NACCHO Aboriginal Health and #DiabetesWeek #NDW2018 With Key Messages from @DiabetesAus @RuralDoctorsAus It’s About Time’ aims to raise awareness about the importance of early detection and early treatment for all types of diabetes

 ” Too many Australians especially Aboriginal and Torres Strait Islanders are being diagnosed with diabetes too late. This is true for both type 1 diabetes and type 2 diabetes. The delay in diagnosis is putting many people at risk of major life-threatening health problems.

Early diagnosis, treatment, ongoing support and management can reduce the risk of diabetes-related complications.

Diabetes:

  • is the leading cause of blindness in adults
  • is a leading cause of kidney failure
  • is the leading cause of preventable limb amputations
  • increases the risk of heart attacks and stroke by up to four times

It’s About Time we detected all types of diabetes earlier and save lives

See the itsabouttime.org.au for more info

 ” Aboriginal and Torres Strait Islander people are almost four times more likely than non-Indigenous Australians to have diabetes or pre-diabetes. Improving the lives of people affected by all types of diabetes and those at risk among Aboriginal and Torres Strait Islander communities is a priority for Diabetes Australia.

You can reduce the risk of developing type 2 diabetes by eating a more healthy diet and being physically active which will help maintain a healthy weight to keep your sugar (glucose) levels normal and your body strong.

If you have any worries about diabetes, check the symptoms below and find out more from your Aboriginal Health Worker, Health Clinic/Community Centre, Aboriginal Medical Service or doctor.”

Read over 140 NACCHO Aboriginal Health and Diabetes articles published over past 6 years

Part 1

More info HERE

Or watch NDSS Video HERE

 ” This National Diabetes Week, the Rural Doctors Association of Australia (RDAA) is urging rural and remote Australians to be alert for the early signs of diabetes, and to see their doctor as soon as possible if they are showing any symptoms.

RDAA is also urging those living in the bush to undertake preventative health checks to try to minimise the modifiable risk factors for developing Type 2 diabetes, like being physically inactive, smoking, having a poor diet, and being overweight or obese ”

RDAA President, Dr Adam Coltzau see Part 2 Below

 ” Digital technology is changing the way people living in regional and remote communities access information, and now there’s a new app to help people with diabetes.

Taken directly from a program used in 70 touchscreen kiosks throughout Australia, the Diabetes Story is a health information module developed specifically for Aboriginal and Torres Strait Islander people.

You can download the app at www.diabetesstory.info

See Part 3 Below

Part 2 Rural Doctors Press Release

“The theme of National Diabetes Week this year, It’s About Time, reflects the fact that too many Australians are being diagnosed with diabetes too late” RDAA President, Dr Adam Coltzau, said.

“In the case of Type 1 diabetes, late diagnosis can be life-threatening.

“And with any type of diabetes, early diagnosis, treatment and ongoing management can reduce the risk of diabetes-related complications.

“There are various types of diabetes, including:

Type 1 diabetes (an auto-immune disease which is not linked to modifiable lifestyle factors, cannot be prevented or currently cured, and is more commonly diagnosed in childhood)

Type 2 diabetes (which is associated with modifiable lifestyle risk factors and usually develops in adults over the age of 45 years, but is increasingly occurring in younger age groups including children)

“Symptoms for both these types can include excessive thirst, passing more urine, feeling tired and lethargic, and always feeling hungry — though many people with Type 2 diabetes often display no symptoms at diagnosis.

“Gestational diabetes is another form of diabetes, which typically affects between 12% and 14% of pregnant women and usually occurs around the 24th to 28th week of pregnancy.

“People who develop Type 1 diabetes will typically need to go onto insulin therapy for life (or until a cure is found), delivered either by multiple daily injections or via an insulin pump attached to their body.

“While Type 1 diabetes cannot be prevented, Type 2 diabetes can be delayed or prevented in up to 58 per cent of cases.

“Preventative health care starts with visiting your doctor for check ups and identification of early signs of Type 2 diabetes or pre-diabetes.

“Maintaining a healthy weight, being physically active and following a healthy eating plan, as well as managing blood pressure, cholesterol levels and not smoking, all help to prevent Type 2 diabetes from developing.

“Should Type 2 diabetes develop, early detection and management through lifestyle modifications is key to minimising its impact, as well as ensuring the early detection and treatment of any complications.

“If you have immediate concerns that you may have diabetes, make an appointment with your local GP, community nurse or diabetes educator to get it checked out sooner rather than later.”

Part 3 There’s a new app to help people with diabetes

Digital technology is changing the way people living in regional and remote communities access information, and now there’s a new app to help people with diabetes.

Taken directly from a program used in 70 touchscreen kiosks throughout Australia, the Diabetes Story is a health information module developed specifically for Aboriginal and Torres Strait Islander people.

You can download the app at www.diabetesstory.info

It uses digital technology to explain a complex issue in a direct, interesting way that encourages people “to take charge of their diabetes”.  It is an interactive self-management module that delivers culturally appropriate health and wellbeing diabetes information.

Consumers can use it on their mobile phones while health workers and educators will be able to use it on tablets to conduct mediated diabetes education sessions, and to provide further support for self-management.

The six domains are:

  1. a)  What is diabetes
  2. b)  Managing diabetes
  3. c)  Fighting diabetes
  4. d)  Diabetes in Pregnancy
  5. e)  Personal Stories
  6. f)   Where to get help

The App also has an audio function.

The Diabetes Story, both the module and App, has been a collaborative partnership with Aboriginal and Torres Strait Islander health organisations such as the Victorian Aboriginal community Controlled Health Organisation (VACCHO), the Victorian Aboriginal Health Service (VAHS), Aboriginal Community Controlled Health Services in North Queensland, as well as Diabetes Victoria, Diabetes Qld and Diabetes Australia.

