Aboriginal #Nutrition Health and #Sugar : @healthgovau Health Star Rating System review closes 17 August

 ” The Health Star Rating System has been marred by anomalies. Milo powder (44% sugar) increased its basic 1.5 Stars to 4.5 by assuming it will be added to skim milk. About one in every seven products bearing health stars goes against the Department of Health’s own recommendations.

Those of us working in public health question why obvious junk foods get any stars at all.”

See Sugar, sugar everywhere MJA insight article in full Part 3 below

  ” 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. “

ABS Report abs-indigenous-consumption-of-added-sugars 

See Part 1 below for Aboriginal sugar facts

The Health Star Rating (HSR) Advisory Committee (HSRAC), responsible for overseeing the implementation, monitoring and evaluation of the HSR system is undertaking a five year review of the HSR system.

The five year review of the system is well underway, with a public submission process opening on 8 June 2017 on the Australian Department of Health’s online Consultation Hub.

Since the consultation period has been opened there has been strong interest in the system from stakeholders representing a diverse range of views.

To ensure that as much evidence as possible is captured, along with stakeholders’ views on the system, a further two week extension to the consultation period has been agreed and it will now close on 17 August 2017

See full survey details Part 2 Below

Part 1 Aboriginal sugar facts

ABS Report

abs-indigenous-consumption-of-added-sugars

Aboriginal and Torres Strait Islander people consume around 14 per cent of their total energy intake as free sugars, according to data from the Australian Bureau of Statistics (ABS).

The World Health Organization (WHO) recommends that free sugars contribute less than 10 per cent of total energy intake.

Director of Health, Louise Gates, said the new ABS report showed Aboriginal and Torres Strait Islander people are consuming an average of 18 teaspoons (or 75 grams) of free sugars per day (almost two cans of soft drink), four teaspoons more than non-Indigenous people (14 teaspoons or 60 grams).

OTHER KEY FINDINGS

    • Aboriginal and Torres Strait Islander people derived an average of 14% of their daily energy from free sugars, exceeding the WHO recommendation that children and adults should limit their intake of free sugars to less than 10% of dietary energy.
    • Free sugars made the greatest contribution to energy intakes among older children and young adults. For example, teenage boys aged 14-18 years derived 18 per cent of their dietary energy from free sugars as they consumed the equivalent of 25 teaspoons (106 grams) of free sugars per day. This amount is equivalent to more than two and a half cans of soft drink. Women aged 19-30 years consumed 21 teaspoons (87 grams) of free sugars, which contributed 17 per cent to their total energy intake.
    • The majority (87%) of free sugars were consumed from energy dense, nutrient-poor ‘discretionary’ foods and beverages. Two thirds (67%) of all free sugars consumed by Aboriginal and Torres Strait Islander people came from beverages, led by soft drinks, sports and energy drinks (28%), followed by fruit and vegetable juices and drinks (12%), cordials (9.5%), and sugars added to beverages such as tea and coffee (9.4%), alcoholic beverages (4.9%) and milk beverages (3.4%).
    • Intakes were higher for Aboriginal and Torres Strait Islander people living in non-remote areas where the average consumption was 78 grams (18.5 teaspoons), around 3 teaspoons (12 grams) higher than people living in remote areas (65 grams or 15.5 teaspoons).
    • Aboriginal and Torres Strait Islander people consumed 15 grams (almost 4 teaspoons) more free sugars on average than non-Indigenous people. Beverages were the most common source of free sugars for both populations, however Aboriginal and Torres Strait Islander people derived a higher proportion of free sugars from beverages than non-Indigenous people (67% compared with 51%).

Part 2 @healthgovau Health Star Rating System review closes 17 August

Introduction

The Health Star Rating (HSR) Advisory Committee (HSRAC), responsible for overseeing the implementation, monitoring and evaluation of the HSR system, is undertaking a five year review of the HSR system. The HSR system is a front-of-pack labelling (FoPL) scheme intended to assist consumers in making healthier diet choices. The findings of the review will be provided to the Australia and New Zealand Ministerial Forum on Food Regulation (Forum) in mid‑2019.

In parallel with this consultation on the HSR system five year review, the HSRAC is conducting a dedicated investigation of issues and concerns raised about the form of the food (‘as prepared’) rules in the Guide for Industry to the HSR Calculator. These enable additional nutrients to be taken into account when calculating star ratings based on foods prepared according to on-label directions. A specific consultation process seeking input into this investigation opened on 19 May 2017 and will close at 11.59 pm 30 June 2017. The form of the food (‘as prepared’) consultation can be viewed on the Australian Department of Health’s Consultation Hub.

The HSR system

The HSR system is a public health and consumer choice intervention designed to encourage people to make healthier dietary choices. The HSR system is a voluntary FoPL scheme that rates the overall nutritional profile of packaged food and assigns it a rating from ½ a star to 5 stars. It is not a system that defines what a ‘healthy’ or ‘unhealthy’ food is, but rather provides a quick, standardised way to compare similar packaged foods at retail level. The more stars, the healthier the choice. The HSR system is not a complete solution to assist consumers with choosing foods in line with dietary guidelines, but should be viewed as a way to assist consumers to make healthier packaged food choices.  Other sources of information, such as the Australian Dietary Guidelines and the New Zealand Eating and Activity Guidelines, also assist consumers in their overall food purchasing decisions.

The HSR system aims to:

1. Enable direct comparison between individual foods that, within the overall diet, may contribute to the risk factors of various diet related chronic diseases;

2. Be readily understandable and meaningful across socio-economic groups, culturally and linguistically diverse groups and low literacy/low numeracy groups; and

3. Increase awareness of foods that, within the overall diet, may contribute positively or negatively to the risk factors of diet related chronic diseases.

The HSR system consists of the graphics, including the words ‘Health Star Rating’, the rules identified in the HSR system Style Guide, the algorithm and methodology for calculating the HSR identified in the Guide for Industry to the HSR Calculator, and the education and marketing associated with the HSR implementation.

The HSR system is a joint Australian, state and territory and New Zealand government initiative developed in collaboration with industry, public health and consumer groups. The system is funded by the Australian government, the New Zealand government and all Australian jurisdictions during the initial five year implementation period.

From June 2014, food manufacturers started to apply HSRs to the front of food product packaging. Further information on the HSR system is available on the HSR website. The New Zealand Ministry for Primary Industries (MPI) website also provides information on the HSR system in New Zealand.

Purpose and scope of the review
The five year review of the HSR system will consider if, and how well, the objectives of the HSR system have been met, and identify options for improvements to and ongoing implementation of the system (Terms of reference for the five year review).

With a focus on processed packaged foods, the objective of the HSR system is:

To provide convenient, relevant and readily understood nutrition information and /or guidance on food packs to assist consumers to make informed food purchases and healthier eating choices.

The HSRAC has agreed that the areas of communication, system enhancements, and monitoring and governance will be considered when identifying whether the objectives of the HSR system have been achieved.

Although HSRAC will need to be a part of the review process, a degree of independence is required and independent management and oversight of the review is an important factor to ensure credible and unbiased reporting. An independent consultant will be engaged to undertake the review. Specific detail about the scope of the review will be outlined in the statement of requirement for the independent consultant. A timeline for the five year review of the HSR system has been drafted and will be updated throughout the review.

Next steps in the review process

As part of the five year review, HSRAC is seeking evidence based submissions on the consultation questions provided in this discussion paper.

This consultation is open to the public, state and territory governments, relevant government agencies, industry and public health and consumer groups.

Making a submission

The HSRAC is seeking submissions on the merits of the HSR system, particularly in response to the consultation questions below. The aim of the questions is to assist respondents in providing relevant commentary. However, submissions are not limited to answering the questions provided.  Please provide evidence or examples to support comments. Some areas of this review are technical in nature therefore comments on technical issues should be based on scientific evidence and/or supported by research where appropriate. Where possible, please provide citations to published studies or other sources.

While the HSRAC will consider all submissions and proposals put forward, those that are not well supported by evidence are unlikely to be addressed as part of the five year review.

Enquiries specifically relating to this submission process can be made via email to: frontofpack@health.gov.au. Please DO NOT provide submissions by email.

After the consultation period closes the HSRAC will consider the submissions received and will prepare a summary table of the issues raised which will be published on the HSR website. All information within the summary table will be de-identifiable and will not contain any confidential material.

HSRAC will treat information of a confidential nature as such. Please ensure that material supplied in confidence is clearly marked ‘IN CONFIDENCE’ and is provided in a separate attachment to non-confidential material. Information provided in the submissions will only be used for the purpose of the five year review of the HSR system and will not be used for any other purpose without explicit permission.

Please see the Terms of Use and Privacy pages at the bottom of this page for further information on maintaining the security of your data.

For further information about the HSR system, including its resources and governance structure, please refer to the Australian HSR website and the New Zealand MPI website.

Part 3 Sugar Sugar MJA Insights

Originally published Here

IT’S hard to escape sugar, not only in what we eat and drink, but also in the daily news and views that seep into so many corners of our lives.

There’s nothing new about concern over sugar. I can trace my own fights with the sugar industry back to the 1960s, and since their inception in 1981, the Australian Dietary Guidelines have advised limiting sugary foods and drinks. The current emphasis in many articles in newspapers, magazines, popular books and online blogs, however, go further and recommend eliminating every grain of the stuff from the daily diet.

Taking an academic approach to the topic, the George Institute for Global Health has published data based on the analysis of 34 135 packaged foods currently listed in their Australian FoodSwitch database. They found added sugar in 87% of discretionary food products (known as junk foods in common parlance) and also in 52% of packaged foods that can be described as basic or core foods.

The George Institute’s analysis is particularly pertinent to the Department of Health’s Health Star Rating System, and found that some of the anomalies in the scheme could be eliminated by penalising foods for their content of added sugars rather than using total sugars in the product, as is currently the case.

The definition of “added sugars” used in Australia also needs attention, a topic that has been stressed in the World Health Organization’s guidelines. I will return to this later.

In Australia, the nutrition information panel on the label of packaged foods must include the total sugars present. This includes sugars that have been added (known as extrinsic sugars) as well as any sugars present naturally in ingredients such as milk, fruit or vegetables (intrinsic sugars).

There is no medical evidence to suggest that intrinsic sugars are a problem – at least not if they occur in “intact” ingredients. If you consume fruit, for example, the natural dietary fibre and the bulk of the fruit will limit the amount of the fruit’s intrinsic sugars you consume. However, if the sugar is extracted from the structure of the fruit, it becomes easy to consume much larger quantities. Few people could munch their way through five apples, but if you extract their juice, the drink would let you take in all the sugar and kilojoules of five apples in less than a minute.

The Australian Dietary Guidelines do not include advice to restrict fruit itself because there is high level evidence of its health value. The guidelines do, however, recommend that dried fruit and fruit juice be restricted – the equivalent of four dried apricot halves or 125 mL juice consumed only occasionally.

Contrary to the belief of some bloggers, Australia’s dietary guidelines have never suggested replacing fat with sugar. That was a tactic of some food companies who marketed many “low” or “reduced” fat foods where the fat was replaced with sugars or some kind of refined starch.

The wording of Australia’s guideline on sugar has changed. The initial advice to “avoid too much sugar” led to the sugar industry’s multimillion dollar campaign “Sugar, a natural part of life”. This included distributing “educational” material to the general public, politicians, doctors, dentists, pharmacists and other health professionals discussing the importance of a “balanced diet”.

In spite of fierce lobbying by the sugar industry, the next revision of the guidelines retained a sugar guideline, although it was watered down to “eat only moderate amounts of sugars”. Some school canteen operators reported that they had been confronted by sweet-talking sellers of junk foods omitting the word “only” from this guideline.

The evidence for sugar’s adverse effects on dental health have long been known, but the evidence against sugar and its potential role in obesity and, consequently, in type 2 diabetes and other health problems has grown stronger. The most recent revision of the National Health and Medical Research Council’s Dietary Guidelines, therefore, emphasises the need to “limit” added sugars and lists the foods that need particular attention.

Sugary drinks have been specifically targeted because the evidence against them is strong and extends beyond epidemiological studies. Double-blind trials now clearly link sugary drinks with weight gain, the only exceptions being a few trials funded by the food industry.

Added sugar is not the only topic for public health concern, and hence the government’s Health Star Rating System was set up to introduce a simple front-of-pack labelling scheme to assist Australians reduce their intake of saturated fat, salt and sugars from packaged foods.

A specially commissioned independent report (Evaluation of scientific evidence relating to Front of Pack Labelling by Dr Jimmy Chun Yu Louie and Professor Linda Tapsell of the School of Health Sciences, University of Wollongong) found that added sugars were the real problem, but the food industry argued that the scheme should include total sugars because this was already a mandatory inclusion on food labels and routine chemical analysis couldn’t determine the source of sugars.

This was a strange argument since food manufacturers know exactly how much sugar they add to any product, just as they know how many “offset” points the Health Star Rating System allows for the inclusion of fruit, vegetable, nuts or legumes. The content of these ingredients is only disclosed on the food label if used in the product’s name.

The Health Star Rating System has been marred by anomalies. Milo powder (44% sugar) increased its basic 1.5 Stars to 4.5 by assuming it will be added to skim milk. About one in every seven products bearing health stars goes against the Department of Health’s own recommendations.

Those of us working in public health question why obvious junk foods get any stars at all.

