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

Aboriginal Sexual Health #NAIDOC2017@sahmriAU Launches new initiative to prevent the spread of syphilis in remote #Indigenous communities

“ This multifaceted approach to educate young people is well overdue. The resources that have been developed and focus tested with young people will go a very long way in improving outcomes in the community.”

Associate Professor James Ward, Head of Infectious Disease Research – Aboriginal and Torres Strait Islander Health at SAHMRI said that education and awareness about syphilis transmission and its consequences is vital if we are to make a difference.

Consider this fact

Since 2011, there has been a sustained outbreak of infectious syphilis occurring in remote areas spanning northern, central and South Australia among Aboriginal and Torres Strait Islander people predominantly aged between 15 and 35 years.

The South Australian Health and Medical Research Institute’s (SAHMRI) Infection and Immunity Theme has launched  a new multifaceted community education and awareness program in the fight against syphilis in remote Aboriginal and Torres Strait Islander communities.

The campaign, entitled ‘Young, Deadly, Syphilis Free’, will utilise mediums including two television commercials.

TV Commercial 1 View Here

TV Commercial 2 View Here

social media, local radio and a new website to communicate to young Aboriginal and Torres Strait Islander people who live in remote communities the importance of being tested for syphilis, a sexually transmitted infection (STIs) that when left untreated, can have devastating effects.

Facebook: https://www.facebook.com/youngdeadlysyphilisfree/

Instagram: https://www.instagram.com/youngdeadlysyphilisfree/

Website: http://youngdeadlyfree.org.au/young-deadly-syphilis-free/

Why is this campaign so important?

This project, funded by the Commonwealth Government Department of Health, has the ultimate objective of increasing testing rates among young Aboriginal people in the affected areas so that rates of syphilis are reduced in these communities.

Since 2011, there has been a sustained outbreak of infectious syphilis occurring in remote areas spanning northern, central and South Australia among Aboriginal and Torres Strait Islander people predominantly aged between 15 and 35 years.

The accrued number of cases is now over 1,400 including four neonatal deaths and several other cases of congenital syphilis notified. Worryingly, syphilis continues to spread into new areas, and this needs to be stopped.

In addition to targeting young people, this campaign will have focus on healthcare services and providers, through the use of supporting resources and education materials, such as videos, posters and animations.

Clinicians will play an important part in the success of this project and they are encouraged to consider talking more broadly about the syphilis outbreak among people of influence in their community to raise awareness.

Furthermore, the project will trial social media ambassadors, who will be young people from remote communities to help spread the campaign and its objectives.

Attached is also the Email signature jpeg which some members may be willing to use to help promote testing

Thank you for sharing

 

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

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

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

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

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

Originally published in The Conversation

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

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

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

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

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

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

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

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

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

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

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

Filling foods

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The Sugar Trip on Australian Story  View HERE

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Noting all graphics added by NACCHO

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

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

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

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

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

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

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

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Soft-drink-in-Aboriginal-communities-report_summaryFINAL

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

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

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

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

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

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

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

Burunga NT in store promotion

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

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

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

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

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

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

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

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

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

NACCHO Aboriginal Health and #Stroke : New Report : Regional and rural health divide : #stroke treatment a cruel lottery

 ” Aboriginal and Torres Strait Islander are between two and three times as likely to have a stroke than non-Indigenous Australians which is why increasing stroke awareness is crucial.

Too many Australians couldn’t spot a stroke if it was happening right in front of them. We know that in Aboriginal and Torres Strait Islander communities this awareness is even lower. We want all Australians, regardless of where they live or what community they’re from, to learn the signs of stroke.”

Stroke Foundation and Apunipima ACCHO Cape York Project

“It can happen to anyone — stroke doesn’t discriminate against colour, it doesn’t discriminate against age “

Photo above Seith Fourmile, Indigenous stroke survivor campaigns for culture to aid in stroke recovery

Regional and rural communities are bearing the brunt of Australia’s stroke burden, according to an updated Stroke Foundation report released today.

Download the Report here : NSF1586_Postcode2017_web

Read over 60 plus NACCHO stroke Articles HERE

“No Postcode Untouched: Stroke in Australia 2017”, found 12 of the country’s top 20 hotspots for stroke incidence were located in regional Australia and people living in country areas were 19 percent more likely to suffer a stroke than those living in metropolitan areas.

Stroke Foundation Chief Executive Officer Sharon McGowan said due to limited access to best practice treatment, regional Australians were also more likely to die or be left with a significant disability as a result a stroke.

“In 2017, Australians will suffer more than 56,000 strokes and many of these will be experienced by people living in regional Australia,’’ Ms McGowan said.

“Advancements in stroke treatment and care mean stroke is no longer a death sentence for many, however patient outcomes vary widely across the country depending on where people live.

“Stroke can be treated and it can be beaten. It is a tragedy that only a small percentage of Australian stroke patients are getting access to the latest treatments and ongoing specialist care that we know saves lives.”

See Video from the Project

Stroke Foundation Clinical Council Chair Associate Processor Bruce Campbell said Australian clinicians were leading the way internationally in advancements in acute stroke treatment, such as endovascular clot retrieval. However, the health system was not designed to support and deliver these innovations in treatment and care nationally.

“It is not fair that our health system forces patients into this cruel lottery,’’ A/Professor Campbell said.

“There are pockets of the country where targeted investment and coordination of services is resulting in improved outcomes for stroke patients.

“Consistent lack of stroke-specific funding and poor resourcing is costing us lives and money. For the most part, doctors and nurses are doing what they can in a system that is fragmented, under-resourced and overwhelmed.”

