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Flu season hitting children’s hospitals hard, extra paediatricians called in

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Extra paediatricians are being drafted in and elective procedures are still being called off in the busiest flu season for Auckland’s children’s hospitals in years.

PHF Science figures showed there had been about 70 children with the most severe respiratory symptoms admitted each week for the past four weeks to Kidz First and Starship hospitals.

That was an 85 percent increase since the end of July and did not reflect the total number of children in hospital with respiratory symptoms, or emergency presentations.

South Auckland paediatrician Dame Teuila Percival said this winter had been the worst for years – and the busiest she could remember.

It had been all hands on deck at KidzFirst.

“People do extra shifts, we have senior medical officers like myself, and others who work in places like psychiatry coming in, helping out doing more time in the ED,” Dame Teuila said.

Children were being admitted with a wide range of symptoms including dehydration, confusion from fever, vomiting, diarrhoea, difficulty breathing, a bad cough and needing oxygen, she said.

Some were in intensive care – usually because they needed high levels of support with breathing, she said.

Starship Hospital in Auckland.
Starship Hospital had deferred elective procedures because the space was need for acutely unwell children.

RNZ / Cole Eastham-Farrelly

“They’re taken care of very well when they’re there but its very stressful for parents and families to see their children so unwell,” he said.

RNZ understands Starship also remained very busy, with elective procedures still regularly deferred because the space was need for acutely unwell children.

More help needed next year

Dame Teuila said many of the sickest children were Pasifika or Māori children.

It was great that the flu vaccine had been made free for under-fives earlier this month, but she would like to see it free for everyone next winter, she said.

Flu often made its way around a family, and more vaccination would help.

“It’s not uncommon that the whole family come to ED – and we see all the children and the mum and the dad and everybody’s sick,” she said.

Dame Teuila said there needed to be more resources for general practice to be able to help more people get in to see their doctors before they get sicker.

“I do think getting to primary care is a barrier for a lot of families particularly if you have got two, three, four kids all sick. Its very hard to get into see someone at the moment in a timely way,” she said.

“My colleagues in primary care work really hard. They’re just under the pump when I speak to them on the phone as we all are. They just need more people,” she said

RNZ asked Health NZ for figures for children in other main hospitals in New Zealand, but it said they needed to go through the Official Information Act process which could take several weeks.

But PHF Science kept combined figures for the two dedicated children’s hospitals in Auckland, which is why they were readily available.

A spokesperson said the figures which went to 6 September were part of its severe acute respiratory surveillance which only covered some of the sickest children.

Other respiratory hospitalisations would not be included.

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Pieces still missing from Tom Phillips inquiry – academic

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An expert on family violence says it is indefensible Family Court proceedings were excluded from the government’s inquiry into the Tom Phillips case.

She says the government should be looking at reinstating protective mechanisms that were stripped out of the Care of Children Act in 2014, and she is “a little sympathetic” to police, with a caveat that she doesn’t usually say that.

“It’s just really hard for me to know whether we should be stringing them up by their toenails or not when we just don’t know what came out of the Family Court.”

Phillips was shot dead by police a year ago, after nearly four years on the run with his children.

Government ministers apologised on Tuesday after the damning inquiry found multiple failings by authorities including information sharing and following up certain leads.

Oranga Tamariki and police have admitted errors, although police dispute the inquiry’s finding that agencies working together could have prevented the children’s disappearance or brought them back sooner.

University of Auckland associate law professor Carrie Leonetti told RNZ the principal judge of the Family Court court could have opened its files to the inquiry, and although such files would be sensitive they could have been redacted from public view.

“The inquiry starts four years too late,” she said.

“Tom Phillips had court ordered care of the children from 2019 at least, and was given court ordered care of the children back, it appears, in October 2021 after the first abduction.

“The inquiry makes very clear that Oranga Tamariki had… very limited involvement with Tom Phillips and the children before 2021… we’re starting the movie half-way through.”

Leonetti said the children’s mother’s concerns were not taken seriously partly because of her Family Court dispute with Phillips.

