Over 270 healthcare professionals from around NZ, as well as healthcare organisations, signed an open letter to the PM on 12 May 2014 warning of the threat to New Zealanders' health from the TPPA. Signatories flooded in over just over 4 days. The letter was initiated by OraTaiao.
Full text of the letter and signatories can be found below. A half-page summary in The Dominion Post (24 health leaders) is here, and media release here.
See the opinion-editorial Trade accord carries health warning, as published by The Dominion Post, Tuesday 13 May 2013.
A pdf of the Open Letter is also available for download.
12 May 2014
Rt Hon John Key
Parliament Buildings, Wellington 6160
Dear Prime Minister
The TPPA threatens the future of health in NZ, by elevating “investor rights” of transnational corporations over the right of the New Zealand people to develop, adapt or improve domestic regulatory policies according to changing health needs
We as members of the New Zealand health professional community are writing to express serious concerns about a variety of important risks posed by the Trans-Pacific Partnership Agreement (TPPA) to health in NZ.
This open letter to you as Prime Minister follows on from three previous letters sent by different health related groups to yourself or the Minister of Health dated 1 March, 4 October and 4 December 2013. Signatories to those letters totalled more than 400 health professionals from a wide variety of backgrounds in healthcare.
We are writing to highlight the far-reaching unintended consequences that investor state dispute (ISDS) provisions proposed in the TPPA would have on the future of health in New Zealand. We base our concerns on the draft text of the investment chapter that was leaked in June 2012 and similar chapters in US free trade agreements. That leaked chapter revealed that Australia was the only party that opposed the application of ISDS to foreign investments in its country; New Zealand did not.
ISDS provisions would allow foreign transnational corporations to seek compensation from the New Zealand government should the value of their investment and/or their anticipated profits be threatened by actions taken to improve the health of New Zealanders. The very existence of ISDS provisions can have a significant ‘chilling effect' on national regulatory processes, due to the threat of litigation.
While New Zealand does already have ISDS obligations in some of its agreements, the TPPA is far more sweeping in the number of parties it covers and the scope of the rules. The inclusion of the US alone marks it out as a major new development.
The likely unintended health consequences of ISDS provisions in the TPPA relate to the tobacco, alcohol, fossil fuel and pharmaceutical industries, as follows:
- Firstly, the mere existence of ISDS provisions could seriously hinder the ability of New Zealand people, through our representative government, to tighten controls on harmful substances.
Important examples include regulatory controls on the sale and marketing of alcohol and tobacco.
The use of ISDS provisions by transnational tobacco companies is not hypothetical. The tobacco company Philip Morris Asia is currently exercising ISDS provisions under an existing treaty by seeking compensation from the Australian government in response to tobacco plain packaging laws. Philip Morris has also pursued ISDS claims against tobacco control policies in Uruguay and Norway. We can already see the chilling effect of threats to sue in your government's decision to defer the introduction of plain packaging of tobacco products until several legal actions against Australia, including an ISDS case being brought by Philip Morris, are concluded.
The inclusion of these ISDS provisions in the TPPA would thus seriously undermine current progress toward achieving a Smokefree Aotearoa by 2025, as well as achieving public health targets relating to other harmful substances.
- Secondly, ISDS provisions would limit the ability of the New Zealand government to improve regulatory controls on the activities of foreign fossil fuel companies that pose potential health risks due to toxic environmental contamination.
A particular example of the need to increase regulation is hydraulic fracturing (fracking). According to the 2012 report by the Parliamentary Commissioner for the Environment, fracking can only be performed safely when best practices are enforced through regulation rather than by voluntary agreement. The need to strengthen the current regulatory framework in NZ is indicated in the concluding chapter: “In New Zealand… companies appear to be not only regulating themselves, but monitoring their own performance”. The dangers of that light-handed approach of self-regulation have been exposed through the Pike River mining tragedy and the spate of deaths of forestry workers.
Fossil fuel companies have an extensive track record of exercising ISDS provisions under investment treaties such as the North American Free Trade Agreement (NAFTA). As of March 2013, there were 60 ISDS cases relating to oil, mining or gas being brought before the International Centre for Settlement of Investment Disputes (ICSID). Further claims for billions of additional dollars are pending.
- Thirdly, ISDS provisions would reduce the ability of the New Zealand government to improve regulatory controls on the sales and marketing of medicines by transnational pharmaceutical companies.
