The following article Looks specifically at two recent (as in my lifetime) infectious disease outbreaks in Aotearoa New Zealand and what we have learnt and still need to learn and perhaps more specifically what we should do in light of such discoveries. As is often the case, marginalised communities are mostly invisible to the majority, even when they are the most impacted by epidemics such as Covid. HIV/Aids and the 1918 Flu.
The Delta variant of Covid reveals features of NZ society we prefer to keep hidden but perhaps the pandemic provides us with an opportunity to learn more about those features and what we can do to make society more equitable. Although Peter Davis discusses the situation as it specifically applies to Aotearoa New Zealand, I suspect similar opportunities exist in most parts of the world.
Perhaps the only terms that may need clarifying for those outside New Zealand is the term DHB (District Health Board). At an administrative level, NZ is divided into 20 health districts each administered by a board partly made up of elected representatives and partly by appointments from central government. Bulk funding for each board is provided by central government and each board determines how those funds should be spent. As Peter points out, only 5% of the expenditure of the Auckland DHB goes to primary health care and a paltry 0.15% goes to public health. Surely this is where we must in the first instance revise our priorities.
Published in The New Zealand Herald, 10th October 2021Covid 19 Delta outbreak: Peter Davis – No man is an island; HIV/Aids epidemic lessons we can learn from — Peter Davis NZ