Category: Te Whatu Ora Waikato

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CYANOBACTERIAL WARNING UPDATE: Significant rise of cyanobacterial levels for Lake Ngā Roto

Source: Waikato District Health Board

Cyanobacterial levels at Lake Ngā Roto have risen to extremely high levels this week, with a consequential increase in health risk to the public. The cyanobacteria biovolume is 123mm3/L compared to the New Zealand guideline level of 1.8mm3/L.

A health warning was issued for Lake Ngā Roto on 8 November 2023. The Te Whatu Ora Waikato Public Health Service is issuing this update to warn people of this significant increase in cyanobacterial levels.

Cyanobacterial bloom at Lake Ngā Roto – image courtesy of Mark Palmer

“We strongly recommend that people avoid any recreational activities that involves contact with the water” says Dr Richard Wall, Medical Officer of Health for Waikato. “People using boats are also advised to stay off the lake, because of the risk of contact with the water”.

The predominant cyanobacterial species present in the lake is a type that is known to produce toxins in New Zealand, which can cause serious illness. The cyanobacterial bloom extends to most parts of the

lake, and is not restricted to the edges of the lake. However, scums may accumulate along the shoreline and are a particular risk as they may contain particularly high levels of toxins.

Cyanobacterial toxins can trigger asthma and hayfever symptoms, can cause skin rashes, stomach upsets, and in some cases neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems.

These symptoms may not appear until some time after contact with the affected water. Long-term exposure to cyanobacterial toxins may cause additional health risks.

If contact with water does occur, skin should be rinsed clean and clothing changed as soon as possible.

Dog owners should prevent their dogs from drinking or swimming in the water, as dogs are particularly sensitive to cyanobacteria.

Te Whatu Ora Public Health Unit for Waikato would like to be informed about health problems that develop after exposure to any of the Waikato lakes. Phone Waikato Public Health Service: 07 838 2569.

Lakes Hakanoa, Waikare and Kainui continue to have a cyanobacterial health warning in place.

Up-to-date information on cyanobacterial risk is available by visiting the Land Air Water Aotearoa (LAWA) website at https://www.lawa.org.nz/explore-data/waikato-region/

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CYANOBACTERIAL WARNING UPDATE: Health warning lifted for Lake Rotoroa (Hamilton Lake)

Source: Waikato District Health Board

CYANOBACTERIAL WARNING UPDATE: Health warning lifted for Lake Rotoroa (Hamilton Lake) and remains in place for Lake Ngā Roto, Hakanoa, Waikare and Kainui.

The Public Health warning issued on 5 October 2023 for Lake Rotoroa (Hamilton Lake) has now been lifted, after subsequent tests showed that cyanobacterial levels to be once again below the warning level. Lakes Ngā Roto, Hakanoa, Waikare and Kainui continue to have a cyanobacterial health warning in place.

Waikato Regional Council monitors cyanobacteria levels at Lakes Kainui, Rotokauri, Ngā Roto, Puketirini, Waikare, Whangape, Hakanoa and Waahi.

Dr Felicity Dumble, Te Whatu Ora Medical Officer of Health for Waikato recommends that where cyanobacteria health warnings are in place, lakes should not be used for any activity that involves skin contact with the affected water.

“Swallowing water from lakes affected by blooms should also be avoided,” said Dr Dumble.

Cyanobacteria can release toxins which can trigger asthma and hayfever symptoms, and can cause skin rashes, stomach upsets, and in some cases neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems.

These symptoms may not appear until some time after contact with the affected water.

Scums are a particular risk because they contain a high level of toxins.  If contact with scum does occur, skin should be rinsed clean and clothing changed as soon as possible. This warning is particularly important for children.”

“If people do come into contact with the lake when warnings are in place, or any other lake where there are visible changes to water colour, they should shower and change their clothing as soon as possible afterwards, even if no symptoms are noticeable,” she said.

Dog owners should prevent their dogs from drinking or swimming in the water, as dogs are particularly sensitive to cyanobacteria.

Te Whatu Ora Public Health Unit for Waikato would like to be informed about health problems that develop after exposure to any of the Waikato lakes.

Up-to-date information on cyanobacterial cell counts is available from local councils, Waikato Regional Council or by visiting the Land Air Water Aotearoa (LAWA) website at https://www.lawa.org.nz/explore-data/waikato-region/

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CYANOBACTERIAL WARNING UPDATE: Health warning lifted for Lake Whangape

Source: Waikato District Health Board

CYANOBACTERIAL WARNING UPDATE: Health warning lifted for Lake Whangape and remains in place for Lakes Rotoroa (Hamilton Lake), Ngā Roto, Hakanoa, Waikare and Kainui.

