Fiji’s Health Minister Dr Ratu Antonio Lalabalavu has defended the government’s handling of the country’s HIV crisis.

HIV is surging in Fiji with at least 9000 people — or nearly one percent of the population — reported to be now infected.

There are concerns that the real figure could be significantly higher, with global health experts saying HIV is historically under-reported.

• READ MORE: Other HIV in Fiji reports

The World Health Organisation (WHO) believes the country has been gripped by an “escalating HIV outbreak”.

The island nation declared an HIV outbreak in January last year, with the government calling it “a national crisis” and regional health experts warning that it could spread across the region.

Dr Lalabalavu told Pacific Waves that despite the rising tide of infection the government’s response to the crisis had been “responsible”.

“Look at the [HIV] trend and how it started, it goes way back to 2017, 2018. We are the government that recognised it and now we are doing something about it.”

Budget allocation
The government allocated FJ$10 million (US$4.4 million) in last year’s Budget towards initiatives designed to tackle the problem, he said.

“From last year there have been government initiatives put in place to ensure that we do try and get this under control.”

Alarming stats
The Health Minister revealed some alarming HIV statistics in Parliament earlier this month.

“In 2025, Fiji recorded 2003 new diagnoses, up from 1583 in 2024, with the national rate diagnosis rising to 226 per 100,000, up from 13 per 100,000 in 2019 — a 17-fold increase,” he said.

“Men remain more affected, but the gap is narrowing, showing that infection is increasingly affecting women and families.”

On top of that, a new trend has emerged showing that the number of HIV-positive newborns is on the rise, according to the head of Fiji’s National HIV Outbreak and Cluster Response team, Dr Jason Mitchell.

Sixty babies were born with HIV last year, up from 31 cases in 2024 and more than 3 percent of women attending antenatal care in Fiji were testing positive for HIV, with the number slightly higher in the capital, Suva, Dr Mitchell said.

One baby is being diagnosed with HIV every week due to mother-to-child transmission, and one child is dying every month from advanced HIV disease.

Mother-to-child transmission
Mother-to-baby transmission is a growing concern, according to treatment support worker Dashika Balak.

“They (the mothers) test negatively initially but over the course of the pregnancy they acquire HIV,” Balak said.

“This is a new trend that we are seeing, because these women may not have risky behaviours but most of the partners are injecting drug users and in pregnancy people do have sex.”

Testing during pregnancy is now underway to reduce the risk of transmission to babies, she said.

Dr Lalabalavu has admitted that sexual promiscuity and drug use among youth in particular are huge contributing factors in the HIV epidemic.

Asked exactly how the government planned to address this, he said “a behavioural change programme” was needed to ensure that happens.

“It is part of the plan, you need good planning and a programme to ensure that is implemented across the board,” he said.

“It is not just something for the Ministry of Health, it’s for the various ministries, important stakeholders, the vanua, the church and the family in general.”

Conservative beliefs
Although there were plans to introduce a vital needle and syringe exchange programme, its rollout would take time, Dr Lalabalavu said.

“We will have to tread carefully in terms of how it is accepted within the community, and also we need to look into the legal aspect of it. So we are in the final stages of ensuring that the programme is endorsed.”

Cultural and religious beliefs played a part in the sensitivity around the issue in Fiji, he said.

“First of all, you need to create awareness that by doing this we are not advocating for drug use. That is the challenge and the narrative that we need the general public are aware of,” he said.

“Right now we are looking at avenues to ensure that we get the message to important stakeholders such as the community, the vanua, and religious-based organisations that are here.”

“We want to tap into their capabilities so they can, together with the ministry, pass this message along to their congregations and to the public at large,” he said.

Echoing this, Mitchell told Fiji’s state broadcaster that introducing the programme would not be easy, given the negative reactions in the past when condom use and family planning were phased in.

He said health officials were accused of promoting promiscuity among youth, when they were responding to public health needs.

However, he stressed that the needle and syringe programme was crucial to reducing HIV and Hepatitis C infections in the country.

Needle sharing is described as widespread in group settings, leading to infection clusters within families and communities.

The Health Minister said he expected that by the time the programme went public, it would be well accepted by the people.

This article is republished under a community partnership agreement with RNZ.

The World Health Organisation (WHO) has warned Aotearoa New Zealand to urgently close the “alarming” gaps in measles immunisation, particularly among Māori and Pacific communities.

A WHO review last year found measles vaccination rates were at their lowest since 2012, and said the country was at risk of another large outbreak if those gaps were not filled.

Aotearoa eliminated measles in 2017, but saw a major outbreak in 2019 that infected more than 2000 people and hospitalised 700, many of them young children.

• READ MORE: Measles cases rise to 10 — more expected

There are now 10 confirmed cases across Manawatū, Nelson, Northland, Taranaki, Wellington and Auckland, raising fears of wider community spread.

Only 72 percent of Māori under five years old are vaccinated, compared with 82 percent across the general population. To stop outbreaks, at least 95 percent coverage is needed.

Public Health Director Dr Corina Grey said the Ministry of Health shared WHO’s concerns.

“We know Māori and Pacific children are still missing out — that’s something we have to fix,” she said.

Serious risk
Pacific health researcher Chris Puliuvea said there is serious risk, specifically for Pacific communities.

“There is a 95 percent level where we need to be [with immunisation]. I believe we may even be behind the general population. For example, in the Bay of Plenty, vaccination rates are well behind other ethnic groups in that region,” Dr Puliueva said.

Dr Puli’uvea warned that measles can be easily spread.

“There is a serious concern at the moment. One infected person could affect up to 18 other people. The virus lingers in the air for several hours, which encourages spread. It’s far more infectious than COVID-19, and that’s a concern for our Māori and Pacific communities,” Puli’uvea said.

“I think what makes it also difficult is that you can be infected with the virus at very early stages and not show symptoms until four days later, so you could be infectious and you could be spreading it.

“Obviously it will take time to report that incident. So I think there is a serious concern at the moment, and the reason why I have this concern is why the vaccination rates are not where [they’re] meant to be,” he added.

Dr Puli’uvea said the lower vaccination rates among Māori and Pacific communities was a complex issue, although there are several reasons.

Key covid lessons
“It’s a difficult question . . .  key lessons from covid-19 showed us the importance of engaging with communities, particularly the faith community, and addressing misinformation and disinformation.

“That’s one of the inequalities.

“Other inequities are just excess people not being able to find time to go and get vaccinated over because they’re at work, or just lots of other things, finding the time to go and get vaccinated is one of them.

“The other thing that I’ve found is some people are not sure if they are immunised, particularly for those born in the 1990s onward,” he said.

Dr Puli’uvea encouraged families to vaccinate even if they were unsure about their vaccination status.

“With MMR, I simply encourage people to go and get vaccinated. There’s no harm in getting the full course again. It protects not only the individual but also prevents spreading the virus,” Dr Puli’uvea said.

The Ministry of Health has expanded vaccination access through pharmacies, GPs, and health centres, and offered incentives for on-time childhood immunisations.

“Every child vaccinated helps protect the whole community,” Dr Grey said.

They also explained that people can check records and get free MMR vaccinations from their GP, pharmacy, or local clinic.

This article is republished under a community partnership agreement with RNZ.

The chair of a World Health Organisation (WHO) advisory group is urging world leaders to denounce misinformation around health.

Sir Collin Tukuitonga is reacting to comments made by US Senator Robert F Kennedy, who claimed that measles was not the cause of 83 deaths in Samoa during a measles outbreak there in 2019.

Samoa’s Head of Health Dr Alec Ekeroma rejected Kennedy’s claim, calling it a “complete lie”.

• READ MORE: Better immunisation coverage needed to prevent Pacific measles, says WHO
• The deadly consequences of disinformation in the Pacific
• Other Samoa measles reports

Speaking to RNZ Pacific Waves, Sir Collin said leaders had a duty to protect people from inaccurate public health statements.

He said he was “absolutely horrified” that the person who “is the most influential individual in the US health system” could “tell lies and keep a straight face”.

“But [I am] not surprised because Kennedy has a history of subscribing to fringe, incorrect knowledge, conspiracy theories, and odd things of that type.”

He said Dr Ekeroma was very clear and direct in his condemnation of the lies from Kennedy and the group.

‘Call it for what it is’
“I encourage all of our people who are in a position to call these people for what it is.”

Sir Collin is the chair of the WHO’s Strategic and Technical Advisory Group on the Prevention and Control of Noncommunicable Diseases.

He said Kennedy’s comments and attitude toward vaccination will feed the anti-vaxxers and and discourage parents who might be uncertain about vaccines.

“So, [it is] potentially going to have a negative impact on immunisation programmes the world over. The United States has a significant influence on global health policy.

“These kinds of proclamations and attitudes and ideologies will have disastrous consequences.”

He believes that the scientific community should speak up, adding that political and business leaders in the region should also condemn such behaviour.

Withdrawal of US from WHO
Sir Collin described President Donald Trump’s decision to pull the US out of the WHO as “dangerous”.

He said Washington is a major contributor to the money needed by WHO, which works to protect world health, especially vulnerable communities in developing countries.

“I understand they contribute about a fifth of the WHO budget,” he said.

“The United States is a world leader in the technical, scientific expertise in a number of areas, that may not be as available to the rest of the world.

“Research and development of new medicines and new treatments, a large chunk of which originates in the United States.

“The United States falling out of the chain of surveillance and reporting of global outbreaks, like Covid-19, puts the whole world at risk.”

He added there were ‘a good number of reasons” why the move by the US was “shameful and irresponsible”.

