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	<title>Dementia &#8211; Asia Pacific Report</title>
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		<title>&#8216;They’re scum.&#8217; F bombs and real bombs. Trump completely outclassed by Iran</title>
		<link>https://asiapacificreport.nz/2026/07/09/theyre-scum-f-bombs-and-real-bombs-trump-completely-outclassed-by-iran/</link>
		
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		<pubDate>Thu, 09 Jul 2026 10:56:53 +0000</pubDate>
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					<description><![CDATA[COMMENTARY:  By Eugene Doyle “They’re scum … they’re led by sick people and they’re vicious, violent people. There’s something wrong with them. They’re cuckoo. As far as I’m concerned, it’s over.” Trump said after bombing Iran yesterday and and again today &#8212; and threatening to tear up the MOU. The pussy-grabbing &#8220;Leader of the Free ]]></description>
										<content:encoded><![CDATA[<p><strong>COMMENTARY:</strong>  <em>By Eugene Doyle</em></p>
<p>“They’re scum … they’re led by sick people and they’re vicious, violent people.</p>
<p>There’s something wrong with them. They’re cuckoo. As far as I’m concerned, it’s over.” Trump said after bombing Iran yesterday and and again today &#8212; and threatening to tear up the MOU.</p>
<p>The pussy-grabbing &#8220;Leader of the Free World&#8221; has always had poor impulse control but we are moving into a new phase with F-bombs, real bombs and threats to entire civilisations becoming daily occurrences.</p>
<p>What has largely been left unreported after Trump’s outburst at the NATO Summit in Ankara is the elegant response from the Iranians.</p>
<ul>
<li><a href="https://www.aljazeera.com/news/liveblog/2026/7/9/iran-war-live-one-killed-as-us-bombs-bushehr-chabahar-bandar-abbas-jask"><strong>READ MORE:</strong> Tehran hits Bahrain, Kuwait, Qatar after deadly US strikes</a></li>
<li><a href="https://www.aljazeera.com/video/newsfeed/2026/7/5/millions-attend-funeral-prayers-for-irans-khamenei-and-family">Millions attend funeral prayers for Iran’s Ayatollah Khamenei and family</a></li>
<li><a href="https://asiapacificreport.nz/?s=War+on+Iran">Other war on Iran reports</a></li>
</ul>
<p>Iran’s Fars News Agency reported Foreign Minister Seyed Abbas Araghchi dismissing Trump’s insulting remarks. He stressed that Tehran does not answer vulgarity with vulgarity, but with action.</p>
<blockquote class="twitter-tweet">
<p dir="ltr" lang="en">FM: Iran Not to Answer Vulgarity with Vulgarity, But with Action<a href="https://t.co/iFneZILzw2">https://t.co/iFneZILzw2</a> <a href="https://t.co/vyy3T2wfSY">pic.twitter.com/vyy3T2wfSY</a></p>
<p>— Fars News Agency (@EnglishFars) <a href="https://x.com/EnglishFars/status/2074957497329176688?ref_src=twsrc%5Etfw">July 8, 2026</a></p></blockquote>
<p><script async src="https://platform.x.com/widgets.js" charset="utf-8"></script></p>
<p>&#8220;Addressing the Civilised and Courageous Nation of Iran with derogatory language does not diminish its Greatness,&#8221; Araqchi said. He added that Iranians were renowned for their “civility, culture, and strong moral values&#8221;.</p>
<p>I can vouch for that. I have visited Iran a couple of times, most recently in 2018, and have friendships with Iranians today. Some are anti-government, some are pro-government; all are intelligent, courteous people.</p>
<p>Travelling through Iran it is impossible not to notice that good manners and generosity are deeply embedded in Iranian culture.</p>
<p>And then there’s the Americans.</p>
<p><strong>Best-in-class days gone</strong><br />
I remember attending the APEC summit in Kuala Lumpur in 1998 with the New Zealand delegation. At the time the American diplomats were considered best-in-class, to be emulated. Those days are long gone.</p>
<p>When Trump said in an earlier threat over the Strait of Hormuz: “You close it and you won&#8217;t have a country. You won&#8217;t even make it back to your fucking country” his diplomats made no efforts to soften the edges.</p>
<p>Trump threatened to end the entire Iranian civilisation overnight and the collective West did not demur. No class.</p>
<p>The West is now led by a senile version of Sammy The Bull Gravano, the New York mobster &#8212; violent, uncultured and believing that whacking someone is the solution to every problem.</p>
<p>Trump’s outbursts may not simply be a reflection of his lack of moral education but are likely symptomatic of his serious cognitive decline. Dementia experts cite a sudden increase in swearing or crude language as a neurological symptom.</p>
<blockquote>
<p data-rte-preserve-empty="true">The pussy-grabbing Leader of the Free World has always had poor impulse control but we are moving into a new phase with F-bombs, real bombs and threats to entire civilizations becoming daily occurrences.</p>
</blockquote>
