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Impact of methamphetamine on health and well being

Miles Stratford made this Official Information request to Ministry of Health

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From: Miles Stratford

Dear Ministry of Health,

Under the Official Information act, I request details be provided regarding the following requests:

1/ In an email to the undersigned of 10th of September, Stewart Jessamine advised the following in respect of the relative risks presented to by lead paint, mould and dampness when compared to methamphetamine residues in property:

"The Ministry concurs with Sir Peter's assessment that, in terms of risk of harm to health, the presence of lead paint, mould or dampness pose significantly greater threats to health than presence of methamphetamine on surfaces where the premise has not been used as a laboratory to manufacture methamphetamine."

Please provide details of the comparative studies and information that allows the Ministry to reach this conclusion.

2/ Methamphetamine is known to have adverse side effects to he health of users. These effects can include damage to the heart, kidneys, circulatory systems and nervous system.

Please provide details of the research conducted/data collected by the Ministry of Health from those patients presenting with compromised health in respect of their heart, kidneys, circulatory and nervous systems, which shows the impact of current and/or historic use of methamphetamine on the health impacts these patients are presenting with.

Yours faithfully,

Miles Stratford

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Ministry of Health


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Dear Miles

Thank you for your email dated 29 October 2018 requesting the following
information under the Official Information Act 1982:

1/ In an email to the undersigned of 10th of September, Stewart Jessamine
advised the following in respect of the relative risks presented to by
lead paint, mould and dampness when compared to methamphetamine residues
in property:
"The Ministry concurs with Sir Peter's  assessment that, in terms of risk
of harm to health, the presence of lead paint, mould or dampness pose
significantly greater threats to health than presence of methamphetamine
on surfaces where the premise has not been used as a laboratory to
manufacture methamphetamine."
Please provide details of the comparative studies and information that
allows the Ministry to reach this conclusion.

2/ Methamphetamine is known to have adverse side effects to he health of
users. These effects can include damage to the heart, kidneys, circulatory
systems and nervous system.
Please provide details of the research conducted/data collected by the
Ministry of Health from those patients presenting with compromised health
in respect of their heart, kidneys, circulatory and nervous systems, which
shows the impact of current and/or historic use of methamphetamine on the
health impacts these patients are presenting with.

The Ministry's reference number for your request is: H201807260.

As required under the Act we will endeavour to respond to your request no
later than 26 November 2018, being 20 working days after the day your
request was received.  

If we are unable to respond to your request within this time frame, we
will notify you of an extension of that time frame.

If you have any queries related to this request, please do not hesitate to
get in touch.
 
Yours sincerely,

Jan Torres
Advisor
Ministerial Services (OIA)
[Ministry of Health request email]
Ministerial Services  l  Government Services  l  Office of the Director
General

[1]http://www.health.govt.nz

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From: Miles Stratford

Dear Jan
Thanks for your prompt response

Yours sincerely,

Miles Stratford

Link to this

Ministry of Health


Attachment 7260 Stratford.pdf
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Dear Miles Stratford

Please find attached response to your official information request.

Sincerely

Margee Do
Senior Advisor, OIA Services

Ministerial Services (OIA)
[Ministry of Health request email]  

Government Services
Office of the Director-General
Ministry of Health
[1]www.health.govt.nz

From:        Miles Stratford
<[FOI #8956 email]>
To:        OIA/LGOIMA requests at Ministry of Health <[Ministry of Health request email]>,
Date:        29/10/2018 11:02 a.m.
Subject:        Official Information request - Impact of methamphetamine
on health and well being

--------------------------------------------------------------------------

Dear Ministry of Health,

Under the Official Information act, I request details be provided
regarding the following requests:

1/ In an email to the undersigned of 10th of September, Stewart Jessamine
advised the following in respect of the relative risks presented to by
lead paint, mould and dampness when compared to methamphetamine residues
in property:

"The Ministry concurs with Sir Peter's  assessment that, in terms of risk
of harm to health, the presence of lead paint, mould or dampness pose
significantly greater threats to health than presence of methamphetamine
on surfaces where the premise has not been used as a laboratory to
manufacture methamphetamine."

Please provide details of the comparative studies and information that
allows the Ministry to reach this conclusion.

2/ Methamphetamine is known to have adverse side effects to he health of
users. These effects can include damage to the heart, kidneys, circulatory
systems and nervous system.

Please provide details of the research conducted/data collected by the
Ministry of Health from those patients presenting with compromised health
in respect of their heart, kidneys, circulatory and nervous systems, which
shows the impact of current and/or historic use of methamphetamine on the
health impacts these patients are presenting with.

