Kerekere ElizabethDr ELIZABETH KEREKERE (Green): Talofa lava. This morning we greeted Matariki with a karakia on the top of Tangi te Keo or Mount Victoria and then we visited the land occupation at Mau Whenua. Just when I thought my job couldn't get any better tonight I get to speak in the House about supporting the health and wellbeing of people with a cervix and a vagina. So while those people with a cervix and a vagina are predominantly cis-gender women it also includes trans-men intersex people and non-binary people.Now cervical cancer is the easiest cancer to prevent. A simple pap smear an HPV vaccine will do that job. However we have about 160 people developing it and about 50 die from it every year. As the chair of our Health Committee identified of course it is one of the many ways in which Māori and Pacific Island people suffer disparities. I fear we will see an increase in those numbers soon because when our select committee considered and reviewed all of the DHBs I noticed that many of them reported that in order to allocate resources and staff to deal with the pandemic their screening programmes for cervical cancer and breast cancer were affected. I really really hope not.The national screening programme is hugely effective and has reduced the incidence of this type of cancer significantly. One of the ways that it tried to attract and make sure that Māori women would feel comfortable coming to do this be screened was to assure them of their privacy that not just them as a person coming into this quite vulnerable position and situation and having that done—and everyone here in the House knows what that feels like: it's not fun. So they were assured that their privacy would be protected because of the national kaitiaki group that was established that said no information would go out that hadn't been checked by them in certain circumstances. So they would protect that data by respecting the sanctity of te whare tangata and any data associated with that making sure that nothing was published inappropriately or that would impact negatively on Māori but that overall any information would be used to benefit Māori women.So we absolutely support our employees in our screening programmes to have all the data they need to do their job to make their lives easier for them as staff but also all of the people that they're caring for. We have a concern though that the kaitiaki group doesn't receive many applications for checking the use of that data. So we want to make sure absolutely on a day to day that that gets done and people can do that. But there's a big gap between that and something being published. So we just want to make sure that that kaitiaki group is still effective and still doing what it needs to do.But the other issue I wanted to raise was about the particular ways that members of the takatāpui trans intersex and non-binary communities suffer and the discrimination they face in the health system. Unfortunately a big part of that description is a complete and absolute obsession with their genitalia. So when it comes to any encounter with our health system especially to do with sexual and reproductive health they suffer greatly. So I just wanted to make sure that when we're talking about privacy we're not just talking about particular groups. We're looking at a group of people who we should also be able to reassure that their information will not be used against them. I have been approached by people who are trans non-binary and intersex to talk and tell me the experiences they have had. So one particular example is because they have access to all of their data they will then address them with a pronoun that's not appropriate. We know that there are some employees who will use old names what some of the community will call dead names which are no longer how they identify and not who they are.So in conclusion we absolutely support this but we want to ensure that all people no matter their background no matter what they were assigned at birth the sex they were assigned at birth if they have got a cervix and a vagina their health and their privacy will be protected. Kia ora.