The Diabetes Story project is funded under the National Diabetes Services Scheme (NDSS), an initiative of the Australian Government administered with the help of Diabetes Australia.

 

 

NACCHO Aboriginal Health and Chronic Disease : #NCDForum @Prevention1stAU Report : Government is ignoring our chronic disease time bomb

  ” One in every two Australians suffer from chronic disease but experts say Commonwealth and State Governments appear blind to the country’s greatest health challenge.

The latest assessment of the country’s chronic disease prevention policy has found that while our health measures in tobacco policy are world leading, Australia has fallen well short in its preventive health efforts in the key areas of alcohol consumption, nutrition, and physical activity.”

A scorecard released today by Prevention 1st found that while government anti-smoking policies are ‘good’, efforts to address alcohol consumption, physical activity and nutrition all rate poorly.

Download report HERE

Prevention-in-Australia-online

Prevention 1st invited experts in tobacco, alcohol, nutrition and physical activity to rate Commonwealth and state government action against the World Health Organization’s (WHO) ‘Best Buys’ and Other Recommended Interventions for the Prevention and Control of Noncommunicable Diseases.i

Chronic disease, which is responsible for 83 per cent of all premature deaths in Australia, accounts for 66 per cent of the burden of disease, and costs our economy an estimated $27 billion annually.

According to the Australian Institute of Health and Welfare, one-third of chronic disease cases are preventable and can be traced to four modifiable risk factors: tobacco use, alcohol consumption, poor diet, and physical inactivity.

FARE Chief Executive Michael Thorn says that while Australia has been a world leader in preventive health, past glories count for little, when the Prevention 1st Scorecard released today makes clear that our governments are not presently doing enough.

Mr Thorn says a framework already exists around evidence-based, short-term wins and that those World Health Organization recommendations, if implemented, would immediately improve Australians’ health.

“Effective policies are essential and we have those, but those solutions become worthless if government is not prepared to translate those policies into action,” Mr Thorn said

The Prevention 1st Scorecard recommends the implementation of four simple evidence-based measures to address tobacco use, alcohol consumption, nutrition and physical activity.

• The renewal of mass media anti-smoking campaigns that are population-wide and engage effectively with disadvantaged groups.

• The abolition of the Wine Equalisation Tax (WET) and introduction of a volumetric tax for wine and cider.

• Legislated time-based restrictions on exposure of children (under 16 years of age) to unhealthy food and drink marketing on free-to-air television until 9.30pm.

• The implementation of a whole-of-school program that includes mandatory daily physical activity.

Prevention 1st is a campaign led by the Foundation for Alcohol Research and Education (FARE), the Public Health Association of Australia (PHAA), Consumers Health Forum of Australia (CHF Australia), and Dementia Australia.

ENDS

 

NACCHO Aboriginal Health and #ElderCare : @KenWyattMP launches @genrontologyau #ATSIAAG Report : Assuring equity of access and quality outcomes for older Aboriginal peoples: What needs to be done

“This report details valuable recommendations to improve aged care access for our First Peoples and I commend the Australian Association of Gerontology and its special Aboriginal and Torres Strait Islander Ageing Advisory Group.

It highlights the importance of respect for culture, to instill confidence in older First Nations people, and I look forward to its findings helping guide the development of effective pathways to quality aged care.”

The report was launched by Minister for Aged Care and Indigenous Health Ken Wyatt at Parliament House on Wednesday.

A new report is calling for an expansion of specialist targeted services for older Aboriginal and Torres Strait Islander people and more work to embed cultural safety in mainstream care to improve the aged care system for Indigenous Australians.

Photo above : From left: Graham Aitken, Ken Wyatt, Ros Malay and James Beckford Saunders at the launch of a report focused on improving aged care access and quality for Aboriginal and Torres Strait Islander people

Download here

ASSURING EQUITY OF ACCESS FOR OLDER Aboriginal people

Elder Facts

In the 2016 Census, 649,171 people identified as Aboriginal and/or Torres Strait Islander, representing 2.8% of the population – up from 2.5% in the 2011 Census, and 2.3% in 2006.

Although the Aboriginal and Torres Strait Islander population has a much younger age profile and structure than the non-Indigenous population, the median age of Aboriginal and Torres Strait Islander people is gradually rising.

The proportion of Aboriginal and Torres Strait Islander people aged 65 years and over is only 4.8%, much smaller than for non-Indigenous people at 16%.

However, the number of Aboriginal and Torres Strait Islander people aged 55 years and over is increasing, and is projected to more than double from 59,400 in 2011 to up to 130,800 in 2026.

Aboriginal and Torres Strait Islander Elders need access to culturally appropriate services, and they generally want to be cared for in their communities where they are close to family, and where they can die on their land.

Aboriginal and Torres Strait Islander people face ongoing challenges finding services that are appropriate to their needs and circumstances, and often have problems accessing services where they exist.

Press Release

The Australian Association of Gerontology report also recommends strategies to improve the ability of the aged care workforce to provide more appropriate care, an expansion of advocacy services and a more appropriate needs assessment process.

The report was developed by the AAG’s Aboriginal and Torres Strait Islander Ageing Advisory Group (ATSIAAG) with findings from its national workshop in Perth in November 2017 that explored barriers to equity in access and outcomes in aged care for Aboriginal and Torres Strait Islander peoples.

A lack of service connectivity, the challenges vulnerable groups experience with consumer directed care and My Aged Care, high costs and gaps in policy, education and advocacy are among roadblocks to access and equity outlined in the report.

The report was launched by Minister for Aged Care and Indigenous Health Ken Wyatt at Parliament House on Wednesday.