How can caramel topping or various types of confectionery, such as strawberry flavoured liquorice, each get 2.5 stars? Why do some chocolates sport 3.5 stars, while worthy products such as Greek yoghurt without any added sugars get 1.5 and a breakfast cereal with 27% sugar gets four stars?

The fact that over a third of Australian’s energy intake comes from discretionary products (40% for children) is the elephant in the room for excess weight. We need to reduce consumption of these products and allotting them health stars is not helping.

It’s clearly time to follow our dietary guidelines and limit both discretionary products and added sugar. Of the nutrients used in the current algorithm for health stars, the George Institute’s analysis shows that counting added rather than total sugars has the greatest individual capacity to discriminate between core and discretionary foods.

However, in moving to mandate added sugars on food labels and using added sugars in health stars, it’s vital to define these sugars. The World Health Organization has done so: “Free sugars refer to monosaccharides (such as glucose, fructose) and disaccharides (such as sucrose or table sugar) added to foods and drinks by the manufacturer, cook or consumer, and sugars naturally present in honey, syrups, fruit juices and fruit juice concentrates”.

Regular sugar in Australia could be described as cane juice concentrate. It has no nutrients other than its carbohydrate. Fruit juice concentrates are also just sugars with no nutrients other than carbohydrates. At present the Health Star Rating System allows products using apple or pear juice concentrate to be counted as “fruit” and used to offset the total sugars. This is nonsense, and gives rise to confectionery, toppings and some breakfast cereals scoring stars they do not deserve.

Other ways to boost health stars also need attention. Food technologists boast they can manipulate foods to gain extra stars (Health Star Rating Stakeholders workshop, Sydney, 4 August 2016). For example, adding wheat, milk, soy or other protein powder, concentrated fruit purees or a laboratory-based source of fibre such as inulin will all give extra “offset” points to reduce adverse points from saturated fat, sugar or salt. Indeed, some food technologists have even suggested they could revert to using the especially nasty trans (but technically unsaturated) fatty acid from partially hydrogenated vegetable oils to replace naturally occurring saturated fat.

My alternative is to go for fresh foods and minimise packaged foods. If the stars look too good to be true, check the ingredient list. But remember that Choice found sugar may go by more than 40 different names. Buyer beware!

NACCHO @TheAHCWA Aboriginal Health and the Cashless Welfare card debate

 

 ” Graphic video footage played recently to Prime Minister Malcolm Turnbull and other influential politicians cuts to the core. It is horrific, sickening and gut-wrenching, and would affect any compassionate human being.

But the intent behind the carefully edited emotive video – further pushing a ( Cashless Welfare ) card to supposedly tackle every imaginable social problem in vulnerable communities – is ill-conceived and ideologically driven.

Michelle Nelson-Cox Chair  : Aboriginal Health Council of Western Australia press release Opinion piece (part 2 Below )

 

 ” We need to recognise that the best way of dealing with problems is with respect, working together, and focussed on commonly agreed goals. We do not need a new generation of community members under the control of those who want to use punitive measures to coerce and control them. When has this approach ever been shown to work?

We need to ask why we are not doing it differently, treating the very causes of the dislocation and alienation of our communities — facing up to and turning around the hopelessness and despair that beleaguers them.

The Rural Doctors have made it clear when they said: “Those that do have problems will not be helped by measures that feel punitive, such as switching them to a cashless debit card, rather than payments. Tough love is rarely successful in treating substance abuse – particularly when it’s from the Government.”

I support the Rural Doctors and our community organisations working with families dealing with these issues. This is where we have to take this debate.”

Shadow assistant minister for Indigenous affairs and Aboriginal and Torres Strait Islanders Senator for Western Australia, Patrick Dodson responds to article portraying the state as a ‘war zone’ .Full article HERE

” Senator Rachel Siewert has criticised a new video campaign showing graphic depictions of violence in Indigenous communities as shock tactics designed to scare the Federal Government into rolling out more cashless welfare cards in remote Western Australia.

Using violent imagery then offering a one-dimensional, paternalistic and previously failed approach to a complex problem shows that Andrew Forrest is more concerned about furthering his ideologies than looking at what works.

“I share concerns about disadvantage and agree we need to be addressing severe disadvantage in communities like Port Hedland. We need a multifaceted approach including addressing alcohol supply, drug and alcohol services, and wrap around services driven by the community.

“I agree we do need to be investing in communities but in approaches that work ‘ Senator Rachel Siewert

Read Senator Rachel Siewert full press release part 4 below

Mining magnate Andrew Forrest and local leaders from the East Kimberley region, last week launched #timetoact an online anti-violence campaign in the nation’s capital. It features a video that shows disturbing scene of violence.”

Watch video HERE

” The concerted push by outgoing WA Police Commissioner Karl O’Callaghan that the cashless welfare system should be expanded to somehow protect children from sexual abuse, particularly in the north-west town of Roebourne, is fundamentally flawed.

There has been no conclusive evidence to date that cashless welfare cards play any role in reducing the impact of issues such as illicit drug use or child sexual abuse.

Instead, greater investment is needed in programs that address social determinants and build strong families and communities.

Ultimately, we need to see an increase in community programs and comprehensive support services to help address these complex social issues in Aboriginal communities.

AHCWA does not support simplistic apparent solutions imposed from outside Aboriginal communities. Rather, it advocates for greater investment in community designed and driven programs to build strong families and communities.

Our sector has been delivering positive outcomes in Aboriginal health for more than 40 years, but in that time we have often dealt with the unintended negative consequences of whatever “silver bullet” solution is politically fashionable at the time.

Extracts from Michelle Nelson-Cox Chair  : Aboriginal Health Council of Western Australia press release (part 1and 2 below)

 

Elder Ted Carlton with a card

Part 1 : AHCWA rejects Karl O’Callaghan’s call to expand cashless welfare

The Aboriginal Health Council of Western Australia has challenged outgoing Police Commissioner Karl O’Callaghan to look in his own backyard and adequately police remote communities rather than advocate for greater disempowerment of indigenous Australians.

AHCWA chairperson Michelle Nelson-Cox today rejected calls by Mr O’Callaghan, whose contract ends on August 15 after 13 years at the helm of WA Police, for an urgent expansion of the cashless welfare system to combat child sex crimes in regional WA.

“The cashless welfare card is not a panacea to complex social problems,” Ms Nelson-Cox said.

“While AHCWA supports the government’s commitment to improve the health outcomes of Aboriginal people and prevent child sexual abuse, we do not support the ill-conceived idea that cashless welfare cards can turn the tide on the abhorrent abuse of children.

“There has been no conclusive evidence to date that cashless welfare cards play any role in reducing the impact of issues such as illicit drug use or child sexual abuse.

“Instead, greater investment is needed in programs that address social determinants and build strong families and communities.

“Ultimately, we need to see an increase in community programs and comprehensive support services to help address these complex social issues in Aboriginal communities.”

Ms Nelson-Cox said Mr O’Callaghan’s admissions in The West Australian newspaper that his officers could not protect children in remote communities was gravely concerning.

“At what point does the buck stop with police and governments to keep communities safe? Over the past 13 years, how have the high instances of sexual abuse not have been addressed earlier?” she said.

“There is a large police presence in Roebourne, and admissions by Karl O’Callaghan that ‘police were not capable of protecting children in those communities’ and ‘neither the police nor government can guarantee protection of these children’ shows a lack of commitment to work with communities to effectively address these issues.

“The reality is there are a huge number of people very unhappy with the way they have been affected by the cashless welfare system imposed by the Federal Government.

“If anything, this is a failure of policing in the Roebourne area to address these crimes.

“The cashless welfare card does not need to be expanded. The solution does not lie in the disempowerment of Aboriginal people, but rather additional police resources and a greater commitment to stamp out these shocking and abhorrent crimes.”

AHCWA is the peak body for Aboriginal health in WA, with 22 Aboriginal Community Controlled Health Services (ACCHS) currently engaged as members.

Part 2 : AHCWA rejects Karl O’Callaghan’s call to expand cashless welfare

 

Graphic video footage played recentlt to Prime Minister Malcolm Turnbull and other influential politicians cuts to the core. It is horrific, sickening and gut-wrenching, and would affect any compassionate human being.

But the intent behind the carefully edited emotive video – further pushing a card to supposedly tackle every imaginable social problem in vulnerable communities – is ill-conceived and ideologically driven.

The concerted push by outgoing WA Police Commissioner Karl O’Callaghan that the cashless welfare system should be expanded to somehow protect children from sexual abuse, particularly in the north-west town of Roebourne, is fundamentally flawed.

The belief that the cashless welfare card can prevent child sexual abuse is based on nothing more than a distorted perception that quarantining income will address all social problems in remote Aboriginal communities.

To date, there has been no conclusive evidence that cashless welfare cards play any role in reducing the impact of issues such as illicit drug use or sexual abuse.

In fact, the most comprehensive review of income management in the Northern Territory has proven that this strategy will not work and will likely only create further dependence.

WA communities like Roebourne do not need the next new idea imposed by white people who live elsewhere.

Instead, they need to work with Aboriginal people and support under resourced local initiatives already being worked on.

The Aboriginal Health Council of Western Australia (AHCWA) is the peak body for Aboriginal health in WA, with 22 Aboriginal Community Controlled Health Services (ACCHSs) currently engaged as members.

AHCWA does not support simplistic apparent solutions imposed from outside Aboriginal communities. Rather, it advocates for greater investment in community designed and driven programs to build strong families and communities.

Our sector has been delivering positive outcomes in Aboriginal health for more than 40 years, but in that time we have often dealt with the unintended negative consequences of whatever “silver bullet” solution is politically fashionable at the time. These days, the cashless welfare card is seen as the quick fix.

The cashless welfare card has been delivered as part of a Cashless Debit Card Trial (CDCT), a program developed to reduce the harm associated with alcohol consumption, illicit drug use and gambling in Ceduna in South Australia and the East Kimberley in WA (Kununurra and Wyndham).

The trial began in early 2016, when participants were issued a debit card which could not be used to buy alcohol, gambling products or to withdraw cash.

The system quarantines 80 per cent of income support payments into a restricted account linked to the card, with the remainder of these payments accessible through a normal, unrestricted bank account.

Remarkably, and perhaps unsurprisingly, an evaluation of the current trial showed that the majority of people using the card, and their families, did not report gambling, using illicit drugs, or consuming alcohol in excess.

To put it simply, this trial has been socially disempowering for a huge number of community members. Strong resistance and opposition has been made clear at public meetings, strikes and petitions.

Admissions by Karl O’Callaghan in the video shown to the PM that “police can’t save them” shows a lack of commitment to work with communities to effectively address these issues.

If anything, his comments reflect a failure of policing in the Roebourne area to address these crimes and protect the town’s most vulnerable people.

We support any commitment to improve the safety and health of Aboriginal people, particularly children, in WA and turn the tide on the appalling abuse of our youngsters, but the answer is not an expansion of the cashless welfare card.

The solution does not lie in the disempowerment of Aboriginal people, which has been an ongoing tactic by governments. Instead it lies in additional police resources and a genuine commitment to work with communities to stamp out these shocking and abhorrent crimes.

We agree it is time to act – it is time for the police to act.

“Using violent imagery then offering a one-dimensional, paternalistic and previously failed approach to a complex problem shows that Andrew Forrest is more concerned about furthering his ideologies than looking at what works,” Senator Siewert said today.

“I share concerns about disadvantage and agree we need to be addressing severe disadvantage in communities like Port Hedland. We need a multifaceted approach including addressing alcohol supply, drug and alcohol services, and wrap around services driven by the community.”

Part 3  :  Graphic video campaign pushing for welfare card slammed as ‘one dimensional’  

Continued from opening                                

Mr Forrest was joined yesterday by Jean O’Reerie, Aboriginal Education Worker from Wyndham in East Kimberley- a Cashless Debit Card trial site, her colleague, local Bianca Crake, and the Mayor of Port Hedland, Mr Camillo Blanko.

Mr Forrest claims that the government’s current system to stop drug and alcohol fuelled violence against children in the Pilbara and East Kimberley region isn’t working.

Linking what he described as horrific child abuse to alcohol and drug use, Mr Forrest is pushing for the Cashless Welfare Card to be introduced into more West Australian communities.

“Elders of communities, mayors of major towns are standing up and saying enough is enough. We need the system to change. What we have had is not enough. It’s delivering our children into hell and they have to be protected,” he told a media conference yesterday.

Mr Forrest yesterday brough elders and civic leaders, from Western Australia and South Australia, to meet personally with the Prime Minister Malcolm Turnbull, the leader of the opposition Bill Shorten and his deputy leader Tanya Plibersek.

Figures from the West Australian Police Commissioner Karl O’Callaghan’s department claimed that one in three children are being abused, in a town of 500 children – 158 were sexually assaulted, 36 men face 300 charges of child abuse and in another town six children committed suicide in six months. It was not specified whether the children affected were Indigenous or Non- Indigenous.

Jean O’Reerie an Aboriginal Education Worker from Wyndham in the East Kimberley was emotional as she described the situation in her community.

“We need help, we need the government to intervene and help us out as community leaders. We can’t do it on our own. We need change for our community, our kids are hurting,” she said.

“We, the grassroots people, live with it every day. The hurt, the suffering, and the abuse.”

