NACCHO #AlwaysWillBe #ChangeTheDate Aboriginal Health and #AustraliaDay #InvasionDay #Survival Day : Has the national media generally ignored many of the issues underpinning Invasion Day protests ? Commentary from @ShannanJDodson @EllaMareeAB @SummerMayFinlay

“ Negative reporting is commonplace for Indigenous people.

study of more than 350 articles about Aboriginal health, published over a 12-month period showed that almost 75% of these articles were negative.

Negative portrayals of Aboriginal health frequently included the topics of alcohol, child abuse, petrol sniffing, violence, crime and deaths in custody.

Unfortunately, these are issues that are the everyday reality for our communities, but they are rarely explained in context. There is no explanation of the root of these issues, which is intergenerational trauma caused by colonisation, dispossession, the Stolen Generations, entrenched racism, discriminatory policies and poverty.

Every time the media reinforces negative stereotypes it exacerbates prejudice, racism and misconceptions.

Shannan Dodson is a Yawuru woman and Indigenous Affairs Advisor for Media Diversity Australia and co-authored a handbook for better reporting on Indigenous peoples and issues. Follow Shannan @ShannanJDodson

“It would be really worthwhile if journalists out there came down to our community and tried to talk to our parents, our elders and tried to engage in a meaningful way and tried to find out where Aboriginal people are headed and what we’re trying to achieve.

Media is not interested in what makes our people tick, what our people really want, what our people really need.

They’re only interested if we’re burning down buildings or knuckling on with the coppers out in the middle of the street.

The media, instead of reporting the news of the day, is actually shaping the news of the day by peddling those extremist quick five-second news grabs.”

Veteran political activist Sam Watson has appealed to media to meaningfully engage with Indigenous communities ahead of Invasion Day rallies across Australia.

The Brisbane Elder – who co-founded the Brisbane chapter of the Black Panther Party in the 1970s – said commercial media had generally ignored many of the issues underpinning Invasion Day protests

 ” Why are white people on Sunrise with no experience calling for Indigenous child removals?

OPINION: “Debates facilitated by the wrong people does little more than stir up emotions and reinforce negative stereotypes rather than focus on solutions,”

Summer May Finlay


Part 1 OPINION: New Today host Brooke Boney cannot address every issue affecting our communities, but this week, she has shown she will not shy away from them went prompted, writes Shannan Dodson.

Watch video here

It is 2019, and we are only now seeing the first Indigenous commercial breakfast TV presenter, Gamilaroi Gomeroi woman Brooke Boney.

“Brooke Boney” has been trending on Twitter over the last two days as the new Channel 9 Today host offered a perspective not often given by a commercial TV presenter— discussing the hurt and anger associated with celebrating our national day “Australia Day” on 26 January.

Hopefully, by now we all know that this date is synonymous with colonisation (the anniversary of the British proclaiming the land for the Commonwealth) and the impact is still being felt by Aboriginal and Torres Strait Islander people today. As Brooke says regarding the symbolism of 26 January, “that’s the beginning of what some people would say is the end, that’s the turning point.”

The Nine Network’s new Today Show reporter spoke out about why she won’t be celebrating Australia Day on January 26.

The proud Gamilaroi woman said: “I don’t want to celebrate it.”

This conversation is not a new one, it’s something our communities have protested about and asked for reflection on for decades.

But the fact is that many Australians are not used to seeing this type of commentary on a commercial breakfast show, particularly from an Indigenous person, who is not a guest, but a permanent fixture in the line-up.

Many Australians are not used to seeing this type of commentary on a commercial breakfast show, particularly from an Indigenous person, who is not a guest, but a permanent fixture in the line-up.

I’m sure many of the viewers heard of Brooke’s appointment, they were hoping that she would steer away from these uncomfortable conversations, and would maintain a level of commentary that doesn’t prod or unbalance the status-quo.

While much of the reaction to Brooke’s comment has been positive and supportive, there are of course the people — probably the same people that denigrated Adam Goodes — angry at what she had to say. It is difficult to face up to the truth of our history, and for many people to wrap their heads around the link between 26 January, colonisation and the intergenerational trauma we live.

And of course, once a minority starts to speak out against the comfortable ignorance this country has sat in for eternity, it is confronting and they are no longer playing their desired role of submissive bystander.

Breakfast shows have had ongoing criticism for the lack of diversity in not only the hosts, but guests also. And for not only skirting around Indigenous issues, but being blatantly discriminatory when reporting on them. Brooke is tipping the balance not by just being there, but by speaking her truth.

Are we starting to see a shift in mainstream media? While sceptical, I’m positive.

Brooke is not going anywhere anytime soon, and while we can’t expect her to address every issue affecting our communities, she has shown that she will not shy away from them. Her presence will lead to more Indigenous people being represented in commercial media, and hopefully more diversity in general.

We’ve got to be realistic about the kind of power the media has on public opinion, policy making, politics and social change. Pressure from the media has resulted in Royal Commissions, protests, legislation changes and the list goes on. Media companies, broadcast networks and television programs hold a power we cannot underestimate.

Having an Indigenous voice front and centre having these conversations with an audience that may have largely never heard them (or wanted to hear them) is important to the psyche and growth of the nation.

With this kind of power, surely the media should reflect the country that it serves. Well, unsurprisingly it does not. The recent census shows that the most common countries of birth in Australia are England, NZ, China, India and the Philippines.

But a recent Price Waterhouse Coopers report concluded that 82.7 per cent of the national entertainment and media industry are monolingual, speaking only English at home and on average was a young, white male who lived in Sydney’s eastern suburbs.

This is not an accurate reflection of the diversity of backgrounds, cultures, languages, perspectives, and experiences in Australia.

Australians turn to the mainstream media to get information, scrutiny and context about news and current affairs. And they are often met with a largely Anglo panel discussing issues they have no knowledge about, without any fair representation and balance.

Having Brooke on commercial television — a proud young strong Aboriginal woman —we are giving mainstream audiences, whether they like it a not, a peek into the everyday lives of our communities.

Having Brooke on commercial television — a proud young strong Aboriginal woman —we are giving mainstream audiences, whether they like it a not, a peek into the everyday lives of our communities. It is turning those perpetuated stereotypes on their head and countering negative commentary with factual and open dialogue.

She is generously and vulnerably giving her perspective — her lived experience — to try and open people’s minds to an alternative way of looking at things than what commercial television has served us over the years.

It must only go up from here. Our mob will only continue to infiltrate commercial television stations, and those uncomfortable conversations will hopefully be as commonplace and accepted as the lack of diversity on our screens.

Join NITV for a week of programming which showcases the strength, courage and resilience of our people. #AlwaysWillBe starts Sunday, 20 January on NITV (Ch. 34)

Part 2 The media is only interested in Indigenous protests if they’re “burning down buildings”, says a veteran Aboriginal activist.

By

Ella Archibald-Binge

Veteran political activist Sam Watson has appealed to media to meaningfully engage with Indigenous communities ahead of Invasion Day rallies across Australia.

“It would be really worthwhile if journalists out there came down to our community and tried to talk to our parents, our elders and tried to engage in a meaningful way and tried to find out where Aboriginal people are headed and what we’re trying to achieve,” he told NITV News.

The Brisbane Elder – who co-founded the Brisbane chapter of the Black Panther Party in the 1970s – said commercial media had generally ignored many of the issues underpinning Invasion Day protests.

“Media is not interested in what makes our people tick, what our people really want, what our people really need,” he said.

“They’re only interested if we’re burning down buildings or knuckling on with the coppers out in the middle of the street.

“The media, instead of reporting the news of the day, is actually shaping the news of the day by peddling those extremist quick five-second news grabs.”

Invasion Day marches are growing each year, attracting supporters from a variety of cultural backgrounds.

The rallies highlight a gaping divide between those who celebrate Australia Day, and those who want to change the date, or abolish it altogether.

They also aim to highlight the disparity between First Nations people and the wider population in areas such as health, incarceration, deaths in custody, child removals and suicide rates.

Mr Watson says it’s important that Australian audiences are getting the full story, in order to better understand Indigenous perspectives.

“Australians, because of the enormous pressures of life that we’re living now [and] having to work long hours, they get very little time to absorb the news of the day,” he said.

“So it’s important that when they do get the opportunity to read the newspapers or look at the TV or listen to the radio, that they’re receiving quality, unbiased, balanced news reporting.”

Tens of thousands of people are expected to attend January 26 rallies at capital cities and regional centres across Australia on Saturday.

NACCHO Aboriginal Women’s Health : The @DebKilroy #sistersinside #Freethepeople campaign to free Aboriginal women jailed for unpaid fines has raised almost $300K : We do not need to criminalise poverty.

