29 April 2022

Image in feature tile from Bulgarr Ngaru Medical Aboriginal Corporation, NSW website.

Rural and regional health system is broken

Dr Rob Phair, GP in Bairnsdale Victoria, and President of the Rural Doctor’s Association of Victoria. Dr Robin Williams, GP in Molong NSW, and Chair of the Western NSW Primary Health Network and Dr Gabreille O’Kane, CEO of the Rural Health Alliance were guests this morning on an episode of ABC Radio National Life Matters hosted by Michael Mackenzie discussing the question ‘Is the medical system in rural and regional Australia still fit for purpose?’

Rural doctors say the death, earlier this month, of a 72-year-old man in Bairnsdale, eastern Victoria, died in an emergency room bathroom after waiting more than three hours for treatment is the latest example of a broken medical system, which, they argue, needs a radical restructure to meet the changing needs of the times.

Dr O’Kane said the ACCHO model of care is appealing to the rural health sector and is proposing a community-led model of care employing a range of healthcare professionals, from GPs and psychologist to nurses and physiotherapists, similar to ACCHOs.

You can listen to the Life Matters interview in full here.

Photo: Ian Waldie, Getty Images. Image source: ABC News RN Life Matters webpage.

Health sector needs ‘whole-of-workforce’ strategy

The Australian Healthcare and Hospitals Association (AHHA) is urging all political parties to recognise the importance of our workforce in establishing a health system that can deliver the care Australians deserve. ‘Matching and forecasting the needs, demands and supply of the health workforce is complex in any context,’ says AHHA Acting Chief Executive Kylie Woolcock. ‘However, ahead of the upcoming Federal Election, urgent action is needed to address workforce issues in Australia’s heath system if it is to continue to provide vital services to the community.’

To view the AHHA media release Whole-of-workforce strategy needed to deliver healthcare that Australians deserve in full click here.

RHD not purely due to remoteness

Lynette Bullio’s son Jalil was just seven years old when he found out he would need painful injections each month until at least his 21st birthday. The Cairns boy was limping around but he and his mother thought it was because he had tripped over at school. When, by the end of the week, Jalil couldn’t even manage a short walk from his mother’s car to the school gate, Ms Bullio knew it was something more serious. Jalil, now 11, was diagnosed with rheumatic heart disease(RHD).

He is one of thousands of mostly Aboriginal and Torres Strait Islander people across northern Australia with the condition that was largely eradicated in Australia’s urban non-Indigenous population about 60 years ago. “It still is traumatic, I think, when I talk about it and realise how huge this disease is,” Ms Bullio said. “I start getting a lump in my throat.”

Ben Reeves, a paediatric cardiologist at Cairns Hospital, said while the disease was often associated with isolated communities he still saw new cases of rheumatic fever in Cairns children every week. “This is not purely due to remoteness,” Dr Reeves said. “It’s a lack of access to appropriate facilities and it’s a lack of awareness among the community and some health staff and we’re trying very hard to turn this around.”

You can access the ABC Far North News article Rheumatic heart disease strategy launched in Queensland as more people get sick in large centres in full here.

Image source: newsGP.

Major Parties ‘Nowhere on Health’

The AMA is disappointed the federal election campaign is half-way through and ‘nowhere on health’, while calls for politicians to address health policy are getting louder in the community. State Premiers, Health Ministers and State Treasurers have written to Prime Minister Scott Morrison and the Federal Health Minister previously to ask for a 50-50 split on hospital funding, and to remove the annual cap on activity, in order to deal with the backlog of care in the community following COVID-19 lockdowns.

“State and Territory Ministers, and even Premiers, have stated their clear, unequivocal support for a 50-50 agreement that removes the cap on funding growth – this is not something an incoming government is going to be able to ignore. So instead, political parties should be outlining how they will fix our hospital system, should they win government,” AMA President Dr Omar Khorshid said.

To view the AMA’s media release Halfway to Nowhere on Health, AMA says future PM and Government can’t hide from urgent need for new hospital agreement in full click here.

Fears NT bill will open booze floodgates

Three Indigenous bodies are calling on the NT government to immediately shelve legislation which could allow take-away alcohol into more than 430 communities from mid-July this year. The Aboriginal Medical Services Alliance of the NT (AMSANT), the Northern Australia Aboriginal Justice Agency and Aboriginal Housing NT have proposed the bill be dismissed.

Under the 2007 Federal Intervention, these communities in NT became Alcohol Protected Areas, which continued under the Stronger Futures legislation. AMSANT CEO John Patterson said consultations for the proposed change have not begun. “There has been no proper consultation, and there simply cannot be any in the short time available,” he said. “Aboriginal health organisations and peak bodies did not know about the Bill. This Government has introduced many excellent alcohol reforms, and this sudden and puzzling change is a backward step that has not been explained properly to anyone. Why not move to an opt-out system instead which would ensure all communities make an active decision about what they want to do rather than simply have the current protections taken away.”

North Australian Aboriginal Justice Agency executive officer Priscilla Atkins said the mixture of dry and unrestricted communities would be impossible to monitor. “The biggest issue we’ve got is a lot of criminal matters that come before the court are alcohol related,” she said. “You’re going to have alcohol coming into the remote communities there’ll be more violence, more pressure on the courts, more pressure on the police…and it’s disappointing that we’re talking about this now and the legislation expires on the 30th of June.

You can view the National Indigenous Times article Fears NT Govt bill will open booze floodgates in dry communities in full here.

Photo Tim Wimborne, Reuters. Image source: The Guardian.

Agent Orange poisoned WA mob

Premiering from June onwards on both NITV and SBS online platforms, a documentary On Australian Shores, produced and directed by Ngikalikarra Media, will tell the harrowing story of a large number of Aboriginal men and their families, who were knowingly and unwittingly poisoned by government in order to enhance the profits of the agricultural industry. The story of the wanton neglect of the WA Agricultural Protection Board (APB) via a series of interviews with survivors, their family members that have outlived them, and current generations still affected by Agent Orange poisoning.

Sydney Criminal Lawyers has spoken to Ngikalikarra Media co-producer, director and editor Dr Magali McDuffie about how despite numerous inquiries and reports the overwhelming majority of victims remain uncompensated, while the WA government continues to deny any of it ever happened.

You can read the article WA Poisoned First Nations With Agent Orange: An Interview With Ngikalikarra’s Dr Magali McDuffie in full on the Sydney Criminal Lawyers website here.

One of the APB work crews employed to unknowingly spray Agent Orange around the Kimberley. Image source: Sydney Criminal Lawyers website.

NDIS access in the Kimberley region

An article Equity in Access: A Mixed Methods Exploration of the National Disability Insurance Scheme Access Program for the Kimberley Region, WA has been published in the International Journal of Environmental Research and Public Health. The article describes a study exploring the process and early outcomes of work undertaken by a program to increase Aboriginal people’s awareness of, and access to, the National Disability Insurance Scheme (NDIS).

The Access Program was reported as successful by staff in its aim of connecting eligible people with the NDIS. Vital to this success was program implementation by the Aboriginal Community Controlled Sector. Staff in these organisations held community trust, provided culturally appropriate services, and utilised strengths-based approaches to overcome barriers that have historically hindered Aboriginal people’s engagement with disability services. The results of the study demonstrate the Access Program is a successful start in increasing awareness of, and access to, the NDIS for Aboriginal people in the Kimberley region, however much work remains to assist the large number of Aboriginal people in the Kimberley region believed to be eligible for NDIS support who are yet to achieve access.

To view the article in full click here.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Get ready for Heart Week

One Australian is having a heart attack or stroke every 4 minutes.

This Heart Week from Monday 2 -–Sunday 8 May 2022, presents an opportunity to raise awareness about the importance of heart health and for GPs, nurses and general practice staff to deliver Heart Health Checks for more at-risk Australians. It is an opportunity for health professionals and the Australian public to start a conversation about heart health and take steps to reduce their risk of heart disease. General practice teams and health professionals have a pivotal role in the prevention of cardiovascular disease (CVD) and have the power to change the one every 4 minute statistic by focusing on simple, routine practices that have a measurable lifesaving impact.

For more information about Heart Week 2022 click here.

Image source: Heart Foundation website.

29 April 2022

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28 April 2022

Newman dialysis clinic brings elders home

Aboriginal elders living across the country to access dialysis treatment can now return home to Newman after a new clinic opened in the town this week. The $1.9 million clinic is the first of its kind in Newman, located more than 1,100km north of Perth in WA’s Pilbara region. The service will allow dozens of Martu and Niyiyaparli elders to come home after moving from the Western Desert to places as far away as Alice Springs, Perth and Broome to get consistent access to the lifesaving blood treatment. Before the clinic opened, some people had chosen to die at home rather than suffer the trauma of family separation for long periods.

Local leaders hope the return of the elders and their knowledge will help young people address social problems in the town and maintain strong cultural bonds in the community. Niyiyaparli woman Sue Bung said she had returned after being forced to take a “one-way trip” to Perth in 2018. “I still can’t believe I’m home. You just can’t believe it because you’ve been in the city for so long,” she said. “Just to get out of the city and be home with that red dirt, I’m so happy.”

To read the ABC News article ‘Game changing’ dialysis clinic brings elders living across the country back home to Newman, WA in full click here.

QLD Health Minister concedes ‘system failed’

A disease eradicated from cities decades ago is still killing remote Indigenous people at a third-world rate. In an emotional address Queensland Health Minister Yvette D’Ath has conceded the state has failed remote Indigenous children suffering from rheumatic heart disease (RHD). Yesterday at the delayed launch of a $7.38m investment to end the preventable disease Minister D’Ath responded to the deaths of Adele Sandy, Betty Booth, and Shayaka George, who were turned away from the Doomadgee health centre before  dying of RHD.