“This report details valuable recommendations to improve aged care access for our First Peoples and I commend the Australian Association of Gerontology and its special Aboriginal and Torres Strait Islander Ageing Advisory Group,” Minister Wyatt said.

“It highlights the importance of respect for culture, to instil confidence in older First Nations people, and I look forward to its findings helping guide the development of effective pathways to quality aged care.”

ATSIAAG co-chair Graham Aitken said he was delighted Minister Wyatt gave the report the prominence it deserved.

“We are looking forward to seeing a response from government to the suggestions put forward in the report,” he said.

 

Fellow ATSIAAG co-chair Ros Malay said the report was timely given the work underway to develop an action plan for Aboriginal and Torres Strait Islander people under the Aged Care Diversity Framework, which was launched in December.

“The report has some great ideas that could be picked up in the action plan,” Ms Malay said.

The report was launched during a ATSIAAG roundtable of key stakeholders from government agencies, academia, aged care, and Aboriginal and Torres Strait Islander organisations who discussed how better data would drive improved aged care for older Aboriginal and Torres Strait Islander people.

A greater uptake of evidence from research and data to ensure greater understanding of the aged care service and support needs of older Aboriginal and Torres Strait Islander people and how they can best be met is another strategy proposed in the report.

Mr Wyatt said understanding how better data could build a better aged care system for the nation’s First Peoples was a priority for the Turnbull Government.

“Following last year’s Australian National Audit Office report into Indigenous aged care, we have taken steps to improve data,” he said.

AAG CEO James Beckford Saunders said a report from this week’s roundtable would be published within the next few months.

Access the report, Assuring equity of access and quality outcomes for older Aboriginal and Torres Strait Islander peoples: What needs to be done, here

NACCHO Aboriginal Health and #Diabetes : @raykellyfitness Too Deadly for Diabetes program gives hope to Bourke NSW resident who was ‘waiting to die’

“A lot of health professionals in the country still believe type two diabetes isn’t reversible or that you can’t go into remission,

My program, tailored to suit the lifestyle and culture of the Bourke participants, was not claiming to cure the disease but manage the impacts.

We say remission rather than cure because once people put weight back on, especially around the liver and pancreas area, they will get diabetes again so it’s a bit like cancer in that respect,”

Now thanks to a program called Too Deadly for Diabetes, Barbara Flick, the CEO of the Bourke Aboriginal Health Service , Margaret Grimes  and a group of 26 other Bourke residents are tackling the disease head on.

It’s a simple program of monitored diet and exercise under the guidance of Sydney exercise physiologist Ray Kelly — and the women said

Ms Flick asked him to come to Bourke after seeing him speak at a National Aboriginal Community Health Organisation conference.d their lives had changed dramatically.

Looking forward to life

Ms Flick has been planning on running another program for the local community in June.

She said she had worked in health for 47 years, including a role as a national indigenous health advisor, and said she was blown away by what she had witnessed in Bourke.

“A number of us have gone off blood pressure medication, we’ve lost weight and we’re all feeling so much better so excited about life and planning for the future and looking forward to their grandchildren growing up.”

Photo: Barbara Flick, Joanne Edwards, George Orcher and Julie Knight have all lost more than 10kg and significantly reduced their blood sugar levels. (Supplied: Too Deadly for Diabetes)

Visit Ray Kelly Fitness website HERE

From ABC New England

By Jennifer Ingall

Margaret Grimes says she was simply waiting to die after years of living with type 2 diabetes.

“I’m over giving myself needles every day, every night at the moment it’s just like I’m living for the needles,” said the 59-year-old woman from Bourke in Western NSW.

“I don’t really have a life at the moment. I’m trapped by this diabetes — I honestly am trapped.”

She was diagnosed more than 20 years ago and is not alone in her despair over life with the disease.

Barbara Flick, the chief executive officer of the Bourke Aboriginal Health Service, was diagnosed in 1986.

“It’s been daily torture for me, and the information I used to get which is still being given out today I never saw any improvement in my condition,” said Ms Flick.

“I believed that my life journey was to move on to renal failure and die. I believed that was my path,” she said.

Taking control of their destiny

Ms Flick’s mother died 10 years ago from complications from diabetes. She recalled her mother challenged her on her death bed not to succumb to the disease.

“I’ve lost fifteen kilos and my blood sugar levels are normal. I’ve gone from having five insulin injections a day to one small one in the morning and one small one at night,” said Ms Flick.

The most dramatic change has been for Ms Grimes, who has gone from four insulin injections a day to none and her sugar level readings have dropped from 17 to between six and seven.

Photo: Kangaroo soup: The program tailors meals to meet cultural needs. (Supplied: Ray Kelly)

“My doctor, he couldn’t be happier either — he couldn’t believe when I’d take my little book in and show him my readings,” she said.

Ms Flick asked him to come to Bourke after seeing him speak at a National Aboriginal Community Health Organisation conference.

“A lot of health professionals in the country still believe type two diabetes isn’t reversible or that you can’t go into remission,” said Mr Kelly.

He said his program, tailored to suit the lifestyle and culture of the Bourke participants, was not claiming to cure the disease but manage the impacts.

“We say remission rather than cure because once people put weight back on, especially around the liver and pancreas area, they will get diabetes again so it’s a bit like cancer in that respect,” he said.

Aboriginal people most affected by diabetes

These monumental wins for the two women were small by comparison to battles others still face.

Aboriginal and Torres Strait Islander people were almost four times more likely than non-Indigenous Australians to have diabetes, according to Diabetes Australia.

That’s little comfort for those who have it. Nor are figures from a 2016 Grattan Institute report showing only a quarter of the nearly one million Australians diagnosed with type 2 diabetes get the monitoring and treatment recommended for their condition.