<p>While Trump rants, Tehran’s sophisticated diplomatic corps &#8212; packed with PhDs who understand the nuances of international law far better than the real estate agents Trump sends in to bat for the USA &#8212; have quietly outmaneuvered the Americans in purely diplomatic terms.</p>
<p>The reason for Trump’s potty-mouthed tantrum is clear: he’s not getting away with murder.</p>
<p>The Iranians are not letting the Americans and Israelis get away with breaching the Memorandum of Understanding.</p>
<p><strong>Tehran safeguarding sovereignty</strong><br />
Iran’s Foreign Ministry Spokesman Esmail Baqaei stated that the United States has violated the framework of the Islamabad Accord signed by the two countries, stressing that Tehran will firmly safeguard its national interests and sovereignty.</p>
<p>It is impossible to read the text of the MOU and not see that Iran is on firm ground.  Article One of the signed MOU reads:</p>
<p><em>“The Islamic Republic of Iran and the United States of America, and their allies in the current war, by signing this MoU, declare the immediate and permanent termination of military operations on all fronts, including in Lebanon, and undertake from now on not to initiate any war or any military operation against each other, and to refrain from the threat or use of force against each other, and ensuring the territorial integrity and sovereignty of Lebanon. The final Deal will confirm the permanent termination of the war on all fronts, including in Lebanon, and other provisions of this paragraph.”</em></p>
<p><em>Pacta sunt servanda &#8212;</em> &#8220;agreements must be kept&#8221; &#8212; has been a bedrock of international law since before the Roman Empire.  American Exceptionalism has, until now, given itself an exception to the rule. No more, one hopes.</p>
<p>Israel’s war and war crimes in Southern Lebanon have continued since the US signed the MOU.  Iran is imposing a new rule on the Middle East: the rules apply to everyone, including the US and Israel.</p>
<p><img fetchpriority="high" decoding="async" class="moz-reader-block-img" src="https://images.squarespace-cdn.com/content/v1/65d1663c773f8165d6f54468/5b958e48-c50d-4d66-a9a5-6e21c85aabd3/Screenshot+2026-07-09+at+10.48.47%E2%80%AFAM.jpg" alt="" width="1224" height="952" data-stretch="false" data-src="https://images.squarespace-cdn.com/content/v1/65d1663c773f8165d6f54468/5b958e48-c50d-4d66-a9a5-6e21c85aabd3/Screenshot+2026-07-09+at+10.48.47%E2%80%AFAM.jpg" data-image="https://images.squarespace-cdn.com/content/v1/65d1663c773f8165d6f54468/5b958e48-c50d-4d66-a9a5-6e21c85aabd3/Screenshot+2026-07-09+at+10.48.47%E2%80%AFAM.jpg" data-image-dimensions="1224x952" data-image-focal-point="0.5,0.5" data-load="false" data-sqsp-image-classic-block-image="" data-loader="sqs" /></p>
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<p>Manners maketh the man (and woman) is what we all need to learn.  Promises are not made to be broken. Vulgarities and threats have no useful place in diplomacy.</p>
<p><strong>US out of control</strong><br />
The US is out of control and must be stopped. That goes double for Israel who appear to have learnt their manners and their conduct from the Nazis.</p>
<p>For those reasons and more, I hope the sovereign state of Iran sees off the existential threat the collective West poses to it and the country emerges from the dark decades of external menace as a vibrant and successful society for all its citizens.</p>
<p>Securing control of the Strait of Hormuz is a practical step to ensure the US-Israeli war of aggression faces serious consequences and Iran is treated with the courtesy and respect it deserves as an equal member of the international community of nations.</p>
<p><em><a href="https://www.solidarity.co.nz/about">Eugene Doyle</a> is a writer based in Wellington, New Zealand. He has written extensively on the Middle East, as well as peace and security issues in the Asia Pacific region. He also contributes to Asia Pacific Report. He hosts <a href="http://solidarity.co.nz/"><u>solidarity.co.nz</u></a>.</em></p>
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		<item>
		<title>Helen Reddy: A tribute to my father, Fiji&#8217;s visionary Jai Ram Reddy</title>
		<link>https://asiapacificreport.nz/2022/08/30/helen-reddy-a-tribute-to-my-father-fijis-jai-ram-reddy/</link>
					<comments>https://asiapacificreport.nz/2022/08/30/helen-reddy-a-tribute-to-my-father-fijis-jai-ram-reddy/#comments</comments>
		
		<dc:creator><![CDATA[APR editor]]></dc:creator>
		<pubDate>Tue, 30 Aug 2022 03:25:33 +0000</pubDate>
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		<guid isPermaLink="false">https://asiapacificreport.nz/?p=78573</guid>

					<description><![CDATA[OBITUARY: By Helen Nalina Reddy, Jai Ram Reddy&#8217;s daughter “My Fiji I offer a vision which sees this beloved land of ours united in its diversity, forged out of its adversity, and built on trust. I offer you a vision of Fiji which historians will say that, in the midst of tragedy, we found courage ]]></description>
