New Zealand - Ministry of Health to offer support service for former sawmill workers exposed to PCP

Citation

(2010), "New Zealand - Ministry of Health to offer support service for former sawmill workers exposed to PCP", International Journal of Health Care Quality Assurance, Vol. 23 No. 8. https://doi.org/10.1108/ijhcqa.2010.06223hab.007

New Zealand - Ministry of Health to offer support service for former sawmill workers exposed to PCP

Article Type: News and views From: International Journal of Health Care Quality Assurance, Volume 23, Issue 8

Keywords: Environmental healthcare, Chronic disease management, Healthcare provision, Healthcare information

The Ministry of Health has released a report on a proposed special support service for former sawmill workers who were exposed to pentachlorophenol (PCP), a timber preservative used in the 1950s to 1980s.

Ministry of Health Environmental and Border Health Protection Manager Sally Gilbert says the report’s authors Allen and Clarke sought the views of former sawmill workers and their families, Sawmill Workers Against Poisons (SWAP), potential health service providers, and a technical group consisting of epidemiologists, toxicologists, and public health specialists.

“The Ministry of Health has accepted Allen and Clarke’s recommendations and intends to establish a special support service for former sawmill workers exposed to PCP in line with those recommendations”, Sally Gilbert said.

The special support service will include:

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  information and advice for doctors, other health practitioners, and patients about historical exposure to PCP and subsequent health risks;

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  a free annual health check provided by a doctor;

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  access to health promotion initiatives, like programs to reduce cancer risk;

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  counseling and other primary mental health services; and

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  a service to help people access other social services that they are entitled to.

The Ministry of Health also intends to fund researchers (including epidemiologists and toxicologists), in consultation with Sawmill Workers against Poisons, to discuss and if possible develop a research methodology on the question of impacts of PCP on spouses and/or the children and grandchildren of sawmill workers. If a robust research methodology can be developed, a proposal for funding could then be advanced via the usual research funding processes that are available in New Zealand.

“The recommendations balance what we know about historical exposure to PCP and health risk with former sawmill workers’ concerns about their exposure. They also reflect submitters’ concerns about the lack of information available to health practitioners and individuals about PCP exposure.

“Eligibility for the service will be on the basis that an individual worked in a place at a time when exposure is likely to have occurred. The report recommends that people should be eligible for a special support service if they:

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  worked in a sawmill where PCP was used;

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  worked in jobs that used PCP chemicals or if they came into contact with PCP baths/tanks or if they worked with timber that was still wet from the PCP treatment process;

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  worked in these jobs for at least one year; and

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  are eligible to use publicly funded health services in New Zealand (e.g. New Zealand citizens).

“At this stage, there is not sufficient justification for funding serum dioxin tests or other tests to determine damage to DNA. Serum dioxin tests may tell you that an individual has been exposed but that’s all it tells you. There is also no strong evidence to suggest that PCP causes genetic damage. We also know that former sawmill workers have been exposed to PCP so doing more tests is not going to help people get well”.

The report does not support former sawmill workers getting faster access to treatment services than other New Zealanders who might have the same needs.

“We believe it is only fair that all New Zealanders who develop a health condition receive treatment on the basis of clinical need, not why they became sick. Any treatments provided to people must also be safe, of high quality, and effective”.

The Ministry, and Allen and Clarke, would like to thank all of those who have provided information and recommendations as it has assisted us in developing the most appropriate service to support those sawmill workers who have been exposed to PCP.

“We hope the services will be available by the end of the year”, Sally said.

For more information: www.moh.govt.nz