NACCHO Aboriginal Health #NovelCoronavirus Resources Fact Sheets Alert : @healthgovau Australian Health Sector Emergency Response Plan for Novel Coronavirus (the #COVID19 Plan)

The Australian Government’s Chief Medical Officer held a national teleconference yesterday to provide details on the national response to the Novel Coronavirus (COVID-19).

The Chief Medical Officer and state and territory Chief Medical Officers have been meeting and teleconferencing daily for several weeks since the outbreak in China.

They have agreed on the Response Plan to guide the health sector response within Australia.

The link to the Response Plan is:

Australian Health Sector Emergency Response Plan for Novel Coronavirus (the COVID-19 Plan)

The Response Plan is a living document and will be updated as required.

In addition, the Australian Government Department of Health website Coronavirus (COVID-19) includes a collection of resources including fact sheets for the general public, health professionals and industry about COVID-19.

A collection of resources for health professionals, including pathology providers and healthcare managers, about coronavirus (COVID-19).

You are encouraged to subscribe to the page to remain informed and ensure you have the latest information.

The information is updated daily.

Any urgent enquiries can be directed to the Department of Health’s National Incident Room via health.ops@health.gov.au.

NACCHO Aboriginal Health and #Diabetes: This health professional survey is designed to assist Dr Michael Mosley and Ray Kelly with a 3 part SBS series Australia’s Health Revolution.

” Australia’s Health Revolution is a new three-part documentary series for SBS TV that’ll be hosted by popular UK presenter and journalist Dr Michael Mosley and Australian Indigenous diabetes educator and exercise physiologist, Ray Kelly.

The series will feature people all over Australia, from all backgrounds aged between 18 and 70 who have been diagnosed with diabetes or pre-diabetes and selected to be  part of a 12 week program, following a very low energy diet designed to achieve fast weight loss and help stabilise blood sugar levels.

The documentary will explore the big picture of type 2 diabetes in Australia, and the exciting new science behind diet and lifestyle programs that are reversing type 2 diabetes – previously considered incurable.”

Hear interview with Ray Kelly

We can turn blood sugar levels within seven days. It is really a matter of days and weeks to really transform someone form going toward the massive complications that come with type 2 diabetes and heart disease and turning them to becoming much healthier,”

Ray Kelly has been running a health program across Australia around the same principles as Dr Michal Mosley in the UK with great success covering some of the toughest areas and working closely with our ACCHO’s /Aboriginal Medical Services (AMS).

Read over 160 Aboriginal Health and Diabetes articles published by NACCHO over past 8 years 

How can you be involved ? Complete this diabetes survey.

 ” This GENERAL POPULATION and HEALTH PROFESSIONAL SURVEY designed to help inform some of the themes in the series.

The survey has been devised with help from The Charles Perkins Centre (Sydney Uni). The aim of the survey is to get an understanding of the experience of certain health conditions, including type 2 diabetes, from the perspective of (i) Australians and (ii) specifically, health professional’s (those involved in diabetes care and prevention as well as those who aren’t ).

Complete the survey HERE 

What we’ve known for many years is that type 2 diabetes is both preventable and reversible.

While the solution followed in the series is pretty simple-short term calorie restriction and using fresh, wholefoods as ‘medicine’- presenters want to highlight that low calorie diet programs aren’t routinely offered by most GPs or funded by Medicare.

Ray Kelly says that the TV series cannot come soon enough as Type 2 Diabetes is the fastest growing condition in the Western world yet it is both preventable and reversible.

“What we’ve known for many years is that type 2 diabetes is both preventable and reversible.”

Across 3 episodes, Ray Kelly and Dr Mosley will also shed a light on confronting health disparities and complexities of diabetes risk and prevalence in Australia.

At times they’ll explore confronting issues asking why diabetes death and hospitalisation rates are twice as high in remote areas than in major cities and why Australians are losing a staggering 4400 limbs to diabetes-related amputations every year.

Ray Kelly encouraged families and individual from all backgrounds, especially of Indigenous ancestry, to participate in the program.

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NACCHO Aboriginal Health and #SugarTax #5Myths @ausoftheyear Dr James Muecke pushing for Scott Morrison’s government to enact a tax on sugary drinks : Money $ raised could be used to fund health promotion

” This year’s Australian of the Year, Dr James Muecke, is an eye specialist with a clear vision.

He wants to change the way the world looks at sugar and the debilitating consequences of diabetes, which include blindness.

Muecke is pushing for Scott Morrison’s government to enact a tax on sugary drinks to help make that a reality.

Such a tax would increase the price of soft drinks, juices and other sugary drinks by around 20%. The money raised could be used to fund health promotion programs around the country.

The evidence backing his calls is strong. ” 

From the Conversation

” A study of intake of six remote Aboriginal communities, based on store turnover, found that intake of energy, fat and sugar was excessive, with fatty meats making the largest contribution to fat intake.

Compared with national data, intake of sweet and carbonated beverages and sugar was much higher in these communities, with the proportion of energy derived from refined sugars approximately four times the recommended intake.

Recent evidence from Mexico indicates that implementing health-related taxes on sugary drinks and on ‘junk’ food can decrease purchase of these foods and drinks.

A recent Australian study predicted that increasing the price of sugary drinks by 20% could reduce consumption by 12.6%.

Revenue raised by such a measure could be directed to an evaluation of effectiveness and in the longer term be used to subsidise and market healthy food choices as well as promotion of physical activity.

It is imperative that all of these interventions to promote healthy eating should have community-ownership and not undermine the cultural importance of family social events, the role of Elders, or traditional preferences for some food.

Food supply in Indigenous communities needs to ensure healthy, good quality foods are available at affordable prices.” 

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

Also Read over 40 Aboriginal Health and Sugar Tax articles published by NACCHO 


Taxes on sugary drinks work

Several governments around the world have adopted taxes on sugary drinks in recent years. The evidence is clear: they work.

Last year, a summary of 17 studies found health taxes on sugary drinks implemented in Berkeley and other places in the United States, Mexico, Chile, France and Spain reduced both purchases and consumption of sugary drinks.

Reliable evidence from around the world tells us a 10% tax reduces sugary drink intakes by around 10%.

The United Kingdom soft drink tax has also been making headlines recently. Since its introduction, the amount of sugar in drinks has decreased by almost 30%, and six out of ten leading drink companies have dropped the sugar content of more than 50% of their drinks.


Read more: Sugary drinks tax is working – now it’s time to target cakes, biscuits and snacks


In Australia, modelling studies have shown a 20% health tax on sugary drinks is likely to save almost A$2 billion in healthcare costs over the lifetime of the population by preventing diet-related diseases like diabetes, heart disease and several cancers.

This is over and above the cost benefits of preventing dental health issues linked to consumption of sugary drinks.

Most of the health benefits (nearly 50%) would occur among those living in the lowest socioeconomic circumstances.

A 20% health tax on sugary drinks would also raise over A$600 million to invest back into the health of Australians.

After sugar taxes are introduced, people tend to switch from sugar drinks to other product lines, such as bottled water and artificially sweetened drinks. l i g h t p o e t/Shutterstock

 

So what’s the problem?

The soft drink industry uses every trick in the book to try to convince politicians a tax on sugary drinks is bad policy.

Here are our responses to some common arguments against these taxes:

Myth 1: Sugary drink taxes unfairly disadvantage the poor

It’s true people on lower incomes would feel the pinch from higher prices on sugary drinks. A 20% tax on sugary drinks in Australia would cost people from low socioeconomic households about A$35 extra per year. But this is just A$4 higher than the cost to the wealthiest households.

Importantly, poorer households are likely to get the biggest health benefits and long-term health care savings.

What’s more, the money raised from the tax could be targeted towards reducing health inequalities.


