Kia mau te Kaupapa Tupeka Kore mō ngā uri Māori!!! Inquiry Smoke-free legislation – Smokefree Environments Act All workplaces smokefree: bars, restaurants, clubs, schools etc. Tuariki Delamere Tukuroirangi Morgan Hon Tariana Turia MP Associate Minister of Health (Tobacco) Māori Party Co-Leader Hone Harawira MP Māori Party Process... 2.5 years in development Vision meeting with Hone Harawira 2007 (Mere Wilson, Gevana Dean, Skye Kimura, Mary McCulloch, Rebecca Ruwhiu-Collins, Marguerite McGuckin) Royal Commission of Inquiry?? Identified Māori Affairs Select Committee Mark Peck (former MP & Director of SFC) Bypassed Health Select Committee Cabinet approval (Turia to Key) Whakaruruhau: Mere Wilson, Skye Kimura, Jeanine Tamati-Elliffe, Tipene Kenny, Boyd Broughton, Gevana Dean Terms of Reference development Industry focus Submissions process: ◦ Written (Including international) ◦ oral Partnerships: ◦ Iwi ◦ Sector: Māori/Non-Māori ◦ Wider community The Press Outcomes... Eru George Chair Te Pumautanga o Te Arawa Mark Solomon CEO Ngāi Tahu •Taitokerau •Taranaki •Kahungunu •Waikato/Tainui •Manawhenua •Mataatua Ron Nepe CEO Te Rūnanga o Turanganui-a-Kiwa Dr Jeffrey Wigand ‘The Insider’ Graeme Amey BATNZ Outcomes... 2025 Half prevalence rates by 2015 Legislate & regulate the tobacco industry out of the market Mechanisms: ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Kaupapa Tupeka Kore Polluter pays Industry denormalisation campaign Product regulation (nicotine levels & additives) Enforcement (particularly of underage sales) Remove vending machines, retail displays Tax increases annually FCTC Article 5.3 – Curb industry interference Support for addiction (cessation services) & campaigns (health promotion) 2006: Smokefree Symposium Key components: ◦ KAUPAPA ◦ TIKANGA Control Iwi Māori settings via TIKANGA Cultural behavioural response How? Iwi Tobacco Use Strategy Iwi: Ngāti Kahungunu, Ngai Tahu Iwi: tobacco is a barrier to meeting Iwi aspirations Influence on non-Iwi within the rohe WAI844: Lodged in 2000. Funding for the elimination and reduction of smoking amongst Māori Claimant: Whaea Bubbles Mihinui (Te Arawa) Inquiry: Highlighted in submissions MASC Report: Advancement of the claim Plan: Compensation for the: ◦ Urgent hearing required ◦ Funding used & managed autonomously from the Crown by Iwi, Māori Authorities etc ◦ loss of lives (5 decades – 30,000 Māori) and ◦ current disparities in funding of Māori specific campaigns, services and programmes Where to from here..? Advocacy: ◦ ◦ ◦ ◦ ◦ ◦ Assc Minister of Health – respond within 90 days ALL RECOMMENDATIONS – FULL PACKAGE Cascading legislative & regulatory development Policy change Govt and NGOs Gain cross-party support Full community involvement required Just a question... “Where is the outrage?” CE Koop (Former US Surgeon General) Direct Action is required – surely? 5000 attributable deaths – not enough? 600 Māori deaths – not enough? No direct action against the Tobacco Industry – manufacturers to retailers. Where is the Outrage? ◦ What dictates this current situation? ◦ Bystander-itis? ◦ Conservatism? Rangatahi-Taiohi Where is the: Require Māori specific: ◦ by rangatahi/youth for rangatahi/youth response ◦ Youth led – adult guided ◦ National programme: Rangatahi ownership Direct action Training – advocacy, media, direct action ◦ Multi-media campaign: Social media TV Radio Iwi A B C or A E I O U? Māori framework for brief intervention Symbiotic, mutual, balanced, reflects reality of Māori cessation service (AKP) Wero: Challenge – halve prevalence/ consumption rates by 2015 Karanga: Mihi Kōrero: Awhi Mai-Awhi Atu Koha He whakaaro... Journal observation: Smokers: Public health applications: ◦ Observation from 1700s ◦ Communication from afar ◦ Finger(s) to nose ◦ Hongi ◦ Te Ha ◦ Large hui ◦ Illness e.g. Colds, flu (H1N1, SARS) Regime Change Futurist perspective Direct Iwi to Crown discourse (Te Tiriti o Waitangi) Iwi Leaders Forum (?), individual Iwi/Hapū to engage Ability to negotiate directly with the Crown – resourcing of Māori needs All policy development, funding, legislative/ regulatory functions to have direct Iwi engagement at Ministerial, Director-General and CEO level Policy change, funding transferred from Govt to Iwi for distribution to Māori community Ngahiwi Tomoana Chair of NKII Development of a separate Hauora Kaupapa Māori framework that removes Government control over “Māori health” Based on: Kura Kaupapa, Kohanga Reo Movements Framework already in development by highly esteemed Māori leaders from Justice, Environment, Education, Philosophy, Tikanga backgrounds 2011 Resistance truly is a tradition... M: 0274 728 448 E: bradbrook@hotmail.com