Part 4 : Trying to scare people into supporting the cashless card a worrying ramp up of Andrew Forrest’s campaign: Senator Rachel Siewert

Andrew Forrest is trying to use similar shock tactics to those of the previous Howard Government to scare people into supporting the cashless welfare card, Australian Greens Senator Rachel Siewert said last week

“We are seeing a worrying ramp up of Andrew Forrest’s cashless welfare card campaign that uses children, violence and fear just like the Howard Government did in 2007 over the NT Intervention.

“The Howard Government did this to justify the Northern Territory Intervention to impose income management and the Basics Card, at the time the Little Children are Sacred report was used to scare people into supporting income management.

“The final evaluation of the NT Intervention shows that it met none of its objectives. Ten years on we are still seeing the number of children going into out of home care increasing and appalling disadvantage persists.

Using violent imagery then offering a one-dimensional, paternalistic and previously failed approach to a complex problem shows that Andrew Forrest is more concerned about furthering his ideologies than looking at what works.

“I share concerns about disadvantage and agree we need to be addressing severe disadvantage in communities like Port Hedland. We need a multifaceted approach including addressing alcohol supply, drug and alcohol services, and wrap around services driven by the community.

“I agree we do need to be investing in communities but in approaches that work. The Government invested over $1.2 billion in the NT Intervention which met none of its objectives. We should stop wasting money on income management style approaches and start looking at real solutions that work”.

 

NACCHO Aboriginal Dental Health @AUS_Dental : It’s #DentalHealthWeek #SugaryDrinksProperNoGood

” Apunipima is participating in a range of activities over the next fortnight to celebrate Dental Health Week (7-13 August)

Our staff will be talking about the link between sugary drinks and tooth decay, and promoting the messages

#SugaryDrinksProperNoGood and #DrinkMoreWaterYoufla,

part of Apunipima’s Healthy Communities social marketing campaign, which aims to reduce sugary drinks consumption among Aboriginal and Torres Strait Islander people in Cape York.”

From Apunipima’s Healthy Communities Mob Part 2 below

 ” The National Oral Health Plan outlines guiding principles that will underpin Australia’s oral health system and provides national strategic direction including targeted strategies in six Foundation Areas and across four Priority Populations. Aboriginal and Torres Strait Islander People being a priority population.”

Download plan here

 Watch our interview with Aboriginal dentist Gari Watson on NACCHO TV

Part 1 : National Oral Health Plan identifes Aboriginal People as Priority Population

A proportion of Aboriginal and Torres Strait Islander people have good oral health. On average, however, Aboriginal and Torres Strait Islander people experience poor oral health earlier in their lifespan and in greater severity and prevalence than the rest of the population. Aboriginal and Torres Strait Islander people are also less likely to receive treatment to prevent or address poor oral health, resulting in oral health care in the form of emergency treatment.

  • There is limited representation of Aboriginal and Torres Strait Islander people in the oral health workforce and many dental services are not culturally sensitive. For example, strict appointment times and inflexibility regarding ‘failure to attend’ may result in a fee to the consumer.
  • Trends indicate that the high-level dental decay in deciduous (baby) teeth is rising
  • Aboriginal people aged 15 years and over, attending public dental services, experience tooth decay at three times the rate of their Non-Indigenous counterparts and are more than twice as likely to have advanced periodontal (gum) disease
  • Aboriginal people experience complete tooth loss at almost five times the rate of the non-Indigenous population
  • The rate of potentially preventable dental hospitalisations for Aboriginal and Torres Strait Islander people is higher than other Australians. Accessibility of services is a key factor contributing to the current gap between the oral health of Aboriginal and Torres Strait Islander people and the rest of the population.
  • More than two in five Aboriginal and Torres Strait Islander people over the age of 15 defer or avoid dental care due to cost. This is compared with one in eight (12.2%) who delayed or did not go to a GP.

Improving the overall oral health of the Aboriginal and Torres Strait Islander people will require more than a focus on oral health behaviours. Culture, individual and community social and emotional wellbeing, history, demography, social position, economic characteristics, biomedical factors, and the available health services within a person’s community all form part of the complex causal web which determines an individual’s oral health status.

“Reducing sugary drinks will not only protect their teeth but also their wider health.This is yet another justification for the introduction of a health levy on sugar-sweetened beverages as a preventive public health measure”

This Dental Health Week Michael Moore, CEO of the ( PHAA)  Public Health Association of Australia (PHAA) and other members of the Rethink Sugary Drink Alliance are urging Australians to reduce their consumption of sugary drinks.

Read over 25 NACCHO dental articles

Read over 25 NACCHO Nutrition  Articles

Read over 10 NACCHO Articles Sugar Tax

Dental Health Week Website

Dept of Health Dental Website

Part 2  #SugaryDrinksProperNoGood – It’s Dental Health Week!

Apunipima staff will run activities with children and young people as well as hold health information stalls in Weipa, Napranum and Mapoon to promote the campaign messages in Dental Health Week

‘The team will run a workshop for Western Cape College secondary students alongside Dr Matt More, Head of Dental Services for Torres and Cape Hospital and Health Service in Weipa,’ Apunipima Health Promotion Officer Kiarah Cuthbert said.

‘We will be talking to young people about the amount of sugar in popular drinks, such as soft drinks, sports drinks and energy drinks and the impact of that sugar on your teeth and overall health.’

‘From there, we will head to Mapoon to spend time at the primary school yarning with kids about the sugar in drinks. We will also invite the kids to take part in a local art competition with the winner’s work used to promote the #DrinkMoreWaterYoufla message in Mapoon.’

‘Apunipima staff will then hold a health information stall at Napranum store and run an after school activity at Napranum PCYC, where young people will also have the chance to take part in a local art competition to promote the #DrinkMoreWaterYoufla message.

These activities will be supported by Napranum Tackling Indigenous Smoking Health Worker, Ernest Madua who will also be yarning with people about what smoking can do to your teeth and mouth.’

Apunipima Child Health Nurse Robyn Lythall, Chronic Disease Health Worker Georgia Gibson and Dietitian Jarrah Marsh gave kids from Nola’s Daycare and George Bowen Memorial Kindergarten Apunipima ‘Drink More Water Youfla’ water bottles last week which will really save the staff lugging big containers of water!

The bottles are plastic, easily stored in the fridge and will have the children’s photos on them so the kids know which one is theirs!

Big esso (thank you) to the Apunipima teams that helped with this!

The few remaining water bottles are being kept for children receiving their four year old health checks and their immunisations to help them get healthy habits for school.

Staff are encouraging kids coming in for health checks and shots to fill their bottles from the watercooler at the Hopevale Primary Health Care Centre on their way out.

The Healthy Communities Project Team (Cara Laws, Tiffany Williams, Kiarah Cuthbert and Kani Thompson) would like to thank Hopevale staff for sharing the water bottles, which are merchandise from our Sugary Drinks Proper No Good – Drink More Water Youfla campaign.

Picture: Childcare worker Auntie Irene Bambie and Georgia Gibson

Acid, sugar in sugary drinks pose serious threat to teeth

Part 3 Australians urged to choose tap water this Dental Health Week

Many Australians know that sugary drinks are not a healthy dietary choice, but they may not realise the serious damage they cause to teeth.

In line with the theme of Dental Health Week (7–13 August 2017) – Oral Health for Busy Lives, the health and community organisations behind Rethink Sugary Drink are calling on Australians to think of their teeth before reaching for a sugary drink when out and about.

Chair of the Australian Dental Association’s Oral Health Committee, Professor David Manton, said sugary drinks contained sugar and acid that weakens tooth enamel and can lead to tooth decay.

“Dental decay is caused by sugars, especially the type found in sugary drinks. These drinks are often acidic as well. Sugary drinks increase the risk of decay and weaken the tooth enamel, so it’s best to avoid them,” Prof Manton said.

“The best advice is to stick to tap water. Carry a water bottle with you to avoid having to buy energy drinks, soft drinks, sports drinks and other sugary drinks when you’re on the go. You’ll be doing your bank balance a favour too.”

Chair of the Public Health Committee at Cancer Council Australia, Craig Sinclair, said knowing the oral health impacts associated with sugary drinks further highlighted the need for a health levy on these beverages in Australia.

“Australians, and our young people in particular, are drinking huge volumes of sports drinks, energy drinks, soft drinks and frozen drinks on a regular basis – some are downing as much as 1.5 litres a day,” Mr Sinclair said.

“While regular consumption is associated with increased energy intake, weight gain and obesity, it also heightens the risk of tooth decay.

“We know through economic modelling that a 20 per cent health levy on sugar-sweetened beverages could reduce consumption in Australia and prevent thousands of cases of type 2 diabetes, heart disease and stroke over 25 years, while generating $400-$500m each year.

“This extra revenue could be used for public education campaigns and initiatives to prevent chronic disease, reduce dental caries and address childhood obesity.

“While a health levy is not the only solution for reducing sugary drink consumption, if coupled with a range of strategies it could have a significant impact on the amount Australians are drinking and minimise their impact.”

The Rethink Sugary Drink alliance recommends the following actions in addition to a health levy to tackle sugary drink consumption:

  • A public education campaign supported by Australian governments to highlight the health impacts of regular sugary drink consumption
  • Restrictions by Australian governments to reduce children’s exposure to marketing of sugar-sweetened beverages, including through schools and children’s sports, events and activities
  • Comprehensive mandatory restrictions by state governments on the sale of sugar-sweetened beverages (and increased availability of free water) in schools, government institutions, children’s sports and places frequented by children
  • Development of policies by state and local governments to reduce the availability of sugar-sweetened beverages in workplaces, government institutions, health care settings, sport and recreation facilities and other public places.

Protect your teeth from sugary drinks with these tips:

  • Follow the Australian dietary guidelines: Focus on drinking plenty of tap water (it has no acid, no sugar and no kilojoules), limiting sugary foods and drinks and choosing healthy snacks (e.g. fruits and vegetables).
  • Find out how much sugar is in your favourite drink using the nutrition information panel on your drink or on the Rethink Sugary Drink website – it might surprise you
  • Carry a water bottle and fill up at the tap, so you don’t have to buy a drink if you’re thirsty.
  • Be aware of sugar disguised as a ‘healthy’ ingredient such as honey or rice syrup. It might sound wholesome but these are still sugars and can still cause decay if consumed frequently.
  • If you do drink sugary drinks, use a straw so your teeth are less exposed to the sugar and acid.
  • Take a drink of water, preferably tap water that has been fluoridated, after a sugary or acidic drink to help rinse out your mouth and dilute the sugars.
  • Do not sip a sugary or acidic drink slowly or over a long duration. Doing so exposes your teeth to sugar and acid attacks for longer.

For more information, visit http://www.dentalhealthweek.com.au/

About Rethink Sugary Drink: Rethink Sugary Drink is a partnership between the Apunipima, 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, Heart Foundation, 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.

Part 4  : Sugary drinks erode more than tooth enamel poor oral health brings knock-on effects

This Dental Health Week the Public Health Association of Australia (PHAA) and other members of the Rethink Sugary Drink Alliance are urging Australians to reduce their consumption of sugary drinks. “Reducing sugary drinks will not only protect their teeth but also their wider health”, said Michael Moore, CEO of the PHAA. “This is yet another justification for the introduction of a health levy on sugar-sweetened beverages as a preventive public health measure”, he added.

Australia is in the top ten of countries with the highest level of soft drink consumption. Around a third of Australians regularly consume sugar-sweetened beverages (SSBs) such as soft drinks, flavoured waters and energy drinks. These drinks are widely recognised by dental experts as a major contributor to tooth decay and erosion.

Mr Moore said, “It’s well known that sugary drinks are linked to dental health problems which can lead to significant amounts of discomfort and disability in themselves. However poor oral health is also associated with major chronic health conditions such as heart disease, diabetes and respiratory disease. Additionally, there are often compounding health effects between these types of comorbidities. Sugary drinks also strongly contribute to weight gain and obesity, so they negatively impact on health in multiple ways”.

Mr Moore continued, “At the individual-health level, it’s very important people avoid consuming these drinks on a regular basis, while at the population-health level it’s time we introduce a health levy on sugar-sweetened beverages to reduce the harms they cause.”

“Research shows that a health levy on these drinks will effectively reduce their consumption, especially if implemented as part of a wider approach to address poor nutrition and diet-related disease. What is needed is a national nutrition policy, restrictions on the marketing of sugary drinks toward children, limiting their availability in schools and at events attended by children and young people and public education campaigns about the adverse health impacts of SSBs. These could easily be funded by the revenue generated by the levy”.

The theme of 2017 Dental Health Week is ‘Anywhere Anytime – Oral Health for Busy Lives’, which recognises that many Australians feel they don’t have time to properly care for their oral health due to their busy schedules. However, avoiding sugary foods and beverages which damage teeth is a simple preventive measure people can take and can be encouraged by governments.

“Along with maintaining proper oral health care, one of the easiest things people can do to protect their teeth and in turn their broader health, is to avoid sugar-laden drinks and to favour drinking tap water,” Mr Moore concluded.

 

NACCHO Research Alert : @NRHAlliance Aboriginal health risk factors #rural and #remote populations

 ” Health risk factors like smoking, excessive drinking, illicit drug use, lack of physical activity, inadequate fruit and vegetable intake and overweight have powerful influences on health, and there are frequently clear inter-regional differences between the prevalence of these.

