Residents of an isolated island in the Cook Islands are alarmed by the loss of their only doctor.
But health officials say its not an uncommon situation for remote Pacific islands and there are systems in place to support nurses who provide health care there.
The island of Mangaia is a 40 to 45 minute flight away from Rarotonga - and now it's that far away from a doctor.
The island's Red Cross officer Leanne Taokia says their resident doctor departed a couple of weeks ago, leaving nurses to provide health care on the island.
She says there is a need for a doctor to care for the elderly and disabled on Mangaia.
Jo O'Brien reports.