Category: Education

Source: University of Otago

New Zealand needs to lower the screening age for colorectal cancer if it wants to reverse the dramatic increase of people aged under 50 being diagnosed and dying from the disease, University of Otago researchers say.
In an editorial in this week’s New Zealand Medical Journal, Dr Oliver Waddell, Dr Tamara Glyn and Professor Frank Frizelle say Aotearoa is part of a world trend in which the number of people aged under 50 being diagnosed with bowel cancer – referred to as early onset colorectal cancer – is increasing.
From 1995 to 2012, colon cancer in New Zealand men aged under 50 increased by 14 per cent, and in women by 13 per cent.
The figures are even more concerning for Māori who are disproportionally affected by early onset bowel cancer – 30 per cent of bowel cancers in females and 25 per cent in men occur before the age of 50.
The trend is consistent with other studies from Australia, the United States, Canada, the United Kingdom, France and Asia, which all show a rapid increase in bowel cancer in those aged under 50. In the United States, the incidence of early-onset bowel cancer has doubled since the 1990s and by 2030 it has been estimated that more than one in 10 colon cancers and nearly one in four rectal cancers will occur in people aged under 50.
Countries that start screening at age 40 seem to have avoided the impact of this shift, Dr Waddell says.
New Zealand – where bowel cancer is the second biggest cancer killer – has one of the highest screening ages in the world. The National Bowel Screening Programme is currently only open to people aged 60 to 74. Australia screens for bowel cancer from age 50 however it is available to those who request it from age 45.
“A review of international trends in early onset colorectal cancer incidence rates across five continents found only three countries where the incidence rates were decreasing. Two out of these three countries – Italy and Austria – have been screening patients from the age of 40 or 44 since the 1980s,” Dr Waddell says.
The American Cancer Society recommends that screening should begin at age 45 and their modelling shows that this would result in an additional 22 to 27 life years gained per 1,000 people screened.
“If the age of eligibility for screening in New Zealand were lowered to 40 or 45 it would be likely to result in a proportional decrease in the diagnosis of early onset colorectal cancer as seen in countries with a lower age of screening.”
The incidence of early onset bowel cancer in New Zealand from 1995–2020 found that 45 per cent were aged between 45 and 49.
“This means that almost half of those early onset cases may either be prevented or diagnosed earlier if screening was lowered to 45, and more so if reduced to 40,” he says.
The cause for this rise is likely to be largely environmental factors and is likely to be involved with alterations in the bacteria living in the gut. A large variety of loosely associated factors have been suggested to contribute to the trend of younger bowel cancer patients, such as changing trends in obesity, sedentary lifestyles and smoking, but the cause has not yet been proven.
“Until the cause of this avalanche can be identified and addressed, we must act to mitigate the consequences. Lowering the screening age is the most effective tool we have to combat this epidemic.
“This simple action would improve equity and outcomes for all New Zealanders.”
For more information, please contact:
Dr Oliver WaddellSurgical Trainee and PhD CandidateUniversity of Otago, ChristchurchEmail wadol012@student.otago.ac.nz
Lea JonesCommunications Adviser, Media EngagementUniversity of OtagoMob +64 21 279 4969Email lea.jones@otago.ac.nz

