Professional Documents
Culture Documents
Polio Newsletter Apr 17
Polio Newsletter Apr 17
2
GP Survey – Needs Assessment and Coordination
(NASC) evaluation may be needed for
Continued from Page One
additional home help and support.
Most polio survivors were pre-
Where there is a polio clinic in the
schoolers and separated from families
region, we would encourage a
from months to years so Post-Traumatic
relationship with that clinic, to use the
Stress Disorder (PTSD) is common.
assessment expertise and work with
These issues may need to be dealt with
them implementing rehabilitation plans.
for rehabilitation plans to be successful.
They would need to identify clinicians
Anaesthetists may need further
who have an interest and or experience
education, as many polio survivors react
in working with people with polio; and
strongly to anaesthetics and are more
potential key clinicians in all disciplines
sensitive to pain, requiring special care
and areas such as identifying post-polio
and attention.
syndrome which is often misdiagnosed
Many have orthopaedic issues if they
as other conditions by GPs unfamiliar
have had one paralysed, shorter limb
with the condition.
their whole lives, so their other side
There is a real need for orthotists to be
develops osteoarthritis, and they have
able to work with physiotherapists (PTs)
joint replacements secondary to
so that clients can successfully use their
asymmetrical gait
orthoses long term.
So far, only the Christchurch DHB has
There is also a funding issue with
appointed anyone to oversee the
chronic patients who need sophisticated
development of a Polio clinical pathway
gait analysis and in some cases high
and coordinate all the relevant
tech, blade runner type orthoses. We
departments to deliver integrated
need a facility to apply for extra funding
services.
for chronic orthotic users on a case by
case basis. We need PT input.
Maintaining muscle strength and The Robots Are Coming!
endurance needs a careful exercise
programme that helps reduce decline in According to the Oz Polio News,
functionality. This requires a detailed “robots” are being enlisted for the fight
muscle function assessment by an against polio in the United States of
experienced physiotherapist. The use of America.
hydrotherapy and fatigue management The enlisting is being done by the US
programmes can be beneficial. Centers for Disease Control (CDC)
We also need specialised clinics – which tests blood samples for virus and
many polios have sleep apnoea; many antibodies. In the past, between 20,000
have respiratory challenges, especially if and 30,000 samples were processed
on ventilator in the initial phase. The during a two-decade period.
onset of post-polio symptoms may But in just one year, the robots, in the
require home adaptations, equipment form of automated laboratory machines,
modifications or installation and lifestyle tested 100,000 samples. Not only were
modifications. Seating and wheelchair they faster, but they produced more
provision may be needed as many will accurate and higher quality test results.
have postural and trunk deformities.
3
First Meeting
As well, the more data we have, the
more ammunition we have when
exploring extra funding avenues.
Focuses on More funding will inevitably be
needed to achieve the goals in our
4
Gordon Making Duncan Fund
News in Pakistan Guidelines
Project manager Gordon Jackman The Duncan Fund programme of Polio NZ
appears to have taken Pakistan’s polio Inc. is made possible because of generous
world by storm. donations from the Sir Thomas and Lady
He was supposed to be home in time to Duncan Trust. Its purpose is to assist in
file a report by this issue’s deadline, but addressing the needs of those living with the
had to send his story from Karachi. long-term effects of polio, for which no
other funding is available.
Gordon was there to be a guest speaker
The qualifying criteria for this assistance
at a conference organised by the are as follows:
Pakistan Paediatric Association (PPA) ■ The applicant is living with the long-term
and the National Institute of Child effects of having had polio.
Health (NICH). ■ The applicant is in good standing as a
“Still in Karachi,” he reported, member of Polio NZ Inc. (having paid their
apologetically. “Very productive time. $10 per year sub).
“It looks like the formation of Polio ■ The applicant shall produce evidence or
Pakistan, where there are approximately otherwise convince the Duncan Committee
830,000 polio survivors, will start. that the purpose of their application is
“Rehabilitation will also become necessary in the management of their post-
polio condition.
a priority alongside the elimination of
■ Other avenues for funding need to be
Polio, however this will become investigated before applying to the Duncan
an enormous task.” Fund. The Fund is for where there is no
Gordon hit the headlines when he other funding available, or possibly where
gambolled down a hotel corridor in his alternative funding would take too long as to
polio braces. make it impractical.
