Rheumatic fever – treat the cause

Written By: - Date published: 8:02 am, November 8th, 2016 - 14 comments
Categories: class war, health, housing, poverty - Tags: , , , ,

Rheumatic fever is one of the diseases of poverty that shame this country. There has been at least some attempt to address this particular disease – with mixed results:

Rheumatic fever rates fail to fall in central Auckland, Waitemata

The Government is reshuffling money to bolster its rheumatic fever prevention programme throughout much of greater Auckland after officials admitted targets are not being met.

In the year to June, the 31 new cases of the potentially fatal disease in the Waitemata and central Auckland health districts were at least double the target level. …

At least double the target level – and rising. See the full piece for various graphs.

“Most regions are seeing reductions in rheumatic fever,” said [Green] co-leader Metiria Turei, “but not in Auckland, where we know there are large numbers of people living in overcrowded, cold, damp and mouldy homes, and in cars and garages.”

The fact that most regions are showing reductions is good news, and a credit to the programme. But Turei is right about the regions that are getting worse. RNZ gets straight to the point:

Housing crisis blamed for Auckland’s rheumatic fever rates

The government is failing to make a dent in rheumatic fever rates across much of Auckland, despite millions of dollars being poured into tackling the problem.

The government has dedicated $65 million to its Rheumatic Fever Prevention Programme, which started five years ago with the aim of slashing incidents of the disease.

Though rates are falling across the country, children are still contracting the disease in the same numbers in the Waitemata and Auckland district health board (DHB) areas.

Under the Ministry of Health targets, Auckland DHB should have had seen seven new cases in the past 12 months. Instead it had 19 – two more than when the programme began.

It was a similar case in Waitemata which had around 12 cases last year – more than double its target number.

A prominent Auckland GP and the leader of a successful south Auckland prevention programme, Rawiri Jansen, said the DHBs were fighting against an increasing tide of child poverty and crowded housing.

“The key driver of acute rheumatic fever is housing and I think it is well known that there are concerns about he household crowding areas in wider Auckland. That may be the area where we need to increase our effort,” he said.

He said rates of the disease may actually have increased had the prevention programme not been in place. ….

Rheumatic fever is increasing in Auckland because poverty, poor housing and overcrowding are increasing. There’s only so far you can go with an ambulance at the bottom of the cliff. To treat the diseases of poverty you need to treat the cause.

14 comments on “Rheumatic fever – treat the cause ”

  1. left_forward 1

    This is really tragic for Auckland.
    We are seeing very good progress in Northland with only one new case last year – a dramatic drop. It isn’t just as a result of Govt investment however (although they like to claim all the success), but the excellent throat swabbing performance, including financial support from Maori and community based health providers, well supported by schools, particularly in rural Maori communities. But why are the rates of this debilitating and lethal childhood illness in Auckland heading in the opposite direction?
    It is widely accepted that housing and poverty are the two main determinants.
    But there may well be another factor:
    While the Government has made an investment, the health care providers have actually been funded very poorly for what has been expected of them. If it wasn’t for the value added commitment of the communities themselves, I don’t think Northland would have been so successful – up to now at least.

    • Bill 1.1

      It is widely accepted that housing and poverty are the two main determinants

      Over crowding probably increases strep infection rates. If you want to tie poverty into that, then sure – ie, poorer people might tend to live in more crowded conditions.

      But still. From what I gather, a simple course of antibiotics deals with strep and if strep is dealt with, then voila! – no rheumatic fever.

      But how often is a sore throat just a sore throat and how often are other sore throats just ‘left be’ on that assumption, but they turn out to be strep and then (for some) rheumatic fever?

      And I’d be interested in the breakdown of rheumatic fever or strep by household rather than by population. The UK has a rheumatic fever rate of about 1 in 100 000. NZ ‘should’ have about 50 cases per year by that measure. Seems the number of cases is higher. I wonder if numbers of infected households compare?

      Anyway, on the over-crowding front, also wondering what contribution class rooms make. (Johnny had a sore throat. There were 40 other school kids in his class….). Or those gawd awful, somewhat heaving shopping malls? What about supermarkets where workers on low pay with very limited sick leave might have strep and turn up to stack (say) the veg isles…and sneeze?

