly disappearing. Just the sounds of the props remain.
  • Back down the airfield just in front of the camp entrance we pause and wait for the plane to take off. Shortly after, it does – night-time take off and very impressive. The whole imagery of the evening with our patient and the transportation of him to the aircraft was something that will never leave me – VERY professional and absolutely exciting to be part of!

Travelling to schools is one of the aspects of the job that we do NOT have to do, but it is so rewarding! To see the kids of all ages come out to meet us as we travel around the various villages is really magical. At the risk of sounding all soppy and sentimental, all of us like to stop and chat with the kids that we pass. There is a huge push in this region for schooling for boys and especially for girls. The Governor of this province is a woman, in fact the first woman politician in Afghanistan, and she is especially keen that the children receive good education. There are a number of educational resources that have come into the Bamiyan region and because of this need for knowledge there is significant energy going into the creation of higher learning facilities like universities. Currently if students wish to go to a tertiary institute they must go to Kabul – 30 minutes away in a plane but 8 hours away on a dangerous and tortuous road.

As I travelled to villages not far geographically from Bamiyan, though centuries away in terms of facilities and resources, I am reminded of quite a lovely conversation between Sir Edmund Hillary and Urkien Sherpa (from the Book ‘Schoolhouse in the Clouds’)

“Tell us, if there is one thing we could do for your village, what would it be?”
“With all respect, Sahib, you have little to teach us in strength and toughness. And we don’t’ envy you your restless spirits. Perhaps we are happier than you? But we would like our children to go to school. Of all the things that you have, learning is the one that we most desire for our children”.

We visited a school with some of our Malaysian Colleagues. There was me, Ra (the Padre), Allan (the other Civilian to me), Steve Clarke (our administration Officer), Jo Saville (our NZ Police-woman)  and our interpreter Jaffir. It was closed for EID but it did not matter. The children in the adjacent village swarmed to us, and we had school books and pencils and rulers to give them.

 

Jo, Allan and Hassan - photo by Steve Clarke

 

 

Travel and Tropical Medicine is a growing  specialization. With around 2 million kiwis travelling overseas per year, Travel Health Professionals need to be regularly updated in global travel health information.

The WORLDWISE ONLINE Seminars have been annually presented for the last 12 years, and are the longest ongoing regular ‘open’ travel health meetings in Australasia.

This year’s WORLDWISE ONLINE conference offers Health Professionals a solid platform on which to learn and up-skill knowledge in this exciting specialization. It is aimed at all Primary Health Care Practitioners (General Practitioners, Public Health Physicians, Infectious Disease Specialists, Military medical Staff,  Pharmacists) with an interest in travel medicine. Primary Healthcare Nurses who have attended previous WORLDWISE ONLINE Level 1 courses are also invited to attend this annual meeting.

This year, the primary focus of the Conference will be on Corporate travellers and families travelling to the Asia – Pacific region. Special focus will be on

i) ‘rabies in our region’

ii) the safety of travel

iii) how to develop a risk analysis of a travel itinerary

iv) Women and children travellers

There are to be special sections on ‘country based   requirements’ for travel to South East Asia and Oceania.

The conference will be hosted at Hotel So in Central Christchurch. A hotel which implements sustainable business practices that reduce its ecological footprint.

LEARNING OBJECTIVES

  • To understand safe practice in the delivery of health care to intending travellers, particularly to those travelling to the Asian and Pacific region
  • To update knowledge on current pertinent travel health issues and its relevance to current medical practice
  • To understand and develop knowledge base in Travel and Geographical Medicine  practice
  • To identify when it is vital to refer patients/travellers to specialty services
  • To understand the advice that corporate travellers need to keep them well on overseas  deployment
  • To understand what responses are needed in global emergency

PROGRAMME AT A GLANCE

  • Travelling groups and corporates      – Risk assessment
  • Life style issues of Travellers – Sex and STI’s
  • Medical Tourism – The Thailand Experience
  • Update on Dengue Fever – Current thinking and into the future
  • Food and Water borne issues – The family holiday, outbreaks
  • Woman and children travellers     – management, the pregnant traveller
  • Mosquito borne diseases
  • Wilderness weather extremes and travel – Creepy Crawlies , the essence of management
  • Region specific destinations – Asia, Pacific
  • Post natural disaster outbreaks – Thailand and Samoa experiences
  • Update on Malaria – Future developments
  • Rabies – devising a management plan, the Bali experience

WORLDWISE Post Graduate Conference Advanced Level – The New Zealand Advanced course in Travel, Tropical and Geographical Medicine for Travel and Primary Health Care Practitioners – has been endorsed by The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 13.25 Hours CME for General Practice Educational Programme Stage 2 (GPEP2) and Maintenance of Professional Standards (MOPS) purposes.

For more information, full programme details or registration, please contact Clare at online@worldwise.co.nz or 09 520 5830

We look forward to seeing you there!

HAITI EARTHQUAKE RELIEF

January 18, 2010

The size and damage of the devastating earthquake in Haiti has shocked the world. More so because the country is one of the world’s poorest. Whilst the wealthy countries of the world are rushing resources into the Caribbean country, we here in New Zealand and Australia may be wondering what we can do from so far away.

Vice President of the European Commission (EU), Catherine Ashton, said it succinctly and for us all: “We are troubled by the reports on the devastating earthquake in Haiti. We offer our full assistance to Haiti to support its population at this difficult time. Our thoughts are with the victims and their families.”

‘WORLDWISE, in keeping with its Humanitarian ideals and promotion of global health resources, is keen to support all rescue and reconstruction programmes for the people of Haiti’ says Medical Director, Marc Shaw.

On our website, are website links that our public, medical and nursing colleagues can contact directly to support and contribute to the dire and urgent need.

http://www.worldwise.co.nz

SAMOAN TSUNAMI RELIEF

November 3, 2009

samoa

 

 

 

Having aided in tsunami relief in the past, the WORLDWISE group understand the traumatic life experience of those directly affected.

In times of these natural disasters, the basics of food, clothing, shelter and medical supplies become so essential.

The WORLDWISE group throughout New Zealand are calling for donations of medical supplies to aid Samoa in this desperate time.

Each WORLDWISE centre has established themselves as ‘drop off points’ for these donations, that can include medical dressings, supplies and antibiotics.

We very much appreciate your understanding and consideration. Please see the details below for WORLDWISE Centre drop off points.

Auckland
72 Remuera Road, Newmarket.
Ph: +62 9 520 5830
info@worldwise.co.nz

Hamilton
Anglesea clinic, Anglesea and Thackeray St, Hamilton
Ph: +64 7 839 7761
hamilton@worldwise.co.nz

Whakatane
Phoenix Health Centre, 5 Pyne St
Ph: + 64 7 307 0586
thedocs@phoenixhc.co.nz

New Plymouth
Carefirst Medical Centre, 99 Tukapa St
Ph: +64 6 753 9505
email@carefirst.co.nz

Palmerston North
Suite 3, The Palms, 445 Ferguson St
Ph: +64 6 353 7310
palmerston.north@worldwise.co.nz

Christchurch
Moorhouse Medical Centre, 3 Pilgrim Place
Ph: +64 3 365 7900
traveldoc@moorhousemedical.co.nz