Cyanobacteria health warning lifted from Lake Rotokauri

Source: Waikato District Health Board

The Public Health warning issued for Lake Rotokauri at the beginning of the year has been lifted today by National Public Health Service (NPHS), after subsequent tests showed that cyanobacterial levels are below the warning level.

Lakes Rotoroa (Hamilton Lake), Hakanoa, Waikare, Whangape and Kainui continue to have a cyanobacterial health warning in place, while this warning is extreme at Lake Ngā Roto.

Medical Officer of Health Dr Richard Wall recommends that for lakes with a health warning in place, “people should avoid any activity in or near these lakes that could lead to skin contact with the affected water, or the water being swallowed.”

“Toxins released by cyanobacteria can trigger asthma and hayfever symptoms, skin rashes, stomach upsets, and neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems.”

The symptoms may not appear until sometime after contact with affected water.

“If you do come into contact with water at lakes when warnings are in place or where there were visible changes in water colour, shower and change your clothing as soon as possible afterwards, even if you do not have symptoms,” adds Dr Wall.

“If you feel unwell after coming in contact with the lake you should seek health advice from your doctor or by calling Healthline on 0800 611 116. Please also report it to the NPHS Waikato office on (07) 838 2569.”

Scums formed by algal blooms 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.

“It’s particularly important for parents to keep an eye on children if you’re down at the water as these scums can form at the edge of the lake and children will sometimes play with them.”

Dog owners should prevent their dogs from drinking or swimming in the water, or eating algal bloom scum as dogs are particularly sensitive to cyanobacteria and could become seriously ill.

To check if recreational water spots near you are safe for swimming and playing in visit https://www.lawa.org.nz/explore-data/waikato-region/. Information is also available from Waikato Regional Council at https://www.waikatoregion.govt.nz/environment/water/algal-blooms/

Extreme risk health warning for Lake Ngā Roto

Source: Waikato District Health Board

PUBLIC HEALTH STRONGLY ADVISES NOT TO USE THE LAKE FOR ANY RECREATIONAL ACTIVITIES

The Public Health warning issued on 4th December 2024 for Lake Ngā Roto, has now been escalated to extreme risk.

Waikato Medical Officer of Health Dr Liz Becker says repeat testing this week has confirmed that there has been a highly significant rise in cyanobacterial levels. As a result, the alert remains in place. Recent test results returned a 1,203 mm3/L, far higher than the Guideline Value of 1.8 mm3/L.

“The cyanobacteria currently in the lake may produce toxins which are extremely harmful and may cause serious illnesses,” Dr Becker says.

It is strongly advised not to undertake any recreational use of the lake where there could be skin contact or swallowing of lake water. Avoid all recreation on the lake including kayaking, fishing, boating and swimming.

“Dog owners should prevent their dogs from drinking or swimming in the water, as dogs are particularly sensitive to cyanobacteria and its related toxins,“ she says.

If you have used Lake Ngā Roto recently and have any of the following symptoms, please seek medical attention such as contacting your GP:

  • a rash
  • skin and eye irritation
  • allergy symptoms such as hayfever and asthma
  • or possibly stomach upsets including diarrhoea and vomiting

Please note, these symptoms may not appear immediately after contact with the affected water.

If you have any health problems that have developed after exposure to any of the lakes with health warnings, please ring National Public Health Service – Waikato on (07) 838 2569.

For media enquiries please contact Health NZ Media on hnzmedia@tewhatuora.govt.nz

Meremere Wildfire, North Waikato

Source: Waikato District Health Board

The large vegetation fire near Meremere, which includes the Whangamarino wetlands is now under control. Fire and Emergency New Zealand said the fire may take some time to fully extinguish due to where it is burning in peat and wetland.

Although under control, Health New Zealand | Te Whatu Ora says there is potential that people who are sensitive to smoke – such as those with heart or lung conditions, people who are pregnant, young children and the elderly – may experience symptoms like coughing, shortness of breath or eye, nose and throat irritation.

Dr Richard Wall, Medical Officer of Health for the National Public Health Service says exposure to smoke can worsen pre-existing health conditions such as heart and lung disease.

“People affected by the smoke should close windows and doors and reduce outdoor exercise”.

Dr Wall said residents on a roof water tank supply were advised to disconnect the pipe to their tank if a lot of ash and debris was falling to avoid water becoming contaminated.

“Only reconnect the water supply after the next heavy rain (discarding the ‘first flush’), to avoid getting ash in your drinking water.”