Yours faithfully,

Miles Stratford

-------------------------------------------------------------------

This is an Official Information request made via the FYI website.

Please use this email address for all replies to this request:
[FOI #8956 email]

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From: Miles Stratford

Dear Margee

thanks you for providing Dr. Rainger's response.

Given the Ministry is not collecting evidence of the impacts of first hand exposure to meth, it is unsurprising that it should have no records around 3rd hand exposure.

With respect to Stewart Jessamine's advice, if there is no evidence to support the Ministry concurring with the opinions of Professor Gluckman, how is it that the Ministry has formed this view of the relative risks presented by contaminants in the home?

Yours faithfully,

Miles Stratford

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Ministry of Health


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Dear Mr Stratford

I refer you to our response of 21 November 2018, the Ministry does not
have comparative studies on the risks of methamphetamine versus lead or
mould in homes. The paper:

[1]http://www.pmcsa.org.nz/wp-content/uploa...

refers to several studies and researches made about methamphetamine which
you might find useful.

There is information in the Ministry website about:

Lead poisoning
 [2]www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/lead-poisoning

The  importance of warm, dry homes:
[3]www.health.govt.nz/your-health/healthy-living/warmer-drier-homes  

Yours sincerely

Margee Do
Senior Advisor, OIA Services
[email address]
Ministerial Services  l  Government Services  l  Office of the Director
General

[4]http://www.health.govt.nz

-----------

From:        Miles Stratford
<[FYI request #8956 email]>
To:        OIA/LGOIMA requests at Ministry of Health <[Ministry of Health request email]>,
Date:        22/11/2018 10:55 a.m.
Subject:        Re: Response to your official information request -
H201807260

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References

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1. http://www.pmcsa.org.nz/wp-content/uploa...
2. file:///tmp/www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/lead-poisoning
3. file:///tmp/www.health.govt.nz/your-health/healthy-living/warmer-drier-homes
4. http://www.health.govt.nz/

Link to this

From: Miles Stratford

Dear Margee

many thanks for those links. I am very familiar with the PMCSA Report. Under the Official Information Act, I'd like to receive some additional information rearding the response of the Ministry of Health to the PMCSA Meth Report.

The recommendations contained in the PMCSA report vary dramatically from those which the Ministry of Health promoted on the back of the report supplied to the Ministry by ESR in 2016. Please provide copies of the communications (emails, letters, meeting minutes etc) the Ministry has entered into with ESR and the parties ESR commissioned to produce its report regarding the PMCSA Report, their views as to the efficacy of the advice contained into the PMCSA Report and the implications it has for the advice the Ministry received from ESR.

I have been advised by an internationally recognised toxicologist that the numbers included in the PMCSA Meth Report in respect of acceptable meth residues in property cannot be arrived at using arrived at using standard risk assessment methodologies. Please provide copies of the communications (emails, letters, meeting minutes, reports etc) the Ministry has entered into and/or received since the May 29th release of the PMCSA Meth Report, that give the Ministry confidence regarding the efficacy of the advice the office of the PMCSA has supplied.

The numbers regarding acceptable levels of meth residues in property proposed in the report are supported and promoted by the Minister for Housing and have been acted on and incorporated into policy by the Real Estate Authority, Housing New Zealand, the Tenancy Tribunal and various Councils around the country, Auckland Council being one example. Please provide copies of the communications (emails, letters, meeting minutes etc) the Ministry has entered into with and received from the Minister for Housing, the Real Estate Authority, Housing New Zealand, the Tenancy Tribunal and Auckland Council, prior to and after their decisions to adopt the recommendations of the PMCSA Report into their Policy.

In establishing acceptable levels of meth residues in property, the PMCSA Report relies on the expert opinion of Dr, Nick Kim. Through the Standards Development process, the views of Dr. Nick Kim were shared with the Standards Committee. Dr. Kim was suggesting a limit of 12.5 micrograms per 100cm2 would be sufficiently health protective. Dr. Kim indicated that for the purposes of a standard he anticipated that this level would be reduced to around 3 micrograms per 100cm2. Given the divergence of Dr. Kim's views with that of ESR and others, the opinions of Jeff Fowles, Peter Cressy and Jackie Wright were sought by the Ministry of Health. None of these scientists agreed with Dr. Kim's views regarding acceptable levels of meth residues. These opinions, combined with the recommendations of the Ministry of Health which were based on the ESR Report, were pivotal in the decision of the Standards Committee to recommend the levels now incorporated into NZS8510. Levels which have been overtly criticised in the PMCSA Report and lambasted in subsequent media attention. Please provide copies of the communications (emails, letters, meeting minutes etc) the Ministry has entered into with these scientists seeking clarification of the advice that was provided to the Ministry.