      And so it goes.

      • stunned mullet 1.1.1

        The strong push from PHARMAC and microbiologists not to prescribe antibiotics for sore throats in the past years may have had some perverse effects on the numbers of rheumatic fever cases that are now popping up.

  2. Draco T Bastard 2

    To treat the diseases of poverty you need to treat the cause.

    True but which political party is willing to stand up and say that they’re getting rid of capitalism?

  3. Michelle 3

    To treat the diseases of poverty exacerbated by the gnats policies we need another government that actually cares

  4. inspider 4

    If rheumatic fever rates are thr fault of National policies, why are rates lower today than under the whole of the last government? Why did rates go up after the introduction of working for families?

    http://tinyurl.com/zmbrxjq

    I agree it’s about poverty but why is it almost non existent south of taupo? And why are rates declining on target in the maori community but not the Polynesian?

    Looks a lot more complex than “it’s da nats!”

    • r0b 4.1

      If rheumatic fever rates are thr fault of National policies, why are rates lower today than under the whole of the last government

      Rates rose from 2008 – 2009 on (here, slide 7, here Fig 27). That triggered a significant programme since 2012 so rates have now fallen nationally. They are not lower in Auckland and Waitemata – as per the OP.

      Yes, it is complex, but the post doesn’t say “it’s da nats!”, it says “There’s only so far you can go with an ambulance at the bottom of the cliff. To treat the diseases of poverty you need to treat the cause.”

      • inspider 4.1.1

        rob

        Not sure where you are getting your data, but in my link above it shows that rates started growing in absolute and per capita terms from 2002. The growth looks slightly stronger in the 2005-09 period but the trend is fairly even. It peaked in 2013. Ok it’s not on target overall but it is for maori, and rates are now lower than it has ever been. It is not really fair to cherry pick two data points and say it’s rising when you can clearly see there is a lot of statistical noise in the historic record and the trend is very clear.

        Oh and it was supposed to be a response to Michelle’s comment not your post

        • dv 4.1.1.1

          On the graph, the incidence is the same as in 1878.

        • McFlock 4.1.1.2

          There’s a slight mismatch between the two of you in that inspider’s MoH link prioritises first hospitalisations whereas R0b’s two figures involve total hospitalisations, including recurring admissions (but it’s not actually a huge difference to numbers or trends).

          Looking at the xls download from MoH, one thing that took me aback (vaguely recall it doing so previously as well) is that the bulk, as in maybe 80/90% of cases, are in Maori or Polynesians. A completely insane disproportionate representation.

          But anyway, it looks to me like one of the problems we all swept under the carpet because of the low numbers, then the GFC comes along and the uptick throws not just it but our systemc demographic abuse in our faces.

          With relatively low overall states for morbidity there is a tendency to focus on other areas and view cases as “expected background radiation”, not noticing that some doctors might be dealing with such cases routinely. And they’re mostly preventable cases, is the indictment: crowding.

          We need to sort out the housing crisis.
          Not piecemeal, but now. This problem’s been festering for decades, and now it’s in our faces.

  5. JonL 5

    Rheumatic fever – good god, I thought that was a disease of Dickensian style third world countries stricken with poverty, not something you’d expect to see in a “modern, first world” country that looks after it’s citizens.

    Oh wait…………

    • miravox 5.1

      +1

      Throat swabbing programmes are all very good, but it would be nice if the government had a plan to treat the cause of strep throat that leads to rheumatic fever. But that would require working on cold and damp homes that reduce resistance to colds and fevers; and the inadequate housing supply that leads to over-crowding and shared sneezed and coughed droplets – especially when kids are sleeping together. As well, incomes need to be addressed to enable people to afford good food and to properly dry clothes and towels in winter and reduce sharing of these things. Would also be cool if each kid had their own flannels and towels that were able to be regularly and completely washed and dried (this would also reduce horrid skin infections too).

  6. Simon 6

    The writer needs to learn thr difference between causation and correlation.

    Personally I’m stoked to see some traction here…mych preferable to Laboye/Atden waffling on about measuring poverty for 8 or so years.