Read more: Australian sugary drinks tax could prevent thousands of heart attacks and strokes and save 1,600 lives


Myth 2: Sugary drink taxes would result in job losses

Multiple studies have shown no job losses resulted from taxes on sugar drinks in Mexico and the United States.

This is in contrast to some industry-sponsored studies that try to make the case otherwise.

In Australia, job losses from such a tax are likely to be minimal. The total demand for drinks by Australian manufacturers is unlikely to change substantially because consumers would likely switch from sugary drinks to other product lines, such as bottled water and artificially sweetened drinks.

A tax on sugary drinks is unlikely to cost jobs. Successo images/Shutterstock

 

Despite industry protestations, an Australian tax would have minimal impact on sugar farmers. This is because 80% of our locally grown sugar is exported. Only a small amount of Australian sugar goes to sugary drinks, and the expected 1% drop in demand would be traded elsewhere.

Myth 3: People don’t support health taxes on sugary drinks

There is widespread support for a tax on sugary drinks from major health and consumer groups in Australia.

In addition, a national survey conducted in 2017 showed 77% of Australians supported a tax on sugary drinks, if the proceeds were used to fund obesity prevention.

Myth 4: People will just swap to other unhealthy products, so a tax is useless

Taxes, or levies, can be designed to avoid substitution to unhealthy products by covering a broad range of sugary drink options, including soft drinks, energy drinks and sports drinks.

There is also evidence that shows people switch to water in response to sugary drinks taxes.


Read more: Sweet power: the politics of sugar, sugary drinks and poor nutrition in Australia


Myth 5: There’s no evidence sugary drink taxes reduce obesity or diabetes

Because of the multiple drivers of obesity, it’s difficult to isolate the impact of a single measure. Indeed, we need a comprehensive policy approach to address the problem. That’s why Dr Muecke is calling for a tax on sugary drinks alongside improved food labelling and marketing regulations.

Towards better food policies

The Morrison government has previously and repeatedly rejected pushes for a tax on sugary drinks.

But Australian governments are currently developing a National Obesity Strategy, making it the ideal time to revisit this issue.

We need to stop letting myths get in the way of evidence-backed health policies.

Let’s listen to Dr Muecke – he who knows all too well the devastating effects of products packed full of sugar.

NACCHO Aboriginal Children’s Health #BacktoSchool : What our kids eat can affect not only their physical health but also their mood, mental health and learning

“When kids eat a healthy diet with a wide variety of fruit and vegetables in that diet, they actually perform better in the classroom.​     

They’re going to have better stamina with their work, and at the end of the day it means we’ll get better learning results which will impact on them in the long term.”

Marlborough Primary School principal

We know that fuelling children with the appropriate foods helps support their growth and development.

But there is a growing body of research showing that what children eat can affect not only their physical health but also their mood, mental health and learning.

The research suggests that eating a healthy and nutritious diet can improve mental health¹, enhance cognitive skills like concentration and memory²‚³ and improve academic performance⁴.

In fact, young people that have the unhealthiest diets are nearly 80% more likely to have depression than those with the healthiest diets

Continued Part 1 Below

Aboriginal and Torres Strait Islander people suffer increased risk of chronic disease such as type 2 diabetes and heart disease.

Eating healthy food and being physically active lowers your risk of getting kidney disease and type 2 diabetes, and of dying young from heart disease and some cancers.

Being a healthy weight can also makes it easier for you to keep up with your family and look after the kids, nieces, nephews and grandkids. “

Continued Part 2 Below

Part 1

Children should be eating plenty of nutritious, minimally processed foods from the five food groups:

  1. fruit
  2. vegetables and legumes/beans
  3. grains (cereal foods)
  4. lean meat and poultry, fish, eggs, tofu, nuts and seeds, and legumes/beans
  5. milk, yoghurt, cheese and/or their alternatives.

Consuming too many nutritionally-poor foods and drinks that are high in added fats, sugars and salt, such as lollies, chips and fried foods has been connected to emotional and behavioural problems in children and adolescents⁵.

In fact, young people that have the unhealthiest diets are nearly 80% more likely to have depression than those with the healthiest diets¹.

Children learn from their parents and carers. If you want your children to eat well, set a good example. If you help them form healthy eating habits early, they’re more likely to stick with them for life.

So here are some good habits to start them on the right path.

Eat with your kids, as a family, without the distraction of the television. Children benefit from routines, so try to eat meals at regular times.

Make sure your kids eat breakfast too – it’s a good source of energy and nutrients to help them start the day. Good choices are high-fibre, low-sugar cereals or wholegrain toast. It’s also a good idea to prepare healthy snacks in advance for them to eat in between meals.

Encourage children to drink water or milk rather than soft drinks, cordial, sports drinks or fruit juice drinks – don’t keep these in the fridge or pantry.

Children over the age of two years can be given reduced fat milk, but children under the age of two years should be given full cream milk.

Why are schools an important place to make changes?

Schools can play a key role in influencing healthy eating habits, as students can consume on average 37% of their energy intake for the day during school hours alone!6

A New South Wales survey found that up to 72% of primary school students purchase foods and drinks from the canteen at least once a week7. Also, in Victoria, while around three-quarters (77%) of children meet the guidelines for recommended daily serves of fruit, only one in 25 (4%) meet the guidelines for recommended daily serves of vegetables8; and discretionary foods account for nearly 40 per cent of energy intake for Victorian children9.

It’s never too late to encourage healthier eating habits – childhood and adolescence is a key time to build lifelong habits and learn how to enjoy healthy eating.

Get started today

You can start to improve students’ learning outcomes and mental wellbeing by promoting healthy eating throughout your school environment.

Some ideas to get you started:

This blog article was originally published on Healthy Eating Advisory Service . 

Part 2

Aboriginal and Torres Strait Islander people suffer increased risk of chronic disease such as type 2 diabetes and heart disease.

Eating healthy food and being physically active lowers your risk of getting kidney disease and type 2 diabetes, and of dying young from heart disease and some cancers.

Being a healthy weight can also makes it easier for you to keep up with your family and look after the kids, nieces, nephews and grandkids.

Aboriginal and Torres Strait Islander people may find it useful to chose store foods that are most like traditional animal and plant bush foods – that is, low in saturated fat, added sugar and salt – and use traditional bush foods whenever possible.

The Healthy Weight Guide provides information about maintaining and achieving a healthy weight.

It tells you how to work out if you’re a healthy weight. It lets you know up-to-date information about what foods to eat and what foods to avoid and what and how much physical activity to do. It gives you tips on setting goalsmonitoring what you dogetting support and managing the challenges.

There are also tips on how to eat well if you live in rural and remote areas.

The national Live Longer! Local Community Campaigns Grants Program supports Indigenous communities to help their people to work towards and maintain healthy weights and lifestyles. For more information, see Live Longer!.

Part 3 Parents may not always realise that their children are not a healthy weight.

If you think your child is underweight, the following information will not apply to your situation and you should seek advice from a health professional for an assessment.

If you think your child is overweight you should see your health professional for an assessment. However, if you’re not sure whether your child is overweight, see if you recognise some of the signs below. If you are still not sure, see your health professional for advice.

Overweight children may experience some or all of the following:

  • Having to wear clothes that are too big for their age
  • Having rolls or skin folds around the waist
  • Snoring when they sleep
  • Saying they get teased about their weight
  • Difficulty participating in some physically active games and activities
  • Avoiding taking part in games at school
  • Avoiding going out with other children

Signs that a child is at risk of becoming overweight, if they are not already, include:

  • Eating lots of foods high in saturated fats such as pies, pasties, sausage rolls, hot chips, potato crisps and other snacks, and cakes, biscuits and high-sugar muesli bars
  • Eating take away or fast food meals more than once a week
  • Eating lots of foods high in added sugar such as cakes, biscuits, muffins, ice-cream and deserts
  • Drinking sugar-sweetened soft drinks, sports drinks or cordials
  • Eating lots of snacks high in salt and fat such as hot chips, potato crisps and other similar snacks
  • Skipping meals, including breakfast, regularly
  • Watching TV and/or playing video games or on social networks for more than two hours each day
  • Not being physically active on a daily basis.

