Jin Russell Profile picture
May 19 9 tweets 3 min read
#Budget2022. A missed opportunity to reduce child poverty. The major investment in healthcare services needed to go hand in hand with efforts to reduce poverty.

Poverty is a major determinant of child health. Investing in one without the other is ambulance at the bottom stuff
Child health is exquisitely sensitive to child poverty. We can’t achieve child health and well-being without tackling child poverty. /2
In terms of #Budget2022, if the government’s figures are taken at face value, one in ten children are in material hardship, and one in seven are in income poverty. Poverty rates for Māori and Pacific children are much higher, as well as for disabled children. /3
We are on track to completely fail to meet the government’s own child poverty targets, no matter which poverty measure is used. /4
Budget 2022 says that increases to WFF and main benefits are key actions to reduce child poverty BUT these have already been implemented, and announced a year ago, before the cost of living rose, before the economic and social crises of the pandemic started to have a bearing /5
In the room with the researchers from @childpovertynz, looking at Budget 2022, my mentor and colleague Prof Innes Asher looked at the little in it for children in poverty, and asked everyone at the table, “How long have we been doing this?” /6
That’s the feeling. Just over 10 years since I woke up to child poverty, the Solutions to Child Poverty Report convened by then Children’s Commissioner Dr Russell Wills. I’m asking myself, when will help come for children in the deepest poverty? /7
I thought this historic majority government would be the one to bring the change
People will understandably want to know what we would have liked to have seen in Budget 2022. Here are the Fairer Future recommendations

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More from @DrJinRussell

May 21
The Royal Children’s Hospital in Melbourne is recording a surge in hospital presentations from influenza, RSV, Covid-19, parainfluenza, enteroviruses etc.

NZ parents, schools, and other settings can act now to help reduce the risk this winter to kids /1
smh.com.au/national/surge… ImageImageImageImage
It is well worth it for NZ parents to read the article in full, because NZ infection patterns tend to follow those in Australia. /2
The first thing is, if you’ve got children over 6 months of age, they can be vaccinated to protect against serious illness from influenza. kidshealth.org.nz/flu-influenza

Influenza is a major cause of hospitalisations among NZ children. immune.org.nz/vaccines/avail… /3
Read 16 tweets
Apr 12
Cabinet is going to possibly announce changes to the traffic light settings in Ao/NZ on Thursday. A shift to orange could mean masks are no longer mandated for Y4+ in schools.

Here are five reasons why I think we should keep wearing masks in schools through this winter /1
First, masks are about source control - protecting each other. They are a simple and effective way to reduce the risk of transmission of Covid-19, and are an important layer of protection in schools during the pandemic. /1
Secondly, students in Y4+ and up have done a brilliant job (mostly) in wearing masks indoors. It is easier to keep these good habits in place for a bit longer, than to repeal and then replace them. /2
Read 8 tweets
Apr 10
The week after we learnt that the Director-General, Dr Ashley Bloomfield is leaving, alongside top public health physicians Dr Caroline McElnay and Dr Niki Stefanogiannis.

Shall we talk about healthcare workforce burnout now? nzherald.co.nz/nz/public-heal…
It takes 6 years of medical school, then a Master of Public Health alongside at least four years of specialty training with the NZ College of Public Health Medicine.

Every public health consultant we lost represents 10y+ of training invested. They are not easily replaced /2
When I think about our successful elimination strategy, which carried us for the first 18+ months of the pandemic, I can see that the burden of care was disproportionately carried by my public health colleagues. We averted disaster because they took on unprecedented workloads /3
Read 14 tweets
Mar 24
Hey parents, do check whether the kids are all up to date w their routine immunisations! Ask your friends too. S.pneumoniae causes pneumonia, blood infection, & meningitis in little ones, the risk can be reduced a lot by vaccines. This is happening right now in our community: /1
More info on streptococcus pneumoniae infections and the routine immunisations that protect children, here immune.org.nz/sites/default/…
I’ll never forget the first time i diagnosed pneumococcal meningitis in a child. Night shift as a senior house officer. 2y old girl, came to Middlemore Children’s emergency with fever and “not herself”. Was handed over to me as “viral illness”. But when I examined her she /3
Read 4 tweets
Mar 23
These graphs, showing vaccine efficacy against symptomatic infection and hospitalisation, over time, for 2 doses, partly help explain the government’s decisions to lift mandatory vaccines. A v important message is that vaccines matter immensely, even if mandates are repealed /1
As you can see, the efficacy of two doses against the risk of breakthrough infection from omicron wanes, while protection against severe illness/hospitalisation remain high.

Here are the same graphs but for three doses of Pfizer/Moderna: /2
As vaccine efficacy (VE) wanes over time against breakthrough infection, it means the vaccines have less impact on transmission of omicron - which I understand is one of the key justifications for the workforce mandates./3
Read 7 tweets
Mar 10
Great thread. Looking at latest polling, it’s possible that many New Zealanders are not aware of just how well NZ managed Covid-19 - this may be because kiwis compare our present situation to elimination Level 1, when the comparison should be how other populations fared.
That is not to say it wasn’t hard work, and there was no room for improvement - there was/is! But we need to keep perspective. Facing Omicron rather than delta, with a (mostly) highly vaccinated population, was one of the best scenarios we could have been in. /2
Aotearoa NZ also topped the OECD for the number of days that schools were fully open over the first 18 months of the pandemic - further rewards of elimination /3 oecd-ilibrary.org/docserver/1a23… Image
Read 4 tweets

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