NACCHO Aboriginal Health News: Struggling to isolate in overcrowded housing

Ronnie Murray says his brother has been sleeping in a tent to help the family isolate, a difficult task in a household of 10. (Supplied: Wilcannia River Radio)

Struggling to isolate in overcrowded housing

NACCHO CEO Pat Turner told The Point that overcrowded housing in remote communities has been brought to the attention of governments over many years and they’ve failed to act.

“We have repeatedly asked governments throughout Australia to address and to ensure that our people have safe and the right size housing, so we won’t have these problems. There will be future pandemics and we must get this housing issue addressed,” she said.

You can read the article in SBS NITV News here.

Ms Turner also spoke to The Point about the COVID-19 vaccine rollout, the Delta strain, and what resources are in place to help with staff shortages at Aboriginal community controlled health services.

You can watch Pat Turner on Episode 17, Season 2021, The Point SBS NITV below.

 

The power of respectful partnerships

Last week, nursing academic Professor Rhonda Wilson was hard at work in Walgett assisting local health workers with COVID vaccinations. Writing from isolation upon her return home, she reflects on the importance of relationships, respect and trust in providing culturally safe services.

We have been working in partnership with Walgett Aboriginal Medical Service (WAMS) on another project for some time. We saw our partners needed a hand, and we knew we had skills, knowledge, respectfulness, and community connection to help in a culturally safe manner. If we could help, in partnership, we would volunteer to do so.

The response from WAMS was a swift, ‘Yes, your help is needed. When could you come?’

WAMS invited me and my nursing colleagues from the School of Nursing and Midwifery at the University of Newcastle, Professor Amanda Johnson and Associate Professor Donna Hartz, to help urgently with the escalating crisis of COVID-19 cases in their area.

You can read the story in Croakey Health Media here.

Professor Rhonda Wilson, contributing to the pandemic response at Walgett recently. Image source: Croakey Health Media.

Professor Rhonda Wilson, contributing to the pandemic response at Walgett recently. Image source: Croakey Health Media.

On track for vaccine target in Deniliquin

The district population is on track to be 70 to 80 per cent fully vaccinated against COVID-19 by November, according to Murrumbidgee Local Health District.

Practice manager at the Deniliquin Aboriginal Medical Service Sarah Campbell said the clinic is set up to deliver up to 100 vaccines if the clinic opens for half a day, and 160 on a full day. The AMS has fully vaccinated 31 First Nations people while another 87 have had their first vaccine.

Deniliquin’s Aboriginal and Torres Strait Islander population at the time of the 2016 Census was about 330 people, or 4.5% of the local population, higher than the 2.9% Australia-wide population.

Ms Campbell said the medical service has been vaccinating elders since April. Aboriginal and Torres Strait Islander people aged 12 and over can get vaccinated in Deniliquin.

You can read the story in Deniliquin Pastoral Times here.

Person receiving vaccine. Image source: ABC News website.

Person receiving vaccine. Image source: ABC News website.

Stolen Generations Redress Scheme a step closer

The Morrison Government is deeply committed to supporting the healing of Stolen Generations survivors and has taken another step on the journey to provide redress for those forcibly removed as children in territories that were administered by the Commonwealth. The passage of the Territories Stolen Generations Redress Scheme (Facilitation) Act 2021 and the Territories Stolen Generations Redress Scheme (Consequential Amendments) Act 2021 will ensure the Scheme can be established over the next six months and start receiving applications by 1 March 2022.

“Today we introduced two pieces of legislation to give effect to key elements of the Scheme
and to make sure that all supports going to Stolen Generations survivors are not hampered
by other Acts,” Minister for Indigenous Australians, the Hon Ken Wyatt AM, MP said.

“With many Stolen Generations survivors being of an advanced age, the imperative to act now has been brought into sharp focus.”

“This redress scheme reflects the Morrison Government’s commitment to support our
nation’s journey to reconciliation and to support inter-generational healing for the health and
wellbeing of Stolen Generations survivors.”

You can read the media release by the Minister for Indigenous Australians, The Hon Ken Wyatt AM, MP here.

Resources to improve children’s wellbeing

With the COVID-19 pandemic amplifying pressures on families, a timely new initiative is seeking to improve Aboriginal and Torres Strait Islander children’s social and emotional wellbeing.

The resource series, developed by The Healing Foundation and Emerging Minds, highlights the undercurrent of intergenerational trauma among Aboriginal and Torres Strait Islander children, and outlines a strengths-based approach to healing. This new package, released recently to coincide with National Aboriginal and Torres Strait Islander Children’s Day, contains free e-learning modules, factsheets, and an animation (view below) to help elevate the importance of a child’s development.

You can read more about the initiative in Croakey Health Media here.
Visit the Emerging Minds website to access the e-learning modules.
Visit the Healing Foundations website to view the factsheets.

MBS billing guides now online

The MBS billing guides by The Royal Australian College of General Practitioners (RACGP) Aboriginal & Torres Strait Islander Health are now online.

  • MBS guide for GPs working in Aboriginal and Torres Strait Islander health
  • MBS guide for other medical practitioners (OMPs) working in Aboriginal and Torres Strait Islander health

As well as an extensive list of MBS items used by GPs and OMPs, both guides also include items used by other healthcare professionals such as allied health providers and nurse practitioners. Unlike the other guides they have developed as part of our MBS online tool, these pages are unlocked and can be accessed by anyone.

You can view the MBS billing guides here.

Aboriginal man at GP consultation. Image source: GP Synergy.

Aboriginal man at GP consultation. Image source: GP Synergy.

Disease expenditure in Australia

A new release from the Australian Institute of Health and Welfare (AIHW): Disease expenditure in Australia 2018-19 describes the activity and characteristics of Australia’s health care system in terms of estimated expenditure for different demographic groups in the population, and expenditure relating to different groups of diseases.

This web report provides the most recent data available on the health care expenditure on all Australian Burden of Disease Study conditions, including expenditure by health care sector, type of condition, age group, and sex. Information is presented on the web pages using interactive visualisations, and downloadable Microsoft Excel workbooks.

Visit the AIHW website to view the Disease expenditure in Australia 2018-19.

One of the key findings in the 'Australian Burden of Disease Study 2018'.

One of the key findings in the ‘Australian Burden of Disease Study 2018’.

Pancreatic Cancer Roadmap online survey

Cancer Australia is pleased to provide you with the National Pancreatic Cancer Roadmap online Delphi Survey. The survey is being conducted by Deloitte on behalf of Cancer Australia.

Consultation closes on 30 August 2021, however please feel free to reach out to NACCHO’s Cancer team anytime if you would like to discuss by emailing Kate.Armstrong@naccho.org.au.

You can access the survey here.
You can also read the National Pancreatic Cancer Roadmap – Discussion Paper here.

 

New process for job advertising

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

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


dice spelling JOBS resting on keyboard

 

NACCHO Aboriginal Health News: National housing response needed

feature tile text 'national response needed in supporting Aboriginal & Torres Strait Islander housing & communities' & image of makeshift tent with blue tarp in Minyerri NT in dry scrub

National housing response needed

June Oscar AO, Aboriginal and Torres Strait Islander Social Justice Commissioner has written and opinion piece for The Australian for NAIDOC Week. Commissioner Oscar spoke about this year’s theme, ‘Heal Country!’, and the need for a national response to supporting First Nations Communities to live on country. Below is an excerpt from the opinion piece:

“For decades governments have chronically underinvested in remote housing, roads, sewerage, education, health and much more. At the beginning of the pandemic, in the rush to get our peoples home, already dangerously overcrowded communities struggled to accommodate the influx. Tents sprang up. Our peoples returning to community were largely experiencing homelessness and poverty – their lives on the margins a direct result of the fact there has never been enough housing, not in cities, towns, communities or anywhere.

The reason we continue to live in vulnerable and unacceptable conditions is because there is no national plan to enable our people to live on or easily access our lands. In 2014, with commonwealth funding cuts, the WA government announced it would close more than half the remote communities in the state. The state government said it couldn’t shoulder the costs and has maintained this position. This is not unique to WA. In 2018 the commonwealth’s remote housing agreement with the states came to an end, with only an exit payment, and nothing else arranged for WA, SA and Queensland. It shows the disregard of governments at all levels to invest effectively in places where we live.

The real cost of the commonwealth walking away from these agreements, and all governments failing to respond to our needs, is entrenched human suffering, abuse and a deep scarring of this land. Enough is enough. The urgency of these issues demands immediate action by the commonwealth in partnership with all Australian governments and most importantly with First Nations peoples.”

To read the opinion piece in full click here.

makeshift housing on edge of Tennant Creek, NT

Tennant Creek traditional owner Diane Stokes lives on her block as an alternative to staying in an overcrowded family house. Photo: Jane Bardon. Image source: ABC News. Feature tile: Aboriginal community of Minyerri, NT. Image source: Welcome to Country website.

Trial could change type 2 diabetes treatment

NT GP Sam Heard sees the harm type 2 diabetes causes in Indigenous communities; in some places, up to 40% of the population is affected by the illness. “Dire might be a good word. The outcome for people getting diabetes when you are 40 is not good, and when you are very young it is terrible,” Dr Heard said. “If you tell an Aboriginal person that they have got diabetes, they are pretty devastated, and there is stigma involved. It is a really major disease that has implications for everybody — their family and their children.”

But Dr Heard is seeing some promising results in his patients who are trialling a low-calorie weight management program. “All of those have managed to stay on [the program] are very, very positive about it,” said Dr Heard,  who is the medical director at the Central Australian Aboriginal Congress (CAAC). “One 40-year-old fella describing it to a large group of Aboriginal people at a meeting got a standing ovation, and they could see the difference in his whole demeanour and how much weight he had lost.”

To view the article in full click here.

Aboriginal person's hands doing blood sugar test

Image source: The Medical Journal of Australia website.

COVID-19 assets for mob

The Australian Government Department of Health have developed a pack of COVID-19 resources tailored to an Aboriginal and Torres Strait Islander audience. The pack includes suggested social tiles and captions, two posters and a community announcement radio script, reminding everyone on the importance of keeping two big steps away from others, washing hands regularly, getting tested if you’re unwell, and following state and territory guidelines and restrictions.

You are welcome to use these assets as you see fit and adapt to your local requirements.

To view the range of resources click here.

tile with Jade North image & quote "If you're feeling sick, please stay away from others." Australian Governet #keepourmobsafe Australia.gov.au Coronavirus (COVID-19), image of Jade North playing soccer, border Aboriginal dot painting

One of the #keepourmobsafe COVID-19 resources.

Community sector climate justice webinar

On 12 July 2021 ACOSS is launching its Climate Campaign to build the capacity of the community sector to act on climate justice. ACOSS is calling on the Federal Government to commit to an ambitious net zero emissions reduction target, which is the first step to tackling the injustice being done to vulnerable people as a result of climate inaction.

You can join community sector leaders including NACCHO CEO Pat Turner, NACCHO CEO, and climate experts at the Climate Campaign Webinar to discuss what your organisation can do to address climate change. You will hear from experts on the science and human impacts of climate change and learn from community climate leaders whose organisations have taken action on the issue.