New Zealand should retain the option to regulate direct to consumer advertising of drugs, such as antibiotics, the use of which must be urgently restricted according to a recent WHO report which warns that increasing antimicrobial resistance poses a global threat to public health.
In the same way that both tobacco and fossil fuel companies have aggressively exercised ISDS provisions under NAFTA, the pharmaceutical industry has also sought compensation in response to new legislation or domestic legal rulings. For example, the pharmaceutical company Eli Lilly is currently bringing a case against the Canadian government for $500 million Canadian dollars in response to a patent ruling made in a Canadian federal court, which found that Eli Lilly had not satisfied Canada's domestic legal requirements.
These examples highlight our concerns about ISDS provisions. Including such provisions in the TPPA would jeopardise both the right and responsibility of the NZ government to implement policies to safeguard the health of the NZ public.
Furthermore, while these specific examples of ISDS cases are alarming enough, even more concerning is the powerful deterrent effect that the continuous threat of such action would have on future New Zealand governments, even when faced with new evidence identifying that existing regulatory frameworks need to be revised in the interest of health.
Other serious unintended consequences for health in New Zealand include the extension of patent monopoly rights on pharmaceuticals, diagnostic tests, and vaccines; all of which would result in significantly increased health costs for the NZ public.
The inclusion in the TPPA of “transparency” provisions that undermine the current bargaining power of PHARMAC in its regular negotiations with the pharmaceutical industry would further exacerbate cost increases. Such cost increases will inevitably either erode the health gains available within DHBs' health budgets, or require substantial increases in health spending to merely maintain the health gains from new pharmaceutical (and impending medical devices) spending; this patently will affect “the fundamentals of PHARMAC”, despite Ministerial assurances to the contrary.
Similarly, New Zealand has no provision for a period of exclusive rights over clinical trial data, as some countries have and that has been a subject of TPPA negotiation. Any period of data exclusivity will delay the production of generic versions of new drugs, especially new cancer medicines that have greater efficacy and fewer side effects, and will increase PHARMAC'S costs.
The potential ramifications of the TPPA are thus incredibly far-reaching for us as New Zealand people and the sovereignty of our representative government, both now and for our future generations.
We therefore reiterate previous calls for:
- An unwavering commitment to provisions that rigorously safeguard the health of all New Zealanders.
- Immediate transparency and release of the TPPA negotiating texts so that a rigorous, fair and informed democratic public debate can be conducted prior to any irreversible concessions being made, let alone any agreement being signed. We echo the concerns of the Public Health Association that whereas hundreds of US corporate advisors have been granted access to the negotiation texts, similar access has been with-held from health experts and the wider public there and in NZ.
- An independent assessment of all chapters by teams of local experts and civil society, not only considering the implications for foreign policy and trade, but also potential for far reaching, long term adverse health consequences for the New Zealand people.
- In the interest of a healthy and functioning democracy, we ask the leaders of all political parties to clearly articulate their respective positions on the TPPA – specifically the proposed ISDS provisions – at the earliest possible opportunity.
New Zealand health organisations and 270+ individual health professionals:
OraTaiao: The New Zealand Climate and Health Council
New Zealand Nurses Organisation
Australasian Society of Infectious Diseases, New Zealand branch
New Zealand Medical Students' Association
Auckland University Medical Students' Association
Dr Joshua Freeman BSc MBChB PGDipID FRCPA, Clinical Microbiologist, Honorary Academic, University of Auckland
Dr Rhys Jones MBChB MPH FNZCPHM, Public Health Physician, University of Auckland; Co-convenor, OraTaiao: The New Zealand Climate and Health Council
Prof Innes Asher, MBChB BSc MD FRACP, Paediatrician, Head of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland
Prof Evan Begg BSc, MBChB MD FRACP, Clinical Pharmacologist, member RACP, BPS, ASCEPT, University of Otago Christchurch
E/Prof Carl Burgess MBChB MD MRCP FRACP FRCP, Clinical Pharmacologist, Professor Emeritus Wellington; ex-Chair Pharmacology and Therapeutics Committee (PTAC) of PHARMAC
Prof Jenny Carryer RN PhD FCNA(NZ) MNZM, Executive Director, College of Nurses Aotearoa (NZ) Inc.