For more information:

References for Part 1

1 Jacka FN, et al. Associations between diet quality and depressed mood in adolescents: results from the Australian Healthy Neighbourhoods Study. Aust N Z J Psychiatry. 2010 May;44(5):435-42. https://doi.org/10.3109/00048670903571598571598
2 Gómez-Pinilla, F. (2008). Brain foods: The effects of nutrients on brain function. Nature Reviews Neuroscience, 9(7), 568-578. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2805706/
3 Bellisle, F. (2004). Effects of diet on behaviour and cognition in children. British Journal of Nutrition, 92(2), S227–S232
4 Burrows, T., Goldman, S., Pursey, K., Lim, R. (2017) Is there an association between dietary intake and academic achievement: a systematic review. J Hum Nutr Diet. 30, 117– 140 doi: 10.1111/jhn.12407. https://onlinelibrary.wiley.com/doi/pdf/10.1111/jhn.12407
5 Jacka FN, Kremer PJ, Berk M, de Silva-Sanigorski AM, Moodie M, Leslie ER, et al. (2011) A Prospective Study of Diet Quality and Mental Health in Adolescents. PLoS ONE 6(9): e24805. https://doi.org/10.1371/journal.pone.0024805
6 Bell AC, Swinburn BA. What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr2004;58:258–63
7 Hardy L, King L, Espinel P, et al. NSW Schools Physical Activity and Nutrition Survey (SPANS) 2010: Full Report (pg 97). Sydney: NSW Ministry of Health, 2011
8 Department of Education and Training 2019, Child Health and Wellbeing Survey – Summary Findings 2017, State Government of Victoria, Melbourne.
9 Department of Health and Human Services 2016, Victoria’s Health; the Chief Health Officer’s report 2014, State Government of Victoria, Melbourne.

 

 

NACCHO Aboriginal Health and #Nutrition News : @CAACongress and @Apunipima ACCHO’s partner with Queensland Uni @UQ_NEWs in 3 year study to fight food insecurity in our Indigenous communities

“We have high rates of iron deficiency anaemia in women and young children and we know this is caused by inadequate iron in the diet.

Iron-rich foods are very expensive in remote communities, and it is believed this is a key factor in causing the deficiency.

The study will enable key foods to be reduced in price and determine the impact this has on their consumption and subsequent health concerns. It will also enable the issue of food security to be more widely discussed.”

Congress chief executive Donna Ah Chee (And NACCHO board member ) said the organisation was pleased to be partnering with Apunipima Health Service and the UQ “in this really important study, the first of its kind in Central Australia”.

Download also Congress obesity submission 

Congress-Submission-to-the-National-Obesity-Strategy-Dec-2019

You can read all Aboriginal Health and Nutrition articles published by NACCHO 2012 to 2019 HERE

Working with communities to improve food security for Aboriginal and Torres Strait Islander children will be the focus of a significant University of Queensland study.

The three-year research project, designed in conjunction with the Apunipima Cape York Health Council and the Central Australian Aboriginal Congress, will be funded by a $2 million-plus National Health and Medical Research Council grant to UQ’s School of Public Health.

The study’s phase one will analyse how price discounts, offered via loyalty cards, impact on affordability of a healthy diet.

Phase two will capture participants’ experiences through photos, and use these to develop a framework of solutions that can be translated to health policy.

Dr Megan Ferguson said growing poverty and high food costs were key causes of food insecurity for 31 per cent of Aboriginal and Torres Strait Islander people living in remote communities, although research suggests this may be as high as 62 per cent.

“Food insecurity leads to hunger, anxiety, poor health, including under-nutrition, obesity and disease, and inter-generational poverty,” Dr Ferguson said.

“We will be working with communities to identify effective mechanisms to improve food security and enable healthy diets in remote Australia.”

This would be done through a community-led framework and knowledge-sharing solutions.

“Pregnant and breastfeeding women, and carers of children aged under five, will be involved in the study in Central Australia and Cape York,” Dr Ferguson said.

“Improving food security for the whole family, especially women and children, will improve diet quality and health, and give children the best start in life for generations to come.”

Clare Brown, Apunipima’s Nutrition Advisor, said the organisation was pleased to co-lead “this important project”.

“It has come together through a very positive co-design process between researchers and Aboriginal community controlled health service providers,” Ms Brown said.

“The project’s community-led focus supports our way of working respectfully with Cape York communities, and is reflected in the Food Security Position Statement of Apunipima’s board,” Ms Brown said.

Menzies School of Health Research, Monash University, James Cook University and Canada’s Dalhousie University are also involved in the study.

 

NACCHO Aboriginal Children’s Health and @TAPPCentre #ChildSafety : @Walgett_AMS #PoolDay Community-led solutions will improve Aboriginal child safety promote community-building, togetherness, health and wellbeing and health promotion activity

“A Prevention Centre project looking at Aboriginal child injury launched its first community event on Saturday 30 November at Walgett Swimming pool. Focusing on water safety, nearly 400 people gathered at the pool to swim, talk, play and focus on the wellbeing of their young people.

A Prevention Centre project promoting Aboriginal child injury prevention held its first community event on Saturday 30 November at Walgett Swimming Pool.

The Walgett Pool Day was led by local Aboriginal community-controlled organisations as a fun and positive day for families to be together and safely enjoy the pool.”

Originally published by the Prevention Centre HERE

Read over 370 Aboriginal Children’s Health articles published by NACCHO over past 7 Years 

NACCHO Announcement 2020

After 2,800 Aboriginal Health Alerts over 7 and half years from www.nacchocommunique.com NACCHO media will cease publishing from this site as from 31 December 2019 and resume mid January 2020 with posts from www.naccho.org.au

For historical and research purposes all posts 2012-2019 will remain on www.nacchocommunique.com

Your current email subscription will be automatically transferred to our new Aboriginal Health News Alerts Subscriber service that will offer you the options of Daily , Weekly or Monthly alerts

For further info contact Colin Cowell NACCHO Social Media Media Editor

Almost 400 people attended, with free entry to the pool for a day of yarning, talking about what Walgett Aboriginal Medical Service (WAMS) Goonimoo Mobile Children’s Services will be delivering next year, barbecue, salad, fruit, iced water and the chance to win a family pool season pass.

Injury is the leading cause of death in Australian children. Programs targeting parents of young children offer an opportunity for engagement and improving health literacy around injury prevention throughout children’s lives.

Programs also need to target community-level factors that affect injuries like the physical environment and policies. Change at this level requires community buy-in; relationship-building and events like the pool day build good will and positive associations with the program.

“Parents are really keen to get involved to keep their kids safe. They have ideas about what can be done at a community level and they’re also keen to learn more about what they can do to prevent injuries.” Tara Smith, Goonimoo Child Injury Prevention Educator.

Community-led

Working closely with local community groups, the Child Injury Prevention Program (CHIPP) has been developed as a community-led project and will be delivered through the existing supported playgroup Goonimoo run by WAMS which works with other local children’s services. This leverages existing knowledge and expertise about local service delivery and the relationships with Walgett families attending this well-established organisation.

“We’ve been having lots of informal yarns with parents during playgroup about the sorts of activities they want to do. We also held some formal research yarning groups with Nellie and Mel from UNSW at Goonimoo, with WAMS health personnel and other local children’s services,” said Amy Townsend Manager of Walgett Aboriginal Medical Service’s Goonimoo Mobile Children’s Services.

“We asked parents what sorts of injury issues they are concerned about and the topics they’d be interested in covering next year,” said Amy.