 

“Originally the campaign asked people to give up two coffees in their week and donate $10 so we could raise $100,000.

“However less than two days later, more than a $100,000 was raised, so the target is now to hit 10,000 donors.”

Campaign organiser Debbie Kilroy, the CEO of advocacy charity Sisters Inside, told Pro Bono News the campaign now aimed to go well beyond the 6,000 donors they had currently. See Part 1 Below 

The money will be there for any woman who’s imprisoned, and the money will be spent on the community for women who have warrants for their arrest by the police.

“Every cent will be spent for the purposes of that … particularly Aboriginal mothers are the ones we want to target and prioritise to pay those fines, so those warrants are revoked, so they don’t end up in prison.”

Ms Kilroy told the ABC the money raised by donors would be spent on supporting formerly incarcerated women and ensuring any outstanding warrants were paid so the women were not at risk of jail. See Part 2 below 

Donate at the the GOFUNDME PAGE

” NACCHO supports the abolition of prisons for First Nations women. The incarceration of Aboriginal and Torres Strait Island women should be a last resort measure.

It is time to consider a radical restructuring of the relationship between Aboriginal people and the state.

Aboriginal and Torres Strait Islander people and their communities must be part of the design, decision-making and implementation of government funded policies, programs and services that aim to reduce – or abolish –the imprisonment of our women.

Increased government investment is needed in community-led prevention and early intervention programs designed to reduce violence against women and provide therapeutic services for vulnerable women and girls. Programs and services that are holistic and culturally safe, delivered by Aboriginal and Torres Strait Islander organisations.

NACCHO calls for a full partnership approach in the Closing the Gap Refresh, so that Aboriginal people are at the centre of decision-making, design and delivery of policies that impact on them.

We are seeking a voice to the Commonwealth Parliament, so we have a say over the laws that affect us. “

Pat Turner NACCHO CEO Speaking at  Sisters Inside 9th International Conference 15 Nov 2018

Read full speaking notes HERE

Part 1: The campaign was launched on 5 January with the aim of raising $100,000 – enough to clear the debt of 100 women in Western Australia who have been imprisoned or are at risk of being imprisoned for unpaid court fines.

But as of this morning 16 January the campaign has already raised $280,460, after attracting international attention.

Australie: une cagnotte pour faire libérer des femmes aborigènes

WA is the only state that regularly imprisons people for being unable to pay fines, and ALP research in 2014 found that more than 1,100 people in WA had been imprisoned for unpaid fines each year since 2010.

Under current state laws, the registrar of the Fines Enforcement Registry, who is an independent court officer, can issue warrants for unpaid court fines as a last resort.

The campaign’s crowdfunding page said this system meant Aboriginal mothers were languishing in prison because they did not have the capacity to pay fines.

“They are living in absolute poverty and cannot afford food and shelter for their children let alone pay a fine. They will never have the financial capacity to pay a fine,” the page said.

Money raised from the campaign has already led to the release of one woman from jail, while another three women have had their fines paid so they won’t be arrested.

Campaign organisers are currently working on paying the fines for another 30 women.

The success of the campaign has put pressure on the WA government to reform the law to stop vulnerable people entering jail.

Kilroy said the current law criminalised poverty and she criticised the Labor government’s inaction on the issue despite making a pledge to repeal the lawwhile in opposition.

“The government said prior to their election victory that this was one of their policy platforms, but it’s now been two years and nothing has changed,” she said.

“It’s just not good enough. It does not take that long to change the laws and so we’re calling on the government to change the law as a matter of urgency.”

A spokeswoman for WA Attorney-General John Quigley told Pro Bono News the government intended to introduce a comprehensive package of amendments to the law in the first half of 2019, so warrants could only be handed down by a court.

“These reforms are designed to ensure that people who can afford to pay their fines do, and those that cannot have opportunities to pay them off over time or work them off in other ways,” the spokesperson said.

The Department of Justice has denied the campaign’s claim that single Aboriginal mothers made up the majority of those in prison who could not pay fines.

Departmental figures provided to Pro Bono News state that on 6 January, two females were held for unpaid fines, one of whom identified as Aboriginal.

According to the department, data suggests there has not been an Aboriginal woman in jail in WA for unpaid fines since the campaign started on 5 January.

Part 2 Update from ABC Website Fewer fine defaulters now in prison: Government

The WA Department of Justice said numbers of people jailed solely for fine defaulting had fallen sharply in the past 12 months — with the average daily population falling to “single digits”.

WA Attorney-General John Quigley agreed, saying said recent figures also showed a recent drop in the number of Indigenous women in custody for fine defaulting.

Mr Quigley said the issue of fine defaulters going to prison would be addressed very soon.

“I have a whole raft of changes to the laws through the Cabinet, and [they] are currently with the Parliamentary Council for drafting to Parliament,” he said.

“I have been working assiduously with the registrar of fines … to find other ways to reduce the numbers.”

In terms of the money raised by Sisters Inside, Mr Quigley said he hoped it was being put to good use.

Ms Kilroy told the ABC the money raised by donors would be spent on supporting formerly incarcerated women and ensuring any outstanding warrants were paid so the women were not at risk of jail.

“The money will be there for any woman who’s imprisoned, and the money will be spent on the community for women who have warrants for their arrest by the police.

“Every cent will be spent for the purposes of that … particularly Aboriginal mothers are the ones we want to target and prioritise to pay those fines, so those warrants are revoked, so they don’t end up in prison.”

Call for income-appropriate fines

WA Aboriginal Legal Service chief executive Dennis Eggington said Indigenous women, and those in poverty, were disproportionately affected by the practice of jailing for fines.

“Fines do not have any correlation to someone’s income. If you get $420 on Centrelink and then face a $1,000 fine you are in real trouble and you are not going to be able to pay the fine,” he said.

A head shot of Dennis Eggington with Aboriginal colours in the background.

PHOTO Dennis Eggington for some people it’s easier to go to jail than find the money for fines.

ABC NEWS: SARAH COLLARD

“WA could lead the country at looking at a way where fines are appropriate to the income no matter the offence.”

“It’s really a matter of indirect discrimination. If women are being overrepresented in warrants of commitment, that is having a devastating impact on children and their families.”

He said there was a culture which had led to many Indigenous people feeling as though they had no choice but to go prison for fines.

“It’s much easier to do a couple of days in jail and cut your fine out than to try and find the money to pay the fine,” Mr Eggington said.

”It’s an indictment on the country; It’s an indictment on Australia as a whole that we as one of the most disadvantaged group in Australia have had to develop those ways to survive.

“It’s a terrible, terrible thing

NACCHO Aboriginal Health #SocialDeterminants and #ClimateChange : How the @Walgett_AMS community members and market garden are at risk from high sodium in water in drought-stricken NSW town

Unfortunately in our community and particularly Aboriginal people, they have a high incidence of chronic disease,

I believe we are going to have an increase in chronic disease here, particularly from the water consumption,

In my life here in Walgett for 40 odd years, it’s the first time I’ve never drank straight from the tap.

I just worry for people who have to drink straight from the tap.”

Chief Executive of the Walgett Aboriginal Medical Service, Christine Corby, said high blood pressure, heart disease, kidney disease and diabetes were common health issues:

The Australian guidelines do state that medical practitioners who are concerned about people with hypertension should advise that people drink water with no more than 20 milligrams of sodium per litre. The Walgett drinking water is about 15 times that amount … so we need to be thinking about action to address that

Salt of the earth see Part 2 below

” It’s part of good health, it’s part of healthy living, it’s part of prevention and treatment of chronic disease.

For now, the garden has an exemption from the town’s level-5 water restrictions, I’m not sure how long that would last. And even with the exemption, the bore water on offer may not be suitable for gardens.

The research that we’ve received from the University of New South Wales has indicated the long-term effects, the quality of the plants, they will deteriorate, the nutrients will be reduced so it doesn’t work,

“In the long term we can’t sustain the garden.”

The Walgett Aboriginal Medical Service runs a community garden which provides fresh produce for its chronic-disease clients.

Christine Corby said the garden was crucial to these people

The Garden was featured recently in our #refreshtheCTGrefresh campaign

Part 1 : Walgett has always been a river town, perched near the junction of the Barwon and the Namoi rivers.

But with the drought biting hard, the water from those rivers isn’t making it to this northern New South Wales town.

See original ABC post here

With nothing to pump from the local weir, Walgett is the latest town forced to go underground for water.

It is now on an emergency supply of bore water, and many locals are worried it is damaging their health.

PHOTO: The Barwon River at Walgett is just a series of stagnant pools at the moment. (ABC: Danielle Bonica)

Dharriwaa Elder, Thomas Morgan, said the water was no good for drinking.

“Too much salt in it,” he said. “The kids, my grandkids, they’re starting to spit it out, they don’t like it.”

