Sharing results for action: A Zika Survey on Malaita
By Mr Humpress Harrington
In May 2019 PhD candidate Mr Humpress Harrington and Associate Professor David MacLaren worked together with Atoifi Hospital Primary Health Care Department and community leaders to feedback results from the recent study to investigate the transmission malaria and aroboviruses in villages in East Kwaio.
The study, conducted in 4 villages, found 2 - 13% of people tested positive for malaria but did not have any signs or symptoms. Overall 45% of people tested positive for flavivirus (Dengue or Zika) and 46% tested positive for Alphavirus (Ross River or Chikungunya). The team also found that Aedes Albopictus, a mosquito responsible for arbovirus transmission was also found present in all 4 villages.
The result was firstly presented to the Atoifi Hospital and School of Nursing leaders. The results were then presented in open community meetings to the four communities in collaboration with the hospital Primary Health Care director Mr Chillion Fanuabae. Four nights were set aside in consultation with the communities to do the presentations.
Each night, presentation was given with Primary Health Care team followed by questions and answer session and a detailed discussion on what can be done by the communities and the hospital to control the spread of malaria and the arboviruses in the villages.
This is the first time that a community-level study has been conducted in East Kwaio to investigate arbovirus transmission. Therefore the results are very important for Atoifi Hospital, the Primary Health Care Department and the surrounding communities in planning to control vector bone diseases within the East Kwaio region.
The Atoifi Health Research Group wished to thank the James Cook University-led ‘Tropical Partners’ project and the Ministry of Health and Medical Services for making this survey possible.
For further information please contact Mr Humpress Harrington: email@example.com
Photo: Mr Humpress Harrington sharing study results with villagers in East Kwaio
Chief Esau inspires theme of World Conference on Planetary Health
‘The health of people relies on the health of the planet’ was the key message at the 23rd World Conference on Health Promotion in Rotorua, Aotearoa New Zealand in April 2019.
Atoifi Health Research Group members Chief Esau Fo`ofafimae Kekuabata, Associate Professor David MacLaren and Dr Michelle Redman-MacLaren attended the four day event and were a part of the 1600 people who endorsed the commitment to the waiuro: healthy land healthy people Statement.
The theme of this 2019 World Conference was influenced by Chief Kekeubata. Chief Kekeubata gave a keynote address at the 2007 World Health Promotion Conference in Canada, where he described how land (wado) is fundamental to physical, social and spiritual health. Mr Sione Tu'itahi, Co-Chair of the 2019 Organising Committee of the IUHPE conference was present at this 2007 presentation, and was impressed. Mr Tu'itahi and colleagues then took this as their theme and emphasised the importance of land, social connectedness and traditional knowledge for health of people and the planet in the Aotearoa New Zealand Conference. Known as planetary health, this approach reflects traditional Pacific understandings of holistic health and well-being.
Maori leaders from Aotearoa New Zealand, along with Pacific leaders and indigenous delegates from across the globe shared how land, social connectedness and traditional knowledge is fundamental to human health in the context of their natural environments.
Members of the Atoifi Health Research Group are involved in a range of community, conservation and human health projects in East Malaita. Research Reports, articles, videos and booklets can be found at: https://www.atoifiresearch.org.sb/resources
For more information, please contact: firstname.lastname@example.org
Photo (courtesy Michelle Redman-MacLaren): Chief Esau Fo`ofafimae Kekuabata and Associate Professor David MacLaren in Rotorua
What is causing our fevers? A new study from Solomon Islands
In the past, everyone in remote areas of Solomon Islands who had a fever and no other obvious signs or symptoms was treated for malaria. With improved testing we now know that a lot of people with fever do not actually have malaria. The next logical question was therefore – what is causing these fevers? This is exactly the question being asked at Atoifi.
After 6 months of careful planning and preparation, the Atoifi Health Research Group conducted a study to answer the simple question – what infectious agents are causing fevers in the people who live in or around Atoifi? The team tested 418 people who lived on the Atoifi campus and in three surrounding villages. Tests were conducted for malaria, and also dengue virus, zika virus, chikungunya virus and Ross River virus. All four of these viruses are spread by mosquitoes, so the Atoifi team invited mosquitoes experts from the Ministry of Health to identify what type of mosquitoes are in and around Atoifi.
Testing for malaria was done immediately in the villages. About 10% of people tested positive for malaria – all received medication on the same day. Blood was then taken to the Atoifi Hospital laboratory and frozen. The frozen blood was then sent to James Cook University in Australia to be tested for the 4 viruses. Interestingly the Ministry of Health team found the type of mosquito that can spread all 4 of these viruses. The team is therefore looking forward to the results from the testing at James Cook University to answer the question – what infectious agents are causing fevers in the people who live in or around Atoifi?
More results soon!
For more information about this study please contact Humpress Harrington email@example.com
Photo: Mr Humpress Harrington and team testing for mosquito-borne viruses in an East Kwaio village
Story by: A/Professor David MacLaren
Developing local models to strengthen health research in Solomon Islands
Mr Humpress Harrington, former Head of Atoifi campus of Pacific Adventist University is currently undertaking a Doctor of Philosophy (PhD) at James Cook University, Cairns, Australia. As a Foundation member of the Atoifi Health Research Group, Humpress is passionate about indigenising models of health research. Humpress’s PhD study is exploring local models to improve health research capacity that suit Melanesia.
Below Humpress shares with us about his recent trip to Solomon Islands. He interviewed 48 government officials, politicians, people working in higher education and people who had undertaken higher degree research or other research training in health-related fields.
Humpress, can you tell us a little about your recent trip to Solomon Islands?
During December I am usually on holiday in Western Province with my family. However this December was special, as I travelled from Australia to Solomon Islands for a data collection trip. I started interviewing colleagues in Gizo at the end of December – I even interviewed some colleagues on the 25th while others were enjoying themselves celebrating Christmas day! After a brief visit to my home village (Chea in Marovo Lagoon) to see my parents, I boarded the MV Andjanet and sailed to Honiara. Because of the cyclonic conditions, a ten hour journey took us almost two days! Once in Honiara, I continued to conduct interviews people. I then travelled to Atoifi, in East Kwaio, Malaita to interview people there. I interviewed 48 people during my time in Solomon Islands.
What were the most surprising things you learnt from the people you interviewed?
It is very interesting to learn that research is something not very many people know about or understand. This limited knowledge of health research and its potential benefits to institutions and the health system indicates a need to encourage locally appropriate health research training in Solomon Islands. Despite people’s limited knowledge about research, individual interest to learn how to conduct research is very high. Another surprising thing was that the provision of relevant and high quality research training that is directly suitable for Solomon Islands is something that nobody has really taken very seriously in the past. Finally, there are currently no tools available to adequately measure the impact or outcomes of the health research training that Solomon Islanders have undertaken so far, either in-country or overseas.
What are your next steps?
My next step is to prepare for my PhD Confirmation Seminar at JCU, which will take place in February 2019. I will then transcribe and analyse the data I have collected. This analysis will inform next set of interviews I will conduct during my next trip to Solomon Islands in March/April. After that I will complete data analysis on all of the interviews and write up my findings. These findings will be reported in a series of presentations and publications in Solomon Islands and Australia.
Humpress Harrington is studying his PhD at the College of Medicine and Dentistry, James Cook University supervised by Associate Professor David MacLaren, Professor Sarah Larkins and Professor Maxine Whittaker. If you would like more information about this research, please email: firstname.lastname@example.org
Photo (supplied by H. Harrington): Humpress (right of engine) travelling in East Kwaio with colleagues
Story: by Michelle Redman-MacLaren, with Humpress Harrington