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Clinical Matters Newsletter - February 2025 28 Feb 2025

In this issue:

 

Warning lifted - Paralytic Shellfish Poisoning (PSP)

New Zealand Food Safety – MPI has advised that the Paralytic Shellfish Poisoning (PSP) warning for the Bay of Plenty, covering the area from the southern end of Pauanui Beach to the entrance of Tauranga Harbour (Mount Maunganui), was lifted on 20 February 2025.

Further sampling along this coastline has confirmed that paralytic shellfish toxin levels have returned to safe levels.

Public Health Advisory - For Awareness: Mpox

Reference Links

New BPAC eReferral for Iron Infusion available from Wed 26 February

Effective 26th February 2025, a new BPAC eReferral will be available for patients requiring an IV iron infusion when the primary care funded pathway is not an option. This applies to both WBOP and EBOP.

Please use the Day Infusion Service referral instead of the ‘General Medical’ form for IV iron infusion requests.

For all other infusion requests, continue to use the ‘General Medical’ form.

 

BPAC eReferral for TBI Health's ACC Services available from Wed 26 February

Effective from 26 February 2025, eReferrals for TBI Health's ACC Services for Pain Management, Concussion Services, Stay at Work, Physiotherapy and Integrated Care Pathway - MSK will be available on BPAC.

On the Referral To screen, search "tbi" and from Refer To options select TBI Health.

Information for Pain Management

Information for Concussion Services

Information for Stay at Work

Information for Physiotherapy

Information for Integrated Care Pathway - MSK

BPAC eReferral for APM ACC Services available from Wed 26 February

Effective from 26 February 2025, eReferrals for APM's ACC Services for Pain Management, Concussion Services and Stay at Work will be available on BPAC.

On the Referral To screen, search "apm" and from Refer To options select APM.

Information for Pain Management

Information for Concussion Services

Information for Stay at Work

 

BPAC eReferral for Second Avenue Health Centre's MRI and Fracture Pathway

Effective from 25 February 2025, eReferrals to Second Avenue Health Centre’s Community MRI and Fracture Clinic Pathway is available on BPAC.

On the Referral To screen, search for and select Community MRI and Fracture Clinic Pathway.


 

Notifiable Diseases - Pertussis

Guidelines for the management of pertussis can be found at https://midland.communityhealthpathways.org/13614.htm

Reminder: Depo-provera use for contraception: review two yearly; discuss risks including osteoporosis and meningioma

A recent case control study (1) found a higher relative risk of meningioma in users of depot provera vs non-users (odds ratio 5.5).  Meningioma is uncommon, any absolute risk increase is likely to be small. For more information see FSRH response to study: Use of progestogens and the risk of intracranial meningioma (2024) FSRH.

The NZ Formulary medroxyprogesterone acetate monograph has been updated with meningioma added to cautions and adverse effects sections. https://nzf.org.nz/nzf_10051

Our sexual health specialist colleagues would like to remind prescribers use of Depo-Provera for contraception should be reviewed by an appropriate practitioner every two years, to discuss with the woman the risk of osteoporosis and meningioma and consider alternative options.

(1) Roland N, Neumann A, Haszard L, Duranteau L, Froelich S, Zureik M, Weill A. Use of progestogens and the risk of intracranial meningioma: national case-control study. BMJ. 2024 Mar 27;384:e078078.

Ngati Awa Health & Social Services - Breast and Cervical Screening Support for EBOP

Cervical Screening

Authorised smear taker RN Sue will offer HPV and cervical smears to high priority patients in the EBOP.

Education and transport support to patients who require cervical and breast screening specialist services in Tauranga is also available.

Referrals are accepted for any patient who is high priority in the EBOP, working alongside WBOP PHO.

There are fortnightly clinics in Opotiki and Whakatane, and monthly clinics in Taneatua.

Home visits are also available for HPV screening.

Criteria for referral

  • No GP
  • Priority group patient
  • Māori or Pasifika patient
  • Patients who have not attended planned colposcopy clinic appointments

Breast Screening

Assistance with transport to mammogram or specialist appointments in Tauranga

Use this link below to refer a patient.

https://form.jotform.com/tetohuoteora/referral

Syphilis, Gonorrhoea, HIV, AIDS / Section C Referral Information

Reference Links:
 

Mindful Medicine Workshop for 2025

GP Evening Invitation - Tues 4th March 2025

New and Updated Community HealthPathways

Go to HealthPathways Midland https://midland.communityhealthpathways.org for the new and updated pathways below.

  • Vitamin D supplementation?
  • Vitamin D deficiency in children?
  • ADHD medications for children and youth?
  • Myalgic encephalitis/Chronic fatigue syndrome (ME/CFS)?
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