This article is republished under a community partnership agreement with RNZ.

It didn’t come as a surprise to see President Donald Trump sign executive orders to again pull out of the Paris Agreement, or from the World Health Organisation, but the immediate suspension of US international aid has compounded the impact beyond what was imagined possible.

The slew of executive orders signed within hours of Trump re-entering the White House and others since have caused consternation for Pacific leaders and communities and alarm for those operating in the region.

Since Trump was last in power, US engagement in the Pacific has increased dramatically. We have seen new embassies opened, the return of Peace Corps volunteers, high-level summits in Washington and more.

• READ MORE: Trump 2.0 chaos and destruction — what it means Down Under
• Other Donald Trump reports

All the officials who have been in the region and met with Pacific leaders and thinkers will know that climate change impacts are the name of the game when it comes to security.

It is encapsulated in the Boe Declaration signed by leaders of the Pacific Islands Forum in 2018 as their number one existential threat and has been restated many times since.

Now it is hard to see how US diplomats and administration representatives can expect to have meaningful conversations with their Pacific counterparts, if they have nothing to offer when it comes to the region’s primary security threat.

The “on again, off again” approach to cutting carbon emissions and providing climate finance does not lend itself to convincing sceptical Pacific leaders that the US is a trusted friend here for the long haul.

Pacific response muted
Trump’s climate scepticism is well-known and the withdrawal from Paris had been flagged during the campaign. The response from leaders within the Pacific islands region has been somewhat muted, with a couple of exceptions.

Vanuatu Attorney-General Kiel Loughman called it out as “bad behaviour”. Meanwhile, Papua New Guinea’s Prime Minister James Marape has sharply criticised Trump, “urging” him to reconsider his decision to withdraw from the Paris agreement, and plans to rally Pacific Islands Forum (PIF) leaders to stand with him.

It is hard to see how this will have much effect.

The withdrawal from the World Health Organisation – to which the US provides US$500 million or about 15 percent of its annual budget – creates a deep funding gap.

In 2022, the Lowy Pacific aid map recorded that the WHO disbursed US$9.1 million in the Pacific islands across 320 projects. It contributes to important programmes that support health systems in the region.

In addition, the 90-day pause on disbursement of aid funding while investments are reviewed to ensure that they align with the president’s foreign policy is causing confusion and distress in the region.

Perhaps now the time has come to adopt a more transactional approach. While this may not come easily to Pacific diplomats, the reality is that this is how everyone else is acting and it appears to be the geopolitical language of the moment.

Meaningful commitment opportunities
So where the US seeks a security agreement or guarantee, there may be an opportunity to tie it to climate change or other meaningful commitments.

When it comes to the PIF, the intergovernmental body representing 18 states and territories, Trump’s stance may pose a particular problem.

The PIF secretariat is currently undertaking a Review of Regional Architecture. As part of that, dialogue partners including the US are making cases for whether they should be ranked as “Strategic Partners” [Tier 1] or “Sector Development Partners [Tier 2].

It is hard to see how the US can qualify for “strategic partner” status given Trump’s rhetoric and actions in the last week. But if the US does not join that club, it is likely to cede space to China which is also no doubt lobbying to be at the “best friends” table.

With the change in president comes the new Secretary of State Marco Rubio. He was previously known for having called for the US to cut all its aid to Solomon Islands when then Prime Minister Manasseh Sogavare announced this country’s switch in diplomatic ties from Taiwan to the People’s Republic of China.

It is to be hoped that since then Rubio has learned that this type of megaphone diplomacy is not welcome in this part of the world.

Since taking office, he has made little mention of the Pacific islands region. In a call with New Zealand Foreign Minister Winston Peters they “discussed efforts to enhance security cooperation, address regional challenges, and support for the Pacific Islands.”

It is still early days, a week is a long time in politics and there remain many “unknown unknowns”. What we do know is that what happens in Washington during the next four years will have global impacts, including in the Pacific. The need now for strong Pacific leadership and assertive diplomacy has never been greater.

Dr Tess Newton Cain is a principal consultant at Sustineo P/L and adjunct associate professor at the Griffith Asia Institute. She is a former lecturer at the University of the South Pacific and has more than 25 years of experience working in the Pacific islands region. This article was first published by BenarNews and is republished by Asia Pacific Report with permission.

Qatar’s Foreign Ministry has rejected media reports that it has pulled out of mediation efforts between Israel and Hamas but added that it has “stalled” its efforts until all parties show “willingness and seriousness” to end the war.

News of the suspension comes as Gaza marks 400 days of war with more than 43,000 Palestinians being killed, 102,000 wounded and 10,000 missing.

The death toll includes at least 17,385 children, including 825 children below the age of one, and nearly 12,000 women.

• READ MORE: What’s the Israel-Palestine conflict about? A quick reckoner
• Israeli attack kills dozens in Gaza, including children
• ‘Catastrophic’ ethnic cleansing amid north Gaza news void, says global media watchdog
• Other Israel’s war on Gaza reports

In a statement on X, the ministry spokesperson Majed al-Ansari said Qatar had informed the relevant mediation parties 10 days ago of its intentions.

Al-Ansari also said that reports regarding the Hamas political office in Doha were inaccurate, “stating that the main goal of the of the office in Qatar is to be a channel of communication between the concerned parties”.

Spokesperson for the Ministry of Foreign Affairs @majedalansari : Qatar’s efforts to mediate between Hamas and Israel are currently stalled #MOFAQatar pic.twitter.com/pvHFKuxqA2

— Ministry of Foreign Affairs – Qatar (@MofaQatar_EN) November 9, 2024

Qatar’s Foreign Ministry spokesperson also said that the country would not accept that its role as a mediator be used to “blackmail it”.

“Qatar will not accept that mediation be a reason for blackmailing it, as we have witnessed manipulation since the collapse of the first pause and the women and children exchange deal, especially in retreating from obligations agreed upon through mediation, and exploiting the continuation of negotiations to justify the continuation of the war to serve narrow political purposes,” he said in the statement posted on X.

Criticism aimed at Israel
Commentators on Al Jazeera pointed to the criticism being primarily aimed at Israel and the US.

Senior political analyst Marwan Bishara said Qatar had been spearheading the attempt at reaching a ceasefire “for so long now”.

“Clearly, there have been attempts by a number of parties, notably the Israelis, to undermine the process or abuse the process of diplomacy in order to continue the war.”

Earlier, Cindy McCain, executive director of the UN’s World Food Programme (WFP), said immediate steps must be taken to prevent an “all-out catastrophe” in northern Gaza where Israeli forces have maintained a monthlong siege on as many as 95,000 civilian residents amid its brutal military offensive in the area.

‘Unacceptable’ famine crisis
“The unacceptable is confirmed: Famine is likely happening in north Gaza,” McCain wrote on social media.

Steps must be taken immediately, McCain said, to allow the “safe, rapid [and] unimpeded flow of humanitarian [and] commercial supplies” to reach the besieged population in the north of the war-torn territory.

World Health Organisation Director-General Tedros Adhanom Ghebreyesus has added his voice to rising concerns, saying on social media it was: “Deeply alarming.”

A group of global food security experts has reported that famine is likely “imminent within the northern Gaza Strip”.

Meanwhile, more than 50 countries have signed a letter urging the UN Security Council and General Assembly to take immediate steps to halt arms sales to Israel.

The letter accuses the Israeli government of not doing enough to protect the lives of civilians during its assault on Gaza, reports Al Jazeera.

The World Health Organisation’s decision to remove covid-19 as a global health emergency is the right move, epidemiologist Professor Michael Baker says.

The organisation said the virus was now an established and ongoing health issue that no longer constituted a public health emergency of international concern.

Professor Baker said the global status change made sense at this stage, but it did not impact on whether covid-19 was still a pandemic.

• READ MORE: Covid no longer a global health emergency, WHO says
• Other covid reports

Covid-19 was still New Zealand’s number one killer when it came to infectious disease and people should make sure they were vaccinated and take sensible precautions, he said.

“There might be some scaling down in the international reporting of cases, but really it doesn’t make a difference to somewhere like New Zealand.

“It makes no practical difference whatsoever to how countries manage this infection.”

1000 NZ deaths predicted this year
Professor Baker earlier said that this year covid-19 was on track to kill some 1000 people in New Zealand and hospitalise around 10,000.

The threat of long covid also loomed — with one recent study suggesting as many as one in five New Zealanders reported lingering symptoms after their first infection.

He emphasised the need for caution in easing our few remaining protections.

The latest vaccine was one of the best things people could do to guard against the disease, because it included protection against omicron — the current dominant variant circulating in the community.

“You have to always think why the World Health Organisation assigned it [a global health emergency originally] and it’s really related to these certain criteria.

“It is about how severe and how unexpected [the disease is], but it’s really about whether an international response is needed and whether there’s potential for international spread.”

This article is republished under a community partnership agreement with RNZ.

The World Health Organisation (WHO) has declared the covid outbreak in the Marshall Islands a Public Health Emergency.

A total of 571 new omicron cases of the virus were recorded in the latest 24-hour reporting period.

Three people have died and more than 10 percent of the population in the capital Majuro have tested positive, according to the Marshall Islands Ministry of Health and Human Services.

• READ MORE: Marshall Islands covid spread demonstrates super variant
• Other Marshall islands public health reports

The WHO has declared the outbreak as a Public Health Emergency of International Concern.

All schools will be closed for the next two months, just one of the measures under the government’s disaster management plan.

The number of positive cases has skyrocketed from a handful on August 8 to more than 1000 by the weekend.