The Dawn newspaper witnessed his ■ The purpose of the grant must be for the
efforts, telling readers of the 61-year-old personal benefit of the applicant in
teacher affected by polio who “travelled managing the effects of polio.
all the way from New Zealand to ■ The terms of the grant shall be determined
provide a beacon of hope for many polio by the Duncan Fund Committee of Polio NZ
Inc. The Committee may decide to approve
children and grown-ups affected by the
partial or full funding of the application. The
same disease.” approval or denial of any application is at
Said Gordon : “I want to extend just a the sole discretion of the Board of Polio NZ
single message to polio-affected children Inc.
and adults that they should never give An application form for the Duncan Fund
up. can be requested from:
“Don’t give up. You can also have
such wings and you can lead a normal The Secretary, Polio NZ Inc.,
life like me.” PO Box 791 New Plymouth 4340
or e-mail : secretary@polio.org.nz
5
Another Step
For Orthotics
An orthotics course held at QE Health,
Rotorua last year saw eight polio
survivors fitted with new tri-planar
orthotic devices, reports Project
Manager, Gordon Jackman.
Marmaduke Loke from California’s
Dynamic Bracing Solutions introduced
the braces which are designed to position
the foot and ankle to restore the leg’s
natural balance while walking.
As the course was the first of its kind
here, the orthotist had to start with the
basics using gait analysis in three
dimensions (tri-planer gait analysis), to
cast the ankle in the correct position. Above left: Turbo Texas Plastic Brace, under
Braces were fabricated out of carbon $1000; Above right: Marmaduke’s Static
Brace; Above: DPE Dynamic Brace, $4000.
fibre, but without the capacity to give
the foot a spring when hitting the ground
“By contrast, Darren Pereia from
and lifting off.
NeuroMuscular Orthotics in Melbourne
Learning to use the static braces has
ran an Auckland workshop on his DPE
been challenging for our polio survivors,
braces, and he made me one as a
Gordon reports. They say you have great
demonstration,” said Gordon.
balance while standing, but walking on
“They’re based on the Marmaduke
anything other than a flat surface is
Loke-developed tri-planer orthotics but
difficult.
use a modular system with a carbon fibre
Users say that it takes about six
spring that bolts onto the brace. The
months to become comfortable and
angles can be adjusted as one gets used
confident in the braces. First, you must
to it, but it is bulkier and less dynamic
overcome a lifetime of habitually
than Marmaduke’s braces.
walking with a compensatory limp – the
“I have been wearing it now for three
brain finds it difficult to realign the gait
months and I’m not only getting used to
into a smooth and balanced motion.
it but also enjoying using it. I installed
At the same time, the muscles must
parallel bars and a full-length mirror to
adjust to a new sequence of contracting
practice using my new brace.
and resting and this can be quite
“The most difficult thing I’ve learned
uncomfortable and tiring at first.
is to swing my hips so that I don’t sway
A new Dynamics Solutions brace
from side to side as I have done for most
could cost anything from $15,000 to
(Continued next page)
$25.000
6
(Orthotics Continued) In Christchurch, Jessie Snowden of On
the Go Physio has seen several people.
of my life. They (the braces) would cost However, at this stage Julie, Jessie,
around $4000 and the components are staff at Rotorua’s QE Health, and Polio
available in New Zealand.” NZ are focusing on developing resources
Gordon said some local orthotists were to deliver integrated rehabilitation plans,
using or had adapted the concept to including physiotherapy, exercise
achieve a lower cost using special plastic programmes, fatigue management,
materials. hydrotherapy, orthotic management, and
“Ask your orthotist to contact us for more.
more information,” he said. This requires forming relationships
_______________________ with providers in each place.
New Clinic Service We are also working with the St
Vincent’s Polio Clinic in Melbourne, the
Gathers Support only public health clinic in Australia, to
A national support service for people learn from their experience and help
living with neuromuscular conditions, develop our resources.
initially the late effects of polio, and the It’s early days, but we’re making
health professionals who treat and progress — Gordon Jackman.
support them is becoming a reality.