The Public Health warning issued on 7 July 2021 for Lake Whangape has now been lifted, after subsequent tests showed that cyanobacterial levels to be once again below the warning level. Lakes Rotoroa (Hamilton Lake), Ngā Roto, Hakanoa, Waikare and Kainui continue to have a cyanobacterial health warning in place.

Waikato Regional Council monitors cyanobacteria levels at Lakes Kainui, Rotokauri, Ngā Roto, Puketirini, Waikare, Whangape, Hakanoa and Waahi.

Dr Felicity Dumble, Te Whatu Ora Medical Officer of Health for Waikato recommends that where cyanobacteria health warnings are in place, lakes should not be used for any activity that involves skin contact with the affected water.

“Swallowing water from lakes affected by blooms should also be avoided,” said Dr Dumble.

Cyanobacteria can release toxins which can trigger asthma and hayfever symptoms, and can cause skin rashes, stomach upsets, and in some cases neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems.

These symptoms may not appear until some time after contact with the affected water.

Scums are a particular risk because they contain a high level of toxins.  If contact with scum does occur, skin should be rinsed clean and clothing changed as soon as possible. This warning is particularly important for children.”

“If people do come into contact with the lake when warnings are in place, or any other lake where there are visible changes to water colour, they should shower and change their clothing as soon as possible afterwards, even if no symptoms are noticeable,” she said.

Dog owners should prevent their dogs from drinking or swimming in the water, as dogs are particularly sensitive to cyanobacteria.

Te Whatu Ora Public Health Unit for Waikato would like to be informed about health problems that develop after exposure to any of the Waikato lakes. Phone Waikato Public Health Service: 07 838 2569.

Up-to-date information on cyanobacterial cell counts is available from local councils, Waikato Regional Council or by visiting the Land Air Water Aotearoa (LAWA) website at https://www.lawa.org.nz/explore-data/waikato-region/

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Huri Whenua marks the start of Waikato’s new mental health facility

Source: Waikato District Health Board

A huri whenua (sod-turning) ceremony was held at Waiora Waikato hospital campus today (19 October) in preparation for construction to start on the new Adult Acute Mental Health Inpatient Facility.

The ceremony was led by Kaunihera Kaumatua and mana whenua Te Haa o te Whenua o Kirikiriroa and brought together Te Whatu Ora mental health and addiction services staff, tangata whaiora/service users, project teams and partners.

Te Whatu Ora – Health New Zealand Regional Director Hospital and Specialist Services for Te Manawa Taki, Chris Lowry, acknowledged the work of the many people who had supported the design and planning process.

“This is a significant milestone on our journey to delivering a new mental health facility to support our community and staff,” said Ms Lowry.

The Adult Acute Mental Health Inpatient Facility has been designed to provide a welcoming and therapeutic environment for people experiencing mental illness and reflects an adult acute health care plan that incorporates key cultural elements.

The new facility will have eight internal courtyards, maximising natural light use, and will provide space for 64 beds.

A further programme of work to deliver additional community services is underway alongside the development of this facility.

The current Henry Rongomau Bennett Centre is no longer considered suitable for contemporary approaches to mental healthcare, making the new facility a much-needed addition.

The new facility is being built on the current site of the Waikato Regional Renal Centre.

It will be built in two phases, allowing the new renal centre to be completed first and the services to move across, making way for the mental health building.

We are in the process of confirming a construction contract for the mental health facility and it is expected an agreement will be able to be announced soon.

The renal building is expected to be completed in December 2024, with the mental health facility reaching practical completion in 2026.

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CYANOBACTERIAL WARNING UPDATE: Health warning issued again for Lake Rotoroa (Hamilton Lake) and remains in place for Lakes Hakanoa, Whangape, Waikare and Kainui

Source: Waikato District Health Board

A health warning has as of today been placed on Lake Rotoroa. An earlier health warning had only been lifted recently on Thursday 28 September 2023. However, a highly unusual incidence of cyanobacterial species growth has occurred over the past few days, causing increased levels in more recent laboratory testing. The warning signs at the lake will continue to show the ‘Alert’ warning until two consecutive samples show that the risk has decreased.

Lakes Hakanoa, Whangape, Waikare and Kainui continue to have a cyanobacterial health warning in place.

Cyanobacteria levels are regularly monitored at Lakes Rotoroa, Kainui, Rotokauri, Ngā Roto, Puketirini, Waikare, Whangape, Hakanoa and Waahi.

