NACCHO Aboriginal Youth Health : ‘Dark days of old Don Dale’: John Paterson CEO @AMSANTaus and Human rights groups condemn #NT Government and Minister Dale Wakefield’s new youth justice laws

“ The NT government talks proudly about its commitment to Aboriginal-led solutions, to co-design and to collaboration,

So why was this bill kept from those who are part of those solutions and collaborations until the moment it was introduced into the parliament?

The bill went “far beyond” clarifying technical matters,

It does not reflect the royal commission recommendations or the government’s previous policy position to accept and implement those recommendations.

These amendments bring back the draconian treatment of young people and will see children restrained and isolated at the discretion of detention staff.

Far from reducing ambiguity as the minister claims, the amendments reintroduce ambiguity with subjective definitions and powers.

The Chief Executive Officer of AMSANT, John Paterson The Aboriginal Medical Services Alliance of the Northern Territory (AMSANT) today condemned the Labor Government and Minister Wakefield in the strongest possible terms for its behaviour in avoiding debate and scrutiny in order to ram through retrograde changes to the Youth Justice Act for the operation of youth detention.

Read The Guardian Amnesty coverage 

Read full AMSANT Press Releases Part 1 Below

Read over 60 NACCHO Aboriginal Health and Don Dale detention articles 

“The Territory Labor Government is creating generational change and safer communities by overhauling the Youth Justice system and putting at-risk young people back on track.

“The safety of youth detention staff and detainees is absolutely paramount. These amendments will help to better manage security risks that puts lives in danger.

“Last year we amended the Youth Justice Act to ensure that force, restraints and isolation could not be used for the purpose of disciplining a young person in detention.

“The new amendments provide clarity by removing ambiguities in the Act to ensure that youth detention staff can better respond to serious and dangerous incidents. Laws often need adjusting to reflect operational realities

Minister for Territory Families, Dale Wakefield Read Full Press release Part 2 Below 

Part 1

Mr Paterson, said “The Minister has been misleading and disingenuous in her speeches and answers to the limited questioning that was allowed in the Legislative Assembly. Despite the Minister’s assertions, these amendments are not mere technical clarifications.

They are substantive changes that erode the small improvements that were made in 2018 in response to the Royal Commission.

They will allow harsh treatment of young people in detention to continue unopposed and unscrutinised.”

WATCH TV NEWS COVERAGE

Mr Paterson said that the Bill passed this afternoon with no scrutiny, is clearly intended to retrospectively make lawful, actions that were unlawful under the law as it existed until today. “We must ask ourselves whether this unseemly and undemocratic haste is intended to defeat legal actions currently on foot by young people who believe their treatment in detention has been unlawful.

Does the government know that unlawful treatment occurred and is now seeking to avoid accountability? It is difficult to draw any other conclusion despite the Minister’s obfuscation in the Assembly” said Mr Paterson.

AMSANT believes that the harsh treatment of young people now permitted under the law will lead to increased tensions and incidents in detention. When the next major incident occurs, the government, not the young people, must be held to account. “Let’s not forget” said Mr Paterson “that a large proportion of young people in detention have significant cognitive disabilities.

The government is condoning the use of restraint, isolation and physical force against young people with disabilities because they do not have the capacity to comply with the demands of the detention environment.

Right now, young people are being restrained in handcuffs and waist shackles to simply walk from one part of Don Dale to another under the control of a guard.”

“AMSANT is disgusted by this behaviour by a government and calls on the Chief Minister to withdraw this legislation prior to it receiving the assent of the Administrator. To do otherwise is to walk away from the Royal Commission recommendations.” said Mr Paterson. Mr Paterson seeks to remind the Chief Minister of his words and apparent distress when he responded to the Royal Commission.

The Chief Minister said in November 2017, “Our youth justice and child protection systems are supposed to make our kids better, not break them, they are supposed to teach them to be part of society, not withdraw”. “This legislation is not consistent with that statement”, Mr Paterson concluded

Protestor at Alice Springs Market yesterday 

1.2 Youth Justice Amendment Bill a return to the bad old days!

Aboriginal Medical Services Alliance of the Northern Territory (AMSANT) Chief Executive Officer, John Paterson, today called on the Chief Minister to halt the progress of the Youth Justice Amendment Bill 2019 through the Legislative Assembly until Aboriginal people and organisations have the chance to have a say.

“The government talks proudly about its commitment to Aboriginal led solutions, to co-design and to collaboration” said Mr Paterson.

“So why was this Bill kept from those who are part of those solutions and collaborations until the moment it was introduced into the Parliament?”

“The Minister has said the Bill simply clarifies technical matters and keeps faith with 2018 amendments.” Mr Paterson said.

“The Bill goes far beyond that. It undoes the positive progress in the 2018 changes which were a start in implementing the Royal Commission recommendations. The government consulted with Aboriginal organisations and other youth advocates and we supported the 2018 amendments.”

Mr Paterson said that this Bill is a u-turn on the progress in 2018. It does not reflect the Royal Commission recommendations or the Government’s previous policy position to accept and implement those recommendations.

“These amendments bring back the draconian treatment of young people and will see children restrained and isolated at the discretion of detention staff. Far from reducing ambiguity as the Minister claims, the amendments reintroduce ambiguity with subjective definitions and powers.”

Mr Paterson also questioned the need for retrospective effect of these amendments. “The only reason for retrospective effect is to legalise actions that were illegal when they were taken.” AMSANT said that the safety of both staff and young people is important and called on the government to work with Aboriginal organisations and other experts to explore the safety concerns and solutions. The government needs to think more carefully about the way forward. “

If the workforce cannot safely deliver a detention system under current laws which give quite considerable powers over the young people, the government needs to look at the skills, training and support of the workforce to ensure that they can. Attacking the human rights of young people is not the solution” Mr Paterson emphasised.

Mr Paterson noted that under the Diagrama Foundation which runs 70% of youth detention in Spain, for example, highly qualified staff with expertise in youth development, trauma and de-escalation work with young people in a therapeutic way that does not involve restraint, force and isolation. “Diagrama facilities rarely experience incidents of the kind seen last year at Don Dale.

Mr McGuire from Diagrama told audiences in Darwin last year that it is at least 10 years since there was a significant incident at a Diagrama facility. And Diagrama experiences a reoffending rate of only 20% across all its residents compared to 80% in the NT.”

Part 2

Passage of Youth Justice Act Amendments to Manage Security

Risks in the Territory’s Youth Detention Centres

March 2019

Today the Territory Labor Government passed amendments to the Youth Justice Act which will clarify and tighten the existing framework for managing safety and security risks within the youth detention centres.

The amendments will provide youth detention centre staff with a clear and unambiguous framework for exercising their powers, and will enable them to have a very clear guideline in their decision making when responding to dangerous and challenging situations.

The amendments include:

  • Clarify the circumstances in which force and restraints may be used, to account for situations where detainees mayact in a way that threatens the safety or security of a detention centre, but not in a way that presents an imminent risk
  • Create a consistent test to determine what is a reasonable use of force and restraints
  • Clarify the meaning of an emergency situation, which is relevant to the general application of all uses of force • Clarify the definition of separation
  • Enable screening and pat down searches of detainees in a broader range of circumstances
  • Include an express power to transfer a detainee from one detention centre to another

The amendments will remove any uncertainty around the operation of existing powers in the legislation, for both youth detention centre staff and detainees.

The amendments will apply retrospectively to the date in which the original provisions of the Act commenced (May 2018). This will remove any doubt about the original intention of these key provisions in the legislation.

NACCHO Aboriginal Health and #SuicidePrevention News Alerts : #Closethegap : #NACCHO and @TheRACP Peak Health bodies call for Prime Minister and state and territory leaders to declare Aboriginal youth #suicide crisis an urgent national health priority

The recent Aboriginal youth suicides represent a national emergency that demands immediate attention.