“It’s pretty clear that these agencies brushed her concerns off … It’s well established in the social science literature that there’s just this pervasive societal myth that women fabricate claims of domestic violence for some kind of tactical purpose in custody proceedings.

“And I think it’s even worse for the Phillips kids’ mother because she’s Māori… a Māori woman trying to get the police and Oranga Tamariki to take her Pākehā ex-husband’s threat to their children seriously.

“He made threats to her at the time of their separation in 2017 that he was going to take the kids and not let her see them again, and he he made those threats to third parties that he was going to take off with the kids and go bush.”

She said there was a “weird sort of hot potato problem”, where police, Oranga Tamariki and the Family Court would defer responsibility for a case to whichever of the three was approached first.

“If people go first to the Family Court and they award care to the person, then I think Oranga Tamariki and the police say to themselves, ‘well, how dangerous can he be?'”

She said the report seemed to indicate police and Oranga Tamariki had made errors in the investigation or passing on information, but without the details from the Family Court “it’s like we’re looking at this mosaic with half of it blacked out”.

Phillips may never have had unsupervised care of the children in 2019 and 2021 had the “Bristol clauses” that required courts to ensure a child’s safety before granting custody in domestic violence-related cases not been scrapped under the John Key government in 2014.

“You go to Family Court, you lose custody of your kids to the perpetrator. You go to the police, they seem to write a lot of reports but not take a lot of action. You go to Oranga Tamariki and they roll your eyes and think you’re a disgrunted ex-wife.”

However, she said police may be right to say the situation may not have ended differently “if they had done everything right, but the Family Court and Oranga Tamariki still failed”.

“We actually need all of these agencies to get it right as often as possible to have an appropriate safety net.”

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Police supporting families of New Zealanders missing in Nepal floods

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The Ministry of Foreign Affairs and Trade says police are supporting the families of five New Zealanders who remain missing after August’s catastrophic flash flood at the Nepal-China border.

A massive flash flood, believed to have been triggered by a glacial collapse, tore through a Himalayan valley on 26 August, burying villages.

The disaster killed more than 1300 people, with at least 5000 others unaccounted for, according to latest reports on both sides of the border.

In New Zealand, community groups have raised more than $200,000 for the flood victims, according to former honorary consul for Nepal Dinesh Khadka.

“I’m so proud of the Indian community here who … supported us, saying it is not a Nepal problem but our problem,” Khadka said.

He said about 80 percent of the donations had come from New Zealand’s Indian community.

A fundraising dinner was organised by the New Zealand Nepal Society at the Freemans Bay Community Centre in Auckland last week.
A fundraising dinner was organised by the New Zealand Nepal Society at the Freemans Bay Community Centre in Auckland last week.

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Last week, the Nepali community raised $100,000 through a fundraising dinner at the Freemans Bay Community Centre in Auckland.

The Central Sikh Association donated $50,000 to Nepal that same night.

Earlier this month, Gurdwara Shri Dashmesh Darbaar Sahib in Papatoetoe pledged $15,000, which was matched by the New Zealand Indian Central Association.

Shiv Mandir in Manurewa donated $4000, while Manurewa Local Board member Marshal Ahluwalia and National Party Manurewa candidate Ghouse Majeed donated $7500.

Khadka said the Federation of Islamic Associations of New Zealand had pledged $5000, which would be directly deposited into Nepal’s Prime Minister’s Disaster Relief Fund.

Other fundraising events included a dosa event in Māngere organised by Thiru Subramaniyar Aalayam on 5 September, and a fundraising dinner organised by the Nepal-New Zealand Friendship Society of Canterbury in Rolleston on 12 September.

A similar dinner was organised by the Waikato Indian Association and Nepal-New Zealand Waikato Friendship Society in Hamilton on 9 September, while the Taranaki Nepalese Community is planning a fundraising dinner in New Plymouth on 26 September.

He said the fundraising was a temporary effort to support people who had lost everything in the floods.

“Nepal will take decades to rebuild and whatever we raise now will go to the people who are in most need right now,” he said.

Khadka said more fundraising events were being planned across New Zealand.

