NACCHO Aboriginal Health and #RHD @RHDAustralia and @MenziesResearch release an educational short film on rheumatic heart disease in pregnancy

“I chose to help create this film because I wanted to help young women living with RHD and make sure they can access information about contraception, pregnancy and planning for a baby.

What is the take home message from the film?

“The film points out the main needs of a young woman living with RHD to help care for herself, her heart and her baby. The film re-assures young women with RHD that they can have a normal healthy pregnancy; they just need to take extra care of themselves.”

RHDAustralia sat down with one of the directors, Ms Kenya McAdam, a 21 year old Jaru and Kira woman from Halls Creek, Western Australia currently living in Katherine, Northern Territory.

See Kenya’s full story PART 2 Below

For Kenya this film was deeply personal and an intimate reflection on life as a young woman living with RHD. Kenya developed RHD at 15 years old and required open heart surgery within 3 months of diagnosis. Since that time, Kenya has worked with RHDAustralia to raise awareness about this 100% preventable disease.

The target audience for this film is girls and young women from ages 13 to 20s who have mild to moderate RHD

You can find these films and other important resources on the RHDAustralia resource page.

NACCHO and AMA support RHD Prevention

With Aboriginal and Torres Strait Islander Australians still 20 times more likely to die from RHD, the AMA’s call for firm targets and a comprehensive and consultative strategy is welcome. We encourage governments to adopt these recommendations immediately.

“As noted by the AMA, it is absolutely critical that governments work in close partnership with Aboriginal health bodies. Without strong community controlled health services, achieving these targets for reducing RHD will be impossible.

While this is a long term challenge, the human impacts on Aboriginal and Torres Strait Islander communities are being felt deeply right now. Action is required urgently.

NACCHO is standing ready to work with the AMA and governments to develop and implement these measures. We have to work together and we have to do it now.”

National Aboriginal Community Controlled Health Organisation (NACCHO) Chairperson Matthew Cooke pictured above at Danila Dilba Health Service NT with AMA President Dr Michael Gannon

NACCHO Aboriginal Health #RHD : AMA Report Card on Indigenous Health highlights need for Aboriginal community controlled services

The RHD Story

A new film written and directed by a group of Northern Territory Indigenous women follows the story of Tess, a young women whose boyfriend, Jamie, reveals his desire to start a family.

While surprised and happy, she’s not told Jamie about her rheumatic heart disease (RHD).

She’s not sure how her heart disease will affect her pregnancy or if she can have a baby at all. Looking for answers, Tess turns to her best mate, her mum and the local health clinic for guidance on what to do next.

Will they have the answers?

The film will be launched in Bagot Community, Darwin on 6 October. Sharing a Heartbeat is freely available in English and Kriol with plans to make the film available in more Indigenous languages.

You can find these films and other important resources on the RHDAustralia resource page.  Additional print resources are linked with the English and Kriol through the resource page on our website.

By embracing two-ways learning and a spirit of cross cultural cooperation, RHDAustralia and Menzies School of Health Research are proud to announce the completion of the first ever   educational short film on rheumatic heart disease in pregnancy entitled Sharing a Heartbeat.

Hi Kenya, why did you decide to get involved in the creation of this film?

“I chose to help create this film because I wanted to help young women living with RHD and make sure they can access information about contraception, pregnancy and planning for a baby.

What is the take home message from the film?

“The film points out the main needs of a young woman living with RHD to help care for herself, her heart and her baby. The film re-assures young women with RHD that they can have a normal healthy pregnancy; they just need to take extra care of themselves.”

From a personal perspective, the film answered my unanswered questions. For other young women with RHD, I think it will help them understand more about approaching pregnancy.”

Having Kenya involved from the very start was central to ensuring the film was produced from a patient centric, woman centric and gender sensitive standpoint. But of equal importance was making certain it was developed to be culturally appropriate and safe. This was accomplished by including Indigenous women throughout the process, whether in the design, development, testing or making of the resource.

One of the key contributors alongside Kenya was Noeletta McKenzie whose daughter, Raychelle, was diagnosed with RHD four years ago at the age of nine. Noeletta’s been involved in numerous community development projects in Maningrida and Darwin and was quick to answer a call for assistance with the making of the film. “I saw the advertisement on the RHDAustralia Facebook page and enquired about how I could support with the development of the resource.” Noeletta helped to co-write the film and to guide and consult the actors on set.

When asked about why it was important to have Indigenous women involved in the making of the film she told us “I feel that as the resource is targeted at Indigenous young women, we needed to ensure that they were featured. It’s also about cultural safety and cultural context, educating our young women in our way.”
Leading by example, Noeletta is instilling these qualities into her daughter as well. When asked if the film has helped her daughter learn more about her RHD, Noeletta said “She’s well aware of the disease and how as a young woman it has affected her life. She would like to be a part of an advisory group to share her experience and pass on her knowledge.”

Acknowledgements

There were many people involving in the making of this film and we would like to thank the actors, directors, writers, and producers for producing such a well-crafted and meaningful film that is educational, culturally responsive, collaborative and meaningful. This film was produced by RHDAustralia and made possible with a grant from NTPHN.

Background

Literature reviews and content surveillance of health promotion material from Australia and New Zealand shows that there is very little information available for girls and women who have RHD. A recently completed study conducted by the Australian Maternity Outcomes Surveillance System (AMOSS) has shown that for Indigenous women in Australia, there are many misconceptions around rheumatic heart disease (RHD) and how it can impact their pregnancies.

Films directed by Indigenous women on any content are rare. Rheumatic heart disease is up to twice as common in women, and tends to affect women during their child bearing years. There is a 30-50% increased cardiac workload in normal pregnancy.

The target audience for this film is girls and young women from ages 13 to 20s who have mild to moderate RHD.

Part 2 Rheumatic heart disease a blight on Indigenous population

When Kenya McAdam wasn’t bedridden as a child, she would drag herself to school and sit in the classroom. “I wouldn’t move,” says the 21-year-old childcare worker, whose current good health is proof that she has survived rheumatic heart disease.