ACOSS CEO Cassandra Goldie will share how community organisations can take part in the community sector push for climate justice in the leadup to the November UN Climate Summit.

The webinar will take place on Zoom from 1–3pm on Monday 12 July 2021.

Registrations close 5pm Friday 9 July 2021 – to register click here.

banner text 'ACOSS Climate Campaign Webinar - empowering the community sector to take action on clime justice' image of man in checked shirt with face mask, background thick bushfire smoke

Lowering heart disease risk resources

Are you at risk of heart disease? Preventing heart disease starts with knowing your risk factors and making changes to live a healthier life. The Heart Foundation has a range of support and resources to help Aboriginal and Torres Strait Islander peoples stay healthy and reduce the risk of heart disease. You can access the Heart Foundation’s information and resources here.

Aboriginal woman in outdoor setting using weight resistant exercise equipment

Image source: The Heart Foundation.

Infectious disease ‘surveillance network’

Aboriginal and Torres Strait Islander people will benefit from the expansion of a University of Queensland-led health project aimed at improving clinical care within primary health care services nationally. The Improving surveillance infrastructure for Indigenous primary health care project will expand an existing online surveillance network (named ATLAS) focussed on sexually transmissible infections (STIs) and blood-borne viruses (BBVs), thanks to federal funding.

STIs and BBVs are endemic in many remote and regional communities in Australia, with STIs identified as the leading incident morbidity for Aboriginal people aged 15–24 years. UQ Poche Centre for Indigenous Health director Professor James Ward said he welcomed the funding to deliver the largest connected Indigenous primary care surveillance network in Australia.

“As a Pitjantjatjara and Nukunu man and an infectious diseases epidemiologist, this is an exciting opportunity to significantly develop our work in this sector,” Professor Ward said. “Our aim is to grow the size of the ATLAS network by including more primary health care services within the network especially Aboriginal Community-Controlled Health Organisations (ACCHOs). In addition, the new funding will enable the ATLAS surveillance system to extend to include other infectious diseases such as vaccine preventable diseases within the scope of the ATLAS network.”

To view the full article click here.

light blue background with 3 clay brightly coloured sculptures of STI cells

Image source: 1800 my options website.

First Nations to inform national plan

The federal government has established a 13-member Aboriginal and Torres Strait Islander Advisory Council to inform the development of the next National Plan to end family, domestic and sexual violence in Australia and support the implementation of the Closing the Gap Target 13.

Indigenous rights campaigner Professor Sandra Creamer will be the interim chair of the multidisciplinary Advisory Council and be joined by advisors from across the health, community services, legal services, children and family services, and university sectors. Minister for Women’s Safety Anne Ruston said the Advisory Council would help ensure the issues and challenges facing First Nations peoples were elevated and given specific focus in the next National Plan.

To view the media release click here.

young boy holding ripped piece of paper with the work HELP in front of face

Image source: Monash University LENS website.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via NACCHO’s communication platforms.

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

dice spelling JOBS resting on keyboard

NACCHO Aboriginal Health News: COVID-19 vaccine take up and hesitancy

Feature tile - Thu.10.6.21 - COVID-19 vaccine take up and hesitancy

COVID-19 vaccine take up and hesitancy

Dr Dawn Casey, Deputy CEO NACCHO and Co-Chair Aboriginal and Torres Strait Islander Advisory Group on COVID-19 spoke on NITV-The Point on Tuesday 8 June about the latest rollout of the COVID-19 vaccine, its take up and hesitancy, and the Victorian lockdown.

“There are just over 65,000 Aboriginal and Torres Strait Islander people who have been vaccinated with their first dose so far. There was hesitancy when the announcements around the issues that AstraZeneca was not suitable for under 50s, but the numbers have started to pick up.”

“There has been no blood clots for Aboriginal and Torres Strait Islander people recorded.”

Aboriginal and Torres Strait Islander peoples are now eligible to receive the vaccines, including those aged 16 and over. Speak to your healthcare worker to find out more.

You can view the interview below or by clicking here.

or information on the vaccines, visit the Australian Government Department of Health website.

#OurJobToProtectOurJob   #GetVaccinatedToBeProtected   #HaveYouHadYourShot

Sugar tax will cut disease and save lives

The AMA has today called for a tax on sugary drinks as a key plank of its plan to tackle chronic disease and make Australia the healthiest country in the world.

In his address to the National Press Club in Canberra yesterday, AMA President Dr Omar Khorshid said that Australia lags behind comparable nations in health outcomes and disease prevention, and it was ‘time for action’ to reduce consumption of sugar-filled drinks.

More than 2.4 billion litres of sugary drinks are consumed every year in Australia. That’s enough to fill 960 Olympic sized swimming pools,” Dr Khorshid said.

“Diabetes, obesity and poor vascular health are huge contributors to the burden on our health system. The tax could save lives, and save millions of dollars in healthcare costs,” he said.

The tax proposed in the AMA’s report released yesterday would raise the retail price of the average supermarket sugary drink by 20%. This would be an important first step towards tackling obesity and raise revenue to take further steps.

The AMA’s call for a tax on sugary drinks is part of its new blueprint for a robust, sustainable health system – beyond the pandemic – with high quality, patient-centred care at its heart. The Vision for Australia’s Health, also launched yesterday, calls for reform around five policy pillars – general practice, public hospitals, private health, equity and innovation.

View The Vision for Australia’s Health plane here.

View the A tax on sugar-sweetened beverages: Modelled impacts on sugar consumption and government revenue report here.

AMA - Vision for Australia's Health report - 5 pillars.

AMA – Vision for Australia’s Health report – 5 pillars.

Restoration to guide health reforms

The Aotearoa New Zealand Government has announced sweeping reforms for the nation’s health system.

They have been welcomed by the Royal Australasian College of Physicians (RACP) ‘as a health system structure seeking to live its commitments’ to the Treaty of Waitangi and refusing any longer to ‘tolerate the health inequities experienced by our Māori and Pasifika whanau’.

Dr Sandra Hotu, Chair of the RACP Māori Health Committee, and Dr George Laking, RACP Aotearoa New Zealand President, outline the changes and their implications for improving health and health systems, for both Australia and Aotearoa New Zealand.

Together with an ethic of restoration, Australia and Aotearoa New Zealand must look to a practice of partnership informed by the stories and experiences of our First Nations. Partnership must be tangible. It must be expressly lived as a solution space lead by Indigenous voices, rather than a problem space. Partnership is informing the refresh of Closing the Gap 2019–2029, as described in the partnership agreement between the Community Controlled Peak Organisations and the National Federation Reform Council.

As Alex Brown and Eddie Mulholland wrote on Croakey in 2020, the agreement for power-sharing represents a “critical moment for genuine engagement between Australian governments and Aboriginal Community Controlled Health Organisations (ACCHOs)”.

The vision of the ACCHOs – Aboriginal and Torres Strait Islander people enjoy quality of life through whole-of-community self-determination and individual spiritual, cultural, physical, social and emotional well-being’ resonates with the intent of the Māori Health Authority. This is because the rationale for each is so closely aligned: racism in healthcare as well as the need for culturally safe services to address health inequity.

You can read the article at Croakey Health Media here.

Aboriginal kids washing their hands. Image credit The Conversation.

Aboriginal kids washing their hands. Image credit The Conversation.

Better health literacy for better equity

New survey findings show a significant number of consumers need to be supported to feel more in control of their health care. The report, commissioned from the Consumers Health Forum (CHF) by NPS MedicineWise, defines and measures health literacy in Australia. It also identifies gaps which are preventing people from accessing the best possible health care.

Health literacy is core to us delivering more equitable health outcomes,” said Leanne Wells, CEO of CHF.

The survey of more than 1,500 respondents found that approximately one in five consumers:

  • Rarely or never felt comfortable asking their doctor, pharmacist or nurse when they needed more information.
  • Rarely or never felt comfortable asking the health professional to explain anything they didn’t understand.
  • Found the information a health professional gave them always or often confusing.

“We need to increase consumers’ capacity to manage and feel in control of their health care, including around medicines. It’s really important that we strive to improve medicines literacy because we know people at higher risk of medication-related harm are people with multiple conditions, people who are taking lots of medications and people with English as a second language,” said Ms Wells.

You can view the New survey results shine a light on health literacy in Australia media release here.

You can read the Consumer Health Literacy Segmentation and Activation Research Project report here.

Health_literacy_image

Copyright NACCHO.

Artwork competition: ear and hearing health

Calling all Aboriginal and Torres Strait Islander artists aged 13 years or older!

NACCHO invites you to design an artwork about how important ear and hearing health is within Aboriginal and Torres Strait Islander communities.

The winning artwork will receive a $500 voucher prize and will be used across Australia for NACCHOs National Ear and Hearing health program.

The winning artwork will be used on merchandise, stationary and promotional materials to celebrate current Aboriginal and Torres Strait Islander achievements, across Australia.

Click here to submit your artwork and for conditions of entry.

All entries must be submitted by: 21 July 2021. 

NAC National Ear Health Poster Competition

NDIS Ready grant round closing soon

Attention all Aboriginal Community Controlled Organisations!

NDIS Ready Indigenous Business Support Funding (IBSF) ACCO round grant applications are CLOSING SOON! 

Grants are available to help up to 100 eligible ACCHOs and ACCOs address the basic establishment costs, and business and technical challenges in registered and delivering services under the NDIS and to equip themselves to operate more effectively long-term under the NDIS model. 

Information on the grant and how to apply can be found on the IBSF website.

Please contact the NDIS Ready team if you have any questions.

Applications close on Friday 11 June 2021.  

NDIS Ready - Applications closing

NACCHO Aboriginal Health News: Mabo Day

Feature tile - Thu 3.6.21 - Mabo Day.

Mabo Day

Today, 3 June is Mabo Day.

Eddie ‘Koiki’ Mabo was a Torres Strait Islander who believed Australian laws on land ownership were wrong and fought to change them. He was born in 1936 on Mer, which is also known as Murray Island, in the Torres Strait.

In 1982 a legal land ownership case was lodged with the High Court of Australia by a group of Meriam from the Eastern Torres Strait Islands, led by Eddie Mabo.

The Mabo decision was a legal case that ran for 10 years. On 3 June 1992, the High Court of Australia decided that ‘terra nullius’ should not have been applied to Australia.

Sadly, Eddie Mabo passed away in January 1992, just five months before the High Court made its decision.

The Mabo decision was a turning point for the recognition of Aboriginal and Torres Strait Islander peoples’ rights because it acknowledged their unique connection with the land.

It also led to the Australian Parliament passing the Native Title Act in 1993.

For more information about Mabo Day visit the National Museum of Australia website here.

Eddie Mabo NACCHO graphic. Original photo by: Jim McEwan

Eddie Mabo NACCHO graphic. Original photo by: Jim McEwan.

 

Mandatory reporting of influenza vaccinations

The National Immunisation Program (NIP) wants to remind all Aboriginal Community Controlled Health Services about the importance of checking expiration dates of vaccines, disposing of out of date stock and reporting accurate data to the Australian Immunisation Register (AIR).

It is mandatory under the Australian Immunisation Register Act 2015 for all vaccination providers to report all influenza vaccinations administered on or after 1 March 2021 to the AIR.