Aboriginal community controlled health services need to be properly resourced to ensure our children are having regular health checks and to develop community led solutions.’

NACCHO CEO, Ms Patricia Turner : See NACCHO RACP press release : see Part 1 below

See all 130 + NACCHO Aboriginal Health and Suicide Prevention articles published over last 7 years 

“Funded programs are not required to demonstrate a measurable reduction in suicide and mental health risk factors, which is staggering,

We just aren’t demanding that basic level of accountability

The first priority must be analyses of suicide mortality data to identify the causal pathways,  

Suicide risk is the most complex thing to assess and monitor … communities are crying out for specialist assistance and just not getting it. “Children as young as 10 are dying by suicide … this is no longer an Aboriginal issue, it’s a national one,

Indigenous psychologist Adjunct Professor Tracy Westerman said Australia had failed to collect crucial evidence to determine what intervention strategies work. See Part 2 below 

 ” Community driven action plans to prevent suicide are extending across the Kimberley, with four more communities implementing plans to save lives and improve health and well-being.

As part of the Kimberley Aboriginal Suicide Prevention Trial, Kununurra, Balgo, Wyndham and Halls Creek now have local plans, joining Broome, Derby and Bidyadanga.

Each community receives up to $130,000 to help roll out its action plan which reflects and responds to local issues

See Minister Ken Wyatt Press Release and Communique Part 3 and 4 Below

Part 1 RACP and NACCHO Press Release

JOINT STATEMENT

HEALTH BODIES DECLARE ABORIGINAL YOUTH SUICIDE AN URGENT NATIONAL PRIORITY

  • Health bodies call for Prime Minister and state and territory leaders to declare urgent national health priority
  • Immediate investment in Aboriginal-led mental health and wellbeing services needed to stop child deaths
  • Long-term solution of Aboriginal and Torres Strait Islander self-determination requires commitment to Uluru Statement from the Heart

The Royal Australasian College of Physicians (RACP), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) are calling on the Prime Minister to make tackling Aboriginal and Torres Strait Islander youth suicides a national health priority.

Suicide was once unknown to Aboriginal and Torres Strait Islander peoples but now every community has been affected by suicide.

In response to the recent Aboriginal youth suicides and the release of the WA Coroner’s report on the inquest into the deaths of thirteen children and young persons in the Kimberley Region, we are calling on the Prime Minister and state and territory leaders to put the issue at the top of the COAG agenda and to implement a coordinated crisis response to urgently scale up Aboriginal led mental health services before more young lives are tragically lost.

An urgent boost to Aboriginal community controlled health services is required to build on the existing range of initiatives that are being rolled out. We also call on the Government to expand upon evidence-based resilience and cultural connection programs to be adapted and attuned to local needs.

We are calling on the Federal Government to:

  • Provide secure and long-term funding to Aboriginal community controlled health services to expand their mental health, social and emotional wellbeing, suicide prevention, and alcohol and other drugs services, using best-practice traumainformed approaches
  • Increase funding for ACCHSs to employ staff to deliver mental health and social and emotional wellbeing services, including psychologists, psychiatrists, speech pathologists, mental health workers and other professionals and workers;
  • Increase the delivery of training to Aboriginal health practitioners to establish and/or consolidate skills development in mental health care and support, including suicide prevention
  • Commit to developing a comprehensive strategy to build resilience and facilitate healing from intergenerational trauma, designed and delivered in collaboration with Aboriginal and Torres Strait Islander communities

RACP spokesperson Dr Mick Creati, said: “The unspeakable child suicide tragedy that has been unfolding requires a national response and the attention of the Prime Minister. Unless we see urgent boost to investment in Aboriginal-led mental health services then the deaths will continue.”

RANZCP President Dr Kym Jenkins, said: ‘We must address the factors underlying suicidality in Aboriginal and Torres Strait Islander communities, including intergenerational trauma, disadvantage and distress. For this, we urgently need an increased capacity of mental health and wellbeing services to help people and communities recover from trauma and build resilience for the future.’

Part 2 Leaders urged to declare Aboriginal child suicides a ‘national crisis’

 Kate Aubusson From the Brisbane Times 20 March 

Prime Minister Scott Morrison must declare Indigenous child suicides a national emergency and overhaul current strategies, peak medical and health bodies have demanded.

The call comes in the wake of harrowing Aboriginal and Torres Strait Islander child suicide rates, and the WA coroner’s inquest into the deaths of 13 young people, five aged between 10 and 13 years in the Kimberley region.

A joint statement from the Royal Australasian College of Physicians (RACP), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) has urged Mr Morrison and all state and territory leaders to make Indigenous youth suicides an “urgent national health priority”.

The organisations called on the leaders to launch a “coordinated crisis response” and invest in Aboriginal-led strategies “before more young lives are tragically lost”.

In January, five Aboriginal girls aged between 12 and 15 years took their own lives.

The latest ABS data shows Indigenous children aged 10 to 14 die of suicide at 8.4 times the rate of non-Indigenous children. One in four aged under 18 who suicided were Aboriginal.

None of the 13 children who died by suicide had a mental health assessment, according to the coroner’s report.

The international journal The Lancet Child and Adolescent Health recently called Australia’s Indigenous youth suicide rate an “unmitigated crisis”.

NACCHO CEO Pat Turner said the recent Aboriginal youth suicides was “a national emergency that demands immediate attention”.

The joint statement called for Indigenous community-led solutions, long-term funding boosts to Aboriginal Community Controlled Health Services (ACCHS) for best-practice and trauma-informed mental health, suicide prevention, and drug and alcohol programs.

The organisations also pushed for more ACCHS funding to employ more psychologists, psychiatrists, speech pathologists and mental health workers, increase training for Aboriginal health practitioners to develop a comprehensive strategy focused on resilience and intergenerational trauma healing.

In September the Morrison government announced $36 million in national suicide prevention projects.

Paediatrician with Victorian Aboriginal Health Service Dr Mick Creati said Indigenous suicides could not be prevented by a “white bread psychiatry model”.

Aboriginal suicides were often radically different from those among the general population, research shows. They were more likely to be impulsive, potentially triggered by some kind of interpersonal conflict.

The crisis demanded a “different, culturally appropriate model”, Dr Creati said.

“We don’t know exactly what the right model is yet … but Aboriginal people need to be included [in their development] to make sure they are appropriate for Aboriginal populations.”

But Indigenous psychologist Adjunct Professor Tracy Westerman said Australia had failed to collect crucial evidence to determine what intervention strategies work.

“Funded programs are not required to demonstrate a measurable reduction in suicide and mental health risk factors, which is staggering,” Professor Westerman said.

“We just aren’t demanding that basic level of accountability”.

The first priority must be analyses of suicide mortality data to identify the causal pathways,  Professor Westerman said.

“Suicide risk is the most complex thing to assess and monitor … communities are crying out for specialist assistance and just not getting it. “Children as young as 10 are dying by suicide … this is no longer an Aboriginal issue, it’s a national one,” she said.

Part 3 The eighth meeting of the Kimberley Suicide Prevention Trial Working Group was held on 14 March in Broome communique

The Working Group discussed the findings of WA Coroner’s Report into suicide deaths in the Kimberley and continued its consideration of resources and strategies to support activity as part of the suicide Prevention trial.

The meeting today was chaired by the Hon Ken Wyatt, Minister for Indigenous Health (Commonwealth) and attended by the Hon Roger Cook, Deputy Premier and Minister for Health (WA State Government), Senator the Hon Patrick Dodson (Commonwealth) and Member for the Kimberley, the Hon Josie Farrer MLC (WA State Government). Apologies were received from the Hon Ben Wyatt, Minister for Indigenous Affairs (WA State Government).

The meeting was also attended by over 40 representatives from communities, organisations and government agencies.