Disease specialist Professor Paul Zimmett said despite a world class reputation for treatment and management of the disease, more needed to be done.

“We certainly have to do much better for our Indigenous community, they have one of the highest rates of diabetes in the world, they’ve got some of the highest rates of complications of diabetes.”

The Monash University professor of diabetes co-chaired a national diabetes strategy advisory group in 2014 and is Victoria’s Senior Australian of the Year.

Professor Zimmett acknowledged Australia’s medical care of the disease was equal to anywhere in the world, but there were remote and rural areas who weren’t benefitting because of a lack of resources.

“If you can prevent many complications of diabetes, kidney disease, eye disease, the need for dialysis, there’s huge cost savings,” he said.

He said he was disappointed the government failed to implement many of the group’s recommendations, including the need for longitudinal studies.

“To monitor the risk factors and new cases and deaths from diabetes, heart disease and kidney disease so that we actually know what is happening with the money that is pouring in for prevention,” he said.

The Federal Government might be hesitating, but not so Professor Alex Brown, team leader of Aboriginal Health Research at the South Australia Health and Medical Research Institute, who is three years into a comprehensive study of Aboriginal and Torres Strait Islander communities.

“We hope to recruit about 4000 people to track over years to understand what the causes of diabetes, and the complications of diabetes are,” said Professor Brown.

The study involves initial screening including eyes, hearts and kidneys and then annual follow ups.

“This could answer things about the development of diabetes in Indigenous populations here in Australia,” he said.

 

NACCHO Aboriginal Health and #Sugartax : @4Corners #Tippingthescales: #4corners Sugar, politics and what’s making us fat #rethinksugarydrinks @janemartinopc @OPCAustralia

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“How did the entire world get this fat, this fast? Did everyone just become a bunch of gluttons and sloths?”  Doctor

The figures are startling. Today, 60% of Australian adults are classified as overweight or obese. By 2025 that figure is expected to rise to 80%.

“It’s the stuff of despair. Personally, when I see some of these young people, it’s almost hard to imagine that we’ve got to this point.”  Surgeon

Many point the finger at sugar – which we’re consuming in enormous amounts – and the food and drink industry that makes and sells the products fuelled by it.

Tipping the scales, reported by Michael Brissenden and presented by Sarah Ferguson, goes to air on Monday 30th of April at 8.30pm. It is replayed on Tuesday 1st of May at 1.00pm and Wednesday 2nd at 11.20pm.

It can also be seen on ABC NEWS channel on Saturday at 8.10pm AEST, ABC iview and at abc.net.au/4corners.

See Preview Video here

 ” In 2012-13, Aboriginal and Torres Strait Islander people 2 years and over consumed an average of 75 grams of free sugars per day (equivalent to 18 teaspoons of white sugar)1. Added sugars made up the majority of free sugar intakes with an average of 68 grams (or 16 teaspoons) consumed and an additional 7 grams of free sugars came from honey and fruit juice. “

NACCHO post – ABS Report abs-indigenous-consumption-of-added-sugars 

Amata was an alcohol-free community, but some years earlier its population of just under 400 people had been consuming 40,000 litres of soft drink annually.

The thing that I say in community meetings all the time is that, the reason we’re doing this is so that the young children now do not end up going down the same track of diabetes, kidney failure, dialysis machines and early death, which is the track that many, many people out here are on now,”

NACCHO Post : Mai Wiru, meaning good health, and managed by long-time community consultant John Tregenza.

See Previous NACCHO Post Aboriginal Health and Sugar TV Doco: APY community and the Mai Wiru Sugar Challenge Foundation

4 Corners Press Release

“This isn’t about, as the food industry put it, people making their own choices and therefore determining what their weight will be. It is not as simple as that, and the science is very clear.” Surgeon

Despite doctors’ calls for urgent action, there’s been fierce resistance by the industry to measures aimed at changing what we eat and drink, like the proposed introduction of a sugar tax.

“We know about the health impact, but there’s something that’s restricting us, and it’s industry.”  Public health advocate

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“The reality is that industry is, by and large, making most of the policy. Public health is brought in, so that we can have the least worse solution.”  Public health advocate

From its role in shutting down debate about a possible sugar tax to its involvement in the controversial health star rating system, the industry has been remarkably successful in getting its way.

“We are encouraged by the government here in Australia, and indeed the opposition here in Australia, who continue to look to the evidence base and continue to reject this type of tax as some sort of silver bullet or whatnot to solve what is a really complex problem, and that is our nation’s collective expanding waistline.” Industry spokesperson

We reveal the tactics employed by the industry and the access it enjoys at a time when health professionals say we are in a national obesity crisis.

“We cannot leave it up to the food industry to solve this. They have an imperative to make a profit for their shareholders. They don’t have an imperative to create a healthy, active Australia.”  Health advocate

NACCHO post – Sixty-three per cent of Australian adults and 27 per cent of our children are overweight or obese.

 “This is not surprising when you look at our environment – our kids are bombarded with advertising for junk food, high-sugar drinks are cheaper than water, and sugar and saturated fat are hiding in so-called ‘healthy’ foods. Making a healthy choice has never been more difficult.

The annual cost of overweight and obesity in Australia in 2011-12 was estimated to be $8.6 billion in direct and indirect costs such as GP services, hospital care, absenteeism and government subsidies.1 “

 OPC Executive Manager Jane Martin 

BACKGROUND

 ” This campaign is straightforward – sugary drinks are no good for our health. It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

Read over 48 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

Read over 24 NACCHO articles Sugar Tax HERE  

https://nacchocommunique.com/category/sugar-

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

 

“A cheeky, graphic counter-campaign taking on cheap frozen drink promotions like $1 Slurpees and Frozen Cokes has hit Victorian bus and tram stops to urge Australians to rethink their sugary drink. 