The Sir Thomas and Lady Duncan
Trust has established the Duncan
Foundation to empower people with Are You Ready For
these conditions to live to their physical Retreat 2017?
potential. Expressions of interest are being sought
The Foundation knows that confidence from people wishing to attend Polio NZ’s
in diagnosis, treatment and rehabilitation 2017 Retreat at Rotorua.
is the goal of both clinician and patient. The Retreat will be held from Friday,
October 6 to Sunday, October 8. and will
By providing resources and a network have a programme revamped in line with
of knowledgeable and experienced suggestions made in a survey after the
therapists, the Foundation aims to make highly successful 2016 Retreat.
education and best practice treatment Once again the Polio NZ AGM will be
easily available. included in the Retreat.
For $250 per person, participants will
This involves setting up a “Virtual gain accommodation at QE Health for two
Centre of Excellence” or online hub of nights, all meals and admission to most
resources and information for best- activities.
practice treatment, rehabilitation and Attendance will be limited to 45 and beds
support of neuromuscular conditions. will be allocated on a “first-come first-
served” basis.
It will offer the latest evidence-based For more information, write to Polio NZ
research, education, clinical support and Inc. Retreat and AGM at PO Box 791,
assessment tools. Taranaki Mail Centre, New Plymouth
In Auckland, Julie Rope of Rope 4340, or e-mail Sue Griffin,
Neuro has moved in with the Orthotic vp@polio.org.nz
Centre in Penrose and is continuing to
assess polio survivors there.
7
How Post-polio
finding, staying awake, and thinking
clearly.
Tests indicate that an impairment of
Fatigue selective attention (related to damage
because of polio) results in feelings of
Your Mind
horn cells of the spinal cord and parts of
the brain stem. Findings indicate that
. poliovirus consistently and often
By Mavis J. Matheson, M.D. severely damaged the brain areas known
as the Reticular Activating System.
One of the most frustrating late effects These are responsible for activating the
of polio for me was the awareness that I part of the brain involved in maintaining
could not concentrate and feeling that I voluntary attention, memory,
wasn’t thinking clearly anymore. spontaneous interest, initiative and the
For many of us who have compensated capacity for effort and work, and for
for our physical limitations through preventing feelings of fatigue. This is the
intellectual pursuits this is terrifying. Is area that keeps us awake and allows us
it not bad enough that our bodies are to focus.
giving out? Must we undergo the Polio survivors report that they are
indignity of losing our minds as well? most disabled by fatigue – exhaustion,
Studies show that despite marked passivity and an aversion to continued
impairments of attention, polio survivors effort that generates an avoidance of
are within the high normal or superior mental and physical activity.
range on measures of higher-level __________________________
cognitive processes and IQ.
They also show that if we allow Treasurer’s Report
ourselves to become fatigued we do lose Discussions at the Polio NZ Board of
our ability to focus our attention and to Management meeting in Hamilton on
rapidly process complex information February 25-26 reaffirmed the Strategic
requiring 23 to 67 per cent more time to Plan and expressed deep appreciation of
complete tasks requiring sustained project manager Gordon Jackman’s
attention and vigilance than did polio contribution, said treasurer Carl Pascoe.
survivors with no fatigue or mild fatigue. The draft revised version of the
Polio survivors experience two kinds Strategic Plan was to be confirmed by
of fatigue. One is physical tiredness and the Board at its March meeting and then
decreased endurance. The other and become available on the Polio NZ
often more distressing is “brain fatigue”. website from early April.
Brain fatigue describes problems with Carl reports that the plan has a strong
attention, alertness and thinking. focus on reaching every Polio Survivor
Between 70 per cent and 96 per cent of and strengthening Polio NZ’s role as a
polio survivors reporting fatigue catalyst and facilitator to help polio
complained of problems with survivors get the services and support
concentration, memory, attention, word they need to live enriched lives.
8
___________________ Community Service Ltd, and President
of the Rotary Club of Mosgiel.”
News that stalwart JB Munro Susan said the first time she decided to
had been made a life member of attend a Polio NZ AGM was in about
Polio NZ was greeted with 2006 in Wellington.
universal acclaim at the time. But “One of the first people who talked to
me, in a bar where everyone seemed to
you can’t have too much of a know someone, except me, was JB, who
good thing! This later tribute is for some reason decided to shoulder tap
based on an article written by me to join the board.
