WELLINGTON SCHOOL OF MEDICINE AND HEALTH SCIENCES THE 10TH PUBLIC HEALTH SUMMER SCHOOL

Transcription

1 WELLINGTON SCHOOL OF MEDICINE AND HEALTH SCIENCES THE 10TH PUBLIC HEALTH SUMMER SCHOOL FEBRUARY 2006 UNIVERSITY OF OTAGO STADIUM CENTRE WELLINGTON, NEW ZEALAND

2 T I M E T A B L E 1 3 T O 2 4 F E B R U A R Y WEEK ONE Monday 13 Tuesday 14 Wednesday 15 Thursday 16 Friday Health services Health services Health services Housing and health: Housing and health: research and policy research and policy research and policy urban housing improving health Introduction to Introduction to Mental health Suicide prevention Introduction to the health economics Mäori health research and policy strategies NZ health system WEEK TWO Monday 20 Tuesday 21 Wednesday 22 Thursday 23 Friday 24 Neighbourhoods Neighbourhoods Kaupapa Mäori Kaupapa Mäori Health impact and health and health epidemiology epidemiology assessment Tackling health Tobacco control Tobacco control Health impact inequalities assessment W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S 1

3 SUMMER PROGRAMME IN PUBLIC HEALTH 2006 The Department of Public Health at the Wellington School of Medicine and Health Sciences is a part of the University of Otago. It aims to contribute to the good health of all New Zealanders through independent, critical and innovative research, teaching and community service. The Department s staff have expertise in a wide range of academic disciplines and research interests, and have links with national and regional health agencies. During February 2006 the Department offers an opportunity for you to participate in short courses covering various aspects of public health. This Summer School provides an environment in which participants can learn for the first time about basic principles of public health, or those with public health experience can further develop their knowledge and skills. Courses are ideally suited to health sector staff working in primary care organisations and district health boards as independent health practitioners, as staff of government departments and in non-government organisations especially if they require an understanding of public health concepts in their work. The Summer School programme also provides a good introduction to public health for people considering postgraduate studies in this field. The modular design of the School programme enables interest-specific enrolment in a range of courses over two weeks. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L Week one comprises four public health introductory topics (including health services research and policy), and introduces mental health topics to the Summer School. This week also presents two workshops by the Housing and Health Research Programme. Week two includes three new two-day workshops on neighbourhoods and health, kaupapa Mäori epidemiology, and tobacco control. The health impact assessment (HIA) workshop returns, as does the course on tackling health inequalities. CONTINUING MEDICAL EDUCATION Summer School courses may contribute to continuing professional development requirements for health professionals. A letter of attendance will be provided for members of medical colleges or professional bodies, on request. More specific details on the nature of the course can also be provided to the relevant professional bodies. VENUE Courses and workshops will be held at the University of Otago Stadium Centre, Westpac Stadium, Waterloo Quay, in central Wellington. See the inside back cover for map and directions. 2 TIMES All courses will begin at 9 am and finish no later than 5 pm each day, with an hour for lunch, and short breaks during the morning and afternoon. Lunch, morning tea and afternoon tea are provided. FOR FURTHER INFORMATION AND REGISTRATION FORMS CONTACT The Summer School Administrator Department of Public Health Wellington School of Medicine and Health Sciences University of Otago PO Box 7343 Wellington South NEW ZEALAND Tel (ext 6052 or 6040) Fax linda-jane.richan@otago.ac.nz Copies of this booklet and registration forms are also available at -