RNZ Pacific’s Marshall Islands correspondent Giff Johnson said the outbreak had led to staff shortages at many businesses.

“Everybody’s operation is affected. I went next door to buy some drinks and the owner is doing the cash register … all cashiers are out of action with covid. The Post Office had to close down because so many people came down with covid.”

This article is republished under a community partnership agreement with RNZ.

Late last month, New Zealand Health Minister Andrew Little stated what most who work in health already know.

Healthcare is all about people – the people being cared for and the people doing the caring.

Population growth, ageing and a pandemic mean there is no shortage of those needing care, but in New Zealand and globally, there is a chronic shortage of healthcare workers.

• READ MORE: Nurses are leaving the profession, and replacing them won’t be easy
• A burnt-out health workforce impacts patient care

Little stopped short of calling it a crisis, but researchers and international agencies alike agree with a survey of New Zealand doctors that the health workforce is in crisis.

In 2016, the World Health Organisation (WHO) projected a global shortage of 18 million healthcare workers by 2030. That was before the covid-19 pandemic. Between 80,000 and 180,000 healthcare workers have died globally during the pandemic’s first 16 months, according to the WHO’s conservative estimate.

“Public statements from political leaders that there is ‘no crisis’ in the health system have seemed increasingly out of step with doctors’ experience over the past year” https://t.co/dXMhA38XIO

— Emma Espiner (@emmawehipeihana) July 11, 2022

Add to this the impact the pandemic has had on the mental health of frontline health staff, including reports of post-traumatic stress disorder (PTSD), and a healthcare workforce seven times more likely to have severe covid and now carrying the burden of long covid.

It’s clear healthcare is no longer the attractive sector it once was.

A highly mobile workforce and a global shortage
Like the cost-of-living crisis, the health workforce shortage is not unique to Aotearoa New Zealand.

This year’s budget included NZ$76 million for medical training and primary care specialists, but doctors who started training this year will not be specialists until 2034.

Meanwhile, Labour’s solution is to undertake an international recruitment drive. It is hailing New Zealand as one of the easiest places in the world for healthcare workers to come to. But are our newly opened borders attractive enough?

Overseas recruitment drive for nurses gains ‘good response’ https://t.co/RZrM4fW67L

— RNZ News (@rnz_news) July 13, 2022

In my health economics lectures I often use an anecdote about the Indian doctor who gets a job in the UK (colonial ties and a multicultural society), the British doctor who moves to Canada (less administration and more family friendly hours), the Canadian doctor who moves to the United States (specialists have much higher earning potential), and the US doctor who undertakes missionary work in India.

This highlights two issues: the health workforce is highly mobile and employment isn’t always about money. Aotearoa New Zealand is competing in a global health workforce market, and minister Little recently acknowledged the health sector as “fiercely competitive”.

But this isn’t a new phenomenon for New Zealand.

The health workforce in New Zealand has one of the largest shares of migrant workers, with 42 percent of doctors and almost 30 percent of nurses foreign-born (second only to Israel and Ireland, respectively). This is much higher than the aggregate estimates showing one in six doctors practicing in OECD countries studied overseas.

The OECD estimates the number of foreign-born doctors and nurses in OECD countries has increased by 20 percent, twice the growth rate of the overall increase across the workforce. This is what is most concerning.

The health workforce is not equally distributed. Migration of workers from low- and middle-income countries to high-income countries like Aotearoa New Zealand is a real threat to achieving universal health coverage and sustainable development goals.

New Zealand needs to be mindful that promoting our open borders is not at the expense of under-performing health systems with much greater need.

Losing healthcare workers to Australia
Outflow is also a problem in New Zealand, with New Zealand-trained doctors and nurses crossing the Tasman every year. Add to this the international recruits leaving New Zealand for Australia and there most definitely is a health workforce crisis.

As our nearest neighbour, Australia is aggressively recruiting staff. And like pavlova and Phar Lap they are happy to claim what is ours as theirs. An easier route to citizenship and voting rights will make Australia even more desirable.

How can New Zealand compete in this market? Minister Little refers to encouraging New Zealanders to return home, including lifting their pay. Research shows it’s not all about income. Location and professional development opportunities are important factors when choosing career moves.

The healthcare reforms helped tempt me back to New Zealand after 22 years away. Perhaps working in a system which has equity as its focus may encourage those who are clinically trained to return as well.

There is considerable research to inform policies around retention and recruitment. The New Zealand Ministry of Health may wish to look to the UK, which was historically dependent on EU health and care workers and now has a health workforce depleted by both Brexit and the pandemic.

In the recent LSE-Lancet Commission on the future of the NHS, British scholars argued a sustainable workforce needed integrated approaches to be developed alongside reforms to education and training that reflect changes in roles and the skill mix, and more multidisciplinary working.

The LSE-Lancet Commission authors flagged the need for better workforce planning. New Zealand’s approach to workforce forecasting has also been criticised previously.

Planning aside, a possible solution worthy of discussion is the required skill mix of the workforce, particularly with technological advancements and changing health needs. For example, the introduction of non-medical prescribers has improved job satisfaction, released clinical time and increased patient access.

New Zealand’s once-in-a-generation health reforms offer a logical time to undertake workforce reforms. We need to learn from our own historical mistakes and avoid disconnecting the workforce from the policy reforms.

If minister Little and the ministry are to solve this, he will first need to admit there is a health workforce crisis.

Aotearoa New Zealand is unfortunately not alone in its quest to adequately staff healthcare, but the transformation of the health sector to create a more equitable, accessible, cohesive and people-centred system means New Zealand is uniquely placed to put those people who deliver care at the centre.

Dr Paula Lorgelly is professor of health economics, University of Auckland. This article is republished from The Conversation under a Creative Commons licence. Read the original article.

Tongan communities in New Zealand feel relieved to hear official information from the government of Tonga for the first time since Saturday’s eruption and resulting tsunami.

The Office of Tonga’s Prime Minister was able to send initial detail of search and rescue efforts and early reports of damage to the Australia High Commission in Tonga, which was then shared with the world.

Tongan-born New Zealand MP Jenny Salesa said the first information about what was happening on the ground in Tonga was a relief but also upsetting.

• READ MORE: Tongan government confirms all homes on Mango destroyed, fears death toll of 3 may rise
• Scientists warn Tonga eruption may damage environment for years
• Gallery: What the NZ air crew saw at Tonga’s Nomuka – a choking carpet of volcanic ash
• Other Asia Pacific Report coverage of Tonga

“It is really heartbreaking. Just reading the first official statement as well as seeing the graphic images. Tonga hasn’t yet fully recovered from some of the cyclones. On top of a pandemic, there is now this twin force of natural disaster,” Salesa said.

She had been in touch with many Tongans in Aotearoa since the latest news arrived.

“There is actually a sense of relief that there doesn’t seem to be many more deaths reported. We know as of now, three fatalities have been reported to date. We of course still don’t know the extent of the damages on the ground.

Communication hope soon
“There is some hope though that communication will be up and running pretty soon.”

Salesa said it would take years for the nation to recover.

Evacuation of people on the islands of Mango and Fonoifua to Nomuka — as well as people being evacuated from the west coast of Tongatapu and the island of Atata to Tongatapu — has been underway since Sunday with confirmation there were no houses remaining on Mango and only two houses standing on Fonoifua.

The World Health Organisation confirmed the main hospital in Tongatapu was functioning.

The WHO representative in Tonga has been providing regular updates from Nuku’alofa via satellite phone to his counterpart Sean Casey in Fiji.

“The hospital in Tongatapu is functioning and there has not been an increase in presentations. The Tonga emergency medical assistance team went out on the ship with the navy to the Ha’apai group and are able to provide immediate assistance if required there,” Casey said.

The WHO was lending its only satellite phone to Tongan government officials to use as well, he said.

Church support
The Church of Jesus Christ and Latter Day Saints in Tonga is providing shelter to many residents left homeless by Saturday’s tsunami.

LDS Church officials in New Zealand have maintained contact with their counterparts in Tonga via satellite phone.

Pacific area leader and member support manager Hatu Tiakia said the church was actively assisting people on the ground.

“On the first night, over a thousand people used our church school in liahona, but that’s just liahona. We have probably in excess of a hundred buildings or more that’s being used now by the community for shelter,” Tiakia said.

“They go there during the night to sleep because we have water in general for those facilities, and they return to their home to provide cleanup for their communities during the day.”

Tiakia also told RNZ Pacific that aid packages were being organised to be delivered to Tonga.

This article is republished under a community partnership agreement with RNZ.

Former New Zealand Prime Minister Helen Clark says the global handling of the covid-19 pandemic is marred with failures, gaps and delays.

Clark is a co-chair of the Independent Panel for Pandemic Preparedness and Response and is urging nations to spend less time debating commas in committees and instead get on with implementing the panel’s proposed reforms.

These include new financing of at least $10 billion a year for pandemic preparedness, and negotiations on a global pandemic treaty.

• LISTEN TO RNZ MORNING REPORT: ‘Don’t throw the baby out with the bathwater” – Helen Clark on public health measures for covid-19 (duration 6′:30″)
• Covid-19 update: One death and 215 new community cases in NZ

Clark told RNZ Morning Report the wheels were in motion on the structural responses the panel had called for but progress was slow.

“The wheels grind slowly but they are grinding,” she said, noting that the World Health Assembly (WHA) would meet for a special session next week and the sole item on the agenda was discussing whether to begin negotiating a treaty aimed at preventing future pandemics.

“I’m quite optimistic that they [the WHA] will embark on negotiations — now what they negotiate is another matter, but the process is kind of under way.”