										<content:encoded><![CDATA[<p><strong>OBITUARY:</strong> <em>By Helen Nalina Reddy, Jai Ram Reddy&#8217;s daughter<br />
</em></p>
<p><em>“My Fiji</em><br />
<em>I offer a vision which sees this beloved land of ours united in its diversity, forged out of its adversity, and built on trust. I offer you a vision of Fiji which historians will say that, in the midst of tragedy, we found courage and wisdom, and foresight and determination to lead the nation away from the precipice into a prosperous future. I can only hope that my vision for this most wonderful of nations will fulfil its promise. I can only pray that we who have the moment at hand will find the courage, the strength and the determination to let the past be the past and build a nation that will stand not just to 20/20, but down through the centuries.”</em><br />
&#8212; Jai Ram Reddy, 1993</p>
<hr />
<p>This moment asks a lot of me and all of us. I write these words with a heavy heart but also a sense of great pride and privilege which is only afforded to me because I happen to be the daughter of the lawyer, judge, and Indo-Fijian statesman, Jai Ram Reddy, who died in Auckland last night aged 85.</p>
<p>Historians, political commentators, and analysts will define their narratives about my father. I am a daughter who simply seeks to celebrate and mark his life and legacy with a personal perspective about him, his legal and political career.</p>
<p>I am conscious that many of those who will read this piece are, like me, the descendants of indentured labourers “Girmitiyas”, who were brought from India to Fiji during colonial rule.</p>
<ul>
<li><a href="https://asiapacificreport.nz/2021/10/27/dementia-tsunami-by-2050-likely-to-hit-pasifika-maori-asian-communities/"><strong>READ MORE:</strong> Dementia tsunami by 2050 ‘likely to hit Pasifika, Māori, Asian communities’</a></li>
<li><a href="https://www.rnz.co.nz/international/pacific-news/473740/indo-fijian-judge-and-political-trailblazer-jai-ram-reddy-dies">Indo-Fijian judge and political trailblazer Jai Ram Reddy dies</a></li>
<li><a href="https://asiapacificreport.nz/?s=Jai+Ram+Reddy">Other reports on Jai Ram Reddy</a></li>
</ul>
<p>Like many of their generation, my grandparents, Pethi and Yenkatamma Reddy were farming folk who wanted a better future for their children. They worked the field and saved with a view to sending their eldest son, Jai Ram, to study law in New Zealand.</p>
<p>Their dreams were realised, and my father was admitted as a barrister and solicitor in 1960.</p>
<p>Further to his admission to the New Zealand bar, Dad returned to Fiji and enjoyed a long and illustrious career as a lawyer. He was the Minister of Justice and Attorney-General of Fiji (during the short-lived Bavadra Labour government of 1987) and President of Fiji’s Court of Appeal in the early 2000s.</p>
<p>I never did have the opportunity to observe my father in the courtroom, but I have heard and read much about his formidable advocacy skills and forensic legal mind. His areas of practice were broad, but he was particularly invested in criminal law and practice.</p>
<p><strong>Unwavering commitment</strong><br />
I understand he could be a pit-bull in the courtroom and had an unwavering commitment to his clients.</p>
<p>In 2003, the United Nations General Assembly elected Dad as a member of the International Criminal Tribunal for Rwanda (ICTR). He was based in Arusha, Tanzania, and my son and I visited him in 2007.</p>
<p>He was sitting on a bench comprised of two other international jurists, one of whom was the President of the Tribunal, Judge Eric Mose. The four defendants were military men accused of genocide against the Tutsi population in Rwanda during the early 1990s.</p>
<p>On the day we attended his court room, I distinctly recall Dad challenging one of the Canadian advocates on a technical point to which the advocate responded, “Judge Reddy always asks the difficult questions”. He was considered one of the finest judges there.</p>
<p>As a lawyer, I found the proceedings fascinating and as a daughter, I felt very proud.</p>
<p>Of course, none of us are defined solely by our professional life or public profile and it would feel incomplete not to mention some of my father’s other interests. He loved the odd gamble on the horses and as a young child, I recall being dragged to the Ellerslie races on more than a few occasions.</p>
<p>Dad also loved literature, philosophy, and comedy. Those who knew him intimately will recall his reverence for the prose of William Shakespeare and his uncanny ability to recite Shakespearean sonnets and soliloquies &#8212; even when his Alzheimer’s was quite advanced.</p>
<p><strong>Interest in philosophy</strong><br />
As a young, idealistic student, he developed an interest in philosophy and his outlook and perspectives were shaped by both Eastern and Western writers and intellectuals. Possessing a dry, acerbic wit, he enjoyed satire and comedy &#8212; particularly the British variety &#8212; and was an ardent fan of all things involving Monty Python and other comics of that tradition.</p>
