HRC Pacific news October 2014 New model for promoting the health of young Cook Islanders By Suzy Botica Auckland-based researcher Dr Neti Tamarua Herman from the small island of Manihiki in the Cook Islands, has become the first Cook Islands nurse to gain a doctorate. Neti graduated from the University of Auckland in May. Her PhD thesis, which was funded through a HRC Pacific Health Research PhD Scholarship, lays out a new holistic model to promote the health of young people – one of the first to do so within a Cook Islands context. decided to do her PhD to further develop herself and to “motivate and inspire other Cook Islands nurses and women to pursue doctorate studies”. For her PhD, Neti set about developing a health promotion model within a Cook Islands context to improve the health and well-being of young people in Vaka Takitumu, a specific district of Rarotonga. Dr Neti Tamarua Herman Neti began her PhD in 2008 after more than 40 years of service in health care in Fiji, New Zealand, Australia and the Cook Islands, including five years as Senior Tutor and six years as Principal for the Cook Islands School of Nursing, five years as the Chief Health Education and Promotion Officer for the Department of Public Health, and seven years as Chief Nursing Officer with the Cook Islands Ministry of Health. She is married to Dr Tamarua Teariki Herman and they have four sons and a daughter – all graduates of the University of Auckland. She “Although most young people engage in positive life activities and become healthy adults, some become involved in risky behaviours. The major areas of concern in the Cook Islands are substance abuse, especially alcoholrelated motor vehicle crashes and violence; suicide; teen pregnancy; sexually transmitted infections; obesity; truancy; and criminal activities.” To develop the model, Neti explored the health and well-being of young people within a socio-ecological framework, and how cultural, social, spiritual, health beliefs and social networks affect their behaviours. “There has been so much emphasis on the negative aspects of young people, but very little on positive youth development. I wanted to change that.” Neti carried out a community assessment in Vaka Takitumu, which involved conducting semi-structured interviews with 12 focus groups of young people; 20 key stakeholders; and 20 key informants. She asked the participants about what being healthy means to them; the positive contributions made by young people; the issues and concerns young people face; and strategies for solving or minimising the effects of these issues and concerns. Her findings highlight the urgent need for parents and families, communities and non-governmental organisations, and government leaders to listen to young people’s voices. “Young people need to belong and to be connected to family and communities to thrive. They also need to be empowered, have knowledge, a voice, and learn the competencies and skills to prepare them for adulthood and leadership roles,” says Neti. (Continued on page 3) HRC Pacific News October 2014 Message from the HRC’s Project Manager, Pacific Health Greetings. Time has flown by so quickly this year and soon it will be Christmas. I, for one, am looking forward to the Christmas break! Planning for the International Pacific Health Research Conference 2014 has proceeded well, and the conference is shaping up to be an extraordinary opportunity for interdisciplinary dissemination of health research, practice, and knowledge. This issue of HRC Pacific News features articles on several researchers who will be presenting at the conference, including recent PhD graduates Dr Neti Tamarua Herman and Dr Sione Vaka, and Dr Dianne Sika-Paotonu. Dr Nuhisifa Seve-Williams This will be the last newsletter of the year and I am writing this on behalf of the HRC’s Pacific Health Research Committee. 2014 has been a busy year for Pacific health research at the HRC. A major achievement was the launch of the revised Pacific Health Research Guidelines in June. The guidelines have been well received by Pacific and nonPacific researchers alike. The Pacific Health Research Committee is grateful for all the effort that has gone into this document, and acknowledge the work that Dr Karlo Mila and her team have done on the first edition of the guidelines. In other work, a new Pacific Career Development Award has been established: The Sir Thomas Davis Te Patu Kite Rangi Ariki Health Research Fellowship. I was invited to attend a reception hosted by representatives of the Cook Islands Government and community leaders in July as they were deeply honoured by the naming of an award after Sir Davis. The HRC was gifted with a framed photograph of Sir Davis, which now resides outside our main meeting room. 2 The HRC has been fortunate to