Parent involvement key to child safety

The involvement of parents is key to the success of the program and research shows it’s an effective route to reducing child injury.

“Parents are really keen to get involved to keep their kids safe. They have ideas about what can be done at a community level and they’re also keen to learn more about what they can do to prevent injuries,” said Tara Smith, Goonimoo Child Injury Prevention Educator.

“They also want to learn first aid – things like CPR and first aid for choking and snake bites – because we’re often a long way from help out here. Snake bites are a big issue in our community, so this is a priority area. Parents are keen, and always encouraged to have a say about the sorts of activities they want to do at Goonimoo’s playgroup ,” said Tara.

Tara has been working with Goonimoo for several years as a qualified educator, prior to which she was an Aboriginal Health Worker at Walgett Aboriginal Medical Service. Tara’s focus in 2020 is on delivering and refining the CHIPP program. Tara is currently studying to become an Aboriginal Health Practitioner.

“I’m learning a lot about child injury. For example, I’ve just been to Sydney to start the Austswim Teacher of Swimming and Water Safety course so we can do ‘parents and bubs’ water familiarisation play sessions at the pool next year. Aboriginal families don’t really have access to these sort of water activities in Walgett at the moment,” said Tara.

Tara also co-presented about CHIPP with Dr Melanie Andersen at the Australasian Injury Prevention Network Conference in Brisbane in November.

Walgett Pool Day

Walgett is situated at the junction of the Barwon and Namoi rivers, and the community has a healthy respect for the importance of water safety. CHIPP’s focus on water safety in term one was the result of community consultation.

Walgett’s pool has always been a strong focus for the community to come together, exercise and get some welcome respite from its long, dry summers, particularly now that the rivers are very depleted due to the drought.

“The CHIPP team has yarned with parents about what they’d like from the program, and about injury prevention in general, over the past few months. The Walgett Pool Day was a great opportunity to reach families to promote Goonimoo and the CHIPP program. We also had a few good yarns with the pool manager about water safety, existing and previous swimming programs at Walgett and the pool-based playgroup next year” said Dr Melanie Andersen from UNSW,  a key investigator on the Prevention Centre project.

“The turnout was great and we think that was a result of a long period of promotion by Goonimoo and combining forces with Yuwaya Ngarra-li and Dharriwaa Elders Group so families had transport to and from the pool. The pool was packed with children and families having a ball and cooling down on the 38oC day. We spoke to many people about the program and we’re looking forward to seeing them at the parents and bubs swimming sessions in 2020,” said Dr Andersen.

Community organisations key to success

The success of the Walgett Pool Day is down to the strong local Aboriginal community-controlled organisations who collaborated to bring people together.

“Yuwaya Ngarra-li – the partnership between Walgett’s Dharriwaa Elders Group (DEG) and UNSW, were doing their annual community data gathering day with children and young people. Because the CHIPP program was introduced to Walgett through the Yuwaya Ngarra-li partnership, we decided to combine our resources,” said Wendy Spencer, Project Manager with Dharriwaa Elders Group and Yuwaya Ngarra-li (Dharriwaa Elders Group’s formal research partnership with UNSW Sydney).

“WAMS, DEG, Yuwaya Ngarra-li and the CHIPP team all contributed resources including staff time, food, accommodation, transport, sun-safety giveaways like hats and sunscreen and other resources to make the day a success. We were also pleased that Mission Australia kindly ran the barbecue and the Police Citizens Youth Club provided the music. I was really pleased with the happy good vibe of the day where we had the opportunity to provide some good food, free entry and a fun family time at the pool to cap off a difficult year for everyone in Walgett,”said Wendy.

The day was such a success that Walgett Aboriginal Medical Service will hold two additional community pool days this summer to promote community-building, togetherness, health and wellbeing and as a forum for health promotion activity.

“CHIPP will begin again in earnest next year at Goonimoo, aiming to start off in term one at the pool with parents and bubs water play sessions. The program will focus around activity and play,” said Dr Mel Andersen.

“So, for example, while Goonimoo staff teach parents water familiarisation activities to do with their kids that build water skills, staff will also yarn about drowning prevention. Each school term will have a different injury prevention focus, including sport and physical activity, home safety and road safety.”

Walgett community tips for child water safety

  • Close and constant active adult supervision is the key, even in shallow water
  • Drowning is quick and silent
  • Teach swimming and water safety as early as possible
  • Talk to your children, explain the potential for danger but have fun

Read more

All images © 2019 Dharriwaa Elders Group

Story by Helen Loughlin, Senior Communications Officer

Published: 17 December 2019

NACCHO Aboriginal Children’s Health Resources : Download report : Why we need to rethink Aboriginal childhood #obesity ? Q and A with @SaxInstitute @simonesherriff

 
“Rates of obesity are high among Aboriginal children, but there’s a lack of policies, guidelines and programs to tackle the issue. Now a new paper published this week in the December issue of Public Health Research & Practice is calling for more meaningful engagement with Aboriginal communities to better address childhood obesity.

Here, lead author Simone Sherriff, a Wotjobaluk woman, PhD student and project officer with the Study of Environment on Aboriginal Resilience and Child Health (SEARCH) at the Sax Institute talks about the paper and her take on the obesity challenges facing Aboriginal communities.

Download Copy of Paper 

ATSI Childhood Obesity

Read over 70 Aboriginal Health and Obesity articles published by NACCHO over the past 7 Years 

Q: Childhood obesity is a national concern, but as your paper points out, Aboriginal children are far more profoundly affected than non-Aboriginal children. What’s going on?

A: I think it’s complicated, but in order to better understand Aboriginal childhood obesity we need to look beyond general individual risk factors, and consider how colonisation has impacted and continues to impact on the health and wellbeing of our people and communities today.

For example, Aboriginal people were forced off Country, unable to access traditional foods and made to adopt unhealthy western diets whilst living on missions and reserves.

Another thing that should be considered is the exclusion of Aboriginal people in Australia from education, health, politics and all systems, so it’s no wonder we see a gap between our health and the rest of the Australian population and continue to see a lack of relevant policies and programs from state and national governments.

These bigger structural and systemic issues are like a waterfall flowing on to affect communities, families and individuals. And until these issues are addressed, it’s going to be very difficult to close the gap on childhood obesity.

Q: What’s currently being done to address childhood obesity among Aboriginal children?

A: There are many great healthy lifestyle programs for preventing childhood obesity within our Aboriginal Community Controlled Health Service (ACCHS) sector, but generally there’s a lack of investment and funding into these services by government.

This is unfortunate because I think the rest of Australia could learn a lot from the model of healthcare that the ACCHS sector provides for our people. As Darryl Wright, the CEO of Tharawal Aboriginal Medical Corporation always says – our ACCHSs are like one-stop shops catering for all parts of a person’s health and wellbeing. So rather than looking at childhood obesity and thinking only about healthy eating and exercise, this kind of model considers a more holistic approach and the range of things that could be impacting on a person’s health and the community.

As mentioned in our paper, there are also a number of government and mainstream programs targeting healthy weight that have been culturally adapted for Aboriginal children and families. One example is the NSW Go4Fun program, which is designed for 7- to 13-year-olds who are above a healthy weight. When they did an evaluation of the mainstream Go4Fun program, they noticed that there were quite a few Aboriginal children who came into the program, but they had very low completion rates.

This evaluation led Go4Fun to consult with Aboriginal organisations and communities to understand how to improve the program to be more culturally appropriate. And as a result, organisers changed the way they were running the program and also set up Aboriginal advisory groups at local health districts. It’ll be interesting to see if this has positive impacts for the local participating communities.

Q: What are the biggest challenges for these existing programs?

A: There are a few, but the biggest challenge is that these programs are created and developed by non-Aboriginal people for Aboriginal children, meaning that they’re not always relevant, or they don’t consider the holistic approach that’s required to address childhood obesity.

