title: Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand

authors: Oliphant, Jeannie

abstract: Internationally and within New Zealand there has been a substantial increase in the demand for gender affirming healthcare over the past decade. The Youth’12 secondary school survey, estimated that approximately 1.2% of adolescents in New Zealand identify as transgender.¹ It is likely that this level of referrals to health services will continue in the foreseeable future. 
This guideline has been developed following the recognition that New Zealand’s previous good practice guide, Gender Reassignment Health Services for Trans People within New Zealand,² which was based heavily on the World Professional Association of Transgender Health, Standards of Care, version 6 (WPATH SOC v6),³ requires updating to be in step with current practice and international guidelines.
Transgender healthcare is a rapidly evolving area of medicine. WPATH is the international body responsible for producing standards of care. WPATH SOC v7,⁴ was published soon after New Zealand’s good practice guide and version 8 is currently in development. This guideline is not intended to replace the WPATH SOC but to present additional guidance for the provision of gender affirming healthcare in Aotearoa, New Zealand. We hope that this guide will be used to support the development of health services providing gender affirming healthcare around the country and provide guidance to District Health Boards (DHBs).
We use Sir Mason Durie’s health framework to inform the kaupapa or approach of these guidelines. WPATH SOC v7 encourages culturally appropriate approaches which are contextually based.⁴ Durie’s model for health promotion development, Te Pae Māhutonga (the Southern Cross), has two guiding principles which correspond to the pointer stars of the constellation, Te Mana Whakahaere and Ngā Manukura.⁵

text: Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand Internationally and within New Zealand there has been a substantial increase in the demand for gender affirming healthcare over the past decade. The Youth’12 secondary school survey, estimated that approximately 1.2% of adolescents in New Zealand identify as transgender.¹ It is likely that this level of referrals to health services will continue in the foreseeable future. 
This guideline has been developed following the recognition that New Zealand’s previous good practice guide, Gender Reassignment Health Services for Trans People within New Zealand,² which was based heavily on the World Professional Association of Transgender Health, Standards of Care, version 6 (WPATH SOC v6),³ requires updating to be in step with current practice and international guidelines.
Transgender healthcare is a rapidly evolving area of medicine. WPATH is the international body responsible for producing standards of care. WPATH SOC v7,⁴ was published soon after New Zealand’s good practice guide and version 8 is currently in development. This guideline is not intended to replace the WPATH SOC but to present additional guidance for the provision of gender affirming healthcare in Aotearoa, New Zealand. We hope that this guide will be used to support the development of health services providing gender affirming healthcare around the country and provide guidance to District Health Boards (DHBs).
We use Sir Mason Durie’s health framework to inform the kaupapa or approach of these guidelines. WPATH SOC v7 encourages culturally appropriate approaches which are contextually based.⁴ Durie’s model for health promotion development, Te Pae Māhutonga (the Southern Cross), has two guiding principles which correspond to the pointer stars of the constellation, Te Mana Whakahaere and Ngā Manukura.⁵

year: 2018

title: Green or grey pandemic recovery? Revealing the blue–green infrastructure influences in Aotearoa-New Zealand’s “Shovel Ready” Covid-19 response

authors: Hanna, Christina Jane

abstract: This paper analyses Aotearoa-New Zealand’s “shovel-ready fund” to assess if, and how, blue–green infrastructure systems were present in bids from its largest city regions. Findings indicate a greater prevalence in areas with existing spatial plans, and while there was some consideration of climate resilience, there was no real acknowledgement of the pandemic or human health. More positively, there was some evidence of unique indigenous influences that have potential to develop more inclusive and holistic blue–green infrastructure initiatives. The overall response, however, demonstrates a disjointed approach to blue–green infrastructure-related projects, and a missed opportunity for a more transformative response to the climate crisis and human health emergencies.

text: Green or grey pandemic recovery? Revealing the blue–green infrastructure influences in Aotearoa-New Zealand’s “Shovel Ready” Covid-19 response This paper analyses Aotearoa-New Zealand’s “shovel-ready fund” to assess if, and how, blue–green infrastructure systems were present in bids from its largest city regions. Findings indicate a greater prevalence in areas with existing spatial plans, and while there was some consideration of climate resilience, there was no real acknowledgement of the pandemic or human health. More positively, there was some evidence of unique indigenous influences that have potential to develop more inclusive and holistic blue–green infrastructure initiatives. The overall response, however, demonstrates a disjointed approach to blue–green infrastructure-related projects, and a missed opportunity for a more transformative response to the climate crisis and human health emergencies.

year: 2022

title: Alum dosing at Waitangi Soda Springs – bioavailability of aluminium in 2016

authors: Ling, Nicholas

abstract: Continuous alum dosing of the Waitangi Soda Springs at Lake Rotoehu commenced in 2010 to reduce inflows of dissolved reactive phosphorus to Lake Rotoehu. Analyses of bioaccumulation in the tissues of kōura and goldfish from Lake Rotoehu were undertaken on animals collected in November 2016 for comparison with data from previous years and control locations to determine the bioavailability and bioaccumulation of aluminium to satisfy annual resource consent conditions 11.7 and 11.8 of resource consent 65966. Lake Rotoehu goldfish showed slightly elevated aluminium concentrations in the gills indicating enhanced exposure to aluminium as a result of alum discharge from the Waitangi Soda Springs but no evidence of significant bioaccumulation in internal tissues.

text: Alum dosing at Waitangi Soda Springs – bioavailability of aluminium in 2016 Continuous alum dosing of the Waitangi Soda Springs at Lake Rotoehu commenced in 2010 to reduce inflows of dissolved reactive phosphorus to Lake Rotoehu. Analyses of bioaccumulation in the tissues of kōura and goldfish from Lake Rotoehu were undertaken on animals collected in November 2016 for comparison with data from previous years and control locations to determine the bioavailability and bioaccumulation of aluminium to satisfy annual resource consent conditions 11.7 and 11.8 of resource consent 65966. Lake Rotoehu goldfish showed slightly elevated aluminium concentrations in the gills indicating enhanced exposure to aluminium as a result of alum discharge from the Waitangi Soda Springs but no evidence of significant bioaccumulation in internal tissues.

year: 2017