Elder Rick Townsend lives near the water treatment plant.

“I get the smell of it every morning and it’s the foulest smell,” he said.

“I don’t drink it, not at all. I drink the water at the hospital, tank water. Or I’ll buy the water in the supermarkets.”

Dharriwaa Elders Clem Dodd, Thomas Morgan, Rick Townsend and Richard Lake are concerned that the town’s emergency bore water isn’t healthy for people to drink.

Another local, Chantelle Kennedy, said most people were avoiding the tap water. “Most of us go to IGA and buy packs of 24 bottles for $20. It’s dear,” she said.

“A lot of people have been buying fizzy drinks because of the water. Some of them come out and buy hot drinks, which is cheaper than buying water.”

Part 2 : Salt of the earth

The bore water is from the Great Artesian Basin, and tests have shown the sodium levels in the water exceeded Australian Drinking Water Guidelines.

Associate Professor Jacqui Webster, from the George Institute for Global Health, said the sodium levels were concerning.

“The sodium levels in the Walgett water supply are at 300 milligrams per litre and the Australian drinking water guidelines are 180 milligrams per litre, so that’s substantially higher,” she said.

Dr Webster said the guidelines for sodium in drinking water were based on taste rather than health.

But she said high sodium levels did pose serious health risks, particularly for people with underlying health problems.

“The Australian guidelines do state that medical practitioners who are concerned about people with hypertension should advise that people drink water with no more than 20 milligrams of sodium per litre,” she said.

“The Walgett drinking water is about 15 times that amount … so we need to be thinking about action to address that.”

Dr Webster said those who avoided salty drinking water by drinking alternatives such as soft drinks were solving one problem and creating another.

“If they are drinking the water it’s potentially a problem but if they are substituting it with other things that is also a cause for concern,” she said.

“Indigenous communities are suffering from greater incidences of diabetes, obesity and hypertension,” she said.

“In general people get a disproportionate amount of salt from processed foods in communities where there is limited access to fresh foods, so compounding that with sodium from the water supply is a problem, and it’s something we need to be looking into.”

PHOTO: Chief Executive of the Walgett Aboriginal Medical Service, Christine Corby, says the community garden may be forced to close if the town’s water situation doesn’t improve.(ABC Western Plains: Jessie Davies)

Part 3 Community veggie garden under threat

The Walgett Aboriginal Medical Service runs a community garden which provides fresh produce for its chronic-disease clients.

Christine Corby said the garden was crucial to these people.

“It’s part of good health, it’s part of healthy living, it’s part of prevention and treatment of chronic disease,” she said.

For now, the garden has an exemption from the town’s level-5 water restrictions, but Ms Corby said she was not sure how long that would last. And even with the exemption, the bore water on offer may not be suitable for gardens.

“The research that we’ve received from the University of New South Wales has indicated the long-term effects, the quality of the plants, they will deteriorate, the nutrients will be reduced so it doesn’t work,” she said.

“In the long term we can’t sustain the garden.”

 

‘It’s going to keep everyone alive’

Walgett’s mayor, Manuel Martinez, said the shire commissioned the town bore to provide water security in the event of shortages just like this one.

“Two years ago, we had the foresight to sink a bore. We’re drought-proofing our whole shire,” Cr Martinez said.

“This is Australia. We’re in a drought and until the drought breaks, that’s the only water supply we’ve got.”

“It’s going to keep everyone alive, and that’s what we’re here to do,” he said.

“The sodium level is a bit high, higher than normal, higher than preferred, but it’s within the guidelines and it’s the same level it is with other bores.

“I’ve lived in Lightning Ridge for the last 32 years with only bore water. Most of outback Queensland is on the Artesian Basin.”

Cr Martinez said that as soon as there was water in the rivers again, Walgett would be back on river water — or at least on a mixture of river and bore water.

He said the bore water was a short-term emergency supply.

“I’m not doubting what they say, long-term effects of anything can be harmful, especially sodium or salt in the water system,” he said.

Part 4 The upstream imbalance

PHOTO: Elders in Walgett say locals are sad and sorry that pastimes like fishing and swimming in the river are no longer possible. They’re concerned the river is dry not just because of drought but because of mismanagement and water use upstream. (ABC: Danielle Bonica)

Many residents in Walgett believe it is not just the drought that is to blame for the dry rivers.

They say the waterways have not being managed properly and that too much water is being taken out upstream.

Chairman of the Walgett Aboriginal Medical Service, Bill Kennedy, said it was hard when people saw so much water in the rivers not far up the road.

“We’ve lived through droughts before but there was always some water, and some running water,” he said.

“I guess progress has changed all that with irrigators, farming, and especially cotton further up the river.

“I was driving to Tamworth, Newcastle last week and there’s water in the rivers further up at Gunnedah, Narrabri, Wee Waa.

PHOTO: Chairperson of Walgett Aboriginal Medical Service Bill Kennedy. (ABC Western Plains: Jessie Davies )

The mayor agreed, and said it was frustrating to see so much water upstream in both rivers.

“Even in this present time now you’ll see irrigators spraying all their crops,” Cr Martinez said.

“You’ve got a town with no water supply and you go 30kms up the road and irrigators are pumping”

Cr Martinez said the last two water releases from Lake Keepit were supposed to flow down as far as Walgett but they never made it.

“It’s beyond council’s control … we can only apply to push, to get another release, and try and get water to make it down to us.”

He said there was another water release from Lake Keepit on its way and hopefully this one will make it all the way to Walgett.

Spirits at low ebb

Many people in this community were deeply saddened by the state of the two rivers here.

Elder Rick Townsend says it was the worst dry spell anyone could remember.

“It’s a pretty bad state of affairs,” he said.

“It’s the worst I’ve ever seen it in all my life that I’ve lived here.”

For countless generations, the rivers have been a place to meet, fish and swim. But locals said at the moment that was simply not possible.

“There’s no fish or anything in the river any more,” says another Elder, Thomas Morgan.

“People used to come down here and fish every day, catch heaps of fish and crayfish. [They would] come with their kids and spend a good day here with them and be happy, and now they can’t do that.”

PHOTO: Dharriwaa Elders Group chairperson Clem Dodd. (ABC Western Plains: Jessie Davies )

For Clem Dodd, a spokesman for the Dharriwaa Elders Group, the implications for the community were dire.

“This place will be a ghost town before long,” he said.

“If there’s no water, everything’s going to die. There’ll be nothing here for people — they’ll all be moving out.”

 

NACCHO Aboriginal Health @IndigenousPHAA #Prevention : Download @_PHAA_ Report : Saving lives a million at a time: Australia’s #top10publichealth successes over the last 20 years

As we edge closer to the federal election, it’s critical our parties consider what public health successes we must achieve next, and how they can lead on issues such as Aboriginal and Torres Strait Islander health, obesity, nutrition, environmental and ecological issues such as climate change, and advancing health equity.”

PHAA CEO Terry Slevin

Today the Public Health Association Australia (PHAA) launched its new report, the Top 10 Public Health Successes Over the Last 20 Years at Australian Parliament House.

PHAA CEO Terry Slevin stated, “Public health initiatives have prevented an extraordinary amount of ill health and death in our communities – there is a saying in our field that nurses and doctors save lives, and public health professionals also save lives – they just do so a million at a time.”

The report has been compiled by Australia’s leading public health experts, and the top ten achievements are presented in no particular order as they are all considered to have been of equal importance to Australian public health.

The top ten public health successes include:

  • Folate: reduced neural tube defects
  • Immunisation and eliminating infectious disease
  • Containing the spread of HPV and its related cancers
  • Oral health: reduced dental decay
  • Reduced incidence of skin cancer
  • Tobacco control: reduced deaths caused by smoking
  • Reduced the road death and injury toll
  • Gun control: reduced gun deaths in Australia
  • Contained the spread of HIV
  • Prevented deaths from bowel and breast cancer

Download the PHAA report HERE 

PHAA Top 10 Public Health Successes_FINAL

“This report paints a clear picture of exactly which programs and initiatives have had the greatest impact – from cancer screening to vaccines, from road safety to tobacco control. These have all saved thousands of lives and protected the health of millions of Australians.”

“Public health is about preventing or minimising harm – it is always better than cure. We aim to intervene before illness, death or injury occurs, creating safe and healthy environments for all Australians. This is why in public health, we’re for birthdays,” Mr Slevin said.

“We aspire to give Australians more birthdays (five more for each person is our starting goal) and other important celebrations – weddings, births, graduations – all of the significant milestones we value in life. Perhaps most importantly, we want Australians to be healthy enough to really enjoy these extra years and milestones,” Mr Slevin said.