<p>He also liked old Hindi songs but loved <em>ghazals</em> the most. He wasn&#8217;t the greatest singer but after a couple glasses of red wine, he would sing along to those old melodies with much gusto at dinner parties. It made him happy.</p>
<p>Like all of us, my father’s life was punctuated by both highs and deep sadness. My dear brother Sanjai’s untimely death was devastating for Dad, as it was for all of us. Despite his own grief, he remained a devoted and supportive father and grandfather to his three surviving children and five grandchildren whilse continuing a demanding role as a jurist at the ICTR.</p>
<p>It cannot have been easy in the circumstances. Dad undoubtedly had an intellectual disposition and for much of his life, his interests and preoccupations were principally cerebral in nature. However, with age, he became less preoccupied with such matters and his renowned social reticence, and &#8220;short fuse&#8221; receded and was replaced by a person who was more relaxed, emotionally accessible and at ease with communicating on a more personal level.</p>
<p>I will treasure the memory of some of conversations we shared in his later years.</p>
<p>As to his political life, Dad was initially a senator in the early 1970s before his election as Leader of the Opposition in 1977. Politically he was a social democrat with liberal instincts. Throughout his long political career, he argued for equity, social justice, and racial equality.</p>
<p>Vehemently opposed to the death penalty on the grounds it offends the inalienable right to life, he, among others, advocated for its abolition in Fiji. He also supported the legitimatisation of same-sex unions and led the parliamentary debate against French nuclear testing in the Pacific.</p>
<p><strong>Committed to multi-culturalism</strong><br />
I suspect; however, my father will ultimately be remembered for his commitment to the values of multi-culturalism and pluralism.</p>
<p>When reflecting on his political legacy, I am cognisant of how urgent and prescient my father’s brand of politics might feel given the rise and global reach of ethnic nationalism and identity politics. Dad firmly believed that leadership in the Fijian context required moral courage, an empathy for &#8220;the other&#8221; and an acute appreciation of how history and context shaped the political and social fabric of the country.</p>
<p>It is through him; I developed an understanding of the importance of adopting a pluralist approach and working across the political aisle for the greater good of all communities in Fiji.</p>
<p>Similarly, I developed an appreciation of how the colonial legacy of divide and rule cultivated and fostered the deep racial divide, mistrust and communalism which have featured so tragically in Fiji&#8217;s political landscape. An appreciation of context is obviously so important, but Dad’s message was that we all share a collective responsibility to reflect, critique and overcome the historical legacies, structures and values which impede the art of empathy and compromise.</p>
<p>Following the military coup of 1987, my father had the singular honour of being the first Indo-Fijian to be invited to speak to the Great Council of Chiefs. It was a seminal moment as Fiji was on the precipice of ratifying a progressive new constitution. In that speech, he talked about the respective fears and interests of both the indigenous Fijian and Indo-Fijian communities.</p>
<p>He also spoke of the importance of power-sharing in the context of a politically and socially fractured Fiji following the military coups in 1987. I quote Dad’s final words from that speech:</p>
<p><em>“In one of his nation’s darkest hours, that courageous and visionary leader, Franklin Roosevelt, said, and I quote: &#8216;</em><em>to some generations much is given; of other generations much is asked. </em><em>This generation has a rendezvous with destiny.&#8217;</em></p>
<p><em>&#8220;Much was asked of Ratu Cakobau’s generation of Chiefs. Much is asked of this generation of Chiefs. Much is asked of us all.</em></p>
<p><em>&#8220;Let us therefore gather our courage and set ourselves united to the finishing of the noble task to which our history, our heritage and our motherland now call us. This generation must keep its rendezvous with destiny. And to future generations, much will be given.”</em></p>
<p><strong>Defining moment squandered<br />
</strong>From the perspective of many, that defining moment was squandered and the tragic events which have taken place in Fiji over the past two decades speak volumes. I know how profoundly disappointed my father was that his vision of an inclusive society was mercilessly rebuked by what he described as &#8220;narrow-minded partisanship&#8221;.</p>
<p>Of course, another military coup then took place, and the rest is history. Notwithstanding those events, may the arc of history bend towards that rendezvous he spoke of on that hopeful occasion.</p>