Prof Jennie Connor BSc MBChB PhD FNZCPHM, Head of Preventive and Social Medicine, University of Otago, Dunedin
Karen Guilliland MNZM MA RM RGON, Chief Executive New Zealand College of Midwives; ex-Board member PHARMAC
Marion Guy MNurs, RN, President NZ Nurses Organisation (NZNO)
Adj Prof Jill Clendon, NZ Nurses Organisation, Adjunctive Professor, Victoria University Wellington
Prof John McCall MBChB MD FRACS Hepatobiliary & General Surgeon / Mckenzie Professor of Clinical Science, University of Otago Dunedin
Dr Erik Monasterio MBChB FRANZCP, Consultant in Forensic Psychiatry, Senior Clinical Lecturer, Canterbury
Kerri Nuku, Kaiwhakahaere NZ Nurses Organisation (NZNO)
A/Prof Philip Pattemore MD FRACP, Associate Professor of Paediatrics, University of Otago, Christchurch
Prof Phillippa Poole MBChB MD FRACP, Physician, Head of Medicine, Faculty of Medical and Health Sciences, University of Auckland
A/Prof Papaarangi Reid MBChB FNZCPHM, Public Health Physician, Tumuaki, Faculty of Medical and Health Sciences, University of Auckland
Prof Doug Sellman MBChB PhD FRANZCP FAChAM, Psychiatrist, Director, National Addiction Centre, University of Otago, Christchurch
Dr Ruth Spearing MBChB FRACP FRCPA, Haematologist, Canterbury; ex-PTAC Subcommittee member (PHARMAC)
Marise Stuart, President New Zealand Medical Students' Association
Prof Boyd Swinburn MD MBChB FRACP, Chair of Population Nutrition and Global Health, University of Auckland
Prof Les Toop MBChB MD(Brist) MRCGP (Dist) FRNZCGP (Dist), General Practitioner, Head of General Practice, University of Otago, Christchurch; ex-member Pharmacology and Therapeutics Committee (PTAC) of PHARMAC
E/Prof Ian Town, MBChB MD DM(Soton), Professor Emeritus , University of Canterbury
Mr Russell Tregonning MBChB FRACS, Orthopaedic Surgeon & Senior Clinical Lecturer, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Prof Alistair Woodward MB BS MMedSci PhD FNZCPHM, Epidemiologist/Public Health Physician, University of Auckland
Prof Shanthi Ameratunga MBChB MPH PhD FRACP FAFPHM, Professor of Epidemiology, Section of Epidemiology & Biostatistics, School of Population Health, University of Auckland
Natalie Arnold, Medical Student, Auckland
Ranui Baillie, Medical Student, Wellington
Dr Indira Basu PhD, Molecular Biologist, Auckland
Robyn Beach BN MHealSc, Canterbury, Member TSANZ
A/Prof Lutz Beckert FRACP MRCP MD, University of Otago Christchurch
Dr Helen Bichan MBChB, DPM DHA FRACP FNZCPHM, Public Health Physician
Dr Mark Birch MBBS FRACP MPHTM
Dr Alison Blaiklock MBChB MPHTM FRNZCPM FAFPHM(RACP) GDipNFP GCertDisasRefugHlth, Honorary Senior Clinical Lecturer, Department of Public Health, University of Otago Wellington
Dr Sainimere Boladuadua MBChB, Public Health Medicine Registrar, New Zealand College of Public Health Medicine
Dr Dennis Boon von Ochssee MBChB FANZCA, Canterbury
A/Prof Roger Booth MSc PhD Academic Director, School of Medical Sciences, University of Auckland
Dr James E Bower BSc MSc PhD, Auckland
Dr Catherine Brett BMedSci BMBS FRANZCP, Canterbury
Dr Danielle Brown FRNCGP, Pegasus Health Christchurch
Michael Browne BA, Research Assistant, University of Auckland
Dr Cheryl Brunton MBChB DipComH FNZCPHM, Senior Lecturer in Public Health, University of Otago, Christchurch
Dr Christina Buchanan PhD, Senior Research Fellow, University of Auckland
Adam Burnell, Medical Student, University of Auckland