While it can be argued that there is some degree of personal choice involved in whether individuals have a poor health risk profile, there is clear evidence that external factors such as environment, opportunity, and community culture each have very strong influences.

For example, access to affordable healthy food can often be poor in smaller communities and this, coupled with lower incomes in these areas, adversely affects the quality of peoples’ diets, the prevalence of overweight, and consequently the prevalence of chronic disease.”

From the National Rural Health Alliance Research View HERE

National data pertaining to personal health risk factors typically comes from the ABS National Health Survey and the AIHW National Drug Strategy Household Survey (NDSHS). Some State and Territory Health Departments run their own health surveys (which cannot be aggregated nationally with each other or with the ABS survey because of the different methodologies and definitions used (think different State rail gauges). Consequently data describing aspects of health in regional and especially remote areas can be thin (ie with imprecise estimates in some or all areas).

Example 1

Table 14: Fruit and vegetable consumption, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

Roughly 60% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate fruit intake, closer to 50% in remote areas (compared with around 50% of all Australians 18+ in major cities and regional/rural areas).

Roughly 95% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate vegetable intake, perhaps higher (98%) in Very remote areas (compared with around 90%-94% of all Australians 18+ in major cities and regional/rural areas).

Example 2

NACCHO provided graphic

Table 16 Below : Overweight and Obesity, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

Aboriginal and Torres Strait Islander people in rural/regional and Remote areas (29%-33%) were a little more likely to be overweight than those in Major cities (28%), with those in Very Remote areas (26%) least likely to be overweight.

Aboriginal and Torres Strait Islander people in Inner regional areas (41%) were more likely to be obese than those in Major cities (38%), but those in Outer regional (36%) and remote areas (~33%) were less likely to be obese.

Overall, Aboriginal and Torres Strait Islander people in Inner Regional areas were most likely to be overweight/obese (70%), those in Major cities, Outer Regional and Remote areas were less likely to be overweight/obese (~66%), while those in Very Remote areas were the least likely to be overweight/obese (59% )

At the time of writing, the most recent National Health Survey was conducted in 2014-15[1], while the most recent AIHW NDSHS[2] was conducted in 2016, with most recently available results from the 2013 NDSHS. The most recent ABS Australian Aboriginal and Torres Strait Islander Health Survey[3] was conducted in 2012-13.

Some organisations (eg the Public Health Information Development Unit (PHIDU)) have calculated modelled estimates for small areas (eg SLA’s and PHN’s), where the prevalence of some risk factors has been predicted based on the age, sex and socioeconomic profile of the population living there.

Some sites (eg ABS) present risk factor data as crude rates, other sites (eg PHIDU) present risk factor data as age-standardised rates.  The advantage of the age-standardised rates is that the effect of age is largely removed from inter-population comparisons.

For example, older populations (eg those in rural/regional areas) would be expected to have higher average blood pressure than younger (eg Major cities) populations even though the underlying age-specific rates happened to be identical in both populations (because older people tend to have higher blood pressure than younger people).

While crude rates for the older population will be higher, the age-standardised rates in such a comparison would be the same – indicating a higher rate that is entirely explainable by the older age of one of the populations.

Both crude and age standardised rates are useful in understanding the health of rural and remote populations.

 


[1] http://www.abs.gov.au/ausstats/abs@.nsf/mf/4364.0.55.001

[3] http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocumentSmoking

Table 1: Smoking status, by remoteness, 2013 and 2014-15

MC

IR

OR/Remote

Percentage

Current daily smoker (18+) (crude) 2014-15 (a)

13.0

16.7

20.9

Current smoker (18+) (Age standardised) 2014-15 (b) (includes daily, weekly, social etc smoking)

14.6

19.0

22.4

MC

IR

OR

Remote+ Very Remote

Current smoker (daily, weekly, or fortnightly) 14+ (crude) 2013 (c)

14.2

17.6

22.6

24.6

Current smoker (daily, weekly, or fortnightly) 14+ (Age standardised) 2013 (d)

14.2

18.6

23.6

24.4

Mean number of cigarettes smoked per week, smokers aged 14 years or older 2013 (e)

85.9

113.1

109.4

126.2

Sources:

Compared with Major cities (13%), the prevalence of daily smoking by people 18 years and older in Inner regional (17%) and Outer regional/Remote areas (21%) is higher.

The NDSH survey reflects these trends albeit with a slightly different age group (14+) and a different definition of smoking (daily plus less frequently), but the NDSH survey adds detail for remote areas where smoking rates are higher again (around 25% versus around 23% in Outer regional).

In addition, the average number of cigarettes smoked by each smoker is higher in regional/rural areas (~110/week) than in Major cities (86/week), and higher again (126/week) in remote areas.

 

Smoking – exposure, uptake, establishment, quitting

Table 2: Smoking characteristics by Remoteness, 2013, 2014 and 2014-15

MC

IR

OR

remote

8.8

17.8

19.3

27.8

Proportion of pregnant women who gave birth and smoked at any time during the pregnancy (2013, crude, National Perinatal Data Collection, exposure tables, Table 5.1.2 )

8.5

17.0

18.9

27.5

Proportion of pregnant women who gave birth and smoked in the first 20 weeks of pregnancy (2013, crude, National Perinatal Data Collection) exposure tables, Table 5.2.2)

3.6

3.1

4.1

*9.4

Proportion of dependent children (aged 0–14) who live in a household with a daily smoker who smokes inside the home (2013, crude, NDSHS exposure tables, Table 6.3)

2.5

2.0

2.7

*2.9

Proportion of adults aged 18 or older who live in a household with a daily smoker who smokes inside the home (2013, crude, NDSHS, exposure tables, Table 7.3)

16.2

15.4

14.7

15.5

Average age at which people aged 14–24 first smoked a full cigarette (2013, crude, NDSHS, uptake tables, Table 9.3)

17.8

22.7

17.8

28.3

Proportion of 12–17 year old secondary school students smoking at least a few puffs of a cigarette (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, uptake tables, Table 10.3

54.7

61.1

64.9

67.2

Proportion of persons (aged 18 or older) who have smoked a full cigarette (2013, crude,  NDSHS, uptake tables, Table 10.8)

2.5

3.4

2.5

3.7

Proportion of secondary school students (aged 12–17) who have smoked more than 100 cigarettes in their lifetime (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, transition tables, Table 2.3)

20.2

25.9

44.1

45.2

Proportion of young people (aged 18–24) who have smoked more than 100 cigarettes in their lifetime (2013, crude, NDSHS, transition tables, Table 2.6)

21.3

16.8

19.0

15.5

Quitting: Proportion successfully gave up for more than a month (2013, crude, NDSHS, cessation tables, Table 4.3)

29.2

34.2

31.7

32.9

Quitting, Proportion unsuccessful (2013, crude, NDSHS, cessation tables, Table 4.3)

46.3

48.0

47.4

45.2

Quitting: Proportion any attempt (2013, crude, NDSHS, cessation tables, Table 4.3)

35.2

36.3

36.1

36.0

Mean age at which ex-smokers aged 18 or older reported no longer smoking (2013, crude, NDSHS, cessation tables, Table 11.2)

53.1

51.5

46.3

45.0

The proportion of ever smokers aged 18 or older who did not smoke in the last 12 months (2013, crude, NDSHS, cessation tables, Table 12.3)

4.9

6.0

4.8

7.0

Proportion of secondary school students (aged 12–17) who were weekly smokers (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, established tables, Table 1.3)

6.9

9.3

6.8

10.4

Proportion of secondary school students (aged 12–17) who were monthly smokers (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, established tables, Table 13.3)

13.0

16.7

21.2

18.8

Proportion of adults aged 18 or older who are daily smokers (2014-15, crude, ABS NHS, established tables, Table 3.3)

10.9

7.8

2.9

n.p.

Proportion of smokers aged 18 or older who are occasional smokers (smoke weekly or less than weekly) (2014-15, crude, ABS NHS, established tables, Table 14.3)

40.1

44.7

42.3

52.7

Proportion of Aboriginal and Torres Strait Islander people aged 18 or older who are daily smokers (2012-13, crude, ABS Australian Aboriginal and Torres Strait Islander Health Survey 2012–13, established tables, Table 8i.3)

Source: http://www.aihw.gov.au/alcohol-and-other-drugs/data/ (sighted 11/7/17)
Note: Those estimates above with asterix have large standard errors and should be treated carefully.

Women in rural and remote areas were much more likely to smoke during pregnancy, with 28% of women in remote areas smoking during pregnancy, compared with 18-19% in regional/rural areas, and 9% in Major cities.

It is unclear whether exposure to environmental tobacco smoke varies by remoteness.

Young people outside major cities appeared to have their first cigarette at an earlier age (~15 years as opposed to ~16 years in Major cities.

Secondary school students in Inner regional (~23%) and remote (~28%) areas were more likely to have had at least a few puffs of a cigarette than those in major cities (~18%).

While 20% of young people in Major cities had smoked more than 100 cigarettes in their lifetime, 26%, 44% and 45% of young people in Inner regional, Outer regional and remote areas had done so.

People outside Major cities were as likely or slightly more likely to have attempted to quit smoking, but were less likely to be successful (and more likely to be unsuccessful).

A higher proportion of secondary students outside Major cities were weekly or monthly smokers (6%, 5% and 7% in IR, OR and remote areas versus 5% in Major cities weekly, 9%, 7%, and 10% in IR, OR and remote areas versus 7% in Major cities monthly).

Table 3: Current daily smoker, Aboriginal and Torres Strait Islander people 15+ years, by Remoteness, 2012-13

MC

IR

OR

R

VR

Crude Percent

Current daily smoker

36.2

40.9

39.8

47.4

51.1

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

Prevalence of smoking amongst Aboriginal and Torres Strait Islander people 15 years and older is around 35%-40% in Major cities and regional/rural areas, and close to 50% in remote areas. Note that while the pattern is similar in Table 2 and Table 3 above, the figures for 18+ and 15+ year olds are slightly different.

Smoking Trends

Table 4: Comparison of declines in smoking rate estimates across remoteness areas, people 18+, based on ABS NHS surveys, 2001 to 2011-12

Survey year

MC

IR

OR/Rem

Australia

Crude percent daily smokers

2001

21.9

21.9

26.5

22.4

2004-05

19.9

23.0

26.2

21.3

2007-08

17.5

20.1

26.1

18.9

2011-12

14.7

18.3

22.2

16.1

2014-15

13.0

16.7

20.9

14.5

Source: ABS National Health Surveys

From Table 4 above, rates of smoking have clearly declined in Major cities areas, but have been slower to decline in Inner regional and Outer regional/Remote areas. Rates of smoking in rural areas, apparently static last decade, now appear to be declining. Rates in Major cities and Inner regional areas have declined to 0.59 and 0.76 times the 2001 rates in these areas. The 2014-15 rate in Outer regional areas is 0.79 times the 2001 rate.

Figure 1: Daily smokers 18 years and older, 2007-08, 2011-12 and 2014-15, NHS

Figure 1: Daily smokers 18 years and older, 2007-08, 2011-12 and 2014-15, NHS

Source: ABS NHS http://www.aihw.gov.au/alcohol-and-other-drugs/data/ established tables, Table 3.3 (sighted 11/7/17)

Figure 2: Smokers 14 years and older, 2007, 2010 and 2013, NDSHS

Figure 2: Smokers 14 years and older, 2007, 2010 and 2013, NDSHS

Source: AIHW NDSHS http://www.aihw.gov.au/alcohol-and-other-drugs/data/ tobacco smoking table S3.12 (sighted 11/7/17)

Note: Smokers include daily, weekly and less frequent smokers.

Figures 1 and 2 above both show clear declines in Major cities and Inner regional areas, but the trend in Outer regional and Remote areas is less clear, with ABS data showing a decline in daily smoking rates for people aged 18+ between 2007-8 and 2014-15, but NDSHS data showing little change in smoking rates for people 14+ between 2007 and 2013.

Alcohol

Table 5: Alcohol risk status, by remoteness, 2013 and 2014-15

Alcohol consumption

MC

IR

OR/Rem

Exceeded 2009 NHMRC lifetime risk guidelines, people 18+, crude %, 2014-15 (a)

16.3

18.4

23.4

Exceeded 2009 NHMRC lifetime risk guidelines, people 15+, age standardised %, 2014-15 (b)

15.7

17.4

22.0

Exceeded 2009 NHMRC single occasion risk guidelines, people 18+, crude %, 2014-15 (a)

42.7

48.5

46

MC

IR

OR

R/VR

Abstainer/ex-drinker, crude %, 14+, 2013 (c)

23.1

18.9

20.5

17.5

Low lifetime risk, crude %, 14+, 2013 (c)

60.2

62

56.9

47.6

High lifetime risk, crude %, 14+, 2013 (c)

16.7

19.1

22.6

34.9

low single occasion risk, crude %, 14+, 2013 (c)

40.4

41.8

38.1

30.8

Single occasion risk less than weekly, crude %, 14+, 2013 (c)

23.5

24.4

23.6

22.8

Single occasion risk at least weekly, crude %, 14+, 2013 (c)

13

14.9

17.8

28.9

Sources:

Table 6: Alcohol consumption against 2009 NHMRC guidelines, Aboriginal and Torres Strait Islander people 15+ years, by Remoteness 2012-13

MC

IR

OR

R

VR

Percent

Exceeded lifetime risk guidelines

18.0

18.7

18.2

22.5

14.3

Exceeded single occasion risk guidelines

56.7

57.4

50.7

59.0

41.4

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

The figures in Table 6 are not strictly comparable with those for the total population in Table 5, because  Table 6 refers to people who are 15 years and older, while Table 5 refers to people who are 18 years and older.