partner up with a number of international and national organisations to deliver this conference. The Pacific Health Research Committee would like to thank the Conference Planning Committee who have guided much of the work: Dr Colin Tukuitonga (Secretariat of the Pacific Community); Dr Sela Panapasa (the University of Michigan); Abba Fidow (Le Va); Professor Peggy Fairbairn-Dunlop (AUT University); Dr El-Shadan Tautolo (the Pacific Islands Families Study); Dr Tai Sopoaga and Brad Watson (the University of Otago); Dr Teuila Percival (the University of Auckland); Eseta Finau (the Pasifika Medical Association); Hilda Fa’asalele (the Ministry of Health); Professor Keawe’aimoku Kaholokula (John A. Burns School of Medicine, the University of Hawai’i at Mānoa); Everdina Fuli (Pasefika Proud, the Ministry of Social Development); and Dr Yvette C. Paulino (the University of Guam). Registrations for the conference are currently open and you are encouraged to register. Thank you also to our two sponsors, Auckland Council and the Health Promotion Agency. Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa Lastly, we welcome Dr Paula Vivili and Dr Debbie Ryan as new sitting members of the Pacific Health Research Committee, and congratulate Dr Mele Taumoepeau on her appointment as the Pacific Health Research Committee’s new Chair. We also thank and acknowledge the valuable contribution that former HRC Chief Executive Dr Robin Olds and the outgoing Chair of the Pacific Health Research Committee, Dr Edward Saafi, have made to Pacific health research at the HRC. Monuina Dr Nuhisifa Seve-Williams HRC Project Manager, Pacific Health Contact the HRC Project Manager, Pacific Health Dr Nuhisifa Seve-Williams Project Manager, Pacific Health nseve-williams@hrc.govt.nz (09) 303 5225 ✆ Mobile: 021 588 155 Website: www.hrc.govt.nz Physical address: Level 3, 110 Stanley Street, Grafton, Auckland, New Zealand Postal address: PO Box 5541, Wellesley Street, Auckland 1141, New Zealand HRC Pacific News October 2014 generating aspects that are relevant for the development of young people’s health and well-being (Continued from page 1) • the beautiful flowers and their sweet perfume reflect a young person’s beauty (external and internal) and sweet smell • the colourful fruit represent the physical, mental, spiritual, emotional (self-esteem) nutritional, and economic aspects of health Dr Neti Tamarua Herman celebrates gaining her PhD with her supervisors Dr Jennifer Hand (left) and Professor Julie Park (right). “Their individual and joint knowledge, encouragement, enthusiasm, cultural understanding, and belief in me helped keep me going,” says Neti. (Photographs courtesy of the University of Auckland) The results of Neti’s findings led her to develop the “Pu Ara” health promotion model with the help and support of young people and key stakeholders in Vaka Takitumu. The Pandanus Tectorius tree, known as the Pu Ara in Cook Islands Māori, is used by the traditional leaders in the district to represent their leadership body ‘The Pu Ara O Takitumu.’ With the recommendations of some participants, and the permission of the traditional leaders, the Pu Ara concept was adopted as the working metaphor for the model, giving it significant cultural and spiritual meaning, value, and mana. The focus of the model is based on the principles of strength and positive youth development. It takes a holistic approach to health, which is sensitive to the physical, mental, social, emotional, economic, political, cultural and spiritual needs of young Cook Islanders. “The model reflects a major shift in thinking in that adults need to work in close partnership with young people to provide them with the appropriate educational opportunities, learning experiences and support, especially in matters and policies that concern them. Ultimately, the implementation of the model requires a collaborative effort by everyone in the community, including young people.” Neti explains that there are about 600 species of the Pandanus tree globally and four main species in the Cook Islands. In the model, every part of the tree represents positive aspects of a young person, as described in the following: “The Pu Ara model requires adults to recognise and acknowledge that young people must be listened to and not just considered a problem, so they can engage in meaningful activities and decision making, take responsibility for their actions, and actively participate and contribute positively to their families, communities, and nation. We are all responsible and accountable for making sure that our young people’s health, well-being, and potential are realised,” says Neti. Since completing her PhD, Neti has been sharing her findings with Cook Islands communities through a series of workshops. She would like to see