Board member Susan Kerr. “He had a grin from ear to ear, and that
is how I remember him – as an
encourager. He encouraged me to do
what I would not have been confident to
do by myself.”
The Polio NZ newsletter which
followed his retirement from the Board
in October, 2014, described him as
“indomitable” and his service as
“stalwart”. The article detailed his life so
far and all that he had crammed into it
JB Munro, QSO
after what seemed a less than promising
start as a tiny polio survivor who was
JB was granted his award at the Annual adopted out at the age of nine and was
General Meeting for Polio NZ Inc on teased at school as a teenager with a
Wednesday, October 21, 2015, at the caliper.
Thorndon Hotel in Wellington. After school he initially found
The previous evening, on the eve of employment with the Vacuum Oil
Parliamentary celebrations for World Company of Invercargill, but his real
Polio Day, Anthony Scott, District interest was in working for youth and
Governor of Rotary District 9940, spoke that is where he became an encourager
of the part Rotary had played in all but of people in earnest.
eradicating the scourge of polio. He also He was secretary for the YMCA in
made special mention of JB, recalling Invercargill, Australia, and Dunedin
his loyal support of Rotary over the between 1958 and 1968, having married
years. his wife Val [Valmai Sharfe] in 1962. It
In Polio NZ, JB served as an executive was during this time that he developed
officer for 13 years in the capacity of his abiding passion for working for
secretary and treasurer and later as vice- intellectually handicapped children and
president. adults. He became the Southland
“I discovered that JB first joined administrator for IHC New Zealand
Rotary with the Dunedin Club in 1963,” from 1968 to 1973.
said Susan. “He was a foundation JB felt that he could make an even
member of the Mosgiel Club. After his better contribution towards making a
retirement from paid employment, he difference by entering politics and
became Vice-Chair of Rotary NZ World (Continued Over)
9
Educating
(JB Munro, QSO – from Page 9)
served for six years as a City Councillor
in Invercargill followed by three years as
Member of Parliament for Invercargill.
He championed the drafting of
the Disabled Person’s Community
GP’s on the
Welfare Act which was passed into law
in October, 1975. The Act set the Late Effects
Of Polio
standards for access to buildings,
recognised work opportunities for people
with disabilities and gave support to
their families.
Whilst in Parliament, JB was also By Gordon Jackman
Chairman of the New Zealand
Paraplegic Trust Appeal which raised The two complaints about GPs that I
enough money to finance the 1974 hear most often from polio survivors are:
Commonwealth Paraplegic games. “My GP didn’t know anything about
In 1977, JB was appointed National post-polio” and “My GP believes polio
Secretary of IHC and in 1998 he retired has no late effects and it’s just ageing”.
from the position of CEO . He was made Well progress is being made.
a Life Member of that organisation too I’m working with Auckland University
and in 2014 was inducted into the Professors Warrick Bagg and Shanthi
Attitude Hall of Fame for lifelong Amertatunga to develop a disability and
service to the disability community. enablement teaching topic for medical
His other honours include The students for the 2018 year.
Abbeyfield International Royal Patron’s Dr Lisa Lack, National Clinical Lead
Award (2010). This is presented to one GP at the Royal NZ College of General
person per year from across the world. Practitioners, will include information
The Certificate is signed by HRH the about polio and post-polio in the
Prince of Wales and is accompanied by a curriculum.
lapel badge incorporating the emblem of Webinars will be available to students
the Prince of Wales Feathers. and the next GP Pulse magazine will
Space does not allow me to write cover Post-Polio Syndrome and the late
further of all you have achieved, JB. We effects of polio. I’ll also address their
look forward to reading your memoirs. conference in July.
Thanks for all your work for us, and Talks with Professor Tim Wilkinson,
encouragement. Director of the Otago Medical School
See you soon JB! Ka kite ano. about including post-polio and ageing in
disability studies may also result in
For those who haven’t guessed as students researching alongside the
much, JB’s adoptive brother was Christchurch DHB.
Bert Munro of The World’s All in the early stages now, these
Fastest Indian movie fame! We initiatives will help lead to a new
think our Munro is a star too!— generation of GPs who understand the
Editor. late effects of polio.
