Medicine and academia
Early in her career, Sarfati worked on a cancer ward in Palmerston North. [5] Later she became an academic and public health researcher at the University of Otago. She was appointed a senior research fellow and senior lecturer in 2004. From 2006 to 2009, she was regional training director at the Australasian College of Public Health Medicine. She was appointed an associate professor at Otago's Department of Public Health in 2013. In that role, she was also director of the cancer and chronic conditions research group. [2] Her research focused on disparities in cancer outcomes. [7]
In 2015, she was appointed co-head of the Department of Public Health at the University of Otago, alongside Richard Edwards, and was also appointed a professor. From 2018 she became the department's sole head. [2] Sarfati was also a member of the International Advisory Committee to Lancet Oncology, [8] IARC's international expert group on social inequalities in cancer, [9] the Board of the International Cancer Benchmarking Project, [10] and she led a Lancet Oncology series on cancer in small island developing states. [11] She is a former member of the National Cancer Programme Leadership Board, the National Screening Advisory Group, the National Ethics Advisory Committee, the Bowel Cancer Taskforce and the National Bowel Cancer Screening Advisory Committee.
Public administration
In 2019, Sarfati was seconded to the Ministry of Health as National Director of Cancer Control. The Government established a new Cancer Control Agency and she was named the agency's interim chief executive on 1 December 2019. She was permanently appointed to that role on 1 July 2020. [12] During her period leading the agency, it reported on the state of cancer in New Zealand, the impact of COVID-19 on cancer services, cancer prevention, and the gap in cancer medicine availability between Australia and New Zealand. [13] [14] [15] [16] She also sat on Health New Zealand's Planned Care Taskforce. [17]
Sarfati was appointed acting Director-General of Health in July 2022, succeeding Ashley Bloomfield, who had led the Ministry of Health through the COVID-19 pandemic. [18] She was named the permanent appointment to that role in November 2022. [19] She announced her resignation from the position in February 2025. [20]