Dr Richard Vipond, Te Whatu Ora Medical Officer of Health for Waikato recommends that where cyanobacteria health warnings are in place, lakes should not be used for any recreational activity that involves contact with the affected water.

“Swallowing water from lakes affected by blooms should also be avoided,” said Dr Vipond.

Cyanobacteria can release toxins which can trigger asthma and hayfever symptoms, and can cause skin rashes, stomach upsets, and in some cases neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems.

These symptoms may not appear until some time after contact with the affected water.

Scums are a particular risk because they contain a high level of toxins.  If contact with scum does occur, skin should be rinsed clean and clothing changed as soon as possible. This warning is particularly important for children.”

“If people do come into contact with the lake when warnings are in place, or any other lake where there are visible changes to water colour, they should shower and change their clothing as soon as possible afterwards, even if no symptoms are noticeable,” he said.

Dog owners should prevent their dogs from drinking or swimming in the water, as dogs are particularly sensitive to cyanobacteria.

Te Whatu Ora Public Health Unit for Waikato would like to be informed about health problems that develop after exposure to any of the Waikato lakes.

Phone Waikato Public Health Service: 07 838 2569

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New partnership halves fares to Waikato Hospital while protecting environment

Source: Waikato District Health Board

From 16 October access to Waikato Hospital will be easier for staff, patients and visitors thanks to a partnership between Te Whatu Ora – Health New Zealand and local councils.

Te Whatu Ora Waikato Operations Director for Clinical and Operational Support, Melinda Ch’Ng said the initiative will deliver a 50 percent discount on bus fares for people using their Bee Card to and from Waikato Hospital using the Pembroke St and Hague Rd bus stops.

“This initiative is aimed at improving equity of access to our hospital while contributing effectively to our carbon emission reduction goals.”

“Anyone travelling to and from the hospital using their Bee Card who tags on or off at the three bus stops near Waikato Hospital will automatically have the half price subsidy applied to the fare charged to their card, so it’s better for your wallet and, better for the environment.”

Te Whatu Ora will be covering the cost of concession for a trial of up to 12 months. Ms Ch’Ng said there was sound reasoning behind the investment.

“During the Government’s 50 percent public transport subsidy we saw a 28 percent increase in bus passengers travelling to or from the hospital and in partnership with the Waikato Regional Council, we want to build on that success.

“As an organisation we’re continuously seeking ways to mitigate the effects of population growth, lessen demand for onsite staff parking, care for our staff and help care for the environment by reducing single occupancy vehicle use, be that by staff, patients or visitors.”

The public transport fare subsidy initiative is part of Te Whatu Ora Waikato’s Sustainability Framework and the hospital’s Travel and Access Plan.

“One of the main goals of these strategies is improving access to transport for healthcare for priority populations and by keeping bus fares to and from the hospital affordable, it gives people healthier, more environmentally sustainable travel options.”

Waikato Regional Council’s public transport manager Trudi Knight said, “This is an operationally unique model in our corporate concession scheme that will deliver subsidised fares to passengers travelling to and from Waikato Hospital”.

“The scheme plays a pivotal role in fostering a culture of sustainability and environmental consciousness, and in the case of Te Whatu Ora, it makes trips to the hospital easier and more affordable.”

The Pembroke St stops are serviced by the Comet, Orbiter, 12 Fitzroy, 24 Te Awamutu and 26 Te Kūiti, buses and the Hague Rd stop is serviced by the 25 Taumarunui bus. For more information about Hamilton and regional buses visit busit.co.nz or call 0800 205 305.

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Waikato cardiologists using new technology to help high-risk patients

Source: Waikato District Health Board

Treatment of high-risk patients with coronary artery disease can now be done more safely, thanks to an Australasian-first performed by a Waikato Hospital cardiology team.

Te Whatu Ora – Health New Zealand Cardiologist Dr Madhav Menon said the team successfully completed a Complex High Risk Indicated Procedure (CHIP) angioplasty using a Pulse Cath iVAC2L hemodynamic support catheter, on 31 August.

Angioplasty is a procedure to open a narrowed or blocked artery, usually using a short wire mesh tube known as a stent.

“Patients who are complex cases with a very poor heart, need support during the procedure to maintain cardiac output,” Dr Menon said.

Previously, the heart was supported using a balloon pump that inflates and deflates to assist the heart’s pumping action.

The iVAC2L device provides a higher level of support by suctioning blood from the ventricle (the chamber which pumps blood out of the heart) and pumping it directly into the aorta (the main artery which carries blood away from your heart to the rest of your body). This takes more stress off the heart during the procedure and also provides better blood flow back to heart.