Dr Michael Butchard MBChB, BA(hons), BSc, DPH, Public Health Registrar, University of Otago
Andrew Butler Haematologist FRACP FRCPath, Canterbury
Dr Paul Butler BSc MBChB DipObst MSc. FRNZCGP
A/Prof Anthony Butler, University of Otago and University of Canterbury
Dr Jennifer Butler, Canterbury
Isobel Cairns BA(Hons) GradDipSci, MPH (pending), School of Population Health, University of Auckland
P Calton, Senior Clinical Psychologist, Paediatrics, Palmerston North
Shaun Cavanagh BHsc, Recreation Therapy
Dr Emily Chang FRACP MBChB DipPaed, Paediatrician, Auckland
Marie Chester DipOT MOccTher DHSc candidate / Professional Leader Occupational Therapy, Auckland
Dr Monika Clark-Grill MD PhD FRNZCGP, Faculty of Medicine, University of Otago
Dr Chris Collins FRANZCP, Psychiatrist, Christchurch
Dr Hera Cook BA(Hons) PhD FRHistS, Department of Public Health, University of Otago, Wellington
Nicola Corna RN MNurs, Member of New Zealand Nurses Organisation Respiratory Nurses section, Clinical nurse specialist - Respiratory, Counties Manukau
Dr Paul Corwin BSc MBChB FRNZCGP, General Practitioner, Greymouth
Dr Angela Craig MBChB DCH FRACP, General Paediatrician, Hawkes Bay
Dr Brian JS Craig MBChB MRCPsych; DCH.RCPS; FRANZCP, Canterbury
Dr Andrea Crichton MBChB, General Practitioner, Wellington
Dr Sonja Crone, BSC BHB MBChB FRACP(Paeds), Rotorua
Dr Ruth Cunningham MBChB MPH FNZCPHM, University of Otago, Wellington
Dr Elana Tai Curtis MPH MBChB NZCPHM, University of Auckland
Lorna Davies RN, RM BSc(Hons) MA PGCEA, PhD Candidate; Principal Midwifery Lecturer, Department of Applied Sciences and Allied Health, School of Midwifery, Christchurch; Executive Board member, OraTaiao: The New Zealand Climate and Health Council, NZCOM
Dr Anne Davis MBBS BSc(med) FRACP, Dermatologist,
Ryan Davis, Medical Student, Hamilton
Louise Dawson RN, Auckland
Karen Day RN RM MA PhD FACHI, Senior Lecturer, Health Informatics, University of Auckland
Dr Mary De Almeida MBCHB, Auckland
Dr Danny de Lore MBChB FRACP, Paediatrician, Rotorua
Dr José Derraik BSc MSc PhD MRSNZ, Liggins Institute, University of Auckland
Gina Donk, Medical Student, Auckland
A/Prof Matthew Doogue FRACP, Clinical Pharmacologist & Endocrinologist, Department of Medicine, University of Otago, Canterbury
Dr John Doran MBChB FRACP, Paediatrician, Taranaki
Dr Tamsin Dovell BMedSci(UK) BMBS(UK) FRCA(UK) FANZCA, Consultant Anaesthetist, Christchurch
Dr Niels Dugan BMedSc MBChB, Physician, Internal Medicine and Diabetes, Masterton
Dr Tess Edmond MBChB DipPaed, Rotorua
Dr Elizabeth Edwards PhD FRACP MBChB DCH, Paediatrician, Respiratory & Sleep Medicine, Auckland
Dr Hinemoa Elder MBChB FRANZCP PhD, Professorial Fellow in Indigenous Mental Health Research and Director of Te Whare Mātai Aronui, Eru Pomare Post Doctoral Fellowship Health Research Council of New Zealand
Prof Carl Elliott MD PhD, Center for Bioethics, University of Minnesota, ex-University of Otago
Sharon Erdrich, RN, PGDipHsc (MHsc in progress), University of Auckland, Nursing Council of NZ, NZAMH, Nat Health Council of NZ.
Mr Jeremy Evison MBChB FRACS
Dr Rachel Eyre MBChB MPH FNZCPHM, Executive Board member OraTaiao: New Zealand Climate and Health Council
Emma Farmer RN RM MHSc(Hons), Head of Division - Midwifery, New Zealand College of Midwives, Waitemata.
Dr Janet Ferguson MBChB FRACP, Canterbury
Dr Jeremy A Foate FANZCA, Anaesthetist, Canterbury.