Key messages from today’s discussion included:

  • A shared commitment to work together at all levels of government to develop place-based, and Aboriginal-led and designed responses.
  • A commitment to ongoing collaboration.
  • Acknowledgement of the good work achieved thus far – but noting more needs to be done.
  • The role of the community liaison officers on the ground across Kimberley communities was highlighted as an example of good progress – connecting services and projects with what people want.
  • The need to continue mapping services was agreed.
  • The need for holistic approaches was highlighted.
  • Community organisations are keen to work with the State and Commonwealth Governments on solutions that address the recommendations in relation to the report of the WA Coronial Inquest and all other referenced reports.

Part 4 Minister Wyatt Press release

Community driven action plans to prevent suicide are extending across the Kimberley, with four more communities implementing plans to save lives and improve health and well-being.

As part of the Kimberley Aboriginal Suicide Prevention Trial, Kununurra, Balgo, Wyndham and Halls Creek now have local plans, joining Broome, Derby and Bidyadanga.

Each community receives up to $130,000 to help roll out its action plan which reflects and responds to local issues.

However, the four new plans have a common thread – they are centred on people working and walking together on country, with a series of camps involving high-risk groups.

The camps are planned to provide a range of supports around suicide including healing and sharing and respecting cultural knowledge and traditions. They will also support close engagement with Elders.

A strong cultural framework underpins all the Trial’s activities and all the projects identified by the communities fit within the systems-based approach, guided by the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP).

Nine communities are involved in the Kimberley Aboriginal Suicide Prevention Trial, with Community Liaison Officers playing a critical role.

The outcomes will contribute to a national evaluation which aims to find the most effective approaches to suicide prevention for at-risk populations and share this knowledge across Australia.

The Morrison Government is supporting the Kimberley Aboriginal Suicide Prevention Trial with $4 million over four years, from 2016-2020.

It is one of 12 Suicide Prevention Trials being conducted across the nation, with total funding of $48 million.

NACCHO Aboriginal Health and Alcohol @FAREAustralia : Overcoming #Indigenous #FamilyViolence. Download new study from @marcialangton #unimelb where experts find success in Alcohol Management Plans but fear government failure to understand the magnitude of the alcohol problem

Our research found that average annual hospital admissions for assault fell from 32.25 per 1,000 people to 5.7 over 11 years, in line with tightening alcohol supply restriction,

We’ve identified propositions for better AMP outcomes long-term, through realistic financial support and stronger community-led governance “

The Associate Provost and Chair of Australian Indigenous Studies, Professor Marcia Langton, who co-authored the paper, says since the AMP was introduced there has been a reduction in violent assaults and the severity of family violence across the traditional lands of the Thaayorre and Mungkan peoples on the western coast of Cape York Peninsula

Paper Title: The Alcohol Management Plan at Pormpuraaw, Queensland, Australia: An ethnographic community-based study

Download Alcohol Management Plan Melbourne Uni

Authors: Kristen Smith, Marcia Langton, Richard Chenhall, Penelope Smith & Shane Bawden

Read over 200 NACCHO Aboriginal Health Alcohol and Other Drug articles published over pst 7 years 

Alcohol Management Plans (AMPs), including one that has helped dramatically reduce violent assault rates in the remote Indigenous community of Pormpuraaw in far north Queensland, are under threat.

Coinciding today with the 5th Annual Overcoming Indigenous Family Violence Forum in Melbourne, University of Melbourne researchers have released a new study on the successes and challenges of the Pormpuraaw AMP.

While the dramatic drop in hospital admissions showed the AMP was working extremely well, Foundation for Alcohol Research and Education (FARE) Chief Executive Michael Thorn is concerned that AMPs are under threat and riddled with problems stemming from government inertia.

Mr Thorn said the Pormpuraaw AMP study highlighted the need for genuine government investment overseen by a strong national alcohol strategy for protecting children, women, families and communities from alcohol harms.

“The good news is that an AMP can be an effective tool to significantly reduce alcohol harm, including family violence. But there’s a gulf between the well-intended rhetoric of governments to address harms in Indigenous communities and the unrealistic, unsustainable government action on the ground,” Mr Thorn said.

The University of Melbourne in-depth, community-based study investigated how AMP controls, restrictions and responses are understood and managed with Australian Aboriginal communities.

Research Fellow and lead author of the paper, Dr Kristen Smith, says most community members in

Pormpuraaw welcomed the reduced violence and community disharmony.

“There is strong community commitment to ‘place-based’ programs, but there are many issues that are being experienced in the community which are not being addressed,” Dr Smith said.

Dr Smith said the biggest concern was government failure to understand the magnitude of the alcohol problem and therefore underestimate resourcing.

“Underfunding is compounded over time through erratic political and policy decisions that fail to reliably meet the community’s needs for treatment services or address issues such as ‘sly-grogging’, gambling and criminalisation,” she said.

Professor Langton said the AMPs were too vulnerable to political and policy instabilities to ensure their long-term success. “We’ve identified propositions for better AMP outcomes long-term, through realistic financial support and stronger community-led governance,” she said.

NACCHO Aboriginal Children’s Health : #SaltAwarenessWeek #UnpackTheSalt #EatLessSalt @georgeinstitute Report : Which fast #junkfood giants packs the most amount of salt in your kids’ meal?

New research has revealed the hidden toll that fast food kids’ meals can have on young children’s health. Some meals aimed at kids contain more than an entire day’s maximum recommended salt intake.

Most disturbing, the salt content of fast foods like chicken nuggets in Australia can be more than twice as salty as similar meals in the UK.

A new report from The George Institute for Global Health, VicHealth and the Heart Foundation analysed the salt content in kids’ meals from four major fast food outlets (Hungry Jack’s, KFC, McDonald’s and Subway) as part of a global push to reduce the salt content in children’s food during World Salt Awareness Week.

Originally Published HERE 

The report found high levels and a huge variation in the salt content of children’s meals across the four chains. A kids’ chicken nuggets meal from Hungry Jack’s contained more than an entire day’s worth of salt for a 4-8 year old child, a McDonald’s Cheeseburger Happy Meal with fries contained almost two thirds of a day’s worth of salt, and a KFC Kids Meal Snack Popcorn contained almost half a days’ worth of salt.

Subway Kids’ Paks were the least salty meal options, providing mini subs and purees rather than burgers with chips. All of their meals were found to be in the top five lowest salt kids’ meal options and contained one gram of salt or less per meal.

Meals with fries were among the saltiest options. McDonalds was the only chain that provided apple slices, yoghurt and cherry tomatoes as an option, instead of fries.

Heart Foundation dietitian Sian Armstrong said while none of the popular meals are healthy options, it was concerning to see some kids’ meals containing more than an entire day’s worth of salt.

“An alarming 80 per cent of Aussie kids are eating too much salt with most of it coming from processed food and fast food takeaways,” Ms Armstrong said.

“Consuming excess salt can lead to high blood pressure, a major risk for heart attack, stroke and kidney disease. Studies suggest that children with elevated blood pressure may go onto suffer it as adults.

“Most parents know that fast food isn’t a healthy option for their kids, however they may not realise that a single kids’ meal could blow out an entire day’s salt intake.

“This research shows fast food doesn’t have to be this salty. There is no reason why chicken nuggets at KFC and Hungry Jack’s should be almost twice as salty as the chicken nuggets from McDonald’s. The same goes for fries. Fast food outlets can and must reduce the salt content of their meals.”