If the WHA decided to move forward with treaty negotiations it would be only the second global public health treaty, after a 2003 accord to control tobacco use.

Unequal global response
Speaking in London overnight, at the launch of a six-month accountability review into the report commissioned by the World Health Organization (WHO) and published by the panel, Clark criticised the unequal response globally to the current pandemic’s more immediate challenges.

“There hasn’t been an equitable supply of tools to fight the pandemic, despite the sincere efforts of many people,” she said.

“We’ve talked a lot about vaccines, but many countries have lacked adequate access to other basics such as diagnostics, therapeutics, personal protective equipment, and even oxygen.”

She told Morning Report the panel had recommended reforms that addressed those inequalities, including dedicated financing for pandemic preparedness and a redesigned “end-to-end” platform that could control the flow of essential medical goods in the event of a future pandemic.

“That’s quite a big ask and in many ways this will be the hardest of all the asks that we had because it does require confronting the current way that the WTO (World Trade Organisation) deals with intellectual property,” Clark said.

The issue of intellectual property rights was already a hot topic, she said, adding that India and South Africa were leading the change in pushing for “the waiver of intellectual property rights in the event of pandemics, including this one”.

More than 257 million people have been reported to be infected by the SARS-CoV2 coronavirus and 5.4 million have died since the first cases were identified in central China in December 2019, according to a Reuters tally.

215 new cases in NZ
in New Zealand, the Ministry of Health reported 215 new community cases and one death, a patient in their 50s At Auckland City Hospital who was admitted to hospital on November 17.

This took the total of deaths to 40 since the pandemic began.

Clark said a key part of “how to do better next time” globally would hinge on reforms required at the WHO itself and admitted the slow progress on deciding what those reforms should be was “frustrating”.

The next regular meeting of the WHO was in late May next year and that would focus on the reform programme, she said.

“While it’s slow and it’s frustrating and we’re coming up, at the end of next month, to the two-year anniversary since what was then a novel coronavirus – which isn’t now so novel – was first identified, the wheels are in motion on these structural responses.”

‘We’re by no means through this’
Clark told Morning Report the newest wave of covid-19 infections in Europe was “largely avoidable” and should serve as a warning to New Zealand not to let its guard down.

“What we’ve seen in … developed countries that are capable of administering a vaccine rollout [is] they then tend to throw out all the other measures,” she said.

She was scathing of images she had seen showing almost no one on the London underground wearing masks: “Can we be surprised that there’s tens of thousands of cases a day?”

She said both the WHO and the panel’s report advocated the ongoing use of public health measures in addition to vaccination.

“Don’t throw the baby out with the bathwater. Don’t be satisfied …

“In New Zealand, when you get to even 90 percent of vaccination of eligible people, don’t throw away the rest of the toolkit because you need it to control transmission among those who aren’t vaccinated,” Clark said.

“It’s a complex story but we’re by no means through this.”

This article is republished under a community partnership agreement with RNZ.

While the covid-19 pandemic’s relentless cyclone continues across the globe wreaking havoc on economies and social systems, this book sheds light on the adversarial reporting culture of the media, and how it impacts on racism and politicisation driving the coverage.

It explores the global response to the covid-19 pandemic, and the role of national and international media, and governments, in the initial coverage of the developing crisis.

With specific chapters written mostly by scholars living in these countries, Covid-19, Racism and Politicization: Media in the Midst of a Pandemic examines how the media in Australia, Bangladesh, China, India, New Zealand, Philippines, Sri Lanka, Taiwan and the United States have responded to the pandemic, and highlights issues specific to these countries, such as racism, Sinophobia, media bias, stigmatisation of victims and conspiracy theories.

This book explores how the covid-19 coverage developed over the year 2020, with special focus given to the first six months of the year when the reporting trends were established.

The introductory chapter points out that the media deserve scrutiny for their role in the day-to-day coverage that often focused on adversarial issues and not on solutions to help address the biggest global health crisis the world has seen for more than a century.

In chapter 2, co-editor Dr Kalinga Seneviratne, former head of research at the Asian Media Information and Communication Centre (AMIC) takes a comprehensive look at how the blame game developed in the international media with a heavy dose of Sinophobia, and how between March and June 2020 a global propaganda war developed.

He documents how conspiracy theories from both the US and China developed after the virus started spreading in the US and points out some interesting episodes that happened in the US in 2019 that may have vital relevance for the investigation of the origins of the virus.

Attacks on WHO
The attacks on the World Health Organisation (WHO), particularly by the former Trump administration, are well documented with a timeline of how WHO worked on investigating the virus in its early stages with information provided from China.

The chapter also discusses the racism that underpinned the propaganda war, especially from the West, which led to the Australian Prime Minister Scott Morrison’s controversial call for an “independent” inquiry into the origins of the pandemic that riled China.

“The covid-19 pandemic has exposed the inadequacies and inequalities of the globalised world. In an information-saturated society, it has also laid bare many political economy issues especially credibility of news, dangers of misinformation, problems of politicisation, lack of media literacy, and misdirected government policy priorities,” argues co-editor Sundeep Muppidi, professor of communications at the University of Hartford in the US.

“This book explores the implications of some of these issues, and the government response, in different societies around the world in the initial periods of the pandemic.”

In chapter 3, Muppidi examines specifically the US media coverage of covid-19 and he explores the “othering” of the blame related to failures and non-performances from politicians, governments and media networks themselves.

Yun Xiao and Radika Mittal, writing about a study they have done on the coverage in The New York Times during the early months of the covid-19 pandemic, argue that unsubstantiated criticism of governance measures, lack of nuance and absence of alternative narratives is indicative of a media ideology that strengthens and embeds the process of “othering”.

Ankuran Dutta and Anupa Goswani from Gauhati University in Assam, India, analyse the coverage of the covid-19 crisis in five Indian newspapers using 10 key words. They argue that the Indian media coverage could be seen as what constitutes “Sinophobia” with some mainstream media even calling it the “Wuhan Virus”.

Historical background
They trace the historical background to India’s anti-China nationalism, and show how it has been reflected in the covid-19 coverage, especially after India became one of the world’s hotspots.

“This Sinophobia hasn’t much impacted on the government policy; rather it has tightened its nationalist sentiments promoting Indian vaccines over the Chinese.” They say the Indian media’s Sinophobia has abated after the delta variant hit India.

“The narrative concerning covid-19 has taken a sharp turn bringing out the loopholes of the government’s inability to sustain its vigilance against the virus,” he notes, adding, ‘considering the global phobia concerning the delta variant put India in a tight spot and India has to defend itself from its newfound identity of being the primary source of this seemingly untameable variant.”

Zhang Xiaoying from the Beijing Foreign Studies University and Martin Albrow from the University of Wales explain what they call the “Moral Foundation of the Cooperative Spirit” in chapter 4.

Drawing on Chinese philosophical traditions—Confucianism, Daoism and Mohism—they argue that the “cooperative spirit” enshrined in these philosophies is reflected in the Chinese media’s coverage of the COVID-19 pandemic in its early stages. Taking examples from the Chinese media—Xinhua, China Daily, Global Times and CGTN—they emphasise that the Chinese media has promoted international cooperation rather than indulge in blame games or politicising the issue.

This chapter provides a good insight into Chinese thinking when it comes to journalism.

Chapters on Sri Lanka and New Zealand examine how positive coverage in the local media of the governments’ initially successful handling of the covid-19 pandemic has contributed to emphatic election victories for the ruling parties.

Hit on NZ media industry
David Robie, founding director of Auckland University of Technology’s Pacific Media Centre, explains in his chapter how New Zealand’s magazine sector was devastated by the pandemic lockdowns and economic downturn, although enterprising buy-outs and start-ups contributed to a recovery.

He points out that a year later, in April 2021, Media Minister Kris Faafoi, himself a former journalist, announced a NZ$50 million plan to help the media industry deal with its huge drop in income, because, as he says, Facebook and Google were instrumental in drawing advertising revenue away from local media players.

The chapter from Bangladesh offers a depressing picture of the social issues that came up as the virus spread, such as the stigmatisation and rejection of returning migrant worker who have for years provided for families back home, and how old people were abandoned by their families when they were suspected of having contacted the virus.

The chapter gives a clear illustration of how the adversarial reporting culture of the media impacts negatively on the community and its social fabrics.

But, the chapter’s author, Shameem Reza, communications lecturer at Dhaka University, says that when the second outbreak started in March 2021, he observed a shift in the media coverage of covid-19 pandemic.

Now, the stories are more about harassment and discrimination, such as migrant workers facing hurdles to access vaccine; uncertainty over confirming air tickets and flights for their return; and facing risk of losing jobs and becoming unemployed. Thus, now the media coverage particularly includes ordinary peoples’ suffering.

Reza believes that the initial stigmatisation of victims, had influenced social media coverage of harassment, and “changed agendas in the public sphere”.

Lack of skills, knowledge
The authors argue in the chapter on the Philippines that the covid-19 coverage exposed the “lack of skills and knowledge in reporting on health issues”. Said a senior newspaper editor, “in the past, whenever there were training opportunities on science or health reporting, we’d send the young reporters to give them the chance to go out of the newsroom. Now we know we should have sent editors and senior reporters.”

In the concluding chapter, Seneviratne and Muppidi discuss various social and economic issues that should be the focus of the coverage as the world recovers from the covid-19 pandemic that reflects the inequalities around the world. These include not only vaccine rollouts, but also the vulnerability of migrant labour and their rights, the plight of casual labour in the so-called “gig economy”, priority for investments on health services, the power of Big Tech and many others.