10
Marlborough doesn’t seem to have
enough Polio survivors keen to have a
support group. Maybe there are other
areas which are in the same position?
However, the newsletter is another way
for us to keep in touch. Whatever is on
your mind, please write to us at:
Susan Kerr, 32 Seaview Crescent, Picton
7220 , or e-mail: susanvrm@clear.net.nz
Letters should be no longer than 150
We Want to Hear words and we may be edited for
length, sense and good taste.
From You! Please include name, address and
phone number.
Write to us !
Everyone is supposed to have at least
one book inside them, but Board ______________________
member Susan Kerr says it’s not
necessary to go to that extreme. She’d Around the Regions
settle for a few letters and has
volunteered to edit the column!! She Waikato
says: An ice-cream party for the Waikato
Polio News would love to hear from Polio Support Group was held on a
you, our many readers. We would beautiful summer day under the cool
welcome ideas about what you would shade of a huge tree in the Morris’s back
like to read about in Polio News and the yard.
difficulties you are experiencing – People from Thames, Hamilton and
anything at all that you would like to nine National board members from
share with other readers. around NZ enjoyed a pleasant afternoon
I like to think of January as a time of listening to short talks from national
new beginnings and resolutions to president Barry Holland, project
become more positive. manager Gordon Jackman, and neuro-
However, the ’flu dragged me down rehab therapist Julie Rope.
and a week later I fell yet again – just John Forbes oversaw the programme
when I thought I wouldn’t – and my and Lynda oversaw the serving of the
bruised ribs were painful, every time I ice-cream. It was a happy occasion
coughed. which lingered into the late afternoon.
February brought much warmer
weather here in Picton and I longed to be Manawatu
able to go swimming on the Foreshore, By the time this is being read, the
but it’s far too difficult to get into the sea Manawatu-Wanganui group should have
on crutches. held another successful luncheon
Many cruise ships have filled the town meeting at Coffee on the Square in
with tourists and one thing I enjoy is Feilding.
sipping coffee in town and listening to (Continued Over)
the different languages and pretending I
too am on holiday.
11
Nelson Trio
Joined India’s
Polio Struggle
Three Nelson Rotarians who travelled to Karen Stade administers polio drops to a
India earlier this year to join a group baby in India.
helping the fight against polio, returned to administer the polio drops ourselves,”
home amazed by what they discovered. said Karen.
They included Whakatu Rotary Club “We felt humbled knowing the
president-elect Karen Stade, past- children we vaccinated that day will not
president Kristine Marriott and club be crippled or paralysed by polio. The
member Belinda Wheatley. world is so close to eliminating polio
The trio left New Zealand on New and we are proud to have played a small
Year’s Eve bound for Agra in India’s role in helping to achieve this ultimate
north where they joined a party of 50 goal.”
Rotarians from 10 countries and saw For Nelson Marlborough District
first-hand how Rotary International’s Health Board employees Marriott and
polio vaccination campaign operates. Wheatley, the Mega Campaign was an
“When we heard about it in September opportunity to join an international
last year we were planning our own public health programme.
October polio fundraiser,” said Karen Karen Stade said India was an amazing
Stade. “We looked at each other and country.
agreed, ‘we’re going to India no matter “We have returned home with our eyes
what.’” widened as to the possibilities and
There they built a personalised tour opportunities for future participation in
around the weekend Rotary Keep India other worthwhile international projects.”
Polio-Free Mega Campaign which was ______________________
hosted by 11 Agra Rotary Clubs. Around the Regions
Although India was declared polio-free (Manawatu Continued)
in 2014, polio is still found in The meeting was scheduled for 1pm
neighbouring Pakistan and Afghanistan, on March 25 [after our deadline] and
posing a potential for re-infection, they organiser Raylee Murphy was hoping for
said in an article which appeared in the a good turnout in the private room hired
Nelson Leader newspaper. for the occasion.
They joined other international Earlier, she said the group appeared to
Rotarians in vaccinating children be going through a period when some
ranging in age from newborns to five- people had become reluctant to leave
year-olds in poor rural schools and home.
villages. “We need to get together,” she said.
“This programme was a wonderful “We gain so much when we are able to
opportunity to join Indian health workers share experiences.”
12