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    While it may be unlikely to register in New Zealand’s general election, Britain’s PM Rishi Sunak has done something which might just be important in the long run. He’s announced a far-reaching change in his Conservative government’s approach to environmental, and particularly net zero, policy. The starting point – ...
    Point of OrderBy xtrdnry
    6 days ago
  • At a glance – How do human CO2 emissions compare to natural CO2 emissions?
    On February 14, 2023 we announced our Rebuttal Update Project. This included an ask for feedback about the added "At a glance" section in the updated basic rebuttal versions. This weekly blog post series highlights this new section of one of the updated basic rebuttal versions and serves as a ...
    6 days ago
  • How could this happen?
    Canada is in uproar after the exposure that its parliament on September 22 provided a standing ovation to a Nazi veteran who had been invited into the chamber to participate in the parliamentary welcome to Ukrainian President Zelensky. Yaroslav Hunka, 98, a Ukrainian man who volunteered for service in ...
    6 days ago
  • Always Be Campaigning
    The big screen is a great place to lay out the ways of the salesman. He comes ready-made for Panto, ripe for lampooning.This is not to disparage that life. I have known many good people of that kind. But there is a type, brazen as all get out. The camera ...
    More Than A FeildingBy David Slack
    6 days ago
  • STEPHEN FRANKS: Press seek to publicly shame doctor – we must push back
    The following is a message sent yesterday from lawyer Stephen Franks on behalf of the Free Speech Union. I don’t like to interrupt first thing Monday morning, but we’ve just become aware of a case where we think immediate and overwhelming attention could help turn the tide. It involves someone ...
    Point of OrderBy poonzteam5443
    6 days ago
  • Competing on cruelty
    The right-wing message calendar is clearly reading "cruelty" today, because both National and NZ First have released beneficiary-bashing policies. National is promising a "traffic light" system to police and kick beneficiaries, which will no doubt be accompanied by arbitrary internal targets to classify people as "orange" or "red" to keep ...
    No Right TurnBy Idiot/Savant
    6 days ago
  • Further funding for Pharmac (forgotten in the Budget?) looks like a $1bn appeal from a PM in need of...
    Buzz from the Beehive One Labour plan  – for 3000 more public homes by 2025 – is the most recent to be posted on the government’s official website. Another – a prime ministerial promise of more funding for Pharmac – has been released as a Labour Party press statement. Who ...
    Point of OrderBy Bob Edlin
    6 days ago
  • Bryce Edwards: The Vested interests shaping National Party policies
    As the National Party gets closer to government, lobbyists and business interests will be lining up for influence and to get policies adopted. It’s therefore in the public interest to have much more scrutiny and transparency about potential conflicts of interests that might arise. One of the key individuals of ...
    Democracy ProjectBy bryce.edwards
    6 days ago
  • Labour may be on way out of power and NZ First back in – but will Peters go into coalition with Na...
    Voters  are deserting Labour in droves, despite Chris  Hipkins’  valiant  rearguard  action.  So  where  are they  heading?  Clearly  not all of them are going to vote National, which concedes that  the  outcome  will be “close”. To the Right of National, the ACT party just a  few weeks  ago  was ...
    Point of OrderBy tutere44
    6 days ago
  • GRAHAM ADAMS: Will the racists please stand up?
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    Point of OrderBy poonzteam5443
    6 days ago
  • Gordon Campbell on whether Winston Peters can be a moderating influence
    As the centre-right has (finally!) been subjected to media interrogation, the polls are indicating that some voters may be starting to have second thoughts about the wisdom of giving National and ACT the power to govern alone. That’s why yesterday’s Newshub/Reid Research poll had the National/ACT combo dropping to 60 ...
    6 days ago
  • Tuesday’s Chorus: RBNZ set to rain on National's victory parade
    ANZ has increased its forecast for house inflation later this year on signs of growing momentum in the market ahead of the election. Photo: Lynn Grieveson / The KākāTL;DR: National has campaigned against the Labour Government’s record on inflation and mortgage rates, but there’s now a growing chance the Reserve ...
    The KakaBy Bernard Hickey
    6 days ago
  • After a Pittsburgh coal processing plant closed, ER visits plummeted
    This is a re-post from Yale Climate Connections by Katie Myers. This story was originally published by Grist and is part of Covering Climate Now, a global journalism collaboration strengthening coverage of the climate story. Pittsburgh, in its founding, was blessed and cursed with two abundant natural resources: free-flowing rivers and a nearby coal seam. ...
    7 days ago
  • September-23 AT Board Meeting
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    7 days ago
  • Electorate Watch: West Coast-Tasman
    Continuing my series on interesting electorates, today it’s West Coast-Tasman.A long thin electorate running down the northern half of the west coast of the South Island. Think sand flies, beautiful landscapes, lots of rain, Pike River, alternative lifestylers, whitebaiting, and the spiritual home of the Labour Party. A brief word ...
    Nick’s KōreroBy Nick Rockel
    7 days ago
  • Big money brings Winston back
    National leader Christopher Luxon yesterday morning conceded it and last night’s Newshub poll confirmed it; Winston Peters and NZ First are not only back but highly likely to be part of the next government. It is a remarkable comeback for a party that was tossed out of Parliament in ...
    PolitikBy Richard Harman
    7 days ago
  • 20 days until Election Day, 7 until early voting begins… but what changes will we really see here?
    As this blogger, alongside many others, has already posited in another forum: we all know the National Party’s “budget” (meaning this concept of even adding up numbers properly is doing a lot of heavy, heavy lifting right now) is utter and complete bunk (read hung, drawn and quartered and ...
    exhALANtBy exhalantblog
    1 week ago
  • A night out
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    More Than A FeildingBy David Slack
    1 week ago