“So the next question we ask is, who will be the policy leaders and decision makers to help us achieve this aspiration? The report acknowledges key decision makers at the federal, state and territory government levels who were instrumental in making the top ten public health successes happen.”

“As we edge closer to the federal election, it’s critical our parties consider what public health successes we must achieve next, and how they can lead on issues such as Aboriginal and Torres Strait Islander health, obesity, nutrition, environmental and ecological issues such as climate change, and advancing health equity.”

The UK has just released a new preventive health vision statement proving that western conservative governments can prioritise prevention. This is key not just because it is the most effective form of public health practice, but also the most economically sound.

“Preventive public health measures are often cheap to implement and more than pay for themselves through reduced health care costs and increased productivity through keeping people out of hospitals.”

“Public health investment in Australia currently amounts to less than 2% of the national health budget, and has been generally declining since at least 2001. It is essential we allocate adequate resources to public health programs and initiatives to build a healthier population, stem the tide of chronic disease that is enveloping the nation, and reduce future health expenditure,” Mr Slevin said.

“We owe it to ourselves and to our children to look back in twenty years’ time and say we did all we could.”

NACCHO Aboriginal Health News Alert : Federal Indigenous Affairs Department latest shakeup brings in a former Vice Chief of the Defence Force, Ray Griggs

I am honoured and excited to be asked to lead a dedicated, talented and committed team of people working issues of such importance to our community.

I am very much looking forward to starting in the role and being able to bring my range of leadership and organisational skills to complement the team.

Vice Chief of the Defence Force, Ray Griggs has been called back by the government from his barely two-month-long retirement to take over from Andrew Tongue and will commence as the new Indigenous Affairs boss in the Department of the Prime Minister and Cabinet on October 2.

” We have done a lot of work to integrate the program management and delivery functions of Indigenous Affairs into PM&C. Many people at the most basic level of our corporate services have done placements out on the ground to understand the nature of what it is like to be a government business manager or an Indigenous engagement officer out in remote Australia.

Some people working in back function actually used to work in Indigenous Affairs, so we have moved some people around.

At the level of policy, we are participating in deliberations of policymaking across government. We have a standing item with the heads of department — the secretaries have a standing item on Indigenous Affairs, so we have the opportunity to interact with all the agencies.

As far as skills go, we inherited all the people working on Indigenous-specific work in all of the departments. Those people maintain their links to those departments, and we encourage that as part of our work.”

Andrew Tongue, who has been Associate Secretary, Indigenous Affairs since 2015 has from this month begun an extended sabbatical from the public service. He is expected to take up a new role on his return in 2020.

As reported by the Mandarin

A shakeup inside Australia’s federal Indigenous Affairs bureaucracy will see its top official, Andrew Tongue, replaced with the recently retired Vice Chief of the Defence Force, Ray Griggs.

The appointment follows a Royal Australian Navy career that has spanned 40 years, the last seven of which on Australia’s Defence Committee as Chief of Navy and most recently Vice Chief of the Defence Force until his retirement in July.

Griggs, whose VCDF portfolio included Indigenous employment and outreach, told The Mandarin he was “honoured and excited to be asked to lead a dedicated, talented and committed team of people working issues of such importance to our community.

While former service chiefs typically remain as government advisors long after their active service, it is rare for the government to appoint a former chief to a full time non-ceremonial role. Liz Cosson, Secretary Department of Veterans’ Affairs, and Duncan Lewis, former Secretary of the Department of Defence, both reached the rank of Major General (one rank below the service chiefs) in the Australian Army before joining the Australian Public Service full time.

From ‘dysfunctional’ to ’empowering communities’

Today’s Indigenous Affairs Group is unrecognisable from when Tongue took over from Liza Carroll, the first Associate Secretary following then self-styled ‘Prime Minister for Indigenous Affairs’ Tony Abbott’s restructure that brought several line agency functions into PM&C. The restructure quadruped its staff footprint overnight.

The group has seen an 80% turnover of its management layer in the last three years — those that stayed were largely the executives who started at or have spent time in regional offices.

Researchers who studied the then newly amalgamated departmentfound it had resorted to “dysfunctional” practices while it attempted to reconcile contradictory functions and establishing multiple sources of advice to Cabinet from within a single department.

Such blurring of lines, while detrimental at the time to Indigenous policy, did lead to much stronger understanding of the role of boundary spanners in government, and improved practices.

Tongue later addressed how they turned it around, declaring “PM&C capable of walking and chewing gum at the same time”:

The group also brought in more senior leaders who identify as Aboriginal or Torres Strait Islander, including its Deputy Secretary, Professor Ian Anderson — a Palawa man, who wears an earring, ran an Aboriginal health service, and had a long successful career as an academic with the University of Melbourne.

Education, businesses key to empowerment strategy

A substantial shift in approach followed. Closing the Gap, with a rhetoric of deficit, failure and poverty, was replaced with Closing the Gap (revamped edition), with a rhetoric of strength, success and economic empowerment.

Dr Martin Parkinson, Secretary of PM&C, argued last year, on the 50th anniversary of the 1967 Referendum that led to the establishment of Commonwealth Indigenous Affairs, that they had reached an “inflection point”.

In the span of one generation, healthcare went from nowhere to expected as a basic right, Indigenous infant mortality rate has more than halved, more Aboriginal and Torres Strait Islander students are enrolling in university than ever before, and for university graduates from an Indigenous background, the employment gap has closed.

The challenges that remain, Parkinson argued, appear to related not to indigeneity but simple poverty and remoteness — if so, the “may require different interventions than those which we have historically directed towards Indigenous Australia, particularly remote Australia.”

“So the task for the APS, and my Department in particular, is to differentiate between the sources of challenge and disadvantage, and to recognise the diversity in both aspiration and need across the country.

“We cannot do that with a one-size-fits-all approach, which is why working with empowered communities on place-based solutions has to be a key part of our approach.”

Beyond progress on closing the employment gap via education, the other significant success has been the Indigenous Procurement Policy. The Commonwealth now spends approximately $300 million a year on Indigenous businesses, having snowballed from $60 million some four years ago and just $6.2 million in 2012-13.

Public servants in the regional network, however, are still often occupied less by a burgeoning bourgeois, and more by how to address basic deficiencies, for example menstrual products in remote schools and communities.

The 10-year remote housing agreement has also expired, along with funding, so a stop-gap measure was introduced in the last budget to support the 21% of the Indigenous population in the Northern Territory that, due to such severely overcrowded houses in remote communities, are considered homeless.

Abbott sets his own targets

NACCHO Image library Abbott and Griggs 2014

The political climate around the government’s response to the Uluru Statement, the Referendum Council and managing former prime ministers, well… one former prime minister, might be more challenging for the Indigenous Affairs group’s new boss.

Griggs will seemingly be reporting to one current Prime Minister, a Minister for Indigenous Affairs also in Cabinet, several junior ministers with overlapping jurisdiction, notably the Minister for Indigenous Health, and now the Special Envoy for Indigenous Affairs.

Tony Abbott has decided to tackle poor school attendance rates in remote communities as part of his Special Envoy role, after reportedly being given “free rein” by Prime Minister Scott Morrison. He aims to deliver his first report on progress before the end of the year. There are only five more sitting weeks before the end of the parliamentary year.

Indigenous Affairs minister Nigel Scullion did not respond to an invitation to discuss the shakeup in the portfolio.

NACCHO Aboriginal Health and #Sugarydrinks : @BakerResearchAu Study reveals the damaging effects for inactive, young, obese people who consume soft drink regularly : What’s going on inside your veins ?

“ With lifestyle-related diseases such as obesity rising rapidly and sugar sweetened beverages the largest source of added sugars in Western diets, understanding the ‘real world’ health impact is critical in determining ‘real world’ prevention and intervention strategies,”

Professor Bronwyn Kingwell, the study’s senior author : See Baker Institute Press Release Part 1

If you did this day in, day out, your pancreas would be under considerable stress – and this is how diabetes can develop.

Having a little can of soft drink in the morning is going to have lasting effects throughout the day.”

If your diet has too much sugar in it, forcing your body to keep your insulin high all the time, eventually your cells will grow insulin-resistant. That forces the pancreas to make even more insulin, adding to its workload. Eventually, it will burn out

Professor Bronwyn Kingwell. See SMH Article Part 2 What’s going on inside your veins after you drink a soft drink

See NACCHO Nutrition ,Obesity , Sugar Tax,, Health Promotion 200 + articles published over 6 years and see our policy below

 ” The 2012-13 Health Survey identified that Indigenous adults were 1.6 times as likely to be obese as non-Indigenous Australians, with the prevalence increasing more rapidly in Aboriginal school-aged children.

Overweight and obesity in childhood are important predictors of adult adiposity, increasing the risk of developing a range of medical conditions, each of which is a major cause of morbidity, mortality and health expenditure.