This book is an attempt to raise the voices of the “Global South” in discussing the media’s role in the coverage of the covid-19 crisis, explain Seneviratne and Muppidi, pointing out that there cannot be a return to the “normal” when that is full of inequalities that have been exposed by the pandemic.

“There are many issues that the media should be mindful of in reporting the inevitable recovery from the covid-19 pandemic in 2021 and beyond.”

Krishan Dutta is a freelance journalist writing for IDN – News (In-Depth News). An earlier version of this review was first published by IDN-News under the title “New book explores how adversarial reporting culture drives politicised covid-19 coverage and this version is republished from Pacific Journalism Review.

• Covid-19, Racism and Politicization: Media in the Midst of a Pandemic, edited by Kalinga Seneviratne and Sundeep R. Muppidi. Newcastle-upon-Tyne, UK: Cambridge Scholars Publishing. 2021. 230 pages. ISBN: 9781527570894

Facebook has today launched a public education campaign to help people in five Pacific Island countries and territories learn how to identify and combat health-related misinformation.

The locations and languages are Wallis & Futuna (French), New Caledonia (French), Tonga (English and Tongan), Solomon Islands (English and Solomon Islands Pijin), and Cook Islands (English).

The campaign, which follows an earlier launch in Samoa, Fiji, Papua New Guinea, will run for five weeks and includes graphics and videos.

• READ MORE: Facebook Information Centre

The content is designed to encourage three key behaviours by Facebook users:

• Awareness – Be informed that misinformation exists
• Investigation – Find out more to confirm if the information is indeed false
• Action – Visit the local health authority to get accurate information

Mia Garlick, director of public policy for Australia, New Zealand and Pacific Islands, says: “One of our commitments is to connect people to reliable information, and give people the tools to make informed decisions about the information they see on Facebook.

“We are extending our efforts to reach more people across the Pacific, ensuring they can easily compare what they see with official public health resources.

“We will continue to work with health experts including the World Health Organisation (WHO), and local partners, to make sure that we have the right policies in place to reduce the spread of harmful covid-19 and covid-19 vaccine misinformation on our platform.”

Throughout the pandemic, Facebook has worked closely with WHO to direct people to authoritative covid-19 information, and to do more to identify and take action to remove incorrect claims about the virus.

The campaigns can be found at:
Wallis & Futuna (French)
New Caledonia (French)
Tonga (English)
Tonga (Tongan)
Solomon Islands (English)
Solomon Islands (Solomon Islands Pijin)
Cook Islands (English)

An international panel co-chaired by former prime minister Helen Clark is calling for urgent reform of the world’s pandemic preparedness.

In its review, the Independent Panel for Pandemic Preparedness and Response identified a systematic failing to protect people from covid-19 – on both national and international levels.

New Zealand was named as one of the countries ordering up large on covid-19 in a section warning of “vaccine nationalism”, in which some richer countries had secured more vaccine courses than they had people.

• LISTEN TO RNZ MORNING REPORT: ‘We’re not in mediaeval times where a dangerous virus goes along by donkey and foot” – Helen Clark (duration 7′:27″)
• READ MORE: Covid-19: Serious failures in WHO and global response, report finds

But the report also said New Zealand and other Asia-Pacific countries had an aggressive response to combating the virus, and lessons could be learned from them.

The panel recommended essential measures it believed would mitigate future pandemics.

Clark told RNZ Morning Report there were failures, gaps and delays all along the way from the time the virus first appeared in Wuhan.

“The doctors were reasonably on the ball there in noticing the cluster and getting the tests done and there was a public bulletin put out in Wuhan … but let’s recall Wuhan didn’t lock down at all for another 23 days after that.

‘Not in medieval times’
“We’re not in medieval times where a dangerous virus goes along by donkey and foot, we’re in times where it goes on the next plane, so any delay is fatal.

“Then the WHO – which doesn’t really have the power to require or enforce anything – was quite constrained by the regulations it operates in and when eventually an emergency committee which is supposed to make recommendations about the big declaration of an emergency, when it was first convened it refused to make a recommendation … even if all of that had been quicker the reality is the slow month of February when few countries did much other than wait and watch, that was the opportunity lost to avert what has become a runaway pandemic.”

The truth of it was that China was slow to share information and what it did share was limited.

“The case information was limited, the genome took up to a week to share after it was sequenced, and so we go on. The WHO had no power to require anything. People may not realise the WHO does not have any power to say ‘we’re coming to look’.

It doesn’t have the power to publish the information a country gives it without permission. It’s quite restricted in being precautionary because the international health regulations require evidence … and then it has to convene this emergency committee to hear their recommendations, and when it convened, it did not want to act.

“This is all a bit hopeless really.”

Clark said the issue was going to be “are the lessons of history learned and these issues addressed or are we doomed to repeat them again? We can’t count on waiting 102 years again like we have from the flu pandemic for the next pathogen.

“We are living in times when zoonotic diseases – these transferred from animal to human viruses – are appearing much more rapidly. It could be next month, it could be next year. We can’t mess around in getting the new system and the new powers in place.”

Vaccine nationalism
Clark said: “What I think has happened is what when countries like ours prudently started placing orders they didn’t know which vaccine was going to come out trumps. So … the ones it ordered … have all come through as legitimate and viable vaccines.

“So here we are with all these courses and we can’t use them all. We are using the Pfizer one. So our message to countries like our own is put them back into the pool. We have a huge supply problem with the vaccine. There is nowhere near enough vaccine to do the job that needs to be done globally,” she said.

“If we can redistribute that which is not going to be used by the high-income countries now, that certainly helps to cover the most at risk and health workers and so on in poorer countries.

“Then we talk a lot in the report about the need to scale up production. The manufacturers have kept it pretty close to their chest. You need a huge scale-up around the world to get the level of supply that we need … to do this on an ongoing basis globally requires a vast manufacturing scale-up from what we have right now.”

This article is republished under a community partnership agreement with RNZ.

New Zealand is providing NZ$1 million to the World Health Organisation (WHO) in Suva, Fiji, to support its Pacific Action Plan for Covid-19 coronavirus preparedness and response.

Foreign Affairs Minister Winston Peters has announced that New Zealand is partnering with countries in the Pacific to ensure they are prepared for, and able to respond to the global threat of the infectious disease.

“There are currently no confirmed cases of Covid-19 in the Pacific, but it is vital that New Zealand is working hard in partnership with our neighbours to ensure the region is safe and as prepared as can be,” Peters said.

READ MORE: NZ foreign minister delays Pacific mission

However, Fiji health authorities reported today that there were four people suspected of being infected by the virus were in isolation and Tonga also reported a suspected case.

New Zealand is jointly funding the WHO Pacific regional coronavirus response plan, in partnership with Australia, in response to requests for assistance from Pacific island countries.

The New Zealand government has also signed a contract with the Institute of Environmental Science and Research (ESR) for countries in the South Pacific to send samples of potential Covid-19 cases to ESR’s laboratory in New Zealand for testing, free of charge.

Supporting the realm countries has been another focus of New Zealand’s preparations related to coronavirus.

“In partnership with the WHO, New Zealand has deployed a team to Cook Islands to support Covid-19 preparedness, with further joint trips planned to Tokelau and Niue from next week,” Peters said.

Ministry of Foreign Affairs and Trade media release and RNZ News.

• Coronavirus death toll in Italy now 107 – latest pandemic updates

The World Health Organisation has pledged to “hit hard” against the deadly coronavirus

while saying there is hope and “we are not defenceless”.

WHO chief Tedros Adhanom Ghebreyesus said he saw a “realistic chance” of stopping the outbreak.

“Covid-19” is the new official name for the virus that was first identified in China on December 31.

READ MORE: Earlier reports on the Covid-19 outbreak

“We now have a name for the disease and it’s Covid-19,” Tedros told reporters in Geneva, explaining that “co” stood for “corona,” “vi” for “virus” and “d” for “disease,” reports Agence France-Presse.

Tedros said the name had been chosen to avoid references to a specific geographical location, animal species or group of people in line with international recommendations for naming in order to avoid stigmatisation.

The WHO had earlier given the virus the temporary name of “2019-nCoV acute respiratory disease” and China’s National Health Commission this week said it was temporarily calling it “novel coronavirus pneumonia”, or NCP.

Speaking on the first day of an international scientific conference in Geneva that will look at possible vaccine options to combat the virus, Tedros also said he saw a “realistic chance” of stopping the outbreak.

“We are not defenceless,” he added.

“We have to use the current window of opportunity to hit hard and stand in unison to fight this virus in every corner.

“If we don’t we could have far more cases and far higher costs on our hands.”

A man has died of the Wuhan coronavirus outside China, and any foreign travellers who leave from or transit through China will be refused entry to New Zealand from tomorrow.

A 44-year-old Chinese man from the city of Wuhan, where the new coronavirus was first detected, died today in hospital in the Philippines, the country’s Department of Health has said.

The World Health Organisation (WHO) has confirmed it is the first death from the virus outside China.

READ MORE: NZ evacuees from Wuhan to be quarantined at Whangaparaoa

The New Zealand government announced at a press conference this afternoon that strict travel restrictions have been introduced in response to the outbreak.

Any foreign travellers on their way to New Zealand when the announcement was made will be subject to increased screening on arrival. If they are cleared, they will be allowed into the country.

New Zealand citizens and permanent residents, and their immediate family, will be allowed to enter the country but will need to isolate themselves for 14 days after arrival.

The Ministry for Foreign Affairs and Trade has also raised its travel advice for China to “Do not travel”, the highest level.