The acceptable levels of meth residues recommended in the PMCSA Report regarding meth residues from use alone are 10 to 30 times greater than other jurisdictions. I understand best practice where a departure of this magnitude from what is generally considered appropriate, is to undertake a study/research, to confirm the assumptions that underpin such a change are correct. Please provide details of the research the Ministry of Health proposes to undertake to confirm that the proposed increase to 15 micrograms per 100cm2 will not result in adverse health outcomes for occupants of properties where meth residues are greater than those levels recommended by the Ministry of Health in its 2016 advice and the levels proposed by the PMCSA Report and acted upon by the Real Estate Authority, Housing New Zealand, the Tenancy Tribunals and various Councils around New Zealand, Auckland Council being one such example..

Yours faithfully,

Miles Stratford

Link to this

Ministry of Health


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Dear Miles

Thank you for your email dated 23 November 2018 requesting the following
information under the Official Information Act 1982:

Under the Official Information Act, I'd like to receive some additional
information rearding the response of the Ministry of Health to the PMCSA
Meth Report.

Please provide copies of the communications (emails, letters, meeting
minutes etc) the Ministry has entered into with ESR and the parties ESR
commissioned to produce its report regarding the PMCSA Report, their views
as to the efficacy of the advice contained into the PMCSA Report and the
implications it has for the advice the Ministry received from ESR.

Please provide copies of the communications (emails, letters, meeting
minutes, reports etc) the Ministry has entered into and/or received since
the May 29th release of the PMCSA Meth Report, that give the Ministry
confidence regarding the efficacy of the advice the office of the PMCSA
has supplied.

Please provide copies of the communications (emails, letters, meeting
minutes etc) the Ministry has entered into with and received from the
Minister for Housing, the Real Estate Authority, Housing New Zealand, the
Tenancy Tribunal and Auckland Council, prior to and after their decisions
to adopt the recommendations of the PMCSA Report into their Policy.

Please provide copies of the communications (emails, letters, meeting
minutes etc) the Ministry has entered into with these scientists seeking
clarification of the advice that was provided to the Ministry.

Please provide details of the research the Ministry of Health proposes to
undertake to confirm that the proposed increase to 15 micrograms per
100cm2 will not result in adverse health outcomes for occupants of
properties where meth residues are greater than those levels recommended
by the Ministry of Health in its 2016 advice and the levels proposed by
the PMCSA Report and acted upon by the Real Estate Authority, Housing New
Zealand, the Tenancy Tribunals and various Councils around New Zealand,
Auckland Council being one such example

The Ministry's reference number for your request is: H201807891.

As required under the Act we will endeavour to respond to your request no
later than 21 December 2018, being 20 working days after the day your
request was received.  

If we are unable to respond to your request within this time frame, we
will notify you of an extension of that time frame.

If you have any queries related to this request, please do not hesitate to
get in touch.
 
Yours sincerely,

Jan Torres
Advisor
Ministerial Services (OIA)
[Ministry of Health request email]
Ministerial Services  l  Government Services  l  Office of the Director
General

[1]http://www.health.govt.nz

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1. http://www.health.govt.nz/

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From: Miles Stratford

Dear Jan

Thank you for your prompt advice.

I look forward to receipt of your further advice in due course

Yours faithfully,

Miles Stratford

Link to this

Ministry of Health


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Dear Mr Stratford

I refer to your email of  23 November 2018 requesting the following
information under the Official Information Act 1982:

Under the Official Information Act, I'd like to receive some additional
information rearding the response of the Ministry of Health to the PMCSA
Meth Report.

Please provide copies of the communications (emails, letters, meeting
minutes etc) the Ministry has entered into with ESR and the parties ESR
commissioned to produce its report regarding the PMCSA Report, their views
as to the efficacy of the advice contained into the PMCSA Report and the
implications it has for the advice the Ministry received from ESR.

Please provide copies of the communications (emails, letters, meeting
minutes, reports etc) the Ministry has entered into and/or received since
the May 29th release of the PMCSA Meth Report, that give the Ministry
confidence regarding the efficacy of the advice the office of the PMCSA
has supplied.

Please provide copies of the communications (emails, letters, meeting
minutes etc) the Ministry has entered into with and received from the
Minister for Housing, the Real Estate Authority, Housing New Zealand, the
Tenancy Tribunal and Auckland Council, prior to and after their decisions
to adopt the recommendations of the PMCSA Report into their Policy.

Please provide copies of the communications (emails, letters, meeting
minutes etc) the Ministry has entered into with these scientists seeking
clarification of the advice that was provided to the Ministry.