A recent incident reported by a General Practice, where some 2020 influenza stock was found among 2021
influenza stock, prompted the Australian Government Department of Health (the Department) to investigate a range of circumstances that may have led to this, including checking data reported to AIR.

This investigation concluded that there was no 2020 stock in state and territory vaccine warehouses, however there were a high number of vaccines, with 2020 influenza batch numbers, reported to the AIR as being administered this influenza season (2021).

We ask that you remind all staff to double check expiration dates of vaccines prior to administration, dispose of out of date stock appropriately and that you encourage all staff at your practice to double check the information being reported to the AIR is correct prior to submitting it to AIR.

A letter with a copy of the above information can be downloaded here.

Please download a fact sheet outlining the mandatory reporting obligations for vaccination providers, and helpful tips for reporting to the AIR here.

 

Women living remotely must travel for birth

Heavily pregnant women living in remote and regional areas across Australia are being forced to pack their bags and head to hospital to wait for the birth of their babies, far away from family, culture, community, and connection.

Women’s health experts say this experience is traumatic for expectant parents and expensive for governments, but that the answer is simple: open more culturally safe birthing centres outside of big cities.

Women who live outside of the four major birthing hubs in the NT (Darwin, Alice Springs, Katherine and Nhulunbuy) need to travel to the nearest hospital at 38 weeks to wait for their baby to be born. For most of these women, English is not their first language, and some don’t speak English at all. Most women travel alone and although they are offered a translator in hospital, one is not always available.

Charles Darwin University professor of midwifery Sue Kildea labelled Northern Territory Health’s remote birthing policy as “outrageous”.

“Why do they send women by themselves? We don’t even let them take their kids with them,” she said.

“It’s the one thing that we should be so ashamed of.”

Experts are calling for more regional birthing hubs to fill the gap.

Read full story by ABC News here.

Judy Mununggrruitj lives in Galiwin'ku, a remote community in East Arnhem Land.(ABC News: Emma Vincent).

Judy Mununggrruitj lives in Galiwin’ku, a remote community in East Arnhem Land.(ABC News: Emma Vincent).

 

Expanding birth centres to remote NT 5+ years away

Northern Territory Health Minister Natasha Fyles says the government is looking at returning birthing facilities to remote and regional locations, and hopes to do so within the next decade.

“It’s a huge step to take forward, but I think it’s an important step,” she said.

Ms Fyles said investing in birthing on country services was a “priority” and NT Health was working toward developing a Territory-specific birthing on country model.

But not everyone’s convinced returning birthing to remote locations is the way forward.

Worimi woman Marilyn Clarke is the chair of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists’ Aboriginal and Torres Strait Islander Women’s Health Committee.

She said returning low-risk birth to remote communities could “be a bit tricky”, because if there was an unexpected complication, mother and baby were far away from emergency care.

Dr Clarke also said staffing remote hubs would be challenging and the NT had long-running issues recruiting and retaining health workers.

Instead, she said governments should invest in strong, Indigenous-led pre- and post-natal care in remote and regional locations.

You can read more about this story on ABC News here.

Remote NT. Image source: Croakey Health Media.

Remote NT. Image source: Croakey Health Media.

 

Remote ENT service delivery model

The Rural and Remote Health journal has done a rapid literature review aimed to inform the development of a new sustainable, evidence-based service delivery model for ear, nose and throat (ENT) services across Cape York, Australia. This work seeks to investigate the research question ‘What are the characteristics of successful outreach services which can be applied to remote living Indigenous children?’

A comprehensive search of three major electronic databases (PubMed, CINAHL and MEDLINE) and two websites (HealthInfo Net and Google Scholar) was conducted for peer-reviewed and grey literature, to elicit characteristics of ENT and hearing services in rural and remote Australia, Canada, New Zealand and the USA. The search strategy was divided into four sections: outreach services for rural and remote communities; services for Indigenous children and families; telehealth service provision; and remote ear and hearing health service models. A narrative synthesis was used to summarise the key features of the identified service characteristics.

In total, 71 studies met the inclusion criteria and were included in the review, which identified a number of success and sustainability traits, including employment of a dedicated ear and hearing educator; outreach nursing and audiology services; and telehealth access to ENT services. Ideally, outreach organisations should partner with local services that employ local Indigenous health workers to provide ongoing ear health services in community between outreach visits.

The evidence suggests that sound and sustainable ENT outreach models build on existing services; are tailored to local needs; promote cross-agency collaboration; use telehealth; and promote ongoing education of the local workforce.

View the full article here.

On Duty: Kelvin Kong treats a patient in Broome in 2015. Picture: Simone De Peak.

On Duty: Kelvin Kong treats a patient in Broome in 2015. Picture: Simone De Peak.

 

Soft drink ads hit ‘vulnerable’

What keeps consumers hooked on high sugar soft drink? Advertising, of course. But why are some consumers more adept at ignoring these cues than others?

A new study from Flinders University, has found participants with an automatic bias towards soft drinks – or difficulty resisting sweet drinks compared to non-sweetened control beverages (e.g., water) – are more responsive to the advertisements than those without these tendencies.

The Australian study compared the ability of 127 university-age students (18-25 year olds) to withstand or succumb to the urge to reach for a soft drink when viewing television advertisements.

Not only can regular soft drink consumption lead to weight gain and tooth decay, with a typical 375ml can of soft drink contain about 10 teaspoons of sugar, but so can these ’empty’ calories reduce intake of calcium, fibre and other nutrients in a healthy diet.

Australian Bureau of Statistics (2015) research estimated 50-60% of adolescent and young people consume soft drink every day.

“The cognitive vulnerabilities exposed in our study is an important lesson to future possible regulation of television advertising or public health campaigns,” says co-author Amber Tuscharski.

“After all, their exposure to soft drink cues will continue as manufacturers and marketers advertise their products in multiple locations – from TV commercials to in-store, service stations, public transport and billboards.”

Read full article in Science Direct here.

Lead Researcher Flinders University Professor of Psychology Eva Kemps on fizzy drinks.

Lead Researcher Flinders University Professor of Psychology Eva Kemps on fizzy drinks.

 

Ways to support healthy foods in remote stores

Monash University invites you to join in their HEALTHY STORiES = GOOD FOOD inaugural event to share remote community stores and takeaway advances through film for improved health. This live online series features stories from remote communities and leaders on ways to support healthy foods in remote community stores.

HEALTHY STORiES = GOOD FOOD addresses the issue of food security and aims to foster critical discussion towards health-enabling stores. It is a celebration and sharing of initiatives, whilst acknowledging barriers and having a focus on a food secure future for Aboriginal and Torres Strait Islander remote communities.

Please share with other remote store owners, community leaders and members, government policy-makers, health workers, academics, and practitioners who have a passion for thriving and healthy community stores. 

You can download the event poster here.

The event themes and scheduled times are:

3 June (11:30am – 12:30pm AEDT) Webinar 1: Remote Stores: Healthy Takeaways I Employment opportunities
15 June (12:30 – 1:30pm AEDT) Webinar 2: Food supply, delivery, local food economies
16 June (12:30 – 1:30pm AEDT) Webinar 3: Food affordability and pricing for healthy food
17 June (12:30 – 1:30pm AEDT) Webinar 4: The 4P’s of marketing for healthy food in stores

Facilitator of the online series:
Ms Nicole Turner, Indigenous Allied Health Australia & NSW Rural Doctors Network

Please submit any questions to coordinator: stacey.holden@monash.edu

FREE registration here.

Food Dreaming by Jarrod Stain, Gamilaroi Artist

Food Dreaming by Jarrod Stain, Gamilaroi Artist.

 

BRAMS – May Newsletter

After a busy start to the year, Easter provided Broome Regional Aboriginal Medical Service’s (BRAMS) staff with the opportunity to take a break and refresh. BRAMS continues to offer the COVID-19 vaccine to the local community, and more than 150 patients have received the jab so far, with no side effects being reported. We strongly encourage all our patients to come into the clinic to discuss their vaccine, particularly if you have concerns or questions.

We are excited to announce yet another expansion of our disability services, through a supported mobile playgroup program for children aged 0-14.

We have also commenced the recruitment process for our Chronic Disease Program, and we look forward to updating you in our next newsletter on the newest members of the team.

Finally, look out for us on your TV screens – we recently filmed our first television advertisement, and can’t wait to see the final product. A big thank you to all staff and patients who took part in the filming.

Please view the latest edition of the BRAMS newsletter here.

BRAMS_newsletter_May_2021

BRAMS Newsletter – May 2021.

NACCHO Aboriginal Health News: Food, the most effective weapon against chronic disease

feature tile text ; dietitians' reponse to the draft national preventaive health strategy describes food as the most effective weapon against chronic disease' photo of bowl of Aboriginal native foods

Food, most effective weapon against chronic disease

Dietitians Australia have released a response to the Draft National Preventive Health Strategy (NPHS). Dietitians Australia strongly agree with the visions of the draft NPHS: ‘To improve the health of all Australians at all stages of life, through early intervention, better information, targeting risk factors, and addressing the broader causes of poor health and wellbeing’ saying it is essential that all life stages are included and determinates of health outside an individual’s control are acknowledged and addressed.

The Dietitians Australia response specifically mentions the need for:

  • improved cultural safety across the Australian health system to improve access to appropriate and responsive health care for Aboriginal and Torres Strait Islander peoples and the prioritisation of care through ACCHOs
  • health and health care information to be tailored and translated for all Australians, including Aboriginal and Torres Strait Islander communities and people with disability
  • prioritisation of partnership research and interventions in specific population groups, including Aboriginal and Torres Strait Islander people
  • reviews of the Australian Dietary Guidelines, including Dietary Guidelines for Older Australians and the Aboriginal and Torres Strait Islander Guide to Healthy Eating

To view the Dietitians Australia response click here.

4 Aboriginal kids from NPY Lands arms around each other smiling & making funny faces for the camera, holding oranges, car & outback in the background

Image source: NPY Women’s Council website.

Burn victims from the bush face financial stress

Living away from community and country, Aboriginal families of children with severe burns also face critical financial stress to cover the associated costs of health care and treatment, a new study shows. A recent study by Flinders researchers Dr Courtney Ryder and Associate Professor Tamara Mackean found feelings of crisis were common in Aboriginal families with children suffering severe burns, with one family reporting skipping meals and others selling assets to reduce costs while in hospital.

The economic hardship was found to be worse in families who live in rural areas—some households traveling more than five hours for treatment, creating undue financial strain. Participants of the study included families from SA, NSW and QLD who are already part of the larger-Australia-wide Coolamon study on burns injuries in Aboriginal and Torres Strait Islander children.

To view the full article click here.

close up photo of a camp fire at night, sparks flying

Image source: The George Institute for Global Health.

Funding boost for Australian Cancer Plan

The Minister for Health and Aged Care, Greg Hunt, said the Australian Government is investing an additional $6.7 million to support and improve outcomes for all Australians affected by cancer. In 2020, an estimated 150,000 new cases of cancer were diagnosed in Australia, with around 50,000 Australians tragically passing away. As part of this investment; $4.7 million to support strengthening supportive and primary cancer care and genomic cancer clinical trials in Australia; national leadership in Aboriginal and Torres Strait Islander cancer control, and the development of an Optimal Care Pathway for Neuroendocrine Tumours (NETs). $2 million to investigate children’s brain cancer, breast cancer, melanoma and lymphoma, and other important areas of cancer research through Cancer Australia’s Priority-driven Collaborative Cancer Research Scheme (PdCCRS).