Dr Abigail Angelique Frank MBBCh, member of bpacNZ
Trish Fraser MPH, Global Public Health, University of Auckland
Dr Rosemary Frey PhD Sociology, University of Auckland
Dr Peter Ganly PhD FRACP FRCPA, Haematologist, Christchurch
Dr Kate Gardner MBChB FRACP, Medical Oncologist, Christchurch
Dr John Garrett BMedSci MBChB FRACP, Paediatrician, Christchurch
Dr Raewyn Gavin MBChB FRACP, Paediatrician, Auckland
Dr S Gibbons MBChB MMed FRACP FRCPA, Haematologist, Canterbury
Shawn Gielen-Relph, 5th year Medical Student, University of Otago, Wellington
Katherine Given, 4th year Medical Student, Auckland
Karan Govindpani, BSc Biomedical Science, University of Auckland
Dr Fiona (Fi) Graham, Senior Lecturer Rehabilitation Teaching & Research Unit (Rtru), Department Of Medicine, University Of Otago, Wellington
Dr Erik Grangaard FRACP, Consultant Paediatrician, member of NZ Paediatric Society, Rotorua
Dr Ben Gray MBChB MBHL FRNZCGP, Otago University Wellington
Angela Greetham PGDipNurs, AdDipUrology, Dip(HE), Coordinator, Moving, Handling & Restraint Minimisation, Tauranga
Dr John Gregson MRCP(UK) MRCPsych FRANZCP, Hutt Valley
Dr Corina Grey MBChB DipPaeds MPH FNZCPHM, University of Auckland
Graham Gulbransen MBChB FRNZCGP FAChAM, Kingsland Family Health Centre
A/Prof Simon Hales, BA MBBChir MPH PhD, Research Associate Professor, Epidemiologist, University of Otago Wellington
Dr David Hammer MBChB MRCP FRCPA
Prof Gil Hardy PhD FRSC, Honorary Professor of Pharmaceutical Nutrition, Faculty of Medical and Health Sciences, University of Auckland
Katrina Harper MBChB FRNZCGP, Newtown Union Health Service
Dr Wil Harrison MBChB MMedSci(Hons) FRACP, Cardiologist, Auckland
Dr Daniel Hartwell MBChB BSc FANZCA, Specialist Anaesthetist, Senior Clinical Lecturer for the University of Otago, Canterbury
Dr NM Hartwell MBChB Christchurch
A/Prof Michael P Hay PhD, Associate Professor, Auckland Cancer Society Research Centre, Faculty of Medical and Health Sciences, University of Auckland
Marilyn Head, BA DipTchg MSc, Snr Policy Analyst, New Zealand Nurses Organisation
John Hewitt DipHE PGDip RN, Clinical Nurse Specialist , Canterbury
Dr Rachel Highton MBCHB FRNZCGP, General Practitioner, Wellington
Dr Karole Hogarth RN BSc PhD, Senior Lecturer, Curriculum Leader, Otago Polytechnic
Dr Jamie Hosking MBChB FNZCPHM, Public Health Physician, University of Auckland, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Dr James Houghton MBChB FANZCA, Specialist Anaesthetist, Auckland
Dr Kuang Hsiao BHB, MBChB DipPaeds, Paediatric Allergy & Immunology Fellow
Charlotte Huckson RN
Dr Ben Hudson MBBS MRCGP FRNZCGP, Senior Lecturer, Department of General Practice, University of Otago, Christchurch
Phoebe Hunt, Medical Student, Wellington
Dr Mike Hurrell, MBChB FRANZCR, Head of Academic Department of Radiology, University of Otago Christchurch.
Dr Fiona Imlach PhD MBChB FNZCPHM, Royal New Zealand Plunket Society
Dr Susan Jack MBChB DipPaeds MPH PhD FNZCPHM, Senior Research Fellow, University of Otago
Dr Catherine Jackson FNZCPHM, New Zealand College of Public Health Medicine
Dr Estelle Jaine BMLSc MBChB, General Practitioner
Dr Richard Jaine MBChB MPH FNZCPHM, University of Otago, Wellington, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Doreen James BHSc Nursing, Charge Nurse Manager, Member New Zealand Nurses Organisation & New Zealand Urological Nurses Society.