<p>May his dream of a fully democratised Fiji be realised and let it be a Fiji with fair and accessible rights to political representation, education, and economic parity for all its people.</p>
<p>On this saddest of occasions, it feels fitting to conclude with a quote from that great, visionary civil rights leader Dr Martin Luther King Jr:</p>
<blockquote><p>“There comes a time when one must take a position that is neither safe, nor politic, nor popular, but he must take it because conscience tells him it is right”.</p></blockquote>
<p>Rest in Peace my dear father.<br />
Om Shanti<br />
Gole ena vakacegu</p>
<p><em>Helen Nalina Reddy</em><br />
<em>London</em></p>
]]></content:encoded>
					
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		<title>Dementia tsunami by 2050 &#8216;likely to hit Pasifika, Māori, Asian communities&#8217;</title>
		<link>https://asiapacificreport.nz/2021/10/27/dementia-tsunami-by-2050-likely-to-hit-pasifika-maori-asian-communities/</link>
		
		<dc:creator><![CDATA[Sri Krishnamurthi]]></dc:creator>
		<pubDate>Tue, 26 Oct 2021 13:01:01 +0000</pubDate>
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		<guid isPermaLink="false">https://asiapacificreport.nz/?p=64927</guid>

					<description><![CDATA[SPECIAL REPORT: By Sri Krishnamurthi for Asia-Pacific Report The warning is stark &#8212; New Zealand is on the verge of a “tsunami&#8221; of dementia cases and the government can ill-afford to merely acknowledge the University of Auckland&#8217;s Dementia Economic Impact Report 2020. And while it may not receive the priority which goes to dealing with ]]></description>
										<content:encoded><![CDATA[<p><strong>SPECIAL REPORT:</strong><em> By Sri Krishnamurthi for Asia-Pacific Report</em></p>
<p>The warning is stark &#8212; New Zealand is on the verge of a “tsunami&#8221; of dementia cases and the government can ill-afford to merely acknowledge the University of Auckland&#8217;s <a href="https://cdn.alzheimers.org.nz/wp-content/uploads/2021/09/Dementia-Economic-Impact-Report-2020.pdf">Dementia Economic Impact Report 2020.</a></p>
<p>And while it may not receive the priority which goes to dealing with the covid-19 pandemic, it is nonetheless a concern.</p>
<p>The report found an estimated 69,713 people &#8212; or 1.4 percent of the population &#8212; were living with dementia in 2020 and that number is projected to more than double to 167,483 &#8212; or 2.7 percent of the population &#8212; by 2050.</p>
<ul>
<li><a href="https://www.rnz.co.nz/national/programmes/checkpoint/audio/2018814357/number-of-nzers-with-dementia-will-increase-in-30-years-report"><strong>READ MORE:</strong> Number of New Zealanders with dementia will increase in 30 years &#8212; report &#8212; RNZ <em>Checkpoint</em></a></li>
</ul>
<figure id="attachment_65263" aria-describedby="caption-attachment-65263" style="width: 300px" class="wp-caption alignright"><a href="https://cdn.alzheimers.org.nz/wp-content/uploads/2021/09/Dementia-Economic-Impact-Report-2020.pdf"><img decoding="async" class="wp-image-65263 size-full" src="https://asiapacificreport.nz/wp-content/uploads/2021/10/Dementia-Report-cover-UOA-300tall.png" alt="The Dementia Report" width="300" height="443" srcset="https://asiapacificreport.nz/wp-content/uploads/2021/10/Dementia-Report-cover-UOA-300tall.png 300w, https://asiapacificreport.nz/wp-content/uploads/2021/10/Dementia-Report-cover-UOA-300tall-203x300.png 203w, https://asiapacificreport.nz/wp-content/uploads/2021/10/Dementia-Report-cover-UOA-300tall-284x420.png 284w" sizes="(max-width: 300px) 100vw, 300px" /></a><figcaption id="caption-attachment-65263" class="wp-caption-text">The <a href="https://cdn.alzheimers.org.nz/wp-content/uploads/2021/09/Dementia-Economic-Impact-Report-2020.pdf">Dementia Report 2020</a> cover. Image: APR/UOA</figcaption></figure>
<p>The alarming statistic is that the number of Māori, Pacific and Asian people with dementia is <a href="https://www.rnz.co.nz/national/programmes/checkpoint/audio/2018814357/number-of-nzers-with-dementia-will-increase-in-30-years-report">expected to triple</a>, while the number of Europeans with dementia is expected to double.</p>
<p>“This is the fourth dementia report we’ve written and the last three reports have all talked about the baby boomer generation coming up to retirement age and people living longer,” says Dr Etuine Ma’u, lead author of the report and a Tongan.</p>
<p>“So we have this massive bulge of 65-year-olds coming through since 2011. This report now is saying, look at the tsunami, the surge of cases that is here now,” the senior lecturer at the University of Auckland and consultant psychiatrist at Waikato hospital says, sounded a stark warning.</p>
<p>“It is concerning because at the moment we’re sitting at about 15 percent of the population of people with dementia being Māori, Pasifika and Asian and that is going to rise to a quarter and they are growing a lot quicker because the population is ageing a lot quicker.</p>