the model first implemented in Vaka Takitumu and then evaluated to see whether it has made a difference to the health of the young people before transferring it to other areas in the Cook Islands. • the many different species of Pu Ara represent the diversity in young people • the Pu Ara tree is part of nature’s vegetation; it represents young people as part of the “big picture” of communities • the strong trunk, which is used as posts for traditional houses, represents the strengths in young people • the roots anchoring the tree into the ground signify the family (both nuclear and extended) that provide a strong foundation for young people, and connectedness to the land • the branches and stems connect young people to their communities and environment, such as peers, neighbours, schools, churches, sports groups, government and nongovernment organisations. • the leaves provide thatched roofs for shelter and safety, and are also used for weaving mats, hats and baskets – this relates to economic and revenue- “My thesis is the beginning of a journey to create the conditions where the young people in Vaka Takitumu, and eventually the Cook Islands as a whole, can help themselves, not in isolation, but as partners in youth and national development.” Neti says she is indebted to her supervisors at the University of Auckland, Dr Jennifer Hand and Professor Julie Park, the HRC for her scholarship award, and the young people and communities of Vaka Takitumu in Rarotonga. “It has been an amazing educational journey and I thank my husband, children and families for their encouragement and support. Meitaki maata e Kia Manuia.” Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa 3 HRC Pacific News October 2014 Study suggests a rethink of approach to mental illness for Tongan community By Suzy Botica Massey University lecturer and nursing graduate Dr Sione Vaka has completed his PhD research, which shows that Tongan people’s understanding of mental illness is very different from that of New Zealand’s mainstream hospital system. These differences could affect future mental health treatment options for New Zealand’s Tongan community. community leaders, service users of mental health services, families, and young people. The participants were a mix of those who were born and grew up in New Zealand and those who were born in Tonga. After analysing his findings, Sione classified Tongan constructions and understandings of mental illness into three main categories: Dr Sione Vaka with his wife and son Sione’s research, which was funded by a HRC Pacific Health Research PhD Scholarship, has focused on understanding Tongan cultural attitudes towards mental health. Initially, Sione wanted to explore why the 2006 ‘Te Rau Hinengaro: The New Zealand Health Survey’, showed that Pacific people born in the islands have a lower risk of developing mental illness than those who are born in New Zealand. However, as Sione began his PhD, he says it became clear that he needed to first find out what mental illness means for Pacific people. Coming from Tonga himself, Sione decided to drill his study down to focus on the Tongan community because “while there are similarities 4 between Pacific communities, we also have our important differences”. “I’m really glad that I asked ‘what does mental illness mean for Tongan people?’ first. All the time we’ve been talking about depression, yet our Tongan community doesn’t think of depression in the same way as the New Zealand health system. There’s not even a Tongan word for depression or schizophrenia. Sometimes in the health field, we try to get in and fix the problem quickly, rather than first ask what the problem actually is,” says Sione. For his study Sione used the traditional talanoa process of telling stories with seven groups of Tongan men, women, Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa The Tongan construction of mental illness. This approach views people with mental illness as being “possessed by the spirit” or suffering from “illnesses from the grave”. Sione says this view is strong in the Tongan community, especially among men and community leaders. “In the traditional Tongan view, health is about our relationship with the living and the supernatural world. Any disruptions to this relationship causes illness. In terms of treatment [for mental illnesses], people will try to find a healer who can restore those relationships that have been broken rather than go to hospital.” The biopsychosocial construction of mental illness. This approach views biological (e.g., chemical imbalances in the brain), psychological (e.g., thoughts and emotions), and social factors as all playing a part in a person’s state of mind. This view is predominant in the New Zealand health system and is more common among young New