While it is surprisingly clear what needs to be done to improve the health of Indigenous children, recent cuts to Indigenous preventative workforce and nutrition programs throughout Australia have severely reduced the capacity to respond.

Comprehensive primary health care is a key strategy for improving the health of Indigenous Australians and is an important platform from which to address complex health and social issues associated with obesity.

Closing the Gap, including the gap attributable to obesity, requires ensuring the ACCHS sector is resourced to deliver the full range of core services required under a comprehensive and culturally safe model of primary health care.

The effectiveness of ACCHSs has long been recognised, with many able to document better health outcomes than mainstream services for the communities they serve. “

Extract from NACCHO Network Submission to the Select Committee’s Obesity Epidemic in Australia Inquiry. 

Download the full 15 Page submission HERE

Obesity Epidemic in Australia – Network Submission – 6.7.18

Press Release : Study reveals the damaging metabolic effects for inactive, young, obese people who consume soft drink regularly

We know drinking soft drink is bad for the waistline, now a study by Baker Heart and Diabetes Institute researchers provides evidence of the damaging metabolic effects on overweight and obese people who regularly consume soft drink and sit for long periods.

Researchers have quantified the detrimental effects on glucose and lipid metabolism by studying young, obese adults in a ‘real-world’ setting where up to 750ml of soft drink is consumed between meals daily and where prolonged sitting with no activity is the norm.

The results, outlined by PhD candidate Pia Varsamis in the Clinical Nutrition journal, show how habitual soft drink consumption and large periods of sedentary behaviour may set these young adults on the path to serious cardiometabolic diseases such as fatty liver disease, type 2 diabetes and heart disease.

Whilst most studies to date have focused on the relationship between soft drink consumption and obesity, the large amount of added sugars contained in these drinks has additional implications beyond weight control.

Watch TV Interview

Senior author, Professor Bronwyn Kingwell, who heads up the Institute’s Metabolic and Vascular Physiology laboratory, says the acute metabolic effects of soft drink consumption and prolonged sitting identified in this latest study are cause for concern.

“With lifestyle-related diseases such as obesity rising rapidly and sugar sweetened beverages the largest source of added sugars in Western diets, understanding the ‘real world’ health impact is critical in determining ‘real world’ prevention and intervention strategies,” Professor Kingwell says.

She says this study quantified the effects of soft drink consumption compared to water on glucose and lipid metabolism in a context that was reflective of typical daily consumption levels, meal patterns and activity behaviours such as sitting for long periods.

The study, involved 28 overweight or obese adults aged 19–30 years who were habitual soft drink consumers. They participated in two separate experiments on different days drinking soft drink on one and water on the other both mid-morning and mid-afternoon during a 7-hour day of uninterrupted sitting.

Professor Kingwell says the combination of soft drink and prolonged sitting significantly elevated plasma glucose and plasma insulin, while reducing circulating triglycerides and fatty acids which indicates significant suppression of lipid metabolism, particularly in males.

She says the metabolic effects of a regular diet of soft drink combined with extended periods of sitting may contribute to the development of metabolic disease in young people who are overweight or obese, including predisposing men to an elevated risk of fatty liver disease.

“The acute metabolic effects outlined in this study are very worrying and suggest that young, overweight people who engage in this type of lifestyle are setting themselves on a path toward chronic cardiometabolic disease,” Professor Kingwell says. “This highlights significant health implications both for individuals and our healthcare system.”

Part 2 : Here’s what’s going on inside your veins after you drink a soft drink

Orginally published Here

Half an hour after finishing a can of soft drink, your blood sugar has spiked.

So you’re probably feeling pretty good. Your cells have plenty of energy, more than they need.

Maybe that soft drink had some caffeine as well, giving your central nervous system a kick, making you feel excitable, suppressing any tiredness you might have.

But a clever new study, published this week, nicely illustrates that while you’re feeling good, strange things are going on inside your blood vessels – and in the long run they are not good for you.

For this study, 28 obese or overweight young adults agreed to sit in a lab for a whole day while having their blood continuously sampled.

The volunteers ate a normal breakfast, lunch and dinner. At morning tea and afternoon tea, researchers from Melbourne’s Baker Heart and Diabetes Institute gave them a can of soft drink.

Their blood samples revealed exactly what happened next.

Sugar from, say, a chocolate bar is released slowly, as your digestive system breaks it down.

With a can of soft drink, almost no break-down time is needed. The drink’s sugar starts to hit your bloodstream within about 30 minutes. That’s why you get such a big spike.

Your body responds to high levels of blood sugar by producing a hormone called insulin.

Insulin pumps through the bloodstream and tells your cells to suck in as much sugar as they can. The cells then start burning it, and storing what they can’t burn.

That quickly reduces the amount of sugar in the blood, and gives you a burst of energy. So far so good.

But the sugar keeps coming. High levels of blood sugar will quickly damage your blood vessels, so the body keeps making insulin.

In fact, just having two cans of soft drink meant the volunteers’ insulin stayed significantly higher than usual – all day.

After lunch, and another soft drink for afternoon tea, their sugar and insulin levels spiked again.

And, once again, over the next few hours blood sugar dropped but insulin levels stayed stubbornly high – right through to late afternoon, when the study finished.

The study demonstrates that two cans of soft drink is all it takes to give your pancreas – the crucial organ that produces insulin – a serious workout, says Professor Bronwyn Kingwell, the study’s senior author.

Watch Video 

We get more sugar each year from beverages than all the sweet treats you can think of combined.

“If you did this day in, day out, your pancreas would be under considerable stress – and this is how diabetes can develop,” says Professor Kingwell. “Having a little can of soft drink in the morning is going to have lasting effects throughout the day.”

If your diet has too much sugar in it, forcing your body to keep your insulin high all the time, eventually your cells will grow insulin-resistant. That forces the pancreas to make even more insulin, adding to its workload. Eventually, it will burn out.

But something else interesting is happening inside your body as well.

Insulin tells your body to burn sugar. But it also tells it to stop burning fat.

Normally, the body burns a little bit of both at once. But after a soft drink, your insulin stays high all day – so you won’t burn much fat, whether you’re on a diet or not.

One of the study’s participants, Michelle Kneipp, is now trying as hard as she can to kick her soft-drink habit.

She’s switched soft drinks for flavoured sparkling water. “It still tastes like soft drink, and it’s still got the fizz,” she says.

“But it’s hard, because sugar’s a very addictive substance.”

 

NACCHO Aboriginal Health : Download @CSIROnews #FutureofHealth Report that provides a new path for national healthcare delivery, setting a way forward to shift the system from illness treatment, to #prevention.

Australians rank amongst the healthiest in the world with our health system one of the most efficient and equitable. However, the nation’s strong health outcomes hide a few alarming facts: 

  • There is a 10-year life expectancy gap between the health of non-Indigenous Australians and Aboriginal and Torres Strait Islander people
  • Australians spend on average 11 years in ill health – the highest among OECD countries
  • 63% (over 11 million) of adult Australians are considered overweight or obese
  • 60% of the adult population have low levels of literacy 
  • The majority of Australians do not consume the recommended number of serves from any of the five food groups.

From CSIRO Future of Health report

Download HERE full 60 Page Report NACCHO INFO FutureofHealthReport_WEB_180910

The CSIRO Future of Health report provides a list of recommendations for improving the health of Australians over the next 15 years, focussed around five central themes: empowering people, addressing health inequity, unlocking the value of digitised data, supporting integrated and precision health solutions, and integrating with the global sector.

CSIRO Chief Executive Dr Larry Marshall said collaboration and coordination were key to securing the health of current and future generations in Australia, and across the globe.

“It’s hard to find an Australian who hasn’t personally benefitted from something we created, including some world’s first health innovations like atomic absorption spectroscopy for diagnostics; greyscale imaging for ultrasound, the flu vaccine (Relenza); the Hendra vaccine protecting both people and animals; even the world’s first extended-wear contact lenses,” Dr Marshall said.

“As the world is changing faster than ever before, we’re looking to get ahead of these changes by bringing together Team Australia’s world-class expertise, from all sectors, and the life experiences of all Australians to set a bold direction towards a brighter future.”

The report highlighted that despite ranking among the healthiest people in the world, Australians spent on average of 11 years in ill health – the highest among OECD countries.

Clinical care was reported to influence only 20 per cent of a person’s life expectancy and quality of life, with the remaining 80 per cent relying on external factors such as behaviour, social and economic support, and the physical environment.

“As pressure on our healthcare system increases, costs escalate, and healthy choices compete with busier lives, a new approach is needed to ensure the health and wellbeing of Australians,” CSIRO Director of Health & Biosecurity Dr Rob Grenfell said.