4 1 WEEK ONE Monday 13 February INTRODUCTION TO HEALTH ECONOMICS This workshop is intended to give a general introduction to the ideas and techniques of health economics and the issues that health economists deal with (including economic evaluation of health services). The workshop aims to: Introduce participants to the key terms and concepts which economists use to analyse health issues Consider the role of markets in allocating resources and consider market failures in health care Consider key features of New Zealand's health care system and the ways in which economists explain or analyse them Provide an understanding of the main types of economic evaluation in health care, and identify the key stages in health economic evaluation. The workshop assumes no prior knowledge of economics or health economics and is aimed at a range of participants. This includes policy analysts and professionals working in the health sector who are interested in the place economic concepts play in the health sector. Des O Dea is a lecturer in health economics in the Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago. He has worked in the past for the Ministry of Health and Midland RHA. His areas of expertise include health services modelling, capitation and population funding formulae, and research into the links between income and health. Des O Dea, ext 6069, des.odea@otago.ac.nz W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S 3

5 1 Tuesday 14 February INTRODUCTION TO MÄORI HEALTH Mäori health status is well behind that of non-mäori in New Zealand and the government has identified closing the gap between Mäori and non-mäori as a priority. This workshop will provide an introduction to health issues for Mäori to help participants understand what the health gaps are. It also aims to provide some assistance in ways to close the gap. The workshop will aim to look at the following issues: Just who is Mäori? The Treaty of Waitangi and Mäori health; Mäori health status: how bad is it?; Mäori visions/models of health; Mäori solutions to Mäori problems; Mäori in the health sector; Mäori in policy: closing the gap. The workshop will help all those working in social policy to achieve the government s goal of closing the gaps between Mäori and non-mäori, seeking to improve Mäori health status or seeking to understand the biggest health issue in New Zealand. The course will provide historical, legal and policy background to Mäori health. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L Tim Rochford (Käi Tahu, Käti Mämoe and Waitaha) is a lecturer in Mäori Health at the Department of Public Health, Wellington School of Medicine and Health Sciences. He currently teaches medical students and a postgraduate paper on Mäori health for the Diploma of Public Health. Previously he was employed in Mäori health policy for government departments for seven years, including Te Puni Käkiri, Ministry of Health and the Health Funding Authority. Tim is also Tiamana of Poutama Ora O Tai Poutini, the Mäori Health consultative body for the Health Funding Authority and Coast Health Care, and represents his Ränaka (Te Ränaka O Makaawhio) on Te Ränanga O Ngai Tähu (tribal council). Tim Rochford, ext 6050, tim.rochford@otago.ac.nz 4

6 1 Monday 13 to Wednesday 15 February INTRODUCTION TO HEALTH SERVICES RESEARCH AND POLICY Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago Health Services Research Centre, Victoria University of Wellington Health services research (HSR) is an essential element of health policy making and evaluation. Despite its importance and widespread use in the New Zealand health system, there are very few formal training programmes in HSR. This three-day introductory course aims to address, in part, the need for formal training in HSR. The course provides an overview and introduction to a variety of methodological approaches for people whose work requires HSR skills, but who may have little or no formal training in HSR. Participants will be made aware of the main HSR tools and approaches so they may be better equipped as generalist health services researchers, and so they can explore in more detail particular methodological approaches that are relevant to their work. The course aims to: Provide an understanding of the role of HSR in influencing and informing health policy making Provide a brief background and history of HSR in New Zealand Introduce a toolkit for HSR and discuss a range of methodological approaches used in HSR Showcase important HSR projects in New Zealand. The course is for analysts working in policy agencies, district health boards, primary health organisations and independent practitioner associations. Dr Jonathan Lomas is the Chief Executive Officer of the Canadian Health Services Research Foundation, a nationally endowed organisation founded in 1997 to improve the relevance and use of health services research in health system decision-making. Professor Peter Crampton is Head of Department in the Department of Public Health, at the Wellington School of Medicine and Health Sciences, University of Otago. W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S Dr Kevin Dew is a senior lecturer in the Department of Public Health, at the Wellington School of Medicine and Health Sciences, University of Otago. Dr Jackie Cumming is Director of the Health Services Research Centre, Victoria University of Wellington. Peter Crampton, ext 6045, peter.crampton@otago.ac.nz 5