Minister Hunt said “While Australia is a world leader in cancer control and we have made great strides in improving cancer mortality and survival rates, cancer still has significant impacts on individuals, families, communities and the health system. We must continue to take action to address the multifaceted challenge of tackling cancer and in particular the disparities in outcomes among cancer types and many population groups including Aboriginal and Torres Strait Islander peoples.”

To view Minister Hunt’s media release click here.

aqua background, stethoscope, & cardboard letters spelling cancer

Image source: Scimex website.

Intimate partner violence affect’s children’s health

Childhood should be a happy and carefree time, but often it doesn’t work out that way. Children are exposed to all the stresses and strains that affect the families and communities in which they grow up. Recent research shows this can have lifelong implications for health with children exposed to intimate partner violence by age 10 being 2–3 times more likely to have a psychiatric diagnosis and/or emotional and behavioural difficulties and also 2–3 times more likely to have impaired language skills, sleep problems, elevated blood pressure and asthma.

Studies consistently show there are many barriers women have to overcome, including shame, fear of judgement, and cost and availability of health care and other support services in regional communities. For women whose first language isn’t English, and Aboriginal women, there are extra cultural, language and systems-level barriers. Systems-level barriers include the persistence of cultural stereotypes, limited availability of language services, and experiences of discrimination when seeking care and support.

To view The Conversation article in full click here.

rear view of a teddy bear on a path with blurred green vegetation either side

Image source: Giving Compass website.

Remote PHC Manuals project update

The Remote Primary Health Care Manuals are currently being reviewed and updated. Monthly updates are being provided to keep health services and other organisations up-to-date during the review process. You can find the April 2021 update here.Remote PHC Manuals logo with spines of the 4 manuals green purple pink light blue

KAMS Suicide Prevention Plan consultations

The SEWB Team at KAMS, on behalf of the WA Mental Health Commission, would like to invite you to attend a consultation on the development of a regional suicide prevention plan for Aboriginal people in the Kimberley for the period of 2021–2025.

The Western Australian Suicide Prevention Framework 2021-2025 recommends the development of a WA Aboriginal Suicide Prevention Strategy, informed by dedicated regional plans prioritising culturally secure approaches to social and emotional wellbeing and suicide prevention.

A draft of the Kimberley Aboriginal Suicide Prevention Regional Plan 2021–2025 will undergo face to face consultations to ensure it is responsive to, and respectful of, the needs of Aboriginal people in the Kimberley region.

To view the consultation dates and community visits click here.

silhouette of 6 people standing stretched out holding hands against sunset coloured landscape with Aboriginal dot painting symbols

Image source: The University of WA.

Call for abstracts – Aboriginal & Torres Strait Islander health conference

The University of Melbourne, Department of Rural Health are pleased to advise that abstract submissions for their 6th Annual Aboriginal and Torres Strait Islander Health Conference are now open that address our conference theme ‘Aboriginal and Torres Strait Islander Health and Wellbeing’.

The Aboriginal and Torres Strait Islander Health Conference is an opportunity for sharing information and connecting people that are committed to reforming the practice and research of Aboriginal and Torres Strait Islander health and celebrates Aboriginal knowledge systems and strength-based approaches to improving the health outcomes of Aboriginal communities.

This is an opportunity to present evidence-based approaches, Aboriginal methods and models of practice, Aboriginal perspectives and contribution to health or community led solutions, underpinned by cultural theories to Aboriginal and Torres Strait Islander health and wellbeing.

For further information and details of how to submit an abstract click here.

NSW – Sydney – Sydney Morning Herald

Indigenous Affairs Journalist x 1 FT (Identified) – Sydney

The Sydney Morning Herald (SMH) is looking to hire an Indigenous journalist who will be responsible for putting Indigenous voices at the centre of the publication’s coverage of Indigenous issues influencing and impacting our world today.

The SMH looking to build upon the success of the project, which launched last year and resulted in:

  • More than 60 pieces of independent journalism featuring across The Sydney Morning Herald, The Age, Brisbane Times and WA Today;
  • Stunning longform feature pieces in our flagship magazine Good Weekend;
  • Hugely popular five-episode podcast series, Relieving History;
  • Overall digital content achieving almost 1.5 million page views.

The audience response and engagement highlights just how valuable this content is to our readers, who want The Sydney Morning Herald and The Age to be covering Indigenous Affairs regularly and engage with the issues affecting our First Nations people. The role, based in Sydney, will focus on coverage of and commentary on Indigenous issues including news, features and multimedia projects.

To view the job description and to express interest in this position click here.

hands on keyboard of 1920s typewriter, white painted wooden surface

Image source: Agenda 360.

Patient Experience Week 2021

Patient Experience Week (26–30 April) is a nationally recognized week designed to celebrate all those who provide excellent patient experience at all levels of an organisation.

Patient Experience Week is an initiative of the Beryl Institute inspired by members of the Institute community. The week provides a focused time for organisations to celebrate accomplishments, re-energise efforts and honour the people who impact patient experience every day. From nurses and physicians, to support staff and executive professionals, to patients, families and communities served, the Institute hopes to bring together healthcare organisations across the globe to observe Patient Experience Week.

For more information click here.banner text 'patient experience week in blue & 'april 26 - April 20, 2021 theberylinstitute.org' in green font

NACCHO Aboriginal Health News: second phase of COVID-19 vaccine rollout starts

feature tile text 'Second phase of COVID-19 vaccine rollout starts with 33 ACCHOs first to administer the jab', image of COVID-19 vaccine vial & syringe destroying a virus cell - image from The Conversation

Second phase of COVID-19 vaccine rollout starts

While Liverpool became a COVID-19 hotspot during the pandemic, not one case was recorded at the Gandangara clinic. Medical adviser to NACCHO, Jason Agostino, said Indigenous leadership was critical in this achievement. “All the ACCHOs across the country have just been really incredible in getting messages out to their communities about how to stay safe in the initial part of the pandemic and in those spots where there have been outbreaks, places in Melbourne, in Brisbane, have just been exceptional in supporting their communities and keeping them safe,” he said. “So it’s been a whole bunch of things all put together but at the heart of it is leadership by Aboriginal and Torres Strait Islander people.”

The second phase of the nation’s COVID-19 vaccine roll-out started today with 33 ACCHOs being the first to administer the jab, including the Gandangara Local Aboriginal Land Council’s health service in Liverpool, in Sydney’s south-west.

But questions remain within the community about the vaccine. “A lot of them are saying yes, a lot of them are just not sure,” said Dunghutti elder and Gandangara Local Aboriginal Land Council board member Aunty Gail Smith. Aunty Gail, who’s worked in the health industry for almost 40 years, said despite the community’s low case numbers the pandemic had had a huge impact. “It was a big strain because they couldn’t go out or meet their families, a lot of us come from country areas we couldn’t go there as well,” she said.  “I think it’s been tough across the board for everybody… but now we’re slowly getting back to it. I encourage everyone if they could, it’s up to them, [but] if its gonna help our community and our people, why not, because we’re survivors and we want to survive for our next generations as well.”

To view the ABC news article in full click here.

Dunghutti Elder & Gandangara Local ALC board member Aunty Gail Smith

Dunghutti Elder and Gandangara Local Aboriginal Land Council board member Aunty Gail Smith. Image source: ABC News website.

Kimberley Aboriginal Health Research Alliance launched

Kimberley-based Aboriginal community-controlled and government health services, research institutes and universities have united to form the Kimberley Aboriginal Health Research Alliance (KAHRA) with the objective of improving and promoting the health and wellbeing of Aboriginal people in the Kimberley through the development and application of practical health research. This collaboration combines the power of research to drive evidence-based change, the commitment of regional health services, and the vast cultural knowledge and strength of communities.

The development of collaborative projects utilising the strengths of the Alliance will seek to drive change to health outcomes, policy and services within the Kimberley and ultimately improve health outcomes of Kimberley Aboriginal community members. KAHRA has already seen unprecedented collaboration across health services in the region, with a collective voice advocating for better use of data to inform health service delivery in the region. Work has begun on a project to enable health services and researchers to see the full picture of disease burden in the region.

To view the KAHRA media release click here.banner text 'KAHRA - Kimberley Aboriginal Health Research' yellow black & red dots

Vicki O'Donnell - KAMS CEO speaking at the launch of KAHRA

KAMS CEO Vicki O’Donnell speaking at the launch of KAHRA.

Rhetoric and action gap needs to close

As communities across Australia mark National Close the Gap Day, leaders of the Uniting Aboriginal and Islander Christian Congress (UAICC), the Uniting Church and UnitingCare Australia have come together to call for enduring reforms to support self-determination and tangible outcomes for First Peoples. According to  Pastor Mark Kickett, UAICC Interim Chair, “after 13 years of Closing the Gap, it is time to turn rhetoric into real action that genuinely empowers First Peoples and delivers lasting benefits.

Pastor Kickett continued, “the new National Agreement on Closing the Gap has the potential to be a gamechanger. But we are yet to see the structural change and funding commitments needed to achieve real reform, and pressure needs to be kept on governments to maintain their commitments and to apply the principles of reform that they signed off in 2020. Real change requires more than words and minor policy tinkering. It requires closing the gap between rhetoric and action. And it requires enduring structural and constitutional reform to empower First Peoples to take leadership in their affairs, in true partnership with government. The response of our communities to COVID-19 demonstrated the benefits of community-led action and the enduring resilience, creativity, and decisiveness of First Peoples leaders and governance.”

Uniting Church in Australia President Dr Deidre Palmer said the Uniting Church lamented with First Peoples the ongoing health inequality, lack of self-determination, experiences of racism, high incarceration rates and the tragic prevalence of preventable deaths in custody. Dr Palmer said investing in solutions led by First Peoples was key to Closing the Gap.

To view the joint media release here.

4 Mutitjulu elders at Uluru, all with checked shirts & Akubra hats, one in a wheelchair

Mutitjulu elders at Uluru. Photo by Jimmy Widders Hunt. Image source: BBC News.

Aged care fails remote communities 

For the last five years, Mary Dadbalag, aged in her 90s and confined to a wheelchair, has been living in a tent on a verandah in the NT remote community of Jibena. For the last three years, her granddaughter Jacqueline Phillips has been knocking on every government service provider’s door she can think of asking for help to get her grandmother a bedroom built with a toilet attached. She said her grandmother is living in the tent at the edge of what she described as a “chicken house” because she can’t get to the nearest toilet 20 metres away over grass in her wheelchair, but she can shuffle to the edge of the verandah.

“It’s upsetting, not healthy and not hygienic. Like, her tent is just right next to where she does her toilets. She’s a great, great, great-grandmother, one of the last elders of our region and she’s just not being respected.” Ms Phillips is worried her grandmother may continue to fall through the cracks. “There needs to be better aged care services, especially for the people on the homelands,” she said. “We really need the federal government to listen to the very remote communities and provide that service, it’s human rights.”