The report stated that the cost of managing mental health related illness to be $60 billion annually, with a further $5 billion being spent on managing costs associated with obesity.

Health inequities across a range of social, economic, and cultural measures were found to cost Australia almost $230 billion a year.

“Unless we shift our approach to healthcare, a rising population and increases in chronic illnesses such as obesity and mental illness, will add further strain to the system,” Dr Grenfell said.

“By shifting to a system focussed on proactive health management and prevention, we have an exciting opportunity to provide quality healthcare that leaves no-one behind.

“How Australia navigates this shift over the next 15 years will significantly impact the health of the population and the success of Australian healthcare organisations both domestically and abroad.”

CSIRO has been continuing to grow its expertise within the health domain and is focussed on research that will help Australians live healthier, longer lives.

The Future of Health report was developed by CSIRO Futures, the strategic advisory arm of CSIRO.

More than 30 organisations across the health sector were engaged in its development, including government, health insurers, educators, researchers, and professional bodies.

Australia’s health challenges:

  • Australians spend on average 11 years in ill health – the highest among OECD countries.
  • 63 per cent (over 11 million) of adult Australians are considered overweight or obese.
  • There is a 10-year life expectancy gap between the health of non-Indigenous Australians and Aboriginal and Torres Strait Islander peoples.
  • 60 per cent of the adult population have low levels of health literacy.
  • The majority of Australians do not consume the recommended number of serves from any of the five food groups.

The benefits of shifting the system from treatment to prevention:

  • Improved health outcomes and equity for all Australians.
  • Greater system efficiencies that flatten the cost curve of health financing.
  • More impactful and profitable business models.
  • Creation of new industries based on precision and preventative health.
  • More sustainable and environmentally friendly healthcare practices.
  • More productive workers leading to increased job satisfaction and improved work-life balance.

More info : www.csiro.au/futureofhealth

NACCHO Aboriginal Children’s Health : Dr @SandroDemaio presents a five-point policy plan using a lifeSPANS approach to address child obesity in Australia: #NCDs #EnoughNCDs @FAREAustralia @AHPA_AU @SaxInstitute

 

” The answer to obesity will never be in telling people what to do, guilting them for making unhealthier choices in a confusing consumption landscape, or by simply banning things. We also know that education and knowledge will get us only so far.

The real answers lie not even in inspiring populations to make hundreds of healthier decisions each and every day in the face of a seductively obesogenic, social milieu.

If we are to drive long‐term, sustained and scalable change, we must tweak the system to ensure those healthier choices become the path of least resistance—and eventually preferred. And I believe we must focus, initially, on our kids.

It is time for a lifeSPANS approach to addressing obesity in Australia.”

Dr Alessandro Demaio ” A $100 Million question ” see Bio in full Part 2

Download this Paper HERE : Demaio-2018-Health_Promotion_Journal_of_Australia

Listen to Dr Sandro’s childhood obesity Podcast HERE 

  ” The 2012-13 Health Survey identified that Indigenous adults were 1.6 times as likely to be obese as non-Indigenous Australians, with the prevalence increasing more rapidly in Aboriginal school-aged children.

Overweight and obesity in childhood are important predictors of adult adiposity, increasing the risk of developing a range of medical conditions, each of which is a major cause of morbidity, mortality and health expenditure.

While it is surprisingly clear what needs to be done to improve the health of Indigenous children, recent cuts to Indigenous preventative workforce and nutrition programs throughout Australia have severely reduced the capacity to respond.

Comprehensive primary health care is a key strategy for improving the health of Indigenous Australians and is an important platform from which to address complex health and social issues associated with obesity.

Closing the Gap, including the gap attributable to obesity, requires ensuring the ACCHS sector is resourced to deliver the full range of core services required under a comprehensive and culturally safe model of primary health care.

The effectiveness of ACCHSs has long been recognised, with many able to document better health outcomes than mainstream services for the communities they serve. “

Extract from NACCHO Network Submission to the Select Committee’s Obesity Epidemic in Australia Inquiry. 

Download the full 15 Page submission HERE

Obesity Epidemic in Australia – Network Submission – 6.7.18

Compelling populations, individuals or even ourselves to act pre‐emptively on the urgent and massive challenges of tomorrow is notoriously difficult.

The concept is called temporal or future discounting, and it is well documented.1 It is the idea that we prioritise our current comfort and happiness over our future and seemingly distant safety or wellbeing.

This psychological shortcoming plays out in many ways. At the micro level, we may defer until next week what we should do today—that run, drinking more water or the dentist check‐up—as it may not reap benefits for months, or ever. Eventually, we may act on some of these but whether delayed, deferred or denied, it can reap serious health consequences.

At the macro level, it becomes even more problematic. When we combine this “delay what’s beyond tomorrow” phenomenon with short‐term political cycles in the context of systems‐based, slowly evolving and largely invisible future threats, important but not yet imminent issues are not just postponed, but ignored.

Few challenges are a greater threat to the health of Australians, nor better define future discounting, than obesity. At the individual level and in our modern, obesogenic societies, weight gain has become the norm—the biological and social path of least resistance.

Food systems have shifted from a focus on seasonal, fresh and relatively calorie‐poor staples with minimal processing or meat, to an environment where junk foods and processed foods are ubiquitous, heavily advertised, hugely profitable and, for many communities, the only feasible “choice”.

Poor nutrition is now the leading risk factor for disease in our country.2City living has come with benefits, but along with an increasingly automated and digitalised lifestyle, has seen physical activity become something we must seek out, rather than an unavoidable component of our daily lives. Factors such as these have made individual action difficult for most of us and combined with our biology, have contributed to obesity rates more than doubling in Australia since 1980 alone.3

At the policy level, a dangerous, pernicious and unhealthy status quo has evolved over decades. One which sees a population increasingly affected by preventable, chronic disease. One which can only be solved through difficult decisions from politicians and the public to make the short‐term, passive but unhealthy comfort harder; and the long‐term promise of wellbeing more attractive.

One which must see sustained public demand and political commitment for a distant goal and best scenario of nil‐effect, in the face of constant, coordinated and powerful pushback, threats and careful intimidation from largely unprecedented policy counter‐currents.

But opportunities do exist; levers throughout this gridlocked policy landscape that can be utilised to move the obesity agenda forward.

One of those is our kids.

We know that if we cannot prevent obesity in our children, those young Australians will likely never achieve wellbeing.

We know that one in four of our children is overweight or obese and that while 5% of healthy weight kids become obese adults, up to 79% obese children will never realise a healthy weight.45 We know that the school years are a time when major weight gain occurs in our lifecourse and almost no one loses weight as they age.6

Recent evidence suggests early, simple interventions not only reduce weight and improve the health for our youngest kids, but also reduce weight in their parents.78 An important network of effective implementation platforms and primed partners already exist in our schools and teachers around the nation.

Finally, a large (but likely overstated) proportion of Australians may call “nanny state” at even the whiff of effective policies against obesity, but less so if those policies are aimed at our children.

With this in mind, I was recently invited to Canberra to present on how I would spend an extra $100 million each year on preventive health for the nation.

This is the five‐point policy plan I proposed; a lifeSPANS approach to addressing child obesity—and with it, equipping a new generation of Australians to act on tomorrow’s risks, today. This is an evidence‐based package to reduce the major sources of premature deaths, starting early.

1 .SCHOOLS AS PLATFORMS FOR HEALTH

  • $3 million to support the revision and implementation of clear, mandatory guidelines on healthy food in school canteens
  • $3 million to coordinate and support the removal of sales of sugary drinks
  • $13 million to expand food and nutrition programs to remaining primary schools
  • $40 million as $5000‐10 000 means‐tested grants for infrastructure that supports healthy eating and drinking in primary schools
  • $130 million to cover 1.7 million daily school breakfasts for every child at the 6300 primary schools nationally910
  • $140 million left from sugary drink tax revenue for school staffing and programs for nutrition and physical activity

Schools alone cannot solve the child obesity epidemic; however, it is unlikely that child obesity rates can be reversed without strong school‐based policies to support healthy eating and physical activity. Children and adolescents consume 19%‐50% of daily calories at school and spend more time there than in any other environment away from home.11 Evidence suggests that “incentives” are unlikely to result in behaviour change but peer pressure might.12 Therefore, learning among friends offers a unique opportunity to positively influence healthy habits.

Trials have demonstrated both the educational and health benefits of providing free school meals, including increased fruit and vegetable consumption, knowledge of a healthy diet, healthier eating at home and improved school performance. Providing meals to all children supports low‐income families and works to address health inequalities and stigma.10

School vending machines or canteens selling sugary drinks and junk foods further fuel an obesogenic, modern food environment. Sugary drinks are the leading source of added sugar in our diet in Australia and are considered a major individual risk factor for non‐communicable diseases, such as type 2 diabetes.13 Removing unhealthy foods and drinks from schools would support children, teachers and parents and send a powerful message to communities about the health harms of these products.