The experience of being exposed to an event like a fire can be distressing and it’s normal to feel anxious in situations like this. If you are feeling anxious or just need someone to talk to, you can call or text 1737 any time and you can speak to (or text) a trained counsellor free of charge or call Healthline on 0800 611 116.

If you see or smell smoke outside, you should stay inside if it is safe to do so.

Remember to:

  • Keep your windows and doors shut
  • Switch your air conditioning to ‘recirculate’
  • Air out your house when the smoke clears
  • Look out for children, older people, and others at risk
  • Keep pets inside with clean water and food. Keep pets’ bedding inside if possible.
  • Roof water supply: Disconnect the pipe to your tank if there is ash and debris on your roof, and only reconnect after the next heavy rain to avoid getting ash in your drinking water.

For information about the fire visit the Fire and Emergency New Zealand website

Media contact: hnzmedia@health.govt.nz

Health warning of extreme risk for Lake Rotoroa (Hamilton Lake) lifted, though a health warning remains in place

Source: Waikato District Health Board

The Public Health warning of extreme risk for Lake Rotorua issued on 19th July 2024 has now been lifted. This is due to significant reductions in the concentration of cyanobacterial biovolumes, which earlier prompted the increased level of risk and vigilance. Please note a health warning still remains in place at Lake Rotoroa (Hamilton Lake), as cyanobacterial levels continue to be above the warning levels.

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

Dr Richard Vipond, Health New Zealand – 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 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.

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

National Public Health Service – Waikato would like to be informed about health problems that develop after exposure to any of the lakes with health warnings in place. Please contact on (07) 838 2569.

Fluffy, super snuggly and loves people!

Source: Waikato District Health Board

L-R Waikato ED staff enjoying a visit from Amethyst – Kneeling – Tanya Suthers, Amethyst, Back – Rushi Jeyakumar, Lillian Pan, Lynne Kemp, Rhi Buckley and Collene Pacis

According to registered nurse Lynne Kemp, these are just some of the qualities needed for being a successful therapy dog. Lynne is talking about Amethyst, her 17-month-old Border Collie, who visits Waikato Hospital’s emergency department (ED) once a week.

Amethyst and Lynne are registered with Canine Friends Pet Therapy, a New Zealand-wide network of owners who bring their dogs to visit people in hospitals and residential care facilities.

“I started working with Canine Friends about four years ago, with Sapphire, my six-year-old long-haired Weimaraner,” says Lynne. “I love doing things with my dogs, and I loved the idea of being able to bring my dog to work. When I heard the ED was considering a canine therapy programme, I jumped at the chance to be involved.”

At Waikato Hospital, therapy dogs already visit the Critical Care Unit, Paediatric wards and others, but Emergency Medicine Consultant Dr Lillian Pan could see the positive impact they would have in the ED.

“The benefits of pet therapy are well established,” says Lillian. “But there are only a handful of studies done in emergency departments.

“A 2022 Canadian study demonstrated a significant reduction in pain, anxiety and depression after a 10-minute therapy dog visit, and an American study from 2019 noted that patients who interacted with therapy dogs needed less opioid pain medication during their ED stay.

“We wanted to gauge how people would feel if we brought dogs into our ED. We surveyed a total of 126 staff, patients and whānau and the response was overwhelmingly positive, with 93% in favour.

“The comments ranged from ‘People would love this, especially the kids’ and ‘When people see dogs in an unusual setting, it makes them focus less on their pain or trauma’, to ‘Just pure unconditional love – what’s not to love?’” says Lillian.

“It’s often a scary experience coming into the ED, with lots of people and plenty of activity going on,” adds Lynne. “Interacting with a dog is a great distraction, and it seems to have a calming effect on patients and whānau.”

That initial proposal was put forward over a year ago and, since July, Lynne and Amethyst have been visiting Waikato ED once a week to spend time with paediatric and short-stay patients. A staff volunteer acts as a ‘doggie chaperone’ and pre-screens patients for suitability, while care is taken for infection control and hygiene.

Just last week, they had a special encounter with a 10-year-old girl.

“I entered the room and Amethyst went over to her. Her whole face lit up with the biggest smile,” says Lynne.  “Her mum said that was the first time she had seen her smile since their arrival the day before.

“It was so heartwarming to see, and reinforced the reason for my visits,” she says.

The visits are not just for patients, either. Both Lynne and Lillian are quick to emphasise how beneficial canine therapy is for the ED’s kaimahi.

“Amethyst’s visits brighten everyone’s day. It’s good for staff, especially when it’s busy and they have upsetting cases to deal with,” says Lynne.

So, what makes a paw-fect therapy dog?