Minister D’Ath said “We failed these kids, the system, the whole system. I’m not going to criticise the health workers at Doomadgee. They do an incredibly hard job. But this system failed.” Statewide, $4.5m will be spent during a three-year period and 10 northern Queensland communities most severely impacted will receive $2.88m for “specific actions.” “I want to make sure (funding) is actually delivering services,” she said. “We need First Nations health workers on the ground, going into these communities, educating the communities” Minister D’Ath said. Minister D’Ath stopped short of guaranteeing patients presenting to remote health centres with RHD symptoms would receive vital signs observations.

The above text is extracted from an article ‘This system failed’: Cash to end rheumatic heart disease deaths that appeared in the Cairns Post today.

Mother of an 11-year-old rheumatic heart disease suffer Lynette Bullio at the announcement of a strategy to end the preventable disease. Ms Bullio is pictured here with Cairns and Hinterland Health Service cardiologist, Dr Ben Reeves. Photo: Peter Carruthers. Image source: Cairns Post.

Youth running program builds leadership skills

Lungka Kija man Seymoure Farrer credits a running and leadership program with helping him to see a more positive future — not just for himself, but for other young Indigenous people in his Kimberley community. Mr Farrer and Karajarri man Wynston Shovellor-Sesar have been chosen from about 130 applicants from around Australia for this year’s 12-person Indigenous Marathon Project squad.

Every year, the Indigenous Marathon Foundation selects a group of young Indigenous men and women, aged between 18 and 30, to take part in the world-famous New York Marathon in November. It’s an honour the two Kimberley men carry proudly, and an opportunity they do not intend to waste. “I’ve seen, over the years, previous participants and the positive changes it made in their lives,” Mr Farrer said. “I’ve been struggling with mental health. I want to build a lot more confidence and a healthier lifestyle, so I can come back to my community and show people what I’ve learnt.”

To view the ABC News article Kimberley runners eye New York Marathon as they hone leadership skills to inspire Indigenous communities in full click here.

Every year, 12 Indigenous runners from around Australia are selected for the marathon squad. Photo: Charlie Lowson. Image source: ABC News.

Smoke- and vape-free pregnancy campaign

Tomorrow the National Centre of Indigenous Excellence will host the launch of the Talking About Tobacco Use Team’s (TATU) outdoor media campaign with a live artwork projection, DJs, music about smoke-free lifestyles and interactive workshops. The TATU team has designed a fleet of buses in the Sydney region to raise awareness and advocate for Aboriginal and Torres Strait Islander peoples smoke- and vape-free pregnancy.

Smoking while pregnant increases both the risk of complications during pregnancy and harm to the baby. Passive smoking – breathing in second-hand smoke – exposes non-smokers to serious health risks. Helping people to quit smoking, or – even better – to never start, is the focus of the campaign, says Steven Davis, Manager, TATU. “[Not smoking means] people can enjoy a better quality of life without the long-term harmful effects on health that tobacco and vape use inflicts. Our TATU program reaches 17,500 Aboriginal and Torres Strait Islander people, 9,000 First Nations households across 626 sq kms.”

To view The South Sydney Herald article Redfern launch of smoke- and vape-free pregnancy campaign in full click here.

Talking About Tobacco Use team’s (TATU) interactive youth workshop. Image source: The South Sydney Herald.

Holistic approaches to improving health

A recent article Health Media Holistic approaches to improving physical and mental health by Cate Carrigan explains how a recent Equally Well 2022 Symposium put the spotlight on efforts to improve the physical health of people who have a mental illness, as well as the urgent need for such efforts. The article reports on the role of lifestyle medicine, as well as how the holistic approaches to health of Aboriginal and Torres Strait Islander peoples have influenced the language of healthcare in Australia. In her article Ms Carrigan explains why clinicians need to have lifestyle medicine as a ‘go-to’ part of their toolbox; provides an overview of the evidence and barriers to implementation; and outlines First Nations strengths; and system problems.

To view the Croakey Health Media article in full click here.

Dr Sam Manger helping to establish a native, cultural garden at Pangula Mannamurna in Mount Gambier, SA. Image source: Croakey Health Media.

Nurse Georgie Baker leads by example

Proud Indigenous woman Georgie Baker spent the better part of 20 years focusing on raising her four children, working in a range of casual roles to support her family. It wasn’t until her eldest daughter was graduating high school that she decided it was time to put herself first. As the first in her immediate family to complete tertiary studies, she’s now a role model in her community, helping to promote Indigenous health as a fully-qualified Enrolled Nurse. “I was a jack-of-all-trades and a master of none. I tried everything, from being a taxi driver to a flower farmer and a school cleaner,” Georgie said.

Georgie’s children played an important role in her decision to realise her career goals. “I’m proud to be able to set an example for my children and community and show them that no matter what age you are, or what experiences you’ve had, your goals can still be achieved,” she said. Drawing on her years of experience caring for others, she decided to pursue a career in nursing, completing her Diploma of Nursing at TAFE Queensland. “I needed a career and I chose nursing because I just knew I could do it. Its not always a glamorous job and a lot of people shy away from nursing for that reason alone, but it really doesn’t bother me — I’m a mother of four so I’m used to dealing with anything,” Georgie said.

To view the Leading by Example article on the TAFE Queensland website in full click here.

Georgie Baker. Image source: TAFE Queensland.

Transgrid Indigenous Award finalists

Three young Sutherland Shire residents are finalists in the Transgrid Indigenous Achievement Award, part of the 7NEWS Young Achiever Awards. Since the creation of the 7News Young Achiever Award – NSW/ACT in 2014, it has applauded the leadership, vision, excellence and commitment of young people, whilst highlighting their efforts and success.

The purpose of the NSW/ACT Young Achiever awards is to acknowledge, encourage and most importantly promote the positive achievements of all young people up to and including 29 years of age. One of the finalists, Seaneen Wallace, 26 of Caringbah joined the NSW Health Aboriginal Population Health Training Initiative at Sydney Children’s Hospital Network in 2020. She has since led the development and implementation of an Aboriginal Health Impact Statement, which ensures that new or existing policies consider the context and implications for Aboriginal people and help identify and improve barriers.

To view the St George & Sutherland Shire Leader article Three Sutherland Shire finalists in Transgrid Indigenous Achievement Award in full click here.

Seaneen Wallace, a finalist in the young achiever awards, is passionate about improving Aboriginal health. Image source: St George & Sutherland Shire Leader.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

27 April 2022

Simple free bowel cancer test saves lives

Most bowel cancers (sometimes called colorectal, colon or rectal cancers) start as benign, non-cancerous growths called ‘polyps’ that form on the inner lining or the wall of the bowel. These polyps may become cancerous if they are not removed. Bowel cancer is the third most common cancer among Aboriginal and Torres Strait Islander people. Although these cancers are experienced at lower rates than non-Indigenous Australians, the survival rates are lower and mortality rates are higher. This may be due to the lower participation in bowel screening programs, which is a particular risk for those in remote areas, where access to health services can be limited.

Initiatives such as the National Indigenous Bowel Screening Pilot Project have helped to address low rates of participation among Aboriginal and Torres Strait Islander people, which is important as when found early, bowel cancer is one of the most treatable cancers. Aboriginal and Torres Strait Islander people can currently receive free screening for bowel cancer via the Australian Government’s National Bowel Cancer Screening Program (NBCSP).

The Australian Government Department of Health has developed a collection of resources, specifically tailored for Aboriginal and Torres Strait Islander people about the NBCSP and the importance of bowel cancer screening, available here.

‘I was whitewashed’ says Uncle Jack Charles

Yesterday the actor and Indigenous rights activist, Uncle Jack Charles, told the nation’s first truth and justice commission to hear the impacts of colonisation and racist government policy on First Nations people of his removal from his family as a baby. Charles said he was placed in the Box Hill Boys’ Home, where he experienced “cruel and callous punishments” in the 1950s, and spoke of the cycles of incarceration, homelessness, familial dislocation and drug addiction he experienced for decades as a result of that treatment. “I wasn’t even told I was Aboriginal. I had to discover that for myself. I knew nothing, was told nothing, and had to assimilate … I was whitewashed by the system,” Charles told the Yoorrook Justice Commission on its first day of public hearings.

Elders were invited to make submissions at the commission’s hearings, or wurrek tyerrang, that opened at the former site of the Victorian Aboriginal Health Service building on Gertrude Street in Fitzroy, a symbolic landmark of self-determination to First Peoples in the state since the community organisation was founded in the early 1970s. Submissions to the commission, also referred to as nuther-mooyoop (a Boon Wurrung word for truth), were designed to provide an opportunity for First Nations elders in the state to share their experiences of the impacts of colonisation, including their experiences of resilience and survival of languages and little-known histories and traditions.

To view The Age article ‘I was whitewashed’: Uncle Jack Charles first elder to share his story at Yoorrook in full click here.

Uncle Jack Charles outside the Victoria Aboriginal Health Service, Fitzroy

Uncle Jack Charles outside the Victoria Aboriginal Health Service at Fitzroy. Photo: Darrian Traynor. Image source: The Age.

Protect your mob – immunisation campaign

Vaccination rates Aboriginal and Torres Strait Islander children have decreased over recent periods, particularly at 1 and 2 years of age. It is important to establish positive immunisation behaviours early in your children’s lives. Skipping or delaying vaccinations puts children and those around them at risk of catching serious diseases. It’s important that children receive their routine vaccines in line with the Childhood Immunisation schedule on time, every time, for the best protection.