<p><strong>Worry that it&#8217;s an underestimate</strong><br />
“The worry is that it is an underestimate and that is because we had a paper out earlier this year looking at the risk factors for dementia and what is shown is that, particularly for Māori and Pacific, their risk factor burden is a lot higher than European which means that they are probably at a higher risk of developing dementia anyway,” Dr Ma’u says.</p>
<figure id="attachment_65271" aria-describedby="caption-attachment-65271" style="width: 300px" class="wp-caption alignright"><img decoding="async" class="size-full wp-image-65271" src="https://asiapacificreport.nz/wp-content/uploads/2021/10/Dr-Etuine-Mau-APR-300wide.png" alt="Dr Etuine Ma’u" width="300" height="213" srcset="https://asiapacificreport.nz/wp-content/uploads/2021/10/Dr-Etuine-Mau-APR-300wide.png 300w, https://asiapacificreport.nz/wp-content/uploads/2021/10/Dr-Etuine-Mau-APR-300wide-100x70.png 100w" sizes="(max-width: 300px) 100vw, 300px" /><figcaption id="caption-attachment-65271" class="wp-caption-text">Dr Etuine Ma’u &#8230; “This is the fourth dementia report we’ve written.&#8221; Image: APR</figcaption></figure>
<p>At the same time that the report was launched, an <a href="https://dementia.nz/updated-dementia-mate-wareware-action-plan-released">updated action plan</a> was also presented to Associate Health Minister Dr Ayesha Verrall.</p>
<p>“The plan is really a call to action for the government, the plan is really trying to highlight to the ministry the urgency of addressing dementia,” Dr Ma&#8217;u says.</p>
<p>While the reports have all been acknowledged, nothing further has been done since 2008.</p>
<p>“I don’t think that they have (the past four governments) paid attention to them in any practical sense. They’ve always acknowledged the reports when they have come out and they’ve always acknowledged that the problem is coming,” Dr Ma’u says.</p>
<p>“I think what is urgent about the current report is that it really shows the problem is here right now.”</p>
<p><strong>Closer to home</strong><br />
For report co-author Auckland University of Technology associate professor Dr Rita Krishnamurthi, a stroke and dementia researcher, it is much closer to home.</p>
<figure id="attachment_65272" aria-describedby="caption-attachment-65272" style="width: 300px" class="wp-caption alignright"><img loading="lazy" decoding="async" class="wp-image-65272 size-full" src="https://asiapacificreport.nz/wp-content/uploads/2021/10/Rita-Krishnamurthi-300wide.jpg" alt="associate professor Dr Rita Krishnamurthi" width="300" height="200" /><figcaption id="caption-attachment-65272" class="wp-caption-text">Associate Professor Rita Krishnamurthi &#8230; “That was my motivation to do something about this insidious disease.&#8221; Image: AUT</figcaption></figure>
<p>Her father, Venkata Chalam, died in July 2014 from dementia and that proved a spur to her studies into dementia.</p>
<p>“That was my motivation to do something about this insidious disease because in the last years of his life it was particularly bad,” she says.</p>
<p>“Culturally too, we weren’t going to put him in aged residential care (ARC) where he wouldn’t get the comforts of home, like food and company that he was comfortable with.</p>
<p>“My mother (Sita) wouldn’t hear it; she insisted that he was cared for at home.”</p>
<p>Cultural and social norms were the primary reasons Māori, Pasifika and the Asian communities were hesitant to make use of the ARC.</p>
<p>“The other problem is that because Europeans (or Pakeha) make up the overwhelming majority of the population over 65 with dementia, all of the interventions and services are pitched at that group,” Dr Ma’u says.</p>
<p><strong>Not culturally appropriate</strong><br />
“So they are not culturally appropriate, they are not really acceptable particularly to Māori, Pasifika and many Asian populations. They are not using those services and that means that they are carrying the burden of care and the cost associated with it themselves.</p>
<p>&#8220;And that is what the report shows quite strongly.</p>
<p>“We need tailored services, we need tailored intervention and what we need the Ministry of Health and the government to wake up to is that if in the next 20 years non-European people with dementia are going to make up a quarter of all the people with dementia then we are going to have to start targeting services and developing services and targeting policy that is acceptable and appropriate to these different groups.</p>
<p>&#8220;There is no one size fits all approach,” he says bluntly.</p>
<p>A year ago research into dementia found 12 significant risk factors that brought the onset of dementia into people.</p>
<p>“There was a big paper that came out a year ago with <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30367-6/fulltext?utm_campaign=tldementia20&amp;utm_source=twitter&amp;utm_medium=social"><em>The Lancet</em></a> which identified 12 potentially modifiable risk factors for dementia and they calculated what is called the population attributable fraction which is effectively the amount of dementia you could potentially prevent if you could completely get rid of those risk factors,” Dr Ma’u says.</p>