7 1 Wednesday 15 February MENTAL HEALTH RESEARCH AND MENTAL HEALTH POLICY: THE POLICY ANALYST S DILEMMA Evidence does not always trump competing influences on the shaping of policy. This one-day workshop aims to critically examine the development of mental health policy in New Zealand. The challenges of policy development in mental health will be explored by comparing examples such as the new All-Ages Suicide Prevention Strategy and the second National Mental Health Plan, and comparing and contrasting these with mental health policy developments in England and Scotland, for example. Topics to be covered: Fundamentals of policy development in mental health The relationship between evidence and policy in mental health Effective engagement with the policy process (including a group exercise on presenting evidence in a submission). By the end of the workshop, participants will have a deeper understanding of the complexity of mental health policy and strategy development. They will be able to engage effectively with the policy development process. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L Master s and doctoral students in mental health topics with a public health perspective, staff of statutory agencies (eg, Mental Health Commission, Mental Health Foundation, SPINZ), mental health clinicians and managers, policy makers and researchers. Professor Stephen Platt is Director of the Research Unit in Health, Behaviour and Change (RUHBC) at the University of Edinburgh. Trained in sociology and social policy, Stephen has conducted research using theoretical, conceptual and methodological tools from other disciplines, including psychiatry, anthropology, economics and epidemiology. His current research interests include social and cultural aspects of suicidal behaviour, evaluation of complex interventions for health improvement and the reduction of health inequalities, and supporting practice and policy development relating to public health. Stephen is also involved in policy development and analysis relating to public mental health and mental health improvement. He has recently concluded a commissioned review of Scottish policy with respect to mental health improvement, in particular examining the extent to which an understanding of mental health and well-being is embedded across different policy areas of the Scottish Executive. 6 Associate Professor Rob McGee is Head of the Department of Preventive and Social Medicine at the Dunedin School of Medicine, University of Otago. He teaches health promotion at undergraduate and postgraduate levels. Rob s research lies broadly in the area of child and adolescent health, and is interested in positive health outcomes associated with participation in civil society that impact the lifespan. Dr Sunny Collings is a senior lecturer in social psychiatry and population mental health at the Wellington School of Medicine and Health Sciences, University of Otago. She works across both the Department of Psychological Medicine and the Department of Public Health. GUEST PRESENTERS Arawhetu Peretini is of Ngati Kahungunu, Rangitane and Ngai Tahu descent. She is acting manager of Rights and Protection, in the Mental Health Directorate, Ministry of Health, and has worked in mental health policy for at least seven years. Dr John Wren is a senior analyst in the Public Health Directorate, Ministry of Health. He is responsible for the development of the New Zealand All-Ages Suicide Prevention strategy. Sunny Collings, ext 5640, sunny.collings@otago.ac.nz

8 1 Thursday 16 February SUICIDE PREVENTION STRATEGIES: MONITORING AND EVALUATION While the development and implementation of suicide prevention strategies are challenging, their monitoring and evaluation is even more so. The aim of this one-day course is to provide an overview of the international strategic response to suicide, and New Zealand s position in this; to discuss the available evidence about implementation and effectiveness of national strategies; and the complexity of evaluating national suicide prevention strategies. Topics to be covered: The content of national strategies differences and similarities between countries The evidence about implementation and effectiveness of national strategies, with a view to evaluation of the New Zealand strategy Theoretical and methodological aspects of evaluation of national suicide prevention strategies. Master s and doctoral students in mental health topics with a public health perspective, staff of statutory agencies (eg, Mental Health Commission, Mental Health Foundation, SPINZ, etc), mental health clinicians and managers, policy makers, and researchers. Professor Stephen Platt is Director of the Research Unit in Health, Behaviour and Change (RUHBC) at the University of Edinburgh. Trained in sociology and social policy, Stephen has conducted research using theoretical, conceptual and methodological tools from other disciplines, including psychiatry, anthropology, economics and epidemiology. His current research interests include social and cultural aspects of suicidal behaviour, evaluation of complex interventions for health improvement and the reduction of health inequalities, and supporting practice and policy development relating to public health. Stephen is also involved in policy development and analysis relating to public mental health and mental health improvement. He has recently concluded a commissioned review of Scottish policy with respect to mental health improvement, in particular examining the extent to which an understanding of mental health and well-being is embedded across different policy areas of the Scottish Executive. Dr Sunny Collings is a senior lecturer in social psychiatry and population mental health at the Wellington School of Medicine and Health Sciences, working across the Department of Psychological Medicine and the Department of Public Health. W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S Sunny Collings, ext 5640, sunny.collings@otago.ac.nz 7