Public health advice
“Cabinet convened last night to discuss the most up-to-date public health advice, and recent developments in the spread of the virus,” Prime Minister Jacinda Ardern said.

“We have been advised by health officials that while there are still a range of unknowns in the way the virus is being transmitted, we should take a precautionary approach and temporarily stop travel into New Zealand from mainland China, and of people who have recently been in China.”

She said the measures were critically important to protect New Zealanders, and to play a part in global efforts to contain the virus.

“I am particularly mindful that we are a gateway to the Pacific, and must factor that into our decision making,” Ardern said.

The US and Australia are among other countries who had earlier announced similar restrictions.

“We have been in close contact with our partners in the past 24 hours, and I have spoken on multiple occasions with [Australian] Prime Minister Morrison to ensure we are each aware of any changes to our systems, and the wider impacts given the frequent travel between our two nations,” Ardern said.

“The decision of the US to put in place similar restrictions to those decided by Cabinet has had a knock on effect in terms of travel, leading Air New Zealand and other airlines to stop their flights from China.”

Shanghai route suspended
Air New Zealand has announced it will suspend its Auckland Shanghai route from today until March 29.

Its service departing Shanghai Pudong International Airport shortly after 2pm local time will be the airline’s final flight on this route for two months. Tonight’s Auckland-Shanghai service is cancelled.

Air New Zealand said the suspension was brought forward following the increased border restrictions.

Ministers will be working with industry leaders to try to lessen economic effects of the restrictions, including on tourism, education and the primary sector, Ardern said.

This article is republished under the Pacific Media Centre’s content partnership with Radio New Zealand.

The first Australian case of Wuhan coronavirus has been confirmed, with a man being held under isolation in a Melbourne hospital.

News of the case came after Chinese authorities said they were treating 1287 patients with the virus, while the death toll has risen to 41.

The Melbourne patient is a Chinese man in his 50s who recently spent time in the city of Wuhan, where the deadly outbreak is believed to have originated in an illegal wildlife market.

He is in a stable condition.

READ MORE: Background on coronavirus – The Lancet

New South Wales Health has confirmed five people in the state are being tested for coronavirus, but none of those cases have been confirmed.

Two people were discharged after returning negative test results in NSW yesterday. A child on an incoming flight prompted a scare at Sydney International airport last night, but Sydney Children’s Hospital says the child was assessed and then released.

European cases
Europe’s first three cases were confirmed in France on Friday, with two patients being hospitalised in Paris and the other in the south-western city of Bordeaux.

On the eve of the Lunar New Year, transportation has been shut down in at least 13 Chinese cities with a combined population of some 36 million people.

At least eight hospitals in Wuhan issued public calls for donations of masks, goggles, gowns and other protective medical gear, according to notices online.

China’s government announced it was sending in military medics to Wuhan.

The World Health Organisation (WHO) has declared the new coronavirus an “emergency in China” but stopped short of declaring it of international concern.

Symptoms include fever, difficulty breathing and coughing. Most of the fatalities have been elderly people, many with pre-existing conditions, the WHO said.

Thailand has confirmed four cases, Japan, South Korea and the United States have confirmed two cases each, while Taiwan and Singapore have reported one each.

Indian nurse
Indian authorities say an Indian nurse working in Saudi Arabia has also been infected, but Saudi health authorities say there has been no cases in the country so far.

Airports worldwide are screening passengers arriving from China, with the US warning travellers to exercise increased caution in China.

Hong Kong, which has two confirmed cases, is turning two holiday camps into quarantine stations as a precaution. Taiwan has banned anyone from Wuhan from going to the island.

Meanwhile, the Australian Federal government has raised travel advice for the provinces of Wuhan and Hubei in China to the highest level, due to the threat posed by the coronavirus.

The level four warning urges Australians not to travel to the region.

Foreign Minister Marise Payne said Chinese authorities had restricted travel in at least five Hubei cities and Australians going there may not be able to leave until restrictions are lifted.

Travellers are being warned that the level of assistance the government can provide is limited.

This article is published under the Pacific Media Centre’s content partnership with Radio New Zealand.

• French cases show coronavirus has reached Europe

Japan’s candidate, Dr Takeshi Kasai, has been elected as the next World Health Organisation (WHO) Regional Director for the Western Pacific.

Health ministers and other senior officials from 30 countries voted yesterday during the 69th session of the WHO Regional Committee for the Western Pacific in Manila, Philippines.

Dr Kasai’s nomination will be submitted for appointment to the 114th session of the WHO executive board to take place in January 2019 in Geneva, Switzerland.

READ MORE: Tukuitonga goes into battle on behalf of Pacific

The new regional director will take office on 1 February for a term of five years. Regional directors may serve up to two terms.

Current regional director Dr Shin Young-soo, who has served since 2009, offered best wishes to his successor.

“I warmly congratulate and sincerely wish Dr Kasai the very best as the next regional director,” he said.

“When he takes the reins in February, he will inherit a strong and robust organisation, and the honour of working with a diverse group of countries joined by a formidable bond of solidarity and an unwavering commitment to delivering better health for all.”

New Zealand campaign
New Zealand campaigned in support of Dr Colin Tukuitonga for the position and he came second out of the four candidates in the running. The other chief candidates were from the Philippines and Malaysia.

If successful, Dr Tukuitonga would have been the first Regional Director from New Zealand and the first of Pacific descent.

Dr Tukuitonga was unanimously nominated by Pacific health ministers in 2017 as their candidate for the Regional Director position. New Zealand subsequently supported Dr Tukuitonga, who is a New Zealander of Niuean origin.

“Although we are disappointed with the result, we are pleased that we fought a good campaign and can hold our heads high,” said Associate Health Minister Jenny Salesa, who was in Manila to support New Zealand’s candidate in the election.

“The region has made its decision and they have chosen to elect the Japanese candidate. We wish him well in his new role and look forward to working with him in the future.”

Later this week, the regional committee will adopt action plans to address a variety of health issues affecting the region’s nearly 1.9 billion people. They include:

• Fighting neglected tropical diseases;
• Strengthening rehabilitation services;’
• Improving hospital planning and management;
• Harnessing e-health for improved service delivery; and
• Strengthening legal frameworks for health in the Sustainable Development Goals.

The Regional Committee will also discuss progress on health security, infectious and noncommunicable diseases, and environmental health.

• Japanese aid funding splits Pacific unity

All the headlines at the recent Pacific Islands Forum in Nauru were political so the upcoming nomination for the election next month for the key role of World Health Organisation regional director for the Western Pacific went largely unnoticed.

The Pacific’s endorsement of Colin Tukuitonga, a New Zealander of Niuean descent and proposed by New Zealand, was resounding and support for his nomination from all countries had seemed to be a fait accompli.

He along with three others – Dr Narimah Awin, proposed by Malaysia; Dr Takeshi Kasai, proposed by Japan; Dr Susan Mercado, proposed by the Philippines – were then in the running for the nomination which will take place during the 69th session of the Regional Committee for the Western Pacific in Manila, Philippines, on October 8-13.

READ MORE: Building healthy communities on the Pacific

“Yes, all health ministers agreed and endorsed me at the WHO Regional Committee Meeting held in Brisbane in October 2017.

“They agreed to have one candidate and five ministers approached me to stand,” Tukuitonga told Asia-Pacific Report.

At the forum in Nauru he learned that the endorsement from the Pacific Island states was not as united as first thought.

“Since then, we are aware that Papua New Guinea and Solomon Islands have expressed public support for the Japanese candidate [Dr Kasai],” he says.

Most of Pacific supportive
“We understand that this is in exchange for Japan paying for developments in country. We also understand that Vanuatu has made the same decision.”

“We understand that all other Pacific nations remain supportive, including New Zealand and Australia as well as other nations.”

The Director-General of the Secretariat of the Pacific Community says it is a positive for the role being at the PIF, it provided an opportunity to network with the leaders.

“All regional agencies – the council for regional organisations in the Pacific (CROP) decisions and priorities are influenced by forum leaders decisions. It is also a good opportunity to meet Pacific leaders and others.

“PIF presents a lot of opportunities to meet bilaterally with donors and those that are present. It also a critical forum”.

He does have a view on the 120 children in the detention camps on Nauru and their mental state but does not want to air it publicly.

But he is happy to voice his concerns about the health of Pacific people.

Diabetes, heart disease major problem
“Non-communicable diseases (NCD) such as diabetes and heart disease are the major cause of death and disease,” says the former chief executive of NZ’s Ministry for Pacific Island Affairs.

“NCDs are fuelled by poor diets, low levels of physical activity, high rates of smoking and high prevalence of obesity.

“In some Pacific nations, child health diseases remain high due to lack of clean water and sanitation. All Pacific health systems are fragile and underfunded leading to high preventable deaths and disabilities.

“Continuing high fertility rates putting pressure on government services in all Pacific countries. PNG also has high rates of HIV/AIDS, TB and malaria,” says Dr Tukuitonga.

Making matters worse for the people of the Pacific is the very realistic issue of climate change.

“A clear and present danger for all Island nations, threatening lives and livelihoods, we have five of the 15 countries most vulnerable to disasters are in Pacific,’’ he says.

“Climate change causes less dramatic impacts such as ocean acidification, causing coral bleaching and threatening the food chain and it provides 80 percent of the protein source for Pacific communities which come from fish and seafood.

Big deal
“Threats on food security is a big deal for the Pacific. Significant negative health impacts such as spread of mosquito-borne dengue fever and other diseases.

“Climate change aggravates existing problems, so preparedness is key for example, outbreaks post disaster is the result of existing organisms, not new organisms.”

