Lakes DHB Position Statements

Position Statement – Food Security

As a basic human right all New Zealanders should have sufficient access to safe, affordable healthy.
Lakes DHB supports / advocates for the collective responsibility of central and local government, agriculture and the food industry, and community groups to improve affordable access to healthy, safe, and nutritious food.

Food security is built on four key supports, of availability, access, food use and food stability.
A 2016 survey of the Lakes district indicated that 16% of the local population, including about 30% of Maori, worried about not having enough money to buy food.

Lakes District Health Board supports:

  •  Access to affordable healthy, safe and nutritious food
  •  The establishment of local Food Policy Councils
  •      Food security issues being considered in local government policies and activities
  •      Research on the access and impact of the local food environment on food security
  •      Emergency planning that ensures the availability of adequate and safe food and water
  •      Initiatives that promote safe and nutritious food gathering and preparation (including wild foods and kaimoana)
  •     Initiatives to make fresh food and vegetables more affordable
  •     Initiatives that promote nutritionally adequate dietary intake
  •     Breastfeeding friendly environments.

    Click here for the full position statement that Lakes DHB adopted at its 13 October 2017 meeting.



 Position Statement – HOUSING AND HEALTH

The quality, affordability, safety, and suitability of housing are important determinants of health and wellbeing.
The concept of a healthy home brings together three key aspects: the physical conditions of the house, the suitability of the house for its occupants, and the affordability of the house. 

  • Houses need to be warm and dry and have adequate heating to provide a comfortable living temperature (at least 18˚C) and to help prevent the build-up of moisture. 
  • A house must have adequate sanitary facilities including plumbing and suitable personal hygiene facilities. 
  • Houses should provide physical security for their occupants with security features in good order. 
  • There should not be health risks from the presence of hazardous and toxic substances. 
  • The house must be of sufficient size for its occupants so that crowding does not occur. 
  • Occupants need to have sufficient security of tenure.
  • A house needs to be affordable for its occupants including any of the associated costs of heating, insurance, rates, and general maintenance.

Lakes District Health Board supports:

  • Explicit recognition by local and central government of the importance of housing to health and wellbeing.
  • Measures which support warm, dry, suitable, and affordable housing. 
  • Initiatives such as a warrant of fitness system to ensure ongoing compliance with the Building Act and Health Act. 
  • The provision of social housing for vulnerable populations such as the homeless, elderly, low income families, and people with disabilities. 

Click here for the full position statement that Lakes DHB adopted at its 15 September 2017 meeting. 


A hazardous substance is any solid, liquid, chemical or gas that can harm people, other living organisms, property, or the environment. 
Hazardous substances should only be used if necessary and if used, emissions should be minimised. Plans should be developed to ensure hazardous exposure is either avoided or kept to an acceptable minimum.

Lakes DHB supports:

  • Actions that protect the environment, and the health and safety of people and communities, by preventing or managing the adverse effects of hazardous substances. 
    Ongoing communication to ensure that organisations and the local community are informed of the risk of hazards and appropriate control measures. 
  • Prevention and control measures are integrated into comprehensive, well-managed and sustainable programmes, and must include public health response functions. 
  • Safe and specific disposal of all hazardous substances at accessible specialist facilities that protect public health and the environment. 
  • Investigation of complaints and notifications claiming adverse health impacts from any poisonings and chemical or hazardous substances injuries (chemical exposure incidents) in non-occupational settings. 

Click here for the full position statement that Lakes DHB adopted at its 15 September 2017 meeting.

Position Statement - BREASTFEEDING

Breast milk is the best first food for babies for optimal growth, development and health.

Lakes DHB supports the normalisation of breastfeeding in public spaces, which will have a positive effect for breastfeeding mothers and their babies. 

Lakes DHB advocates and supports:

  • Increasing the number of breastfeeding friendly public spaces
  • Normalising breastfeeding within public spaces
  • Increasing access to quality health information of the benefits of breastfeeding

Implementing the national breastfeeding quidelines 


Click here for the full position statement that Lakes DHB adopted at its 18 August 2017 meeting.





Lakes District Health Board supports measures that reduce the promotion, availability and consumption of SSBs, and that inform the public of the health risks associated with SSB consumption.

Sugar sweetened beverages are drinks that contain added sugar. Drinks that commonly have added sugar are soft drinks, fizzy drinks, sports drinks, energy drinks, fruit drinks, powdered drinks, cordials, flavoured milks, flavoured waters and iced teas/coffees.

The World Health Organisation (WHO) guidelines recommend that ideally, adults should consume less than about six teaspoons of sugar per day, and children less than about three to four teaspoons of sugar per day.

Lakes DHB supports:

  • Promotion of water and plain milk as the preferred drinks for children
  • A range of actions that can be taken at national land local levels to inform the public of the health risks with SSB consumption
  • Actions that can be led by the food industry and retailers
  • Promotion of the Ministry of Health Nutrition Guidelines


Click here for the full position statement that Lakes DHB adopted at its 18 August 2017 meeting. 


 Position Statement – Health in All Policies

Health outcomes cannot be achieved through the efforts of the health sector alone, but rely on the collective efforts of the wider community. Lakes District Health Board supports the Health in All Policies approach.

Health in All Policies is a collaborative approach to improving the health of all people by incorporating health considerations into decision-making across all sectors and policy areas.

Under its enabling legislation, the New Zealand Public Health and Disability Act 2000, Section 22, Lakes DHB is required:

  •    to improve, promote, and protect the health of people and communities;
  •    to promote the inclusion and participation in society and independence of people with disabilities;
  •    to reduce health disparities by improving health outcomes for Maori and other population groups;
  •    to exhibit a sense of social responsibility by having regard to the interests of the people to whom it provides, or for whom it arranges the provision of, services;
  •    to exhibit a sense of environmental responsibility by having regard to the environmental implications of its operations.

In addition, each DHB has the following functions:

(a) to actively… facilitate, sponsor, and develop … collaborative arrangements with persons ….. to improve, promote, and protect the health of people…
(b) to collaborate, plan and co-ordinate at local, regional, and national levels for the most effective and efficient delivery of health services.
(c) to issue relevant information …. to improve, promote, and protect the health of people for the purposes of paragraphs (a) and (b).
(d) to promote the reduction of adverse social and environmental effects on the health of people and communities.

Good health outcomes begin with healthy policies that create healthy environments which support people to adopt healthy behaviours. Lakes DHB has a role to drive conversations within all sectors to keep good health at the top of everyone’s mind.

Lakes DHB:
1.1. Is committed to building the capacity of the health sector to deliver a Health in All Policies approach.
1.2. Will contribute to building the knowledge and evidence base of healthy policy options and strategies, and will identify and prioritise emerging health issues resulting from changes in society.
1.3. Will collaborate with different sectors and with the Lakes community at governance and operational levels to tackle improvements in the social determinants of health.
1.4. Will oversee / contribute to the implementation, monitoring and evaluation of policy with respect to health outcomes, health determinants and equity.

Click here for the full position statement that Lakes DHB adopted at its 8 July 2016 meeting.