Another important challenge is that some mainstream childhood obesity programs haven’t collected information on Aboriginal children separately, so even though there might be Aboriginal children participating in these programs, they tend not to report those separately.

We also need to consider the focus of these programs, which are currently targeting childhood obesity with healthy eating, education and physical activity. Although these are really important, lots of Aboriginal families are food insecure – which means they’re running out of food and can’t access food or afford to buy more. Recent data shows that 1 in 4 Aboriginal people are food insecure. I believe these rates are underestimated and the rates of Aboriginal families who are food insecure would actually be much higher than this data shows. This is compared with fewer than 1 in 20 people in the general population.

So how are programs that target healthy eating meant to be effective if people can’t even afford to buy food or can’t access it? Again, it’s going back to those bigger issues.

Q: How can Australia begin closing the gap on childhood obesity?

A: I think one thing that could be done is there needs to be more funding and resources put into the Aboriginal Community Controlled Health Service sector, as they’re run by their community for their community, so they’re best placed to design, implement and evaluate childhood obesity programs. And currently there are no specific policies for Aboriginal childhood obesity – we’re just mentioned as a target group within the general childhood obesity policies. That could be another good place to start.

The Study of Environment on Aboriginal Resilience and Child Health (SEARCH) team.

 

 

 

 

 

 

 

 

 

Q: Why is it so important to have locally-informed, culturally appropriate programs?

A: There is evidence that programs led and delivered by Aboriginal communities lead to better health outcomes for their community. I think it’s so important to have Aboriginal people in leadership and key decision-making roles with a proper seat at the table within all of these systems. And it’s also important to ensure that local Aboriginal voices are heard and they are leaders and drivers of local programs.

If not, I think it’s impossible for government and non-Aboriginal service providers to deliver programs and policies that are going to have a positive impact on the health of our mob. To see real gains, we need all government policies and programs to value self-determination, and these systems need to decolonise for all Australians to be able to have good health.

Find out more

NACCHO Aboriginal Health and Alcohol other Drugs: Peak public health bodies @_PHAA_ And @FAREAustralia respond to Health Minister @GregHuntMP launch of National Alcohol Strategy 2019-28 : Download Here

The federal government will spend $140m on drug and alcohol prevention and treatment programs but has ruled out measures such as hiking taxes on cask wine.

Health Minister Greg Hunt announced the National Alcohol Strategy 2019-28 has been agreed with the states following protract­ed negotiations.

The strategy outlines agreed policy options in four priority areas: community safety, price and promotion, treatment and prevention.

Health lobby groups have pushed for reform in two major areas: the introduction of a minimum floor price for alcohol by state governments, and the introduction of a volumetric tax, based on the amount of alcohol in a beverage, by the commonwealth. ”

From The Australian Health Editor Natasha Robinson (See in full part 1 below )

Read over 200 Aboriginal health and Alcohol other drugs articles published by NACCHO over the past 7 years 

” Overall, Aboriginal and Torres Strait Islander people are more likely to abstain from drinking alcohol than non-Aboriginal and Torres Strait Islander people (31% compared with 23% respectively).

However, among those who did drink, higher proportions drank at risky levels (20% exceeding the lifetime risk guidelines) and were more likely to experience alcohol-related injury than non-Aboriginal and Torres Strait Islander people (35% compared to 25% monthly, respectively).

For this reason, Aboriginal and Torres Strait Islander people experience disproportionate levels of harm from alcohol, including general avoidable mortality rates that are 4.9 times higher than among non-Aboriginal and Torres Strait Islander people, to which alcohol is a contributing factor.

The poorer overall health, social and emotional wellbeing of Aboriginal and Torres Islander people than non-Aboriginal and Torres Strait Islander people are also significant factors which can influence drinking behaviours. ” 

Page 8 of National Strategy Aboriginal and Torres Strait Islander people

Download the full strategy HERE

national-alcohol-strategy-2019-2028

 ” The Public Health Association of Australia (PHAA) is pleased the National Alcohol Strategy 2019-2028 is finally out but said it lacked ambition to prevent Australians suffering adverse health impacts of alcohol consumption.

“It is good news to have this strategy now finalised, albeit many years in the making and with too much influence from the alcohol industry,”

PHAA CEO Terry Slevin  : See part 2 below for full press release 

Australia has not had a national strategy since 2011 and we congratulate Health Minister Greg Hunt for spearheading this successful outcome. 

Given the high burden of harm from alcohol, including 144,000 hospitalisations each year, we trust that the NAS will support proportionate action from the Commonwealth, states and territories to protect Australians and their families,

 FARE has also welcomed the Minister’s announcement that the Government will commission a report to estimate the social costs of alcohol to the community.  

Australia faces a $36 billion a year alcohol burden, with approximately a third due to alcohol dependence, a third caused by injuries, and the final third due to chronic diseases such as cancer and cardiovascular diseases,

FARE Director of Policy and Research Trish Hepworth. See part 3 below for full press release 

 ” Alcohol places an enormous burden on our healthcare resources on our society and ultimately on us as a nation.

Alcohol is currently the sixth leading contributor to the burden of disease in Australia, as well as costing Australian taxpayers an estimated $14 billion annually in social costs.

The AMA has previously outlined the priorities we would like to see reflected in the Strategy, including action on awareness, taxation, marketing, and prevention and treatment services.

Implementing effective and practical measures that reduce harms associated with alcohol misuse will benefit all Australians.”

AMA President, Dr Tony Bartone : See Part 4 Below for full Press Release 

Part 1 The Australian Continued 

The National Alcohol Strategy lists the introduction of a volumetric tax as one policy ­option, but Mr Hunt said the commonwealth was ruling out such taxation reform.

“The government considers Australia’s current alcohol tax settings are appropriate and has no plans to make any changes,” the minister’s office said.

Mr Hunt said there were “mixed views” among the states on the introduction of a minimum floor price for alcohol — the Northern Territory is the only jurisdiction to introduce this measure — but such policy remained an option for the states.

Mr Hunt said the national strategy had laid out a path towards Australia meeting a targeted 10 per cent reduction in harmful alcohol consumption.

“There’s a balance been struck, what this represents is an attempt to lay out a pathway to reducing alcohol abuse and reducing self-harm and violence that comes with it,” Mr Hunt said.

“The deal-maker here was the commonwealth’s investment in drug and alcohol treatment. That was the most important part. Now we’d like to see the states match that with additional funds, but we won’t make our funds ­dependent upon the states.”

Health groups welcomed the finalisation of the national strategy. Alcohol Drug Foundation chief executive Erin Lalor said it was now up to governments to act on the outlined policies. “The strategy means we can now start doing and stop talking, because it’s been in development for a ­really long time,” Ms Lalor said.

“We’ve now got really clear options that we can focus on and it’s up to governments around Australia and other groups working to reduce alcohol-related harm and the alcohol industry to start to take serious measures and evidence-based measures that will reduce the significant harm from alcohol.”

Ms Lalor was disappointed the government had ruled out a volumetric tax. “We have been advocating for a long time for volumetric tax to be introduced. The strategy outlines it and we would hope to see pricing and taxation of alcohol being adopted to reduce alcohol-related harms.”

Canberra will spend $140m on programs to combat alcohol and drug addiction.

Primary Health Networks will receive $131.5m to commission new and existing drug and ­alcohol treatment services, while the government will commission a new report to estimate the social costs of alcohol to society.

Part 2 Belated alcohol strategy is a missed opportunity

The Public Health Association of Australia (PHAA) is pleased the National Alcohol Strategy 2019-2028 is finally out but said it lacked ambition to prevent Australians suffering adverse health impacts of alcohol consumption.

“It is good news to have this strategy now finalised, albeit many years in the making and with too much influence from the alcohol industry,” PHAA CEO Terry Slevin said.