Next week, Wellington Mutamizh Sangam’s youth wing will hold a youth festival to raise funds for Nepal, while the Indian Film Festival in October has also pledged to support fundraising efforts for the country, with a Nepali film included in its programme.

Khadka said the response had shown him how much New Zealanders cared about Nepal.

“Wherever we go, I see New Zealanders approaching me and asking how they can support Nepal,” he said.

“That makes me proud of New Zealand and how lucky we are to be called New Zealanders.”

Khadka also warned that some organisations were using the disaster to make money.

“It is very sad to see that there are organisations who are raising money but it doesn’t reach the Prime Minister’s Disaster Relief Fund, so my request to people who are donating their hard-earned money is to make sure that you donate through the right channels,” he said.

Dinesh Khadka is leading the fundraising for Nepal flood victims in New Zealand.
Dinesh Khadka is leading fundraising efforts for Nepal flood victims in New Zealand.

Supplied

Khadka said he was receiving regular updates from Nepal Police, who were doing their best to recover bodies and search for survivors.

“More than 1400 bodies [have] already [been] found but they’re looking through the rubble and buildings to find more than 5000 bodies or even survivors,” he said.

Khadka said he did not have an update on the missing New Zealanders.

Five New Zealanders remain missing following the deadly flash floods: Dejan Kuzmic, Shweta Mhatre, Mihir Patel, Kinnari Patel and Suhasini Reddy.

More than 300 foreign nationals have been rescued, according to an update from Nepal’s National Disaster Risk Reduction and Management Authority.

No New Zealanders have been included in that number.

RNZ understands Mhatre and Kuzmic were part of the Isha Foundation’s pilgrimage, and Sadhguru had previously said two New Zealanders were missing from his trekking group.

Meanwhile, Reddy’s family has called on rescuers not to stop searching for the 44-year-old after conflicting reports about her status emerged online.

Reddy’s brother Rajeev and his wife Lauren urged people to keep searching for survivors in a Facebook post several weeks ago.

A spokesperson for the Ministry of Foreign Affairs and Trade said New Zealand’s consular response team in Kathmandu was engaged with local authorities and the Nepalese Government.

“However, challenges on the ground mean that new, verified information will continue to take time to emerge.”

A spokesperson for the Ministry of Foreign Affairs and Trade said New Zealand had extended an offer of technical expertise to aid Nepal’s response effort in addition to humanitarian assistance worth $3.5 million to support the humanitarian response.

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NRL finals schedule: Who plays who in week 2 and how the Warriors can make the Grand Final

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The Warriors will need to take the hard path to the NRL Grand Final, having lost to the Dolphins in their qualifier at Go Media Mount Smart Stadium.

A victory in week one would have seen the Warriors take a week off and advance straight to the preliminiary finals in week three.

Instead they’ll take on the Newscastle Knights in a must-win elimination final on Sunday.

Here’s who plays who next:

Week two: Semi-finals

The teams that lost their qualifying finals get another chance. They play the winners of the elimination finals in two sudden death games.

The two winners would then move on to the preliminary finals.

  • Cronulla Sharks v Sydney Roosters, Saturday, 9.50pm at Allianz Stadium, Sydney
  • Warriors v Newcastle Knights, Sunday 6.05pm at Eden Park, Auckland

Warriors boss Cameron George is expecting Sunday’s game to sell out, in what he describes as an international for his side.

“It’s us versus Australia. So the more people we get there, the better New Zealand will be.

“There are 17 teams in this comp and we’re the only one from here so it’s us against them. This is our New Zealand grand final in the NRL and it’s pretty special.”

Warriors club members can buy tickets from midday Monday with general public tickets going on sale Tuesday.

NZ Warriors fans.
If the Warriors win against the Knights this weekend, they’ll go on to play the Panthers.

Andrew Cornaga/www.photosport.nz

Week three: Preliminary final

The four remaining teams play in the preliminary finals.

The Panthers and Dolphins have advanced straight to the prelims where they’ll meet the winners of the semi finals.

If the Warriors win against the Knights this weekend, they’ll go on to play the Panthers.

The winner of the Sharks v Roosters match this weekend will face the Dolphins.

The winners book their place in the Grand Final.

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