Rather than tempt viewers with a frosty, frozen drink, the “Don’t Be Sucked In” campaign from LiveLighter and Rethink Sugary Drink, an alliance of 18 leading health agencies, shows a person sipping on a large cup of bulging toxic fat. “

NACCHO has published over 150 various articles about sugar , obesity etc

Craig Sinclair, Chair of Cancer Council Australia’s Public Health Committee, said while this graphic advertisement isn’t easy to look at, it clearly illustrates the risks of drinking too many sugary drinks.

“Frozen drinks in particular contain ridiculous amounts of added sugar – even more than a standard soft drink.”

“A mega $3 Slurpee contains more than 20 teaspoons of sugar.

That’s the same amount of sugar as nearly eight lemonade icy poles, and more than three times the maximum recommended by the World Health Organisation of six teaspoons a dayi.”

“At this time of year it’s almost impossible to escape the enormous amount of advertising and promotions for frozen drink specials on TV, social media and public transport,” Mr Sinclair said.

“These cheap frozen drinks might seem refreshing on a hot day, but we want people to realise they could easily be sucking down an entire week’s worth of sugar in a single sitting.”

A large frozen drink from most outlets costs just $1 – a deal that major outlets like 7-Eleven, McDonald’s, Hungry Jacks and KFC promote heavily.

LiveLighter campaign manager and dietitian Alison McAleese said drinking a large Slurpee every day this summer could result in nearly 2kg of weight gain in a year if these extra kilojoules aren’t burnt

“This summer, Aussies could be slurping their way towards weight gain, obesity and toxic fat, increasing their risk of 13 types of cancer, type 2 diabetes, heart and kidney disease, stroke and tooth decay,” Ms McAleese said.

“When nearly two thirds of Aussie adults and a third of kids are overweight or obese, it’s completely irresponsible for these companies to be actively promoting excessive consumption of drinks completely overloaded with sugar.

“And while this campaign focuses on the weight-related health risks, we can’t ignore the fact that sugary drinks are also a leading cause of tooth decay in Australia, with nearly half of children aged 2– 16 drinking soft drink every day.ii 

“We’re hoping once people realise just how unhealthy these frozen drinks are, they consider looking to other options to cool off.

“Water is ideal, but even one lemonade icy pole, with 2.7tsp of sugar, is a far better option than a Slurpee or Frozen Coke.”

Mr Sinclair said a health levy on sugary drinks is one of the policy tools needed to help address the growing impact of weight and diet-related health problems in Australia.

“Not only can a 20% health levy help deter people from these cheap and very unhealthy drinks, it will help recover some of the significant costs associated with obesity and the increasing burden this puts on our public health care system,” he said.

This advertising will hit bus and tram stops around Victoria this week and will run for two weeks. #

 

FROZEN DRINKS: More  FACTSiii 

About LiveLighter: LiveLighter® is a public health education campaign encouraging Australian adults to lead healthier lives by changing what they eat and drink, and being more active.

In Victoria, the campaign is delivered by Cancer Council Victoria and Heart Foundation Victoria. In Western Australia, LiveLighter is delivered by Heart Foundation WA and Cancer Council WA.

For more healthy tips, recipes and advice visit

www.livelighter.com.au

About Rethink Sugary Drink: Rethink Sugary Drink is a partnership between the Apunipima Cape York Health Council, Australian Dental Association, Australian Dental and Oral Health Therapists’ Association, Cancer Council Australia, Dental Health Services Victoria, Dental Hygienists Association of Australia, Diabetes Australia, Healthier Workplace WA, Kidney Health Australia, LiveLighter, The Mai Wiru Sugar Challenge Foundation, Nutrition Australia, Obesity Policy Coalition, Stroke Foundation, Parents’ Voice, the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and the YMCA to raise awareness of the amount of sugar in sugar-sweetened beverages and encourage Australians to reduce their consumption.

Visit www.rethinksugarydrink.org.au for more information.

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

 

 ” Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity “

AMA Position Statement on Nutrition 2018

Download AMA Position Statement on Nutrition 2018

Advertising and marketing of junk food and sugary drinks to children should be banned, and a tax on sugar-sweetened beverages should be introduced as a matter of priority, the AMA says.

Releasing the AMA Position Statement on Nutrition 2018, AMA President, Dr Michael Gannon, said today that eating habits and attitudes toward food are established in early childhood.

“Improving the nutrition and eating habits of Australians must become a priority for all levels of government,” Dr Gannon said.

“Governments should consider the full complement of measures available to them to support improved nutrition, from increased nutrition education and food literacy programs through to mandatory food fortification, price signals to influence consumption, and restrictions on food and beverage advertising to children.

“Eating habits and attitudes start early, and if we can establish healthy habits from the start, it is much more likely that they will continue throughout adolescence and into adulthood.

“The AMA is alarmed by the continued, targeted marketing of unhealthy foods and drinks to children.

“Children are easily influenced, and this marketing – which takes place across all media platforms, from radio and television to online, social media, and apps – undermines healthy food education and makes eating junk food seem normal.

“Advertising and marketing unhealthy food and drink to children should be prohibited altogether, and the loophole that allows children to be exposed to junk food and alcohol advertising during coverage of sporting events must be closed.

“The food industry claims to subscribe to a voluntary code, but the reality is that this kind of advertising is increasing. The AMA calls on the food industry to stop this practice immediately.”

The Position Statement also calls for increased nutrition education and support to be provided to new or expecting parents, and notes that good nutrition during pregnancy is also vital.

It recognises that eating habits can be affected by practices at institutions such as child care centres, schools, hospitals, and aged care homes.

