A manager with the main health service provider for Pacific Island people in Christchurch fears there are worse problems to come for the community a year after the earthquake.
Genevieve Togiaso of Pacific Trust Canterbury says a quarter of the provider's clients left after the quake but many have now returned.
She says many face problems as they did not have insurance and are now just trying to put food on the table.
"A lot of our Pacific people were struggling with those social determinants previous to the earthquake and now with the earthquake it's made things even harder. We'll start to see some of this stuff manifest through, like alcohol, violence."
She says her group has improved its trauma counselling and outreach service for Pacific Island people in the region.