About TONY BLAKELY

I am an epidemiologist and public health researcher. My research activities span mortality studies, health inequalities, healthy eating, tobacco and cancer control. I teach advanced epidemiology methods. I currently direct the Burden of Disease Epidemiology, Equity and Cost effectiveness programme (BODE3) where we are modelling the health impact, cost and cost effectiveness of preventive and cancer control interventions.

Does change in income and deprivation change your smoking risk? Yes, but in different directions.

Thursday, September 12th, 2013 | TONY BLAKELY | 5 Comments

Professor Tony Blakely

Everyone knows that lower socioeconomic groups are more likely to smoke.  But why?  Is it because of things like less education or more deprivation actually causing you to smoke?  Or is it other correlated things like personality?  The answer to these questions matter, both for tobacco control policy and political debate.  Moreover, not all is as you might expect, and it differs for deprivation and income. Continue reading

New Zealand E-cigarette trial in Lancet – keeping it in perspective

Monday, September 9th, 2013 | TONY BLAKELY | 9 Comments

Professor Tony Blakely

A New Zealand randomized trial of e-cigarettes just published in the prestigious Lancet journal has been touted in the media as showing how good e-cigarettes are for people wanting to quit smoking.  This is overstating the study findings. And to be fair to the authors, overstating their conclusions too.

So what did the study find?  No statistically significant difference in abstinence at 6 months.

Continue reading

Care coordination for cancer cost-effective

Monday, September 2nd, 2013 | TONY BLAKELY | 2 Comments

Professor Tony Blakely

Dedicated cancer care coordinators – a clinical nurse specialist charged with navigating patients through their care – appears to be cost effective, at least for stage III colon cancer.

The Government’s 2012 Budget included $33 million for “better and faster” services for cancer patients, of which $16 million dollars was for care coordination nurses.  This all seems sensible, in that the immediate and net cost of cancer care coordinators may be negligible – putting in place coordinators frees up other staff to do other things as we show in a publication last week in the NZ Medical Journal. Continue reading

Can earthquakes be good for public health?

Saturday, August 17th, 2013 | TONY BLAKELY | 2 Comments

Associate Professor Nick Wilson

There is no doubt that earthquakes have historically had a terrible impact on human populations – and the shocking damage to Christchurch and its citizens in 2011 is still very much in the minds of New Zealanders. But living in shaky Wellington, makes one regularly wonder what might be the potential long-term benefits of earthquakes for public health. So here are a few examples relating to urban design and building design, disaster preparedness, and increased use of stairs over lifts. Continue reading