“Whether people are admitted to hospital or just visiting a friend or family member, they can be very receptive to messages from doctors and other health workers about healthy eating,” Dr Gannon said.

“Hospitals and other health facilities must provide healthy food options for residents, visitors, and employees.

“Vending machines containing sugary drinks and unhealthy food options should be removed from all health care settings, and replaced with machines offering only healthy options.

“Water should be the default beverage option, including at fast food restaurants in combination meals where soft drinks are typically provided as the beverage.”

NACCHO Campaign 2013 : We should health advice from the fast food industry !

Key Recommendations:

·         Advertising and marketing of unhealthy food and beverages to children to be prohibited.

·         Water to be provided as the default beverage option, and a tax on sugar-sweetened beverages to be introduced.

·         Healthy foods to be provided in all health care settings, and vending machines containing unhealthy food and drinks to be removed.

·         Better food labelling to improve consumers’ ability to distinguish between naturally occurring and added sugars.

·         Regular review and updating of national dietary guidelines and associated clinical guidelines to reflect new and emerging evidence.

·         Continued uptake of the Health Star Rating system, as well as refinement to ensure it provides shoppers with the most pertinent information.

Aboriginal and Torres Strait Islander people

Food insecurity

Food insecurity occurs when people have difficulty or are unable to access appropriate amounts of food.13

It has been estimated that four per cent of Australians experience food insecurity,14 though it is likely the extent of the problem is much higher.

Food insecurity is associated with a range of factors, including unstable living situations, geographic isolation and poor health.

It is more prevalent in already disadvantaged communities. In households with limited incomes, food budgets can be seen as discretionary and less of a priority.

This can result in disrupted eating habits and an over-reliance on less nutritious foods.

Food insecurity can have significant health implications, such as increased hospitalisation and iron deficiency anemia (in children) and increased kidney disease, type 2 diabetes and mental health issues (among adolescents and adults).

Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.16

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.17

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity. The development and implementation of potential solutions must be led by Aboriginal and Torres Strait Islander people.

The nutrition of Aboriginal and Torres Strait Islander people living in remote communities may be heavily dependent on Outback Stores. The 2009 Parliamentary Inquiry ‘Everybody’s Business: Remote Aboriginal and Torres Strait Community Stores’ resulted in a number of practical recommendations to increase the availability and affordability of healthy foods in Outback Stores, many of which have not been implemented.

Recommendation

These Stores, in consultation with local communities, should prioritise and facilitate access to affordable nutritious foods.

The AMA Position Statement on Nutrition 2018 is available at https://ama.com.au/position-statement/nutrition-2018

 

NACCHO Aboriginal #ChooseHealth wishes you a very Healthy Xmas and #sugarfree 2018 New Year #SugaryDrinksProperNoGood

 ”  This campaign is straightforward – sugary drinks are no good for our health.It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York and throughout all our communities experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

WATCH Apunipima Video HERE

“We tell ‘em kids drink more water; stop the sugar. It’s good for all us mob”

Read over 30 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

 ” Let’s be honest, most countries and communities (and especially Aboriginal and Torres Strait Islanders ) now face serious health challenges from obesity.

Even more concerning, so do our kids.

While no single mission will be the panacea to a complex problem, using 2017 to set a new healthy goal of giving sugar the kick would be a great start.

Understand sugar, be aware of it, minimise it and see it for what it is – a special treat for a rare occasion.

This New Year’s, make breaking up with sugar your planned resolution.

“Hey sugar – it’s not me, it’s you…”

Alessandro R Demaio  Global Health Doctor; Co-Founded NCDFREE & festival21; Assoc. Researcher, University of Copenhagen and NACCHO supporter ( First Published 2016 see in full below )

 

We recommend the Government establish obesity prevention as a national priority, with a national taskforce, sustained funding and evaluation of key measures including:

  • Laws to stop exposure of children to unhealthy food and drink marketing on free to air television until 9.30 pm
  • Mandatory healthy food star rating from July 2019 along with stronger food reformulation targets
  • A national activity strategy to promote walking, cycling and public transport use
  • A 20 per cent health levy on sugary drinks

Australia enjoys enviable health outcomes but that is unlikely to last if we continue to experience among the world’s highest levels of obesity.

 CEO of the Consumers Health Forum, Leanne Wells

NACCHO Aboriginal #HealthStarRating and #Nutrition @KenWyattMP Free healthy choices food app will dial up good tucker

” Weight gain spikes sharply during the Christmas and New Year holiday period with more than half of the weight we gain during our lifetime explained just by the period between mid-November and mid-January.

Public Health Advocacy Institute of WA

 ” Labels that warn people about the risks of drinking soft drinks and other sugar-sweetened beverages can lower obesity and overweight prevalence, suggests a new Johns Hopkins Bloomberg School of Public Health study.

The study used computer modelling to simulate daily activities like food and beverage shopping of the populations of three U.S. cities – Baltimore, San Francisco and Philadelphia.

It found that warning labels in locations that sell sugary drinks, including grocery and corner stores, reduced both obesity and overweight prevalence in the three cities, declines that the authors say were attributable to the reduced caloric intake.

The virtual warning labels contained messaging noting how added sugar contributes to tooth decay, obesity and diabetes.

The findings, which were published online December 14 in the American Journal of Preventive Medicine, demonstrates how warning labels can result in modest but statistically significant reductions in sugary drink consumption and obesity and overweight prevalence.”

Diabetes Queensland : Warning labels can help reduce sugary drinks consumption and obesity, new study suggests

 

Global recognition is building for the very real health concerns posed by large and increasing quantities of hidden sugar in our diets. This near-ubiquitous additive found in products from pasta sauces to mayonnaise has been in the headlines and in our discussions.