From The Australian

But Australia has a high level of the disease, which is caused by a bacterial infection of the throat and skin and is common in poverty-stricken nations.

Some of the nation’s leading medical researchers are meeting today in Darwin to create a plan to wipe out the life-threatening condition, which disproportionately affects indigenous Australians.

Pediatrician Jonathan Carapetis, who has led research efforts for 20 years, says young people such as Ms McAdam are up to 122 times more likely to contract the disease than non-indigenous youngsters. And it affects one in 43 indigenous people living in ­remote and rural Australia.

“It’s entirely preventable, yet the rates of this devastating condition among Aboriginal and Torres Strait Islander people are among the highest in the world,” says Professor Carapetis, director of Perth’s Telethon Kids Institute. “It should no longer exist in Australia.”

Rheumatic heart disease can result in permanent damage to the heart if it is not treated with antibiotics. It is caused by a bacterial infection of the throat and skin, which can result in heart failure and other complications, including stroke, without antibiotic treatment.

Ms McAdam’s life was saved by heart surgery to repair leaky valves after a cardiac arrest and years of breathlessness. “My mum thought that only older people suffer from heart attacks,” she said.

Her younger brother and sister must endure a painful penicillin injection every month for up to 10 years to prevent further infections.

But many affected indigenous youth fail to receive more than half their monthly penicillin requirement. More than 2600 ­people in the Northern Territory have rheumatic heart disease, while sufferers in Western Australia’s remote Kimberley Region are recorded as dying at an average age of 41.

Professor Carapetis said research institutes around Australia were collaborating on ways to prevent and treat streptococcus infections that lead to the disease, such as long-acting penicillin or an antibacterial vaccine.

Heather D’Antoine, from Menzies School of Health Research’s Aboriginal Programs, said today’s meeting to discuss lifesaving initiatives “can’t come soon enough”.

“The impact on our community is devastating; children must travel for heart surgery; young adults live with premature disability; and pregnant women face high-risk pregnancies,” she said.

NACCHO Aboriginal Health and @sistaquit Smoking : Smoking rates among pregnant Indigenous women tackled in major research project

 ” In 2014 it was reported 45 per cent of surveyed Indigenous mothers smoked during pregnancy, compared to 13 per cent of non-Indigenous pregnant women.

Those figures have spurred University of Newcastle associate professor Gillian Gould to study what can be done to help reduce rates of Indigenous women smoking while pregnant.

It’s not only that they may be born with low birth rate, or have risks of premature birth, but it can set them up for things like obesity, diabetes, a higher risk of heart disease, and lots of respiratory illnesses.”

Smoking rates among pregnant Indigenous women tackled in major research project 

See full ABC report here or Part 2 below

Part 1 Project update 26 September

Currently we have received EOIs from about 20 ACCHS in 5 states that we are targeting for the SISTAQUIT study. These states are NSW, QLD, SA, WA and NT.

These sites will now undergo a two-way discussion for mutual interest, and to find out what protocols we need to go through to get their communities signed up.

We are aiming for 30 services to be signed up to SISTAQUIT by end of the year.

We will have a trade table at the NACCHO AGM, so interested CEOs and managers of ACCHS can get more information,  meet with Joley Manton face-to-face, and sign up their interest or consent.

Our pilot study “ICAN QUIT in Pregnancy” has been successful wrapped up, and we are applying our learnings to go forward to this larger SISTAQUIT trial.

We would like to thank pilot ACCHS services in NSW, SA and QLD for their tremendous support in making this happen.

What does the SISTAQUIT™ in Pregnancy study aim to do?

Our study aims to improve the provision of timely, evidence-based smoking cessation support to pregnant women attending Aboriginal Medical Services (AMS), by training health providers such as GPs, Aboriginal Health Workers and midwives in culturally appropriate smoking cessation care.

The SISTAQUIT intervention (culturally appropriate smoking cessation training for health providers) has been developed over a decade. We most recently explored the feasibility and acceptability of the SISTAQUIT intervention through the ICAN QUIT in Pregnancy pilot study with six Aboriginal Community Controlled Health services.

We aim to increase the proportion of health providers offering assistance in quitting to pregnant smokers and to improve the quit rates of pregnant smokers, measured by carbon monoxide testing during pregnancy and after birth. We also aim to improve birth weights and respiratory outcomes of the babies in the first six months of life.

We are currently seeking EOIs from AMS interested in participating in the trial. Funding is available to cover AMS trial participation costs, and pregnant mothers will be offered a voucher for their time for each study visit.

Contact Details

School of Medicine and Public Health, University of Newcastle:

Assoc. Prof. Gillian Gould: gillian.gould@newcastle.edu.au

Ms Joley Manton: sistaquit@newcastle.edu.au;  Phone: (02) 4033 5720

Website: www.newcastle.edu.au/SISTAQUIT

Part 2

 

SISTAQUIT project aiming to help 450 Indigenous women quit smoking.

 “We want to show that SISTAQUIT works, and that women are able to quit with our approach.

We wanted to be able to reach out eventually to any service in Australia through the internet, so we decided to do that through interactive webinars.

We know now that quite a few chronic diseases are set up by babies being exposed to smoking when they’re in the womb,”

Associate Professor Gould said

It is hoped a large-scale research project will help provide clearer solutions for tackling smoking rates among pregnant Indigenous women across the country.

In 2014 it was reported 45 per cent of surveyed Indigenous mothers smoked during pregnancy, compared to 13 per cent of non-Indigenous pregnant women.

Those figures have spurred University of Newcastle associate professor Gillian Gould to study what can be done to help reduce rates of Indigenous women smoking while pregnant.

It’s not only that they may be born with low birth rate, or have risks of premature birth, but it can set them up for things like obesity, diabetes, a higher risk of heart disease, and lots of respiratory illnesses.

“From that point of view, it is important.

“We know that one of the problems is that women are not given enough help to quit smoking.”