Zealand-born Tongans. “New Zealand’s hospital system focuses much more on the relationship between the physical processes of the brain and mental health, whereas the Tongan view HRC Pacific News October 2014 focuses more on the spiritual side,” says Sione. An intersection of the Tongan and biopsychosocial constructions of mental illness. Sione found that this combined approach was more common among Tongan women and families. Sione says his findings suggest that our mental health system’s cultural services may not be taking into account the views of different groups within an ethnic community. “Sometimes our health system’s cultural services might suit only one group of people. For example, New Zealandborn Tongan youth might think that the traditional Tongan construct is not really helping them, and they are happy to be in the hospital system. However, it might be a different story for those youths’ parents who may have been brought up in the traditional system.” Sione has been approved the award of Doctor of Philosophy for his thesis and plans to graduate with his students at Massey University’s School of Nursing in April next year. After that, he would like to return to his original research proposal and explore why New Zealand-born Tongans are more at risk of mental illnesses than those born in Tonga. He suspects that the 2006 New Zealand Mental Health Survey may have only picked up those in the Tongan community who accessed the hospital system, and not those who went to traditional healers. With the World Health Organization predicting that mental illness will be the second biggest health issue facing the globe by 2020, only behind heart disease, Sione says it’s very rewarding that his research has contributed new indigenous knowledge to the mental health field. “It would be really interesting to find out why our Tongan kids born here are at higher risk of mental illnesses. Do they access hospital care or traditional healers? There are other issues to consider as well. Growing up in Tonga, the social network is strong. In New Zealand, society is more fragmented and drugs and alcohol are much more readily available.” Although I may be the one who gets the certificate, this PhD research was a collective effort with my community who have supported me throughout and for whom I hold close to my heart.” New Pacific health research fellowship In July the HRC was pleased to announce a new Pacific Career Development Award named The Sir Thomas Davis Te Patu Kite Rangi Ariki Health Research Fellowship. This fellowship recognises the contributions that Sir Davis LLD honoris causa, DTM and H, MBChB, MPH, MD honoris causa, has made to clinical practice and biomedical and public health research, in a distinguished career spanning 62 years in the Cook Islands, New Zealand, and the USA. “My people have been struggling here in New Zealand. This study has informed health services that this is how Tongan people feel about mental illness, and the findings could translate to other Pacific groups as well. * Dr Sione Vaka will be presenting his findings on Tongan constructions of mental illness at the International Pacific Health Conference in Auckland on 3–5 November 2014. Upcoming closing dates For an up-to-date list of all application registration, opening and closing dates, please go to the HRC website: www.hrc.govt.nz. Programmes Full application – online submission system closes 15 October 2014, 12pm (noon) Programmes Full application – hard copy due at the HRC 17 October 2014, 5pm Explorer Grants Full application – online submission system closes 31 October 2014, 12pm (noon) Explorer Grants Full application – hard copy due at the HRC 4 November 2014, 5pm Representatives of the Cook Islands Government and community leaders gifted this framed photograph of Sir Davis to the HRC in honour of the new award. Projects Full application – invitation only – online submission system closes 19 November 2014, 12pm (noon) For more information on this fellowship, go to www.hrc.govt.nz/funding-opportunities/pacificdevelopment. Projects Full application – hard copy due at the HRC 21 November 2014, 5pm Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa 5 HRC Pacific News October 2014 Curing cancer a life-long dream for awarding-winning Pacific researcher By Suzy Botica A succession of serious illnesses in her family, combined with the sudden passing of her beloved father, severely tested Dr Dianne Sika-Paotonu’s resolve to complete her PhD. But finish it she did. Now, numerous awards later, Dianne has carved out a successful research and academic career, which is centred on her passion for cancer and immunology research. More success was to follow when in 2006 Dianne, who is of Tongan descent, was awarded a HRC Pacific Health Research PhD Scholarship to work