Options for state and local governments to regulate non-cigarette tobacco products

Most tobacco control laws were written to address the scourge of smoking--particularly smoking cigarettes. As a result, these laws frequently exclude non-cigarette tobacco products, which are becoming more prevalent on the market. These regulatory gaps jeopardize public health by increasing the possibility that these products will be used--particularly by minors and young adults. This article examines gaps in regulation using five products as case studies: dissolvable tobacco products, electronic cigarettes, little cigars, snus, and water pipes. In addition, this article presents policy options that state and local governments can adopt to regulate these products more effectively, including regulations relating to price, flavors, youth access, use in public places, point-of-sale warnings, and marketing. Furthermore, this article contains extensive discussion of the recently adopted federal Family Smoking Prevention and Tobacco Control Act, which both limits and expands the power of state and local governments.     

Establishing a joint agency response to the threat of lone-actor grievance-fuelled violence

The past year has seen a global upsurge of violent attacks by lone, mentally unstable individuals. The motivations for these attacks have varied and extremist ideological drivers are rarely ‘pure’, but mental health problems and personal grievances are common themes. Mentally ill and disenfranchised individuals may be vulnerable to extremist messages and propaganda because such beliefs can be a means of interpreting their social difficulties. Terrorist messages can also be adopted by psychotic people who are seeking to make sense of their symptoms. Most lone-actor attacks are preventable, if there is a system in place for identifying and intervening with antecedent behaviours, which include mental disturbances and the social problems that frequently accompany these conditions. Joint police-mental health models developed to assess and manage fixated persons can be applied to other forms of grievance-fuelled, lone-actor violence. This paper describes the establishment of such a service in Australia, and provides some preliminary data. It also discusses the role of mental health in the current security environment.     

Access to justice for New Zealand health consumers

New Zealand has evolved a just, sensible and balanced system for addressing adverse medical events. This article considers potential changes to enhance justice for health consumers after an adverse event. Patient motivations for claiming are described. Changes to the complaints regime are considered with the aim of opening up access to the Human Rights Review Tribunal. Modest change only is advocated, to avoid the potential for the tribunal to become a de facto appeal mechanism. The preferable solution is greater access to Health and Disability Commissioner investigations. The second part of the article considers changes, some implemented already, to the compensation regime to make it more affordable. These will compromise the ability of the scheme to address the remedial interest of injured patients in compensation. Undesirable consequences are likely to occur across the system. Policy-makers need to consider the ramifications of change for the system as a whole.     

The coping strategies and responses of African youth in New Zealand to their encounters with the police

This article looks at the coping behaviors used by African youth in Aoteaora New Zealand during their encounters with the police. African youth are one of New Zealand's newest and youngest populations yet report disturbing accounts of racial provocation and abuse by the New Zealand police. In a research study carried out with African youth about their experiences with the police, qualitative interviews with the youth and African community leaders revealed that the youth responded to the discriminatory behaviors of the police in a number of ways. These responses included being obstructive, demonstrating vigilance of police practices, and avoiding subsequent encounters with the police, and indicate that the youth are prepared to challenge the perceived racism of the police.     

The illicit preparation of morphine and heroin from pharmaceutical products containing codeine: 'homebake' laboratories in New Zealand

Since 1983 a large number of small-scale illicit laboratories producing morphine and heroin from commercially available, codeine-based pharmaceutical products have been encountered in New Zealand. The codeine demethylation procedure is based on the use of pyridine hydrochloride. Very simple laboratory equipment and reagents are required and these can be utilised by people with little or no chemical background, following a recipe-like procedure. The process yields a characteristic product known as 'homebake'. This process is fully described.     

Intervention with sexually abusive young people in Australia and New Zealand

Abstract

Research into the treatment of sexual offenders with an intellectual disability has increased over the past decade. This research can be used to investigate the efficacy of treatment; however, empirical limitations of the research make generalizations difficult. Marques has provided a framework for examining treatment efficacy that emphasizes the contribution of researchers and clinicians to report treatment outcomes rather than a strict reliance on rigorous empirical investigations, such as controlled outcome research. This review uses Marques’ framework to present an overview about group treatment for sexual offenders with an intellectual disability using nine identified studies. This paper attempts to consolidate our knowledge about specific treatment issues, while demonstrating the varied outcomes that are reported in the literature. In employing this framework, the literature suggests that our knowledge can be substantially improved by research addressing specific areas of treatment.     