“The strategy recommends important policy options that can reduce alcohol related harm via both national and state level efforts.”

“All governments should invest in and commit to reducing the health and social burden of excess alcohol consumption,” Mr Slevin said.

“It is a shame the federal government has again ruled out the option of volumetric tax on alcohol, which is a fairer and more sensible way of taxing alcohol.

“This is about stopping people from getting injured, ill or dying due to alcohol, so why rule out this option?”

“The current alcohol tax system is a mess and is acknowledged as such by anyone who has considered the tax system in Australia.”

“We hope this important reform will again be considered at a time in the near future.“

“Let’s remember that alcohol is Australia’s number one drug problem. Harmful levels of consumption are a major health issue, associated with increased risk of chronic disease, injury and premature death,” Mr Slevin said.

“The announcement of funding for drug treatment services is modest but we welcome the support for a report assessing the social cost of alcohol.”

“When that report is completed we hope it will influence alcohol policy into the future.”

Part 3 The Foundation for Alcohol Research and Education (FARE) congratulates Federal, State and Territory Ministers for finalising the National Alcohol Strategy 2019–2028 (the NAS).

“Australia has not had a national strategy since 2011 and we congratulate Health Minister Greg Hunt for spearheading this successful outcome,” said FARE Director of Policy and Research Trish Hepworth.

“Given the high burden of harm from alcohol, including 144,000 hospitalisations each year, we trust that the NAS will support proportionate action from the Commonwealth, states and territories to protect Australians and their families,” she said.

FARE has also welcomed the Minister’s announcement that the Government will commission a report to estimate the social costs of alcohol to the community.

“Australia faces a $36 billion a year alcohol burden, with approximately a third due to alcohol dependence, a third caused by injuries, and the final third due to chronic diseases such as cancer and cardiovascular diseases,” Ms Hepworth said.

“In implementation, we urge governments to take action to increase the community’s awareness of the more than 200 injury conditions and life-threatening diseases caused by alcohol,” she said.

FARE strongly encourages the Federal Government to revisit alcohol taxation reform, which would be the most effective way to reduce the death toll from alcohol-related harm, which is almost 6,000 people every year.

“We know from multiple reviews that alcohol taxation is the most cost-effective measure to reduce alcohol harm because measures can be targeted towards reducing heavy drinking, while providing government with a source of revenue,” Ms Hepworth said.

Part 4 AMA

The announcement that the National Alcohol Strategy 2019–2028 (the NAS) has been agreed to by all States and Territories is welcome, but it is disappointing that it does not include a volumetric tax on alcohol, AMA President, Dr Tony Bartone, said today.

“The last iteration of the NAS expired in 2011, so this announcement has been a long time coming,” Dr Bartone said.

“The AMA supports the positive announcements by the Government to reduce the misuse of alcohol. However, they simply do not go far enough.

“An incredibly serious problem in our community needs an equally serious and determined response.

“Doctors are at the front line in dealing with the devastating effects of excessive alcohol consumption. They treat the fractured jaws, the facial lacerations, the eye and head injuries that can occur as a result of excessive drinking.

“Doctors, and those working in hospitals and ambulance services, see the deaths and life-long injuries sustained from car accidents and violence fuelled by alcohol consumption.

“Healthcare staff, including doctors, often bear the brunt of alcohol-fuelled violence in treatment settings. Alcohol and other drugs in combination are often a deadly cocktail.

“Prolonged excessive amounts contribute to liver and heart disease, and alcohol is also implicated in certain cancers.

“All measures that reduce alcohol-fuelled violence and the harm caused by the misuse of alcohol, including taxing all products according to their alcohol content, should be considered in a national strategy.

“For this reason, we are extremely disappointed that the Government has ruled out considering a volumetric tax on alcohol.

“A national, coordinated approach to alcohol policy will significantly improve efforts to reduce harm.

“Alcohol places an enormous burden on our healthcare resources on our society and ultimately on us as a nation.

“Alcohol is currently the sixth leading contributor to the burden of disease in Australia, as well as costing Australian taxpayers an estimated $14 billion annually in social costs.

“The AMA has previously outlined the priorities we would like to see reflected in the Strategy, including action on awareness, taxation, marketing, and prevention and treatment services.

“Implementing effective and practical measures that reduce harms associated with alcohol misuse will benefit all Australians.”

Background

  • The Australian Institute of Health and Welfare found that alcohol and illicit drug use were the two leading risk factors for disease burden in males aged 15-44 in 2011.
  • The AIHW has linked alcohol use to 26 diseases and injuries, including six types of cancer, four cardiovascular diseases, chronic liver disease, and pancreatitis, and estimated that in 2013 the social costs of alcohol abuse in Australia was more than $14 billion.
  • A study conducted by the Australasian College for Emergency Medicine in 2014 found that during peak alcohol drinking times, such as the weekend, up to one in eight hospital patients were there because of alcohol-related injuries or medical conditions. The report noted that the sheer volume of alcohol-affected patients created more disruption to Emergency Departments than those patients affected by ice.

 

NACCHO Aboriginal Health and #ChronicDisease #Prevention News : @ACDPAlliance Health groups welcome action on added sugars labelling and further consider 10 recommendations to improve the Health Star Rating system

 

“Industry spends vast amounts of money advertising unhealthy foods, so it is essential that nutrition information is readily available to help people understand what they are eating and drinking.

Two in three Australian adults are overweight or obese and unhealthy foods, including those high in added sugars, contribute greatly to excess energy intake and unhealthy weight gain”

Chair of the Australian Chronic Disease Prevention Alliance Sharon McGowan said food labelling is an important part of understanding more about the products we consume every day

Read previous 70 NACCHO Aboriginal Health and Nutrition Healthy foods articles

The five year review of the HSR system (the Review) has now been completed. See Part 2 Below

Five Year Review of the Health Star Rating System – PDF 3211 KB

The Australian Chronic Disease Prevention Alliance welcomes the recent decisions to improve food labelling and provide clear and simple health information on food and drinks.

The Australia and New Zealand Ministerial Forum on Food Regulation announced yesterday it would progress added sugars labelling and further consider 10 recommendations to improve the Health Star Rating system.

Decisions were also made to provide a nationally consistent approach to energy labelling on fast food menu boards and consider the contribution of alcohol to daily energy intake.

Current Health Star Rating system.

Ms McGowan said overweight and obesity is a key risk factor for many chronic diseases.

“We welcome improvements to existing labelling systems to increase consumer understanding and provide an incentive for industry to create healthier products.”

The Ministerial Forum also released the independent review of the Health Star Rating system with 10 recommendations for strengthening the system, including changes to how the ratings are calculated, and setting targets and timeframes for industry uptake.

The Australian Chronic Disease Prevention Alliance has been advocating to improve the Health Star Rating system for years. While the Alliance supports stronger changes to the ratings calculator, Ms McGowan said it was promising to see recommendations enhancing consistency of labels and proposing a mandatory response if voluntary targets are not met.

“Under the current voluntary system, only around 30 percent of eligible products display the health star rating on the label and some manufacturers are applying ratings to the highest scoring products only,” Ms McGowan said.

SMH Editorial The epidemic of childhood obesity and chronic health conditions linked to bad diet has turned supermarket aisles into the front line of one of the hardest debates in politics.

“To truly achieve its purpose and help people compare products, the rating needs to be visible and consistently applied to all foods and drinks.”

The recommendations to improve the Health Star Rating system will be considered by Ministers later this year.

Ms McGowan added “We know that unhealthy food and drinks are a major contributor to overweight and obesity, and that food labelling should be part of an overall approach to creating healthier food environments.”

Read the Health Star Rating report here and the Ministerial Forum communique here.

The five year review of the HSR system (the Review) has now been completed.