with the cancer vaccines team at the Malaghan Institute of Medical Research in Wellington. Dianne’s role in the research team was to carry out the basic science preclinical studies. Her thesis was titled ‘Increasing the potency of dendritic cell-based vaccines for the treatment of cancer’. Dr Dianne Sika-Paotonu “When I was eight years-old, I had a close family friend pass away from cancer. This was the first time that I had seen someone battling with this disease. I decided then and there that I wanted to cure cancer,” says Dianne. After taking all the science subjects at school and gaining a Bachelor of Science and Bachelor of Biomedical Science at Victoria University in Wellington, Dianne completed a Master’s degree (First Class Honours) in Molecular Pathology at Victoria, undertaking her project with the Wellington School of Medicine and Health Sciences at Otago University. This research involved the computerised morphometric analysis of renal cell carcinoma tumours, and culminated in the publication of three articles in the American Journal of Surgical Pathology. 6 “This work explored the modification of these cancer vaccines to launch stronger immune responses against cancer tissue,” explains Dianne. “The vaccine approach to fighting cancer holds tremendous potential, although further development is still required before these cancer vaccines can become a front-line treatment.” For her part in this work, Dianne received numerous national and international awards, including the MacDiarmid New Zealand Young Scientist of the Year (Advancing Human Health & Wellbeing category); Colmar Brunton Research Excellence Award; and the Australasian Society of Immunology BD Science Communication Award. “There’s cancer in my family and that definitely served as an impetus for me to persevere with my research,” says Dianne. In 2011, Dianne moved to Victoria University of Wellington to establish and coordinate the postgraduate pharmacology course and co-teach Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa the pathophysiology paper at the university’s Graduate School of Nursing, Midwifery and Health based at Wellington Hospital. Still there, she has relished the opportunity to communicate science and research that is meaningful for students, and to promote science in the Pacific community. “There’s a famous quote by Einstein, that ‘those who have the privilege to know have a duty to act’. That’s a quote I’ve always carried with me,” says Dianne. “Although my career has been focused on biomedical science, I’ve always had a strong pull to give back to my Pacific community. I’m actively involved in mentoring young Pacific people in Wellington, and do so in a voluntary capacity. I regularly speak with church-based Pacific groups and visit schools to promote science among Pacific students. I’m also a member of the Equity team here at the Graduate School, offering guidance and support to Pacific students.” Dianne is currently awaiting funding decisions on potential project collaborations and has spent part of this year studying with the Otago University of Wellington Department of Public Health. “Being a Pacific researcher means that I have the opportunity to not only serve my Pacific community, but also contribute to the biomedical science and health research communities. I’m honoured to act as a bridge between these groups.” HRC Pacific News October 2014 HRC Pacific Health Research Committee welcomes new members Dr Paula Vivili – Acting Director of the Secretariat of the Pacific Community’s (SPC) Public Health Division – has joined the HRC’s Pacific Health Research Committee as its Pacific regional representative. Before joining SPC in 2013, Paula was the Medical Superintendent of Vaiola Hospital in Tonga and had also been head of the hospital’s NonCommunicable Diseases/Health Promotion Unit and Ophthalmology Section. He was involved with the development of the ‘Tonga National Strategy to Prevent and Control Non-Communicable Diseases 2010–2015’ as well as the establishment of the Tonga Health Promotion Foundation (TongaHealth). Paula was the President of the Tonga Medical Association from 2010 to 2013 and a board member of TongaHealth from 2008 to 2013. He is currently Vice-President of the Pacific Eye Care Society. Dr Debbie Ryan was confirmed as a new sitting member of the HRC Pacific Health Research Committee at the HRC Board meeting in Auckland last month. Debbie is the Director of Pacific Perspectives, a company she established in 2008 to deliver mentoring, and Pacific workforce and capability development in public sector organisations. She is a medical practitioner and a former public service leader of Pacific health policy and implementation. Debbie has more than twenty years of involvement in the health sector as a clinician, and in