A recently launched ’Get the facts about immunisation’ campaign uses a range of materials to engage with parents and carers, childcare workers and health care professionals about the importance of childhood vaccination. Materials specifically developed for Aboriginal and Torres Strait Islander people include online videos, an infographic and brochures. You can find out more about the ‘Get the facts about immunisation’ campaign here and access resources from the Australian Government Department of Health Routine childhood immunisation for Aboriginal and Torres Strait Islander children webpage here.

Children need commitment in this election

National Voice for our Children is calling on all major parties in the upcoming Federal election to commit to actions that create a better start in life for Aboriginal and Torres Strait Islander children. SNAICC’s election priorities have been sent to parties with the responses to inform a snapshot of where they stand on key policies impacting Aboriginal and Torres Strait Islander children and families.

SNAICC CEO Catherine Liddle said substantial policy change was crucial if a future Federal Government was to make headway on new Closing the Gap targets. “Under the National Partnership all Governments have agreed to work with the Coalition of Peaks to reduce over-representation in out of home care by 45% by 2031,” Ms Liddle said. “There is also agreement to increase the proportion of Aboriginal and Torres Strait Islander children developmentally on track against all 5 domains of the Australian Early Development Census by 55%.”

To view the SNAICC media release Children need commitment in this election contest in full click here.

Image source: SBS TV.

Jacci – no choice but to leave Katherine

Jacci Ingham had been living in the small NT town of Katherine, around 300km south of Darwin, for two decades. And she couldn’t imagine living anywhere else. It was where her friends were, where her favourite memories were made and where her passion for landscape photography really flourished. But when her NDIS request to move into a local supported accommodation facility was knocked back, she was deemed legally homeless. The writing was on the wall – she had no choice but to leave.

Although she does not have a disability that is visible to the outside world, Jacci – who is in her 40s – has always relied on around-the-clock support to be able to live her life. “I used to see various counsellors and paediatricians and what not and they’d try these different things to see if that would improve me,” Jacci said. “To be honest, I was a bit out of it for a while like my speech was different, I had thought differently, I was prone to very delusional ways of thinking.”

Remote and Population Health Manager for Katherine West Health Board, Megan Green, was brought into the ACCHO as the Mental Health Coordinator in 2016, and tasked with the role of servicing the mental health needs of residents across the 160,000 sq km from the WA border to the edge of the Tanami desert. “So people have got…a number of options (in Darwin). For the mob out bush and even in Katherine itself, I think they’re quite limited,” she said. She said the only option for patients who are in the midst of a mental health crisis, because Katherine does not have the services required, is to have them flown to Darwin at a cost of “thousands of dollars.” It’s always a last resort to send someone out of community, it’s only if we can’t support them or their family, or support the family to support them,” Megan said.

The above was extracted from the Manning River Times article ‘If Katherine were to improve its mental health services, I would move back in a heartbeat’ published on 26 April 2022.

Image source: Manning River Times.

Universal access to oral healthcare needed

There’s a strong economic argument for providing free – or at least affordable – dental healthcare as poor dental health is linked to chronic conditions such as stroke, heart and lung diseases, which place a significant cost on the public health system. Vulnerable Australians are particularly at risk from oral disease and there are growing calls in the lead-up to the federal election to start the journey towards universal access to oral healthcare.

The Consumers Health Forum CEO Leanne Wells says dental care should be funded under Medicare because otherwise it is simply unaffordable for many Australians who risk long-term illness and preventable hospitalisation. Tan Nguyen and Associate Professor Amit Arora, co-convenors of the Public Health Association of Australia Oral Health Special Interest Group, have outlined how national leadership is required to address this neglected area of public health in a Croakey Health Media article Universal access to oral healthcare needs national leadership  here.

Image source: Armajun Aboriginal Health Service website.

Fierce advocacy for mob will be remembered

Prominent Kungarakan and Gurindji elder and community leader Kathy Mills died on Sunday aged 86. Ms Mills was known for her advocacy work for Aboriginal people in the NT, as well as a distinguished career as a songwriter and poet. Daughter June Mills said her mother had a powerful memory of local bloodlines and culture. “She’d take you on a journey, a beautiful journey, and I’ve witnessed that so many times … I’m going to miss that,” Ms Mills said.

Ms Mills held various leadership roles in the NT community, including helping to start Darwin’ oldest alcohol rehabilitation service, co-founding the Danila Dilba Health Service and, in the 1980s, being the first woman elected to the Northern Land Council. Critical of what she said was disappointingly slow work towards reconciliation, Ms Mills used her national profile to push for stronger action than token gestures for Aboriginal people.

“She had steely determination,” June Mills said. “Whether it was Stolen Generation or health or alcoholism, there was lots of things she championed throughout her life. “And once she set her teeth into something, she persevered until she got what she wanted to happen.” Ms Mills was named the NAIDOC person of the year in 1986, was inducted into what were then the NT Indigenous Music Awards (now National Indigenous Music Awards) Hall of Fame in 2005 and became a member of the Order of Australia in 2019. Earlier this year, Ms Mills was also awarded an honorary doctorate from the NT’s Batchelor Institute in recognition of her work.

To view the ABC News article Aboriginal elder Kathy Mills remembered as formidable leader and brilliant storyteller in full click here.

Kathy Mills

Kathy Mills. Photo: Terry McDonald, ABC News.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

26 April 2022

Labor releases Indigenous health policy

Labor have issued a media release outlining the focus of their Indigenous health policy. An Albanese Labor Government will train 500 additional First Nations Health Workers and invest in life-saving dialysis and rheumatic heart disease treatments to help close the gap in First Nations health outcomes.

Aboriginal community-controlled health services worked tirelessly to keep First Nations communities safe during the pandemic. Their workforce has been stretched to its limits and vital programs such as chronic disease prevention and First Nations health checks have had to be scaled back.

Labor will work in partnership with community-controlled and other health services to strengthen the sector and improve health outcomes for First Nations people by:

  • Training 500 First Nations Health Workers – building the First Nations health workforce, creating jobs and revitalising community-controlled health services after the pandemic.
  • Delivering up to 30 new dialysis units – so people living in the city and the bush can access lifesaving treatment for chronic kidney disease.
  • Doubling federal funding to combat Rheumatic Heart Disease – so that fewer people miss out on lifesaving screening, treatment and prevention programs in high-risk communities.

To view the Labor media release Labor will Strengthen First Nations Health in full click here.

Bibbulmun woman Corina Abraham-Howard from Perth receives dialysis at the Purple House in Alice Springs. Photograph: Photo: Mike Bowers. Image source: The Guardian.

Calls for healthcare language boost

A NT collective responsible for aiding Yothu Yindi member Witiyana Marika manage a serious illness say appropriate health messaging could halve medical conditions in Aboriginal communities. Mr Marika recently underwent a second operation to treat his rheumatic heart disease thanks to education provided by Why Warriors co-founder Richard Trudgen.

For years Mr Marika lived with his condition without properly understanding it as language used by doctors was difficult to comprehend. Mr Trudgen said this has been a failure of the system for some time. Why Warriors aim to provide First Nations people with radio and on-demand content presented in language for this purpose.

In cases like Mr Marika’s, messaging form Western and Aboriginal medical services are not adjusted for patients who use English as a second language, if at all. Mr Trudgen said simplifying the information does little more than restrict people from the important details. “They want evidential information that shows the cause and effect right down to a biomedical level.” Why Warriors hope to secure funding to stretch their processes to First Nations communities around the country.

To view the ABC News article Yothu Yindi legend undergoes operation amid calls for healthcare language boost in full click here.

Founding Yothu Yindi member Witiyana Marika

Founding Yothu Yindi member Witiyana Marika. . Image source: NT News.

Why Western therapy is not the answer

Portia Walker-Fernando was 16 when she first saw a counsellor, overwhelmed by anger and distress that her brother was being bullied at school because he was Indigenous. “The racism was fairly frequent,” says Walker-Fernando, a Bundjalung woman, from the Northern Rivers of NSW, who, at 24, still carries anxiety and depression.

“As a 16-year-old who was trying to understand why, it really, really hurt. Being Indigenous and being black is something you can’t change.”

Walker-Fernando says intergenerational trauma and racism have contributed to her mental health issues, with her anxiety spiking every year about January 26. “Looking at our history and our story, there’s so much trauma embedded in that. I have a panic attack pretty much every Survival Day – or Australia Day – because of that really strong impact that it has on me,” she says. “No one’s been given the life tools to be able to heal from these traumas, so we’re still carrying them today.”

Half the Aboriginal and Torres Strait Islander people who experience racial discrimination report feelings of psychological distress, according to a Victorian study by the Lowitja Institute, meaning they are vulnerable to developing anxiety and depression.

To view The Age article ‘I have a panic attack every Survival Day’: Why Western therapy wasn’t the answer for Portia in full click here.

Portia Walker-Fernando from Casino pictured with her children. Photo: Natalie Grono. Image source: The Age.

Broncos support IUIH’s Deadly Choices

The Brisbane Broncos will continue to encourage Queensland’s Indigenous youth to get active and healthy, as part of its ongoing support of the Institute for Urban Indigenous Health’s (IUIH) Deadly Choices preventative health program.

By prioritising healthy eating, exercise, the avoidance of tobacco and alcohol use, and ensuring individuals continue to complete an annual health check, the Club hopes to unearth and foster future talent of the calibre of current players, Selwyn Cobbo and Kotoni Staggs.

Cobbo, a proud Wakka Wakka man from Cherbourg was today joined by the Burnett’s original Broncos flyer, current and fellow Deadly Choices Ambassador, Steve Renouf to unveil a new suite of health check shirts, used as incentives to encourage local communities to visit the Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane for an annual check-up.

Broncos CEO Dave Donaghy said: “Deadly Choices is an outstanding program making a real difference and we are proud of our partnership with the IUIH that now extends beyond a decade.

To view the Broncos promote ‘Deadly’ Communities media release in full click here.

Selwyn Cobbo. Image source: Broncos website.

NT AHW Excellence Awards noms open

The NT’s best and brightest Health Workers and Practitioner’s have the chance for their efforts and work to be recognised, with nominations opening for the 2022 Northern Territory Aboriginal and Torres Strait Islander Health Worker and Practitioner Excellence Awards.

The awards are held annually to recognise and acknowledge the significant contribution Aboriginal health workers and practitioners make to their families, communities and the healthcare system across the Northern Territory. These awards acknowledge the outstanding contribution made by our highly valued Aboriginal and Torres Strait Islander Health Workers and Practitioners workforces within the previous 12 months.

Nominations are open from Tuesday 26 April 2022 to Sunday 19 June 2022. To submit a nomination, visit the awards webpage Aboriginal and Torres Strait Islander Health Worker and Practitioner Excellence Awards – Department of Health here, or contact Aboriginal Workforce Development
using this email link or ring (08) 89227 278.

To view the NT Government Health Minister Natasha Fyles’ media release in full click here.

Aboriginal health workers, Sherryl King and Keinan Keighran, from Wurli-Wurlinjang Aboriginal Health Service were recognised for their work at the 2021 NT Aboriginal and Torres Strait Islander Health Worker and Practitioner Excellence Awards. Photo: Charlie Bliss. Image source: Katherine Times.

Swapping the screen for nature

Model and actor Magnolia Maymuru is careful about how she spends her time. When not in the make-up chair, she retreats into nature – a habit she wishes the rest of the world would adopt, too.

Modern science may have only recently uncovered the link between exposure to nature and increased wellbeing, but Indigenous Australians such as Magnolia Maymuru have been aware of it for thousands of years. “Up here, we have connections to everything around us, from the ground to the sky,” the model and actor said.

Born in Darwin, Maymuru belongs to the Yolngu people – a group of Aboriginal clans from north-east Arnhem Land – who believe that they don’t only come from the land, they are the land, too. “We’re born into our connection [with the outdoors],” she explains. “Every time I come back from the city and hear the waves crash, it just does something to me.”

To view the Body + Soul article Magnolia Maymuru on swapping screen time for real connections with nature in full click here.

Magnolia Maymuru. Photo: Body+Soul. Image source: BodyAndSoul.

Barriers to physical activity for mob

Physical activity has cultural significance and population health benefits. However, Aboriginal and Torres Strait Islander adults may experience challenges in participating in physical activity. A review that aims to synthetize existing evidence on facilitators and barriers for physical activity participation experienced by Aboriginal and Torres Strait Islander adults in Australia has been undertaken.

The review identified 63 barriers: 21 individual, 17 interpersonal, 15 community/environmental and 10 policy/program barriers. Prominent facilitators included support from family, friends, and program staff, and opportunities to connect with community or culture. Prominent barriers included a lack of transport, financial constraints, lack of time, and competing work, family or cultural commitments. Aboriginal and Torres Strait Islander adults experience multiple facilitators and barriers to physical activity participation. Strategies to increase participation should seek to enhance facilitators and address barriers, collaboratively with communities, with consideration to the local context.

To view the Facilitators and Barriers to Physical Activity and Sport Participation Experienced by Aboriginal and Torres Strait Islander Adults: A Mixed Method Review in the International Journal of Environmental Research and Public Health in full click here.

Photo: IUIH. Image source: Exercise Right website.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

World Immunisation Week

World Immunisation Week, celebrated in the last week of April, aims to highlight the collective action needed and to promote the use of vaccines to protect people of all ages against disease.

The World Health Organisation works with countries across the globe to raise awareness of the value of vaccines and immunisation and ensures that governments obtain the necessary guidance and technical support to implement high quality immunisation programmes.

The ultimate goal of World Immunization Week is for more people – and their communities – to be protected from vaccine-preventable diseases.

In a related article parents and carers are being reminded of the importance of getting their children vaccinated against COVID-19 in a new information video from the Department of Health.

The video features GP and Senior Doctor at Wirraka Maya Health Service Aboriginal Corporation (HSAC), Dr Aleeta Fejo who answers important questions about children and the COVID-19 vaccines.

Dr Fejo, a Larrakia and Warumungu traditional owner and Elder, said fake stories and misinformation about COVID-19 vaccines were unfortunately very common, especially on social media.

She said it was natural for parents to have questions about giving their kids the jab. “COVID-19 is a serious illness that can affect everyone—including children,” Dr Fejo said. “Vaccines can help stop your child becoming very sick, or even dying, if they catch the virus,” she said.

You can view a three-minute video featuring Dr Fejo below.

Also related is a advice from AMA NSW: with shorter days and cooler temperatures, NSW residents are urged to talk to their GP about getting their flu jab. “Flu season usually occurs from June to September in Australia, and we urge patients to time their vaccination to achieve the highest level of protection during the peak of the season,” said AMA (NSW) President, Dr Danielle McMullen.

“Your GP can provide you with advice on when to get your flu shot. Patients should also know that influenza vaccination is recommended for everyone aged six months and over and is free for patients most at risk. “This includes adults over 65 years and over, children under five, pregnant women, Aboriginal and Torres Strait Islander people, and people with certain medical conditions.”

To view the AMA NSW media release Flu season around the corner – time to plan click here.

21 April 2022

Image in feature tile is of Tenaya Bell, one of 1000s of Aboriginal and Torres Strait Islander people with the incurable disease, RHD. Image supplied to ABC News by Telethon Kids Institute.

Mob 15 times more likely to have RHD

In a media statement released earlier today NACCHO commented on a report released by the Australian Institute of Health and Welfare (AIHW) concerning the rate Aboriginal and Torres Strait Islander people are diagnosed with Rheumatic Heart Disease (RHD) in comparison to other Australians. The media statement is reproduced here in full:

Aboriginal and Torres Strait Islander people are 15 times more likely to be diagnosed with Rheumatic Heart Disease than other Australians

In a report released on 12 April 2022, the Australian Institute of Health and Welfare (AIHW) highlight the alarming findings that Aboriginal and Torres Strait Islander people are 15 times more likely to be diagnosed with RHD than all Australians. New diagnoses of Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD) among Aboriginal and Torres Strait Islander Australians are also increasing. Previous research has also shown that Aboriginal children between 5 to 15 years of age are 55 times more likely to die from RHD than other Australian children.

Pat Turner, NACCHO CEO said, “ARF and RHD are preventable conditions. Despite this, too many of our communities continue to experience the effects of these diseases of disadvantage. This updated report provides further evidence that a new approach to ending ARF and RHD is needed. It is imperative the ACCHO sector now plays the lead role in identifying and implementing future solutions.”

To address some of the significant issues facing Aboriginal and Torres Strait Islander communities, particularly in rural and remote areas, NACCHO, with funding support from the Department of Health, is co-designing a new program of activities with the Aboriginal Community Controlled Health sector. These activities will be designed to support early detection and effective treatment of RHD and ARF and ensure services are provided in a culturally safe way, targeting highest need communities.

You can view the media statement on the NACCHO website using this link.

Image source: AIHW ARF and RHD in Australia, 2016–2020 website page.

Galiwin’ku AHP clocks up 30 years

Wanamula Dorothy Gondarra, who celebrated her 70th birthday yesterday, has shown dedication to health promotion in the Galiwin’ku community over the last three decades. During that time Wanamula has worked at Miwatj Health Aboriginal Corporation for almost 20 years.

AMA gives major parties ‘F’ on health

AMA President Dr Omar Khorshid and Victorian emergency physician Dr Stephen Parnis where interviewed this morning on Channel 9’s Today show about the crisis in health and what Labor and the Liberal National Party are promising for health in the federal election.

Dr Omar said “what we need is a solution for our epidemic of chronic disease in the community. That means modernising our Medicare system and making sure that GPs can look after those things properly in the community and take the pressure on off our hospitals. And of course, the other thing we need is both sides of politics to get real, to understand that the ambulance ramping crisis is actually affecting people’s lives on a daily basis now in Australia. They’ve got to find a solution to work with the states, properly fund those hospitals and make sure that every Aussie who gets sick knows that when they go to the hospital, they’re going to get the care they need, when they need it.”

Dr Paris said “a whole number of things were needed, including better resourcing, and part of that means a better financial contribution from the Federal Government for hospitals. It needs better support for staffing, some of that in the short-term to ensure that staff can have time away – there is no substitute for that when you’ve got thousands of people who are burned out. And you also need the support of systems that take away pressure from hospitals, as Omar said, with general practice, but also in the area of aged care which puts an enormous amount of pressure on emergency departments and inpatient wards.”

To view the AMA’s transcript of the interview in full click here.

Calls to shelve NT alcohol legislation

The Aboriginal Medical Services Alliance of the Northern Territory (AMSANT), the Northern Australia Aboriginal Justice Agency (NAAJA) and the Aboriginal Housing NT (AHNT) are calling on the NT Government to immediately shelve legislation that could allow take-away alcohol into more than 430 Community Living Areas, town camps and other small communities from mid-July 2022. These communities became Alcohol Protected Areas (APAs) under the 2007 Federal Intervention, and this continued under Federal Labor’s Stronger Futures legislation. The alcohol-related Stronger Futures provisions will expire on 16 July this year. Territory communities that were already ‘dry’ General Restricted Areas for many years, through their own choice, will keep that status – but the APA communities will have to apply to stay alcohol-free or the condition will lapse and they will have no restrictions.

If the Government’s amendments to the Liquor Act Bill is passed in May, it will open the floodgates to take-away alcohol unless communities ask the Director of Licensing to declare them ‘dry.’ “There has been no proper consultation, and there simply cannot be any in the short time available. Aboriginal health organisations and peak bodies did not know about the Bill,” said Mr Paterson, CEO of AMSANT. “Consultations for the proposed changes have not even begun”, Mr Paterson. “We call on the Chief Minister in the strongest terms to cease playing with Aboriginal people’s lives. High levels of alcohol consumption continue to lead to serious health and social problems in the Territory. This Bill must be withdrawn now, or the Federal Government must act.” concluded Mr. Paterson.

To view the joint AMSANT, Aboriginal Housing NT and North Australian Aboriginal Justice Agency media release in full click here.

Photo: Claire Campbell, ABC News.

Deadly Choices drives positive health

The Men’s Health Golf Day marks one of Deadly Choices’ first community participation events for 2022, driving positive health behaviour from the Gold Coast’s Palm Meadows Golf Course.  The annual event brings together Aboriginal and Torres Strait Islander men from across Queensland to ‘drive home’ the messages associated with healthy lifestyles, with a focus on raising awareness of mental health and encouraging men to seek out support from their local ACCHOs.  As with all Deadly Choices events, participants must have an up to date 715 Health Check.

The event will allow recently named Birmingham Commonwealth Games weightlifter and Olympian Brandon Wakeling a chance to limber up before international competition in July, joined by fellow Olympian, Australia’s fastest man and 2032 Brisbane Olympic Organising Committee member, Patrick Johnson. The Olympic feel is complemented by a distinct NRL presence, with league legends and fellow Deadly Choices Ambassadors Petero Civoniceva, Steve Renouf, Willie Tonga, Brenton Bowen and Tyrone Roberts enjoying the Gold Coast fairways.

“Mental health overarches everything we do with Deadly Choices relating to overall health and wellbeing, so when men can get on top of that, everything else seems that little bit easier to manage,” said Renouf. “These issues can blind men from their responsibilities as a son, as a husband and as a father – they become closed off and that’s when depression can take hold.”

Deadly Choices Ambassadors Petero Civoniceva, Steve Renouf, Willie Tonga, Tyrone Roberts, Brenton Bowen, plus Olympians Brandon Wakeling and Patrick Johnson joined150 men from right across Queensland to tee off this morning.

Deadly New Dads video competition

Entries are now open for the SMS4dads Deadly New Dads Video Competition, which invites soon-to-be and new Aboriginal and Torres Strait Islander fathers to submit a short video (under two minutes) showcasing what they love about being or becoming a new dad.

Click here For more information. Those who enter the competition will go into the draw to win from a total prize pool of $10,000. For each category, prizes include:

  • overall winner – $3000
  • second prize – $1000
  • third prize – $500.

Entries close on Sunday 22 May 2022.

Real time prescription monitoring

Minister for Health, Natasha Fyles, says a new medicine management system is now live across the NT ensuring greater care for patients. NTScript was jointly funded by the Territory Labor Government and the Federal Government, and it provides real time prescription monitoring (RTPM) information for controlled drugs at the point of care, helping to improve clinical decision making.

Through using NTScript, Clinicians in the NT now have greater access to prescribing records, including up-to-date information about the supply of high risk medicines. NTScript will assist with the identification of people who may be at risk of harm from medicine use. This will enable clinicians to have informed conversations with patients and help reduce the risk of medication related harm.

To view the media release in full click here.

TB in Australia’s Tropical North study

The NT has the highest tuberculosis (TB) rate of all Australian jurisdictions. A study has been undertaken combining TB public health surveillance data with genomic sequencing of Mycobacterium tuberculosis isolates in the tropical ‘Top End’ of the NT to investigate trends in TB incidence and transmission. This retrospective observational study included all 741 culture-confirmed cases of TB in the Top End over three decades from 1989–2020. The findings of the study support prioritisation of timely case detection, contact tracing augmented by genomic sequencing, and latent TB treatment to break transmission chains in Top End remote hotspot regions.

To read the research paper Tuberculosis in Australia’s tropical north: a population-based genomic epidemiological study published in The Lancet Regional Health Western Pacific click here.

L-R: Mycobacterium tuberculosis, the bacterium which causes TB. Image source: National Institute of Allergy and Infectious Disease. TB most commonly causes pneumonia, The Conversation. A Mantoux test for TB being administered in a Darwin Clinic – Katherine Gregory, ABC News.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Joint Australasian HIV&AIDS + Sexual Health Conferences

For 30 years the Joint Australasian HIV&AIDS Conference, the leading HIV conference in Australasia, has brought together delegates from Australia, NZ, Asia, and the Pacific. Importantly, the Conference reaches beyond Australasia, with keynotes and invited speakers from around the world. This makes for an event with global and local relevance, giving delegates a global platform with access to state-of-the-art research and evidence.  ASHM coordinates the conference to disseminate new and innovative research findings among delegates from a range of backgrounds

The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM)’s vision for reconciliation is that the Aboriginal and Torres Strait Islander peoples experience equity, dignity, and respect in all aspects of life. Therefore, Aboriginal and Torres Strait Islander peoples representation in research, policy and health education is an ongoing goal for both ASHM and the Conference, and we welcome all Indigenous delegates and submissions from Indigenous professionals. 

The four-day face-to-face conference will be held from Friday 29 August – Monday 1 September 2022 at The Sofitel Central Brisbane Centre.

For more information visit the Australasian Sexual Health Conference (ASRHA) website here.

Abstract Submission Deadline: Sunday 1 May

Early Bird Registration Deadline: Thursday 30 June

Standard Registration Deadline: Sunday 14 August

21 April 2022

Image in feature is of Central Land Council community engagement meeting from The Sydney Morning Herald, 14 June 2020.

Connection to community protects health

The Australian Institute of Health and Welfare (AIHW) have published a paper examining Indigenous understandings of community, as well as understandings of what constitutes a healthy connection to community, and why this is protective for individuals, families, and the community itself. It reports key information about research, evaluation, program and policy initiatives, and identifies best-practice approaches and critical success factors for implementation. The introduction to the paper says:

The collective wellbeing of many Indigenous Australian communities has been chronically impaired by colonisation. Colonisation has undermined the fundamental principles that ‘held’ and guided people by their communities’ connections. This impact is seen worldwide as the world’s Indigenous peoples are vulnerable to suicide because of the impact of colonisation. Indigenous communities experience disproportionately high suicide rates, which reflect a broader pattern of disparate Indigenous suicide mortality across colonised nations. While important advances in government policy, resources, and efforts have been directed at reducing suicide among Indigenous Australians, suicide rates in Australia are increasing, as is the incidence of mental distress.

Social and emotional wellbeing (SEWB) is an expression of traditional life-affirming Indigenous knowledge systems about wellbeing and is central to culturally safe and successful approaches to suicide prevention in Indigenous communities. SEWB comprises 7 interrelated domains: body, mind and emotions, family and kinship, community, culture, Country, and spirituality. SEWB is at its peak when there are harmonious and healthy connections across all the domains. Connection to community is a key domain in the SEWB model. The concept of community is fundamental to identity and concepts of self in Indigenous Australian cultures. It defines relationships, social roles and cultural norms and practices (lores), which are ‘a complex set of relational bonds and reciprocal obligations’ that differ across Australia’s cultural groups.

To view the AIHW’s paper Connection to Community click here.

Image source: ABC News website.

Former ACCHO employee now nursing graduate

Bendigo celebrated its impressive cohort of graduates during a ceremony at Ulumbarra Theatre last week. The graduates successfully completed their training at TAFE over the past 12 months and were awarded with nationally accredited courses ranging from Certificate I through to advanced diplomas. Among the graduates was Bendigo TAFE Diploma of Nursing student Jade Heavyside.

Ms Heavyside, a mother of four and a proud Wemba Wemba woman, was thrilled to finish her diploma after putting it on hold for several years to raise a family. Fulfilling her nursing studies – and finally becoming a nurse – instilled a sense of pride in Ms Heavyside’s children and her community. “My children were my inspiration to complete my diploma,” she said. “I wanted to show them that by using your strength, will and determination, you can succeed in life.”

Ms Heavyside was also the successful recipient of the Puggy Hunter Scholarship for nursing students, which is awarded to Aboriginal or Torres Strait Islander students studying an entry level health course. She worked with the Bendigo and District Aboriginal Co-operative undertaking children’s activities and sporting programs to provide additional support to her community. She is also part of the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives. The accomplished nurse is also involved in the Weenthunga group for Indigenous nursing students, which helped motivate and support her on her journey to becoming a nurse.

Like many students over the past two years, Ms Heavyside has faced several challenges and difficulties completing her studies remotely because of the COVID-19 pandemic. “It was hard trying to adapt to online learning at home, home schooling my children and ensuring we stayed safe through lockdowns and workplace restrictions,” she said. Through her dedication, persistence, hard work and the support of her teachers and peers, Ms Heavyside was able to successfully complete her studies to become a registered enrolled nurse. “It is such a relief and honour to have graduated,” she said. “It is a surreal feeling because the past two years of completing the diploma have been so challenging. “But I would do it all again.”

To view the Bendigo Advertiser article Jade Heavyside is one of Bendigo TAFE’s successful 2022 graduates in full click here.

Bendigo TAFE head of health Annette Gunn with Diploma of Nursing Graduate Jade Heavyside. Image source: Bendigo Advertiser.

Health and medical research priorities

The Australian Academy of Health and Medical Sciences has released a statement on priorities for health and medical research ahead of the 2022 Federal Election. Cultivating a world-leading health and medical research sector and a world-class health system to protect the health of Australians against future pandemics, climate change and beyond. Since the pandemic began, health and medical research has been in the global spotlight. In Australia, the path through the pandemic has been heavily reliant on our world-class health and medical research sector, which has provided timely, reliable and effective solutions. These solutions did not just appear overnight. Past government investment has paid dividends. COVID-19 provides an example of how smart, strategic investment in health and medical research and innovation can provide the foundations to navigate Australia through significant health challenges.

In their statement the Australian Academy of Health and Medical Sciences said “As we move beyond the pandemic, the next Australian government has a unique opportunity to maximise the impact of health and medical research, and mitigate major health challenges by investing in community driven, co-designed, Aboriginal and Torres Strait Islander-led research.”

To view the Australian Academy of Health and Medical Sciences media release Statement ahead of the 2022 Federal Election click here.

Image source: Research Professional News.

What does the election hold for health?

The Consumers Health Forum (CHF) of Australia is holding a webinar from 12:30PM–1:30PM on Wednesday 27 April 2022 addressing the question What does the election hold for health? CHF CEO Leanne Wells will facilitate the webinar and presenters will include:

Jennifer Doggett: Fellow of the Centre for Policy Development and editor at Croakey Health Media

Anna Peeters: Professor of Epidemiology and Equity in Public Health, and Director of the Institute for Health Transformation at Deakin University.

Dr Saba Nabi: Based in Wagga Wagga, Saba has a PhD in Biomedical Sciences. She has been a member of Regional Advisory Council (RAC) member with Multicultural NSW, and represented consumers on Health Boards.

Harry Illes-Mann: A Young Leader with the Youth Health Forum and holds positions on other NSW committees as a consumer representative.

You can register to join CHF, health and policy experts, and consumers analyse the Liberal National Party and Labor Party’s health policy platforms and have your questions answered here.

Grinnin’ Up Mums & Bubs Program

A study has been undertaken to develop and pilot test the model of care, Grinnin’ Up Mums & Bubs, to train Aboriginal Health Workers to promote oral health among Aboriginal and Torres Strait Islander pregnant women. There was a high level of satisfaction with the components of the model of care among the participants of the study, who believed that the model could be integrated into practice. The training showed some improvement in oral health knowledge and confidence. The participants recommended strategies for discussing oral health with Aboriginal and Torres Strait Islander pregnant women, and changes in public health dental policy to ensure that all women would be able to access affordable dental services through the referral pathway. Overall the findings suggest a high level of satisfaction with the model of care among the Aboriginal Health Workers. Further evaluation is needed to confirm the short and long-term impact of the model.

To view the International Journal of Environmental Research and Public Health article Aboriginal Health Workers Promoting Oral Health among Aboriginal and Torres Strait Islander Women during Pregnancy: Development and Pilot Testing of the Grinnin’ Up Mums & Bubs Program click here.

Image sourceL: Your Life Choices website.

HIV&AIDS conference scholarships applications open

Scholarship applications are now open to attend the 2022 Joint Australasian HIV&AIDS and Sexual Health Conferences!

To make the conference accessible to those who ordinarily may not be able to attend, a limited funding has been made available via the ASHM Scholarship Program for people to attend the 2022 Joint Australasian HIV&AIDS and Sexual Health Conferences.

This year’s Conferences will be held as a face-to-face event at the Sunshine Coast Convention Centre, QLD. Scholarships will cover conference registration, and/or accommodation, and/or flights. There are scholarships available for the following:

  • HIV Clinicians
  • Nurses / Pharmacists
  • Community

Scholarship Application Deadline: 11:59PM AEST Sunday 1 May 2022. To see the full criteria, as well as apply for your scholarship, please use this link.

Remote PHC Manuals April update

The Remote Primary Health Care Manuals (RPHCM) are currently being reviewed and updates. Monthly updates are provided to health services and other organisation to keep them up-to-date during the review process. The most recent RPHCM update advises that:

  • the Standard Treatment Manual and Women’s Business Manuals are in final preparations for secondary review, which will start this month. If you would like to review some protocols as part of the secondary review process please email a completed expression of interest form from the RPHCM website using this email link.
  • consultations with key stakeholders will occur concurrently with secondary reviews. You can contact the project team here if you are in a senior or governance role and would like to provide feedback on updated protocols.

New editions are due to publication November/December 2022. You can view the Remote PHC Manuals April 2022 Update here.

Women’s Business Manual review sought

The Remote Primary Health Care Manuals Standard Treatment Manual and Minymaku Kutju Tjukurpa (Women’s Business Manual) have now been updated to reflect the recommended changes arising from primary review. The RPHCM project team would like to invite key stakeholders to review the updated protocols before they are finalised for publication.

The stakeholder consultation period seeks feedback to confirm that the content of the updated protocols are relevant and applicable to remote health practice. Please email using this link with the names of any protocols that you would like to review. Feedback on the protocols should be clearly and concisely outlined in an email returned to this email address by close of business on Friday the 6 May 2022. All feedback will be presented to the RPHCM editorial committee for consideration.

Minymaku Kutju Tjukurpa — Women’s Business Manual current edition.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

19 April 2022

Image in the feature tile is from the Brian Holden Vision Institute (BHVI) website.

Eye treatment could reduce vision loss

Aboriginal and Torres Strait Islander people experience three times more vision loss than non-Indigenous people, creating a concerning gap for vision. Associate Professor Hessom Razavi from The University of WA explains that much of this is due to diabetic macular oedema (DMO).  Macular oedema blurs the central vision, diminishing the ability to recognise people’s faces, to drive and work, and perform other essential tasks. DMO affects around 23,000 Aboriginal and Torres Strait Islander people in Australia with most of them of working age.

The good news is DMO is treatable, with medications known as anti-VEGF agents. A world-first clinical trail has been undertaken to test longer-acting DMO treatment for Aboriginal and Torres Strait Islander people. Many Aboriginal and Torres Strait Islander people patients find it impractical, for complex and varied reasons, to attend 10–12 appointments a year. There is, therefore, a need for an alternative. Longer-acting medications do exist. One example is a dexamethasone implant, a steroid injected into the eye which only needs to be dosed every three months.

You can view the Longer-acting eye treatment could reduce vision loss for Indigenous Australians article in full here and a short video from The Fred Hollows Foundation website explaining the prevalence of eye problems among Aboriginal and Torres Strait Islander people.

Help stop the flu in 2022

Annual vaccination is the most important measure to prevent influenza and its complications. Influenza is a highly contagious viral infection that can cause widespread illness and deaths every year. This year, it’s even more important to get the influenza vaccine as we are more vulnerable to influenza. This is due to lower recent exposure to the virus and lower uptake of influenza vaccines in 2021. With international borders reopening, it’s likely we will see more influenza in 2022.

Who should get an influenza vaccine – vaccination experts recommend influenza vaccination for all people aged 6 months and over. Under the National Immunisation Program, free influenza vaccines are provided to the following groups who are at higher risk of complications from influenza:

  • children aged 6 months to less than 5 years
  • all Aboriginal and Torres Strait Islander people aged 6 months and over
  • people aged 6 months and over with certain medical conditions that increase their chance of severe influenza and its complications
  • pregnant women (at any stage during pregnancy)
  • people aged 65 years and over.

Influenza vaccines are available NOW – FREE influenza vaccines under the National Immunisation Program became available this month and can be administered by GPs, community health clinics, and eligible pharmacies. To locate a service in your area you can search the National Health Services Directory. Book your appointment to get vaccinated to ensure you have the best protection at the peak of the season (usually June to September). However, it’s never too late to get  vaccinated as influenza can spread all year round.

For further information you can access the Department of Health’s Help stop the flu in 2022 website page here.

Telehealth’s role in modern health care

In recent years teleconsultations have played a growing role in the delivery of healthcare and support services across Australia. Far from a stop-gap measure, these services are set to become one of the standout legacies from the global pandemic. The government has announced it will invest AU$100 million towards making telehealth a permanent option in the healthcare system. This comes on the back of consistent research indicating confidence in the method and a lasting appetite for its convenience. A recent white paper by Deloitte, Curtin University and the Consumers Health Forum of Australia found that seven in 10 Australians are willing and ready to use virtual health services.

The research also found that geographical disparity is one of the biggest causes of inconsistent patient outcomes across the country. With the availability of videoconferencing services, people no longer need to leave their homes to receive care, and providers can ensure those in inaccessible areas aren’t left behind. We saw an example of this in the remote aboriginal community of Tjuntjuntjara in WA, which, during March 2020 and January 2021, faced a shortage of healthcare professionals due to a state border closure with SA. Following the introduction of telehealth services, the 160 residents had reliable access to virtual care for chronic conditions and mental health issues.

To view the Hospital and Healthcare article The role of telehealth in modern health care click here.

welcome to Tjuntjuntjara hand painted sign beside outback red sand road

Image source: ExporOZ.

New COVID-19 oral treatment on PBS

From Sunday 1 May 2022 the second, prescription-only, COVID-19 oral treatment will be available on the Pharmaceutical Benefits Scheme (PBS) for Australians at high risk of developing severe COVID-19.

Paxlovid® (nirmatrelvir + ritonavir) is an oral anti-viral medicine which can be used by patients with mild to moderate COVID-19 who are at high risk of developing severe disease. This medicine will help reduce the need for hospital admission.

Adults who have mild to moderate COVID-19 – which is confirmed by a PCR or a Rapid Antigen Test and verified by the prescribing doctor or nurse practitioner – and who can start treatment within five days of symptom onset, can be prescribed the oral anti-viral medicines if:

  • they are 65 years of age or older, with two other risk factors for severe disease (as increasing age is a risk factor, patients who are 75 years of age of older only need to have one other risk factor)
  • they are of Aboriginal or Torres Strait Islander origin, and are 50 years of age or older with two other risk factors for severe disease, or
  • they are moderately to severely immunocompromised.

To view Minister Greg Hunt’s media release in full click here.

Image source: ABC News.

AIHW releases mental health papers.

The Australian Institute of Health and Welfare (AIHW) have released two important publications:

Employment and Indigenous mental health

  • this paper provides an overview of policies and programs that address Indigenous employment and mental health and evaluates the evidence that labour force outcomes can improve Indigenous mental health.

Indigenous self-governance for mental health and suicide prevention

  • this article provides a synthesis of the information about Indigenous self-governance in relation to mental health and suicide prevention. It explores the ways in which Indigenous organisations embody and enable processes, structures, institutions, and control associated with self-governance and how these contribute to Indigenous wellbeing and suicide prevention.

You can view the Employment and Indigenous mental health paper in full here and the Indigenous self-governance for mental health and suicide prevention article here.

Aged and dementia care scholarships 

Aged Care Nursing and Allied Health Dementia Care Scholarships.  Applications for studies in 2022 are open until 5 May 2022 to nurses, personal care workers and allied health professionals.

The  Department of Health’s Ageing and Aged Care Sector Newsletter article Aged Care Nursing and Allied Health Dementia Care Scholarships available here includes comments from Chief Nursing and Midwifery Officer Adjunct Professor Alison McMillian, Chief Allied Health Officer Dr Anne-marie Boxall, and previous scholarship recipients.

Additional information about the scholarships is available on the Australian College of Nursing website here.

Kurranulla’s Aboriginal aged care and disability worker Larissa McEwen with her client, Aunty Loyla Lotaniu. Photo: John Veage. Image source: St George & Sutherland Shire Leader.

$25m to fix ‘dehumanising’ Banksia Hill conditions

The Banskia Hill juvenile detention centre will receive a $25.1 million upgrade after it was slammed by a Perth Children’s Court judge as a “dehumanising” space. The money will go towards a $7.5 million crisis care unit, improvement to the centre’s intensive supervision unit, in-cell media streaming for education and therapeutic purposes, and a new Aboriginal services unit.

While sentencing a 15-year old boy for a range of offences, in February, Perth Children’s Court President Judge Hylton Quail said “if you wanted to make a monster, this is the way to do it”.

To view the ABC News article Banksia Hill juvenile detention centre gets $25 million to address ‘dehumanising’ conditions, cut incarceration rates in full click here.

parents of children inside Banksia Hill Juvenile Detention Centre protesting

Parents of children inside Banksia Hill have recently spoken out about conditions inside the centre and are considering a class action. Photo supplied by Megan Krakouer. Image source: ABC News.

In a related story Condobolin Health Worker Ellen Doolan says while people have got to feel safe in their own homes, sending more Indigenous kids into juvenile detention is not the solution. Elderly Aboriginal people in Condobolin are just as frightened as elderly whites, she says. Many of the kids ­involved have grown up in ­“extremely tough circumstances” and are being raised by elderly grandmothers. “We’ve already got the highest rate of incarceration of any people in this country and so a lot of the fathers are in jail and now a lot of the mothers are too,” ­Doolan says. To view Ellen Doolan speaking click here.

Condobolin AHW Ellen Doolan

Condobolin health worker Ellen Doolan. Image source: The Australian.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Primary Care COVID-19 update

The latest in a series of webinars to update primary care on the COVID-19 response and the vaccine rollout will be held from 3:30 PM–4:00 PM (AEDT) Thursday 21 April 2022.

Joining Professor Michael Kidd AM, Deputy Chief Medical Officer, Department of Health on the panel this week will be Australian Government Department of Health Dr Lucas de Toca, First Assistant Secretary, COVID-19 Primary Care Response, Department of Health.

GPs and all health professionals are welcome to attend the webinar and can join using this link. If you’re unable to view this webinar live, you can view it on-demand using the same link, within a few hours of the live stream ending.

19 April 2022

Image in feature tile of Cassandra Chula, Gloria Chula, Heather Tcherna and Majella Tipiloura in their home where 16 people live in Wadeye. Image source: SBS NITIV, 21 February 2020.

First Nations housing in crisis

An election forum on Indigenous housing will today hear that at least 8,500 new codesigned, culturally appropriate, climate resilient properties are needed in the next four years to address severe overcrowding and disadvantage. The call comes in an election priorities paper jointly released by Change the Record and Everybody’s Home.

The paper First Nations Housing – Election Priorities also calls for further funding to the states and territories to ensure existing public housing stock is retrofitted and properly maintained as the climate crisis worsens. The paper recommends sustained, long-term commitments to increasing and properly resourcing Aboriginal Community-Controlled housing, to meet the National Agreement on Closing the Gap.

To view the Everybody’s Home media release in full click here.

Aboriginal house on outskirts of Alice Springs

Part of an Aboriginal town camp on the outskirts of Alice Springs. Photo: Helen Davidson, The Guardian.

A related ABC News story illustrates at a personal level the impact of inadequate housing for Aboriginal and Torres Strait Islander people: Karen Sebastian breaks down in tears as she contemplates life after COVID-19. “I don’t know where we’ll go after this,” she sobs. “Me and the kids will probably go squat at a house or try camp out with some family, if they’ll have us.”

The Broome woman has been homeless for 10 years, but was taken on a 220-km taxi ride to stay at a rundown hotel after contracting COVID-19. She and her teenage sons went into isolation in the tourist accommodation for a week as part of the WA government’s pandemic response.

Vicki O’Donnell, who heads the Kimberley Aboriginal Medical Services, said “We’ve pushed for people to be put into hotels where it’s appropriate, purely so they can be looked after better, particularly for the homeless. Part of the reason people need to be taken to hotels is the terrible overcrowding we’ve got and poorly maintained houses and that’s been an issue for 20 years. It’s been highlighted during the virus and it’s something governments have to address.”

To view the ABC News article in full click here.

Aboriginal woman with hands against security door to motel

The WA government booked Karen Sebastian and her sons into a hotel to isolate while they had COVID-19. Photo: Andrew Seabourne, ABC News.

Bushfire impact disproportionate for mob

First Nations Australians suffered worse impacts from the 2019-2020 Black Summer bushfires due to inappropriate planning and unsuitable interventions by authorities during the crisis, researchers at The Australian National University (ANU) argue.

The researchers have published a report examining the first-hand experiences of Indigenous Australians during the 2019-2020 bushfires, and say the findings are also reflected in the current northern NSW floods. Indigenous Australians experienced racism and unfair treatment in the face of the bushfire catastrophe, in addition to loss of home, land and lives, the ANU researchers found.

To view the ANU’s media release in full click here.

burnt forest Yuin Nation S Coast NSW 2019 bushfires

Solutions to remedy nation’s dental system

The Australian Dental Association (ADA) says the coming election is a golden opportunity to remedy the enormous mess that the nation’s dental system. The peak body for dentists has a number of remedies on its election wish list to fix the system and is putting these to the major political parties for their pre-election consideration.

Over recent years the ADA has repeatedly called on the Federal Government to address the overwhelming and urgent need to set up a targeted and sustainable funding scheme to meet the needs of older, rural and low-income Australians. ADA president Dr Mark Hutton said “People often ask the ADA why there isn’t such a scheme and I have no answer as to why this is not yet in existence. Governments of all colours have consistently failed to address this issue which affects millions.”

TOne of the ways to address the issue according to the ADA is to ensure all over 75s, Aboriginal and Torres Strait Islanders over 55 and residents of aged care facilities get a mandatory and reportable oral health assessment.

To view the Bite Magazine article ADA offers solutions to fix a broken dental system in full click here.

Aboriginal man in dental chair receiving treatment

A patient is treated at the Armajun Aboriginal Health Service at Inverell. Photo: Bridget Brennan, ABC News.

NT Melioidosis on the rise

Top End residents and visitors are being urged to take extra precaution to avoid melioidosis following a recent spike in case numbers. Melioidosis, a potentially deadly disease, is caused by the bacterium, Burkholderia pseudomallei, found in tropical soil and water.

Dr Vicki Krause, Director of the NT Centre for Disease Control, said people are more likely to come in contact with these bacteria during the wet season, when they can be found in soil surface layers and muddy surface waters. “This wet season’s high rainfall has led to a 50% increase in the number of melioidosis cases than expected,” Dr Krause said. “On average, 32 cases of melioidosis are reported in the NT each wet season. So far this wet season, 48 cases have been recorded.”

To view the NT Government’s media release in full click here.

Bare feet walking on soil image from NT News and the motile bacteria that causes  melioidosis from the Eye of Science.

Resources for mental health workers

A series of video interviews about the risks of poor mental health and other social issues for young people have been produced by True Pictures for the NSW Ministry of Health.

The videos, like the one below, explain how mental health workers can provide culturally safe services and programs. You can access the Working with Aboriginal People Enhancing Clinical Practice in Mental Health Care Discussion Guide here and the ​video resources on the WellMob website here.

Services for LGBTIQSB+ youth ineffective

There is an absence of research into the effectiveness of service provision for First Nations LGBTIQSB+ young people in Australia. To address this gap, young people’s perspectives on essential components of service provision have been gathered. Concerns were expressed about the ongoing impact of implicit and explicit settler-colonial heteronormativity and racism on services providing support for young First Nations LGBTIQSB+ peoples.

Although set in Australia, this research supports the body of international research and has the potential to create policies and practices centered on the voices and needs of First Nations LGBTIQSB+ youth. To view the abstract of Journal of Gay and Lesbian Social Services research article “I felt invisible”: First nations LGBTIQSB+ young people’s experiences with health service provision in Australia in full click here.

Photo: Getty Images. Image source: Maxwell Medical Group.

