Tina Browne MP

Addressing the NCD Epidemic in the Cook Islands: A Pledge for Constructive Change

This year, the Pacific Medical Association’s Conference in Rarotonga painted a troubling picture, underscored by Doctor Sir Colin Tukuitonga’s profound insights into non-communicable diseases (NCDs) in the Cook Islands.

Let’s confront the uncomfortable truths:
– Premature deaths from NCDs are shifting unpredictably:
– 2016: 24%
– 2017: 22%
– 2018: 20%
– Yet by 2019, an unsettling rise to 26%

Despite the influx of resources and funding to our Ministry of Health, why are these numbers not stabilizing and decreasing? The ambitious target the World Health Organization (WHO) set aims to reduce NCD-associated premature deaths by 25% by 2025. But are we on the right path to meet this goal?

Our healthcare system, already strained, is being burdened further. Local and local interventions necessitating expertise from New Zealand come at a growing cost. Most disturbingly, our men, pillars of our families, remain detached from the pressing urgency of these health warnings. Major threats, ranging from heart disease to diabetes, loom large over our community.

In my position as the Leader of the Opposition, I need a transparent and comprehensive re-evaluation of the strategies and leadership dynamics of the Ministry.

To navigate these challenging waters, I suggest five strategic policy directions:

1. Engage the Community: Cultivate health campaigns that resonate deeply within our communities, paying particular attention to the men and encouraging them to be health ambassadors.

2. Champion Local Nutrition: Partner with nutrition experts to formulate national dietary guidelines. A stronger push for local, wholesome foods can significantly reduce our reliance on processed imports.

3. Health Check-ups for All: A nationwide campaign can ensure that every citizen gets a free annual health screening. Further, families who opt for group check-ups can avail of added incentives.

4. Prioritize Physical Well-being: We can create a culture where physical health is valued and practised early on by embedding robust fitness regimes in educational institutions and workplaces.

5. Re-energize Public Health Regulation: This is crucial. A renewed, more creative perspective on our Public

Health Regulation, supported by incentives, can pave the way for innovative approaches to combat harmful habits while offering avenues of support and counselling.

In conclusion, the surge of NCDs in the Cook Islands is a collective challenge that demands our united action. A blend of innovative, community-centric solutions and a reinforced public health framework can guide our beloved nation towards a brighter, healthier horizon. We owe this to ourselves and to the generations to come.

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