To view the full article click here.

Elder Mary Dadbalag sleeping on ground outside tent on the veranda of a makeshift home

Mary Dadbalag has been living in a tent on the veranda of a makeshift home. Image source: ABC News.

High youth detention FASD rates acknowledged

Danila Dilba Health Service has welcomed the release of the Senate’s report on effective approaches to prevention, diagnosis, and support for Fetal Alcohol Spectrum Disorder (FASD) (17 March 2021). Danila Dilba provides comprehensive primary health services within the Darwin/Palmerston region, including to many children and families impacted by FASD or other neurodevelopmental impairments. The release of the Senate’s report the day before National Close The Gap Day provides a timely reminder of the tangible ways the government can fulfil its commitment to address the health gap between First Nations and non-Indigenous Australians.

The report highlights the need to incorporate FASD prevention, assessment, and management into a comprehensive primary health care model. In particular, the Senate Committee recognises the importance of Aboriginal Community Controlled Health Organisations (ACCHOs) like Danila Dilba in delivering culturally appropriate, holistic care to families affected by FASD.

Danila Dilba’s Head of Clinical Governance, Dr Andrew Webster, gave evidence to the inquiry about the lack of culturally appropriate assessment, therapeutic interventions, and support for children with FASD and their families, “ACCHOs can provide a ‘one-stop shop’ within a trusted service rather than families having to go through the process of diagnosis and therapy with multiple providers. Sadly, due to the barriers to assessment, many children suffering from FASD or other impairments do not get a diagnosis, and so are unable to receive the supports that they need. It is these children that we then unfortunately see coming to the attention of the child protection and justice systems.”

To view Danila Dilba’s media release in full click here.

Aboriginal youth at skate park with hands over his face & policeman in the background

Image source: The Conversation.

International Day for the Elimination of Racial Discrimination

Yesterday the ACT Council of Social Service (ACTCOSS) celebrated the International Day for the Elimination of Racial Discrimination and called upon Canberrans to reflect on their personal responsibility in combatting racism. “This year’s theme is ‘Youth standing up against Racism’, and it is an opportunity to reflect on the power that young people have in shifting narratives and creating change, both online and in person,” said ACTCOSS CEO Dr Emma Campbell. “Over the past year, the Black Lives Matter movement has brought racism to the forefront of global conversation. In Australia it drew attention to the overrepresentation of Aboriginal and Torres Strait Islander peoples in our justice system, and reignited conversations about racism and implicit bias more broadly.”

To view the ACTCOSS media release in full click here.banner text 'Internationald Day for the Elimination of Racial Discrimination March 21' vector image of handprint finger colours yellow, red, blue, aqua, black & brown palm with white heart

Diabetes management in Aboriginal communities webinar

The first webcast session of a four-part series of interprofessional webinars focusing on Diabetes management in an Aboriginal community will be held from 12:30–1:30 PM this Thursday 25 March 2021.

The webcast, Prevention and Control of Type-2 Diabetes in Aboriginal Communities: Changing Dietary, Activity and Lifestyle Patterns will explore evidence-based approaches and practical strategies for nutrition, exercise, lifestyle and behaviour changes to support the prevention and management of diabetes in Aboriginal people. Barriers and solutions to improving engagement with Aboriginal communities will also be discussed.

Diabetes is a complex condition that can impact people in different ways. It has a significant impact on Aboriginal and Torres Strait Islander peoples. This webcast provides an overview of the prevalence of diabetes in the Aboriginal population, discusses risk factors for early diabetes detection and focuses on the key lifestyle behaviours for the prevention and management of diabetes. Key nutritional considerations relating to the use of whole foods, fibre, carbohydrates and how to shop on a budget will be discussed. Further to this, stress management, importance of sleep, exercise, flexibility and ways to reduce sedentary behaviour will be covered. The presenters will also discuss their local Aboriginal community group programs, including culturally safe practices.

For more information you can download an event flyer here and register here.

Aboriginal person's hands - diabetes blood test

Image source: The Medical Journal of Australia.

NACCHO Aboriginal Health News: ACCHOs prepare for COVID-19 vaccine rollout

feature tile text 'ACCHOs prepare for imminent COVID-19 vaccine rollout' photo of COVID-19 vaccine vialst

ACCHOs prepare for COVID-19 vaccine rollout

This morning NACCHO CEO Pat Turner joined a panel on ABC Radio National Breakfast to discuss how preparations are ramping up in earnest for the rollout of the COVID-19 vaccine in Aboriginal and Torres Strait Islander communities. Many will get the jab as part of Phase 1B which begins on Monday 22 March 2021. At the coalface, health organisations are also busy tackling vaccine hesitancy and misinformation.

To listen to the episode click here.ABC RN banner text 'COVID-19 vaccines OurJobToProtectOurMOb NACCHO CEO Patricia Turner Fri 12 March 6–9am, photo of Pat Turner smiling

Yesterday afternoon NACCHO Deputy CEO Dr Dawn Casey also spoke on ABC radio about COVID-19. Along with human rights advocate and lawyer Teela Reid and public health expert Professor Fiona Stanley, Dr Casey spoke with Richard Glover on ABC Radio Sydney program Drive about the Aboriginal and Torres Strait Islander health sector’s successful response to the COVID-19 pandemic. Reference was made to how programs run by Indigenous people work, but programs imposed on communities don’t. Professor Fiona Stanley said there is lots of evidence to show better outcomes are achieved when Aboriginal people control programs, saying “when you give First Nations’ people this power it works every time”.

In terms of ensuring Aboriginal and Torres Strait Islander communities were kept safe from COVID-19, Professor Stanley said local services understand the context in which their people are living, they know who and where their Elders are and are immediately able to implement the best preventative strategies for them. Only 0.1 per 1,000 Aboriginal and Torres Strait Islander people in Australia have contracted COVID-19 compared to 1.1 per 1,000 for non-Indigenous Australians.

To listen to the interview click here.

portrait photos Dr Dawn Casey, Teela Reid, Professor Fiona Stanley

L-R: Dr Dawn Casey (NITV website), Teela Reid (National Indigenous Times), Professor Fiona Stanley (ABC News website).

Truth and justice commission announced

Victoria’s ‘truth-telling’ commission (launched earlier this week) has been owed for 233 years according to Victoria’s Deputy Premier, James Merlino who said “233 years of violence, dispossession and deprivation. 233 years of deliberate silence. We commit to telling the truth. We do so for the kids who never came home – and those who are still finding their way back. For those who were told they were not allowed to speak their own language, practice their own culture, know their own identity. For the families who lost loved ones in the massacres. For those who were made to feel like they didn’t belong to their own country. And for those who still feel this way. Today we commit to telling their truth.”

The Truth and Justice Commission is a shared commitment between the Victorian Government and the First Peoples’ Assembly of Victoria, the state’s first and only democratically-elected body for Aboriginal people. Named after the Wemba Wemba/Wamba Wamba word for ‘truth’, the Yoo-rrook Justice Commission will formally begin its work in the coming months. Held independently from Government, and afforded the full power of a Royal Commission, it will mark the beginning of a conversation long overdue, and a commitment to change.‌ It will compel us to confront what’s come before. To acknowledge that the pain in our past lives on in our present.

To view the First Peoples’ Assembly of Victoria and Victoria State Government joint statement click here and to view a related article in The Age click here.

Ms Atkinson, Ms Williams and Mr Merlino in Coranderrk

Ms Atkinson, Ms Williams and Mr Merlino in Coranderrk for the announcement of the commission. Image source: The Age.

Final Call: COVID-19 in aged care facilities survey

Professor Lyn Gilbert and Adjunct Professor Alan Lilly have been commissioned by the Department of Health to undertake a national review of COVID-19 outbreaks in Australian Residential Aged Care Facilities (RACFs). RACF managers (or equivalent) are invited to complete a short online survey about the facility’s preparation for and, if an outbreak occurred, management of a COVID-19 outbreak.

The data will be collected and analysed by the University of Sydney. Survey responses will remain anonymous and no individual RACF will be identifiable. The feedback and analysis will be an invaluable contribution to the report and recommendations to the Department of Health.

The survey will be closing on 5:00 PM Wednesday 17 March 2021.

If you haven’t completed the survey, please do take the time to share your thoughts and experiences with the review. It only takes 10-15 minutes. and can be accessed by clicking on this link.

Your input is critical to continuous improvement in the management of potential COVID-19 outbreaks in residential care.

elderly Aboriginal man and Aboriginal woman wearing paper party hats sitting at table looking at a mobile phone screen

Image source: Inner Sydney Voice website.

National Preventive Health Strategy coming soon

You have until 19 April 2021 to make submissions on the draft National Preventive Health Strategy. The final document is expected to be launched mid-year.

Croakey journalist Melissa Sweet has written an overview of some of the key issues, including concerns that without proper funding and implementation commitments, the strategy will be “another worthy document which does not advance the health of Australians one iota”. Below is an excerpt from Melissa’s overview:

“OMG. The Federal Health Department has released a publication that finally utters the words so many have been waiting SO long to hear. The draft National Preventive Health Strategy cites a contributor saying that “climate change is likely to be the biggest challenge to health, wellbeing and economic prosperity”. The document goes on to note that human health is dependent on planetary health, and that environmental issues, such as extreme weather events and significant changes in climate systems, have had, and will continue to have, an impact on the health and wellbeing of all Australians.

“This is particularly true for Aboriginal and Torres Strait Islander peoples, who have close cultural, spiritual and social connections to the land. In order to prepare for future challenges and address the health of the planet, the impacts of climate change on physical and mental health need to be understood, especially through a health equity lens,” it says. But don’t get too excited. These words don’t come until page 40 and although climate change is mentioned a number of times throughout the document, the draft strategy does not convey a strong sense of urgency about the climate crisis and how it will undermine all other efforts in health prevention without urgent action.

To view overview in full click here and for further information about the National Preventive Health Strategy and how to make a submission click here.

banner with text National Preventive Health Strategy' vector images of city, wind farm, clouds, park, city, road

Image source: Australian Government Department of Health.

Indigenous kids are losing sleep

New analysis has found that Indigenous Australian children suffer from sleep problems at higher rates than non-Indigenous children. Aboriginal children reported insomnia, severe daytime sleepiness and breathing difficulties while sleeping, researchers say. “Poor sleep can lead to health problems and lower levels of academic achievement,” according to Senior Research Fellow, James Cook University Yaqoot Fatima. “Indigenous children suffer from at higher rates of obesity, diabetes and respiratory problems than non-Indigenous children.” School attendance rates among Indigenous children are 10 per cent lower than non-Indigenous children, she said. “Understanding sleep health is very important,” Dr Fatima said.

To view the article 7 News article in full click here and to view a related article in The Conversation click here.

Aboriginal toddler sleeping with head on carer's shoulder

Image source: CRAICCHS website.

Media invalidates Indigenous experience of racism

Gunditjamara Elder Charmaine Clark has commented on the response by national mainstream media to a report tabled last week by the Victorian anti-vilification protections inquiry. She said “the media completely missed the point and instead we saw sensational headlines of Nazi Swastika banned or Nazi flags banned.” In the course of the Inquiry, Charmaine gave her personal testimony, representing the Victorian Indigenous community. Supported by organisations such as the Victorian Aboriginal Legal Service and Victorian Legal Aid Charmaine’s case mirrored other experiences of racial abuse and indifference that many Indigenous people experience throughout their lifetime.