  • New Zealand resumes peacekeeping force leadership
    New Zealand will again contribute to the leadership of the Multinational Force and Observers (MFO) in the Sinai Peninsula, Egypt, with a senior New Zealand Defence Force officer returning as Interim Force Commander. Defence Minister Andrew Little and Foreign Affairs Minister Nanaia Mahuta have announced the deployment of New Zealand ...
    BeehiveBy beehive.govt.nz
    4 hours ago
  • New national direction provides clarity for development and the environment
    The Government has taken an important step in implementing the new resource management system, by issuing a draft National Planning Framework (NPF) document under the new legislation, Environment Minister David Parker said today. “The NPF consolidates existing national direction, bringing together around 20 existing instruments including policy statements, standards, and ...
    BeehiveBy beehive.govt.nz
    7 hours ago
  • Government shows further commitment to pay equity for healthcare workers
    The Government welcomes the proposed pay equity settlement that will see significant pay increases for around 18,000 Te Whatu Ora Allied, Scientific, and Technical employees, if accepted said Health Minister Ayesha Verrall. The proposal reached between Te Whatu Ora, the New Zealand Public Service Association Te Pūkenga Here Tikanga Mahi ...
    BeehiveBy beehive.govt.nz
    8 hours ago
  • 100 new public EV chargers to be added to national network
    The public EV charging network has received a significant boost with government co-funding announced today for over 100 EV chargers – with over 200 charging ports altogether – across New Zealand, and many planned to be up and running on key holiday routes by Christmas this year. Minister of Energy ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Safeguarding Tuvalu language and identity
    Tuvalu is in the spotlight this week as communities across New Zealand celebrate Vaiaso o te Gagana Tuvalu – Tuvalu Language Week. “The Government has a proven record of supporting Pacific communities and ensuring more of our languages are spoken, heard and celebrated,” Pacific Peoples Minister Barbara Edmonds said. “Many ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • New community-level energy projects to support more than 800 Māori households
    Seven more innovative community-scale energy projects will receive government funding through the Māori and Public Housing Renewable Energy Fund to bring more affordable, locally generated clean energy to more than 800 Māori households, Energy and Resources Minister Dr Megan Woods says. “We’ve already funded 42 small-scale clean energy projects that ...
    BeehiveBy beehive.govt.nz
    4 days ago
  • Huge boost to Te Tai Tokerau flood resilience
    The Government has approved new funding that will boost resilience and greatly reduce the risk of major flood damage across Te Tai Tokerau. Significant weather events this year caused severe flooding and damage across the region. The $8.9m will be used to provide some of the smaller communities and maraes ...
    BeehiveBy beehive.govt.nz
    4 days ago
  • Napier’s largest public housing development comes with solar
    The largest public housing development in Napier for many years has been recently completed and has the added benefit of innovative solar technology, thanks to Government programmes, says Housing Minister Dr Megan Woods. The 24 warm, dry homes are in Seddon Crescent, Marewa and Megan Woods says the whanau living ...
    BeehiveBy beehive.govt.nz
    5 days ago
  • Te Whānau a Apanui and the Crown initial Deed of Settlement I Kua waitohua e Te Whānau a Apanui me...
    Māori: Kua waitohua e Te Whānau a Apanui me te Karauna te Whakaaetanga Whakataunga Kua waitohua e Te Whānau a Apanui me te Karauna i tētahi Whakaaetanga Whakataunga hei whakamihi i ō rātou tāhuhu kerēme Tiriti o Waitangi. E tekau mā rua ngā hapū o roto mai o Te Whānau ...
    BeehiveBy beehive.govt.nz
    6 days ago
  • Plan for 3,000 more public homes by 2025 – regions set to benefit
    Regions around the country will get significant boosts of public housing in the next two years, as outlined in the latest public housing plan update, released by the Housing Minister, Dr Megan Woods. “We’re delivering the most public homes each year since the Nash government of the 1950s with one ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Immigration settings updates