Read over 100 NACCHO Aboriginal Health and Nutrition articles HERE 

Key findings:

  • The average salt content of children’s meals across the four outlets was 1.57g of salt or 45% of a child’s recommended daily salt intake.
  • The highest salt children’s meal was the Hungry Jack’s 6 Chicken Nugget Kids’ pack (includes a dipping sauce and small chips), which contained 3.78g salt or 108% of a 4-8-year-old child’s recommended daily salt intake.
  • The lowest salt children’s meal was the Subway Kids’ Pak Veggie Delite Mini Sub, (includes a mini-sub and SPC puree snack), which contained 0.44g salt or 13% of a 4-8-year-old child’s daily recommended salt intake.
  • McDonald’s is the only fast-food outlet offering fresh fruit (apple slices) and vegetables (grape tomatoes) with the Kids Meal packs.
  • Within the retailers, there was a range in salt levels for children’s meals. For example, a McDonald’s Happy Meal containing 3 chicken nuggets, apple slices and water contains 16% of a 4-8-year-old child’s salt intake, whereas the saltier option of a cheeseburger, fries and water contains 66% of a 4-8-year-old child’s salt intake.
  • There are huge variations in the same product at the different outlets; a 6 pack of chicken nuggets from KFC and Hungry Jack’s contained twice as much salt as 6 pack of chicken nuggets from McDonald’s
  • The UK set salt targets for takeaway kids’ meals of less than 1.8 grams of salt per meal. Thirty per cent of the meals analysed in this report exceeded this target. All Subway products met this target.

The George Institute’s Public Health Nutritionist and the report’s lead author Clare Farrand said it was clear there needed to be more regulation on fast food outlets to make their products healthier.

“It is unacceptable that some children’s meals in Australia are significantly saltier than similar meals purchased in the UK,” Ms Farrand said.

“Hungry Jack’s 6 pack nugget meal was 1.5 times saltier in Australia than in the UK and McDonald’s 6 pack nugget meal was a whopping 1.7 times saltier.”

“The fact that some companies produce the same foods with a lot less salt in the UK demonstrates that they can, and should for all countries.”

“We know that some companies are doing better than others – all of the Subway kids’ meals meet the UK targets – but clearly more needs to be done to reduce the salt content across the board.”

VicHealth dietitian Jenny Reimers said when it comes to kids’ meals it was time for fast food outlets to make the default choice the healthier option.

“Kids aren’t born craving salty food – we develop this taste preference based on exposure so it’s really important parents limit the amount of salty food their kids eat,” Ms Reimers said.

“Fast food really should be occasional treats, yet the average family has takeaway almost once a week. If you’re going to have takeaway foods, try less salty options with fresh fruit and vegetables included.

“While it’s encouraging that some fast food outlets are including fresh fruit and vegies as options in their kids’ meals this should be the default and it should be offered at all restaurants.”

Tips for consumers:

  • Limit fast food – these discretionary foods should only be eaten in small amounts as a treat every now and again
  • If you are eating fast food, try to choose options with fruit and vegetables as these are likely to be lower in salt
  • Parents looking to lower their family’s salt intake can sign up to the Unpack Your Lunch 10-Day Salt Challengewhere they will receive tips to reduce salt, blogs and low salt recipes.

About the Victorian Salt Reduction Partnership

The Victorian Salt Reduction Partnership was established in 2014 in response to alarming high levels of salt consumption by the Victorian public.

The partnership comprises of peak public health organisations: VicHealth, Heart Foundation, The George Institute for Global Health, Deakin University Institute for Physical Activity and Nutrition (IPAN), National Stroke Foundation, Kidney Health Australia, The Victorian Department for Health and Human Services, Baker Heart and Diabetes Institute, Food Innovation Australia Ltd, CSIRO and the High Blood Pressure Research Council.

Australia is committed to meeting the World Health Organization’s target of 30 percent reduction in average population salt intake by 2025. To achieve this, the partnership has developed a comprehensive set of actions aimed at gaining consensus and commitment for salt reduction action from governments, public and industry in Victoria.

NACCHO and @RACGP Aboriginal Women’s Health and #FamilyViolence : How to identify and provide early intervention for victims and perpetrators.

About four in 10 women who were physically injured [as a result of family violence] visited a health professional for their injuries
 
This information [from the report] offers important insights for those involved in family and domestic violence policy, as well as organisations which provide services for Aboriginal and Torres Strait Islander peoples, aimed at preventing violence and supporting those affected by violence.’

ABS Director of the Centre of Excellence for Aboriginal and Torres Strait Islander Statistics, Debbie Goodwin said.

 ” Chapter 16 of the RACGP NACCHO National Guide : ‘Family abuse and violence’, provides key recommendations on prevention interventions – screening, behavioural and environmental.

These recommendations aim to support healthcare professionals to develop a high level of awareness of the risks of family abuse and violence, and how to identify and provide early intervention for victims and perpetrators.”

National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (

Published by NewsGP Morgan Liotta

The report forms part of the Australian Bureau of Statistics’ (ABS) publication National Aboriginal and Torres Strait Islander Social Survey, 2014–15 and compares sociodemographic factors of Aboriginal and Torres Strait Islander women who experienced family violence with those who did not in the year prior to the 2014–15 survey.

Key findings show that, among Aboriginal and Torres Strait Islander populations, around two in three women (72%) compared with one in three men (35%) were likely to identify an intimate partner or family member as at least one of the perpetrators in their most recent experience of physical violence.

Approximately one in 10 Aboriginal and Torres Strait Islander women experienced family violence based on their most recent experience of physical violence.

Almost seven in 10 (68%) women who had experienced family violence reported that alcohol and/or other substances contributed to the incident:

  • More than half of women (53%) who had experienced family violence reported alcohol (by itself or with other substances) was a contributing factor
  • More than one in 10 (13%) reported that other substances alone were a contributing factor

When compared with Aboriginal and Torres Strait Islander women who had not experienced any physical violence, those who had were:

  • more likely to report high or very high levels of psychological distress (69% compared with 34%)
  • more likely to have a mental health condition (53% compared with 31%)
  • more likely to report they had experienced homelessness at some time in their life (55% compared with 26%)
  • less likely to trust police in their local area (44% compared with 62%)
  • just as likely to trust their own doctor (77% compared with 83%)

The report underlines the role of GPs’ support for such people.

GP resources

  • The RACGP and the National Aboriginal Community Controlled Health Organisation (NACCHO)’s National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (National Guide), Chapter 16: ‘Family abuse and violence’, provides key recommendations on prevention interventions – screening, behavioural and environmental. These recommendations aim to support healthcare professionals to develop a high level of awareness of the risks of family abuse and violence, and how to identify and provide early intervention for victims and perpetrators.
  • The RACGP’s Abuse and violence: Working with our partners in general practice (White book), Chapter 11: ‘Aboriginal and Torres Strait Islander violence’, outlines statistics and recommendations for healthcare professionals to show leadership at a community level through local organisations by advocating for provision of services that meet the needs of Aboriginal and Torres Strait Islander peoples experiencing family violence.

NACCHO Aboriginal Health #Obesity #Diabetes News: 1. @senbmckenzie report #ObesitySummit19 and 2. @MenziesResearch are calling for immediate action to reduce risk the of #obesity and #diabetes in #Indigenous children and young people.

Type 2 Diabetes is a particular concern as there is a global trend of increasing numbers of young people being diagnosed, there is limited data available in Australia but anecdotally numbers are rising rapidly amongst young Indigenous Australians.

Childhood obesity and Type 2 diabetes leads to other serious health issues such as kidney disease which then puts a huge burden on families, communities and health facilities. When it occurs at a young age, it is a much more aggressive disease than in older people.

It is critical that we act now to prevent this emerging public health issue, with engagement of Indigenous communities in the design of interventions being crucial.

“A suite of interventions across the life course are required, targeting children and young people before they develop disease, particularly childhood obesity, as well as targeting their parents to prevent intergenerational transmission of metabolic risk” 

Dr Angela Titmuss, paediatric endocrinologist at Royal Darwin Hospital and Menzies School of Health Research (Menzies) PhD student : See Press Release Part 1

Read over 150 Aboriginal Health and Diabetes articles published by NACCHO over past 7 years

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

” The latest Australian Bureau of Statistics National Health Survey shows that previous efforts to combat obesity have had limited success.

Two-thirds of adults and a quarter of children aged from five to 17 years are now overweight or obese.

While the rate for children has been stable for 10 years, the proportion of adults who are not just overweight but obese has risen from 27.9 per cent to 31.3 per cent.

Overweight and obesity not only compromise quality of life, they are strongly linked to preventable chronic diseases—heart disease, diabetes, lung disease, certain cancers, depression and arthritis, among others.

Senator McKenzie #ObesitySummit19 See Press Release Part 2 Below

Researchers are calling for immediate action to reduce risk the of obesity and diabetes in Indigenous children and young people.

A suite of interventions across the life course are required, targeting children and young people before they develop disease, particularly childhood obesity, as well as targeting their parents to prevent intergenerational transmission of metabolic risk.

The in utero period and first 5 years of life are influential in terms of the long term risk of chronic disease, and we propose that identifying and improving childhood metabolic health be a targeted priority of health services.

In an article published in the Medical Journal of Australia (MJA) today, researchers have identified childhood obesity and the increasing numbers of young people being diagnosed with Type 2 diabetes as emerging public health issues.

Lead author Dr Angela Titmuss, paediatric endocrinologist at Royal Darwin Hospital and Menzies School of Health Research (Menzies) PhD student, says in the MJA Perspective article that collaboration between communities, clinicians and researchers across Australia is needed to get an accurate picture of the numbers involved.

In Indigenous Australian young people with type 2 diabetes, there are also higher rates of comorbidities, with 59% also having hypertension, 24% having dyslipidaemia and 61% having obesity.

These comorbidities will have a significant impact on the future burden of disease, and may lead to renal, cardiac, neurological and ophthalmological complications. Canadian data demonstrated that 45% of patients with youth onset type 2 diabetes had reached end‐stage renal failure, requiring renal replacement therapy, 20 years after diagnosis, compared with zero people with type 1 diabetes.

Youth onset type 2 diabetes was associated with a 23 times higher risk of kidney failure and 39 times higher risk of need for dialysis, compared with young people without diabetes.

This implies that many young people who are being diagnosed with diabetes now will be on dialysis by 30 years of age, with significant effects on Aboriginal and Torres Strait Islander families and communities.

Menzies HOT NORTH project is supporting this research through the Diabetes in Youth collaboration, a Northern Australia Tropical Disease Collaborative Research Program, funded by the NHMRC.

The MJA Article is available here

https://www.mja.com.au/journal/2019/210/3/emerging-diabetes-and-metabolic-conditions-among-aboriginal-and-torres-strait

 Comprehensive strategies, action plans and both funding and better communication across sectors (health, education, infrastructure and local government) and departments are required to address obesity, diabetes and metabolic risk among Indigenous young people in Australia.

It requires a radical rethinking of our current approach which is failing Aboriginal and Torres Strait Islander young people and communities, and a commitment to reconsider the paradigm, to be open to innovative approaches and the involvement of multiple sectors

Part 2

I again apologise for any offence taken by the unfortunate photo taken out of context at the Obesity Summit on Friday, and I am happy if my ridicule leads to action on the complex issue of obesity in this country.

The Senator has apologised.

The issue of obesity is a matter I take very seriously and would never triavisie it- or to add in any way to stigmatisation. I sincerely apologise for this very unfortunate photo taken as I demonstrated how my stomach felt after scrambled eggs reacted w yogurt I had just eaten.

That is exactly the reason I called international and Australian experts together for the National Obesity Summit last week

Last October, the Council of Australian Governments’ (COAG) Health Council— comprising federal, state and territory ministers—agreed to develop a national strategy on obesity.

Friday’s National Obesity Summit in Canberra represented an important first step towards a new nationally cohesive strategy on obesity prevention and control.

The Summit focussed on the role of physical activity, primary health care clinicians, educators and governments to work collaboratively rather than in silos.

At the Summit we heard from national and global experts because obesity is an international issue and we need to understand how other jurisdictions are tackling the problem.  We also heard that stigma surrounding obesity can be a barrier to help being accessed.

The latest Australian Bureau of Statistics National Health Survey shows that previous efforts to combat obesity have had limited success.

Two-thirds of adults and a quarter of children aged from five to 17 years are now overweight or obese.

While the rate for children has been stable for 10 years, the proportion of adults who are not just overweight but obese has risen from 27.9 per cent to 31.3 per cent.

Overweight and obesity not only compromise quality of life, they are strongly linked to preventable chronic diseases—heart disease, diabetes, lung disease, certain cancers, depression and arthritis, among others.

We know that there is not one simple solution to tackling the problem so we need to examine all options and develop a multi-faceted approach.

The Obesity Summit represented an important moment for Australians’ health and recognised that there is no magic fat-busting policy pill.

NACCHO Aboriginal #MentalHealth and #JunkFood : Increasing how much exercise we get and switching to a healthy diet can also play an important role in treating – and even preventing – depression

” The review found that across 41 studies, people who stuck to a healthy diet had a 24-35% lower risk of depressive symptoms than those who ate more unhealthy foods.

These findings suggest improving your diet could be a cost-effective complementary treatment for depression and could reduce your risk of developing a mental illness.

From the Conversation / Megan Lee

 ” NACCHO Campaign 2013 : Our ‘Aboriginal communities should take health advice from the fast food industry’ a campaign that eventually went global, reaching more than  20 million Twitter followers.”

See over 60 NACCHO Healthy Foods Articles HERE

See over 200 NACCHO Mental Health articles HERE 

Worldwide, more than 300 million people live with depression. Without effective treatment, the condition can make it difficult to work and maintain relationships with family and friends.

Depression can cause sleep problems, difficulty concentrating, and a lack of interest in activities that are usually pleasurable. At its most extreme, it can lead to suicide.

Depression has long been treated with medication and talking therapies – and they’re not going anywhere just yet. But we’re beginning to understand that increasing how much exercise we get and switching to a healthy diet can also play an important role in treating – and even preventing – depression.

So what should you eat more of, and avoid, for the sake of your mood?

Ditch junk food

Research suggests that while healthy diets can reduce the risk or severity of depression, unhealthy diets may increase the risk.

Of course, we all indulge from time to time but unhealthy diets are those that contain lots of foods that are high in energy (kilojoules) and low on nutrition. This means too much of the foods we should limit:

  • processed and takeaway foods
  • processed meats
  • fried food
  • butter
  • salt
  • potatoes
  • refined grains, such as those in white bread, pasta, cakes and pastries
  • sugary drinks and snacks.

The average Australian consumes 19 serves of junk food a week, and far fewer serves of fibre-rich fresh food and wholegrains than recommended. This leaves us overfed, undernourished and mentally worse off.

Here’s what to eat instead

Mix it up. Anna Pelzer

Having a healthy diet means consuming a wide variety of nutritious foods every day, including:

  • fruit (two serves per day)
  • vegetables (five serves)
  • wholegrains
  • nuts
  • legumes
  • oily fish
  • dairy products
  • small quantities of meat
  • small quantities of olive oil
  • water.

This way of eating is common in Mediterranean countries, where people have been identified as having lower rates of cognitive decline, depression and dementia.

In Japan, a diet low in processed foods and high in fresh fruit, vegetables, green tea and soy products is recognised for its protective role in mental health.

How does healthy food help?

A healthy diet is naturally high in five food types that boost our mental health in different ways:

Complex carbohydrates found in fruits, vegetables and wholegrains help fuel our brain cells. Complex carbohydrates release glucose slowly into our system, unlike simple carbohydrates (found in sugary snacks and drinks), which create energy highs and lows throughout the day. These peaks and troughs decrease feelings of happiness and negatively affect our psychological well-being.

