MANGAPAPA MEDICAL CENTRE
Our nurses are available for blood tests, dressings, vaccinations, smears and diabetic advice, Please make an appointment for
NEWSLETTER Winter 2009 After hours Care
Please phone 8671263 and the answer phone will tell you who to contact.
After-hours charges are generally higher than routine charges,
We are a busy general practice—we are small but we aim for the
For very severe injury, or life threatening emergencies such as
chest pain, it may be better to phone 111 for the ambulance. If you
We also have a special interest in youth, and run health clinics at
are not sure, then phone the medical centre and speak to the
Notification of results
The medical centre is open from 8.30-5.00 pm on weekdays.
We will notify you of test results ordered by ourselves, by phone or
On days when we are on call, the centre is open from 9.00am to
Warfarin tests Appointments Please phone 8671263
The INR test is the blood test done to check that your dose of
For urgent problems such as accidents or chest pain, you will be
warfarin is correct. We will tell you how often you need to have a
seen as soon as possible, although it is still wise to ring first if you
Have your tests done in the morning. We will phone you with the
dosage after 4 pm. The dosage might be different for each day.
We understand that there may be times when you are unable to
Take the tablets at night, so you can change to the correct dose
pay at the time of the consultation. Accounts not paid by the end
of the calendar month will incur a booking fee.
Long Appointments Complaints
Because we are trying to reduce waiting times, we would prefer it
Complaints also help us to improve our practice and are important
if you could bring only one or two problems to the consultation. If
to us. Please approach us either personally or in writing. Our
you have more than 2 problems, or feel the issues will take a long
policy is that when we receive a complaint, this is discussed with
time to discuss, then please ask for a double appointment when
relevant people and investigated. We will then reply, usually in
booking. This may cost you a little more, but gives us both time to
Minor surgery and IUCD insertions always need a long
appointment. Please let the receptionist know that this is the
H1N1 influenza or Swine flu
simple—in most years the usual seasonal influenza really
stretches health resources with bursting emergency
As you will know, winter is the time of year for coughs and
departments and people sleeping in corridors. It was very
clods, and also for influenza. This kind of influenza is called
worrying that H1N1 influenza would add to this problem and
seasonal influenza. Influenza kills many people every year—
the health services would be overwhelmed.
almost as many as car accidents. Most of the people who
die from it are either very young, very elderly or pregnant, or
As the virus became more widespread in countries outside
have chest or heart conditions. Influenza viruses mutate and
of Mexico, more was learned about it, and it seems that it
change frequently, and influenza vaccine is changed every
does not cause much severe illness, and causes less deaths
year so that it fights the viruses that scientists think will
than seasonal influenza. However, more people will catch it
occur. This is why we need vaccination against influenza
because most people don’t have much preexisting immunity
Every so often, very different influenza viruses occur. Some
Symptoms of influenza are cough, sore throat, runny nose,
of these happen when viruses from animals such as birds or
headache, fever of more than 38 degrees, aching all over.
pigs change to be able to infect humans. The 1918 flu
Some have all of these symptoms and many people have
The best thing to do to prevent the virus spreading is to be
This year, this happened again. The world became aware
careful with sneezing and coughing, wash your hands
that a flu-like virus was in Mexico, and it seemed that the
frequently, and stay away from work or school if unwell
death rate from this virus was high. Studies showed that this
Sneeze or cough into a tissue and then dispose of it into a
virus may have had its origin in pigs and so it became known
covered rubbish tin. Then wash your hands. Or, if you have
no tissue, cough or sneeze into your bent elbow. Wash
Because it seemed to have a high death rate, many
countries, including New Zealand, tried very hard to keep the
Most people are managing H1N1 flu themselves at home
virus from spreading to their country. This involved checking
with paracetamol, rest and plenty of fluids. Ring the doctor if
people at the borders and quarantining those who were sick
you are getting a lot worse, have been ill for a long time, or if
until tests results were back to see if the person had the
you have pre-existing conditions that will make you more
likely to have problems with influenza. These people
This worked for a while, but as more people in more
countries became infected with the virus it became obvious
The Government has now made influenza vaccine free to
World Health Organization has declared that the virus has
anyone---this is to try to reduce the amount of seasonal
reached pandemic status—this means that the virus was in
influenza in our community. The current flu vaccine does not
several countries and was spreading within those countries.
The NZ Health Department then switched the emphasis to
Please phone and make an appointment with the nurse-
“containing“ the H1N1 virus—trying to limit and delay it’s
this vaccine may save your life.
spread with in New Zealand. The reason for this was very
THE ENERGY IN ALBANIA (NEWSLETTER) Other issues are available on EEC website PUBLISHED BY THE “ALBANIA-EU ENERGY EFFICIENCY ALBANIA CENTRE” (EEC) ISSUE NO 45 • DECEMBER 2008 REGIONAL ENERGY DEMAND PLANNING PROJECT Inside this Issue 3. Development of the National Energy - REGIONAL ENERGY DEMAND PLANNING Planning Models - ESTABLISHMENT OF THE
Treatment of heroin addiction in the Netherlands: history, results and developments Wim van den Brink Professor of Psychiatry and Addiction Academic Medical Center University of Amsterdam Methadone treatment was introduced in the Netherlands as early as 1968. During the first few years, methadone was prescribed to morphine dependent patients. Following the introduction of heroin