    Judicial warrant process for out-of-hours compliance visits 2023/24 Recognised Seasonal Employer cap increased by 500 Additional roles for Construction and Infrastructure Sector Agreement More roles added to Green List Three-month extension for onshore Recovery Visa holders The Government has confirmed a number of updates to immigration settings as part of ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Poroporoaki: Tā Patrick (Patu) Wahanga Hohepa
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    BeehiveBy beehive.govt.nz
    1 week ago
  • Renewable energy fund to support community resilience
    40 solar energy systems on community buildings in regions affected by Cyclone Gabrielle and other severe weather events Virtual capability-building hub to support community organisations get projects off the ground Boost for community-level renewable energy projects across the country At least 40 community buildings used to support the emergency response ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • COVID-19 funding returned to Government
    The lifting of COVID-19 isolation and mask mandates in August has resulted in a return of almost $50m in savings and recovered contingencies, Minister of Health Dr Ayesha Verrall announced today. Following the revocation of mandates and isolation, specialised COVID-19 telehealth and alternative isolation accommodation are among the operational elements ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Appointment of District Court Judge
    Susie Houghton of Auckland has been appointed as a new District Court Judge, to serve on the Family Court, Attorney-General David Parker said today.  Judge Houghton has acted as a lawyer for child for more than 20 years. She has acted on matters relating to the Hague Convention, an international ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Government invests further in Central Hawke’s Bay resilience
    The Government has today confirmed $2.5 million to fund a replace and upgrade a stopbank to protect the Waipawa Drinking Water Treatment Plant. “As a result of Cyclone Gabrielle, the original stopbank protecting the Waipawa Drinking Water Treatment Plant was destroyed. The plant was operational within 6 weeks of the ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Govt boost for Hawke’s Bay cyclone waste clean-up
    Another $2.1 million to boost capacity to deal with waste left in Cyclone Gabrielle’s wake. Funds for Hastings District Council, Phoenix Contracting and Hog Fuel NZ to increase local waste-processing infrastructure. The Government is beefing up Hawke’s Bay’s Cyclone Gabrielle clean-up capacity with more support dealing with the massive amount ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Taupō Supercars revs up with Government support
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    BeehiveBy beehive.govt.nz
    2 weeks ago
  • There is no recession in NZ, economy grows nearly 1 percent in June quarter
    The economy has turned a corner with confirmation today New Zealand never was in recession and stronger than expected growth in the June quarter, Finance Minister Grant Robertson said. “The New Zealand economy is doing better than expected,” Grant Robertson said. “It’s continuing to grow, with the latest figures showing ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Highest legal protection for New Zealand’s largest freshwater springs
    The Government has accepted the Environment Court’s recommendation to give special legal protection to New Zealand’s largest freshwater springs, Te Waikoropupū Springs (also known as Pupū Springs), Environment Minister David Parker announced today.   “Te Waikoropupū Springs, near Takaka in Golden Bay, have the second clearest water in New Zealand after ...
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    2 weeks ago
  • More support for victims of migrant exploitation
    Temporary package of funding for accommodation and essential living support for victims of migrant exploitation Exploited migrant workers able to apply for a further Migrant Exploitation Protection Visa (MEPV), giving people more time to find a job Free job search assistance to get people back into work Use of 90-day ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Strong export boost as NZ economy turns corner
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    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Funding approved for flood resilience work in Te Karaka
    The Government has approved $15 million to raise about 200 homes at risk of future flooding. More than half of this is expected to be spent in the Tairāwhiti settlement of Te Karaka, lifting about 100 homes there. “Te Karaka was badly hit during Cyclone Gabrielle when the Waipāoa River ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Further business support for cyclone-affected regions
    The Government is helping businesses recover from Cyclone Gabrielle and attract more people back into their regions. “Cyclone Gabrielle has caused considerable damage across North Island regions with impacts continuing to be felt by businesses and communities,” Economic Development Minister Barbara Edmonds said. “Building on our earlier business support, this ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • New maintenance facility at Burnham Military Camp underway
    Defence Minister Andrew Little has turned the first sod to start construction of a new Maintenance Support Facility (MSF) at Burnham Military Camp today. “This new state-of-art facility replaces Second World War-era buildings and will enable our Defence Force to better maintain and repair equipment,” Andrew Little said. “This Government ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Foreign Minister to attend United Nations General Assembly
    Foreign Minister Nanaia Mahuta will represent New Zealand at the 78th Session of the United Nations General Assembly (UNGA) in New York this week, before visiting Washington DC for further Pacific focussed meetings. Nanaia Mahuta will be in New York from Wednesday 20 September, and will participate in UNGA leaders ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • Midwives’ pay equity offer reached
    Around 1,700 Te Whatu Ora employed midwives and maternity care assistants will soon vote on a proposed pay equity settlement agreed by Te Whatu Ora, the Midwifery Employee Representation and Advisory Service (MERAS) and New Zealand Nurses Association (NZNO), Minister of Health Dr Ayesha Verrall announced today. “Addressing historical pay ...
    BeehiveBy beehive.govt.nz
    2 weeks ago
  • New Zealand provides support to Morocco
    Aotearoa New Zealand will provide humanitarian support to those affected by last week’s earthquake in Morocco, Foreign Minister Nanaia Mahuta announced today. “We are making a contribution of $1 million to the International Federation of Red Cross and Red Crescent Societies (IFRC) to help meet humanitarian needs,” Nanaia Mahuta said. ...
    BeehiveBy beehive.govt.nz
    3 weeks ago
  • Government invests in West Coast’s roading resilience
    The Government is investing over $22 million across 18 projects to improve the resilience of roads in the West Coast that have been affected by recent extreme weather, Prime Minister Chris Hipkins confirmed today.  A dedicated Transport Resilience Fund has been established for early preventative works to protect the state ...
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    3 weeks ago
  • Government invests in Greymouth’s future
    The Government has today confirmed a $2 million grant towards the regeneration of Greymouth’s CBD with construction of a new two-level commercial and public facility. “It will include a visitor facility centred around a new library. Additionally, it will include retail outlets on the ground floor, and both outdoor and ...
    BeehiveBy beehive.govt.nz
    3 weeks ago
  • Nanaia Mahuta to attend PIF Foreign Ministers’ Meeting
    Foreign Minister Nanaia Mahuta will attend the Pacific Islands Forum (PIF) Foreign Ministers’ Meeting, in Suva, Fiji alongside New Zealand’s regional counterparts. “Aotearoa New Zealand is deeply committed to working with our pacific whanau to strengthen our cooperation, and share ways to combat the challenges facing the Blue Pacific Continent,” ...
    BeehiveBy beehive.govt.nz
    3 weeks ago

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