He has worked for WHO before and finds it “challenging” but not a mission impossible.

Sri Krishnamurthi is a journalist and Postgraduate Diploma in Communication Studies student at Auckland University of Technology. He is attached to the University of the South Pacific’s Journalism Programme, filing for USP’s Wansolwara News and the AUT Pacific Media Centre’s Asia Pacific Report.

When Max Manape received the confirmation in Papua New Guinea his heart sank. A 22-month-old girl had been diagnosed with polio. She was paralysed.

A few days later, another confirmation came. A two-year-old boy had been taken to a clinic with weakness in his legs. Workers sent away for testing and he, too, was found to have polio. He’s undergoing physio treatment, but the virus is incurable.

“When the polio was identified, oh it was quite worrying,” Dr Manape sighed down the phone. “We thought we had eradicated it.”

READ MORE: A ‘lurking beast’: Polio casts shadow over PNG independence day

Dr Manape, who is the head of the Eastern Highlands Provincial Health Authority, has since received confirmation that four children in his province have polio.

In all, 12 children across Papua New Guinea have been diagnosed since it was rediscovered in July. The debilitating disease is in five provinces, including the capital, Port Moresby.

Polio, an incurable virus which causes paralysis in children, has been nearly eradicated from the face of the earth. Only three countries – Pakistan, Afghanistan and Nigeria – are still known to harbour wild polio virus, according to the Global Polio Eradication Initiative.

In 2017, only 22 cases of polio came to the attention of authorities worldwide. Papua New Guinea’s latest outbreak has already confirmed 12, and officials there say several more are likely to be found.

3 other countries
Syria, Somalia and Democratic Republic of Congo are the only other countries to have seen a return of polio in the past couple of years.

The government and health officials, in a series of statements and television appearances, have sought to allay fears, saying the outbreak can still be contained by the intensive isolation and vaccination campaign that is underway.

But as confirmed polio cases skip from province to province, many are asking how Papua New Guinea has become one of the few countries to buck the international trend of eradicating polio.

“Everyone’s asking that question,” said Luo Dapeng, the World Health Organisation’s representative in PNG. “I think there’s a multitude of reasons.”

Papua New Guinea, along with the rest of the Western Pacific, was declared free of polio in 2000. Its last confirmed case was in 1996, after decades of intensive vaccinations across the country – and the world.

“I think we got a bit more relaxed in terms of our vaccine programme,” said Dr Manape.

But that confidence was shattered in May when a 6-year-old boy from Lufa Mountain, a settlement in the northern city of Lae, became paralysed in his lower limbs.

Vaccine-derived form
Samples were sent to the United States for testing, and in June, fears were confirmed: Polio was back.

The Lae case is what is known as a vaccine-derived form of polio, where the weakened form of the virus used in vaccinations mutates and spreads. Samples of other children in Lufa Mountain confirmed they had the strain in their systems.

Often, one confirmed case of paralysis is considered a polio outbreak, as doctors assume hundreds of others would have been exposed to the virus.

Lufa Mountain, like much of Papua New Guinea, had the perfect conditions for an outbreak. Few children are immunised against polio, and the water supply and sanitation systems are largely non-existent.

Authorities suspect the outbreak started when the water supply was contaminated by faeces which contained the mutated virus.

Since then, the disease has skipped from Morobe province to neighbouring Madang. It’s spread up the rugged Highland interior to Enga and Eastern Highlands provinces. Last week, the first case was confirmed in the capital, Port Moresby.

Dr Manape said it was not yet known how the virus managed to skip up to Eastern Highlands from Lufa Mountain. He doesn’t even know if it’s from the same outbreak.

“It’s quite worrying,” he said. “We have low vaccine coverage in the province. When we detect polio, it’s quite worrying.”

Geographic spread
Dr Manape said there was a chance polio had been circulating in his province for some time. The four cases found in Eastern Highlands are geographically spread across the province, and a strain could have been there for “quite a while.” It was only once the case was confirmed in Lufa Mountain that they started testing in his region, he said.

“With poor sanitation and the poor water, we know that this could affect every community,” Dr Manape said. “We’re on our toes trying to get to communities, to mobilise health staff.”

David Mills, a doctor in Enga Province and the president of the Society of Rural and Remote Health, said now an outbreak had started, it would be difficult to contain.

“If you leave the door even just a little bit open it can kick it wide open,” he said. “Once you get one case, then one case is all it takes for it to spread like wildfire and then you’re sort of back to step one again.”

Since the outbreak was confirmed, an army of health professionals have swarmed the country, marching from village to village to vaccinate as many children as possible and contain the outbreak.

The World Health Organisation and the Department of Health have set up containment zones around affected communities, and embarked on mass vaccination campaigns across the provinces with polio.

In some of the provinces, Dr Dapeng said, coverage has already gone from as low as 30 percent to as high as 90 percent.

More than 50 deployed
More than 50 international polio workers have been deployed to the country, according to the World Health Organisation. A vaccination campaign will begin in Port Moresby at the end of the month, while a nationwide campaign will begin in October. Last week, health secretary Pascoe Kase said the immunisation programme would also be expanded to include all Papua New Guineans under the age of 15.

But while the response is being lauded, many are saying it could have been avoided entirely.

“To see this re-emerge is very disappointing,” said Dr Mills. “But perhaps not altogether surprising.”

“When you see these diseases re-emerge, it really is a sign that unfortunately the government has not really invested in these things.”

Polio’s return was years in the making.

In the late 20th century, vaccination programmes were well-funded and regular. Most villages would be visited by specialists who would traverse the country providing children with their three courses of droplets.

But since the eradication declaration in 2000, Dr Manape and Dr Mills both said, that programme has largely fallen by the wayside, replaced by a lackadaisical approach to vaccines. Not just for polio, but for other preventable diseases like measles and whooping cough, too.

Vaccine coverage down
In the past 18 years, nationwide polio vaccine coverage has fallen from about 80 percent to 30 percent. In some provinces, that rate is even lower.

While some children are vaccinated, they don’t receive their full doses, which also creates a danger. To be fully immunised, a child needs three courses of droplets. But Dr Manape said some children had only been receiving one course, which can spread the mutated virus while not fully vaccinating the child.

“The immunity of the population is very low,” said Dr Luo, of the World Health Organisation. “That’s why polio has come back.”

But the campaign is also the victim of the grand promises, failed visions, and savage cuts that have seen the country’s health system hurtle close to the edge of collapse.

In recent months, hospitals and clinics across the country have run out of basic medicines and supplies, the country almost ran out of the antiretrovirals used to treat those living with HIV/AIDS, and doctors have gone without pay for months.

Dr Luo acknowledged that the financial crisis, in part caused by a spending spree that started when the government was confident of a commodities boom that never came, may have had some role in the return of polio.

“PNG’s a commodity income country and they have been struggling to finance some of the health services,” he said.

Easy target for cuts
Dr Manape said it appeared vaccine programmes – especially ones for ailments like polio, thought to have been eradicated – were easy targets for savage cuts.

“Once we eliminated polio in 2000 we needed to maintain the immunisation coverage – that needs to be constant,” he said. “We do a lot of our planning and send the budgets. The government not funding its part of it has really pulled the cap for the polio to pop up.”

In June, health minister Sir Puka Temu told parliament 40 percent of the country’s remote aid posts, small clinics that treat isolated communities and provide vaccinations, had closed. He said many of those that remained had no electricity or running water.

Dr Mills said in some provinces – including those with polio – nearly all the aid posts had closed, which was “outrageous” in a country where 85 percent of the population lived in remote areas.

He said the government’s spending priorities had been in the wrong places for years, with millions of dollars – much of it donated or on loan from countries like Australia and China – had been pumped into hospitals in the big cities.

“What really needs to change is we need to reinvest in getting health workers living in these communities all the time and that’s really what collapsed in PNG,” said Dr Mills.

“You have to have those people there … so that any time they see a patient, or they see someone at the market they can say, ‘hey look come in for your vaccination tomorrow’.”

Lives changed forever
But after 18 years of cuts and neglect, polio is back, and the lives of 12 children have been forever changed.

Authorities are scrambling to contain the outbreak in a response that has been spearheaded by international agencies which has seen millions of dollars flood in.

Dr Mills said eradicating it again is possible, but the teams working across the country – including himself – have their work cut out for them.

“There’s no power supplies in most of the country and, of course, [that] challenge of keeping in place what we call a cold chain to make sure the vaccines stay cold the whole way to the patient, that’s an incredibly difficult task,” he said.

“You may have to travel a long distance just to vaccinate a couple of dozen children. That might involve flying out or walking a day or taking a motorboat ride up the river for a couple of days just to find small groups.”

“It takes will and effort to do it,” Dr Mills said.

Dr Luo said that will and effort was there, and he was confident the polio outbreak could be contained.

Know the strategy
“We know the strategy of how to do it. We know how to do surveillance. We know how to implement the intervention,” he said. “We will someday contain the outbreak.”

Medical workers are already looking beyond the containment effort, and are demanding assurances that the problems that led to polio returning will be fixed, and that vaccinations will be maintained.

“With the WHO resources and funding we’re having coverage of almost 100 percent,” said Dr Manape. “But for our normal routine, that funding was a big problem. What we are learning now is that we need more support from the government.”

Dr Mills said plenty of other countries with similar challenges to PNG had managed to stay on top of polio, and he hoped lessons would be learned.

“Let’s hope this provides the impetus to refocus our attention on these basic things.”

This article is republished under the Pacific Media Centre’s content partnership with Radio New Zealand.