Antioxidants in brightly coloured fruit and vegetables scavenge free radicals, eliminate oxidative stress and decrease inflammation in the brain. This in turn increases the feelgood chemicals in the brain that elevate our mood.

Omega 3 found in oily fish and B vitamins found in some vegetables increase the production of the brain’s happiness chemicals and have been known to protect against both dementia and depression.

Salmon is an excellent source of omega 3. Caroline Attwood

Pro and prebiotics found in yoghurt, cheese and fermented products boost the millions of bacteria living in our gut. These bacteria produce chemical messengers from the gut to the brain that influence our emotions and reactions to stressful situations.

Research suggests pro- and prebiotics could work on the same neurological pathways that antidepressants do, thereby decreasing depressed and anxious states and elevating happy emotions.

What happens when you switch to a healthy diet?

An Australian research team recently undertook the first randomised control trial studying 56 individuals with depression.

Over a 12-week period, 31 participants were given nutritional consulting sessions and asked to change from their unhealthy diets to a healthy diet. The other 25 attended social support sessions and continued their usual eating patterns.

The participants continued their existing antidepressant and talking therapies during the trial.

At the end of the trial, the depressive symptoms of the group that maintained a healthier diet significantly improved. Some 32% of participants had scores so low they no longer met the criteria for depression, compared with 8% of the control group.

The trial was replicated by another research team, which found similar results, and supported by a recent review of all studies on dietary patterns and depression. The review found that across 41 studies, people who stuck to a healthy diet had a 24-35% lower risk of depressive symptoms than those who ate more unhealthy foods.

These findings suggest improving your diet could be a cost-effective complementary treatment for depression and could reduce your risk of developing a mental illness.

 

NACCHO Aboriginal Children’s Health : Aboriginal and Torres Strait Islander children are almost twice as likely to be hospitalised for unintentional injuries such as falls, burns and poisoning than non-Aboriginal children, a new study has shown.

“Aboriginal Community Controlled Organisations have an important role in helping reduce the risk of Aboriginal child injury because they engage with Aboriginal people within local community contexts and deliver holistic programs that address underlying health and social issues.

There also needs to be much stronger leadership and coordination of child injury prevention from government and other agencies.”

Co-author Professor Kathleen Clapham, Murrawarri, Professor (Indigenous Health), Australian Health Services Research Institute (AHSRI), University of Wollongong, pointed out that at the present time very few culturally acceptable injury prevention programs have been developed or evaluated.

Download Report 

Full Study Childhood Injury (1)

Read over 350 Aboriginal Children’s Health articles published by NACCHO over past 7 years 

Aboriginal and Torres Strait Islander children are almost twice as likely to be hospitalised for unintentional injuries such as falls, burns and poisoning than non-Aboriginal children, a new study has shown.

The analysis also revealed that there had been no overall improvement in injury rates since 2003 and that the gap between Aboriginal and non- Aboriginal children remained significant.

Researchers from The George Institute for Global Health, UNSW and the University of Wollongong said the findings highlighted the need for Aboriginal-led intervention programs.

The study published in the Australian and New Zealand Journal of Public Health analysed the records of almost one million children born in NSW hospitals between 2003-2007 and 2008-2012, of which around three per cent identified as Aboriginal.

View Research Paper HERE

Lead researcher Dr Holger Möller said:

“If you are an Aboriginal child you are much more likely to suffer an unintentional injury such as a burn, and this is despite nationwide safety campaigns and legislation. Children should not be turning up at our hospitals with preventable injuries and we need to recognise this inequality and put in place strategies that will start reducing this startling difference.”

Key Findings

  • Researchers found Aboriginal children were around 2.5 times more likely to have been treated for transport-related injuries and burns and have a three times greater risk of poisonings than non-Aboriginal children. However, rates for these three types of injury did drop for both Aboriginal and non-Aboriginal children.
  • The records of 915,525 children born in NSW hospitals 2003-2007 and 2008-2012 were analysed, of which 31,290 were Aboriginal.
  • Aboriginal children had 1.7 times higher rates of unintentional injuries.
  • Falls were the leading cause of injury in Aboriginal children – making up one third of all injuries.
  • Rates of burns, poisonings and transport injuries did fall for Aboriginal children from 2003 to 2012 – by 30%, 23% and 30% respectively.
  • The rates of Aboriginal children being struck (for example by a falling object) rose by 29%.

Professor Rebecca Ivers, Head, School of Public Health and Community Medicine, UNSW Sydney, added:

“There were some positives in our findings, but the fact is the gap between Aboriginal and non-Aboriginal children remains the same. This demonstrates we need programs which are designed with, and led by, Aboriginal people and supported by governments.

“We need to create a society where all children have a safe environment to thrive in, so we need strategies that will address the wider social determinants of health and ensure Aboriginal families can access services and programs that could really make a difference.”

 

NACCHO Aboriginal Health and #SocialDeterminants : Download @AIHW Report : Indicators of socioeconomic inequalities in #cardiovascular disease #heartattack #stroke, #diabetes and chronic #kidney disease @ACDPAlliance

 ” Most apparent are inequalities in chronic disease among Aboriginal and Torres Strait Islander people and non-Indigenous Australians. Social and economic factors are estimated to account for slightly more than one-third (34%) of the ‘good health’ gap between the 2 groups, with health risk factors such as high blood pressure, smoking and risky alcohol consumption explaining another 19%, and 47% due to other, unexplained factors.

 An estimated 11% of the total health gap can be attributed to the overlap, or interactions between the social determinants and health risk factors (AIHW 2018a).

Download the AIHW Report HERE aihw-cdk-12

‘By better understanding the role social inequality plays in chronic disease, governments at all levels can develop stronger, evidence based policies and programs aimed at preventing and managing these diseases, leading to better health outcomes across our community,’

AIHW spokesperson Dr Lynelle Moonn noted that these three diseases are common in Australia and, in addition to the personal costs to an individual’s health and quality of life, they have a significant economic burden in terms of healthcare costs and lost productivity

AIHW Website for more info 

Government investment is essential to encourage health checks, improve understanding of the risk factors for chronic disease, and implement policies and programs to reduce chronic disease risk, particularly in areas of socioeconomic disadvantage,

Chair of the Australian Chronic Disease Prevention Alliance Sharon McGowan said that the data revealed stark inequities in health status amongst Australians.

Download Press Release Here : australianchronicdiseasepreventionalliance

The Australian Chronic Disease Prevention Alliance is calling on the Government to target these health disparities by increasing the focus on prevention and supporting targeted health checks to proactively manage risk.

AIHW Press Release

Social factors play an important role in a person’s likelihood of developing and dying from certain chronic diseases, according to a new report from the Australian Institute of Health and Welfare (AIHW).

The report, Indicators of socioeconomic inequalities in cardiovascular disease, diabetes and chronic kidney disease, examines the relationship between socioeconomic position, income, housing and education and the likelihood of developing and dying from several common chronic diseases—cardiovascular disease (which includes heart attack and stroke), diabetes and chronic kidney disease.

Above image NACCHO Library

The report reveals that social disadvantage in these areas is linked to higher rates of disease, as well as poorer outcomes, including a greater likelihood of dying.

‘Across the three chronic diseases we looked at—cardiovascular disease, diabetes and chronic kidney disease— we saw that people in the lowest of the 5 socioeconomic groups had, on average, higher rates of these diseases than those in the highest socioeconomic groups,’ said AIHW spokesperson Dr Lynelle Moon.

‘And unfortunately, we also found higher death rates from these diseases among people in the lowest socioeconomic groups.’

The greatest difference in death rates between socioeconomic groups was among people with diabetes.

‘For women in the lowest socioeconomic group, the rate of deaths in 2016 where diabetes was an underlying or associated cause of death was about 2.4 times as high as the rate for those in the highest socioeconomic group. For men, the death rate was 2.2 times as high,’ Dr Moon said.