Five Year Review of the Health Star Rating System – PDF 3211 KB
Five Year Review of the Health Star Rating System – Word 16257 KB

The five year review of the HSR system considered if and how well the objectives of the system have been met and has identified several options for improvements to the system, including communication, monitoring, governance and system/calculator enhancements.

The Review found that the HSR system has been performing well. Whilst there is a broad range of stakeholders with diverse opinions, there is also strong support for the system to continue.

The recommendations contained in the Review Report are designed to address some of the key criticisms of the current system. The key recommendations from the report are that:

  • the HSR system continue as a voluntary system with the addition of some specific industry uptake targets and that the Australian, state and territory and New Zealand governments support the system with funding for a further four years;
  • that changes are made to the way the HSR is calculated to better align with Dietary Guidelines, and including fruit and vegetables into the system; and
  • that some minor changes are made to the governance of the system, including transfer of the HSR calculator to Food Standards Australia New Zealand.

The next steps will be for members of the Australia and New Zealand Ministerial Forum on Food Regulation to respond to the Review Report, and the recommendations contained within. It is anticipated that Forum will respond before the end of 2019.
Five Year Review – Draft Report

A draft of the review report was made available for public comment on the Australian Department of Health’s Consultation Hub from Monday 25 February 2019 until midnight Monday 25 March 2019. Following consideration of comments received, the report will be finalised and provided to the Australia and New Zealand Ministerial Forum on Food Regulation (through the HSRAC and the Food Regulation Standing Committee) in mid-2019. mpconsulting sought targeted feedback on the draft recommendations – in particular, any comments on inaccuracies, factual errors and additional considerations or evidence that hadn’t previously been identified.

Draft Five Year Review Report – PDF 2928 KB
Draft Five Year Review Report – Word 21107 KB

A list of submissions for which confidentiality was not requested is below; submissions are available on request from the Front-of-Pack Labelling Secretariat via frontofpack@health.gov.au.

List of submissions: draft five year review report – PDF 110 KB
List of submissions: draft five year review report – Excel 13 KB
Five Year Review – Consultation

Detail on previous opportunities to provide feedback during and on the review are available on the Stakeholder Consultation page.

public submission process for the five year review was conducted between June and August 2017. mpconsulting prepared a report on these submissions and proposed a future consultation strategy. A list of submissions made is also available.

Submissions to the five year review of the HSR system – PDF 446 KB
Submissions to the five year review of the HSR system – Excel 23 KB

Report on Submissions to the Five Year Review of the Health Star Rating System – PDF 736 KB
Report on Submissions to the Five Year Review of the Health Star Rating System – Word 217 KB

5 Year Review of the Health Star Rating system – Future Consultation Opportunities – PDF 477 KB
5 Year Review of the Health Star Rating system – Future Consultation Opportunities – Word 28 KB

mpconsulting also prepared a Navigation Paper to guide Stage 2 (Wider Consultations Feb-Apr 2018) of their consultation strategy.

Navigation Paper – PDF 355 KB
Navigation Paper – Word 252 KB

Drawing on the early submissions and public workshops conducted across Australia and New Zealand in February- April 2018, mpconsulting identified 10 key issues relating to the products on which the HSR appears and the way that stars are calculated. A range of options for addressing identified issues were identified and, where possible, mpconsulting specified its preferred option. These issues are described in the Five Year Review of the Health Star Rating System – Consultation Paper: Options for System Enhancement.

Five Year Review of the Health Star Rating System – Consultation Paper: Options for System Enhancement – PDF 944 KB
Five Year Review of the Health Star Rating System – Consultation Paper: Options for System Enhancement – Word 430 KB

This Consultation Paper is informed by the TAG’s in-depth review of the technical components of the system. The TAG developed a range of technical papers on various issues identified by stakeholders, available on the mpconsulting website.

From October to December 2018, mpconsulting sought stakeholder views on the issues and the options, input on the impacts of the various options, and any suggestions for alternative options to address the identified issues. Written submissions could be made via the Australian Department of Health’s Consultation Hub.

mpconsulting held three further stakeholder workshops in Melbourne, Auckland and Sydney in November 2018 to enable stakeholders to continue to provide input on key issues for the review, including on options for system enhancements.
Five Year Review – Process

In April 2016, the Health Star Rating (HSR) Advisory Committee (HSRAC) commenced planning for the five year review of the HSR system.

Terms of Reference for the five year review follow:
Terms of Reference for the five year review of the Health Star Rating system – PDF 23 KB
Terms of Reference for the five year review of the Health Star Rating system – Word 29 KB

In September 2016, the HSRAC established a Technical Advisory Group (TAG) to analyse the performance of the HSR Calculator and respond to technical issues and related matters referred to it by the HSRAC.

HSRAC Members agreed that, in order to achieve a degree of independence, consultant(s) should be engaged to complete the review. In July 2017, following an Approach to Market process, Matthews Pegg Consulting (mpconsulting) was engaged as the independent reviewer.

The timeline for the five year review.
Five year review timeline – PDF 371 KB
Five year review timeline – Excel 14 KB

NACCHO Aboriginal Health #amafdw19 #Prevention #Smoking : At #NPC @AMApresident says the Federal Government must commit adequate resources to its proposed long-term national preventive health strategy :

“ Preventive health measures reduce the rate of chronic ill health and improve the health and wellbeing of all Australians, leading to better and healthier lives.

As a nation, we spend woefully too little on preventive health – around two per cent of the overall health budget.

A properly resourced preventive health strategy, including national public education campaigns on issues such as smoking and obesity, is vital to helping Australians improve their lifestyles and quality of life.

The Australian Government must commit adequate resources to its proposed long-term national preventive health strategy, and work with GPs to help improve the health of all Australians.

AMA President, Dr Tony Bartone, who addressed the National Press Club as part of Family Doctor Week, said the AMA is looking forward to working on the strategy, which Health Minister, Greg Hunt, first announced in a video message to the AMA National Conference in May.

Download full speech HERE

AMA President Press Club Address

” The Northern Territory Government has been judged to have been the worst-performing Australian government on tobacco control measures over the last 12 months, and shamed with the Dirty Ashtray Award for 2019.

This year is the 25th anniversary of the National Tobacco Control Scoreboard – run by the AMA and the Australian Council on Smoking and Health (ACOSH) – and the Northern Territory has managed to collect the dubious Dirty Ashtray Award 13 times.”

SEE Part 2 below NATIONAL TOBACCO CONTROL SCOREBOARD 2019

Read over 130 Aboriginal Health and Smoking articles published by NACCHO in the last 7 years 

Part 1 AMA President, Dr Tony Bartone Prevention Press Release

“Family doctors – GPs – are best placed to manage preventive health, and can assist their patients in managing issues such as weight, alcohol consumption, physical activity, stress, substance use, and quitting smoking.

“Managing weight is a vital part of preventive health. Carrying excess weight contributes to cancers, high blood pressure, and musculoskeletal disorders like bad backs and neck pain. It also affects general health and wellbeing.

“Too many Australians drink at harmful levels, and this is dangerous to their health. Drinking in moderation, and within the guidelines, is a message all Australians should be aware of, and if you are worried about alcohol consumption, talk to your GP.

“Tobacco kills. There is no way to sugar coat the dangers of smoking. If you smoke, you increase your risk of coronary heart disease and cancer.

“Smoking can cause cancer of the lung, oesophagus, mouth, throat, kidney, bladder, liver, pancreas, stomach, cervix, colon, and rectum.

“If you want to quit smoking, start by seeing your family doctor.”

Dr Bartone will also announced the recipient of the 2019 Dirty Ashtray Award, which is presented to the government – Federal, State, or Territory – that has done the least over the past year to combat smoking.

AMA Family Doctor Week runs from 21 to 27 July 2019.