Charmain said “One of the most persistent aspects of today’s discourse regarding racism in Australia, Charmaine said, is the very denial of its existence. Out of all the most sustained political campaigns operating in Australia, the political project of controlling and diminishing Indigenous human rights and dignity is by far the longest. It has cost us much, in lives and loss of access to country, high incarceration rates and alarming mental health and health statistics.”

“Our media choose to personify racists as those Nazi’s or Proud Boys, with the effect that all other forms of racial vilification are at best of lower importance and at worst – invalidated in the eyes of the public consuming this media. It highlights the systemic nature of how perceptions of racism are controlled, perceived and presented to the general public. This narrow definition of ‘racist’ paints a picture to the public and reduces the impact of our calls for action to address racism we uniquely experience.”

To view the full IndienousX article click here.

Charmaine Clark

Charmaine Clark. Image source: IndigenousX website.

Institutional racism factor in health gap

A new report from the Poche Centre for Indigenous Health has found institutional racism leads to a silencing of Indigenous knowledges, perspectives and cultural practices which are crucial to closing the gap in health for Aboriginal and Torres Strait Islander peoples. Published in Public Health Research and Practice, a peer-reviewed journal of the Sax Institute, the report was authored by several Indigenous leaders and noted the reluctance in health care structures to address systemic and institutional racism against Aboriginal and Torres Strait Islander peoples.

Lead author Dr Carmen Parter is a proud descendent of the Darumbal and Juru clans of the Birra Gubba Nation of Queensland. She also has South Sea Islander heritage and is a Senior Research Fellow at the University of Queensland’s Poche Centre for Indigenous Health. “Our paper gives voice to Indigenous communities who have consistently said that racism is a critical issue in the provision of health care, as is the incorporation of culture into the design of health care services,” said Dr Parter. “When an Aboriginal or Torres Strait Islander person accesses a health care service, there is always a level of mistrust and fear. A lot of people forget that our health system was one of the many institutions involved in the Stolen Generations that took children from their families and communities — which still happens today. Those stories resonate through our communities.” Dr Parter highlights the importance for health care providers in discussing and addressing racism.

To view the Indigenous National Times article in full click here and to view the related SaxInstitute media release Indigenous leaders call for an end to racism in the health system click here.

Dr Carmen Parter Mayi Kuwayu The National Study of Aboriginal & Torres Strait Islander Wellbeing

Image source: Mayi Kuwayu The National Study of Aboriginal & Torres Strait Islander Wellbeing website.

Race conversations program developer recognised

Bundjalung and Kullilli woman Melissa Browning has been recognised at the national HESTA Impact Awards for her contribution to improving health equity for Aboriginal and Torres Strait Islander peoples. The awards are a national celebration of health and community services professionals working to protect the future of the planet and its people.

Browning was a joint winner of the Individual Distinction Award for her work developing and implementing the Courageous Conversations About Race (CCAR) program at the Fold Coast Hospital and Health Service (GCHHS). Having a career in health spanning just short of two decades, Browning is one of the only Aboriginal women at GCHHS who sits in a senior role. She is the current Coordinator for Aboriginal and Torres Strait Islander Health and has held that position for over a decade. Working in the health sector as long as she has, Browning has faced her fair share of adversity.

“I have often been called challenging. I like to reframe that and step away from the angry Blak woman trope,” she said. “I’m not angry, I’m passionate. I do get framed as the challenging Blak woman because I do want to make that change, make that difference for my people.  Aboriginal women are constantly taking the brunt for our community, there are so many inspiring women that have gone before me that have inspired me to keep going in doing what I do. The reason I am doing this is for my people, for the future generations — that is what holds me.”

Browning’s CCAR program originates from the Us but she has worked to contextualise it to an Australian audience. The program aims to talk about racism in a safe space. “Talking about race and racism is always very hard, but I think … to move forward we can’t not have those conversations,” she said.

To view the full article in the National Indigenous Times click here.

Melissa Browning holding HESTA Impact Award

Melissa Browning. Image source: National Indigenous Times.

Tooth decay rates fall

A trial of a children’s dental health program in a remote Queensland Indigenous community showed the value of simple health interventions in promoting overall health in Indigenous communities, researchers said. Dental health is a serious problem for some Indigenous communities, with Indigenous children in rural Australia recording up to three times the rate of tooth decay compared with other Australian children. Associate Professor Ratilal Lalloo from the University of Queensland School of Dentistry led the study to find out what effect a simple intervention could have.

“We wanted to test an intervention to reduce that burden – the idea was to take what we considered the main preventative strategies against tooth decay and see what effect that had on ongoing dental health,” he said. “Primary health care workers such as community nurses and Aboriginal health workers can be trained to do these treatments, making them even more cost-effective.” Dr Lalloo said researchers hoped the findings would lead to evidence-based policies and practices in preventing tooth decay in remote Aboriginal and Torres Strait Islander communities across Australia.

To view the article in the Brisbane Times click here and to view a more detailed article about the research in UQ News click here.

Aboriginal girl holding blue toothbrush to her mouth

Image source: The Conversation.

Shifting Gears Summit

What would our health systems look like if consumers were in the driving seat – if consumer experiences and leadership were enabled to seamlessly transform health and social care to better serve their needs? In Australia we do have successful models that have arisen from genuine consumer co-design, such as the Aboriginal Community Controlled Health Services.

A summit hosted by the Consumer’s Health Forum of Australia next week (17–19 March) starts off by asking speakers and participants why such reform is needed, and goes on to showcase success, and provide inspiration for future efforts. This is a virtual event with an international cast of speakers and participants.

It’s not too late to register for the Summit (and/or one of the two pre-summit masterclasses).

To join the event, register here, banner text 'CHF Summit 2021 Shifting Gears 18–19 March 2021', orange and purple for cogs with vector medical images

COVID-19 vaccine rollout in Qld Q&A

Health Consumers Qld is hosting a panel of Aboriginal and Torres Strait Islander health leaders, including Ms Haylene Grogan, Dr Mark Wenitong, Associate Professor James Ward and Associate Professor Margie Danchin to answer questions from the community about the COVID-19 vaccine rollout.

Aboriginal and Torres Strait Islander health consumers from across Queensland are invited to attend another Q&A session.

The Q&A session will take place from 9:30–11:00 AM on Monday 29 March 2021 by Zoom videoconference and “watch parties”. We hope that groups of people may come together to join the on-line session so those without internet access and those who would prefer to be in a group, can come together for a “watch party” .

To register click here.banner text 'COVID-19 vaccine rollout in Queensland Your Questions Answered for Aboriginal Torres Strait Islander People Session 2 - Health Consumers Queensland, Queensland Government'

NACCHO Aboriginal Health News: ‘Game changer’ e-prescriptions are coming

feature tile - Aboriginal hands in pharmacy clicking iPad

‘Game-changer’ e-prescriptions are coming

Electronic prescriptions (or e-prescriptions) are being rolled out in stages across Australia after being used in Victoria during the pandemic. E-prescriptions have been common in countries such as the United States and Sweden for more than ten years. In Australia, a fully electronic paperless system has been planned for some time. Since the arrival of COVID-19, and a surge in the uptake of telehealth, the advantages of e-prescriptions have become compelling. To read more about what e-prescriptions are, how they work, their benefits and what they mean for paper prescriptions click here.

feature tile - Aboriginal hands in pharmacy clicking iPad

Image source: Australian Pharmacist.

Electronic prescription roll out expanded

The big news in digital health in recent weeks has been the expansion of Australia’s roll out of electronic prescriptions to metropolitan Sydney, following the fast-track implementation in metropolitan Melbourne and then the rest of Victoria as a weapon in that state’s battle against the COVID-19 pandemic. There was also some rare movement in the secure messaging arena, with a number of clinical information system vendors and secure messaging services having successfully completed the implementation of new interoperability standards that will hopefully allow clinicians and healthcare organisations to more easily exchange clinical information electronically. The road to secure messaging interoperability has been a tortuous one to say the least, but movement does seem to be occurring. At least 19 separate systems have successfully fulfilled the Australian Digital Health Agency’s requirements, with the vendors now getting ready to release the capability in their next versions. It is expected these will start to roll out over the next few months.

To view the full PULSE+IT article click here.

image of hand with phone held to scanning machine

Image source: PULSE+IT website.

Lack of physical activity requires national strategy

A new report finding Australians are not spending enough time being physically active highlights the need for action on a national, long-term preventive health strategy, according to AMA President, Dr Omar Khorshid. The Australian Institute of Health and Welfare (AIHW) report found that the majority of Australians of all ages are not meeting the minimum levels of physical activity required for health benefits, and are exceeding recommended limits on sedentary behaviour.

The AMA is working with the Federal Government on its proposed long-term national preventive health strategy, which was first announced by Health Minister Greg Hunt in a video message to the 2019 AMA National Conference almost 18 months ago. Dr Khorshis said “As a nation, we spend woefully too little on preventive health – only about 2 per cent of the overall health budget. A properly resourced preventive health strategy, including national public education campaigns on issues such as smoking and obesity, is vital to helping Australians improve their lifestyles and quality of life.”

To view the AMA’s media release regarding the physical activity report click here.

image of arms of Aboriginal person in running gear bending to tie shoelaces along bush trail

Image source: The Conversation.

KAMS CEO appointed to WA FHRI Fund Advisory Council

The McGowan Government has today announced the make-up of the Advisory Council of WA’s Future Health Research and Innovation (FHRI) Fund. The FHRI Fund was the centerpiece of the State Government’s commitment to drive research and innovation in WA by providing the State’s health and medical researchers and innovators with a secure and ongoing source of funding. Vicki O’Donnell, CEO, Kimberley Aboriginal Medical Service Ltd (KAMS), is one of seven eminent Western Australians appointed to the Advisory Council to provide high-level advice to the Health Minister and the Department of Health.

To view the Government of Western Australia’s media release click here.

portrait photo of Vicki O'Donnell, KAMS CEO in office

Vicki O’Donnell, CEO KAMS. Image source: ABC News.

PLUM and HATS help save kids hearing

Aboriginal and Torres Strait Islander families are being encouraged to use an Australian Government toolkit to ensure young children are meeting their milestones for hearing and speaking. The rates of hearing loss and ear disease for Aboriginal and Torres Strait Islander children are significantly higher than for the non-Indigenous population. Between 2018–19 and 2022–23, almost $104.6 million will be provided for ear health initiatives to reduce the number of Indigenous Australians suffering avoidable hearing loss, and give Indigenous children a better start to education.

The Parent-evaluated Listening and Understanding Measure (PLUM) and the Hearing and Talking Scale (HATS) have been developed by Hearing Australia in collaboration with Aboriginal health and early education services. As part of a $21.2 million package of funding over five years from 2020–21 to advance hearing health in Australia, the 2020–21 Budget includes an additional $5 million to support early identification of hearing and speech difficulties for Aboriginal and Torres Strait Islander children, and embed the use of PLUM and HATS Australia-wide.