Associate Professor Gould has been working on the multi-phase research project for a number of years.

In the first phase of the study, the research team worked with Indigenous communities in the NSW Hunter Valley to develop a suite of resources to train health providers in supporting women while they quit smoking.

Many of those resources have been digitally focused.

Phase two involved a pilot project using those resources, and was implemented in NSW, South Australia and Queensland.

“We had trained all of the health providers at those services,” Associate Professor Gould said

Project aiming to give health workers effective tools

With the pilot study finished, the research is now expanding into 30 Aboriginal medical centres around the country, with the SISTAQUIT project aiming to help 450 Indigenous women quit smoking.

“We will link up with the services, and we’re conducting three one-hour webinars, which will be live and interactive,” Associate Professor Gould said.

“We [also] have this booklet that women receive, and within that booklet are embedded different videos.

“The women can use an app on their phone, and when they scan the little screenshot of the video that’s in the booklet, they can hear [information] from Aboriginal and Torres Strait Islander health professionals which is going to help them quit smoking.

“We’re mainly aiming it at the health professionals — GPs, midwives, Aboriginal health workers — to give them training, and then they have these resources that are going to, in consultation with women, help them quit.

“By doing it this way and being able to do it in enough women, we will get the answer — ‘is this approach the best approach?’ — and therefore, can the Government then scale-up our approach to make those webinars and resources available across the whole of Australia?”

Cultural sensitivities are observed in the training materials, and Associate Professor Gould said that helped build trust.

“We’re talking to women, giving them accurate, factual messages, but in a way that’s delivered by people they would trust,” she said.

“We’ve developed the whole approach with Aboriginal medical services, and we’ve had Aboriginal investigators on our team guiding us and working very closely with us

“By doing it this way and being able to do it in enough women, we will get the answer — ‘is this approach the best approach?’ — and therefore, can the Government then scale-up our approach to make those webinars and resources available across the whole of Australia?”

Cultural sensitivities are observed in the training materials, and Associate Professor Gould said that helped build trust.

“We’re talking to women, giving them accurate, factual messages, but in a way that’s delivered by people they would trust,” she said.

“We’ve developed the whole approach with Aboriginal medical services, and we’ve had Aboriginal investigators on our team guiding us and working very closely with us

Hopes smoking rates will drop

The study is set to last until 2021, and Associate Professor Gould was optimistic the approach would help reduce rates of smoking.

“This is the real world; it’s a real-world study, so this is what life is like,” she said.

“In our pilot study so far, we’ve had four women quit out of 22, which means we’ve already got a quit rate of almost 25 per cent. The usual quit rate is about 3 per cent. So, we think we’re doing pretty good.

“We’re aiming in the bigger trial to improve the quit rate from the baseline of 3 per cent up to 11 per cent, but already in our pilot we’ve exceeded our aim.

“You never know if this is going to work or not, and that’s why [we’re] doing the study

 

NACCHO Aboriginal Health and #Obesity : Download #TippingtheScales Report Leading health orgs set out 8 urgent actions for Federal Government

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

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

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

 OPC Executive Manager Jane Martin 

Download the report HERE  tipping-the-scales

Read over 30 + NACCHO Obesity articles published last 5 years

Read over 30+ NACCHO Nutrition and Healthy foods published last 5 years

Thirty-four leading community, public health, medical and academic groups have today united for the first time to call for urgent Federal Government action to address Australia’s serious obesity problem.

In the ground-breaking new action plan, Tipping the Scales, the agencies identify eight clear, practical, evidence-based actions the Australian Federal Government must take to reduce the enormous strain excess weight and poor diets are having on the nation’s physical and economic health.

Led by the Obesity Policy Coalition (OPC) and Deakin University’s Global Obesity Centre (GLOBE), Tipping the Scales draws on national and international recommendations to highlight where action is required. Areas include:

  1. Time-based restrictions on TV junk food advertising to kids
  2. Set clear food reformulation targets
  3. Make the Health Star Rating mandatory by July 2019
  4. Develop a national active transport strategy
  5. Fund weight-related public education campaigns
  6. Introduce a 20% health levy on sugary drinks
  7. Establish a national obesity taskforce
  8. Develop and monitor national diet, physical activity and weight guidelines.

OPC Executive Manager Jane Martin said the eight definitive policy actions in Tipping the Scales addressed the elements of Australia’s environment which set individuals and families up for unhealthy lifestyles, rather than just focusing on treating the poor health outcomes associated with obesity.

Watch video HERE : How does junk food marketing influence kids

“Sixty-three per cent of Australian adults and 27 per cent of our children are overweight or obese. This is not surprising when you look at our environment – our kids are bombarded with advertising for junk food, high-sugar drinks are cheaper than water, and sugar and saturated fat are hiding in so-called ‘healthy’ foods. Making a healthy choice has never been more difficult,” Ms Martin said.

“The annual cost of overweight and obesity in Australia in 2011-12 was estimated to be $8.6 billion in direct and indirect costs such as GP services, hospital care, absenteeism and government subsidies.1 But Australia still has no strategy to tackle our obesity problem. It just doesn’t make sense.

“Without action, the costs of obesity and poor diet to society will only continue to spiral upwards. The policies we have set out to tackle obesity therefore aim to not only reduce morbidity and mortality, but also improve wellbeing, bring vital benefits to the economy and set Australians up for a healthier future.”

Professor of Epidemiology and Equity in Public Health at Deakin University, Anna Peeters, said the 34 groups behind the report were refusing to let governments simply sit back and watch as growing numbers of Australians developed life-threatening weight and diet-related health problems.

“For too long we have been sitting and waiting for obesity to somehow fix itself. In the obesogenic environment in which we live, this is not going to happen. In fact, if current trends continue, there will be approximately 1.75 million deaths in people over the age of 20 years caused by diseases linked to overweight and obesity, such as type 2 diabetes, cancer heart disease, between 2011-20501,” Professor Peeters said.