Finally, it is not only about taking things away but also supporting locally driven programs and the school infrastructure to support healthier habits. Drinking fountains, play equipment and canteen hardware could all be supported through small grants aimed at further empowering schools as decisions makers and agents for healthier kids.

2.PRICING THAT’S FAIR TO FAMILIES

  • 20% increase in sugary drinks pricing with phased expansion to fast foods over three years, unlocking approximately $400 million in annual revenue to add to existing $100 million for prevention
  • More than $600 million in annual health savings expected from sugary drinks price increase of 20%
  • $10 million for social marketing campaigns to explain the new policy measures, and benefits to community
  • Compensation package for farmers and small retailers producing and selling sugary drinks (cost unknown but likely small)
  • Such legislation would also support industry to reformulate or reshape product portfolios for long‐term market planning

Today’s food environment sees increased availability of lower cost, processed foods high in salt, fats and added sugars.14 People have less time to prepare meals and are influenced by aggressive food marketing. This leads to food inequality with those from low socioeconomic backgrounds at greater risk from obesity. Obesity increases the risks of cardiovascular disease, type 2 diabetes, stroke, cancer, mental health issues and premature death.15 There are also wider societal and economic costs amounting to an estimated $8.6 billion spent in the health sector alone annually.16

Food prices should be adjusted in relation to nutritional content. Policy makers must shift their pricing focus to integrate the true societal cost of products associated with fiscally burdensome disease. In 2016, a WHO report highlighted that a 20% increase in retail price of sugary drinks lowers consumption as well as obesity, type 2 diabetes and tooth decay.17

The landmark peso per litre sugar tax from Mexico highlighted the behaviour change potential such policies possess. Sales of higher priced beverages decreased substantially in subsequent years. Importantly, the most significant decreases occurred among the poorest households.18 For Australia, a similar approach is estimated to lead to $609 million in annual health savings and raise $400 million in direct revenue.16

These legislative approaches should be framed as an expansion of our existing GST and would encourage industry to reformulate products, positively influencing the food environment.131517

This is not a sin tax or ban, it is an effective policy and pricing that is fair to families. It is also backed by evidence and supported by the public.19

3. ADVERTISING THAT SUPPORTS OUR KIDS

  • End all junk food marketing to children, and between 6 am and 10 pm on television
  • End the use of cartoons on any food or drink packaging
  • $30 million to replace junk food sponsorship of sport and arts events with healthy messaging and explanation of lifeSPANS policy approach
  • Phased expansion of advertising ban over three years to all non‐essential foods (GST language)

The food industry knows that marketing works, otherwise they would not spend almost $400 million annually on advertisements in Australia alone.20

Three of four commercial food advertisements are for unhealthy products and evidence suggests that food advertising triggers cognitive processes that influence our food choices, similar to those seen in addiction. Studies also demonstrate that food commercials including the use of cartoons influence the amount of calories that children consume and the findings are particularly pronounced in overweight children.21

Fast food advertising at sporting and arts events further reinforces a dangerous and confusing notion that sees the direct association between societal heroes or elite athleticism and the unhealthiest of foods.

Ending junk food advertising to children, including any use of cartoons in the advertisement of food and drinks, is an important step to support our kids.

4.NUTRITION LABELLING THAT MAKES SENSE TO EVERYONE

  • Further strengthen existing labelling approaches, including mandatory systems

Nutritional information can be confusing for parents, let alone children. Food packaging often lists nutritional information in relation to portion size meaning a product with a higher figure may simply be larger rather than less healthy. While the Health Star Rating system, implemented in 2014, has made substantive progress, it remains voluntary.22

Efforts should be made to strengthen the usability of existing efforts and make consistent, evidence‐based and effective labelling mandatory. Such developments would also provide stronger incentives for manufacturers to reformulate products, reducing sugar, fat and salt content.

Clearer and consistent information would help create a more enabling food environment for families to make informed choices about their food.

5.SUPPLY CHAIN SYSTEMS AS SOLUTION‐CATALYSTS

  • Utilise procurement and supply chains of schools and public institutions to drive demand for healthier foods
  • Leverage the purchasing power of large organisations to reduce the costs of healthy foods for partner organisations and communities

Coordinated strategies are needed to support the availability of lower cost, healthy foods for all communities. Cities and large organisations such as schools and hospitals could collaborate to purchase food as collectives, thus driving demand, building market size and improving economies of scale.23

By leveraging collective purchasing power, institutions can catalyse the availability of sustainable and healthy foods to also support wider, positive food environment change.

Part 2

Dr Alessandro Demaio, or Sandro, trained and worked as a medical doctor at The Alfred Hospital in Australia.

While practicing as a doctor he completed a Master in Public Health including fieldwork to prevent diabetes through Buddhist Wats in Cambodia. In 2010, he relocated to Denmark where he completed a PhD with the University of Copenhagen, focusing on non-communicable diseases. His doctoral research was based in Mongolia, working with the Ministry of Health.

He designed, led and reported a national epidemiological survey, sampling more than 3500 households. Sandro held a Postdoctoral Fellowship at Harvard Medical School from 2013 to 2015, and was assistant professor and course director in global health at the Copenhagen School of Global Health, in Denmark.

He established and led the PLOS blog Global Health, and served on the founding Advisory Board of the EAT Foundation: the global, multi-stakeholder platform for food, health and environmental sustainability.

To date, he has authored over 23 scientific publications and more than 85 articles and blogs. In his pro bono work, Dr Demaio co-founded NCDFREE, a global social movement against noncommunicable diseases using social media, short film and leadership events – crowdfunded, it reached more than 2.5 million people in its first 18 months.

Then, in 2015, he founded festival21, assembling and leading a team of knowledge leaders in staging a massive and unprecedented, free celebration of community, food, culture and future in his hometown Melbourne. In November 2015, Sandro joined the Department of Nutrition for Health and Development at the World Health Organization’s global headquarters, as Medical Officer for noncommunicable conditions and nutrition.

From 2017, he is also co-host of the ABC television show Ask the Doctor – an innovative and exploratory factual medical series broadcasting weekly across Australia. Sandro is currently fascinated by systems-innovation and leadership; impact in a post-democracy; and the commercial determinants of disease. He also loves to cook.

NACCHO Aboriginal Health supports our First Nations Media @FNMediaAust #OurMediaMatters Campaign : Download nine calls for action that the Government needs to address

We are asking Governments to be part of growing and sustaining our sector for the benefit of First Nations peoples as well as developing greater understanding of our cultures for the benefit of non- Indigenous Australia

Our national network includes more than 40 organisations that service 235 broadcast locations. Collectively those radio services reach nearly 50% of Aboriginal and Torres Strait Islander people across the country with audiences of around 320,000 listeners each week

We are producing and broadcasting content in over twenty languages. We’ve been making media through film, television, radio and print for more than four decades and in recent years diversified to on-line platforms.

People watch and listen and interact because our media tell positive stories about First Nations people relevant to their community and lives, and in many places, it’s in their first language.

Our media engages our audiences in a two-way dialogue that is both culturally appropriate and relevant.

Our media is an essential service, particularly in the many areas across Australia where it is the only means of receiving emergency information and health messages, including local languages.

Our media saves lives in the immediate sense as a primary source of information, but also through the stories we tell and the impact those stories have on our people’s social and emotional wellbeing.

That’s why our media has impact and that’s why we want Governments to recognise that our media matters.

First Nations Media Australia chair Dot West

#OurMediaMatters was the message First Nations media organisations from around the country  took directly to politicians and policy makers in Canberra this week from Monday 20 August .

FNMA’s goals in calling for action are to close the gap on disadvantage, to inform, connect and empower communities, to provide meaningful jobs, skills and business opportunities, and to provide our children with opportunities, a strong sense of identity, inclusion and pride in their languages and culture.

Download the full call to action

Calls-For-Action-2018-Consolidated-CFA-Documents

Peak body First Nations Media Australia (FNMA) showcased the work of member organisations and how First Nations media services play a crucial role in increasing community cohesion, building community resilience and creating meaningful employment and economic opportunity

Picture below 2017 Conference

The Festival theme was Lutjurringkulala Nintiringama Ngapartji Ngapartji meaning ‘come together to learn and share’.

Over 100 delegates travelled the long red desert highway to be welcomed to Country, culture, big night skies and Tjukurrpa by Irrunytju traditional owners and community leaders. The opening ceremony featured a Turlku (dance) performance of the Minyma Kutjara (Two Sisters) story that passes Irrunytju community. The week-long event affirmed the remote Aboriginal and Torres Strait Islander media industry as a powerful and connected voice for generations to come.