9 1 Thursday 16 February HOUSING AND HEALTH: HIGHER DENSITY URBAN HOUSING Rising fuel prices and changing lifestyles are leading to increasing numbers of New Zealanders living in cities and apartments rather than in the suburbs. Urban design is increasingly recognised as having major impact on health and well-being. Building higher-density urban housing provides opportunities to explore environmental and social quality of life issues related to noise, air quality, energy efficiency and sustainable building practices, as well as economic and social issues of affordability and social integration. He Kainga Oranga/Housing and Health Research Programme is spearheading the setting up of the Healthy Urban Housing Institute to generate new knowledge in this area. The Institute will be exploring the value of good design and management for health and sustainability, and how to avoid the pitfalls of poorly constructed low-cost, higher density housing in the future. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L This introductory seminar will be based around a series of short presentations from researchers in public health, architecture, building science and economics, from policy agencies and from private sector partners interested in higher density urban housing. These presentations will be followed by interactive roundtables to discuss the strategic priorities for urban housing. This seminar is designed for organisations and groups who are interested in the built environment in general, and higher density inner city housing in particular. This day is designed to complement the following day on Housing and Health: improving health through the built environment, but is self-contained and focused more on defining issues related to housing and health in the urban environment and agreeing on research priorities. Associate Professor Philippa Howden-Chapman, Director, Housing and Health Research Programme, Wellington School of Medicine and Health Sciences, University of Otago. Other speakers are to be confirmed. Philippa Howden-Chapman, , ext 6047, howdenc@wnmeds.ac.nz 8

10 1 Friday 17 February HOUSING AND HEALTH: IMPROVING HEALTH THROUGH THE BUILT ENVIRONMENT The built environment and urban design can impact on health and well-being in many way, be it through air pollution that comes from over-reliance on cars and under-development of alternative transport systems, through degraded neighbourhoods that inhibit exercising because of lack of leisure spaces or fear of crime, through poor quality housing that exposes residents to harm from allergens, mould/fungi, cold temperatures, noise, overcrowding or hazards that can cause injury. Many health issues could benefit from being viewed through a built environment lens, by which risk factors and interventions are considered at the level of neighbourhoods and housing (both the physical and socio-economic/cultural aspects of these) as well as individual behaviour. This course will present a simple framework for analysing the complex links between the built environment and health, and for identifying interventions to improve health outcomes. This approach will be illustrated with examples and participants will be given the chance to apply the framework to topical issues. By the end of the course, participants will: Be updated on research on the associations between housing urban design and health Have practised a method of taking the built environment into account when considering a health issue, whether from the angle of reducing disease burden, hazard exposure or inequalities, programme evaluation or quality assurance Have a better understanding about the tools that can be used to improve health through the built environment, including regulatory and health promotion approaches. Organisations and people involved in housing and its interface with health, such as staff of the Ministry of Health, Housing New Zealand, Building Officials Institute of New Zealand, Department of Building and Housing, local government, and public health services. Due to the broad definition of built environment, it may also be of interest to other sectors who have a stake in the built environment, such as transport, utility companies, food and other industries. This day is a complement to the preceding day on healthy urban housing, but is self-contained and focused more on specific work skills related to health and the built environment. Dr Fiona Imlach, public health registrar, and Dr Michael Baker, senior lecturer, Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago. W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S Siân Smith, senior policy analyst, Department of Building and Housing. Other speakers to be confirmed. 9 Sponsored by the New Zealand Heart Foundation. Michael Baker, ext 6802, michael.baker@otago.ac.nz

11 1 Friday 17 February INTRODUCTION TO THE NEW ZEALAND HEALTH SYSTEM The workshop aims to cover a range of key issues in order to allow workshop participants to develop their own map of the current system and an understanding of some of the major challenges facing the system. Due to time constraints, coverage of issues will not be in great depth. However, by the end of the workshop participants should be equipped to direct their own further learning and enquiry, and to understand ongoing health sector changes in the context of the 2006 structures. This workshop is intended primarily for people who have little or no knowledge of the New Zealand health system. People who might be interested in learning more about the health system include those newly-arrived in New Zealand, those who need to know about the health system for their work, and those who are simply curious about this complex and ever-changing sector. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L Professor Peter Crampton is Head of Department in the Department of Public Health, at the Wellington School of Medicine and Health Sciences, University of Otago. Peter Crampton, ext 6045, peter.crampton@otago.ac.nz 10

12 2 WEEK TWO Monday 20 February TACKLING HEALTH INEQUALITIES Tackling inequalities in health is a key goal of the New Zealand Health Strategy and a challenge being addressed internationally. This aims to strengthen the knowledge and skills of DHB staff to enable them to act on, and advocate for, eliminating inequalities in health in Aotearoa/New Zealand. The workshop will explore: Evidence of inequalities in health in Aotearoa/New Zealand A range of theoretical explanations for, and the multiple causes of, inequalities in health in Aotearoa/New Zealand The role of historical and contemporary policies and programmes in producing and maintaining or eliminating inequalities in health. The workshop will also introduce the Health Equity Assessment Tool and Reducing Inequalities Intervention Framework (equity tools for use in the health sector) and offer opportunities to apply these to your own work. The workshop is particularly relevant to DHB staff. It is also relevant to those people working in public health units, PHOs, Mäori and Pacific health providers, NGOs, other related sectors in central and local government. Jennifer Martin (convenor). Bridget Robson, Te Röpü Rangahau Hauora a Eru Pömare (Eru Pömare Mäori Health Research Centre), Wellington School of Medicine and Health Sciences, University of Otago. Teresa Wall, Ministry of Health, Mary-Louise Hannah, Ministry of Health. W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S 11

13 2 Monday 20 to Tuesday 21 February NEIGHBOURHOODS AND HEALTH RESEARCH: OBSTACLES AND OPPORTUNITIES Urban social scientists have treated neighbourhoods in much the same way as courts of law have treated pornography; as a term that is hard to define precisely but everyone knows when they see it (Galster, G., 2001, Urban Studies 38:12 p. 211). Health is known to vary by neighbourhood. However, research that focuses on the causes of variation provide many challenges, in part because of the difficulties alluded to by Galster in defining and measuring the exposure. This has implications for the data that can be used, what outcomes can be examined and the types of interventions that can therefore be developed. New Zealand s size and data availability provides a number of advantages as a site of research as the field moves on from single, composite measures of material deprivation. The aim of the workshop is to examine issues around the measurement of neighbourhood characteristics in New Zealand. It will cover: T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L Overview of neighbourhoods and health theory Key research findings, including multilevel methods Case studies GIS technology; mapping community resources Qualitative methods case study Social Fragmentation Index; development and initial findings Chicago neighbourhood studies Multidisciplinary contributions to neighbourhoods research Health geography Medical sociology Urban research Social epidemiology Researchers, academics, policy analysts and makers. Also allied professionals with an interest in conceptual and measurement issues around neighbourhoods / small areas and the relationship with outcomes such as health. Professor Ichiro Kawachi, social epidemiologist, Harvard School of Public Health, Boston, USA. Dr Jamie Pearce, geographer, University of Canterbury. 12 Karen Witten, urban researcher, Massey University. Associate Professor Robin Kearns, geographer, The University of Auckland. Vivienne Ivory, social epidemiologist, PhD student, Wellington School of Medicine and Health Sciences, University of Otago. Dr Kevin Dew, medical sociologist, Wellington School of Medicine and Health Sciences, University of Otago. Anna Matheson, social scientist, PhD student, Wellington School of Medicine and Health Sciences, University of Otago.