<p>“The risk factors broadly speaking fall into two categories &#8212; those that increase the risk of damage to the brain like high blood pressure, diabetes, smoking, alcohol, physical activity and diet and then there are factors that impact on your competent reserve, which is basically your brain’s ability to cope and to compensate for any damage.</p>
<p><strong>Active social network</strong><br />
“That is around maintaining a healthy and active social network, your level of education because it challenges the brain more.</p>
<p>“Hearing is a massive one because people who have difficulty hearing have a problem with socialising.”</p>
<p>The cost of hearing aids in New Zealand is a major prohibiting factor, he says.</p>
<p>“We’re hearing things like funding hearing aids is going to make a massive difference but in New Zealand, they are horrendously expensive.&#8221;</p>
<p>He makes it clear that the health industry is not geared up to deal with the wave of dementia cases that is impending.</p>
<p>“Are we ready, the short answer is &#8216;no&#8217;, it is the message that Alzheimer’s New Zealand wanted to push across when they presented their dementia plan to the Associate Minister for Health,&#8221; he says.</p>
<p>“I don’t think we are prepared: based on the dementia report the costs are really high, estimated at $2.5 billion. Because we are looking at an extra 30,000 people with dementia in the next 10 years and an extra 100,000 people in the next 30 years, even based on today’s dollars, the cost per person is around $30,000-$35,000.</p>
<p>“So we are looking at an extra billion dollars that the government is going to have to find in the next 10 years alone just for dementia and I don’t think the health budget can sustain that.</p>
<p><strong>No cure for dementia</strong><br />
“There is no cure for dementia at the moment, and the only way we can reduce cost is by reducing the prevalence, reducing the number of people.”</p>
<p>He says what is more disquieting is that no studies of the disease have been done in the wider Pacific.</p>
<p>“I don’t know,” he says when asked if studies have been done in the Pacific.</p>
<p>“I can only speak from the Tongan point of view and I can say there are no studies and I’m pretty sure that there aren&#8217;t any in Samoa and Fiji either,” Dr Ma’u says impassively.</p>
<p>“Based on the work we did earlier on the risk factors for dementia in different populations in New Zealand I suspect the prevalence of dementia in the Pacific is going to be quite high, the risk factor burdens are going to mirror those of the Pacific population in New Zealand so I think it is going to be high.&#8221;</p>
<p>While it isn’t getting the daily headlines that covid-19 is, and he acknowledges that the pandemic deserves the attention, as opposed to dementia which is a silent creep.</p>
<p>“Covid-19 is a huge problem, you just have to look at Auckland to see how massive it is, but dementia is an insidious problem that is just going to keep getting bigger if we don’t do anything about it now,” he says.</p>
<p><strong>Costs of healthcare</strong><br />
“The earlier people get diagnosed, the earlier they put interventions in place, the longer they can live well at home and the longer you can delay things like entry to aged residential care (ARC)&#8230; and residential care in New Zealand is where most of the costs of healthcare and the cost of dementia sit.</p>
<p>“We have shown in our report over half of the economic costs of dementia is around social care, predominantly paying for residential care and paying for community care. If we can reduce the number of people entering residential care by supporting them better at home then ultimately you will reduce the costs.</p>
<p>“That’s why personally my big push is around dementia prevention and that is ultimately going to be the way we reduce the costs.</p>
<p>“We are also talking about the need for tailored intervention, the tailored services that Māori, Pasifika and Asian populations are actually going to find acceptable.</p>
<p>“I don’t think we provide the level of service and interventions to people with dementia that they need, there is a deficit all the way across and from my point of view there is a difference in uptake that Europeans use compared to Non-Europeans.</p>
<p>“The report shows that Europeans are using $5000-$8000 more of social care which shows that Māori, Pasifika and Asians don’t go into aged care as much as Europeans do.<br />
“Maori, Pasifika and Asians aren’t wanting to put their loved ones into care because they don’t see it as a place that will meet the needs of their loved ones and that has to change,&#8221; Dr Ma&#8217;u says.</p>
<p>Awareness of dementia is a problem too, how does one discuss a family member suffering from this disease?</p>