Priority-setting processes for medicines: the United Kingdom, Australia and New Zealand

The agencies involved in the assessment and prioritisation of medicines for public subsidy purposes in Australia, England and Wales, and New Zealand are compared in terms of their processes; ultimate decision-maker and political involvement in decisions; price-setting processes; decision criteria and inclusion of economic assessment of cost-effectiveness; provision for the rule of rescue and separate treatment of potentially life-saving medicines and cancer drugs; levels of access; extent of consumer participation in processes and decisions; and provision for appeal from decisions. All countries face the key challenge of expanding access to important new treatments, while maintaining cost-effectiveness as a key criterion for public funding and safeguarding the affordability and sustainability of their programs into the future. New Zealand's model may have led to a greater focus on cost-containment and overall affordability than those of the other two agencies. Despite controversial decisions that have led on occasion to disappointment and challenge, the Australian and New Zealand agencies have survived and appear to have managed to date to maintain public and political support. By contrast, the United Kingdom's National Institute for Healthcare and Clinical Excellence is facing major changes to its role that could see it become more of an advisory organisation.     

A Mediator on the World Stage?—How the EU's Commitment in Foreign Affairs is Portrayed by New Zealand and Australian Media

Abstract: ‘European identity’ is as much a contested concept as is the role of the European Union in foreign affairs. This article combines the two concepts and introduces a third variable, ‘the Other’, in order to address the following questions: How do non‐Europeans perceive the EU on the world stage? Is a tentative identity as a mediator in foreign affairs conveyed in the EU's conduct of foreign policy? Analysing 10 newspapers, 4 television bulletins, and 830 public surveys from Australia and New Zealand in the first half of 2004, this article argues that the EU's efforts to further democracy and peace are often marginalised in Australian and New Zealand perceptions. Nevertheless, subtle traces of perceptions of the EU as a potent global actor promoting human rights and environmental sustainability and challenging unilateral US policy courses were detected.     

Y STR haplotype data for New Zealand population groups using the Y-Plex 6 kit

Allele and haplotype frequencies were obtained for the six Y STR loci DYS19, DYS389II, DYS390, DYS391, DYS393 and DYS385 in the New Zealand population. Ninety-two different haplotypes were found. The Maori population had a specific haplotype that occurred in over 30% of the population. The Pacific Island population exhibited a triple repeat at the DYS385 locus in 26% of individuals, something rarely observed in other population groups.     

Liability of health professionals for a breach of the abortion law of New Zealand

The abortion law of New Zealand appears to have been interpreted very liberally over recent years by sectors of the medical profession. Indeed the interpretation of the law appears to have been so liberal that it raises questions as to the lawfulness of many of the abortions carried out in New Zealand. The current practice and application of the abortion law is such that it may expose some medical consultants certifying and performing abortions to criminal proceedings and civil claims.     

The highs and lows of working with sexual offenders: A New Zealand perspective

Abstract

The positive effects on clinicians responsible for the treatment of sexual offenders are little understood. The few available studies have focused upon the negative sequelae of this work. The current study of clinicians working therapeutically with sexual offenders at a community-based organization aimed for a more balanced picture of the effects of sex offender treatment provision. Using qualitative methods, both negative and positive aspects of this work emerged within three main themes: taking an optimistic perspective, working for community outcomes and supportive agency culture. Although the study revealed many challenges for therapists, these were found to be counterbalanced against rewards, affording a high degree of personal and professional fulfilment from working within this field.     

Geographical profiling in a novel context: prioritising the search for New Zealand sex offfenders

The present work explores the utility and value of geographical offender profiling methodologies within a novel context, considering both theoretical and practical issues relating to their application. The effectiveness of a well-known geographical profiling system, Dragnet, was tested across 101 New Zealand sex offence series, and findings compared with those derived for an equivalent sample from the UK. Average search costs (the amount of the total offence area that needed to be searched, starting from predicted offender home location, before the offender's actual home was reached) were far greater for the New Zealand sample than their UK offending counterparts. It is argued that this is because the spatial behaviour of New Zealand offenders violates many of the assumptions that Dragnet and other similar geographical profiling systems make in predicting offenders' home locations. Calibration of the system to the specific home-crime distance patterns of the New Zealand offenders did not enhance the efficacy of predictions made to a significant extent. It is consequently argued that, in their current form, geographical profiling systems are limited in their ability to account for samples displaying very different spatial characteristics to those that they were developed from and for. The implications of these findings for the general utility of geographical profiling are discussed, and ways in which systems might be developed in order to broaden their scope and applicability are suggested.