14 PROPOSED SESSIONS Overview of neighbourhoods and health theory Key research findings Contributions from medical sociology Contributions from health geography Case studies; GIS technology Case studies; qualitative methods Case studies; Chicago neighbourhood studies, multilevel methods Case studies; social fragmentation index development and initial findings Ichiro Kawachi Ichiro Kawachi Kevin Dew and Anna Matheson Robin Kearns Jamie Pearce Karen Witten Ichiro Kawachi Vivienne Ivory W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S 13

15 2 Tuesday 21 to Wednesday 22 February STATE-OF-THE-ART TOBACCO CONTROL: POLICY AND PRACTICE This two-day workshop aims to cover the key aspects of tobacco control from both an international and New Zealand perspective. The range will cover international tobacco control developments, national level policy initiatives (eg, smokefree environments, price/tax, mass media campaigns, responding to tobacco industry tactics), local initiatives (eg, smokefree environments, smokefree promotion, tobacco control advocacy), as well as the smoking cessation support programmes (eg, use of Quitlines, NRT and other pharmacotherapy). Workshop participants will use interactive sessions to draw out local issues of interest and to facilitate networking. By the end of the workshop, participants should be better equipped to direct their own further learning and to access relevant resources. This workshop is primarily for health sector workers who do not have a detailed knowledge of tobacco control issues (or who have to date focused on just one area such as smoking cessation, and desire a broader view). It is also relevant for those who feel they have not kept up with recent developments in this rapidly changing field. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L Dr Richard Edwards, who recently joined the Department of Public Health, has extensive experience in tobacco control in the UK. Other staff with long-term experience in tobacco control will also contribute, including Dr Nick Wilson and Dr George Thomson. Nick Wilson, ext 6469, nick.wilson@otago.ac.nz 14

16 2 Wednesday 22 to Thursday 23 February KAUPAPA MÄORI EPIDEMIOLOGY Epidemiology has a powerful place in an evidence-based policy environment where it is used to shape health policy, priorities, purchasing and evaluation. However, the tools used in epidemiology may act to reinforce policy that is more responsive to the interests of numerically-dominant populations than to those of indigenous peoples. This workshop aims to critique a range of standard statistical tools and the way they are utilised, in order to better serve the needs of indigenous peoples. Kaupapa Mäori research will be explored, along with specific elements of epidemiology including age-standardisation. Who should attend: The workshop will be of interest to Mäori researchers, health researchers and agencies, epidemiologists, and government agencies interested in Mäori : non-mäori disparities. Teaching staff: The workshop will be convened by Bridget Robson from Te Röpü Rangahau Hauora a Eru Pömare (Eru Pömare Mäori Health Research Centre) and Fiona Cram (Katoa Ltd). Keynote speakers will include indigenous researchers from Australia, Hawaii and Aotearoa. The convenors are grateful for the support of Ngä Pae o te Märamatanga, the Mäori Centre of Research Excellence. Bridget Robson, , bridget.robson@otago.ac.nz W E L L I N G T O N S C H O O L O F M E D I C I N E A N D H E A L T H S C I E N C E S 15