“This technology gives us better blood pressure support for very sick hearts while performing complex interventions,” Dr Menon said.

“It allows us to perform these procedures more safely with better clinical outcomes for the patient and less stress for our team.”

Coronary artery disease patients previously required a lot of hospital time and resources because of the risky nature of their surgery. It is estimated around 15 to 20 patients a year will benefit by being able to undergo this procedure. Improved clinical outcomes can also reduce the required hospital time and resource for this treatment.

“Though previously used in Europe, the Pulse Cath iVAC2L is new to New Zealand. Its introduction to this country last month, and the successful Pulsed Field Ablation (PFA) procedure a few days earlier, further builds Waikato Hospital’s reputation as a cardiology centre of excellence,” Dr Menon said.

Image caption: The successful CHIP team following successful completion.

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Country’s first Cardiac Pulsed Field Ablation procedure successfully completed at Waikato Hospital

Source: Waikato District Health Board

In a national first, a Waikato Hospital cardiology team successfully completed a Pulsed Field Ablation (PFA) procedure yesterday to treat atrial fibrillation.

The Waikato Cardiology team involved in Tuesday’s procedure

Cardiologist, Associate Professor Martin Stiles, described PFA as a minimally invasive procedure involving a physician team threading a catheter (a thin, flexible tube) through a vein in the groin, guiding it into the patient’s heart and “ablating” veins at the back of the heart.

“Traditionally, we delivered hot or cold energy into the patient’s heart tissue, creating scars that help to break-up electrical signals which cause irregular heartbeats.

“PFA achieves the same thing using a ‘non-thermal’ electrical pulse to irreversibly damage the target cells while sparing the non-target tissue, which conveniently have a higher threshold for damage. PFA is faster and safer as adjacent structures are not heated or frozen.

“While recovery times between the two types of treatment are similar, due to PFA procedures being faster, we anticipate more day-stay rather than overnight stays being required which will free up hospital beds.”

While PFA has been used in cancer treatment for about a decade, Assoc Prof Stiles said it has only recently been used in treating the heart.

“The technology is brand new. It has been used in Europe since mid-2021, was introduced in Australia last year, and, as of Tuesday, is now here.

“Using the previous technique we used to complete two cases a day. Tuesday was our first day and we did three. I expect that eventually we will be able to complete four per day.”

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Recognition for Te Kūiti nurse making a difference in her community 

Source: Waikato District Health Board

A natural nurse, popular with her peers, easily able to establish a good rapport with patients and whānau is how a Te Kūiti nurse was described at an award ceremony recently.

Enrolled nurse Roberta ‘Bobby-Anna’ Wirepa was awarded the prestigious New Zealand Nurses Organisation’s National Leadership Award at Hamilton’s Te Pukenga Wintec campus in July.

The award came two days after the 49-year-old’s graduation, a culmination of two years study that required a lot of travel and dedication, achieved despite the impact of COVID-19.

Born and raised in Te Kūiti and described as a hearty Maniapoto- King Country person, ‘Bobby-Anna’ built her reputation as a hard and reliable worker on the back of experience in the shearing and hospitality industries including running her own businesses.

A 10-year stint working in Australia led to Bobby-Anna’s first entry into the health sector when she completed a Phlebotomy course in Cairns, leading to full-time employment with Queensland Medical Laboratories as a blood collector.

Among other duties, this role included flying around Queensland to various mine sites and conducting compulsory drug screening of fly-in and fly-out workers.

Returning home to Te Kūiti in 2018, Bobby-Anna found her Australian Pathology certificates weren’t recognised, cutting short her Phlebotomy career. Undeterred, she worked in a casual Health Care Assistant role at Waikato Hospital while undertaking Health Studies and qualifying to undertake nurse training, choosing a Diploma of Enrolled Nursing.

Her skills in pathology allowed Bobby-Anna an opportunity to be seconded to various COVID-19 testing teams around the King Country leading to an offer of post-graduate employment at Te Kūiti Hospital.

Throughout her training at Te Pukenga Wintec, Bobby-Anna was recognised as being a supportive and dedicated student, leading to her receiving the leadership award.

“I’m so grateful to have been given the opportunity to continue my career at my local hospital and can only thank ‘Whaea Tarn’ (CNM Tania Te Wano) for having faith in me,” said Bobby-Anna.
“It was a real surprise when I was told about the award and initially, I didn’t understand the significance of it all. I now understand I have a real opportunity to offer something to my community.”