The seemingly innocuous sweet treat raises eyebrows from community groups to policy makers – and change is in the air.

Let’s review some of the sugar-coated headers from 2016 :

  • The global obesity epidemic continued to build while more than two-in-three Australian adults faced overweight or obesity – and almost one in four of our children.
  • Science around sugary drinks further solidified, with consumption now linked to obesity, childhood obesity, heart disease, diabetes (type-2), dental caries and even lower fertility.
  • Australians were estimated to consume a staggering 76 litres of sugary drinks each since January alone, and new reports highlighted that as much as 15% of the crippling health costs associated with obesity could result from sugary drinks consumption.
  • Meanwhile around the planet, more countries took sound policy measures to reduce sugar consumption in their citizens. France, Belgium, Hungary, Finland, Chile, the UK, Ireland, South Africa and many parts of the United States implemented, continued or planned the implementation of pricing policies for sugary drinks.

In short, the over-consumption of sugar is now well recognised as a public health challenge everywhere.

With all this in mind and a New Year ahead, it’s time to put big words into local action. With resolutions brewing, here are seven helpful tips to breaking up with sugar in 2017.

1. Understand sugar

When it comes to sugar, things can get pretty confusing. Below, I shed some light on the common misunderstandings, but let’s recheck sugar itself – in simplest terms.

Sugar is a type of refined carbohydrate and a source of calories in our diet. Our body uses sugar and other sources of calories as energy, and any sugar that is not used is eventually stored as fat in our liver or on our bellies.

“Free sugars” are those added to products or concentrated in the products – either by us or by the manufacturer. They don’t include sugars in whole fruits and vegetables, but more on that later. For a range of health reasons, the World Health Organization recommends we get just 5% of our daily calories from free sugars. For a fully grown man or woman, this equates to a recommended limit to sugar consumption of roughly 25 grams – or 6 teaspoons. For women, it’s a little less again.

Consume more than this, and our risk of health problems rises.

2. Quit soft drinks

With 16 teaspoons of sugar in a single bottle serving – that’s more than 64 grams – there’s nothing “soft” about soft drinks. Including all carbonated drinks, flavoured milks and energy drinks with any added sugars, as well as fruit drinks and juices, sugary drinks are a great place to focus your efforts for a healthier 2018. Sugary drinks provide no nutritional value to our diets and yet are a major source of calories.

sugartax

What’s more concerning, evidence suggests that when we drink calories in the form of sugary drinks, our brains don’t recognise these calories in the same way as with foods. They don’t make us feel “full” and could even make us hungrier – so we end up eating (and drinking) more. In this way, liquid calories can be seen as even more troubling than other forms of junk foods. Combine this with studies that suggest the pleasure (and sugar spike) provided by sugary drinks may make them hard to give up – and it’s not difficult to see why many of us are drinking higher amounts, more often and in larger servings. This also makes cutting down harder.

The outcome is that anything up to one-seventh of the entire public cost of obesity in Australia could now result from sugary drinks. In other words, cut out the sugary drinks and you’ll be doing your own health a favour – and the health of our federal and state budgets.

3. Eat fruit, not juice

When it’s wrapped in a peel or a skin, fruit sugars are not a challenge to our health. In fact, the sugars in fruit are nature’s way of encouraging us to eat the fruit to begin with. Fruits like oranges, apples and pears contain important fibres. The “roughage” in our foods, this fibre is healthy in many ways but there are three in particular I will focus on. First, it slows our eating down; it is easy to drink a glass of juice squeezed from 7 apples, but much harder to eat those seven pieces whole. Second, it makes us feel full or satiated. And third, it slows the release of the sugars contained in fruit into our blood streams, thus allowing our bodies to react and use the energy appropriately, reducing our chances of weight gain and possibly even diabetes.

Juice, on the other hand, involves the removal of most of those fibres and even the loss of some of the important vitamins. What we don’t lose though, is the 21 grams or more than five teaspoons of sugar in each glass.

In short, eat fruit as a snack with confidence. But enjoy whole fruit, not juice.

4. Sugar by any other name

High-fructose corn syrup, invert sugar, malt sugar and molasses – they all mean one thing: sugar.

As the public awakens to the health challenges posed by sugar, the industry turns to new ways to confuse consumers and make ‘breaking up’ more difficult. One such way is to use the many alternative names for sugar – instead of the ‘s’ word itself. Be on the lookout for:

Evaporated cane juice, golden syrup, malt syrup, sucrose, fruit juice concentrate, dextrose and more…

5. Eat whole foods where possible

Tomato sauce, mayonnaise, salad dressings, gravies, taco sauces, savoury biscuits and breakfast cereals – these are just some of the many foods now often packed with hidden, added sugars.

A study found that 74% of packaged foods in an average American supermarket contain added sugars – and there is little evidence to suggest Australia would be dramatically different. Added to food to make it more enjoyable, and moreish, the next tip when avoiding such a ubiquitous additive is to eat whole foods.

It’s hard to hide sugar in plain flour, or a tomato, or frozen peas. Buying and cooking with mostly whole foods – not products – is a great way to ensure you and your family are not consuming added sugars unaware.

6. See beyond (un)healthy claims

Words like “wholesome”, “natural” and “healthy” are clad on many of our favourite ingredients. Sadly, they don’t mean much.

Even products that are full of sugar, like breakfast cereals and energy bars, often carry claims that aim to confuse and seduce us into purchase. Be wary – and be sure to turn the package over and read the ingredients and nutrition labelling where possible (and if time permits).

7. Be okay with sometimes

The final but crucial message in all of this is that eating or drinking sugar is not a sin. Sugar is still a part of our lives and something to enjoy in moderation. The occasional piece of cake, or late night chocolate – despite the popular narrative painted by industry to undermine efforts for true pricing on sugar – these occasional sweet treats are not the driving challenge for obesity. The problem is that sugary drinks, and sugar in our foods, have become every day occurrences.