COVID-19 booster vax and RAT demo

In a recent video Dr Aleeta Fejo, Larrakia and Warumungu traditional owner and Elder, and a General Practitioner, Senior Doctor at Wirraka Maya Health Service Aboriginal Corporation in South Hedland, WA explains why you should get a COVID-19 vaccine booster dose. Dr Fejo emphasises how getting a booster dose can reduce a person’s risk of  spreading COVID-19 to family and community members, getting seriously ill, going to hospital, and dying.

Getting tested for COVID-19 and knowing when you should stay home helps protect the whole community. If you are feeling unwell, the quickest way to get tested is with a  rapid antigen test, also known as a RAT. In these videos, Dr Mark Wenitong walks us through the testing process step by step:

You can buy RATs from pharmacies, grocery stores, and other retail and online outlets. It’s good to have a few at home, so if you feel sick you have one ready to go. If you have an eligible Commonwealth concession card, you can get up to 20 free RATs from participating pharmacies until the end of July 2022.

And remember, if you test positive, stay at home and isolate from others in your house if you can for at least 7 days. You should also let your friends and family know that you have COVID-19, so they can also monitor for symptoms and take a test if needed.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

14 April 2022

Image in feature tile is by Ngarrindjeri artist Jordan Lovegrove – Karko Creations from the Lowitja Institute Learning and Development Hub website page.

Health Journey Mapping tools launched

Aboriginal and Torres Strait Islander people often experience complex and challenging health care journeys that are culturally unsafe, leading to adverse health outcomes.

Yesterday, Associate Professor Janet Kelly of the University of Adelaide and the Lowitja Institute, launched the Health Journey Mapping tools and resources to improve the quality and cultural safety of Aboriginal and Torres Strait Islander people’s health care journeys.

Lowitja Institute CEO, Adjunct Professor Janine Mohamed, said the tools will help embed culturally safe practices into healthcare through a strengths-based approach, “Like most Aboriginal and Torres Strait Islander people, I know the critical importance of good health journeys and the harms caused when we experience, all too often, poor health journeys. I have experienced this as an Aboriginal woman and mother, as a nurse, and through exploring policy and research on cultural safety, or the lack of it, in mainstream health services and systems.”

The package of tools consists of three mapping tools, a handy user guide, some worked examples and introductory videos, such as the one below. You can find out more here.

To view Lowitja Institute’s media release Health Journey Mapping: embedding culturally safe practices into healthcare in full click here.

ACCHO AHW’s career blooms

Wiradjuri woman Kristy Purnell’s entry into the healthcare system amid a global pandemic has been a rewarding experience Employed as an Aboriginal Health Worker at Toowoomba’s Carbal Medical Services since September 2020, Ms Purnell has been administering COVID vaccines alongside her regular roles.

I work in Aboriginal and Torres Strait Islander medical services because I want to help my community and provide health care to people that need it,” she said. “My role entails screening clients, doing annual health checks, going to community events, assisting nurses in the treatment room and promoting various programs that Carbal run.”

Ms Purnell’s passion for her role has seen her undertake a CQUniversity TAFE course in Aboriginal and Torres Strait Islander Primary Health Care. She said with a Certificate III already under her belt, Carbal encouraged her to keep acquiring new skills.

“I started (the Certificate IV) last year and have done some residential schooling, which has reinforced my knowledge of comprehensive screening,” she said. “I feel that I’m learning new things that I’m able to utilise in my role on a daily basis. I enjoy sharing my new knowledge with other team members. “This course is helping me to become a confident health worker. It is giving me the skills I need to continue growing in my position at Carbal.” Ms Purnell said the course was worth pursuing for anyone interested in the field.

To view the National Indigenous Times article Kirsty Purnell’s health career blooms amongst pandemic response click here.

AHW Kirsty Purnell

Aboriginal Health Worker Kirsty Purnell. Image source: National Indigenous Times.

Our Vote Our Story – 4 days left to enrol!

Your vote is your voice on the laws and decisions that affect you and your community. To vote you need to be enrolled.

If you are an Australian citizen aged 18 years or older you are required to vote in the 2022 federal election on Saturday 21 May 2022.

You must be correctly enrolled by 8:00PM local time Monday 18 April 2022. You can enrol online here or if you are already enrolled you can update you name or address here.

Exciting nursing scholarship opportunity

In collaboration with HESTA, the Australian College of Nursing (ACN) is delighted to offer four scholarships for Aboriginal and Torres Strait Islander nurses to complete any of ACN’s nursing Graduate Certificates in the July 2022 intake. Information about all 20 Graduate Certificates available to this scholarship can be accessed online here.

For more information, including eligibility criteria and to apply here.  Applications are closing soon, at 11:59PM AEST Wednesday 20 April 2022.

First Nations leaders call for climate action

Peak Aboriginal and Torres Strait Islander health organisations have released a powerful position paper on the climate emergency and health, calling for action to address pervasive racism, the privileging of Aboriginal and Torres Strait Islander knowledges in climate change responses, and support for the Aboriginal and Torres Strait Islander environmental health workforce.

The need to address climate change and it impact on health and wellbeing is a major concern for members of the National Health Leadership Forum (NHLF) which is made up of 13 members including NACCHO. The National Aboriginal and Torres Strait Islander Health Plan 2021-31 acknowledges the impact of climate change by including healthy environments, sustainability, and preparedness, however the need for action goes beyond the scope of the Health Plan.

The impacts of climate change and global heating must always be at the forefront of planning and decision making. Accordingly, the HNLF supports the international calls for the establishment of a set of new norms that sees a warning limit goal of 1.5C rather than 2C, raising Australia’s 2030 ambitions, more equitable water management for communities, improvement in residential living standards, transition to renewable energy, and the end of fossil fuels.

The NHLF calls for all Australian governments to collaborate with Aboriginal and Torres Strait Islander people and adopt a its recommendations and principles for action to bring about systemic change to the way Australia looks after the environment and addresses the impacts of climate change.

To view the Croaky Health Media article Aboriginal and Torres Strait Islander Health leaders call for climate action click here.

Art display paying respects to the needwonnee people in southern lutruwita/Tasmania and their care for Country. Photo: Melissa Sweet. Image source: Croakey Health Media.

‘Dire’ new RHD data

Last month, the ABC Four Corners program shone a light on the ongoing failure to tackle rheumatic heart disease (RHD), calling it a ‘hidden killer’ in remote communities. It recounted the confronting story of several young women in Queensland who died from an illness that is vanishingly rare outside of Aboriginal and Torres Strait Islander communities.

According to new research by the Australian Institute of Health and Welfare (AIHW), the situation is sliding backwards. A report published this week highlighted the number of Aboriginal and Torres Strait Islander people diagnosed with acute rheumatic fever (ARF), a precursor to serious heart disease, is rising.

At the time the Four Corners program aired, the most recently available five-year figures showed 2244 diagnoses of ARF from 2015–2019, itself a significant increase on the 1776 recorded from 2013–2017. And yet, according to the new AIHW figures, the tally now stands at 2611 diagnoses from 2016–2020, with the NT recording by far the highest prevalence at 344 per 100,000 population.

You can access the newsGP article in full here and view the AIHW’s report published this week here.

Aboriginal mother holding toddler

The number of Aboriginal and Torres Strait Islander people being diagnosed with acute rheumatic fever, a precursor to serious heart disease, is rising. Image source: newsGP.

New online diabetes modules

A package of interactive learning modules for Aboriginal and Torres Strait Islander health workers to support people with diabetes has been launched via the National Diabetes Services Scheme. The package has been developed by Diabetes Australia to provide Aboriginal and Torres Strait Islander healthcare workers and practitioners with diabetes information and culturally appropriate resources to support people living with diabetes and their families.

Diabetes Australia Aboriginal and Torres Strait Islander Engagement Manager Deanne Minniecon said the modules included interactive activities and stories, taking the user on an engaging journey as they learn more about diabetes related health complications and management strategies to support people to live well with diabetes.

The modules have been developed in consultation with expert groups including Aboriginal and Torres Strait Islander clinicians, medical and research doctors, university academics specialising in diabetes and leaders in education. The SA Health & Medical Research Institute also contributed to the review process. The modules are engaging, accessible in bite size pieces, culturally appropriate and address all of the issues associated with managing diabetes, beyond the traditional scope.

You can view the National Indigenous Times article New diabetes online modules offer diabetes support and education in full here.

Diabetes Australia has partnered with Waanyi–Kalkadoon artist Keisha Leon to tell the story of diabetes and its significant impact of First Nations peoples. Image source: Diabetes Australia website.

Indigenous Marathon Project

Canberran Roxanne Jones is one of 12 Indigenous Marathon Project squad members set to run the New York Marathon. Canberra local, Palawa woman and PhD Candidate Roxanne Jones started running in 2017 and after a decline in her health in 2018, Roxanne was forced to adapt her training to include a wheelchair.

Despite her challenges, Roxanne persevered, racing in the world biggest fun run—the Sydney City2Surf in a wheelchair in 2018. She hasn’t stopped since. “I am passionate about sharing my story so that other people with disabilities, mental health or chronic conditions can see themselves represented. Representation and visibility is so important if we are to be a truly inclusive community. I want to demonstrate that [within the running and walking community], all abilities are welcome and valued”, says Roxanne.

Roxanne joins 11 other young Aboriginal and Torres Strait Islander people from across Australia who have been selected to join the 2022 Indigenous Marathon Project Squad to train for the 42.2km New York City Marathon in November.

You can listen to Roxanne and Head Coach Damian Tuck’s interview on ABC Radio Drive here.

New York marathon runners on bridge

New York Marathon. Image source: ABC News website.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.