“Obesity poses such an immense threat to Australia’s physical and economic health that it needs its own, standalone prevention strategy if progress is to be made. There are policies which have been proven to work in other parts of the world and have the potential to work here, but they need to be implemented as part of a comprehensive approach by governments. And they need to be implemented now.

“More than thirty leading organisations have agreed on eight priorities needed to tackle obesity in Australia. We would like to work with the Federal Government to tackle this urgent issue and integrate these actions as part of a long-term coordinated approach.”

In addition to the costs to society, the burden of obesity is felt acutely by individuals and their families.

As a Professor of Women’s Health at Monash University and a physician, Professor Helena Teede sees mothers struggle daily with trying to achieve and sustain healthy lifestyles for themselves and their families, while having to deal with the adverse impact of unhealthy weight, especially during pregnancy.

“As a mother’s weight before pregnancy increases, so does the substantive health risk to both the mother and baby. Excess weight gain during pregnancy further adds to these risks and is a key driver of infertility, long-term obesity, heart disease and type 2 diabetes, while for the child, their risk of becoming overweight or obese and developing chronic diseases in later life greatly increases,” Professor Teede said.

“The women I see are generally desperate for help to improve their lifestyle and that of their families. They want to set themselves and their families up for healthy, long lives.

“Currently, there is a lot of blame placed on individuals with unhealthy diets and lifestyles seen as being due to individual and family discipline. Women from all backgrounds and walks of life struggle with little or no support to achieve this. It is vital that we as a community progress beyond placing all responsibility on the individual and work towards creating a policy context and a society that supports healthy choices and tips the scales towards obesity prevention to give Australian families a healthy start to life.”

The calls to action outlined in Tipping the Scales are endorsed by the following organisations: Australian Chronic Disease Prevention Alliance (which includes the Heart Foundation, Cancer Council Australia, Kidney Health Australia, Diabetes Australia and the Stroke Foundation), Australian Health Policy Collaboration (AHPC), Australian Medical Students’ Association (AMSA), Australian & New Zealand Obesity Society (ANZOS), Australasian Society of Lifestyle Medicine, Baker Heart & Diabetes Institute, CHOICE, Consumers Health Forum of Australia, Deakin University’s Global Obesity Centre (GLOBE), Institute For Physical Activity and Nutrition (IPAN), Monash Centre for Health, Research and Implementation (MCHRI), LiveLighter, Menzies School of Health Research, The University of Melbourne’s Melbourne School of Population & Global Health, Melbourne Children’s (which includes The Royal Children’s Hospital Melbourne, Murdoch Children’s Research Institute and the University of Melbourne), the National Rural Health Alliance Inc, Nutrition Australia, Obesity Australia, Obesity Policy Coalition, Obesity Surgery Society of Australia & New Zealand, Parents’ Voice, Public Health Association of Australia and Sugar By Half.

Download the Tipping the Scales action plan and snapshot at opc.org.au/tippingthescales


1. Obesity Australia. Obesity: Its impact on Australia and a case for action. No time to Weight 2. Sydney, 2015.

Aboriginal Health Lifestyle Campaigns : Minister @KenWyattMP investing in #DeadlyRoos partnership, a Community Controlled initiative. #DeadlyChoices

“Deadly Choices is what I like to call a ‘jewel in the crown’ of Indigenous health, achieving some stunning results since it kicked off in South East Queensland four years ago.

The Deadly Kangaroos is an expansion of this program, using the star power of the ambassadors and the excitement of this year’s World Cup to reach more even communities.

Our national rugby league stars need to be in peak physical condition to play at the top of their game and we appreciate the players’ support to start discussions with Aboriginal and Torres Strait Islander people about ways to improve their health “

Minister for Indigenous Health, Ken Wyatt AM, said legendary Kangaroos coach Mal Meninga and other Indigenous and non-Indigenous players would become ambassadors for the Institute for Urban Indigenous Health’s Deadly Choices program, to extend its reach across Australia.

The launch in Canberra was attended by the NACCHO Chair Matthew Cooke (pictured on right )

Members of the elite Australian Kangaroos Rugby League 2017 World Cup squad will headline the expansion of a successful grassroots campaign to improve Aboriginal and Torres Strait Islander health.

Deadly Choices is a community-based health lifestyle campaign launched in 2013.

There is particular focus on young people and the importance of exercise, education, school attendance, quitting smoking and regular preventive health checks.

Through media campaigns, sports carnivals and community events it has prompted:

    • Almost 19,000 annual health checkups in South East Queensland
    • Active patient numbers to triple to over 330,000
    • 1,155 smoke-free household pledges
    • More than 3,300 smoker interventions

“Experience shows that sport and sporting legends can help communities kick major goals in health awareness and foster real change,” the Minister said.

“I encourage everyone to support Australia in the World Cup in October, just as the Kangaroos are supporting better health outcomes for Aboriginal and Torres Strait Islander people, and all Australians.”

The ambassadors will make appearances at game day events as the Australian team travels through the ACT, New South Wales, the Northern Territory and regional Queensland for the World Cup.

“Key ambassadors for the Deadly Kangaroos are Johnathan Thurston and Greg Inglis,” the Minister said. “Also, the best three players from the national men’s and women’s teams at the Arthur Beetson Deadly Choices Murri Rugby League carnival will also be chosen as community ambassadors to promote positive health messages.

“Merchandise, including a special Deadly Kangaroos World Cup jersey, has been produced as an incentive for people to have a health check.

“The messages will also be promoted through television, radio, social media and at coaching clinics and Aboriginal community controlled health services.”

The Australian Government is contributing $235,000 to help support the Deadly Kangaroos campaign

The Rugby League World Cup runs from 26 October – 2 December 2017.

NACCHO Aboriginal Health and Smoking : Survey #Nosmokes How #socialmedia supports positive health behaviour

How does accessing the NoSmokes health campaign support anti-smoking behaviour in Aboriginal and Torres Strait Islander youth?

What is this project about?