<p><strong>Awareness slowly growing</strong><br />
“It is slowly coming to the public’s attention and the awareness is slowly growing,” he says.</p>
<p>“There is a lot of stigma associated with dementia particularly in Pacific cultures, there is a really poor understanding of what dementia is and the names that are used for it.</p>
<p>“The way it is understood varies from being a part of normal ageing and something just happens and you just have to accept it and deal with it.</p>
<p>“Or through it being something of punishment or karma for bad things done in earlier life.</p>
<p>“We need to shift that mentality to reduce that stigma so that people understand that the changes that are happening in someone’s cognition needs to be looked at, needs to be assessed and diagnosed so we can get the interventions early to provide as much support as possible”</p>
<p>The irony is there is no term to describe dementia in the Islands.</p>
<p>“In Tongan, there is no specific term for dementia. In Tonga the psychiatrist (Dr Mapa Puloka) is trying to get a definition as catastrophic decline “Holo Tamaki&#8217;’, effectively trying to describe the deterioration in someone, otherwise, it’s called “Loto Ngalongalo” which means forgetful or they call it “Alasaima’.</p>
<p>“General understanding, they call it crazy ‘fakasesele’.&#8221;</p>
<p>The stigma is such that people don’t talk about the deterioration in one’s mental capacity once caught in its vice-like grip that there is no escape from.</p>
<p><strong>When it becomes real</strong></p>
<figure id="attachment_65273" aria-describedby="caption-attachment-65273" style="width: 300px" class="wp-caption alignright"><img loading="lazy" decoding="async" class="size-full wp-image-65273" src="https://asiapacificreport.nz/wp-content/uploads/2021/10/Jai-Ram-Reddy-300wide.jpg" alt="Jai Ram Reddy" width="300" height="217" /><figcaption id="caption-attachment-65273" class="wp-caption-text">Jai Ram Reddy &#8230; Fiji&#8217;s former Attorney-General and ex-leader if the National Federation Party. Image: APR</figcaption></figure>
<p>This is where it becomes real. Helen Reddy, daughter of the former leader of the National Federation Party, the perennial opposition in Fiji, Jai Ram Reddy comes into focus.</p>
<p>Jai Ram Reddy is currently in Auckland, at an ARC, suffering from Alzheimer’s disease. Gone is the charisma, the magnetism and the flamboyance of the once-proud politician and lawyer who revelled in reciting verse and chapter the works of Shakespeare.</p>
<p>He served as the Minister of Justice and Attorney-General in the coup-stricken Dr Timoci Bavadra government in 1987.</p>
<figure id="attachment_65274" aria-describedby="caption-attachment-65274" style="width: 200px" class="wp-caption alignright"><img loading="lazy" decoding="async" class="size-medium wp-image-65274" src="https://asiapacificreport.nz/wp-content/uploads/2021/10/Helen-Reddy-APR-300tall-200x300.png" alt="Lawyer Helen Reddy" width="200" height="300" srcset="https://asiapacificreport.nz/wp-content/uploads/2021/10/Helen-Reddy-APR-300tall-200x300.png 200w, https://asiapacificreport.nz/wp-content/uploads/2021/10/Helen-Reddy-APR-300tall-281x420.png 281w, https://asiapacificreport.nz/wp-content/uploads/2021/10/Helen-Reddy-APR-300tall.png 300w" sizes="auto, (max-width: 200px) 100vw, 200px" /><figcaption id="caption-attachment-65274" class="wp-caption-text">Lawyer Helen Reddy with her father Jai Ram Reddy in Auckland. Image: APR</figcaption></figure>
<p>He was the first Indo-Fijian that was accorded the right to address Fiji’s Great Council of Chiefs and at the zenith of his powers in 2003, was elected to the International Criminal Tribunal for Rwanda in Tanzania.</p>
<p>Sadly, however, when Helen, herself a lawyer and a senior crown prosecutor in London, endured the MIQ system in Auckland to get to see her father he was a mere shadow of his former self.</p>
<p>That didn’t deter Helen, on one occasion during her visits to see her dad she played a <em>ghazal</em> (old Indian song) from Jagjit Singh.</p>
<p><iframe loading="lazy" title="YouTube video player" src="https://www.youtube.com/embed/zLh5YjkWKZQ" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p>
<p>The lyrics read:</p>
<p><em>“Hmm hmm hmm … ha ha ha</em><br />
<em>Hmm hmm hmm … ha ha ha</em><br />
<em>Hoshwalon ko khabar kya bekhudi kya cheez hai</em><br />
<em>Mindful people don’t know about senselessness</em><br />
<em>Hoshwalon ko khabar kya bekhudi kya cheez hai</em><br />
<em>Mindful people don’t know about senselessness</em><br />
<em>Ishq kijiye phir samajhiye</em><br />
<em>Fall in love, then you’ll understand&#8230;</em><br />
<em>Ishq kijiye phir samajhiye zindagi kya cheez hai&#8230;”</em></p>
<p>As Helen relays wistfully:</p>
<p>“I saw dad again today. Moments of lucidity. I played the first song on this Jagjit Singh track and he stroked my face so lovingly xx”.</p>
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