L-R Lyn Kemp and Amethyst spent some time with patient Jan who thought Amethsyt was just lovely

“My dog Frankie, an eight-year-old Bichon Frise, is ideally suited to being a therapy dog and regularly visits a local nursing home. He’s calm, loves everyone and is happiest when he’s the centre of attention – especially if there are treats involved,” says Lillian.

“When I first visited a rest home with Sapphire, it didn’t go so well. There was a cat that Sapphire spent all her time trying to find! So being calm and not easily distracted is important,” explains Lynne.

Lillian agrees: “Dougal, my other dog, is a little scamp and would cause chaos if he ever went on a visit!” she laughs.

There has been tremendous support from staff to get the project off the ground. The Critical Care Team shared information about their therapy dog mahi, and Lillian had two ED trainees, Rushi Jeyakumar and Julie Taylor, to support the ED programme with her. ED leadership staff Liz Courtney and Simon Ainsworth were instrumental in pushing the project ahead.

Lillian says the benefits of pet therapy in emergency departments is a topic that needs further exploration within the medical community. “Implementing this programme gives Waikato Hospital ED a unique opportunity to contribute to further research in the area,” she says.

“I love coming in with Amethyst. Even though we are only there for an hour, seeing the happiness she brings is lovely,” adds Lynne.

Waikato Hospital Laboratory gets an upgrade

Source: Waikato District Health Board

Waikato Hospital has completed a significant upgrade to its laboratory with more space, services co-located, and a new Molecular Biology Laboratory. These changes will ensure a fit-for-purpose environment that makes the best use of the latest technology, aligns with current accreditation standards, and enhances the laboratory’s capacity to respond swiftly during future outbreaks.

The $9.8 million upgrade started in March 2023 and was completed in early July 2024.

“This is a huge improvement, especially for our team of 11 scientists and technicians who have been working in confined conditions for a long time. The old Molecular Biology Laboratory was remote from the main lab and no longer fit for purpose,” Health New Zealand – Te Whatu Ora Group Director Operations Hospital and Specialist Services for Waikato, Michelle Sutherland said.

“Molecular biology is a field that has grown considerably over the last 10 years. Increases in test volumes due to COVID-19 and the recent VRE (Vancomycin Resistant Enterococci) outbreak put extra pressure on the old facility.”

Molecular Biology, a technology for medical laboratory diagnostics, involves processes like PCR (Polymerase Chain Reaction) which isolate, extract and amplify DNA or RNA to identify disease states. This technology is now commonly used for diagnosing a wide range of medical conditions, including blood disorders, immune system markers, and infectious diseases. This technology has been pivotal in managing infectious disease outbreaks such as COVID-19, pertussis (whooping cough), measles, and VRE.

The COVID-19 pandemic highlighted the need to be prepared for future outbreaks. During COVID-19 peak times the laboratory processed over 4000 tests a day. The larger facility will ensure the laboratory can quickly scale up operations when needed in the future.

The upgrade also includes a revamp of the reception and administration areas and the addition of a new Point of Care Testing Laboratory where the staff facilitate the analysis of clinical specimens outside the laboratory, near or at the site of patient care.

New Molecular Biology Laboratory

Upgrade to Waikato Hospital Laboratory

Health warning of extreme risk for Lake Rotoroa (Hamilton Lake)

Source: Waikato District Health Board

HEALTH WARNING OF EXTREME RISK FOR LAKE ROTOROA (HAMILTON LAKE) – STRONGLY ADVISED NOT TO USE THE LAKE FOR ANY RECREATIONAL ACTIVITIES

The Public Health warning issued on 7 February 2024 for Lake Rotoroa (Hamilton Lake), has now been escalated to extreme risk. This is due to a highly significant rise in cyanobacterial levels. The cyanobacteria currently in the lake may produce toxins which are extremely harmful and may cause serious illnesses or death.

It is strongly advised not to undertake any recreational use of the lake whereby skin contact or ingestion of the water may occur. Recreation uses to avoid include kayaking, fishing, boating, swimming, or physical activities around the lake.

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

Lake Rotoroa, Hamilton has significant levels of cyanobacterial

If you have used Lake Rotoroa (Hamilton Lake) recently and have symptoms which include things as a rash, skin and eye irritation; allergy symptoms such as hayfever and asthma; or possibly stomach upsets including diarrhoea and vomiting, then please seek medical attention such as contacting your GP. Please note, these symptoms may not appear until some time after contact with the affected water.

National Public Health Service – Waikato would like to be informed about health problems that develop after exposure to any of the lakes with health warnings in place. Please contact on (07) 838 2569.

