Organ donation and legislation

THE NEW ZEALAND MEDICAL JOURNAL Vol 119 No 1240 ISSN 1175 8716

CONTENTS This Issue in the Journal A summary of the original articles featured in this issue

Editorials Organ donation and legislation John McCall The Law Reform (Epidemic Preparedness) Bill—a proper response to the pandemic threat? Brendon Gray, Cheryl Brunton, Pauline Barnett

Original Articles Ethnic disparities in nutrition-related mortality in New Zealand: 1997–2011 Carlene Lawes, Niki Stefanogiannis, Martin Tobias, Natalie Paki Paki, Cliona Ni Mhurchu, Maria Turley, Stephen Vander Hoorn, Anthony Rodgers Flies, fingers, fomites, and food. Campylobacteriosis in New Zealand—foodassociated rather than food-borne Warrick Nelson, Ben Harris Dietary intakes by different markers of socioeconomic status: results of a New Zealand workforce survey Patricia Metcalf, Robert Scragg, Peter Davis Metabolic characteristics of patients with apparently normal fasting plasma glucose Geoff Braatvedt, Greg Gamble, Cam Kyle Atherogenic lipid profiles in rheumatoid arthritis Douglas White, Sayed Fayez, Alan Doube Botulinum toxin type-A (Botox-A) injections for treatment of sialorrhoea in adults: a New Zealand study Subhaschandra Shetty, Patrick Dawes, Dean Ruske, Mohannad Al-qudah, Brett Lyons

Case Report Caecal volvulus associated with intestinal malrotation immediately following caesarean section Anthony Marren, Kenneth Wong

NZMJ 18 August 2006, Vol 119 No 1240 URL: http://www.nzma.org.nz/journal/119-1240/2149/

Page 1 of 88 © NZMA

Special Series Quality improvement in New Zealand healthcare. Part 4: achieving effective care through clinical indicators John Buchanan, Allan Pelkowitz, Mary Seddon, on behalf of EPIQ

100 Years Ago in the NZMJ Quack remedies

Medical Image Pulmonary grume Syed Wamique Yusuf, Myrshia Woods, Joseph Swafford

Methuselah Selected excerpts from Methuselah

Letter Working with what we have before getting into bed with the tobacco industry Chris Bullen, Hayden McRobbie, Simon Thornley, Natalie Walker, Robyn Whittaker

Obituary Tom Patrick Cannon

Notices Heart Foundation Grants Awarded July 2006 National Heart Foundation: 2006 Grant Applications The Hawke’s Bay Medical Research Foundation Inc: Studentship Research (applications invited)



THE NEW ZEALAND MEDICAL JOURNAL Vol 119 No 1240 ISSN 1175 8716

This Issue in the Journal Ethnic disparities in nutrition-related mortality in New Zealand: 1997–2011 C Lawes, N Stefanogiannis, M Tobias, N Paki Paki, C Ni Mhurchu, M Turley, S Vander Hoorn , A Rodgers This article estimates the number of deaths due to four nutrition-related risk factors— high blood pressure, high cholesterol, high body mass index (BMI), and inadequate vegetable and fruit intake in 1997—with a close look at Māori/non-Māori disparities. The burden of disease that could be potentially avoided in 2011 if exposure to these risk factors were reduced is also estimated. About 47% of deaths among Māori and 39% of deaths among non-Māori were estimated to be due to the selected risk factors. Small changes in risk factor levels could have a major impact on population health within a decade, with relatively greater gains for Māori, particularly with improvements in BMI. Flies, fingers, fomites, and food. Campylobacteriosis in New Zealand—foodassociated rather than food-borne W Nelson, B Harris Diarrhoea caused by Campylobacter bacteria occurs following eating or drinking contaminated products. Chicken meat is known to be highly contaminated with Campylobacter, and this is commonly assumed to be the major source of the disease in humans. Eating raw chicken, or raw foods that have been cross-contaminated by chicken, is thought to be the most likely transmission route. This paper suggests an alternate route, taking into account both the highly seasonal nature of the disease and the strong association with eating chicken that is commonly reported. Dietary intakes by different markers of socioeconomic status: results of a New Zealand workforce survey P Metcalf, R Scragg, P Davis Dietary nutrient intakes and food group servings were compared across various measures of socioeconomic status in 5517 Maori, Pacific, and Other workers aged 40 to 78. The socioeconomic measures were income, education, and the occupationbased New Zealand Socioeconomic Index (NZSEI). In general, there were trends across socioeconomic status levels—i.e. lower NZSEI occupation classes, lower family income, and secondary school- or trades education-only groups had lower intakes of dietary fibre, calcium, and alcohol as well as higher intakes of dietary cholesterol (reflected by their lower intakes of fruit, vegetables, milk, cheese, and wine; and higher intakes of eggs). However, these findings were not consistent across all measures of socioeconomic status. Lower socioeconomic (poorer) classes were associated with a less healthy pattern of food group selections (and dietary nutrient intakes) compared to the highest socioeconomic (richer) classes.



Metabolic characteristics of patients with apparently normal fasting plasma glucose G Braatvedt, G Gamble, C Kyle The limits for defining normal fasting glucose are under debate. In this study, 310 patients (not known to have diabetes) underwent oral glucose tolerance testing (OGTT) and were classified according to their fasting glucose as