governance, management, public policy development, regulation, national standards, implementation, and health service delivery in New Zealand and the Pacific. Her key areas of interest have been health inequalities, primary care, evidence-based health care policy and the service delivery interface with Pacific populations. The HRC Pacific Health Research Committee extends a very warm welcome to both Paula and Debbie. (Continued on page 8) Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa 7 International Pacific Health Conference 2014 Packed programme for International Pacific Health Conference 2014 Presentations The HRC has had a fantastic response to its call for abstracts for the International Pacific Health Conference in Auckland on 3 to 5 November 2014. More than 90 speakers will present their research findings at the conference. The speakers featured reflect the rich diversity of the Pacific and beyond, and include those from New Zealand, Australia, the United States (including Hawai’i and Guam), Tonga, American Samoa, Papua New Guinea, the Federated States of Micronesia, Northern Mariana Islands, Bangladesh, and Thailand. The presentations are divided up into the following streams: child and youth; partnerships and capacity building; innovation and technology; behavioural and mental health; reproductive health; noncommunicable/communicable diseases; and environmental health. You can view the full programme on the conference website at http:// pacificconference.hrc.govt.nz. To give you a taste of what’s in store at the conference, here’s a sample of some of the presentations: Dr Ofa Dewes – The University of Auckland Parent-focused weight management programme for Pacific children Dr Ofa Dewes is principal investigator of a HRC-funded implementation and evaluation study on a systems-based approach to obesity prevention and weight management in Pacific church communities, in collaboration with investigators from the University of Otago and University of Hawai’i at Mānoa. The study discussed in this presentation builds on her previous work in the ‘Obesity Prevention in Communities’ project and its successor, a parent-focused randomised controlled trial on weight management in children. Ms Gayle Lafaiali’i – New Zealand’s Ministry of Health Rheumatic fever: Pacific engagement strategy Gayle has been programme manager across three Ministry of Health-funded rheumatic fever prevention contracts which rolled out in New Zealand under urgency from September 2013. Rheumatic fever hospitalisation data over the last decade has been on the rise despite government health interventions. Pacific families are over represented in the statistics, with significantly higher incidence rates among Pacific communities. Incidence rates of rheumatic fever for children aged 5 to 14 years were 40 times higher for Pacific and 20 times higher for Māori children compared to nonMāori non-Pacific children from 2000 to 2009. In this presentation, Gayle Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa discusses the key Pacific engagement strategy activities for turning these statistics around. Dr Melissa Stoneham and Professor Mike Daube – Public Health Advocacy Institute, Western Australia If it bleeds, it leads – the portrayal of indigenous health issues in the media One of the factors impacting on the relationship of indigenous Australians to mainstream society is the way in which the media portray indigenous people and issues. There is growing research that suggests that negative media in relation to indigenous Australians perpetuates racist stereotypes among the wider population, and that this type of racism has a major impact on the health of indigenous Australians. To ascertain how the media portrayed Aboriginal health issues in the Australian media, the Public Health Advocacy Institute of Western Australia collected and analysed all articles relating to Aboriginal health from print media in The West Australian, The Australian and The Sunday Times and from the ABC Online news service during 2012. Dr May Okihiro – University of Hawai’i, John A. Burns School of Medicine, Hawai’i, USA Rapid growth in early childhood predicts risk of increased adiposity and insulin International Pacific Health Conference 2014 resistance in Native Hawaiian and Samoan adolescents Insulin resistance is one of the most serious complications of childhood obesity. It increases for type 2 diabetes mellitus, metabolic syndrome, and cardiovascular disease. Native Hawaiian and Other Pacific Islanders (NHOPI) children and adults demonstrate a high prevalence of early obesity and obesity-related comorbidities, especially diabetes and cardiovascular disease. Research has shown that early life factors, including formula feeding and rapid growth in infancy and early childhood, are