‘Put another way, if everyone had the same chance of dying from these diseases as people in the highest socioeconomic group, in a one year period there would be 8,600 fewer deaths from cardiovascular disease, 6,900 fewer deaths from diabetes, and 4,800 fewer deaths from chronic kidney disease.’

Importantly, the report also suggests that in many instances the gap between those in the highest and lowest socioeconomic groups is growing.

‘For example, while the rate of death from cardiovascular disease has been falling across all socioeconomic groups, the rate has been falling more dramatically for men in the highest socioeconomic group—effectively widening the gap between groups,’ Dr Moon said.

The report also highlights the relationship between education and health, with higher levels of education linked to lower rates of disease and death.

‘If all Australians had the same rates of disease as those with a Bachelor’s degree or higher, there would have been 7,800 fewer deaths due to cardiovascular disease, 3,700 fewer deaths due to diabetes, and 2,000 fewer deaths due to chronic kidney disease in 2011–12,’ Dr Moon said.

Housing is another social factor where large inequalities are apparent. Data from 2011–12 shows that for women aged 25 and over, the rate of death from chronic kidney disease was 1.5 times as high for those living in rental properties compared with women living in properties they owned. For men, the rate was 1.4 times as high for those in rental properties.

Dr Moon noted that these three diseases are common in Australia and, in addition to the personal costs to an individual’s health and quality of life, they have a significant economic burden in terms of healthcare costs and lost productivity.

‘By better understanding the role social inequality plays in chronic disease, governments at all levels can develop stronger, evidence based policies and programs aimed at preventing and managing these diseases, leading to better health outcomes across our community,’ she said

Underlying causes of socioeconomic inequalities in health

There are various reasons why socioeconomically disadvantaged people experience poorer health. Evidence points to the close relationship between people’s health and the living and working conditions which form their social environment.

Factors such as socioeconomic position, early life, social exclusion, social capital, employment and work, housing and the residential environment— known collectively as the ‘social determinants of health’—can act to either strengthen or to undermine the health of individuals and communities (Wilkinson & Marmot 2003).

These social determinants play a key role in the incidence, treatment and outcomes of chronic diseases. Social determinants can be seen as ‘causes of the causes’—that is, as the foundational determinants which influence other health determinants such as individual lifestyles and exposure to behavioural and biological risk factors.

Socioeconomic factors influence chronic disease through multiple mechanisms. Socioeconomic disadvantage may adversely affect chronic disease risk through its impact on mental health, and in particular, on depression. Socioeconomic gradients exist for multiple health behaviours over the life course, including for smoking, overweight and obesity, and poor diet.

When combined, these unhealthy behaviours help explain much of the socioeconomic health gap. Current research also seeks to link social factors and biological processes which affect chronic disease. In CVD, for example, socioeconomic determinants of health have been associated with high blood pressure, high cholesterol, chronic stress responses and inflammation (Havranek et al. 2015).

The direction of causality of social determinants on health is not always one-way (Berkman et al. 2014). To illustrate, people with chronic conditions may have a reduced ability to earn an income; family members may reduce or cease employment to provide care for those who are ill; and people or families whose income is reduced may move to disadvantaged areas to access low-cost housing.

Action on social determinants is often seen as the most appropriate way to tackle unfair and avoidable socioeconomic inequalities. There are significant opportunities for reducing death and disability from CVD, diabetes and CKD through addressing their social determinants.

Summary

Australians as a whole enjoy good health, but the benefits are not shared equally by all. People who are socioeconomically disadvantaged have, on average, greater levels of cardiovascular disease (CVD), diabetes and chronic kidney disease (CKD).

This report uses latest available data to measure socioeconomic inequalities in the incidence, prevalence and mortality from these 3 diseases, and where possible, assess whether these inequalities are growing. Findings include that, in 2016:

  • males aged 25 and over living in the lowest socioeconomic areas of Australia had a heart attack rate 1.55 times as high as males in the highest socioeconomic areas. For females, the disparity was even greater, at 1.76 times as high
  • type 2 diabetes prevalence for females in the lowest socioeconomic areas was 2.07 times as high as for females in the highest socioeconomic areas. The prevalence for males was 1.70 times as high
  • the rate of treated end-stage kidney disease for males in the lowest socioeconomic areas was 1.52 times as high as for males in the highest socioeconomic areas. The rate for females was 1.75 times as high
  • the CVD death rate for males in the lowest socioeconomic areas was 1.52 times as high as for males in the highest socioeconomic areas. For females, the disparity was slightly less, at 1.33 times as high
  • if all Australians had the same CVD death rate as people in the highest socioeconomic areas in 2016, the total CVD death rate would have declined by 25%, and there would have been 8,600 fewer deaths.

CVD death rates have declined for both males and females in all socioeconomic areas since 2001— however there have been greater falls for males in higher socioeconomic areas, and as a result, inequalities in male CVD death rates have grown.

  • Both absolute and relative inequality in male CVD death rates increased—the rate difference increasing from 62 per 100,000 in 2001 to 78 per 100,000 in 2011, and the relative index of inequality (RII) from 0.25 in 2001 to 0.53 in 2016.

Often, the health outcomes affected by socioeconomic inequalities are greater when assessed by individual characteristics (such as income level or highest educational attainment), than by area.

  • Inequalities in CVD death rates by highest education level in 2011–12 (RII = 1.05 for males and 1.05 for females) were greater than by socioeconomic area in 2011 (0.50 for males and 0.41 for females).

The impact on death rates of socioeconomic inequality was generally greater for diabetes and CKD than for CVD.

  • In 2016, the diabetes death rate for females in the lowest socioeconomic areas was 2.39 times as high as for females in the highest socioeconomic areas. This compares to a ratio 1.75 times as high for CKD, and 1.33 for CVD. For males, the equivalent rate ratios were 2.18 (diabetes), 1.64 (CKD) and 1.52 (CVD).viii

Part 2

 

NACCHO Aboriginal Health Promotion  “Live Healthy. Live Long. Live Strong.” @KenWyattMP Officially launches the world’s first, Indigenous exclusively health-focussed television network – Aboriginal Health Television (AHTV) @TonicHealth_AU

” Engaging with our people in a culturally sensitive way is vital and SWAMS is always looking for new and innovative ways to do this on a large TV screen in our waiting rooms.

 After all we service more than 10,000 clients and average 50 new patients every month. Delivering important national and local health campaign messages and promotions via a digital TV channel saves lives. 

We can then follow up the patients with advice, clinical options and promotional material. We know that giving patients advice in their own language assists with their understanding of their health conditions and what services they can request from our clinical team.

Aboriginal Community Control even in health messaging is important and we will certainly make use of the offer to create our own unique promotional content.

I welcome the assistance provided from NACCHO to the Aboriginal Health Television Network about our needs, expectations and hopes that this service will help thousands of patients obtain the care they deserve in our health settings and WA hospitals.

South West Aboriginal Medical Service (SWAMS) CEO Lesley Nelson ( and NACCHO board member ) is proud that SWAMS is one of the first locations in Australia to have AHTV. See Full Speech Part 2 below 

  • Community Member Greg Vinmar
  • Federal Member for Forrest and Chief Government Whip, the Hon. Nola Marino MP
  • NACCHO Board Member for WA and South West Aboriginal Medical Service CEO, Lesley Nelson
  • Tonic Health Media Executive Director, Dr Norman Swan
  • Federal Minister for Indigenous Health, the Hon. Ken Wyatt AM, MP   (Front)

Media Coverage view HERE

Read previous NACCHO articles about Aboriginal Health Television (AHTV)

View Aboriginal Health Television (AHTV) website

www.aboriginalhealthtv.com.au

“The new network is an exciting step forward, built on local engagement, including local production of health and wellbeing stories, to reach the hearts and minds of our people and our families,

AHTV is a truly unique, ground-up opportunity to connect at the point of care and build stronger, healthier communities,”

Indigenous Health Minister Ken Wyatt AM spoke about the importance of AHTV from the South West Aboriginal Medical Service (SWAMS) in Bunbury, Western Australia, which is one of first 50 initial locations to install AHTV. It is expected the network will be broadcasting in 100 locations by May 2019. See full press release Part 3

WATCH AHTV HERE

Today the world’s first, Indigenous exclusively health-focussed television network – Aboriginal Health Television (AHTV) was officially launched by the Federal Minister for Indigenous Health, the Hon. Ken Wyatt AM, MP.