To view the Department of Health’s media release click here.

young Aboriginal child having his ear checked by health professional

Image source: The Wire website.

Illawarra Aboriginal Corporation receives research grant

The University of Wollongong (UOW) had announced the recipients of the Community Engagement Grants Scheme (CEGS). CEGS is uniquely focused on addressing the challenges faced by communities and taking action to create real and measurable outcomes. The CEGS projects are dedicated to serving communities on a range of issues that matter in the real world. Some areas of focus are health and wellbeing, disability and social services, culture and multiculturalism, Indigenous and local history and communities.

This year, the University awarded grants to three innovative community partners and UOW academics to support their research and outreach projects. Among the recipients is the Illawarra Aboriginal Corporation and senior Aboriginal researcher and anthropologist, Professor Kathleen Clapham. Their project, titled ‘Amplifying the voices of Aboriginal women through culture and networking in an age of COVID19’ aims to address women’s isolation, restore networks, and nurture the exchange of Aboriginal knowledge and traditional practices.

To view the University of Wollongong’s media release click here.

portrait shot of Professor Kathleen Clapham University of Wollongong

Professor Kathleen Clapham, UOW. Image source: UOW website.

LGBQTISB suicide prevention

Indigenous LGBQTISB people deal with additional societal challenges, ones that can regularly intersect and contribute to the heightened development of depression, anxiety, alcohol and drug problems, and a heightened risk of suicide and suicidal behaviour. Dameyon Bonson, an Indigenous gay male from the NT and recognised as Indigenous suicide prevention subject matter expert, specifically in Indigenous LGBQTI+ suicide, will be presenting ‘An introduction to Aboriginal and Torres Strait Islander (Indigenous Australian) LGBQTISB suicide prevention’ from 11.00 am to 12.00 pm (ACST) on Tuesday 10 November 2020

For more information about the event and to register click here.image of Dameyon bonson and Indigenous LGBTIQSB Suicide Prevention - An Introduction course banner

Dead quiet to award winner in only two years

“The first year we were almost dead quiet … word of mouth and occupational health is what grew us, and now we’ve been able to really branch into Indigenous health and Closing the Gap initiatives,” said Practice Manager Olivia Tassone. At just 22-years-old, Tassone is also a part-owner of the company, along with former footballed Des Headland and others. Being privately owned gives Spartan First a flexibility that other companies in the same space don’t have. “One of the benefits of being a being a private business is we don’t really have a lot of red tape to jump over. If we want to start making a change, then we can just do it,” Tassone said.

To view the full article click here.

Practice Manager Olivia Tassone standing in front of Spartan building

Spartan Practice Manager Olivia Tassone. Image source: National Indigenous Times website.

Tackling Indigenous Smoking with Prof Tom Calma

Tobacco smoking is the most preventable cause of ill health and early death among Aboriginal and Torres Strait Islander peoples. It is responsible for 23 per cent of the gap in health burden between Aboriginal and Torres Strait Islander people and other Australians.

The Tackling Indigenous Smoking (TIS) program aims to improve life expectancy among Aboriginal and Torres Strait Islander peoples by reducing tobacco use.

Professor Tom Calma, National Coordinator, leads the TIS program which has been running since 2010.  Under the program local organisations design and run activities that focus on reducing smoking rates, and supports people to never start smoking. Activities are:

  • evidence-based — so they are effective, and
  • measurable — so we can tell that they work.

NACCHO Aboriginal Health Research Alert : @HealthInfoNet releases Summary of Aboriginal and Torres Strait Islander health status 2019 social and cultural determinants, chronic conditions, health behaviours, environmental health , alcohol and other drugs

The Australian Indigenous HealthInfoNet has released the Summary of Aboriginal and Torres Strait Islander health status 2019

This new plain language publication provides information for a wider (non-academic) audience and incorporates many visual elements.

The Summary is useful for health workers and those studying in the field as a quick source of general information. It provides key information regarding the health status of Aboriginal and Torres Strait Islander people across the following topics:

  • social and cultural determinants
  • chronic conditions
  • health behaviours
  • environmental health
  • alcohol and other drugs.

The Summary is based on HealthInfoNet‘s comprehensive publication Overview of Aboriginal and Torres Strait Islander health status 2019. It presents statistical information from the Overview in a visual format that is quick and easy for users to digest.

The Summary is available online and in hardcopy format. Please contact HealthInfoNet by email if you wish to order a hardcopy of this Summary. Other reviews and plain language summaries are available here.

Here are the key facts

Please note in an earlier version sent out 7.00 am June 15 a computer error dropped off the last word in many sentences : these are new fixed 

Key facts

Population

  • In 2019, the estimated Australian Aboriginal and Torres Strait Islander population was 847,190.
  • In 2019, NSW had the highest number of Aboriginal and Torres Strait Islander people (the estimated population was 281,107 people, 33% of the total Aboriginal and Torres Strait Islander population).
  • In 2019, NT had the highest proportion of Aboriginal and Torres Strait Islander people in its population, with 32% of the NT population identifying as Aboriginal and/or Torres Strait Islanders
  • In 2016, around 37% of Aboriginal and Torres Strait Islander people lived in major cities
  • The Aboriginal and Torres Strait Islander population is much younger than the non-Indigenous population.

Births and pregnancy outcomes

  • In 2018, there were 21,928 births registered in Australia with one or both parents identified as Aboriginal and/or Torres Strait Islander (7% of all births registered).
  • In 2018, the median age for Aboriginal and Torres Strait Islander mothers was 26.0 years.
  • In 2018, total fertility rates were 2,371 births per 1,000 for Aboriginal and Torres Strait Islander women.
  • In 2017, the average birthweight of babies born to Aboriginal and Torres Strait Islander mothers was 3,202 grams
  • The proportion of low birthweight babies born to Aboriginal and Torres Strait Islander mothers between 2007 and 2017 remained steady at around 13%.

Mortality

  • For 2018, the age-standardised death rate for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT was 1 per 1,000.
  • Between 1998 and 2015, there was a 15% reduction in the death rates for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT.
  • For Aboriginal and Torres Strait Islander people born 2015-2017, life expectancy was estimated to be 6 years for males and 75.6 years for females, around 8-9 years less than the estimates for non-Indigenous males and females.
  • In 2018, the median age at death for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT was 2 years; this was an increase from 55.8 years in 2008.
  • Between 1998 and 2015, the Aboriginal and Torres Strait Islander infant mortality rate has more than halved (from 5 to 6.3 per 1,000).
  • In 2018, the leading causes of death among Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT were ischaemic heart disease (IHD), diabetes, chronic lower respiratory diseases and lung and related cancers.
  • For 2012-2017 the maternal mortality ratio for Aboriginal and Torres Strait Islander women was 27 deaths per 100,000 women who gave birth.
  • For 1998-2015, in NSW, Qld, WA, SA and the NT there was a 32% decline in the death rate from avoidable causes for Aboriginal and Torres Strait Islander people aged 0-74 years

Hospitalisation

  • In 2017-18, 9% of all hospital separations were for Aboriginal and Torres Strait Islander people.
  • In 2017-18, the age-adjusted separation rate for Aboriginal and Torres Strait Islander people was 2.6 times higher than for non-Indigenous people.
  • In 2017-18, the main cause of hospitalisation for Aboriginal and Torres Strait Islander people was for ‘factors influencing health status and contact with health services’ (mostly for care involving dialysis), responsible for 49% of all Aboriginal and Torres Strait Islander seperations.
  • In 2017-18, the age-standardised rate of overall potentially preventable hospitalisations for Aboriginal and Torres Strait Islander people was 80 per 1,000 (38 per 1,000 for chronic conditions and 13 per 1,000 for vaccine-preventable conditions).

Selected health conditions

Cardiovascular health

  • In 2018-19, around 15% of Aboriginal and Torres Strait Islander people reported having cardiovascular disease (CVD).
  • In 2018-19, nearly one quarter (23%) of Aboriginal and Torres Strait Islander adults were found to have high blood pressure.
  • For 2013-2017, in Qld, WA, SA and the NT combined, there were 1,043 new rheumatic heart disease diagnoses among Aboriginal and Torres Strait Islander people, a crude rate of 50 per 100,000.
  • In 2017-18, there 14,945 hospital separations for CVD among Aboriginal and Torres Strait Islander people, representing 5.4% of all Aboriginal and Torres Strait Islander hospital separations (excluding dialysis).
  • In 2018, ischaemic heart disease (IHD) was the leading specific cause of death of Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT

Cancer

  • In 2018-19, 1% of Aboriginal and Torres Strait Islander people reported having cancer (males 1.2%, females 1.1%).
  • For 2010-2014, the most common cancers diagnosed among Aboriginal and Torres Strait Islander people living in NSW, Vic, Qld, WA and the NT were lung cancer and breast (females) cancer.
  • Survival rates indicate that of the Aboriginal and Torres Strait Islander people living in NSW, Vic, Qld, WA, and the NT who were diagnosed with cancer between 2007 and 2014, 50% had a chance of surviving five years after diagnosis
  • In 2016-17, there 8,447 hospital separations for neoplasms2 among Aboriginal and Torres Strait Islander people
  • For 2013-2017, the age-standardised mortality rate due to cancer of any type was 238 per 100,000, an increase of 5% when compared with a rate of 227 per 100,000 in 2010-2014.

Diabetes

  • In 2018-19, 8% of Aboriginal people and 7.9% of Torres Strait Islander people reported having diabetes.
  • In 2015-16, there were around 2,300 hospitalisations with a principal diagnosis of type 2 diabetes among Aboriginal and Torres Strait Islander people
  • In 2018, diabetes was the second leading cause of death for Aboriginal and Torres Strait Islander people.
  • The death rate for diabetes decreased by 0% between 2009-2013 and 2014-2018.
  • Some data sources use term ‘neoplasm’ to describe conditions associated with abnormal growth of new tissue, commonly referred to as a Neoplasms can be benign (not cancerous) or malignant (cancerous) [1].

Social and emotional wellbeing

  • In 2018-19, 31% of Aboriginal and 23% of Torres Strait Islander respondents aged 18 years and over reported high or very high levels of psychological distress
  • In 2014-15, 68% of Aboriginal and Torres Strait Islander people aged 15 years and over and 67% of children aged 4-14 years experienced at least one significant stressor in the previous 12 months
  • In 2012-13, 91% of Aboriginal and Torres Strait Islander people reported on feelings of calmness and peacefulness, happiness, fullness of life and energy either some, most, or all of the time.
  • In 2014-15, more than half of Aboriginal and Torres Strait Islander people aged 15 years and over reported an overall life satisfaction rating of at least 8 out of 10.
  • In 2018-19, 25% of Aboriginal and 17% of Torres Strait Islander people, aged two years and over, reported having a mental and/or behavioural conditions
  • In 2018-19, anxiety was the most common mental or behavioural condition reported (17%), followed by depression (13%).
  • In 2017-18, there were 21,940 hospital separations with a principal diagnosis of International Classification of Diseases (ICD) ‘mental and behavioural disorders’ identified as Aboriginal and/or Torres Strait Islander
  • In 2018, 169 (129 males and 40 females) Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA, and the NT died from intentional self-harm (suicide).
  • Between 2009-2013 and 2014-2018, the NT was the only jurisdiction to record a decrease in intentional self-harm (suicide) death rates.