The aim of this project is to explore how the NoSmokes health campaign supports Aboriginal and Torres Strait Islander youth to deal with smoking situations. We will also explore whether accessing NoSmokes supports young people to stay quit or resist starting smoking.

What are the benefits of the project?
This project will help us to understand more about how online technology and social media can be used to support positive health behaviour, particularly in relation to smoking. You may also learn more about your own confidence in dealing with a number of different smoking situations.

What will I have to do?

To participate you must use /view

1.NoSmokes Facebook page.

VIEW HERE

2. NoSmokes website.

VIEW HERE

3. NoSmokes YouTube channel.

VIEW HERE

4. NoSmokes  Instagram page

VIEW HERE

5.and be 16 years of age or older.

Your participation is voluntary, so you don’t need to take part if you don’t want to. If you choose to take part, you will complete an online questionnaire answering questions about: your experience with smoking; your experience of NoSmokes, your confidence in dealing with different smoking situations. This will take around 20-25 minutes.

If there are any questions in the survey you don’t like, or that you do not feel comfortable answering, then leave that question and move onto the next one. You can complete the survey on your mobile phone or computer. If you change your mind about participating, or are feeling uncomfortable, you can choose to stop the survey at any time by closing the web page or by not pressing the ‘submit’ button. Any data collected before you withdraw will be deleted at the end of the data collection period.

What will happen to my information?

Only the researcher will have access to the individual information provided by participants. Privacy and confidentiality will be assured at all times. The project findings will be used as part of the researcher’s Honours Thesis project, and will be published on the NoSmokes and Ninti One websites. The research may also be presented at conferences and written up for publication.

Only anonymous information will be gathered – you will not be required to provide any identifiable personal information, such as your name or date of birth. No one will know you have taken part in this research from reading the thesis, reports or other publications.

If you are interested in viewing the results of this research, a summary report will be available on the NoSmokes website http://nosmokes.com.au/ in December 2017. You can also request a copy of the final thesis by emailing Neeti Rangnath on u3105740@uni.canberra.edu.au.

Researcher
Neeti Rangnath
Honours Student
Discipline of Psychology, Faculty of Health
University of Canberra, ACT 2601
Email: u3105740@uni.canberra.edu.au
Supervisor
Dr Penney Upton
Associate Professor in Health
Centre for Research and Action in Public Health
University of Canberra, ACT 2601
Ph: 02 6201 2638
Email: penney.upton@canberra.edu.au
Data storage
During the project, the anonymous data will be stored securely on a password protected computer, and then stored securely on the University of Canberra network server. The information will be kept for 5 years, after which it will be destroyed according to University of Canberra protocols.

Ethics Committee Clearance
The project has been approved by the Human Research Ethics Committee of the University of Canberra (HREC 17-83).

Queries and Concerns
If you have any questions or concerns about this project you can contact the researchers, whose details are provided at the top of this form. If you are concerned about the conduct of this project please contact

Mr Hendryk Flaegel, Ethics and Compliance Officer at the University of Canberra (p) 02 6201 5220 (e) humanethicscommittee@canberra.edu.au

There are no anticipated risks associated with participating in this research. However, if completing this questionnaire makes you feel uncomfortable, sad, or angry about your own smoking or the smoking behaviour of someone you know, you are encouraged to visit the following website to find support with smoking-related issues in your state or territory:

http://www.quitnow.gov.au/internet/quitnow/publishing.nsf 

Consent Statement 
I have read and understood the information about the research. I am not aware of any reason that I should not be participating in this research, and I agree to participate in this project. I have had the opportunity to ask questions about my participation in the research. All questions I have asked have been answered to my satisfaction.

Complete consent and start survey here

 

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

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

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

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

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

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

See Part 1 below for Aboriginal sugar facts

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

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

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

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

See full survey details Part 2 Below

Part 1 Aboriginal sugar facts

ABS Report

abs-indigenous-consumption-of-added-sugars

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

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

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

OTHER KEY FINDINGS

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

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

Introduction

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

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

The HSR system

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

The HSR system aims to:

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

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

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

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

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

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

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

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

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

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

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

Next steps in the review process

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

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

Making a submission

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

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

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

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

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

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

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

Part 3 Sugar Sugar MJA Insights

Originally published Here

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

NACCHO Aboriginal Health and Immunisation : Health Minister @GregHuntMP launches a $5.5 #GetTheFacts campaign encouraging parents to vaccinate their children.

” Free vaccinations under the National Immunisation Program can be accessed through community controlled Aboriginal Medical Services, local health services or general practitioners (see part 2 below)

 Health disparities between Aboriginal and Torres Strait Islander people and other Australians continue to be a priority for Australian governments.

Aboriginal and Torres Strait Islander Australians are significantly more affected by: low birth weight, chronic diseases and trauma resulting in early deaths and poor social and emotional health.

Historically, immunisation has been and remains, a simple, timely, effective and affordable way to improve Aboriginal and Torres Strait Islander peoples health, delivering positive outcomes for Australians of all ages.

Reports that focus on vaccine preventable diseases (VPDs) and vaccination coverage in Aboriginal and Torres Strait Islander people are published regularly by the National Centre for Immunisation Research (NCIRS).

From NACCHO Post  #Aboriginal Health and #Immunisation @AIHW reports Aboriginal children aged 5 national immunisation rate of 94.6% 

Download Healthy Communities:

AIHW_HC_Report_Imm_Rates_June_2017

See Previous NACCHO Aboriginal Health and #WorldImmunisationWeek : @healthgovau Vaccination for our Mob

The federal government is spending $5.5 million to encourage parents to vaccinate their children.

Specific info about Aboriginal health and Immunisation see part 2

Health Minister Greg Hunt says while more than 93 per cent of five-year-olds are fully vaccinated, immunisation rates in some parts of Australia remain low.

The “Get Facts about Immunisation” campaign, launched at Melbourne’s Royal Children’s Hospital yesterday , will target parents in these areas through child care centres and social media.

Immunologist Ian Frazer says vaccinating a child protects not just them but the wider community.