Gordon Johnston Bachelor of Health Science (Nursing), Northland, Member of Te Ao Maramatanga
Dr Monique Jonas PhD, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland
Rhiannon Jones, Masters of Dietetics, Dietitian, Te Awakairangi Health Network
Juliet Kane, Medical Student, Wellington
Rohit Katial, 4th year Medical Student
Marianne Kayes MHSc AdvDipTchg Dip EI, Registered Hospital Play Specialist
Dr Gay Keating MBChB, Public Health Medicine Specialist, Wellington
Dr Archie Kerr MBChB FRACP, Paediatrician (retired), Lower Hutt
Dr Julie Kidd, Consultant Physician, Older Persons Health, Canterbury
Dr Alexa MJ Kidd MBBS BSc MSC MRCP MRCGP, Member of Human Genetic Society of Australasia
Dr Ed Kiddle BSc MBChB FNZCPHM, Nelson
Dr Paula Thérèse King BHB BMUS MBChB DCH DPH MPH(Dist), Associate Member NZCPHM, University of Otago, Wellington
Olga Korduke, 5th year Medical Student, Wellington
Dr George Laking MBChB BMedSci MD(Manchester) PhD(London) FRACP, Te Ohu Rata o Aotearoa, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Markus Lang, PG Dip RN, Nurse Educator, NZNO member, Intensive Care, Auckland
Dr Chris Leathart MBChB DRCOG FRNZCGP, Canterbury
Dr Euphemia Leung PhD, University of Auckland
Dr Graeme Lindsay MBChB MPH DipCEM FNZCPHM, Public Health Physician, School of Population Health, University of Auckland, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Dr Anne MacLennan MPM FRCP(Ed) FAChPM. Palliative Care Physician, Wellington, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Dr Alexandra Macmillan MBChB MPH(Hons) PhD,FNZCPHM, Public Health Physician and Senior Lecturer Environmental Health, Department of Preventive and Social Medicine, University of Otago; Acting Co-Convenor, OraTaiao: The New Zealand Climate and Heath Council
Dr Helene Macnab, SMO in O&G Christchurch
Briar Mannering, 4th year Medical Student, University of Auckland
Dr Andrew Manning MBChB Dip Obs FRNZCGP, Canterbury
Dr Osman David Mansoor MA MSc MBBChir MNZCPHM, Public Health Physician, Wellington
Kate Margetts, Medical Student, Otago Medical School, Blenheim
Cameron Marjoribanks BHSc (MI) PGDip (MRI), Member of New Zealand Institute of Medical Imaging Technology, the Australian Institute of Radiography, the International Society for Magnetic Resonance in Medicine - Section for Magnetic Resonance Technologist., Department Team leader and MRI Technologist, Auckland
Jane Marjoribanks BHsc BA(Hons) MPH(Hons), University of Auckland
Dr Johanna Martin MBChB RACP, Physician, Canterbury
Dr Robert Martynoga BSc(Hons) MBChB FRCA, Consultant Intensive Care/Anaesthesia Waikato
Dr Philippa Mary Jerram MBChB(dist) BMedSci(Hons) , Canterbury
Dr Kaaren Mathias MBChB MPH DipOB DipPaed, FNZCPHM, Emmanuel Hospital Assocation, India
Dr Sam McBride MBChB,FRANZCP, Psychiatrist/Addiction Specialist
Dr Hamish McCay MBChB DipPaed,FRACP(paed) PGCertPubHlth, General & Developmental Paediatrician, RACP Paediatrics & Child Health Division Councillor, PSNZ Scientific Committee member, Waikato / Dept of Paediatrics, University of Auckland / RACP
A/Prof Tim McCreanor, Whariki Research Group, Massey University
Louise McDermott MClinPharm, RegParmNZ Pharmacist Team Leader Women's and Children's Health, Canterbury
Dr Anne-Thea McGill BSc PhD MBChB FRNZCGP, School of Population Health and Human Nutrition Unit, Faculty of Medicine and Health Sciences, University of Auckland.
Dr Malcolm McKellar Cataract & Refractive Surgeon BOptom MBChB FRANZCO, Canterbury
Dr Jill McKie MBChB FRACP(Paediatrics), Canterbury
Dr Margot McLean MBChB MPH FAFPHM, Public Health Physician, New Zealand College of Public Health Medicine
Clare McLean, Trainee Intern, University of Auckland
Dr Rachael McLean MBChB FAFPHM, Public Health Physician
Dr Jeremy McMinn MBBS FRANZCP FAChAM, Director McMinn and Quiller Ltd Wellington
Jo McMullan Bachelor of Midwifery, DPH, University of Otago
Dr Suneela Mehta BHB MBChB MPH ANZCPHM, Public Health Medicine Registrar, New Zealand College of Public Health Medicine
Dr Sarah Metcalf MBChB FRACP DTM&H, Consultant in Infectious Diseases & Honorary Clinical Lecturer University of Otago Christchurch School of Medicine.