Background

  • In 2017-18, two-thirds of Australian adults and almost one-quarter of Australian children were overweight or obese.
  • Coronary heart disease is the nation’s leading single cause of death.
  • It is estimated that more than 1.2 million Australians have diabetes. The majority (85 per cent) have type 2 diabetes, which is largely preventable.
  • In 2013, diabetes contributed to 10 per cent of all deaths in Australia.
  • Tobacco is the leading cause of cancer in Australia.
  • In 2014-15, more than 1.6 million Australian males aged 15 years and over smoked, 90 per cent of whom smoked daily.
  • More than 1.2 million Australian females aged 15 years and over smoked, 91 per cent of whom smoked daily.
  • About one in 10 mothers smoked in the first 20 weeks of pregnancy.
  • In 2016, 57 per cent of daily smokers were aged over 40, and 20 per cent of daily smokers lived in remote and very remote areas of Australia.
  • Daily tobacco smoking has been trending downward since 1991, from 24 per cent to 12 per cent in 2016.
  • The proportion of people choosing never to take up smoking has increased to 62 per cent in 2016, from 51 per cent in 2001.
  • In 2016, almost one in three (31 per cent) current smokers aged 14 and over have used e-cigarettes.
  • Of current smokers in secondary school aged 16-17, more than one-quarter (26 per cent) smoked daily.

Sources: Australian Bureau of Statistics’ National Health Survey, Australian Institute of Health and Welfare, Heart Foundation.

 

Part 2 NATIONAL TOBACCO CONTROL SCOREBOARD 2019

To read all the states an Territories scores CLICK HERE

The Northern Territory Government has been judged to have been the worst-performing Australian government on tobacco control measures over the last 12 months, and shamed with the Dirty Ashtray Award for 2019.

This year is the 25th anniversary of the National Tobacco Control Scoreboard – run by the AMA and the Australian Council on Smoking and Health (ACOSH) – and the Northern Territory has managed to collect the dubious Dirty Ashtray Award 13 times.

In contrast, the Queensland Government has achieved a remarkable hat trick by topping the scoring to win the coveted National Tobacco Control Scoreboard Achievement Award for leading the nation in tobacco control measures.

AMA President, Dr Tony Bartone, today released the results of the AMA/Australian Council on Smoking and Health (ACOSH) National Tobacco Control Scoreboard 2019 at the National Press Club in Canberra.

Dr Bartone congratulated Queensland on its strong consistent record in stopping people from smoking, and urged the Northern Territory to build momentum with its efforts on tobacco control, while noting the NT Government had amended and strengthened its tobacco control legislation earlier this year.

“The Queensland Government has continued to protect its community from second-hand smoke in a range of outdoor public areas including public transport, outdoor shopping malls, and sports and recreation facilities,” Dr Bartone said.

“Queensland Health is well ahead of other health services in recording smoking status, delivering brief intervention, and referring patients to evidence-based smoking cessation support such as Quitline.

“The Making Tracks – toward closing the gap in health outcomes for Indigenous Queenslanders by 2033 – Policy and Accountability Framework indicates a commitment to reducing smoking among Indigenous communities.

“Funding continues for the B.Strong Brief Intervention training program to strengthen primary healthcare services for Indigenous smokers by increasing the brief intervention skills of health professionals, access to culturally effective resources, and referral to Quitline.

“A dedicated smoking cessation website – QuitHQ – has been developed for the Queensland community, which includes quit support, information for health professionals, and smoking laws. Promotion of QuitHQ includes on-line messages and billboards.”

Dr Bartone said that the Northern Territory is showing signs of moving ahead with stronger tobacco control programs, but we are yet to see solid action and proper funding.

“The NT Government has  published a new Tobacco Action Plan 2019-2023 stressing the need for  media campaigns, smoke-free spaces, sustaining quit attempts and preventing relapse, and identifying priority populations,” Dr Bartone said.

“But these good intentions are yet to be backed with the necessary funding.”

Dr Bartone said the AMA would like to see the Federal Government take on a greater leadership role to drive stronger nationally coordinated tobacco control to stop people smoking and stop people taking up the killer habit.

“The Federal Government has not run a major, national media campaign against smoking since 2012-13, when plain packaging was introduced,” Dr Bartone said.

“Nor has it implemented any further product regulation or constraints on tobacco marketing in that time.

“We would like to see the National Tobacco Campaign reinstated with additional and sustained funding.

“The $20 million announced during the Federal election health debate is a welcome start, but falls well short of the $40 million a year that is needed for a sustained public education program.

“That is a mere 0.24 per cent of the $17 billion the Government expects to reap from tobacco taxes in 2019-20.

“The Government should also implement a systemic approach to providing support for all smokers to quit when they come into contact with health services.

“These key ingredients should be part of the Minister’s commitment, first announced at the AMA National Conference in May, to develop a National Preventive Health Strategy in consultation with the AMA and other health and medical bodies.

“Smoking remains the leading cause of preventable death and disease in Australia, causing 19,000 premature deaths each year.

“Two-thirds of all current Australian smokers are likely to be killed by their smoking. That is a staggering 1.8 million people.

“While Australia is a world leader in tobacco control, more needs to be done to help people quit smoking, or not take it up in the first place.

“Big Tobacco is attempting to distract attention from evidence-based measures that will reduce smoking, while promoting itself as being concerned about health.

“This is particularly outrageous from an industry whose products kill more than seven million people each year.

“It is crucial that Australia maintains its strong evidence-based policies and avoids being diverted by Big Tobacco’s new distraction strategies, particularly following disturbing evidence from the US and Canada about the epidemic of youth e-cigarette use.

“We must remain vigilant against any attempts to normalise smoking, or make it appealing to young people.

“This includes following the advice of the National Health and Medical Research Council and the Therapeutic Goods Administration in regulating e-cigarettes, and not allowing them to be marketed as quit smoking aids until such time as there is scientific evidence that they are safe and effective.”

The AMA/ACOSH National Tobacco Control Scoreboard is compiled annually to measure performance in combating smoking.

Judges from the Australian Council on Smoking and Health (ACOSH), the Cancer Councils, and the National Heart Foundation allocate points to the State, Territory, and Australian Governments in various categories, including legislation, to track how effective each has been at combating smoking in the previous 12 months.

No jurisdiction received an A or B rating this year or last year.

AMA/ACOSH Award – Judges’ Comments

This year is the Silver Anniversary of the AMA/ACOSH National Tobacco Control Scoreboard. 

Since the introduction of the Award in 1994, daily smoking in Australia has halved from 26.1% in 1993 to 12.8% in 2016.

Importantly, the proportion of 12 to 17-year-old school students who have never smoked in their life has increased significantly from 33% in 1984 to 82% in 2017.

Australia has led the world in its implementation of a comprehensive approach to reduce smoking.

Since the early 1990s, Australia has implemented the following strategies to reduce smoking, many of which have been duplicated in other countries around the globe:

We call on the Australian, State and Territory Governments to implement the following recommendations:

  • allocate adequate funding from tobacco revenue (predicted to be $17 billion in 2019/2020) to ensure strong media campaigns at evidence-based levels;
  • ban all remaining forms of tobacco marketing and promotion and legislate to keep up with innovative tobacco industry strategies;
  • implement tobacco product regulation to decrease the palatability and appeal of tobacco products;
  • implement comprehensive action, including legislation, in line with Article 5.3 of the Framework Convention on Tobacco Control (FCTC) to protect public health policy from direct and indirect tobacco industry interference, and ban tobacco industry political donations;
  • implement positive retail licensing schemes for all jurisdictions;
  • implement best practice support for smoking cessation across all health care settings;
  • ensure consistent funding for programs that will decrease smoking among Aboriginal and Torres Strait Islanders and other groups with a high prevalence of smoking; and
  • ensure further protection for the community from the harms of second-hand smoke.

Results