“We still see cases of disease outbreaks, particularly in areas of low immunisation coverage, so it’s important immunisation rates are as high as possible,” he said in a statement.

“A parent will never know when their child may come into contact with someone who has got one of these infections.”

What is immunisation?

Immunisation is a safe and effective way of protecting your child against serious diseases.

Immunisation protects your child from harmful infections before they come into contact with them. It uses their body’s natural defences to build resistance to specific infections. When they come in contact with that disease in the future, their immune system remembers it, and responds quickly to prevent the disease from developing.

After immunisation, your child is far less likely to catch the disease. If your child does catch the disease, their illness will be less severe and their recovery quicker than an unimmunised child.

Immunisation or vaccination – what’s the difference?

‘Vaccination’ means getting a vaccine – either as an injection or an oral dose.

‘Immunisation’ is the term for both the process of getting the vaccine and becoming immune to the disease as a result.

Australia’s National Immunisation Program 

The Australian Government funds the National Immunisation Program , which provides vaccines against 17 diseases, including 15 diseases important in childhood.

How immunisation works

Vaccines stimulate the body’s natural defences

Children come into contact with many germs, including bacteria and viruses each day and their immune system responds in various ways to protect the body. Vaccines strengthen the body’s immune system by training it to quickly recognise and clear out germs (bacteria and viruses) that the vaccination has made them familiar with.

When you’re vaccinated, your body produces an immune response. This is how your body defends itself against bacteria and viruses and other harmful substances.

When you come in contact with that disease in the future, your immune system remembers it. Your immune system responds quickly to prevent the disease from developing.

Without a vaccine, a child can only become immune to a disease by being exposed to the germ, with the risk of severe illness. Sometimes your child will need more than one dose of a vaccine. This is because a young child’s immune system does not work as well as an older child or adult. The immune system of young children is still maturing.

Vaccination helps to protect the community from contagious diseases.

The National Immunisation Program has further details about how vaccines help immunity.

Part 2 : Aboriginal health and Immunisation

A number of immunisation programs are available for people of Aboriginal and Torres Strait Islander descent. These programs provide protection against some of the most harmful infectious diseases that cause severe illness and deaths in our communities.

Immunisations are provided for Aboriginal and Torres Strait Islander in the following age groups:

  • Children aged 0-five
  • Children aged 10-15
  • People aged 15+
  • People aged 50+

Free vaccinations under the National Immunisation Program can be accessed through community controlled Aboriginal Medical Services, local health services or general practitioners.

Children aged 0-five

Aboriginal and Torres Strait Islander children aged 0-five should receive the routine vaccines given to other children. You can see a list of these vaccines in the Children 0-five page.

In addition, children aged 0-five of Aboriginal and Torres Strait Islander descent can receive the following additional vaccines funded under the National Immunisation Program:

Pneumococcal disease

An additional booster dose of pneumococcal vaccine is required between the ages of 12 and 18 months. Aboriginal and Torres Strait Islander children living in Queensland, the Northern Territory, Western Australia and South Australia continue to be at risk of pneumococcal disease for a longer period than other children.

This program does not apply to Aboriginal and Torres Strait Islander children living in New South Wales, Victoria, Tasmania or the Australian Capital Territory, where the rate of pneumococcal disease is similar to that of non-Indigenous children.

Hepatitis A

This vaccination is given because hepatitis A is more common among Aboriginal and Torres Strait Islander children living in in Queensland, the Northern Territory, Western Australia and South Australia than it is among other children. Two doses of vaccine are given six months apart starting over the age of 12 months.

The age at which hepatitis A and pneumococcal vaccines are given varies among the four states and territories.

Influenza (flu)

From 2015, the flu vaccine will be provided free for all Aboriginal and Torres Strait Islander children aged six months to five years is available under the National Immunisation Program. The flu shot will protect your children against the latest seasonal flu virus.

Some children over the age of five years with other medical conditions should also have the flu shot to reduce their risk of developing severe influenza.

Children aged 10 – 15

Aboriginal and Torres Strait Islander children aged 10-15 should receive the following routine vaccines given to other children aged 10-15:

  • Varicella (chickenpox)
  • Human papillomavirus (HPV)
  • Diphtheria, tetanus and acellular pertussis (whooping cough) (dTpa)

People aged 15+

Pneumococcal disease

Pneumococcal vaccines are free for Aboriginal and Torres Strait Islander peoples from 50 years of age, as well as those aged 15 to 49 years who are at high risk of invasive pneumococcal disease.

Influenza (Flu)

Due to disease burden influenza vaccines are free for all Aboriginal and Torres Strait Islander people aged six months to five years old and 15 years old or over. The flu shot will protect you against the latest seasonal flu virus.

More information:

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

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

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

#SugaryDrinksProperNoGood and #DrinkMoreWaterYoufla,

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

From Apunipima’s Healthy Communities Mob Part 2 below

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

Download plan here

 Watch our interview with Aboriginal dentist Gari Watson on NACCHO TV

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

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

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

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

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

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

Read over 25 NACCHO dental articles

Read over 25 NACCHO Nutrition  Articles

Read over 10 NACCHO Articles Sugar Tax

Dental Health Week Website

Dept of Health Dental Website

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

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

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

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

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

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

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

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

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

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

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

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

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

Picture: Childcare worker Auntie Irene Bambie and Georgia Gibson

Acid, sugar in sugary drinks pose serious threat to teeth

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Protect your teeth from sugary drinks with these tips:

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

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

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

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

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

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

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

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

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

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

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

 

NACCHO Aboriginal Health and Smoking : Download Tackling Indigenous Smoking Program prelim. evaluation report

 ” The overall goal of the national Tackling Indigenous Smoking (TIS) program is to improve the health of Aboriginal and Torres Strait Islander people through local population specific efforts to reduce harm from tobacco.

The purpose of this preliminary report is to provide a mid-term evaluation of progress to date in implementing the first year of the three year (2015-2018) TIS program.