Broadcasters

Imparja Television

Indigenous Community Television (ICTV)

National Indigenous Radio Service (NIRS)

National Indigenous Television (NITV)

Broadband for the Bush Alliance

Aboriginal Medical Services Alliance NT

Australian Communications Consumer Action Network (ACCAN)

Australian Smart Communities Association

Central Australian Aboriginal Media Association

Central Desert Shire Council

Central Land Council (CLC)

Centre for Appropriate Technology (CAT)

Centre for Remote Health (CRH)

Desert Knowledge Australia (DKA)

Ethos Global Foundation

Frontier Services

Indigenous Remote Communications Association

Infoxchange

Mid West Development Commission

National Centre of Indigenous Excellence

National Rural Health Alliance

Ninti One

Regional Development Australia, Northern Territory

Remote Area Planning and Development (RAPAD)

Swinburne Institute for Social Research

TelSoc

FNMA has identified nine calls for action to Government that address four key aims

  • To increase jobs and skills
  • To improve the sector’s capacity and sustainability
  • To enhance social inclusion, and
  • To preserve culture and language.

Some of the calls for action are budget neutral and simply ask for policy amendments to recognise First Nations broadcasters as a separate license category under the Broadcasting Services Act.

  1. Broadcasting Act Reform for First Nations Broadcasting. Download
  2. Increase in Operational and Employment Funding. Download
  3. Live and Local Radio Expansion Program. Download
  4. Strengthening of First Nations News Services. Download
  5. Expanding Training and Career Pathway Programs. Download
  6. Upgrading Infrastructure and Digital Networks. Download
  7. Recognising First Nations Broadcasters as the Preferred Channel for Government Messaging. Download
  8. Preserving First Nations Media Archives. Download
  9. Establishing an Annual Content Production Fund. Download

Other calls for action would require a funding commitment, for example to underpin First Nations media capacity to act as training and employment hubs.

NACCHO Aboriginal Health #COAG meeting Alice Springs : Time for COAG Health Council to address the Indigenous funding myth & ‘market failure’ says Ian Ring

 ” COAG Health Ministers will discuss Aboriginal and Torres Strait Island health at their meeting in Alice Springs this week.

There is much to discuss. Ten years on from the start of Closing the Gap, progress is mixed, limited and disappointing, and the life expectancy gap is widening.

This is hardly surprising.

The National Partnership Agreements on Indigenous health, which spelt out the roles, responsibilities and funding of the Commonwealth and state and territory jurisdictions, have not yet been replaced by bilateral agreements.

Formal regional structures and agreements to bring together Aboriginal community controlled health and mainstream services have yet to be formalised nationally. On the broader front, culture, racism and social, political and economic issues cry out for attention.

The way forward is within the reach of the COAG Health Council.

If there is to be a point in retaining the goal to close the life expectancy gap, the hope is that COAG will now grasp that opportunity.”

Ian Ring AO Honorary Professorial Fellow Research and Innovation Division
University of Wollongong

Originally published in Croakey 

Much remains to be done in housing, the justice system is a debacle, and the question of an Aboriginal voice, one of the main priorities of the Uluru Statement from the Heart, remains unresolved.

Critically, the National Aboriginal and Torres Strait islander Health Implementation Plan, which was supposed to be the game changer for health, has become an unfunded plan of words not action and, after almost three years, basic core tasks such as defining service models and filling service gaps remain unfulfilled.

Misleading money myths

While money isn’t the only factor, money myths are playing an important role in the failure to close the gap.

A recent Productivity Commission report found that per capita government spending on Aboriginal and Torres Strait Islander people was twice as high as for the rest of the population.

The view that enormous amounts of money have been spent on Indigenous Affairs has led many to conclude a different focus is required and that money is not the answer.

But higher spending on Aboriginal and Torres Strait Islander people should hardly be a surprise.

We are not surprised, for example, to find that per capita health spending on the elderly is higher than on the healthier young because the elderly have higher levels of illness.

Nor is it a surprise that welfare spending is higher for Indigenous people who lag considerably in education, employment and income. There would be something very wrong with the system if it were otherwise.

The key question in understanding the relativities of expenditure on Aboriginal and Torres Strait Islander people is equity of total expenditure, both public and private, in relation to need, but the Productivity Commission’s brief is simply to report on public expenditure, and that can be misleading.

Massive market failure

For health services, while state and territory governments spend on average $2 per capita on Indigenous people for every $1 spent on the rest of the population, the Commonwealth spends $1.20 for every $1 spent on the rest of the population, notwithstanding that the burden of disease and illness for Indigenous Australians is 2.3 times the rate of the rest of the population. And total government expenditure on Aboriginal and Torres Strait Islander health is only about 60 per cent of the needs based requirements.

This is massive market failure.

The health system serves the needs of the bulk of the population very well but the health system has failed to meet the needs of the Indigenous population.

Mortality for the Indigenous population has flatlined since 2008 and the inevitable result is that the life expectancy gap is widening rather than closing.

This is not surprising since the Federal Government’s own reports clearly show that preventable admissions for Indigenous people, funded by the states and territories, are three times as high as for the rest of the population (see graphs below, and sources at the bottom of the post) yet use of the Medical Benefits Scheme (MBS) and Pharmaceutical Benefits Scheme (PBS), funded by the Commonwealth, appears at best to be a half and a third respectively of the needs based requirements for Indigenous people.

It is simply impossible for the mortality gaps to close under these conditions.

It is not that the Commonwealth is deliberately underfunding health services for Aboriginal and Torres Strait Islander people. However there are decades of experience establishing beyond all doubt that demand driven services designed to meet the needs of the bulk of the population will not adequately meet the needs of a very small minority of the population with very special needs.

In recognition of that, for over 40 years, the Commonwealth has been funding Aboriginal Community Controlled Health Services (ACCHS), which evidence shows better meet those needs, but the coverage of those services is patchy and needs to be expanded.

It has been shown that the nonviolent death rate for at risk Aboriginal people can be halved in just over three years by systematic application of knowledge we already have. It really is within the grasp of the current government to turn things around and now is the time to do it.

Priorities to address

A key requirement is to address the shortfall in Commonwealth funding for out of hospital services, which is contributing to excessive preventable admissions funded by the states and territories, and to avoidable deaths.

A vital priority is seed funding for the provision of satellite and outreach ACCHSs that Indigenous people will access, and which provide the comprehensive services needed to fill the service gaps, to boost the use of MBS and PBS services to more equitable levels, and to reduce preventable admissions and deaths.

Additional funding is also required for mental health and social and emotional wellbeing services which are neglected in the Closing the Gap initiative.

And much more attention needs to be paid to the quality of services, with much needed investment in the training of clinicians, managers and public servants for the difficult and complex roles they have to play.

The ‘Refresh’: resource-free targets

The danger is that action will be put on hold in the belief that somehow the Closing the Gap ‘Refresh’ is going to solve everything!

The fear is that we have entered the world of magical targets – the kind where you just say what you would like to happen and that’s it, it just magically comes to pass without actually specifying, let alone actually doing all the things that are required to achieve the targets. It’s a bit like painting pictures in the sky: let’s put an end to war and famine without any thought or action about what would need to be done for those desirable things to come to pass.

With the Refresh target setting process, there seems to be a lot of emphasis on data issues while more or less completely overlooking consideration of the investment or services required to achieve the targets.

In an orthodox sensible planning process, target setting is an important element. Targets need to be directly related to overarching goals, and need to relate directly to the services, actions and investments that will be made to achieve the targets.

Timeframes setting out what is to be achieved in say 1 year, 5 years, 10 years etc are crucial, and both process and outcome targets need to be set. In the absence of this kind of process a belief that the Refresh will somehow turn things around may well be illusory.

It is extraordinary that the only response to the finding on the life expectancy target – that it not only won’t be met but is going backwards – is an apparent intent to freeze Commonwealth funding for Indigenous health services!

There is little point in having mortality goals which are clearly in jeopardy – and when the causes are not hard to define and the remedies clear – if there is insufficient action taken to actually achieve them.

The funds required for satellite and outreach ACCHS services to fill the service gaps, together with the other priorities described above, spread over a carefully prepared five year plan, are likely to be modest and would make a real and substantial improvement to the health of Indigenous people.

There is no call for some kind of special deal, but simply the same level of expenditure from both Commonwealth and state and territory governments for Australia’s Indigenous peoples that anyone else in the population with equivalent need would receive.

The way forward is within the reach of the COAG Health Council.

If there is to be a point in retaining the goal to close the life expectancy gap, the hope is that COAG will now grasp that opportunity.

Sources: