Page 5 - November 2021 IB FINAL
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A NOTE FROM THE EDITOR



                                                What have our health systems learnt through the COVID-19 pandemic? That is
 November 2021 Vol 47 No 11                   the question we ask in this month’s issue. We start with funding (historical and
               Managing Director / Publisher  COVID-related) and regional cooperative efforts, and then look to health issues
                  Samisoni Pareti             and case studies in French Polynesia and New Caledonia, Papua New Guinea,
                                              Solomon Islands, Palau and Vanuatu.
                  Managing Editor               Pacific health systems—if you remove the distortions created by the cost
                  Samantha Magick
                                              of overseas referrals and the COVID response—have been chronically under
                                              resourced.
                                                “The amount of public expenditure on public health is essentially a political
                    Designer
                                              decision. It really tells you how serious is any government about public health,”
                    Dick Lee
                                              Ian Anderson, a long term development and health specialist, tells us.
                                                As we’ve seen over the past two years, that lack of investment has had some
                   Contributors
                                              tragic consequences. The manner of funding, for example through constituency
                    Ben Bilua
                                              discretionary funds in some cases, and claims of outright corruption in others,
                  Bernadette Carreon
                                              has perpetuated poor health outcomes for some of the Pacific’s most vulner-
                   Dan McGarry
                                              able people, particularly in rural and remote island regions.
                   Dennis Rounds
                                                It is no surprise that at the heart of this story is the Pacific islands’ terrible
                   Giff Johnson
                                              record on non-communicable diseases. Despite years of investment in this
                    Jason Jett
                                              space and a plethora of campaigns, many of our countries continue to be world
                   Kevin McQuillan
                                              leaders in the worst way- topping the tables in obesity, diabetes, and diabetes-
                    Len Garae
                                              related amputations. That is why the story on Vanuatu’s pilot on school lunches
                   Mere Nailatikau
                                              is so important, as it’s a problem that requires cultural, generational change.
                   Nic Maclellan
                                                We will have related stories on our website throughout the month, so don’t
                   Samisoni Pareti
                                              forget to login for further coverage.
                    Scott Waide
                                                Until next month, stay safe and healthy!
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