17 2 Thursday 23 to Friday 24 February HEALTH IMPACT ASSESSMENT: A PROCESS FOR PROMOTING HEALTH AND TACKLING INEQUALITIES This practical two-day workshop aims to introduce participants to Health Impact Assessment (HIA). HIA is a process that aids decision-making by predicting the potential effects of policies, programmes and projects on health and health inequalities. Participants will be introduced to the theory and methods of HIA using the New Zealand Guide to HIA developed by the Public Health Advisory Committee. Case studies of completed HIAs will be presented and critiqued. Participants will have the opportunity to apply the guide to scenarios based on real situations. Consideration of health equity will underpin the training. The workshop will draw on the experience of the participants and the extensive national and international experience of the teaching staff. This workshop is a joint initiative of the Public Health Advisory Committee, the Wellington School of Medicine and Health Sciences, and Quigley and Watts Ltd. T H E 1 0 T H P U B L I C H E A L T H S U M M E R S C H O O L SUGGESTED AUDIENCE The workshop is aimed at policy makers from central and local government and the community with an interest in health, wellbeing, and equity. Previous successful workshops have included people from planning, housing, the environment, social welfareß and the health sector. Barbara Langford, senior advisor, Public Health Advisory Committee. Robert Quigley, HIA consultant, Quigley and Watts Ltd. Dr Louise Signal, senior lecturer, Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago. Teresa Wall, Mäori Health Policy, Te Kete Hauora, Ministry of Health. Martin Ward, impact assessment co-ordinator, Public Health Advisory Committee. Rob Quigley, , rob@quigleyandwatts.co.nz until 31 October Louise Signal, ext 6477, louise.signal@otago.ac.nz from 1 November 2005

18 DIRECTIONS Proximity: The University of Otago Stadium Centre is a 10 minute walk from the Wellington Railway Station, a minute taxi or shuttle ride from the airport, and a five minute taxi or shuttle ride from the ferry terminal. University of Otago Stadium Centre Waterloo Quay Pedestrian Entrance Vehicle Entrance Westpac Stadium S N Driving: If arriving by vehicle you can only access the Westpac Stadium from the lights at the pedestrian over bridge on Waterloo Quay. Turn into the Stadium at these lights and follow the vehicle access way until you come to a vehicle ramp. Drive up the vehicle ramp to the security gate at Level One (the main public entry level to the Stadium). Drive down the vehicle ramp and turn left at the bottom of the ramp. It is a oneway (clockwise) system around the Stadium and a strict 10kmph speed restriction is applied. Continue in the one-way system until you come to the gold frontage of the University of Otago Stadium Centre Wellington on the eastern (Aotea Quay) side of the Stadium. Car Parking: Limited on site vehicle parking is available. Alternatively the Westpac Stadium public carpark area is available at a rate of $5 per day (N.B. special conditions apply for Stadium Event days). By Foot: Again pedestrians can only access the Westpac Stadium from designated walkways on the south side (Railway Station end) of the Stadium. If coming from the Wellington Railway Station walk to the end of platform 9 and walk around past the Stadium Golf Centre on your left. You may also access the pedestrian access way from Platforms 8, 7, 6, 5, 4 and 3 of the Railway Station. Access is also available from Waterloo Quay eastern side the Thorndon Quay (at the Railway Station end). Follow the pedestrian walkway until you come to the Security gate on Level One (the main public entry to the Stadium). Walk down the vehicle ramp using the pedestrian walkway on your right hand side. On foot, you may ignore the one-way vehicle system and continue to follow the fence line on your right hand side of the Stadium, until you come to the gold frontage of the University of Otago Stadium Centre. You will need to allow yourself a good 10 minutes to walk from the Railway Station. Please Note: Entry into the Westpac Stadium can only be gained at the Waterloo Quay entrance by vehicle or foot, or alternately by foot traffic only from the access ways to the pedestrian over bridge. The Westpac Stadium is completely fenced in all other areas.

19 WELLINGTON SCHOOL OF MEDICINE AND HEALTH SCIENCES Department of Public Health, University of Otago Mein Street, Newtown, PO Box 7343, Wellington South, New Zealand Telephone ~ Facsimile pubh@wnmeds.ac.nz ~ Web