The percentage of the 15+ ATSI population exceeding 2009 NHMRC Lifetime risk guidelines is around 15-20% with little apparent inter-regional variation, compared with, for the total population 18+,  16% in Major cities, increasing to 23% in Outer regional/remote areas.

The percentage of the 15+ ATSI population exceeding the 2009 single occasion risk guidelines is around 50-60%, and around 40% in Very remote areas, compared with, for the total population 18+,  40-50% in Major cities, rural and regional areas.

Alcohol trends

Table 7: Type of alcohol use and treatment for alcohol, by remoteness area (per 1,000 population)

MC

IR

OR

R/VR

single occasion risk (monthly) 2004

287

304

321

370

2007

285

292

312

437

2010

274

312

329

413

2013

250

273

315

422

lifetime risk 2004

200

215

234

262

2007

199

210

238

314

2010

189

225

251

310

2013

167

191

226

349

very high risk – yearly 2004

167

185

206

243

2007

172

183

206

288

2010

161

183

218

266

2013

151

166

194

258

very high risk – monthly 2004

77

84

104

130

2007

78

89

100

153

2010

79

94

113

154

2013

70

70

100

170

very high risk – weekly 2004

21

27

41

38

2007

24

28

24

50

2010

37

43

54

78

2013

27

28

38

70

Closed treatment episodes 2004–05

61

72

60

58

2007–08

76

84

80

129

2010–11

69

96

87

135

2013–14

68

79

93

155

Source: NDSHS,  http://www.aihw.gov.au/alcohol-and-other-drugs/data/  alcohol -supplementary data tables, Table S18

Notes:
Single occasion risk (monthly): Had more than 4 standard drinks at least once a month
Lifetime risk: On average, had more than 2 standard drinks per day
Very high risk (yearly): Had more than 10 standard drinks at least once a year
Very high risk (monthly): Had more than 10 standard drinks at least once a month
Very high risk (weekly): Had more than 10 standard drinks at least once a week

There is a clear increase in the prevalence of people who drink alcohol in such a way as to increase their single occasion risk (eg from car accident, assault, fall, etc) and their lifetime risk (eg from chronic disease – liver disease, dementia, cancer etc) as remoteness increases.

In 2013, single occasion risk ranged from 25% of people 14 years or older in major cities to 42% of people in remote areas, while lifetime risk increased from 17% in major cities to 35% in remote areas.

In 2013, The prevalence of people who drank more than 10 standard drinks in one sitting at least once per week, increased from just under 3% in Major cities to 7% in remote areas.

In 2013-14, there were just under 70 closed treatment episodes per 1,000 people living in Major cities, increasing to around 80 and 90 per 1,000 population in Inner and Outer regional areas, to 155 per 1,000 people living in remote Australia.

 

Illicit drug use 2013

Table 8: Illicit drug use, “recent users” 14+, 2013

MC IR OR remote

Crude percent

Cannabis

9.8

10.0

12.0

13.6

Ecstasy

2.9

1.5

1.6

*1.8

Meth/amphetamine

2.1

1.6

2.0

*4.4

Cocaine

2.6

0.8

*1.1

*2.5

Any illicit drug

14.9

14.1

16.7

18.7

Source: AIHW National Drug Strategy Household Survey, 2013. http://www.aihw.gov.au/alcohol-and-other-drugs/data/  Illicit drug use (supplementary) tables S5.6, S5.11, S5.17, S5.21, S5.26.

Note: * indicates large standard error (therefore some degree of uncertainty)

Illicit drug use appears to be higher in Outer regional and remote areas compared with Major cities and Inner regional areas, in large part due to higher rates of cannabis use in these areas, but with apparent lower use of ecstasy and cocaine in regional areas compared with Major cities.

 

Physical activity

Table 9: Physical inactivity, people 18+, 2014-15

MC

IR

OR/Remote

Percentage of people aged 18+ who undertook no or low exercise in the previous week (crude) (a)

64.3

70.1

72.4

Percentage of people aged 18+ who undertook no or low exercise in the previous week (age standardised) (b)

64.8

68.6

71

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) PHIDU (ABS NHS data) (http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas) sighted 18/7/2017

Note that level of exercise is based on exercise undertaken for fitness, sport or recreation in the last week.

Physical inactivity appears to be more prevalent with remoteness, increasing from 65% of people in Major cities to 71% in Outer regional/remote areas.

Table 10: Average daily steps, 2011-12

MC

IR

OR/Rem

Average daily steps, 18+ years, 2011-12 (a)

7,393

7,388

7,527

Average daily steps, 5-17years, 2011-12 (b)

9,097

9,266

9,160

Sources:

In 2011-12, adults living in Outer regional/Remote areas took slightly more steps than those living in Major cities or Inner regional areas, while the number of steps taken by children and adolescents in regional/Remote areas was slightly greater compared with those in Major cities.

Table 11: Average time spent on physical activity and sedentary behaviour by persons aged 18+, 2011-12

MC

IR

OR/Remote

Australia

Hours

Physical activity(a)

3.9

3.4

3.9

3.8

Sedentary behaviour (leisure only)(b)

29.3

28.0

27.9

28.9

Sedentary behaviour (leisure and work)(b)

40.2

35.2

36.0

38.8

Notes:
(a) Includes walking for transport/fitness, moderate and vigorous physical activity.
(b) Sedentary is defined as sitting or lying down for activities.

Source: ABS 2011-12 Australian Health Survey (Physical activity) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0042011-12?OpenDocument  Table 5.1

Adults living in Inner regional and Outer regional/Remote areas were about as likely as (or very slightly less likely than) those in Major cities to be sedentary in their leisure time, but appeared to be slightly less likely to be sedentary overall (ie their work involved a greater level of physical activity).

Table 12: Whether children aged 2-17 years met physical and screen-based activity recommendations, 2011-12

MC

IR

OR/Rem

Crude percentage

Met physical activity recommendation on all 7 days(a)(b)

27.5

34.3

34.2

Met screen-based activity recommendation on all 7 days(b)(c)

28.0

29.7

31.0

Met physical activity and screen-based recommendations on all 7 days (a)(b)(c)

9.7

10.9

14.2

Notes:
(a) The physical activity recommendation for children 2–4 years is 180 minutes or more per day, for children 5-17 years it is 60 minutes or more per day. See Physical activity recommendation in Glossary.
(b) In 7 days prior to interview.
(c) The screen-based recommendation for children 2–4 years is no more than 60 minutes per day, for children 5-17 years it is no more than 2 hours per day for entertainment purposes.

Source:
ABS 2011-12 Australian Health Survey (Physical activity) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0042011-12?OpenDocument  Table 14.3

Children in rural and regional Australia appeared more likely (34% vs 28%) to meet physical activity recommendations and slightly more likely (30%vs 28%) to meet screen-based activity recommendations than their Major cities counterparts.

 

Fruit and vegetable consumption

Table 13: Fruit and vegetable consumption, people 18+ years, by remoteness, 2014-15

MC

IR

OR/Remote

Crude Percentage

Inadequate fruit consumption(a)

50.0

50.6

51.2

Inadequate fruit consumption(b)

50.4

48.3

48.0

Inadequate vegetable consumption(a)

93.4

93.5

89.3

Inadequate vegetable consumption(b)

n.p.

n.p.

n.p.

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) PHIDU (ABS NHS data) (http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas) sighted 18/7/2017

Note that adequacy of consumption is based on comparison with 2013 NHMRC guidelines.

Half of adult Australians eat insufficient fruit, with little clear difference between major cities and regional/rural areas.

Around 90% of adult Australians ate insufficient vegetables, with little clear difference between major cities and regional/rural areas.

Table 14: Fruit and vegetable consumption, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

MC

IR

OR

R

VR

Crude Percent

Inadequate daily fruit consumption (2013 NHMRC Guidelines)

59.0

60.6

56.9

54.9

49.1

Inadequate daily fruit consumption (2003 NHMRC Guidelines)

62.1

63.6

59.8

58.3

51.6

Inadequate daily vegetables consumption (2013 NHMRC Guidelines)

95.9

93.5

93.6

94.5

97.9

Inadequate daily vegetables consumption (2003 NHMRC Guidelines)

93.8

90.6

90.5

91.2

96.1

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

Roughly 60% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate fruit intake, closer to 50% in remote areas (compared with around 50% of all Australians 18+ in major cities and regional/rural areas).

Roughly 95% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate vegetable intake, perhaps higher (98%) in Very remote areas (compared with around 90%-94% of all Australians 18+ in major cities and regional/rural areas).

 

 

Overweight and Obesity

Table 15: Overweight and Obesity, people 18+ years, by remoteness, 2014-15

MC

IR

OR/Remote

Crude Percentage

Persons, overweight/obese (a)

61.1

69.2

69.2

Age standardised percentage

Males overweight (b)

43.8

41.1

34.3

Males obese (b)

25.8

33.1

38.2

Females overweight (b)

28.9

28.3

30.1

Females obese (b)

25.0

32.4

33.7

People  overweight (b)

36.2

34.4

31.4

People obese (b)

25.4

32.6

35.8

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) ABS NHS http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas

Adults in rural/regional areas are more likely to be overweight or obese than people in Major cities (69% vs 61%).

However, there were inter-regional BMI and gender differences:

  • Compared with those in Major cities, males in Inner regional and especially Outer-regional areas were less likely to be overweight (41% and 34%, vs 44%) but much more likely to be obese (33% and 38% vs 26%).
  • Compared with those in Major cities, females in Inner regional and Outer-regional areas were about as likely to be overweight (~29%) but much more likely to be obese (~33% vs 25%).

 

Table 16: Overweight and Obesity, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

MC

IR

OR

R

VR

Crude Percent

Overweight

27.5

28.8

30.1

32.5

26.4

Obese

37.9

41.3

36.2

33.1

32.3

Overweight/obese

65.4

70.1

66.2

65.6

58.8

Aboriginal and Torres Strait Islander people in rural/regional and Remote areas (29%-33%) were a little more likely to be overweight than those in Major cities (28%), with those in Very Remote areas (26%) least likely to be overweight.

Aboriginal and Torres Strait Islander people in Inner regional areas (41%) were more likely to be obese than those in Major cities (38%), but those in Outer regional (36%) and remote areas (~33%) were less likely to be obese.

Overall, Aboriginal and Torres Strait Islander people in Inner Regional areas were most likely to be overweight/obese (70%), those in Major cities, Outer Regional and Remote areas were less likely to be overweight/obese (~66%), while those in Very Remote areas were the least likely to be overweight/obese (59%).

These figures compare with 61% – the prevalence of overweight/obesity for (predominantly non-Indigenous) people living in Major cities.

 

High blood pressure

Table 17: High blood pressure, people 18+, by Remoteness, 2014-15

MC

IR

OR/Remote

Percentage

Crude % (a)

21.9

27.1

24

Age standardised % (b)

22.7

24.6

22.1

Sources:

(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) ABS NHS http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas

Age for age, people in rural/regional Australia appeared to be as likely, or very slightly more likely to have high blood pressure than their counterparts in Major cities (~23% vs ~24%). However, because people in rural/regional areas are older (on average), the prevalence of people with high blood pressure is higher (~26% vs 22%) than

Updated 31/07/2017
To view archived Risk Factors click here

Aboriginal Health Please support the @MaiWiruSCF #Sugar Challenge Palyaringkunytjaku – Towards Wellbeing

“ The rates of obesity and insulin resistance syndrome in our communities are now so high that the majority of the adult population over 35 will be affected.

This provides a situation in which we are not aiming to target a subset or at risk group of the population with a nutrition strategy but our whole population is both at risk and suffering disease.”

Professor Paul Torzillo, Medical Director of Nganampa Health Council said in Fighting for “Good Food” (Mai Wiru), submitted by Lorenzo Piemonte, International Diabetes Foundation (2015)

 ” Congratulations, Mai Wiru. They are excited to be taking 10 influential Anangu senior women on a nutrition education retreat so they can experience first hand how a healthy diet feels, and can consequently extend lives in the APY Lands – to do this though, they need your help

Friends,please share this and support it. I met so many wonderful people when I spent two day in the APY Lands last week – they deserve our help.”

Indigenous Health Minister Ken Wyatt

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,”

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

Palyaringkunytjaku – Towards Wellbeing is the brain child of Inawantji (Ina) Scales, a young Pitjantjatjara woman from the APY Lands.

Ina has seen too many family and friends, too many Anangu (people from the Anangu Pitjantjatjara Yankunytjatjara Lands) die from diet related illnesses.

Watch video

Ina wants to give Anangu the same opportunity Hope For Health has given Yolngu in the top end

See fundraising website

In 2016 Ina met with Damon Gameau, the founding director of the Mai Wiru Sugar Challenge Foundation.

She told him of her sadness from watching so many people become ill and pass away, she also told of her personal experience from visiting Living Valley Springs and the happiness she felt at now understanding the solutions.

Ina asked Damon for his help, and the Foundation’s help, to share her experiences with other people on the APY Lands.