The TIS programme with a budget of $116.8 million over 3 years ($35.3 million in 2015-16; $37.5 million in 2016-17 and $44 million in 2017-18) was announced by the Government, on 29 May 2015.”

Download 133 page PDF report Here :

NACCHO Download Dept Health Tackling Indigenous Smoking Evaluation June 2017

The report found the program is operating effectively, using proven approaches to change smoking behaviours, and delivering evidence-based local tobacco health promotion activities. I am pleased the report recommends it continues,

Smoking is the most preventable cause of disease and early death among Aboriginal people and accounts for almost one-quarter of the difference in average health outcomes between indigenous and non-indigenous Australians.

“The program provides grants in 37 urban, rural, regional and remote areas to assist local communities to develop localised anti-smoking campaigns

Minister Ken Wyatt

Read over 100 plus NACCHO articles published in past 5 years

This mid-term evaluation looks at progress to date of the TIS program, particularly in terms of regional grants delivering localised Indigenous tobacco interventions.

Source of intro

See list all 35 Recipients below

It does not look at long-term impact in relation to a reduction of smoking rates at a national level.

Findings focus on (see in full below 1-9)

  • the shift to TIS
  • community engagement and partnerships
  • localised health promotion
  • access to quit support
  • contribution to evidence base
  • National Best Practice Unit and TIS portal
  • governance and communications.

A number of key recommendations emerging from the evaluation are included in the report.(see Below Part 2)

Findings

1. Shift to TIS

Since the implementation of the TIS program, all grant recipients are primarily focused on planning for, and/or delivering, targeted and tailored activities that directly address reduction of smoking prevalence within communities.

For some grant recipients, broader health promotion activities without a clear link to tobacco reduction have dropped off significantly as a result of the shift to TIS, whilst for others the integration of healthy lifestyle and tobacco control strategies has been successful. There are varying degrees of clarity among grant recipients about the extent to which there is flexibility to tap into healthy lifestyle activities under the new guidelines.

2.Community engagement and partnerships

Community engagement and involvement in the design and planning of localised TIS programs is a key priority for grant recipients, and a key indicator of successful TIS activities.

While challenges were identified in terms of handling competing priorities in community, adhering to cultural protocols, and the change in focus of the TIS program and uncertainty about ongoing funding, in the main, grant recipients have demonstrated substantial progress in involving community in design and planning and garnering support for TIS activities.

This is evidenced by the popularity of community events hosted/attended by the TIS team and the proactivity of local community and Elders in advocating for tobacco control.

The success of the TIS program and the capacity for grant recipients to operate as a multi-level population health program in their region is highly dependent upon the quality and reach of partnerships between grant recipients and other agencies/organisations.

Whilst challenges to regional collaborations were reported, overall there has been a noticeable increase in the reporting of grant recipient collaboration and partnerships, representing an important shift to both a wider regional focus and wider community approach to tobacco reduction.

3.Localised health promotion

At the local level, a range of multi-component health promotion activities around tobacco control are being undertaken by grant recipients, in collaboration with external stakeholders. Local partnerships are crucial to the successful implementation of localised health promotion activities through facilitating access to priority populations, supporting capacity-building and enabling a broader population reach to achieve awareness and understanding of the health impacts of smoking and quitting pathways. viii

Increased levels of community support and ownership for local solutions to tackling Indigenous smoking are being seen across the TIS sites.

4.Community education

Community education, is being undertaken by all grant recipients. This manifests in a range of ways, including health promotion activities at community/sporting events, drama shows and comedy and social marketing.

The involvement of local champions and Elders in local education and awareness raising events and activities is recognised as central to tobacco control messages resonating with target audiences.

It has also been recognised that targeting priority groups, such as young people and pregnant women, requires the adaptation of messages so that they resonate with those groups.

Grant recipients are partnering with key local organisations (e.g. schools, other AMS etc.) to overcome some of the challenges around access to these priority groups.

Many grant recipients have established or showed progress in establishing social marketing campaigns to supplement other health promotion activities. Campaigns are developed largely through a strength-based approach, with ‘local faces and local places’ taking precedence. Grant recipients have acknowledged the challenges in measuring the impact of social marketing campaigns although some are demonstrating a commitment to collecting data on awareness, and influences on motivations and attempts to quit.

5.Smoke-free environments

An area that has been recognised by grant recipients as requiring attention is the promotion and establishment of smoke-free environments, particularly in rural and remote locations. Modelling smoke-free environments within the grant recipients’ own workplace is one way in which this issue is being addressed, with some evidence of success.

Challenges to the implementation of smoke-free workplaces include getting support from senior leaders or Board members who smoke, and organisations where tobacco control is not the main priority. Monitoring the compliance of smoke-free environments presented an additional challenge to grant recipients. Some external organisations have requested support to become smoke-free, and successful examples of smoke-free environments including smoke-free community events are evident.

Shifting attitudes around second-hand smoke (e.g. smoking indoors and in cars) and some evidence of behaviour change were reported by grant recipients and community members.

6.Access to quit support

TIS funded organisations are encouraged to take a systems approach to activity planning. The TIS program is part of a larger preventive health care system, all connected in different ways such as through referral pathways, and client appointments.

A key component of the TIS program is therefore enhancement of referral pathways and promoting access to quit support. Grant recipients have developed a range of opportunities for community members to achieve smoking cessation, with referral pathways having been established in two key areas: clinic-based referrals within their organisation and referrals made during localised TIS health promotion activities.

For some, successful referral pathways are dependent upon grant recipients partnering with external organisations.

Improving access to culturally appropriate support to quit has been a key focus of the grant recipients over the past 12 months.

Quitline enhancements are a component of the TIS program and data suggests that referrals to Quitline are higher in urban and some rural areas. Continuing to build strong partnerships between grant recipients and Quitline will be key to increasing referrals from local TIS programs into Quitline where appropriate.

Another key focus for grant recipients has been in increasing the skills of TIS workers and other professionals in contact with Aboriginal and Torres Strait Islander people to provide smoking cessation education and brief interventions. Quits kills training, and other smoking cessation education programs, have been accessed to support this goal.

7.Contributions to evidence base

The shift to delivering activities based in evidence and focusing more on outcomes than outputs has been welcomed by grant recipients, in the main, and has provided greater direction for activities and a goal to work towards.

A range of activities were undertaken by grant recipients to develop or strengthen their evidence base and work towards measurable outcomes. Collecting data remained challenging for some remote grant recipients operating in contexts with low literacy levels and where English is not the first language. Health service grant recipients wanting to collect population level data was also challenging when services are operating on different databases within a region and where there was an unwillingness to share data.

Overall, grant recipients expressed a willingness to focus on outcomes, and the confidence and capability to obtain data, although interpreting and reporting on data was presented as a challenge.

8.National Best Practice Unit and TIS portal

Advice and guidance around monitoring, measuring and further improving local TIS programs is provided to grant recipients through the NBPU TIS. Grant recipients have indicated that they value the support and advice provided through the NBPU TIS and this has aided in building their confidence and capacity to undertake monitoring and evaluation activities.

Some grant recipients reported that an additional level of support from NBPU TIS was needed. Resistance to change is common in any business when new processes are set in place. NBPU TIS therefore expected, and has witnessed, some resistance to this change. However, it continues to engage with grant recipients and support significant processes of change, not just reporting and compliance.

Another component of the work of the NBPU TIS is the development and ongoing maintenance and improvement of the Tackling Indigenous Smoking Resource and Information Centre (TISRIC) and its home, the TIS Portal (hosted by Australian Indigenous HealthInfoNet).

Information and resources to support grant recipients in planning, monitoring, and evaluating activities, as well as information on workforce development is provided through the TIS Portal.

In addition, the Portal hosts an online forum (TIS Yarning Place) that enables grant recipients from across the country to share information and ask questions. Evaluation findings suggest that, whilst grant recipients are utilising the TIS Portal, some grant recipients have identified opportunities to enhance the useability of the TIS Portal.

9.Governance and communications

Various components of support are provided to grant recipients by the department and the NBPU TIS regarding the new focus and priorities and expectations of the TIS program.

To ensure consistent program messaging, and to enhance performance reporting, a range of initiatives were undertaken in the latter half of 2016 to clarify the roles and responsibilities of the various ‘players’ in the national TIS program.

The loss of experienced staff due to funding uncertainty has represented a significant challenge for several grant recipients in their planning and implementing activities.

Particularly in remote areas, recruitment has been an issue for many grant recipients due to the mix of skills demanded of TIS staff. Grant recipients report continued issues attracting and retaining staff with only short term contracts under the new TIS program.

Despite these concerns, indications are that providing grant recipients are given sufficient time and support to execute their Action Plans, they are on track for achieving stated tobacco reduction outcomes. The key risk to this is workforce stability, which would be mitigated by timely advice about the outcome of ongoing funding arrangements.

A number of key recommendations have emerged out of the evaluation findings:

Overall recommendations

1. Department: The TIS program in its current form should be continued, with a move away from short-term funding cycles.

2. Department: Provide immediate advice about the funding of TIS from June 2017 to end of current funding cycle.

Shift to TIS

3. Department: Provide clarity around what is allowable in relation to healthy lifestyle activities within the current iteration of the TIS program  Community engagement and partnerships

4. Grant recipients: Continue to broker partnerships and leverage relationships.

5. NBPU TIS: Continue to build capability of grant recipients to broker partnerships and leverage relationships through the distribution and promotion of relevant resources.

Community education and awareness

6. Grant recipients: Continue to identify and prioritise key groups, especially pregnant women.

7. Grant recipients: Ensure evidence-based best practice community education models (including monitoring and evaluation approaches) are sought and adopted where appropriate.

8. NBPU TIS: Ensure the evidence-based best practice community education models (including monitoring and evaluation approaches) are available, particularly for priority target groups such as pregnant women and activities around social marketing.

Smoke-free environments

9. Grant recipients: Continue to explore implementing smoke-free workplaces and enhance support for smoke-free public spaces.

10. National Coordinator: Lead a dialogue between regional leaders, including CEOs, Board members of TIS and non-TIS funded organisations around establishing smoke-free environments.

Access to quitting support

11. Grant recipients: Continue to strengthen partnerships with Quitline and other quit support structures where appropriate.  Contribution to larger evidence base

12. Grant recipients: Build on routine and existing data sources to reduce data collection burden.

National support

13. Grant recipients: Continue to seek feedback from NBPU TIS regarding M&E activities where required.

14. NBPU TIS: Continue to respond to feedback from GRs around M&E needs and TIS portal content and use ability.

15. Department: Articulate the role of the National coordinator  in the context that the program has evolved and as such his role has evolved. Governance and communication

16. Department: Provide greater clarification of TIS funding parameters, especially in terms of incorporation of healthy lifestyle activities and one-on-one smoking cessation support.

The Tackling Indigenous Smoking (TIS) regional tobacco control grants aim to improve the wellbeing of Aboriginal and Torres Strait Islander people through population health activities to reduce tobacco use. It is an initiative of the Australian Government Department of Health (DoH).

At the end of 2015, a number of organisations were notified of their success in gaining a TIS grant for culturally appropriate tobacco cessation programs. The grants were awarded to a variety of service providers across the nation.

The 35 organisations that have commenced their programs are:

With the program funding provided until 2018, the successful organisations will work towards the intended outcomes of the TIS programme, including:

  • encouraging community involvement in and support for local tobacco control activities
  • increasing community understanding of the dangers of smoking and chewing tobacco
  • improving knowledge, skills and a better understanding of the health impacts of smoking.

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

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

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

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

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

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

Indigenous Health Minister Ken Wyatt

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

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

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

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

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

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

Watch video

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

See fundraising website

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

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

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

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

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

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

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

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

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

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

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

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

We can’t do it without you.

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

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

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

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

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

All donations are tax deductible.

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

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

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

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

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

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

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

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

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

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

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

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

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