The Federal Government in July 2018 committed $3.4 million over three years to develop the targeted, culturally relevant AHTV network, which is expected to reach a First Nations’ audience of over 1.2 million people a month.

“The fundamental idea behind AHTV is to provide engaging, appropriate and evidence informed health content to Aboriginal people while they are waiting to see their health professional,” says Dr Norman Swan, Co-Founder of Tonic Health Media who is developing this not for profit network.

“We have evidence that this period in the waiting area is a time when people are most open to information which can improve their health and offer relevant questions to ask their health professional when they see them in the next few minutes.

“Our aim is to offer AHTV as a free, fully maintained service to all Aboriginal Community Controlled Health Organisations (ACCHOs) across Australia – around 300 locations. And it is already being rolled out, with SWAMS as one of our first. We know that our targeted messaging can make a big difference.

There’s nothing like knowledge to give people control over their decisions.

“AHTV, guided by its Advisory Group of highly respected Aboriginal health leaders and researchers, will continue to work closely with Aboriginal Peak Health Bodies and ACCHOs, to develop and deliver culturally relevant health messaging and lifestyle content.

“We are also partnering with third party content producers who specialise in Indigenous content to acquire and produce culturally relevant content,” Dr Norman Swan said.

Tonic Managing Director Dr. Matthew Cullen says the partnership is an important step towards Tonic’s goal of improving health outcomes for all Australians.

“AHTV provides a unique opportunity to communicate with Aboriginal audiences at the point of care when patients, their families, carers and health service providers are strongly focussed on health and wellbeing,” said Dr Cullen.

Aboriginal Health TV Advisory Group member, Associate Professor Chris Lawrence, says the delivery of a culturally relevant TV network that connects with Aboriginal and Torres Strait Islander communities will improve health outcomes.

“Australia has always been a world leader in health promotion. AHTV signals a new era in how health promotion messages are told and delivered to one of the world’s most vulnerable and at-risk populations.

“AHTV builds on this using digital technology to help close the gap, and improve the health and wellbeing of Indigenous Australians,” said Associate Professor Lawrence.

These sentiments were echoed by South West Aboriginal Medical Service (SWAMS) CEO Lesley Nelson who is proud that SWAMS is one of the first locations in Australia to have AHTV.

“Health promotion is a huge part of what we do at SWAMS, and we welcome any opportunity to communicate these important health messages to our clients,” Ms Nelson said.

“The fact that the content has been tailored to suit our local Aboriginal community means that our clients will benefit from health information that is relevant, culturally sensitive and meaningful to them. I strongly encourage Aboriginal Medical Services nation-wide to jump on board this fantastic initiative,” Ms Nelson added.

Jake Thomson, a proud Aboriginal man is playing a lead role in bringing AHTV to Indigenous communities. Belonging to the Wiradjuri Nation and growing up in Western Sydney, Jake is the Community Relationships Manager for AHTV.

“AHTV not only offers culturally relevant content, but it gives a voice to every community. By having the information they need, it will enable our people to consciously make the right choices, which in turn will lead to better health outcomes for Aboriginal and Torres Strait Islander people,” Jake said.

And that’s exactly the aim of AHTV. Its tagline “Live Healthy. Live Long. Live Strong.” is the message they are here to deliver.

Part 2 : South West Aboriginal Medical Service (SWAMS) CEO Lesley Nelson ( and NACCHO board member ) is proud that SWAMS is one of the first locations in Australia to have AHTV.

It is always a pleasure to welcome the Indigenous Health Minister to our South West Aboriginal Medical Service and staff from the Aboriginal Health Television Network. (Acknowledge any other VIPs in the audience).

Minister, this world first Aboriginal Health Television Network will assist our 70 staff who are based in six clinics to discuss with our patients’ topics like diabetes, dental health, sexual health, tobacco cessation, men’s and women’s health and heart health.

Engaging with our people in a culturally sensitive way is vital and SWAMS is always looking for new and innovative ways to do this on a large TV screen in our waiting rooms. After all we service more than 10,000 clients and average 50 new patients every month.

Delivering important national and local health campaign messages and promotions via a digital TV channel saves lives. We can then follow up the patients with advice, clinical options and promotional material.

We know that giving patients advice in their own language assists with their understanding of their health conditions and what services they can request from our clinical team.

Aboriginal Community Control even in health messaging is important and we will certainly make use of the offer to create our own unique promotional content. I welcome the assistance provided from NACCHO to the Aboriginal Health Television Network about our needs, expectations and hopes that this service will help thousands of patients obtain the care they deserve in our health settings and WA hospitals.

On behalf of the South West Aboriginal Medical Service and NACCHO I welcome the launch of this new world first service in our community by the Minister.

Part 3 NEW TV NETWORK CHANNELS GOOD HEALTH TO FIRST AUSTRALIANS

A new digital television network now rolling out across the nation aims to help Close the Gap in health equality by revolutionising the way hundreds of thousands of First Australians receive health information.

Today’s official launch of the Aboriginal Health TV (AHTV) network at the South West Aboriginal Medical Service in Bunbury, Western Australia, is backed by a three-year, $3.4 million commitment by the Liberal National Government, to ensure First Australian patients can access relevant health stories and advice at local treatment centres.

“The new network is an exciting step forward, built on local engagement, including local production of health and wellbeing stories, to reach the hearts and minds of our people and our families,” said Indigenous Health Minister Ken Wyatt AM.

“AHTV is a truly unique, ground-up opportunity to connect at the point of care and build stronger, healthier communities.”

The TV programs will be broadcast at Aboriginal Community Controlled Health Services around Australia.

Tonic Health Media (THM), the nation’s largest health and wellbeing network, is producing and commissioning targeted video content for AHTV, which is expected to be viewed by up to 1.2 million patients each month.

The programs on the new digital network feature issues including smoking, eye and ear checks, skin conditions, nutrition, immunisation, sexual health, diabetes, drug and alcohol treatment services and encourage the uptake of 715 health checks.

To ensure these important health messages reach as many people as possible content will also be repackaged for social media sites such as Facebook, Instagram and YouTube.

“South West Aboriginal Medical Service has been chosen as one of AHTV’s initial trial sites,” said Member for Forrest Nola Marino.

“This will add to the fantastic range of services that SWAMS already provides for the local community here in the South West.”

AHTV will be installed and maintained at no cost to local Aboriginal Community Controlled Health Services and plans to be self-sufficient within three years.

“It is expected the network will be broadcasting in 100 locations by May 2019, with the overall rollout planned for approximately 300 centres nationwide,” Minister Wyatt said.

“AHTV programming will also be available on Tonic Health Media’s existing platform which broadcasts in mainstream health services, meaning these important messages have the potential to reach the 50 per cent of our people who use non-Aboriginal medical services.”

Content licensing partnership agreements have been signed with ABC Indigenous and NITV and negotiations are underway with third-party production groups specialising in local Indigenous content.

The Liberal National Government’s AHTV commitment is part of the $3.9 billion dedicated to improving the health of Aboriginal and Torres Strait Islander people announced in the 2018-19 Budget.

For more details on the new network, see www.aboriginalhealthtv.com.au