Battlelines are being drawn as New Zealand and Pacific countries lobby for an important appointment at the World Health Organisation.

The region’s health ministers had all agreed to support a Pasifika candidate, but offers of aid and influence from Asian countries have left that in doubt.

Hundreds of millions of health dollars are at stake as the region grapples with a number of crises including diabetes and even the re-emergence of polio.

The regional director nominee, Dr Colin Tukuitonga, says the small island communities do not get a fair deal from the World Health Organisation.

“People complain about resource limitations, there is never enough money. The voice of the islands is often drowned out by the voices of the bigger Asian countries,” he said.

It is why New Zealand has nominated Dr Tukuitonga as the WHO regional director.

At a recent meeting, Pacific health ministers unanimously agreed to support that nomination.

Sudden change
But things suddenly changed. Both the Solomon Islands and Papua New Guinea have gone back on their agreement, publicly expressing commitment to Japan.

“This is an opportunity to remain united and influence a particularly important position for the health of the people of the region. And clearly we have two members who haven’t honoured their commitment to regionalism,” Dr Tukuitonga said.

Foreign Affairs Minister Winston Peters says the government hopes that the Solomon Islands and Papua New Guinea “will this time sign up for their own neighbourhood rather than bargain their vote off somewhere else for alternative reasons”.

Coincidentally, Japan has made aid offers to island countries, including a major international airport extension and rebuild for the Solomon Islands.

“A free airport does not improve the health of the Pacific people,” Peters said.

Dr Tukuitonga said: “Some of our island members are very vulnerable, very susceptible to these offers. And that’s the unfortunate thing I think.”

Nonetheless there’s been solid support for Dr Tukuitonga who’s pledging to fight for a region he’s already dedicated to.

Projected decline
“WHO budget is projected to decline. There’s a lot to be said about getting a fair share for our region because if you do that then you have a better chance of allocating a decent level of resource to our island members,” he said.

Peters said: “We start with a huge asset on our side. We have got the right candidate.”

It would be an historic win for the Pacific as the role has always been held by Asia.

Thirty countries will decide if the time is right for change in October.

Barbara Dreaver is the Pacific affairs correspondent of Television New Zealand. This article is republished with permission.

With few commitments to curb cigarette consumption, Indonesia is poised to have the largest population of smokers in the world in the next decade.

Currently, the country ranks fourth on the list of countries with the most smokers, behind China, Russia and the US. But while other heavy-smoking countries are enforcing tough tobacco controls, Indonesia is planning to double tobacco production.

Indonesia already has the world’s highest smoking prevalence among males, as 67.4 percent of males over 15 years old smoke. The cost of treating tobacco-related diseases in the country is currently estimated to reach Rp 11 trillion (NZ$1.21 billion) a year, 0.29 percent of the country’s gross domestic product (GDP).

“If we don’t prevent and control the impacts of smoking, then there’s a chance we will become the world’s largest tobacco consumer in the next 10 years,” the Health Ministry’s disease control director general, Muhammad Subuh, said during an event to mark World No Tobacco Day.

The governments of China, Russia and the US have realised that health costs and other hidden expenses resulting from smoking are far higher than the money generated from the tobacco industry.

A study published last year in The Lancet medical journal said that a third of all men currently under the age of 20 in China, the world’s largest tobacco producer and consumer, would die prematurely if they did not give up smoking.

Therefore, China signed the World Health Organisation’s (WHO) Framework Convention on Tobacco Control (FCTC) in 2006. Since then, the Chinese government has worked earnestly to implement the FCTC by adopting a series of measures to control the tobacco epidemic.

Loose controls
Even though tobacco-related diseases claim 200,000 lives in Indonesia every year, the government has refused to sign the FCTC, resulting in loose cigarette controls and the country being dubbed the tobacco industry’s playground.

Like China, Russia and the US have also taken steps to ensure that the tobacco industry does not endanger the future of their young generations.

“We’ve seen changes taking place in countries with very difficult, complex environments. For example, Russia. It now has one of the strongest tobacco control laws in the world. If you had asked us 10 years ago whether Russia would be where they are, we would’ve said it’s very difficult as the industry is very active,” World Lung Foundation senior vice-president of communications Sandra Mullin told The Jakarta Post.

Russia signed the FCTC in 2008 and introduced a comprehensive tobacco control law in 2013, effectively banning advertising of tobacco products as well as sponsorship of events by tobacco companies.

The law aimed to reduce the number of annual tobacco-related deaths from 400,000 to 150,000-200,000.

The US, meanwhile, saw its smoking rates hit an all-time low in 2014, with only 16.8 percent of adults smoking, after it passed the Tobacco Control Act into law in 2009. The law also bans sales of cigarettes to minors and tobacco-brand sponsorship of sports and entertainment events or other social and cultural occasions.

Conversely, the Indonesian government has only made minor efforts to tone down tobacco campaigns. Since 2015, it has banned tobacco advertising in mass media, on public transportation and in all public places. It also bans any form of tobacco advertising aimed at minors.

The government has also been adamant about supporting the tobacco industry by planning to double cigarette production to 524.2 billion cigarettes a year by 2020, the Industry Ministry’s 2015 tobacco industry roadmap states.

“If we see the roadmap, we can just imagine our little children being told to smoke,” the Health Ministry’s director of non- communicable diseases, Lily Sulistyowati, said.

Hans Nicholas Jong is a Jakarta Post reporter.

By Losalini Bolatagici in Suva

Fiji and other Pacific Island nations have been warned about the mosquito-borne Zika virus.

The Secretariat of the Pacific Community (SPC), in collaboration with the World Health Organisation, has this week sent an update on the Zika virus infection to public health ministries and health professionals in the Pacific Islands region.

Fiji’s Ministry of Health and Medical Services will release an official statement in relation to the virus, which shows symptoms of mild fever, rashes and joint pain.

The rare tropical disease can also cause possible birth defects, transmitted through bites from the same kind of mosquitoes that can spread other tropical diseases such as dengue fever, chikungunya and yellow fever.

SPC closely monitors the Zika situation regionally and internationally, including dengue and chikungunya.

“We provide an ongoing service to the region’s public health professionals whereby we maintain a map of epidemic and emerging disease alerts for regional health security purposes,” said acting SPC Deputy Director (Public Health Division) Dr Salanieta Saketa in a statement.

“According to the information available to us, no Pacific countries have reported confirmed cases of the Zika virus infection so far this year, but further investigation is under way to ascertain circulation of the virus in a number of Pacific Island countries and territories.”

Lab diagnosis
She said Zika virus infection could only be confirmed by a laboratory diagnosis and Pacific Islands countries had very limited capacity for Zika testing.

“We’re working closely with our partners from the Pacific Public Health Surveillance Network to overcome this challenge and facilitate access of all countries to the few laboratories which can perform the testing,” Dr Saketa said.

Part of SPC’s update concerned the latest findings on the possible association between Zika virus infection in pregnancy and congenital central nervous system malformations, including microcephaly.

While this was not proof that Zika virus had caused these malformations, a possible association could not be ruled out given the evidence available, Dr Saketa said.

“In view of the latest findings, we provided countries with a number of recommendations. For example, we recommend all travellers, particularly pregnant women, who are visiting known affected areas to take extra precautionary measures to prevent being bitten by mosquitoes.”

First Zika hospitalisation case in NZ this year

Educator and health policy specialist Dr Audrey Aumua has been appointed as Deputy Director-General of the Pacific Community (SPC), based in Suva, Fiji.

Dr Aumua will lead SPC’s programmes based in Suva, and will be the Director-General’s representative in Fiji.

Dr Aumua is of Fijian descent, and is currently the World Health Organisation (WHO) Resident Representative, based in Honiara, Solomon Islands, where she provides technical and strategic leadership to the government, as well as diplomatic representation for the organisation in Solomon Islands.

Dr Aumua has extensive experience in research, policy development and management in the health and education sectors, in New Zealand, Australia and the Pacific region.

In addition, Dr Aumua has a track record of achievement in the private sector. She was founder and managing director of a large education and training establishment in Auckland, and was director of an economic development initiative for small business with the Government of Samoa.

Prior to her WHO appointment, Dr Aumua was director of the knowledge and innovation hub at the University of Queensland, leading the establishment of a coordination platform for technical partners to regionally collaborate on a joint systems agenda for improving civil registration and vital statistics (CRVS).

She was chief executive officer of a large health trust in Auckland, and previously held the position of chief adviser on Pacific Populations at the New Zealand Ministry of Health.

Dr Aumua holds qualifications from the University of Auckland in English, teaching and business, and completed a Master of Public Policy from Massey University and a PhD from Curtin University. Her PhD thesis was on international public policy reforms in the health sector in the Pacific region.

“I am excited and very honoured to be able to join the largest scientific and technical development organisation in the region at a time when Pacific countries and territories are dealing with significant development challenges, and I look forward to working together with SPC colleagues and with other regional organisations to support the region,” Dr Aumua said.

The Director-General of the Pacific Community, Dr Colin Tukuitonga, welcomed the appointment of Dr Aumua to the role of Deputy Director-General (Suva), which complements the position of Deputy Director-General, Operations and Management Directorate, based at SPC’s Noumea headquarters, in New Caledonia.

“I am delighted that someone with Dr Aumua’s high-level strategic, policy and development experience, particularly in the Pacific region, is joining SPC.

“I am looking forward to working with her to implement the Pacific Community Strategic Plan, and in furthering our collective ambitions for the region,” Dr Tukuitonga said.

Dr Aumua takes up her new role with SPC on 2 March 2016.