Here we are today, raising funds to send 10 senior and influential women to an intensive health and nutrition retreat where they will learn and be able to personally experience firsthand, the benefits of healthy eating and living.

By providing a culturally appropriate setting with language interpretation, we will free participants to focus, distraction free, on learning the extensive information that will be provided.

These strong community leaders will then be able to return to community to share their experiences and become healthy living champions.

This is a 2 week trip with an interpreter and staff member to support the women through their learning and experiences, and further to be able to support the women on their return to community.

This will also ensure longer lasting results and help participants maximise their learnings and minimise any stumbling blocks they come across.

Our aim is to have an intensive and immediate impact for these women, enabling them to experience the benefits of healthy eating and living, and to expand their understanding of the impacts of foods on their bodies, to understand the how and why foods have such influence over us.

In their roles in community they can then spread the word about their positive experience and help others make healthier choices.

The participants are being selected based on their location and their capacity to influence on their return.

As a result, these women will become healthy living champions, sharing their knowledge and experience in their regions.

We can’t do it without you.

Help Ina make a good impact on the health of her people, of the Anangu nation.

  • The rate of kidney failure in Aboriginal communities is 15 x the rest of Australia; Type 2 diabetes is 3 x the national average.
  • For too long now high Aboriginal death rates have been attributed to alcohol consumption. The communities and region of the APY lands have now been alcohol free for 40 years yet average life span on the lands is just 55; 20 years lower than the rest of Australia. This is because of poor diet.
  • Professor Paul Torzillo, Medical Director of Nganampa Health Council said in Fighting for “Good Food” (Mai Wiru), submitted by Lorenzo Piemonte, International Diabetes Foundation (2015) “The rates of obesity and insulin resistance syndrome in our communities are now so high that the majority of the adult population over 35 will be affected. This provides a situation in which we are not aiming to target a subset or at risk group of the population with a nutrition strategy but our whole population is both at risk and suffering disease.”
  • Dr Amanda Lee et al in the Australian and New Zealand Journal of Public Health, Nutrition in remote Aboriginal communities: Lessons from Mai Wiru and the Anangu Pitjantjatjara Yankunytjatjara Lands, (2015), state that more than 75% of Indigenous deaths result from potentially avoidable causes. This includes type 2 diabetes, a preventable, non-communicable chronic disease. About 70% of Aboriginal and Torres Strait Islander adults, and 38% of Aboriginal and Torres Strait Islander children were considered overweight or obese in 2015, with an additional 8% of children who are underweight, another major contributor to the avoidable deaths.
  • Communities on the APY Lands have a long history of being proactive, for example, communities took back management of their stores to ensure food security (the availability and affordability of healthy food and essential items on a daily basis through their local store).
  • There are programs in place that address nutrition and health, but the scale of the problem necessitates a spot fire approach and they are struggling to extend and achieve the progressive results needed to combat chronic health and nutrition issues in the Aboriginal population.
  • The success of service delivery in remote communities depends on the level of community involvement and buy-in. By providing an intensive experience with ongoing support community members will be empowered to create and manage change in their communities.

To make this program fly we need your wonderful support to get there!

We know you’re all very busy people and this is why we appreciate your help more than you can know! Here is a list of 10 things that you could do to help us make Ina’s dream of Palyaringkunytjaku – Towards Wellbeing a reality.

  1. Share our emails – when you receive our emails – share them with your friends and networks.
  2. Share our Social Media posts – Follow us on Facebook and invite your friends to do the same.
  3. Talk to your friends, family, colleagues – tell them what we are doing and how they can support us.
  4. Give us a call. We are looking for more support and are ready to answer calls. We can talk in more detail about the project and who knows where a conversation may lead. Email info@maiwirufoundation.org
  5. Hold a fundraising event. Be creative – a donation box at your work for a month, hold a concert, a dinner party with tickets, a raffle, a physical challenge among your friends, a percentage of your office mates salaries for a month. Design your own style of fundraising.
  6. Create your own campaign under this ‘Palyaringkunytjaku’ umbrella – simply click the button at the bottom of the screen that says ‘Fundraisers – Create Your Own’. You can select one of the impact levels and let your friends and family know what the funds raise will enable. You might like to do ‘6 Spoons in June (and July)’ for the length of this campaign and ask for sponsorship, as an incentive
  7. Keep a close eye on our campaign-we need to hit the target, so if we get close and time is short consider donating again to get us over the top
  8. Have you got something special to give? Relevant health products or services? Donate towards our perks or retreat or help with distributing perks to donors.
  9. Send a message through your networks. Do you have a voice in your community? Do you have a big social media following? Perhaps a lot of professional networks? One or two emails during the campaign from you could result in thousands of dollars towards our very important work. We have email templates for you to use and technical support available if you require. Email: info@maiwirufoundation.org
  10. Did we mention sharing our social media, emails and talking to people you know about what we are doing? When people hear and understand your passion, they can be inspired to jump on board.

All donations are tax deductible.

What happens if we get more or less than $63,500?

By hitting $63,500 we can make Ina’s dream a reality and take 10 participants from the APY Lands on this program, means Palyaringkunytjaku can go ahead as Ina hoped.

There are always many people from the APY Lands who would benefit from this experience,, therefore the amount we raise will directly impact on the number of people Ina and the Mai Wiru Foundation are able to support.

The Mai Wiru Sugar Challenge Foundation is an indigenous community-led initiative, implementing nutrition programs in central Australia’s remote APY Lands. After two years of consultation, and multiple visits from nutritionists to indigenous communities, the team are working on three key projects: opening healthy living cafes, funding permanent nutritionists on the ground, and intensive nutrition workshops.

Melbourne filmmaker Damon Gameau embarked on a unique experiment to document the effects of a high sugar diet on a healthy body, consuming only foods that are commonly perceived, or promoted to be ‘healthy’. Damon’s now acclaimed documentary The Sugar Film raises awareness of the hazards of any diet containing too much sugar. In making the film Damon included a segment about an innovative health program initiated by Indigenous communities in the Anangu Pitjantjatjara Yankunytjatjara(APY) Lands, where stores were stocking healthy foods and nutritionists were advising customers on the best food choices. Damon determined to give back to the APY communities who featured in That Sugar Film by supporting them in their mission to take control of their own nutrition and improve the health status of Aboriginal families on the APY Lands.

Damon founded the Mai Wiru (Good Food) Sugar Challenge Foundation, a not-for-profit enterprise working with APY communities in an indigenous-led initiative to improve their health.

The health challenges of Aboriginal people are well documented, with current research identifying a 10 year gap between the life expectancy of indigenous and non-indigenous males and indigenous and non-indigenous females. The report published by the Australian Institute of Health and Welfare : Indigenous Health (2014) found that ‘The largest gap in death rates between Indigenous and non-Indigenous Australians was in circulatory disease deaths (22% of the gap) followed by endocrine, metabolic and nutritional disorders (particularly diabetes) (14% of the gap)’.

You can start your own campaign to raise money for Palyaringkunytjaku – with a goal for one of the impact levels below:

  • For the flights – 1 participant (12 in total) = $767
  • For the 2 week health workshop – per participant (10 participants) = $5,990
  • Meals during transit per person – 4 days (12 people) = $300
  • Vehicle expenses – hire, mileage, fuel, maintenance. Pickup and return to community – 3 vehicles for all participants = $11,169
  • Accommodation Alice Springs – per person 2 nights (each direction) twin share = $150

What happens if we get more or less than $63,500?

By hitting $63,500 we can make Ina’s dream a reality and take 10 participants from the APY Lands on this program, it means Palyaringkunytjaku can go ahead as Ina hoped. There are always many people from the APY Lands who would benefit from this experience, therefore the amount we raise will directly impact on the number of people Ina and the Mai Wiru Foundation are able to support

If you would prefer to make a donation by bank transfer/direct deposit, please see our bank account details below. Please advise by email – info@maiwirufoundation.org – when donation is made so we can issue a tax receipt. Thank you.

Account Name: Mai Wiru Sugar Challenge Foundation
Bank: Suncorp
BSB: 484 799
Acct No: 507433042
Description: Please enter your email address

NACCHO Aboriginal Children’s Health #NDW2017 : Indigenous child health improves when fruit and veg are cheap: study

“There were definitely positive short-term health outcomes and, from our perspective, we observed children’s health was better on this program, as they were sick less often and required less antibiotics,”

Lead author of the study, Dr Andrew Black, from the University of South Australia’s School of Population Health.

“There is compelling evidence that improved diet is associated with improved health outcomes, however evidence on how best to encourage healthier diets at a population level is limited,”

Julie Brimblecombe, Senior Research Fellow at Menzies School of Health Research said that the study ( Julie was not involved ) was unique in that it was initiated and driven by an Aboriginal controlled health service. However, she said more needs to be done to assess the feasibility of this scheme being implemented on a large scale.

Originally published in The Conversation

Providing subsidised fruit and vegetable scheme to low-income Indigenous families in northern New South Wales improves children’s health and significantly reduces antibiotic use, a new study has found.

The new findings, published in the Medical Journal of Australia, showed that eating fruit and vegetables improved the children’s levels of haemoglobin, reduced emergency department attendances and hospital visits for illness.

The researchers analysed data from health assessments, audits and blood testing of children aged 17 years and under from 55 families who attended three Aboriginal community-controlled health services and received a weekly box of subsidised fruits and vegetables.

The participants were assessed 12 months before the program and again 12 months later, between December 2008 and September 2010.

The results of this study showed that the children’s haemoglobin levels significantly increased and the level of prescriptions of oral antibiotics markedly decreased compared to the year previous to the program. However iron deficiency and anaemia did not change significantly.

“I think the nutritional impacts of eating more fruit and vegetables have broader health impacts in the long term but that’s definitely something we’re interested in, the sustainability of this approach.”

said the lead author of the study, Dr Andrew Black, from the University of South Australia’s School of Population Health.

Dr Black said that for all the families involved in the study, the cost of fresh produce is a barrier to consumption of adequate daily fruit and vegetables.

“For a proportion of these families, who are struggling generally with issues in their lives, providing subsidised food isn’t adequate by itself. There are a lot more challenges than making food cheaper for those families, but it’s an important step and helps a significant number of people,” he said.

Dr Black said that “families lined up to participate” in the program.

“They saw value in it and that enthusiasm is wonderful and it is potentially useful for health policy decision-makers to see the importance in this,” he said.

Filling foods

Professor Amanda Lee, an indigenous nutrition expert from the Queensland University of Technology said the study showed that “it’s clear we are losing the battle to improve nutrition in indigenous communities.”

“We need more innovative solutions and fiscal interventions, particularly subsidisation of healthy foods, show a lot of promise.”

Professor Lee said that objective measured data in remote communities showed that Aboriginal and Torres Strait Islander people may eat less than one serve a day of fruit or vegetables.

“People know what to do but they can’t access the fruit and vegetables, they cant afford them or they are not available,” said Professor Lee, who was not involved in the study.

“Fruit and vegetables are quite expensive in rural and regional communities, about 30% more. When people are hungry and they don’t have enough food, you buy food that will fill you up and fruit and vegetables don’t always do that. People are buying take-away, deep fried foods and bread to fill them up because they are hungry.”

Julie Brimblecombe, Senior Research Fellow at Menzies School of Health Research said that the study was unique in that it was initiated and driven by an Aboriginal controlled health service.

However, she said more needs to be done to assess the feasibility of this scheme being implemented on a large scale.

“There is compelling evidence that improved diet is associated with improved health outcomes, however evidence on how best to encourage healthier diets at a population level is limited,” said Dr Brimblecombe, who was not involved in the study.

“Evidence is also needed on the cost effectiveness of such interventions to inform policy and to make sure at a population level we are getting the best value and outcomes for money invested.”

NACCHO Aboriginal Diabetes Health #NDW2017 : Targeting sugary drinks in remote Indigenous communities

Part of our healthy food strategy is looking at reducing sugary drinks because consumption of sugary drinks across the whole population, but particularly in remote communities, is very high and high intake of sugary drinks has been linked to obesity, diabetes, heart disease, poor oral health and kidney disease.”

Outback Stores health and nutrition manager, Jen Savenake ( Interview Health Times )

Amata SA 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,”

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

The Sugar Trip on Australian Story  View HERE

All previous NACCHO Diabetes 120 + articles over 5 years

Noting all graphics added by NACCHO

A nutrition strategy to reduce the portion size and availability of soft drink has reduced the consumption of sugary drinks in a remote Indigenous community.

Outback Stores, which provides retail services to more than 30 remote stores on behalf of Indigenous communities across the Northern Territory, Western Australia and South Australia, found its strategy decreased the sale of soft drinks by 10 per cent in six months.

Outback Stores health and nutrition manager, Jen Savenake, an Advanced Accredited Practising Dietitian, says the store joined forces with one local community to trial the implementation of extra measures on top of its usual healthy food strategy.

Ms Savenake says the usual policy features measures such as stocking at least half of its fridges with water and diet drinks, with the remainder comprising sugary drinks.

“Our standard policy around sugary drinks includes things like – we always have the water fridges at the front of the store, where you have to go searching for the sugary drink at the back of the store,” she says.

“We have a special deal on water so that we get Mt Franklin water at $1 and the sugary drinks are 25 per cent more expensive than the diet drinks, and the diet drinks are more expensive than the water.