Ghazi Metoui MSc (Psychology),PGDipClinPsychology; Clinical Psychologist, Member of the New Zealand College of Clinical Psychologists
Riah Mildenhall, 4th year Medical Student, Auckland
Bonnie Miller PhD, Clinical Psychologist
Dr Liz Millow MBChB FRANZCP, Canterbury
Dr Clair Mills MBChB MSc(HPP&F) FNZCPHM, Senior Lecturer University of Auckland, Medical Officer of Health Northland
A/Prof Richard Milne BSc(Hons) MSc PhD MRSNZ, President, NZ Chapter of International Society for Pharmacoeconomics & Outcomes Research (ISPOR), University of Auckland
Kathleen Moffitt, Visiting Neurodevelopmental Therapist, Diploma of Occupational Therapy
Dr Stephanie Moor MBChB MRCPsych(UK), Senior Lecturer in Child and Adolescent Psychiatry, University of Canterbury
Dr Johan Morreau BSc MBCHB FRACP ARACMA GAICD MNZM, Paediatrician, Rotorua
Dr DJ Murchison MBChB FFARACS FANZCA ANZCA NZSA NZMA ASMS CHMSA, Anaesthetist, Canterbury
Raquel Murphy, Student Nurse, Auckland.
Dr Raymond Nairn PhD, Fellow NZ Psychological Society, Honorary Research Associate SHORE/ Whariki Research Centre Massey University.
Dr Pat Neuwelt PhD FRNZCGP FNZCPHM, Senior Lecturer, Te Kupenga Hauora Maori, University of Auckland
Caroline Newson (BSc), Medical Student, University of Otago; National Coordinator Medical Students for Global Awareness
Dr Brigid O'Brien MBChB MPH(Hons), MPHTM, Public Health Registrar (NZCPHM) and Research Fellow, School of Population Health, University of Auckland
Dr Susannah O'Sullivan PhD FRACP, University of Auckland
Dr Lisa O'Connell, Canterbury
Dr Viola Palmer MBChB, DA(Lond), FRNZCGP, retired GP
Rosie Parke, Medical Student, Otago University
Dr Lianne Parkin, Public Health Physician
Dr Mariam Parwaiz, House Officer, Canterbury
Dr Maria Peach NZCPHM, Public Health Registrar, Dunedin
Hamuera Pere, Medical Student, Auckland
Dr Julia Peters MBChB FRNZCGP MPH(Hons) FNZCPHM, Public Health Physician
A/Prof Patricia Priest MBChB MPH DPhil FNZCPHM, Department of Preventive and Social Medicine, University of Otago
Dr Megan Pybus FRACP, Paediatrician, Hutt Valley
Eileen Quigley Registered Nurse, NZNO
Caroline Quine RN, Duty Nurse Manager, Member of NZNO
Dr TP Quirke FNZCPHM, Public Health Physician
Dr Peter Radue MBBCh FRNZCGP MInstD, Professional Practice Fellow at University of Otago, Member of NZ Medical Association.
Dr Kerry Read BSc MBChB FRACP, Chair of NZ ASID subcommittee, Infectious Disease Specialist, Auckland
Dr Ian Ritchie retired, Feilding
Dr Joanne Ritchie MBChB FANZCA FCICM PGDipEcho, Intensive Care Specialist, Auckland
Dr Stephen John Roberts MBBCh BSc(Hons), member of ANZCA
Bridget Robson BA(Maori) DPH, University of Otago
Dr Anne Roche MBChB FRACP, Physician, General Medicine and Older Persons Health, Canterbury
Dr Oliver Rooke BM M(med)Sc MRCPsych MRCGP.