Please direct media enquiries to:

Health New Zealand – Te Whatu Ora

Email: hnzmedia@tewhatuora.govt.nz

Charity thanks hospital staff across the Waikato

Source: Waikato District Health Board

Night shift workers ending their shift at Waikato Hospital and their daytime colleagues on their way to replace them were greeted by the pleasant aroma of a BBQ on Thursday morning as a Hamilton charity cooked thousands of burgers to say thank you for their work.

Health NZ Waikato Interim Manager Health and Safety, Kent Holdsworth, said all dietary options were catered for at the event that was provided by the Hamilton branch of the international charity, the Rapid Relief Team (RRT).

“About 4000 fresh hamburgers were cooked by the RRT staff including vegetarian and gluten-free options with fruit pottles and bottled water also available.

“This is the second year in a row the RRT have donated their time and the food in appreciation for the work done by our staff at Waikato Hospital and what’s really humbling is learning a large number of the volunteers took time off work to be part of this event.”

RRT Hamilton leader, Braden Goddin said his team were all very pleased to be able to show the hospital staff their gratitude for the remarkable work they do every day.

“All our volunteers were able to recall when hospital staff helped them with skill, kindness and compassion in times of real need, so it’s very pleasing to be able to show them in some small way how much we appreciate and respect them, and their special work.”

Kent said not only had the RRT provided this show of appreciation to staff at Waikato Hospital, they wanted to ensure workers in the district’s rural hospitals are included as well.

“As a result of their generosity we have scheduled events to be held at our Tokoroa, Thames, Taumarunui and Te Kuiti hospitals over coming weeks.”

Pictured from left is RRT volunteer Joel with Health NZ Waikato’s Group Director Operations Hospital and Specialist Services, Michelle Sutherland centre and RRT volunteer Grant on the hotplate.

Health New Zealand – Te Whatu Ora Waikato Midwife of the Year 2024

Source: Waikato District Health Board

Held each year on 5 May, the International Day of the Midwife, celebrates the work and contribution midwives make to newborn and maternal health.

A key part of these celebrations is the announcement of the winner of the annual Health New Zealand – Te Whatu Ora Waikato Midwife of the Year award.

From a talented field of nominees, the 2024 award winner was Nicki Tames, a Registered Midwife in Ward E2 at Waikato Hospital.

Nicki’s nomination described her as a midwife making a real difference who has a passion for providing the best experience for women no matter the reason they are in hospital.

“Nicki really gets to know the women she cares for and provides such a ‘mothering’ experience. She thinks holistically in all her care plans and will always involve whānau.

“Nicki is able to really improve a mother’s experience by simply listening to her concerns and offering ideas that show she had thought about the mother’s mental and physical health and she is always ready to guide and support colleagues in thinking more holistically.”

The criteria for the award is a registered midwife who makes a real difference to the areas they work in. This could be related to improvement in experience and/or safety of women, pregnant people and whānau, it may encompass innovation, improvements to a wider team, or implementing process changes.

Pictured: Nicki Tames on receiving her award

Health New Zealand – Te Whatu Ora Waikato Nurse of the Year 2024

Source: Waikato District Health Board

The Health New Zealand | Te Whatu Ora Waikato Nurse of the Year Award for 2024 was celebrated at Waikato Hospital last week.

The event coincided with International Nurses Day which had a theme of “Our Nurses, Our Future”, and was an opportunity for nurses to celebrate the success of their peers.

From a strong field of 23 nominees, the recipient of the 2024 Nurse of the Year award was Marion Sanders who works in the Mothercraft service located at the Waterford Birthing Centre.

Marion Sanders, Waikato Nurse of the Year 2024

Marion Sanders, Registered Nurse in Mothercraft played a pivotal role in the planning and execution of two relocations of Mothercraft from its original home of 50 years in 2022.

The positivity, initiative and sheer hard work demonstrated by Marion was described by her peers in her nomination as role modelling what an expert, dedicated nurse should look like.

Her nomination described Marion as an avid advocate for her service and for women and their babies, Marion’s expert nursing knowledge of families and the community which she shares with colleagues and whānau is greatly respected.

Receiving the 2024 award, Marion said she was overwhelmed and humbled given the high standard of nursing demonstrated by the 23 nominees.

The award recognises a nurse who has made a real difference to the area they work in. This difference could be related to improved patient experience and/or patient safety. The improvement could encompass innovation, improvements to team dynamics, patient care or implementing process changes.

Pictured is 2024 Health NZ Waikato Nurse of the Year, Marion Sanders with interim Chief Nursing and Midwifery Officer, Noel Watson