With this in mind, let’s not demonise sugar but instead let’s see it for what it is. Enjoy some juice or bubbles from time to time but make water the default on an everyday basis. With the average can of cola containing 39 grams or 9 teaspoons of sugar, be OK with sometimes.

Bitter truth

Let’s be honest, We now face serious health challenges from obesity.

Even more concerning, so do our kids.

Learn more about our ACCHO making Deadly Choices

 

NACCHO Aboriginal Health and #Nutrition : Download Guide , Posters , Activity sheets @MenziesResearch SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities )

 

” This guide presents information on the consumer education strategy used in the SHOP@RIC study.

SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities) is one of four studies in the world to provide evidence on the effect of a price discount with and without nutrition education on food purchasing.”

Download Guide Here :  SHOP_RIC_Consumer_Education_Guide

Read over 35 NACCHO Aboriginal Health and Nutrition articles HERE

This study is the largest nutrition-related trial to be conducted with remote Aboriginal communities in Australia.

It provides an example of a successful collaboration between communities, retailers, health professionals and academics.

Many people participated in making SHOP@RIC the success that it was.

See full resources website

The SHOP@RIC consumer education strategy was delivered with a price discount on fresh and frozen fruit, vegetables, artificially sweetened soft drinks and water.

We hope that the information presented here will inspire readers to use the consumer education strategy resources and the evaluation tools we have made available on the Menzies School of Health Research website.

Below are six poster options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer education posters
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SHOP@RIC poster theme 1
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SHOP@RIC poster theme 2 (landscape)
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SHOP@RIC poster theme 3
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SHOP@RIC poster theme 4
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SHOP@RIC poster theme 5 (landscape)
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SHOP@RIC poster theme 6

Below are several web activity sheet options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer activity sheets
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SHOP@RIC activity sheet – beverages theme 1
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SHOP@RIC activity sheet – beverages theme 2
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SHOP@RIC activity sheet – beverages theme 3
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SHOP@RIC activity sheet – beverages theme 4
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SHOP@RIC activity sheet – beverages theme 5
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SHOP@RIC activity sheet – beverages theme 6
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SHOP@RIC activity sheet – fruit and veg theme 1
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SHOP@RIC activity sheet – fruit and veg theme 2
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SHOP@RIC activity sheet – fruit and veg theme 3
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SHOP@RIC activity sheet – fruit and veg theme 4
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SHOP@RIC activity sheet – fruit and veg theme 5
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SHOP@RIC activity sheet – fruit and veg theme 6

NACCHO Aboriginal Male Health @KenWyattMP A Brave Young Aboriginal Dad’s Lifesaving Messages #diabetes #obesity, leading to #heart and #kidney failure.

“Jason strongly but humbly tells it like it is, there is no self-pity, just heartfelt statements of fact that apply to all Australians.

He pleads for everyone to re-think alcohol and drug use, including a special message for our Indigenous mob.

His words should be heeded by everyone but also reinforce my top Indigenous health priorities: Men’s health, kidney, eye and ear health, maternal and child health and reducing preventable hospital admissions.

His key message is for everybody, especially men, to look after themselves, so they can be there for their families and friends for as long as possible”

Indigenous Health Minister Ken Wyatt AM paid tribute to his cousin’s bravery, talent, compassion and legacy.

Read over 330 NACCHO Aboriginal Male Health articles published by over the past 5 years

A heartbreaking video message has been released today, realising Jason Bartlett’s dying wish to raise awareness of the importance of men taking personal responsibility for their health.

View Jason’s Video Here

The 36 year old singer, songwriter and former television music show star recorded the video nine days before he passed away in Royal Perth Hospital in June, from complications of diabetes and obesity, leading to heart and kidney failure.

“In 2009, Jason made it through to the Top 24 on Australian Idol and continued his career after the show, writing, recording and performing with the popular Bartlett Brothers band,” Minister Wyatt said.

“We lost Jason shortly after he made the brave but agonising decision to cease dialysis. His final words are haunting and hard-hitting and ones he wanted every Australian to hear.

“His vision was always to change the world for the better through his music but his dream became to get the health message out.”

In the video, titled “Passing on Wisdom: Jason’s Diabetes Story”, the father of two tells how he was diagnosed with diabetes at 19 years of age. A combination of lack of health education and ignoring the danger signs gradually lead to a tragic sequence of chronic conditions that eventually took his sight and his mobility.

His key message is for everybody, especially men, to look after themselves, so they can be there for their families and friends for as long as possible.

“He wants all of us to take personal responsibility, listen to our loved ones and take advice from doctors and health professionals,” said the Minister.

“Jason says that looking after ourselves is an essential part of giving love to those around us.

“All of us are privileged to have shared in his amazing life and now we’re determined to share his quest to save the lives of others, through his message.

“If it can help just one person to make life-changing choices, Australia will be better for it, but I am sure his story will help many more consider changes that will lengthen and potentially save their lives.

“I’m joining with Jason’s family in encouraging everyone to watch his video, listen to his story and share it on social media, especially with those you love.”

Photo: Jason Bartlett’s wife Jaimee, brother Phil and family members launched the video with Indigenous Health Minister Ken Wyatt. (Supplied: Family)

The video was produced by Jason Bartlett’s family, the University of Western Australia’s WA Centre for Rural Health, and media organisation Health Communication Resources.

It can also be shared from the WA Centre for Rural Health’s YouTube channel, at https://youtu.be/RcbQmILeDTs with a subtitled version at https://youtu.be/TvC1Tv6Z6zU