Source: University of Otago

On Purpose Social Impact Speaker event, 2020, featuring Amal Abdullahi and Guled Mire.
It’s been 10 years since an idea to help Otago students connect with the community saw the birth of the University Volunteer Centre, now known as the Social Impact Studio (the Studio). 
A decade on, the Studio’s impact on our student community has been widespread, and they’ve got love letters to show for it, says Sze-En Watts, Manager Social Impact Studio. 
“We’re matchmakers,” says Watts, “connecting the time, energy and talent of our students with community organisations and causes that matter to them.” 
Watts says most of the initiatives started over the years have come from the community, making the Studio a ‘valuable avenue for community connection’ and turning ideas into social impact initiatives. 
“The University has a huge presence in our community and through the Studio we are helping to build that link and cohesion with our home city.” 
Watts shares the example of the Aspire Programme, which came about from community partners expressing a need to engage young people at risk of disengaging with learning. Aspire, which started in 2014, is a campus-based mentor programme that matches Year 7 and 8 students with university students. 
“And this pattern has continued. We are currently setting up a trial programme with Alzheimer’s Otago, which came about from a serendipitous conversation between one of our student leads and the Alzheimer’s Otago manager.” 
The Studio team were early adopters of the Sustainable Development Goals, using them as a ‘north star’ for the work they do. 
“Students come to us with a wide variety of motivations. The SDGs are a really effective way to connect their passions with globally relevant issues.” 
People participate in a Fluro Friday event, organised periodically by Silverline, where people gather in fluro for sunrise chats, yoga or saltwater dip at the beach to raise awareness about mental health.
A key part of the Studio’s success is the team of Social Impact Leads – student volunteers who are recruited each year.   The Social Impact Leads actively contribute to the running and development of the Studio, says Watts. 
“Students have changed so much over the years and if we truly want to shape our work in a way that is meaningful to them, we have to put students at the centre of it.” 
Social Impact Lead and second year Bachelor of Arts and Science student Ibuki Nishida says the role has been a valuable learning experience. 
He says The Studio’s opportunities give students the chance to break out of the “bubble of uni life and reconnect with the wider Dunedin community”. 
“I think sometimes when you’re attending lectures day in and day out and the assignments come piling in, you forget that there’s a whole world of people outside of the uni environment too.” 
Ibuki Nishida.
Studio Programme Activator Poppy Johns says students like Ibuki are a great example of the impact their work has. 
“It starts as sparking change in the students’ minds helping them think about how they can give back to the community, which then morphs into this amazing student energy that drives the Studio and our initiatives.” 
This energy often carries over when students graduate, Johns says. 
Otago graduate Matthew Moloney, currently a Principal Advisor Strategy and Performance with the Ministry of Social Development (MSD), says he is still inspired by the Studio team he worked with over his four years at Otago, calling it “one of the formative experiences of my life so far”. 
“The Studio allowed me to meet a diverse range of people, which opened my mind to new ideas, perspectives, and approaches. 
Working on initiatives like Aspire influenced how I work and engage with people and gave me the opportunity to practice my soft skills.” 
Matthew Moloney on the left.
As his contract with MSD comes to an end soon, Moloney is looking forward to taking his passion for giving back to the frontlines, working for a not-for-profit or social enterprise. 
Watts says this reflects how students’ and graduates’ expectations have evolved over the decade the Studio has been in existence. 
“For students today, there’s almost a default expectation that these experiences are a part of their university journey. There is also a greater expectation of lecturers and employers that their learning encompasses multiple literacies like cultural or sustainability.” 
It is at the crossroads of expectation and reality that the Studio sits, she says, encouraging students to challenge the status quo by getting involved in the community.  
Watts hopes the next decade will see the Studio expand into exploring staff engagement, especially with the introduction of staff social impact leave late last year.  
She also wants to work towards making volunteering activities more equitable, inclusive, and accessible so more students and staff can participate. 
“Creativity, collaboration and connection are key to how we operate and grow. Working together to achieve something different. 
“We’d like to believe that there is no reason why a student or staff member can’t be involved in social impact work. We’re here to help make that happen.” 
Kōrero by Sandra French, Internal Communications Adviser 

Source: University of Otago

ERLO-P creator Cam Young introducing this year’s student researchers.
Three Pacific tauira traded rest for research as they embarked on their biomedical research journeys over the semester break.
Third-year tauira To’oa Brown, Noah Kelly-Foleni and Sam Kaufononga were the first to take part in the Early Research Lab Opportunities for Pasifika Programme (ERLO-P), a collaboration between the School of Biomedical Sciences and the Dunedin School of Medicine. 
The initiative aims to increase the number of Pacific students progressing into postgraduate study and considering research career pathways in biomedical sciences.   
These students were tasked with researching diseases of major significance to Pacific communities, namely infectious diseases, metabolic diseases and cancer. 
The three students refined their laboratory skills and research methods and participated in workshops to help them with report writing and oral presentation skills. 
Postgraduate medical tauira Cam Young, who discovered his own “unexpected passion” for biomedical research while studying towards an anatomy degree, is the mastermind behind this by-Pacific for-Pacific initiative. 
He initially journeyed from Hawke’s Bay to Otago to study medicine, but “developed an appreciation for research and a curiosity for new knowledge,” so he delayed medicine for a year to make way for honours research in neuroendocrinology. 
“My honours year made me realise that, not only are Pacific students capable of conducting lab-based biomedical research, but we bring an extremely valuable perspective and set of skills into this space,” he says. 
“I want more Pacific students to consider pursuing a career in the biomedical sciences and to feel like this is a sector that they can make a real difference in, for themselves and for our wider Pacific community.” 
Cam conceptualised an initiative to “improve students’ skills and confidence in laboratory research methods” while completing his own summer research project under Senior Research Fellow in Pathology Dr Sunali Mehta. 
The pair soon enlisted the support of Senior Research Fellow in Microbiology & Immunology Dr Htin Lin Aung and Senior Lecturer in Anatomy Dr Mike Garratt to run a trial of the programme this year.  
Microbiology tauira To’oa had the opportunity to work in Dr Mike Garratt’s lab and expand upon his work on gestational diabetes mellitus. 
To’oa Brown presents on her gestational diabetes mellitus research in Dr Mike Garratt’s lab.
Though not conclusive, their research findings may be able to help pregnant women deal with metabolic changes associated with pregnancy and potentially decrease their likelihood of developing gestational diabetes.  To’oa says she joined the initiative to get some lab experience under her belt. 
“The timeframe was very attractive, and I think it would’ve been a missed opportunity if I didn’t apply,” she says. 
 She encountered some challenges with her samples, but says the problem-solving process that accompanied unexpected results proved to be one of the most important aspects of her learning.   
“What I love about science in general is that even when our results aren’t what we expect or things aren’t working how they are supposed to, there is always something to learn from it.” 
To’oa now foresees a future career in scientific research, but is keeping her options open as she decides between research in microbiology and anatomy.  
Dr Garratt says it was “an absolute pleasure” working with To’oa. 
“She made a great impression on everyone in our laboratory. She quickly developed new skills and produced some novel results about the possible causes of gestational diabetes that we are keen to keep investigating.” 
Sam conducted research under Dr Aung over the break, and his research sought to identify the pathogenic organism Mycobacterium tuberculosis using whole genome sequencing. 
He says that as he found himself nearing the end of his anatomy degree, he became curious about the postgraduate research opportunities available at Otago and decided to apply for the ERLO-P to experience it first-hand. 
“Before doing this programme the word ‘research’ was daunting. Now I’m excited by the prospect of doing research,” he says. 
“I also wanted to build networks in the research space, which I was able to do. 
“And because of that experience I now have a grasp of what to expect doing research.” 
Sam says he feels privileged to have used state of the art genome sequencing technology and to have received training in advanced laboratory skills typically reserved for postgraduate studies.  
Sam Kaufononga talks about his experience using third generation whole genome sequencing.
“I’ve also learned that public speaking as a researcher is not only inevitable but a vital part of research. It is essential to communicate scientific knowledge to the public.” 
Dr Aung says this initiative “has been a great opportunity to provide a space for Pacific students to thrive in research”. 
“Plans are underway to enable more Pacific students to participate in this programme in the next years.” 
Noah found himself with no plans for the semester break, and thought “doing something productive” would be a good use of his time. 
Noah presents on cancer cell biology research conducted in Dr Sunali Mehta’s lab.
He studied cancer cell biology under Dr Mehta, specifically looking at a gene that helps prevent the formation of cancer cells. 
“I really enjoyed getting to know the people working in the lab and exploring a different field of science to what I’m currently studying,” he says. 
“It was also cool to do experiments by myself and develop some independence within a lab setting. I also enjoyed getting the results at the end and seeing everything click into place and start to make sense.” 
The experience has allowed Noah to seriously consider research as a career path. 
“This experience has definitely confirmed that I would like to do research in the future. It has also made me think deeply about where I want to take my studies. 
  “I am 100 per cent considering taking a biomedical direction compared to a plant biotechnology path that I was planning on taking.” 
  Noah now hopes to learn more about the societal implications of science – such as systemic inequalities in our health system – and how it relates to Pacific peoples and Pacific culture.  
  Dr Mehta says, “Noah is an excellent team player with a positive attitude and a love for learning. 
“I was impressed by his contribution to our research project, where he demonstrated ability to think critically and independently. My laboratory was delighted to host Noah for two weeks.”

Source: University of Otago

After undergoing cancer treatment, many survivors deal with a range of psycho-social and physical issues but support for them is limited, new University of Otago research shows.
The study, published in the international journal BMC Health Services Research and funded by the Cancer Society Research Collaboration, focuses on the provision of supportive care services and programmes for cancer survivors post-treatment in Aotearoa.
Dr Jerram Bateman.
Lead author Dr Jerram Bateman, of the Department of Preventive and Social Medicine, says the support available for survivors is often “fragmented and inequitable” due to limited resources.
“Consequently, it is likely many cancer survivors have unmet needs once they have finished their treatment.”
Dr Bateman and fellow researchers interviewed 47 healthcare providers involved in care for survivors after treatment, including supportive care providers, clinical and allied health providers, primary health providers, and Māori health providers.
“Participants in this study described a range of psycho-social-spiritual and physical issues cancer survivors face after they have finished active treatment, but there are very few services that specifically support people in this situation,” Dr Bateman says.
“This is very much a systems and resourcing issue. The people working in cancer treatment and supportive care are doing their absolute best to support survivors.”
Understandably, resources in cancer care are focused on “front of the pathway” measures like prevention, early diagnosis, and treatment, so post-treatment care is an extra on top of already stretched workloads and resources, he says.
There is also a lack of clarity around whose responsibility post-treatment care is.
That means survivors who seek support are often “shoehorned” into services that are primarily designed for people who are at the early stages of cancer care.
“For example, a survivor seeking emotional support post treatment might end up in a support group primarily catering to people newly diagnosed or going through treatment.”
Dr Bateman says post-treatment care should be established as a distinct phase of cancer care.
A group or organisation taking leadership in the cancer survivorship space would give patients a clearer referral pathway and help make this care less fragmented and more equitable.
“That isn’t to say that one organisation needs to provide all the support needed by people post-treatment, rather that they would facilitate it.”
However, this is just one of many options. Implementation of a survivorship model of care and use of survivorship care plans would also help, he says.
“I think the key thing is to try and improve continuity of care right through the cancer journey – just making sure people know who to contact if they do require support post-treatment.”
Dr Rachael Hart, Chief Executive of the Cancer Society of New Zealand, welcomes the research saying it is affirming to see the issues faced by the Society’s Supportive Care teams around Aotearoa being experienced within the broader sector.
“We agree that more could be done to link cancer survivors to services after treatment. This is one of the key drivers of our new model of supportive care. This paper’s recommendations will support us as we hone that piece of work.”
Publication details
‘Survivorship care is one big gap’: a qualitative study of post-treatment supportive care in Aotearoa New ZealandJerram Bateman, Richard Egan and Karyn Maclennan (all University of Otago)BMC Health Services Research
For more information, contact:
Dr Jerram BatemanCancer Society Research CollaborationDepartment of Preventive and Social MedicineUniversity of OtagoEmail jerram.bateman@otago.ac.nz
Associate Professor Richard EganCancer Society Research CollaborationDepartment of Preventive and Social MedicineUniversity of OtagoEmail richard.egan@otago.ac.nz
Jessica WilsonAdviser Media EngagementUniversity of OtagoMob +64 21 279 5016Email jessica.wilson@otago.ac.nz
Maria De CortSenior Communications AdvisorCancer Society of New ZealandMob +64 21 991 952Email maria@cancer.org.nz

Source: University of Otago

Variety of knitted Yum cha foods, Bev Moon – Fortune. Photo credit: Richard Ng.
A lockdown project turned intricate homage to ancestors – the Hocken Collections latest exhibition is a true feast for the eyes.
Tāmaki Makaurau Auckland-based artist Bev Moon’s mixed media work, Fortune (a knitted yum cha for my mother’s 90th birthday) forms the centrepiece of the show, which opens on 12 August.
During Auckland’s lockdown in late 2021, Moon began knitting a yum cha banquet to mark what would have been her late mother Yip Sue Yen’s 90th birthday in March 2022, and to honour her grandmother Lee Choy Kee, whose skills of knitting and cooking were passed down the generations.
“While others perfected sourdough, binged on TV series, or went for walks in lockdown, I experimented and did my best to source just the right yarn shades, weights and textures online to create patterns for various wrappers and shapes.
“I folded and stuffed them the way mum taught me when I helped make yum cha with her, all those years ago. Slowly the number of dishes grew into a feast, and I realised it was an homage of sorts not only to my mother, but my grandmother as well.”
Hocken Librarian Catherine Hammond says Fortune will also include archival material from Hocken Collections, the New Zealand Chinese Heritage Charitable Trust Collection, held in the Presbyterian Research Centre Archives at Knox College, and private collections.
“We are so pleased to be able to bring Bev Moon’s beautiful creation to Dunedin, and are grateful for the support we have received from the Trust and the Otago Southland Chinese Association.”
Hope Wilson, Hocken Collections Curator Art, says some interesting pieces have been found, including a stunning, 5.8 metre-long embroidered banner, gifted to the Hanover Street Baptist Church around 1900 by a Chinese Sunday School class.
“Some of the key themes we are interested to investigate with this exhibition are connections over time between families and communities, and knowledge and skills passed down by generations.”
The Chinese Poll Tax Heritage Trust is helping fund a national tour of Moon’s work and she says it is “really important” for her to bring Fortune to Ōtepoti Dunedin and the South Island.
Bev Moon – Fortune. Photo credit: Dianne Thomson Photography.
Born and raised in Wellington, Moon is descended from Taishanese men who first arrived in Aotearoa New Zealand in the 1880s.
“My great grandfathers on both sides of the family arrived and settled in the Otago region – it was where they first set foot on Aotearoa soil.
“Relatives on my father’s side stayed and made Dunedin their home, including my father’s first cousin Dr Jim Ng, general practitioner and historian. Jim’s archives documenting the early Chinese settlers are now held in both the Hocken and the Presbyterian Research Centre at Knox College,” she says.
While the knitted yum cha may look appealing, Moon says behind it is the little-known story of the 500 Chinese women and children permitted into New Zealand as refugees between 1939 and 1941.
“In China they faced years of poverty, isolation and uncertainty separated from the men who had settled in New Zealand years earlier, and it was only the breakout of the Sino-Japanese War that opened the door for these lucky 500 to join their husbands and fathers on the other side of the world.
“I hope that people visiting the exhibition will learn more about the Chinese poll tax and the lives of the early Chinese settlers – the hardships they faced, the effort, sheer hard work and resilience it took to make their lives in a new land.”
Guest speaker, former Chair of the Dunedin Shanghai Association and current Chair of the Dunedin Chinese Gardens Trust, Malcom Wong, will open the exhibition, at which members of the Otago Southland Chinese Association will perform a lion dance.
A public paper lantern and fortune cat workshop will also be held at the Hocken on Saturday, August 12, from 10am to 12 noon. This workshop is free and open to all ages.
Exhibition details:
Fortune
On from 12 August to 21 October 2023, Tuesday to Saturday 10am to 3pm, at the Hocken Gallery, 90 Anzac Ave, Ōtepoti DunedinTel +64 3 479 8868Web www.otago.ac.nz/hocken
For more information, please contact:
Ellie RowleyCommunications AdviserUniversity of OtagoMob +64 21 278 8200Email ellie.rowley@otago.ac.nz