“We don’t promote sugary drinks ever, so we’ll do promotions on water and diet drinks but never promoting the sugary drinks, so you never see them on the end of the aisle and on discount.”

Download these Info graphics as PDF poster

Soft-drink-in-Aboriginal-communities-report_summaryFINAL

Despite the existing measures, Ms Savenake says sugary drinks remain a “really big problem”.

“Part of our healthy food strategy is looking at reducing sugary drinks because consumption of sugary drinks across the whole population, but particularly in remote communities, is very high and high intake of sugary drinks has been linked to obesity, diabetes, heart disease, poor oral health and kidney disease.”

As part of the trial, the store stopped selling sugary drinks on school days between 8.30am and 2pm, and also reduced the soft drink portion size.

“We never stock bottles more than 1.25 litres so we haven’t got any 2 or 2.5 litre bottles but what we looked at was reducing the size of the bottle,” she says.

“So now we stock the biggest selling line in our 1 litre bottle rather than 1.25 (litre) so you get a 25 per cent reduction immediately for all of those.

“We also changed from stocking a 375ml can to a 250ml can and from a 600ml bottle to a 390ml bottle.”

Ms Savenake, who presented the preliminary results of the trial at the recent Dietitians Association of Australia’s (DAA) 34th National Conference, says the remote Indigenous community is now experiencing “some big changes” in the amount of sugary drinks being consumed.

Burunga NT in store promotion

“We still actually need some more time to see what the total results are going to be, but we’re getting at least a 10 per cent reduction in sugary drinks over the comparable period.”

Early indications also show an increase in sales of water, dietary drinks, fruit juices and milk drinks.

While different strategies may be needed in different communities, particularly communities with easy access to other stores, Ms Savenake says dietitians working at the food supply level can have an impact on consumption but they also need to work with all their stakeholders to ensure there is community support for these strategies.

“To do this project in the community, we had the support of the whole community…this is not Outback Stores imposing these conditions on the community, this is the community saying – what can we do to improve the health of our people,” she says.

“So we worked with them to develop that and that’s probably one of the most important things that we got out of it, that yes – we can implement the strategies at the food supply level but we need to make sure that people are on board.

“There is actually a case study where one community banned sugary drinks and what happened was they just set up a huge black market, so people would bring boot loads of the stuff and sell it for $10 a can out of the back of the car, and so it didn’t achieve the desired outcomes because people were just spending a whole lot of money on sugary drinks on their alternative supply route.”

Ms Savenake says Outback Stores will continue to examine the strategies in the community and may expand some of the measures, including smaller portion sizes, to more stores in a bid to assist communities to improve their health.

“I’ve been doing this for 20 years but there’s almost like a tipping point where suddenly there’s a broader community awareness that we all need to get involved in doing something to improve our health and working towards healthier food,” she said.

“We’re still providing choice – you can still get it. It might be just a little bit harder to get, the shop is not open all the time so it’s still your choice around what you want to consume but we’re just providing a few incentives to mean that it’s a little bit more expensive, it’s a little bit less available, but if you really want it, it’s still there.”

NACCHO #SorryDay #NRW2017 supports @HeartAust and AHHA @AusHealthcare 18 Hospitals signed to #Lighthouse Hospital Project

 

“Aboriginal and Torres Strait Islander peoples are two-and-a-half times more likely to be admitted to hospital for heart events than non-Indigenous Australians.

For both sexes, Aboriginal and Torres Strait Islander peoples are more likely to have high blood pressure, be obese, smoke and a poor diet.”

Chief Executive Officer Heart Foundation Adjunct Professor John Kelly see Part 2 below Heart map

 ” I thought I was healthy and was quite prepared to ignore the warning signs.

I had a heart attack and survived. It could have been very different.

Having had the scare of a lifetime, Winmar made immediate changes 

At the time I had to change a lot of my dieting, the way you use salts in your food, alcohol, smoking. Those were the sacrifices you have to do as well, which don’t come easily,

“You’ve got to make that choice if you want to fulfil the rest of your life. I’m 52 this year and hopefully [for] another 10 or 15 years I’ll still be around.”

Heart and home: Nicky Winmar and his second chance at life

Nicky Winmar is famously remembered as the Indigenous player who confronted the crowd and pointed to his skin at Victoria Park in the early 1990s in a triumphant stand against racism in footy see full story Part 3 :

A chance meeting with the ACT chief executive of the Heart Foundation, Tony Stubbs, meant he simply had to endorse its message about a positive diet and lifestyle, especially with what’s at stake in Indigenous communities

” NACCHO will provide leadership and guidance to the Lighthouse team in enabling the local Aboriginal and Torres Strait Islander community and Aboriginal health workforce to be intimately involved in designing and implementing the program.

We are very supportive of this program and its contribution to National Sorry Day today, and to Reconciliation Week which starts tomorrow ’

CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO) Patricia Turner pictured below

Download Press Release

Media Release_Sorry Day_Joint HF AHHA NACCHO V2 l

Part 1 : Press Release 18 hospitals sign up to close the gap in Aboriginal and Torres Strait Islander heart health

Eighteen hospitals from around Australia have signed up to the Lighthouse Hospital Project aimed at improving the hospital treatment of coronary heart disease among Indigenous Australians.

See Info HERE Phase 3

Lighthouse is operated and managed by the Heart Foundation and the Australian Healthcare and Hospitals Association (AHHA). It is funded by the Australian Government.

The 18 hospitals cover almost one-half of all cardiac admissions in Australia for Aboriginal and Torres Strait Islander peoples.

Heart Foundation National CEO Adjunct Professor John Kelly said closing the gap in cardiovascular disease between Indigenous and non-Indigenous Australians was a key Heart Foundation priority, and it was highly appropriate that today’s announcement coincided with National Sorry Day.

‘Cardiac care for Aboriginal and Torres Strait Islander peoples is serious business. Australia’s First Peoples are more likely to have heart attacks than non-Indigenous Australians, and more likely to have early heart disease onset coupled with other health problems, frequent hospital admissions and premature death[1].

‘Deaths happen at almost twice the rate for non-Indigenous Australians, yet Indigenous Australians appear to have fewer tests and treatments while in hospital, and discharge from hospital against medical advice is five times as high[2]’, Professor Kelly said.

AHHA CEO Alison Verhoeven says that Lighthouse aims to ensure Indigenous Australians receive appropriate evidence-based care in a culturally safe manner.

‘A critical component of success will be close and genuine collaboration with local Aboriginal and Torres Strait Islander leaders, communities and organisations in the design and implementation of the activities.

‘To borrow from the words of the Prime Minister, Lighthouse will encourage and support hospitals to do things ‘with’ Aboriginal people not ‘to’ them[3].

Free Blood Pressure HERE

See Previous NACCHO Heart Posts

“Many of the hospital admissions for Aboriginal and Torres Strait Islander peoples are preventable and the Heart Foundation is committed to closing the gap in health outcomes for Aboriginal and Torres Strait Islander peoples.”

Heart Foundation National Chief Executive Officer Adjunct Professor John Kelly said these maps brought together for the first time a national picture of hospital admission rates for heart-related conditions at a national, state and regional level.

Or Download report and press release

Australian Heart Maps Report 2016

What is the Lighthouse hospital project?

  • The Lighthouse hospital project is a joint initiative of the Heart Foundation and the Australian Healthcare and Hospitals Association (AHHA).
  • The aim: to improve care and health outcomes for Aboriginal and Torres Strait Islander peoples experiencing coronary heart disease, the leading cause of death among this population.

Australia is a privileged nation by world standards. Despite this, not everyone is equal when it comes to heart health and Aboriginal and Torres Strait Islander people are the most disadvantaged. The reasons are complex and not only medical in nature. Aboriginal and Torres Strait Islander people have a troubled history with institutions of all kinds, including hospitals.

The Lighthouse Hospital project aims to change this experience by providing both a medically and culturally safe hospital environment. A culturally safe approach to healthcare respects, enhances and empowers the cultural identity and wellbeing of an individual.

This project matters because the facts are sobering. Cardiovascular disease occurs earlier, progresses faster and is associated with greater co-morbidities in Aboriginal and Torres Strait Islander peoples. They are admitted to hospital and suffer premature death more frequently compared with non-Indigenous Australians[1].

Major coronary events, such as heart attacks, occur at a rate three times that of the non- Indigenous population. Fatalities because of these events are 1.5 times more likely to occur, making it a leading contributor to the life expectancy gap [2].

PART 3

http://www.theage.com.au/afl/afl-news/nicky-winmar-and-the-moment-he-got-his-second-chance-20170525-gwd8g4.html

Nicky Winmar thought he was healthy and was quite prepared to ignore the warning signs.

The former AFL champion was only 46 and initially dismissed his chest pains as indigestion. Even the next morning, as the pains continued, it took Winmar’s partner to convince him to see a doctor.

Thankfully they got to him in time. Winmar was admitted to hospital and had surgery to insert a stent in an artery. A great of the St Kilda Football Club, he’d had a heart attack and survived. It could have been very different.

That scary episode five years ago has served as Winmar’s wake-up call. His father died the same way, aged 50, on the eve of Winmar’s solitary appearance in an AFL grand final 20 years ago.

“The doctor looked at me and put me in a room with all these machines and said I was having a heart attack,” Winmar recalls.

“It knocked me for six. I’d always trained hard and kept myself well with good food. It gave me a shake-up.

“They put a stent in an artery to keep it open. Afterwards I was so weak I couldn’t get out of bed. I had to learn to walk again.”

Having had the scare of a lifetime, Winmar made immediate changes

“At the time I had to change a lot of my dieting, the way you use salts in your food, alcohol, smoking. Those were the sacrifices you have to do as well, which don’t come easily,” Winmar said.

“You’ve got to make that choice if you want to fulfil the rest of your life. I’m 52 this year and hopefully [for] another 10 or 15 years I’ll still be around.”

Winmar is famously remembered as the Indigenous player who confronted the crowd and pointed to his skin at Victoria Park in the early 1990s in a triumphant stand against racism in footy. The moment was captured by an Age photographer, Wayne Ludbey, and remains an iconic image in footy history.

Then last year Winmar publicly supported his son to highlight the importance of gay rights. Winmar had little to do with his son for nearly 20 years and the pair hadn’t spoken for a decade until, three years ago, Tynan Winmar decided it was time to reconnect and tell his father about his sexuality.

When Nicky Winmar decides to support a cause, he throws his full weight behind it. A chance meeting with the ACT chief executive of the Heart Foundation, Tony Stubbs, meant he simply had to endorse its message about a positive diet and lifestyle, especially with what’s at stake in Indigenous communities.

“When I first met him, he took a step back, thought about it and said this is my opportunity to do something about it,” Stubbs said.

The statistics around heart disease and Indigenous communities are disturbing.

“It’s the biggest single killer of Indigenous Australians,” Stubbs said.

“It’s nearly twice the rate of death of non-Indigenous. We think that gap is too big and we actually want to do something about that and bridge that.

“Unfortunately the Indigenous smoking rate is about 43 per cent, which is about two-and-a-half times the non-Indigenous rate. And in remote areas it’s actually 60 per cent.

“One of the key messages is around quitting smoking and making that decision. Certainly Nicky has done that. And he’s found a huge amount of benefit from that.”

Winmar has a simple message for those in Indigenous communities.

“It’s the No.1 killer in Indigenous communities and towns and country areas that we come from,” he said.

“It’s important that you do go and see your local GP with symptoms that do happen. Ring triple zero and do something about it straight away.”

Winmar is a Saints great across more than 200 matches but played his final AFL season with the Western Bulldogs in 1999. He enjoyed last year’s Doggies breakthrough premiership, especially because they were coached by his friend Luke Beveridge, but the thought of St Kilda’s first flag since 1966 brings a big smile to his face.

Perhaps a smile as big as the one he had when he realised he had a second chance.

1] Austalian Institute of Health and Welfare (AIHW) 2016. Australia’s health 2016. Australia’s health series no. 15. Cat. No AUS 199. Canberra: AIHW

[2] AIHW 2014, CHD and COPD in Indigenous Australians, Cat.No IHW 126

[3] Prime Minister Malcolm Turnbull. 10 February 2016. Speech to Parliament on the 2016 Closing the Gap Report.

NACCHO Aboriginal Health and #childhood #obesity : How #junkfood brands befriend kids on #socialmedia

ABS Overweight and obesity

  • In 2014-15, 63.4% of Australian adults were overweight or obese (11.2 million people). This is similar to the prevalence of overweight and obesity in 2011-12 (62.8%) and an increase since 1995 (56.3%).
  • Around one in four (27.4%) children aged 5-17 years were overweight or obese, similar to 2011-12 (25.7%).

ABS National Health Survey: First Results, 2014-15  

Download this graphic as a poster HERE

LL_ATSI_junkfoodandhealth_infographic

”  We examined how six “high-fat-sugar-salt” food brands approached consumers at an interactive, direct and social level online in 2012 to 2013 (although the practice continues).

If a stranger offered a child free lollies in return for their picture, the parent would justifiably be angry. When this occurs on Facebook, they may not even realise it’s happening.

We found food brands being presented online and interactively in four main ways: as “the prize”, “the entertainer”, the “social enabler” and as “a person”.

Using Facebook, advergames and other online platforms, food marketers can create deeper relationships with kids than ever before. Going far beyond a televised advertisement, they are able to create an entire “brand ecosystem” around the child online.