Nicola Russell RN M.Phil (nursing), Board member - College of Nurses Aotearoa, Horowhenua Community Practice, Levin
Dr Jin Russell MBChB DipPaed, University of Auckland, member of OraTaiao: New Zealand Climate and Health Council
Sara Samuelu, Medical Student, Auckland
Dr Joanna Santa Barbara MBBS, FRANZCP FRACP(C) O.Ont. (retired)
Dr Nina Scott MBChB FAFPHM FNZCPHM MPH DipComChildH DipChildH, Waikato
Dr Richard Seigne MBBS FRCA, Specialist Anaesthetist, Canterbury
Dr Sarah Sharpe MBChB MPH FNZCPHM, University of Auckland
Dr Caroline Shaw MBChB MPH FNZCPHM, Public Health Physician, University of Otago Wellington
Dr Jeff K Shornick MD MHA, Locum Dermatologist, Canterbury
Dr AJ Simpson FRANZCO MBChB, Opthalmologist, Christchurch
Dr Julia Singhal MBBS, Anaesthetic Registrar, Canterbury
A/Prof John F Smith PhD, Dept of Community Medicine & Postgrad Tropical Medicine Program, Faculty of Medicine, Khon Kaen University, Thailand
Mr Mark D Smith BHB MBChB MMedSci FRACS, Consultant Surgeon, Invercargill, Senior Clinical Lecturer, University of Otago, Executive Board member OraTaiao: The New Zealand Climate and Health Council
Frances Smith, Medical Student, Wellington
Dr Anthony J Spencer MBBS MRCP FRACP, General Physician, Canterbury
Sonia Srinivasan BSc, University of Auckland
Dr Kai Steinmann MD FRACP, Head of Paediatrics, Hawke's Bay
Dr Anna Stevenson MBChB PGDipEpi MPH FNZCPHM, Public Health Medicine Specialist
Clark Stevenson, 5th Year Medical Student, Wellington
Dr Prudence Stone MA PhD, Smokefree Coalition
Dr Peter Strang MBChB FRNZCGP FACTM DipObst PGCertTropMed, Dunedin
Prof Michael Sullivan, MBChB DCH FRACP PhD, Paediatric Oncologist
Dr Gerhard Sundborn PhD MPH BS, FIZZ (Fighting Sugar in Soft Drinks) New Zealand Incorporated
Prof Barry Taylor MBChB FRACP, Paediatrician, Dean, Manutaki, Dunedin School of Medicine
Andrew Thompson RSW, School of Counselling, Human Services and Social Work, University of Auckland
Donna Thomson Bachelor of Nursing, Graduate Diploma Management, Clinical Nurse Specialist Auckland
Dr Dougal Thorburn MBChB MPH MRNZCGP, General Practitioner, Student Health, Victoria University
Dr Sandar Tin Tin, MBBS MPH, Member of Australasian Epidemiological Association, University of Auckland
Justine Tito RN BHsc
Dr Thomas Townend MBChB DCH FRACP(Paeds), Canterbury
Dr Blair LJ Treadwell, BSc MBChB MRCP FRACP, Consultant Rheumatologist, Lower Hutt
Ailsa Tuck MBCHB, DipCH, Community and General Paediatric Fellow, Auckland
Dr Jason Kohamutunga Tuhoe MBChB, GPEP2 Registrar and Palliative Care Medical Officer at Totara Hospice South Auckland, Member Te Ora
Dr AJM van Zeist-Jongman, Consultant Psychiatrist, Waikato
Dr Stefanie Vandevijvere PhD, Research fellow in food policy, Department of Epidemiology and Biostatistics, University of Auckland
Vidushan Vijayakumar, Medical Student, Auckland; NZMSA representative, AUMSA executive member
Dr Richard Vipond MBChB MPH AMNZCPHM, Bay of Plenty
Dr Julian Vyas MD FRACP. Consultant Respiratory Paediatrician, Auckland
Dr Curtis Walker BSc BVSc MBChB MRACP, Wellington
Bridget Walker, 5th Year Medical Student, Wellington
Dr Katharine Wallis MBChB MBHL PhD FRNZCGP, University of Otago
Dr Chris Warren MBChB FRACP, Canterbury
Dr Sarah Welch MBChB BMedSci FRANZCO, Ophthalmologist, Auckland
Aaron Weston, Medical Student, Auckland
Dr Sally Widdowson MBChB DRCOG MRCGP FRNZCGP, General Practitioner, Greymouth
Dr Siouxsie Wiles BSc(Hons) PhD, University of Auckland
Anneke Williams BSc(Occ Ther), Auckland
Dr Greg Williams BSc MBChB DCH FRACP, Paediatrician, Auckland
Dr Deborah Wilson MBChB FRANZCP, Psychiatrist, Canterbury
Dr Ross Wilson MBChB DCH DipObs FRACP FRCPCH, Paediatrician, Wellington, Clinical Senior Lecturer University of Otago
Debbie Wilson, Sustainability Officer, PhD candidate, Auckland
Kati Wilson, Masters of Nursing, National co-ordinator for Shaken Baby Prevention
Dr Doone Winnard MBChB MPH(Hons) DipObs FRNZCGP RNZCPHM, Public Health Physician
Pieta Winter, Medical Student, Wellington
Dr Rachel Wiseman MBBCh FRACP, Physician, Canterbury
Prof Karen Witten PhD, Massey University
Jenny Wong, Medical Student, Wellington
Cecilia Wong-Cornall BA BHSc PGDipPH(Dis) MPH(Hons), University of Auckland
Dr Katie Woodhouse MBCHB, Member of the College of Urgent Care Physicians
Nico Woodward PGcert, NZNO
Joe Bing Xue, Plunket NZ