No Postcode Untouched: Stroke in Australia 2017 report and website uses data compiled and analysed by Deloitte Access Economics to reveal how big the stroke challenge is in each Australian federal electorate.

This data includes estimates of the number of strokes, survivors and the death rate, as well as those living with key stroke risk factors. It is an update of a Stroke Foundation report released in 2014.

The report shows the cities and towns where stroke is having its biggest impact and pinpoints future hotspots where there is an increased need for support.

Ms McGowan said stroke is a leading cause of death and disability in Australia, having a huge impact on the community and the economy. Media release

“Currently, there is one stroke in Australia every nine minutes, by 2050 – without action – this number is set to increase to one stroke every four minutes,’’ she said.

“Stroke doesn’t discriminate, it impacts people of all ages and while more people are surviving stroke, its impact on survivors and their families is far reaching.

“It doesn’t have to be this way. Federal and state governments have the opportunity to invest in proven measures to change the state of stroke in this country.”

In the wake of the report Stroke Foundation is calling for a funded national action plan to address the prevention and treatment of stroke, and support for stroke survivors living in the community.

Key elements include: A national action campaign to ensure every Australian household has someone who knows

Key elements include:

  •  A national action campaign to ensure every Australian household has someone who knows FAST – the signs of stroke and to call 000. Stroke is a time critical medical condition. Time saved in getting people to hospital and treatments = brain saved.

  •  Nationally coordinated telemedicine network – breaking down the barriers to acute stroke treatment.
  •  Ensuring all stroke patients have access to stroke unit care, and spend enough time on the stroke unit accessing the services and supports they need to live well after stroke.

The No Postcode Untouched:Stroke in Australia 2017 report was funded by an unrestricted educational grant from Boehringer Ingelheim.

Aboriginal Health and #prevention : New report : @Prevention1stAU health : How much does Australia spend and is it enough?

 ” The verdict is in: Prevention is better than cure when it comes to tackling Australia’s chronic disease burden, but is Australia pulling its weight when it comes to tackling the nation’s greatest public health challenge?

A new economic report looking at what Australia invests in preventive health has found Australia ranks poorly on the world stage and has determined that governments must spend more wisely to contain the burgeoning healthcare budget.

Treating chronic disease costs the Australian community an estimated $27 billion annually, accounting for more than a third of our national health budget.

Yet Australia currently spends just over $2 billion on preventive health each year, or around $89 per person.

One in two Australians suffer from chronic disease, which is responsible for 83 per cent of all premature deaths in Australia, and accounts for 66 per cent of the burden of disease.”

The report, Preventive health: How much does Australia spend and is it enough? was co-funded by the Heart Foundation, Kidney Australia, Alzheimer’s Australia, the Australia Health Promotion Association and the Foundation for Alcohol Research and Education.

Download the report HERE

Preventive-health-How-much-does-Australia-spend-and-is-it-enough_FINAL

Produced by La Trobe University’s Department of Public Health, the report examines trends in preventive health spending, comparing Australia’s spending on preventive health, as well as the funding models used, against selected Organisation for Economic Co-operation and Development (OECD) countries.

The report also explores the question: ‘how much should Australia be spending on preventive health?’

Treating chronic disease costs the Australian community an estimated $27 billion annually, accounting for more than a third of our national health budget.

Yet Australia currently spends just over $2 billion on preventive health each year, or around $89 per person. At just 1.34 per cent of Australian healthcare expenditure, the amount is considerably less than OECD countries Canada, New Zealand and the United Kingdom, with Australia ranked 16th out of 31 OECD countries by per capita expenditure.

Michael Thorn, Chief Executive of the Foundation for Alcohol Research and Education (FARE), a founding member organisation of the Prevention 1st campaign, says that when looking at Australia’s spend on prevention, it should be remembered that one third of all chronic diseases are preventable and can be traced to four lifestyle risk factors: alcohol and tobacco use, physical inactivity and poor nutrition.

“We know that by positively addressing and influencing lifestyle factors such as physical activity, diet, tobacco and   alcohol consumption, we will significantly reduce the level of heart disease, stroke, heart failure, chronic kidney disease, lung disease and type 2 diabetes; conditions that are preventable, all too common, and placing great pressure on Australian families and on Australia’s healthcare systems,” Mr Thorn said.

Report co-author, Professor Alan Shiell says we should not simply conclude that Australia should spend more on preventive health simply because we spend less than equivalent nations, and instead argues that Australia could and should spend more on preventive health measures based on the evidence of the cost effectiveness of preventive health intervention.

“The key to determining the appropriate prevention spend is to compare the added value of an increase in spending on preventive health against the opportunity cost of doing so.

“If the value of the increased spending on preventive health is greater than the opportunity cost, then there is a strong case to do so,” Professor Shiell said.

Professor Shiell says there is clear evidence that many existing preventive health initiatives are cost-effective.

“Studies suggest Australia’s health could be improved and spending potentially even reduced if government was to act on existing policy recommendations and increase spending on activities already considered cost-effective.

“We also suspect that the choice of funding mechanism, or how money is allocated to whom for prevention – is an important factor for the overall efficiency of health prevention expenditure,” Professor Shiell said.

The report highlights England’s efforts in evaluating and monitoring the cost effectiveness and success of its public health interventions and Mr Thorn believes Australia would do well to follow their lead.

“In the United Kingdom we have a conservative government no less, showing tremendous leadership to tackle chronic disease, with bold policy measures like the recently introduced sugar tax and broad-based physical activity programs, all of which are underpinned by robust institutional structures,” Mr Thorn said.

The report will be launched at a Forum at Parliament House in Canberra today, where public health experts, including the World Health Organization’s Dr Alessandro Demaio will explain how they would invest in preventive health if given $100 million to spend.