The latest National Health Survey found that around one in four Australian kids aged 5-17 were overweight or obese.

Food marketers promoting unhealthy options to kids online should be held to account.”

From the Conversation Four ways junk food brands befriend kids online

” Australian households spend the majority (58 per cent) of their food budget on discretionary or ‘junk’ foods and drinks, including take-aways (14 per cent) and sugar-sweetened beverages (4 per cent), according to new research.

Ill health due to poor diet is not shared equally, with some population groups, such as Aboriginal and Torres Strait Islander people and people who are disadvantaged socioeconomically, more at risk.”

Professor Lee, an Accredited Practising Dietician see article 2 Aussies spending most of food budget on junk food

Picture above from WHO Global Strategy for Women’s, Children’s and Adolescents’ Health, 2016-2030

Read NACCHO 20 Articles on Obesity

Read NACCHO 20 Articles on Nutrition Healthy Foods

Article 1 Four ways junk food brands befriend kids online

If a stranger offered a child free lollies in return for their picture, the parent would justifiably be angry. When this occurs on Facebook, they may not even realise it’s happening.

There was outrage after a recent report in The Australian suggesting that the social media company can identify when young people feel emotions like “anxious”, “nervous” or “stupid”. Although Facebook has denied offering tools to target users based on their feelings, the fact is that a variety of brands have been advertising to young people online for many years.

We’re all familiar with traditional print and television advertising, but persuasion is harder for children and parents to detect online. From using cartoon characters to embody the brand, to games that combine advertising with interactive content (“advergames”), kids are exposed to a pervasive ecosystem of marketing on social media.

The blurring of the line between advertising, entertainment and socialising has never been greater, or more difficult to fight.

Kids are vulnerable to junk food advertising

Junk food advertising aimed at both adults and children is nothing new, but research shows that young people are particularly vulnerable.

Their minds are more susceptible to persuasion, given that the part of their brain that controls impulsivity and decision-making is not always fully developed until early adulthood. As a result, children are likely to respond impulsively to interactive and attractive content.

While the issue of advertising junk food to children through television and other broadcast media gets a lot of attention, less is understood about how children are consuming such marketing online.

How brands interact online

We examined how six “high-fat-sugar-salt” food brands approached consumers at an interactive, direct and social level online in 2012 to 2013 (although the practice continues).

Analysing content on official Facebook pages, website advergames and free branded apps, we coded brand placements as primary, secondary, direct or implied brand mentions.

While the content may not be explicitly targeted at children, the colours, skill level of the games and the prizes are attractive to younger people. The responses on Facebook in particular show that young consumers often interact with these posts, sharing comments and reposting.

We found food brands being presented online and interactively in four main ways: as “the prize”, “the entertainer”, the “social enabler” and as “a person”.

1. The prize

The fast food company Hungry Jack’s Shake and Win app has been offered since 2012. By “shaking” the app, it tells you, using your smartphone GPS, which Hungry Jack’s outlet is closest and where you can redeem your “free” offer or discount.

In this way, it combines several interactive elements to push the user towards immediate consumption with the brand coded as a reward.

Hungry Jack’s Shake and Win app screens captured on May 17th 2017. iTunes/Hungry Jacks

2. The entertainer

Free branded video game apps or advergames are also used to engage young consumers, disguising advertising as entertainment.

In the 2012 Chupa Chups game Lol-a-Coaster (which is not currently available on the Australian iTunes store), for example, we found a lollipop appeared as part of game play up to 200 times in one minute. The game is simple to play, full of fun primary colours and sounds, and the player is socialised to associate the brand with positive emotion.

Chuck’s Lol-A-Coaster: an interactive game for Chupa Chups.

3. The social enabler

Brands often leverage Facebook’s “tagging” capability to spread their message, adding a social element.

When a company suggests that you tag your family and friends on Facebook with their favourite product flavour, for example, the young consumer is not only using the brand to connect with others, but letting the brand connect to their own Facebook network. For a brand like Pringles, this increases their reach on social media.

A post on the Pringles’ Facebook page on October 13th, 2016. Facebook/Pringles

4. The person

Some brands also use a humanised character, like Chupa Chups’s Chuck, to voice the brand and post messages to consumers on Facebook.

Often this character interacts with the consumer in a very human way, asking them about their everyday lives, aspirations and fears. This creates the possibility of a long-term brand relationship and brand loyalty.

A Chupa Chups post on September 2nd, 2014 showing the character, Chuck. Facebook/Chupa Chups

Brands need to clean up their act

Using Facebook, advergames and other online platforms, food marketers can create deeper relationships with kids than ever before. Going far beyond a televised advertisement, they are able to create an entire “brand ecosystem” around the child online.

The latest National Health Survey found that around one in four Australian kids aged 5-17 were overweight or obese. Food marketers promoting unhealthy options to kids online should be held to account.

In Australia, the food marketing industry is mostly self-regulating. Brands are meant to abide by a code of practice which, if breached, holds them account through a complaints-based system.

While some companies have also pledged, via an Australian Food and Grocery Council code, not to target child audiences using interactive games unless offering a healthy choice, the current system is too slow and weak to be a real deterrent. That needs to change.

While online food marketing may be cheap for the corporations, the price that society pays when it comes to issues such as childhood obesity is immeasurable.

Article 2 Aussies spending most of food budget on junk food

According to Professor Amanda Lee, who is presenting her research at the Dietitians Association of Australia’s National Conference in Hobart this week, healthy diets are more affordable than current (unhealthy) diets – costing households 15 per cent less.

But according to Australian Health Survey data, few Australians consume diets consistent with national recommendations.

“Less than four per cent of Australians eat adequate quantities of healthy foods, yet more than 35 per cent of energy (kilojoule) intake comes from discretionary foods and drinks, which provide little nutrition – and this is hurting our health and our hip pocket,” said Professor Lee, from the Sax Institute.

She said the figures are particularly worrying because poor diet is the leading preventable cause of ill health in Australia and globally, contributing to almost 18 per cent of deaths in Australia, while obesity costs the nation $58 billion a year.

Her research found that, although healthy diets cost less than current (unhealthy) diets, people in low income households need to spend around a third (31 per cent) of their disposable income to eat a healthy diet, so food security is a real problem in these households.

She added that policies that increase the price differential between healthy and unhealthy diets could further compromise food security in vulnerable groups.

“At the moment, basic healthy foods like fresh vegetables and fruit are except from the GST, but there’s been talk of extending this to all foods. If this were to happen, the cost of a healthy diet would become unaffordable for low-income families,” said Lee.

Lee said Australia needs a coordinated approach to nutrition policy – a call echoed by the Dietitians Association of Australian, the Public Health Association of Australia, the Heart Foundation and Nutrition Australia.

NACCHO Aboriginal Health and #junkfood : Download @aihw Report Impact of overweight & obesity on health

Picture above : Nutritionists and dieticians throughout Australia have been criticizing on social media the recent Mc Donald’s  advertising during sports TV for the ” Made for Family ” of Burger , Coke and Chips recommending the #junkfood as not the preferred family meal

” Overweight and obesity, as well as many of the linked chronic diseases, is highly prevalent among Aboriginal and Torres Strait Islander people, with this also varying by socioeconomic group.

Overweight and obesity is a major public health issue, with nearly 2 in 3 adults and 1 in 4 children in Australia considered overweight or obese (AIHW 2016c).

The Australian Burden of Disease Study (ABDS) 2011 modelled the impact of overweight and obesity and showed it is one of the leading risk factors for ill health and death (AIHW 2016a).”

Download the AIHW report HERE : AIHW Obesity Burden of Disease

 ” Outcomes of the meeting included support the public health objectives to reduce chronic disease related to overweight and obesity.

This will include evaluating the effectiveness of existing initiatives and identify potential new initiatives, such as how the food regulation system can facilitate healthy food choices and positively influence the food environment.”

Australian Ministers, the New Zealand Minister responsible for food safety and the Australian Local Government Association met in Adelaide today and agreed the priority areas for the food regulation system for both countries for 2017 – 2021. They also discussed the latest updates on food labelling of sugar and fats and oils and released the two year progress review report on the implementation of the Health Star Rating system. 

The meeting was chaired by the Australian Government Assistant Minister for Health, Dr David Gillespie.

Download Communique HERE : Final Communique 28 April 2017

  • Childhood obesity has been labelled one of the most serious public health issues of the 21st century.
  • Overweight and obese children typically grow into overweight and obese adults, who are susceptible to chronic complaints such as diabetes and cardio vascular disease. These diseases place considerable burdens on national health systems and economies.
  • It can be argued therefore that policy which encourages healthy eating habits is desirable.  However, the increasing availability of foods high in fat, sugar and salt (so called junk foods) across the world has made eating healthily a challenge. 
  • This challenge, according to some research, is compounded by advertising that adversely influences people’s food preferences and consumption patterns. As a consequence of this research, there has been considerable advocacy which has urged governments to place limitations on the advertising of junk foods, particularly to children. 

 

APH : Marketing obesity? Junk food, advertising and kids

“Obesity is markedly more prevalent amongst people of Aboriginal and Torres Strait Islander descent compared to all Australians, with 25 per cent of men and 29 per cent of women being obese.

Aboriginal and Torres Strait Islander communities need information that is culturally appropriate, evidence-based, easily understood, action-oriented and motivating. There is also the need to promote healthy eating to facilitate community ownership and does not undermining the cultural importance of family social events, the role of elders and traditional preferences for some foods. Food supply in Indigenous communities needs to ensure healthy, good quality food options are available at competitive prices.

Primary health care services have a central role in promoting and improving Aboriginal and Torres Strait Islander health and the sector needs specialised training and resources to implement new initiatives and provide culturally appropriate advice.”

Department of Health Website

OBESITY – AUSTRALIA’S BIGGEST PUBLIC HEALTH CHALLENGE

Download AMA Position Statement on Obesity 2016

obesity-2016-ama-position-statement

NACCHO Articles about Obesity

“For Australia’s Aboriginal and Torres Strait Islander peoples, “diet is the single most important factor in the chronic disease epidemic facing Aboriginal communities.” The resolution commits governments “to reverse the rising trends in overweight and obesity and reduce the burden of diet-related noncommunicable diseases in all age groups.”

Dr Mark J Lock is an ARC Discovery Indigenous Research Fellow at the School of Medicine and Public Health, University of Newcastle. See Croakey article Part 2

“Jamie Oliver on behalf of the Wadeye community, I invite you to visit us and teach us to understand healthy eating and nutritious food. Our community would be pleased take you collecting bush tucker traditional way, and you can teach us new skills.

Being healthy means our kids have a better chance in life, and your visit would help make our community strong for the future and ensure our kids to grow up healthy and deadly.”

Hope to hear from you soon,
From Julie see full letter below

“We need all sides of politics to take these issues seriously, to support effective policies and water down the alcohol and junk food and junk drink industries that currently are undermining our health.

In the Medical Journal of Australia, we argue that we are losing the war against alcohol and weight-related illnesses because our nation lacks a comprehensive approach to prevention.”

By Professor Rob Moodie, Melbourne School of Population and Global Health, University of Melbourne.He worked  for NACCHO Member , Congress, the Aboriginal Community controlled health service in Central Australia from 1982-1988.

Full article

NACCHO #Worldhealthweek Obesity News: : Is diet the single most important factor in the chronic disease epidemic facing Aboriginal communities.”

Australian Healthcare Reform Alliance (AHCRA) policy proposals are not driven by ideology but have their foundations in research, evidence and broader policy review.

 ” Aboriginal communities should take advice from the fast food industry “

NACCHO’s 2013 #junkfood V Health campaign reached 20 Million + worldwide

Thus, advocacy for reducing sugar intake, support for plain packaging of tobacco and the better funding of primary and preventive care align with the basic principles of the social determinants of health in achieving better health outcomes.

To underpin this work AHCRA draws on research, aggregated data and reports from reputable sources.

A recent study published by the Australian Institute of Health and Welfare (AIHW) provides insight into the contribution of overweight and obesity to the health burden of chronic disease.

Download the AIHW report HERE : AIHW Obesity Burden of Disease

It highlights the importance of reducing overweight and obesity to prevent the onset and/or reduce the severity of associated diseases in the population.

Health impacts from being overweight or obese are not always immediate, particularly for lifestyle-related diseases, and depend on when exposure occurs and the associated disease.

In this report, only asthma was identified as a linked disease with a direct association in childhood; however, childhood obesity is a risk factor for chronic disease in adulthood and later life.

As well, being overweight and obese in mid-life is associated with increased dementia risk in late life, demonstrating a time lag from exposure to disease development. Other studies also show a reduction in cancer risk in adults who experienced weight loss 10 years prior, also suggesting a time lag.

The result is that prevention and intervention efforts focused on maintaining a healthy weight in children, as well as reducing existing overweight and obesity in all age groups, are likely to result in increased health gains in the future.

This report updates and extends estimates of the burden due to overweight and obesity reported in the Australian Burden of Disease Study 2011 to include people under 25, revised diseases linked to overweight and obesity based on the latest evidence, and estimates by socioeconomic group.

The report includes scenario modelling to assess the potential impact on future health burden if overweight and obesity in the population continues to rise or is reduced. The enhanced analysis in the report shows that 7.0% of the total health burden in Australia in 2011 is due to overweight and obesity, and that this burden increased with increasing level of socioeconomic disadvantage.