Kidney health

  • In 2018-19, 8% of Aboriginal and Torres Strait Islander people (Aboriginal people 1.9%; Torres Strait Islander people 0.4%) reported kidney disease as a long-term health condition.
  • For 2014-2018, after age-adjustment, the notification rate of end-stage renal disease was 3 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people.
  • In 2017-18, ‘care involving dialysis’ was the most common reason for hospitalisation among Aboriginal and Torres Strait Islander people.
  • In 2018, 310 Aboriginal and Torres Strait Islander people commenced dialysis and 49 were the recipients of new kidneys.
  • For 2013-2017, the age-adjusted death rate from kidney disease was 21 per 100,000 (NT: 47 per 100,000; WA: 38 per 100,000) for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and NT
  • In 2018, the most common causes of death among the 217 Aboriginal and Torres Strait Islander people who were receiving dialysis was CVD (64 deaths) and withdrawal from treatment (51 deaths).

Injury, including family violence

  • In 2012-13, 5% of Aboriginal and Torres Strait Islander people reported having a long-term condition caused by injury.
  • In 2018-19, 16% of Aboriginal and Torres Strait Islander people aged 15 years and over had experienced physical harm or threatened physical harm at least once in the last 12 months.
  • In 2016-17, the rate of Aboriginal and Torres Strait Islander hospitalised injury was higher for males (44 per 1,000) than females (39 per 1,000).
  • In 2017-18, 20% of injury-related hospitalisations among Aboriginal and Torres Strait Islander people were for assault.
  • In 2018, intentional self-harm was the leading specific cause of injury deaths for NSW, Qld, SA, WA, and NT (5.3% of all Aboriginal and Torres Strait Islander deaths).

Respiratory health

  • In 2018-19, 29% of Aboriginal and Torres Strait Islander people reported having a long-term respiratory condition .
  • In 2018-19, 16% of Aboriginal and Torres Strait Islander people reported having asthma.
  • In 2014-15, crude hospitalisation rates were highest for Aboriginal and Torres Strait Islander people presenting with influenza and pneumonia (7.4 per 1,000), followed by COPD (5.3 per 1,000), acute upper respiratory infections (3.8 per 1,000) and asthma (2.9 per 1,000).
  • In 2018, chronic lower respiratory disease was the third highest cause of death overall for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT

Eye health

  • In 2018-19, eye and sight problems were reported by 38% of Aboriginal people and 40% of Torres Strait Islander people.
  • In 2018-19, eye and sight problems were reported by 32% of Aboriginal and Torres Strait Islander males and by 43% of females.
  • In 2018-19, the most common eye conditions reported by Aboriginal and Torres Strait Islanders were hyperopia (long sightedness: 22%), myopia (short sightedness: 16%), other diseases of the eye and adnexa (8.7%), cataract (1.4%), blindness (0.9%) and glaucoma (0.5%).
  • In 2014-15, 13% of Aboriginal and Torres Strait Islander children, aged 4-14 years, were reported to have eye or sight problems.
  • In 2018, 144 cases of trachoma were detected among Aboriginal and Torres Strait Islander children living in at-risk communities in Qld, WA, SA and the NT
  • For 2015-17, 62% of hospitalisations for diseases of the eye (8,274) among Aboriginal and Torres Strait Islander people were for disorders of the lens (5,092) (mainly cataracts).

Ear health and hearing

  • In 2018-19, 14% of Aboriginal and Torres Strait Islander people reported having a long-term ear and/or hearing problem
  • In 2018-19, among Aboriginal and Torres Strait Islander children aged 0-14 years, the prevalence of otitis media (OM) was 6% and of partial or complete deafness was 3.8%.
  • In 2017-18, the age-adjusted hospitalisation rate for ear conditions for Aboriginal and Torres Strait Islander people was 1 per 1,000 population.

Oral health

  • In 2014-15, the proportion of Aboriginal and Torres Strait Islander children aged 4-14 years with reported tooth or gum problems was 34%, a decrease from 39% in 2008.
  • In 2012-2014, 61% of Aboriginal and Torres Strait Islander children aged 5-10 years had experienced tooth decay in their baby teeth, and 36% of Aboriginal and Torres Strait Islander children aged 6-14 years had experienced tooth decay in their permanent teeth.
  • In 2016-17, there were 3,418 potentially preventable hospitalisations for dental conditions for Aboriginal and Torres Strait Islander The age-standardised rate of hospitalisation was 4.6 per 1,000.

Disability

  • In 2018-19, 27% of Aboriginal and 24% of Torres Strait Islander people reported having a disability or restrictive long-term health
  • In 2018-19, 2% of Aboriginal and 8.3% of Torres Strait Islander people reported a profound or severe core activity limitation.
  • In 2016, 7% of Aboriginal and Torres Strait Islander people with a profound or severe disability reported a need for assistance.
  • In 2017-18, 9% of disability service users were Aboriginal and Torres Strait Islander people, with most aged under 50 years (82%).
  • In 2017-18, the primary disability groups accessing services were Aboriginal and Torres Strait Islander people with a psychiatric condition (24%), intellectual disability (23%) and physical disability (20%).
  • In 2017-18, 2,524 Aboriginal and Torres Strait Islander National Disability Agreement service users transitioned to the National Disability Insurance Scheme.

Communicable diseases

  • In 2017, there were 7,015 notifications for chlamydia for Aboriginal and Torres Strait Islander people, accounting for 7% of the notifications in Australia
  • During 2013-2017, there was a 9% and 9.8% decline in chlamydia notification rates among males and females (respectively).
  • In 2017, there were 4,119 gonorrhoea notifications for Aboriginal and Torres Strait Islander people, accounting for 15% of the notifications in Australia.
  • In 2017, there were 779 syphilis notifications for Aboriginal and Torres Strait Islander people accounting for 18% of the notifications in Australia.
  • In 2017, Qld (45%) and the NT (35%) accounted for 80% of the syphilis notifications from all jurisdictions.
  • In 2018, there were 34 cases of newly diagnosed human immunodeficiency virus (HIV) infection among Aboriginal and Torres Strait Islander people in Australia .
  • In 2017, there were 1,201 Aboriginal and Torres Strait Islander people diagnosed with hepatitis C (HCV) in Australia
  • In 2017, there were 151 Aboriginal and Torres Strait Islander people diagnosed with hepatitis B (HBV) in Australia
  • For 2013-2017 there was a 37% decline in the HBV notification rates for Aboriginal and Torres Strait Islander people.
  • For 2011-2015, 1,152 (14%) of the 8,316 cases of invasive pneumococcal disease (IPD) were identified as Aboriginal and Torres Strait people .
  • For 2011-2015, there were 26 deaths attributed to IPD with 11 of the 26 deaths (42%) in the 50 years and over age-group.
  • For 2011-2015, 101 (10%) of the 966 notified cases of meningococcal disease were identified as Aboriginal and Torres Strait Islander people
  • For 2006-2015, the incidence rate of meningococcal serogroup B was 8 per 100,000, with the age- specific rate highest in infants less than 12 months of age (33 per 100,000).
  • In 2015, of the 1,255 notifications of TB in Australia, 27 (2.2%) were identified as Aboriginal and seven (0.6%) as Torres Strait Islander people
  • For 2011-2015, there were 16 Aboriginal and Torres Strait Islander people diagnosed with invasive Haemophilus influenzae type b (Hib) in Australia
  • Between 2007-2010 and 2011-2015 notification rates for Hib decreased by around 67%.
  • In 2018-19, the proportion of Aboriginal and Torres Strait Islander people reporting a disease of the skin and subcutaneous tissue was 2% (males 2.4% and females 4.0%).

Aboriginal Health #CoronaVirus #Nutrition News Alert No 69 : May 22 #KeepOurMobSafe #OurJobProtectOurMob : The #COVID19 pandemic has a silver lining with possible solutions to food affordability and availability in remote communities

Part 2 AIG Press Release

Originally published HERE

We know prices are too expensive in Aboriginal community stores around the NT. To prove the point however, we went shopping. The results from our Market Basket survey will shock you.

In April and May, 2020 our shoppers went into 9 stores in the Top End with the same shopping list made up of essential and popular products.

Shopping list:

  • Mi Goreng Fried Noodles 5pk
  • Weetbix 375g
  • Weetbix 575g
  • Deb Instant Potato Plain 115g
  • Bush Oven Bread 700g
  • Bushells tea bags rounds 200 pack
  • San Remo Spirals small No 15 500g
  • Palmolive soap gold 4pack
  • Colgate Toothpaste Maximum Floride Cool Mint 110g
  • Hazedenes Chicken Cuts 2kg Bag
  • Eggs Large Dozen 600g

And the results…..

Our key finding was the store managed by AIG has the cheapest prices for all products on the list – blue ribbon for us! For all the market basket results click here.

More importantly though, how is it possible that one store can charge almost $25 more for the same basket of products? Obviously, it’s because the prices are higher. The trickier and more important question to answer is why?

Lets just break it down a little, and look at chicken prices as an example of how prices influence food security.

Barunga store charges $9.40 for 2kg of Hazledene chicken cuts and Beswick store (which is run by the Commonwealth entity Outback Stores) charges $16.80. Its only 25km down the road! Another community store charges $24.60 for the same product.

Why the price difference?

There are three reasons why the prices are different between stores: rebates, ethics and freight.

Rebates

A rebate is money paid by the supplier to store management stock their products. Our research shows rebates can range between 1.5 and 25%. Rebates are calculated on each product and the higher the rebate, the more expensive the product becomes. Coke and tobacco reap the highest rebates in community stores. Rebates are given to the store management groups, and not the stores themselves.

Rebate revenue is worth millions of dollars in the Northern Territory alone. Look for example at the Commonwealth owned Outback Stores which last year made more than $2.6 million in rebates https://outbackstores.com.au/wp-content/uploads/2019/12/OS-Annual-Report-19-web-spread.pdf through raising the cost of products in store. That is a lot of tobacco and Coke!

AIG does not accept rebates because we believe it is unethical and drives up prices in the store which further disadvantages the vulnerable and threatens food security.

Freight

Usually listed as the primary reason for high prices in community stores, but in reality, has a far lesser impact on the actual prices of products in the store.

Freight is the cost of getting the products from the supplier to the store. If a store is very remote, then the freight is obviously going to be more expensive. Freight should be cheaper for the larger management groups because they order in bulk which reduces the actual freight costs further.

AIG is a small store management group and if we can have low prices while paying freight, it is proof that freight is not as expensive as people are led to believe.

Keep comparing food prices

We want to disrupt how community stores are managed in the NT through creating transparency about prices in stores. Its hard for people in remote communities to understand the situation they are in if they can’t compare prices in their stores to other communities.

AIG has created online shopping for the Barunga and Timber Creek communities which is a great service, but equally important is being able to provide transparency the prices we charge so others can compare to the prices in their stores. We don’t accept rebates from suppliers, and we don’t make a profit on fruit and vegetables. This is how our prices are low. If we can do it, other stores can do the same.

Check out the store and the prices https://barunga-store.myshopify.com or https://wirib-store.myshopify.com/