Please provide details of the research the Ministry of Health proposes to
undertake to confirm that the proposed increase to 15 micrograms per
100cm2 will not result in adverse health outcomes for occupants of
properties where meth residues are greater than those levels recommended
by the Ministry of Health in its 2016 advice and the levels proposed by
the PMCSA Report and acted upon by the Real Estate Authority, Housing New
Zealand, the Tenancy Tribunals and various Councils around New Zealand,
Auckland Council being one such example

Your request as it currently stands cannot be made available without
substantial collation or research and is likely to be refused pursuant to
section 18(f) of the Act.  There are over a hundred email communication
that the team needs to review to collate the information you are
requesting. Unfortunately, the team is thin on the ground at the moment.
At the moment, the team is looking to hire a contractor to collate this
information, but this will take a significant amount of time.

We do, however, have available information that we can possibly provide
you as soon as practicable. These include:

1. All guidance and or correspondence has the Ministry  issued in respect
to the PMCSA report on methamphetamine contamination to any and all
business/government agencies/councils.
2. A copy of all Ministry communication regarding Sir Peter Gluckman’s
report regarding meth
3.  A copy of all information and communications relating to
methamphetamine (meth) testing, meth policy development and the Gluckman
report including communications with the Chief Science Advisor and
Standards New Zealand.

If you wish to receive this information  instead, please let us know on or
before COB 14 December 2018.

Alternatively, please advise if you wish to refine your request and narrow
it down to more specific documents. Please note that there are also some
information about this in the Select Committee papers that the Ministry
submitted, which can be found on [1]www.parliament.govt.nz.

Nâku Noa Nâ

Margee Do
Senior Advisor, OIA Services
Ministerial Services  l  Government Services  l  Office of the Director
General

[2]http://www.health.govt.nz

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2. http://www.health.govt.nz/

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From: Miles Stratford

Dear Margee

thanks for the email.

It looks likely that we will need to stage this.

I'd like to refine my request to include the same information but to limit this to the following organisations:

- The Tenancy Tribunal
- Real Estate Authority
- Auckland Council

Please confirm this refinement can be accommodated within the original time frames
Yours faithfully,

Miles Stratford

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Ministry of Health

Dear Miles

Unfortunately, to isolate this information, we would have to go through
hundreds of communication. I can provide you what I have which is listed
in my previous email. I can confirm that this include some information
from MBIE, LGNZ and DPMC.
Can you confirm that you do not want this and you are just wanting
information from
-Tenancy Tribunal
-REAA
- Auckland Council

I look forward to your clarification

Many thanks

Margee

Ministerial Services (OIA)
[Ministry of Health request email]  

Government Services
Office of the Director-General
Ministry of Health
[1]www.health.govt.nz

From:        Miles Stratford
<[FOI #8956 email]>
To:        OIA/LGOIMA requests at Ministry of Health <[Ministry of Health request email]>,
Date:        13/12/2018 03:20 p.m.
Subject:        Re: H201807891- Request to refine your information request

--------------------------------------------------------------------------

Dear Margee

thanks for the email.

It looks likely that we will need to stage this.

I'd like to refine my request to include the same information but to limit
this to the following organisations:

- The Tenancy Tribunal
- Real Estate Authority
- Auckland Council

Please confirm this refinement can be accommodated within the original
time frames
Yours faithfully,

Miles Stratford

show quoted sections

Link to this

From: Miles Stratford

Dear Margee

thanks for the prompt response.

I am happy to receive the information you previously offered.

I am specifically interested in the communications for the;

- Tenancy Tribunal
- Real Estate Authority, and
- Auckland Council

All these organisations have made decisions to adopt the recommendations of the PMCSA Meth Report into Policy. While the Standard is voluntary, it does incorporate recommendations around acceptable levels of meth residues, which are based on Ministry of Health recommendations. These are in turn based on the ESR report and associated recommendations. A report ESR stands by.

The request for these communications is being made in an effort to understand what engagement these organisations have had with the Ministry of Health and vice versa.

Yours sincerely,

Miles Stratford

Link to this

From: Miles Stratford

Dear Margee

thanks for the prompt response.

I am happy to receive the information you previously offered.

I am specifically interested in the communications for the;

- Tenancy Tribunal
- Real Estate Authority, and
- Auckland Council

All these organisations have made decisions to adopt the recommendations of the PMCSA Meth Report into Policy. While the Standard is voluntary, it does incorporate recommendations around acceptable levels of meth residues, which are based on Ministry of Health recommendations. These are in turn based on the ESR report and associated recommendations. A report ESR stands by.

The request for these communications is being made in an effort to understand what engagement these organisations have had with the Ministry of Health and vice versa.

Yours sincerely,

Miles Stratford

Link to this

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