associated with obesity. However, few of these studies have focused on highrisk indigenous populations, such as NHOPI. May and her team sought to understand (1) what early life factors influence the development of chronic disease risk, such as early obesity and insulin resistance, in NHOPI adolescents; and (2) when these factors have their greatest impact on future chronic disease risk. Keynote speakers We are delighted to have six exceptional keynote speakers presenting at the conference, including Professor Sir Mason Durie, KNZM, and Professor Keawe‘aimoku Kaholokula, both of whom have a wealth of experience and knowledge in health research. You can read full biographies of the keynote speakers at http://pacificconference.hrc.govt.nz/ keynote-speakers. Professor Sir Mason Durie, KNZM (Retired) Professor of Māori Research and Development and Assistant Vice-Chancellor (Māori and Pasifika), Massey University Keynote presentation: Monday, 3 November 2014: Principles for the advancement of Pasifika health in the 21st century Professor Keawe‘aimoku Kaholokula Dr El-Shadan Tautolo AUT University, Auckland John A. Burns School of Medicine at the University of Hawai’i at Mānoa, Hawai’i, USA Keynote presentation: Pacific fathers: Cultivating our future leaders Keynote presentation: Tuesday, 4 November 2014: Register now Pacific aspirations and determinants of health in a global context Panel of Pacific health leaders of tomorrow (Wednesday, 5 November 2014) Dr Dianne SikaPaotonu Lecturer (Pharmacology and Pathophysiology), Victoria University of Wellington Keynote presentation: Designer vaccines: A Pacific journey through the New Zealand science, health and research communities There’s still time to register for the International Pacific Health Conference, with registrations open until Friday, 24 October 2014. Full registration (waged) is $380.00 (including dinner), while full registration (unwaged) is $230.00 (including dinner). The day rate is $100 (waged) and $50 (unwaged), with dinner $80 per person. To register, just go to the conference website at http://pacificconference.hrc.govt.nz/ registration. Please note: There is no cost for attending the welcome reception hosted by the HRC for conference attendees on Sunday, 2 November at 6pm. For more information about the conference, please contact Dr Nuhisifa Seve-Williams at the HRC, email: nseve-williams@hrc.govt.nz. Sponsors: Dr Yvette C. Paulino Assistant Professor of Health Sciences, University of Guam, Guam, USA Partners: Keynote presentation: Areca (Betel) nut chewing and health implications in Micronesia Seini Jensen Pasifika Futures, Auckland Keynote presentation: Pacific evaluation for our Pasifika future Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa HRC Pacific News October 2014 (Continued from page 7) New Chair appointed to Pacific committee Dr Mele Taumoepeau has been appointed the new Chair of the HRC’s Pacific Health Research Committee, replacing the outgoing Chair Dr Etuate Saafi. Dr Taumoepeau, who is a current member of the committee, is a lecturer in the Department of Psychology at the University of Otago. The HRC Board, Secretariat, and members of the Pacific Health Research Committee would like to congratulate Dr Taumoepeau on her appointment and thank Dr Saafi for his valuable contribution to the committee. Dr Taumoepeau’s research interests include preschool children’ socioemotional development, the role of parent-child conversations about mental states in preschool children’s social understanding, cross-cultural differences in parent-child conversations about the mind, and child language development. She has extensive experience in conducting small scale longitudinal studies with children and their families. For the past three years her research has focused on understanding the role of parent-child conversations in the development of children’s social cognition in Pacific Island families. Dr Taumoepeau trained and practiced as a speech and language therapist before obtaining her PhD in developmental psychology from the University of Otago in 2006. In 2008 she was awarded a HRC postdoctoral fellowship. She joined Otago University’s Psychology Department in 2011. (Source: University of Otago website) About HRC Pacific News Current and past issues of HRC Pacific News can be viewed on the HRC website: www.hrc.govt.nz. Contributions are welcome. All articles in HRC Pacific News may be reprinted, provided the source is acknowledged. If you would like to subscribe to HRC Pacific News, please email info@hrc.govt.nz, put ‘Subscribe HRC Pacific News’ in the header and include your name and mailing address details. You can also use this email address to advise us if you no longer wish to receive HRC Pacific News. 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